ADSII Anesthesia Delivery System

The ADSII™ is an advanced yet easy-to-use anesthesia workstation that provides accurate, pneumatically driven and electronically controlled ventilation. The ADSII™ has an ergonomic design that incorporates new technology and provides safe and effective treatment options for the clinician. The ADSII™ includes Adult and Pediatric modes that provide patient-appropriate defaults and ranges.

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Categories: Anesthesia Machines Web ID: 18204

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Description

Updated for 2023

The ADSII™ is an advanced yet easy-to-use anesthesia workstation that provides accurate, pneumatically driven, and electronically controlled ventilation. The ADSII™ has an ergonomic design
that incorporates new technology and provides safe and effective treatment options for the clinician. The ADSII™ includes Adult and Pediatric modes that provide patient-appropriate defaults and ranges.

The ADSII features:

Highly accurate tidal volumes with 15 mL capability
15-inch Touch Screen TFT LCD
Electronic Flowmeters (Air, N20, O2)
Autoclavable and Heated Absorber
Ventilation modes of VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, Standby
Highly mobile space-saving design with retractable writing table and battery backup
AGSS & Electronic PEEP
Optional Vital signs, EtCo2, and Agent Monitoring

Anesthesia Ventilation Modes For A Variety of Clinical Settings

Modes of ventilation include VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, & Standby
A minimum tidal volume of 10mL the ADSII is ideal for any patient type from infant to adult
Altitude compensation ensures normal operation under high altitude conditions

Anesthesia Ventilator Monitoring & Intelligent Alarms

Simultaneous display of 4 waveforms and 2 ventilation loops along with 20+ relevant parameters in a variety of configurable views with comprehensive monitoring information.
Real-time monitor and gas alarms with automatic switch-over for optional driven gas ensure patient safety.
Tertiary acoustic alarm with color-coded risk level lighting

Anesthesia Absorber

BY-PASS soda–lime exchange during surgery. Auto heating & water collection. Auto compensation of tidal volume & automatic AGSS.

Anesthesia Vaporizers

The ADS II provides Standard Selectatec™-compatible mounts and holds one or two vaporizers. Sevoflurane, Isoflurane, Desflurane, Enflurane, and Halothane are available. All include a 10yr maintenance-free guarantee.

Gas Delivery

Electronic flowmeters for O2, N2O, and air have safety control and LED displays. A mechanical flowmeter provides security backup.

Pin Index Cylinder Yokes

The ADS II anesthesia machine offers standard cylinder yokes for: N2O, O2, and AIR

Wheel Lock

The ADS II provides an ergonomic footbrake system to lock the wheels. High-quality anti-static castors make the ADS II mobile and easily maneuverable.

Power/Network Panel

The ADS II features a universal 110v/220v power panel with 4 – 50/60Hz power outlets. Ethernet, USB, and RS-232 ports are also included to offer a multitude of connectivity options.

Technical Specifications

System Dimensions and Weight

Dimensions (HxWxD): 1450mm×1000mm×1330mm
Weight: 108 kg (Without vaporizer and cylinder)
Top Shelf: Weight limit 34 kg, Width x Depth 578×360 mm
Work Surface: Dimensions (HxWxD) 827×557×311 mm
Drawers (2): (Internal Dimensions HxWxD) 150×298×348 mm
Casters w/Breaks (4): 125 mm diameter

Ventilation Specifications

Modes of Ventilation: VCV, PCV, PRVC, SIMV(V)+PS, SIMV(P)+PS, CPAP/PSV, Manual, Standby
Compensation: Circuit gas leakage compensation and automatic compliance compensation
Patient Types: Adult, Pediatric, Infant
System Language: English, Spanish, Italian
Tidal Volume Pediatric/Infant: 10 ~ 300ml
Tidal Volume Adult: 100 ~ 1500ml (increments of 5 mL)
Pinsp: 5 ~ 70 cmH2O (increments of 1 cmH2O)
Plimit: 5 ~ 100 cmH2O (increments of 1 cmH2O)
Frequency in SIMV Mode: 1 ~ 40 bpm
Frequency in Other Modes: Other modes: 4 ~ 100 bpm (increments of 1 bpm)
I:E 4:1 ~ 1:10 (increments of 0.5)
Tpause: OFF, 5% ~ 50% (increments of 5%)
Ti: 0.1 ~ 10 s (increments of 0.1s)
Flow Trigger: 1 ~ 15 L/min (increments of 1 L/min)
Psupp: 5 ~ 60 cmH2O (increments of 1 cmH2O)
Integrated Positive End Expiratory Pressure (PEEP): OFF, 4 ~ 30 cmH2O (increments of 1 cmH2O)
Driving Pressure: 280 kPa to 600 kPa
Peak Gas Flow: 120 L/min + Fresh Gas Flow

Ventilation Monitoring Parameters

Minute Volume: 0 ~ 60 L/min
Tidal Volume: 0 ~ 2500 ml
Inspired O2: (FiO2) 21% ~ 100%
Ppeak: 0 ~ 100 cmH2O
Pmean: 0 ~ 100 cmH2O
Pplate: 0 ~ 100 cmH2O
I:E: 4:1 ~ 1:10
Rate: 0 ~100 bpm
Freqspont: 0 ~ 99 bpm
PEEP: 0 ~ 70 cmH2O
Resistance (R): 0 ~ 200 cmH2O/(L/s)
Compliance (C): 0 ~ 200 ml/ cmH2O

Ventilation Control Accuracy

Volume Delivery < 100 ml: ± 20 ml
Volume Delivery ≥100 ml: ± 20 ml or ± 15% of the set value, whichever is greater
Pressure Delivery: ± 2.0 cmH2O or ± 10% of the set value, whichever is greater
PEEP Delivery: ± 2.0 cmH2O or ±10% of the set value, whichever is greater
Flow Trigger: ± 1.0 L/min or ±15% of the set value, whichever is greater

Monitoring & Accuracy

Volume Monitoring< 100 ml: ± 20 ml
Volume Monitoring≥100 ml: ± 20 ml or ± 15% of the reading, whichever is greater
Pressure Monitoring: ± 2.0 cmH2O or ± 10% of the reading, whichever is greater
PEEP Monitoring: ± 2.0 cmH2O or ± 10% of the reading, whichever is greater
MV Monitoring: 1L/min or ±15% of the reading, whichever is greater
Trend Graph: Continuous trend information for the latest 24 hours
Log: 500 events storage, first in first out

Alarm Settings

Tidal Volume:
- High: 20 ~ 1500 mL, OFF
- Low: OFF, 10 ~ 1500 mL
Minute Volume:
- High: 1 ~ 40 L/min, OFF
- Low: OFF, 0 ~ 40 L/min
Airway Pressure:
- High: 1 ~ 100 cmH2O
- Low: 0 ~ 99 cmH2O
Frequency:
- High: 1 ~ 100BPM
- Low: 0 ~ 99BPM
FiO2:
- High: 21% ~ 100%,OFF
- Low: OFF, 18% ~ 99%
Apnea Alarm: 10 ~ 40s
Sustained Airway Pressure Alarm: 15s
Negative Pressure Aarm: Paw < -10 cmH2O
Alarm Silence Countdown Timer: 120 to 0 seconds

Ventilator Components

Flow Sensor
- Type: Variable orifice flow sensor
- Position: Inspiratory and expiratory port
Oxygen Sensor
- Type: Chemical
- FiO2 Displayed: 21% to 100%
- Accuracy: ± (volume fraction of 2.5 % +2.5 % gas level)
- Response time: ≤15 seconds
Ventilator Screen
Display Type: Color TFT touch screen, rotatable
- Display Size: 15 inch
- Resolution: 1024 x 768
- Display Parameter: All setting and alarm parameters (including Breath rate, I/E ratio, Tidal volume, Minute volume, PEEP, MEAN, PEAK, PLAT, and O2 concentration, EtCO2, N2O, Aesthesia gas concentration)
- Display Waveform: P-T, F-T, V-T, CO2-T
- Loop: P-V, F-V and F-P
- Timer: On screen timer
Communication Port: RS-232C connector x2, VGA x1

Vaporizer

Vaporizer Brand: Drager or Penlon Sigma Delta
Agent Compatibility: Halothane, Enflurane, Isoflurane, Sevoflurane
Position: Standard 2
Mounting Mode: Selectatec®, with interlocking function
Fill Method: Key fill, Pour fill, Quick fill

Monitoring Modules

MainStream CO2 Module: (Masimo IRMA)
- Displayed Numeric: EtCO2, FiCO2
- Measurement Range: 0 ~ 99 mmHg
- Accuracy: ± (0.3 vol%+ 4% of reading)
- Response Time: ＜1 second Waveform / Loop CO2-time
- EtCO2:
  - High Alarm Limit: 1 ~ 100cmH2O
  - Low Alarm Limit: 0 ~ 99cmH2O
SideStream CO2 Module: (Masimo ISA)
- Displayed Numeric: EtCO2, FiCO2
- Measurement Range: 0 ~ 99 mmHg
- Accuracy: 0 to 15 vol%: ±2 (0.2 vol%+2% of reading) 15 to 25 vol% :unspecified
- Response Time: ＜3 seconds (with 2 m sampling line) Waveform / Loop CO2-time
- EtCO2
  - High Alarm Limit: 1 ~ 100cmH2O
  - Low Alarm Limit: 0 ~ 99cmH2O
Multi-gas Module: (Masimo IRMA)
- Measurement Mode: Main-stream
- Monitor Gases: CO2, N2O, Halothane, Enflurane, Isoflurane, Sevoflurane, Desflurane, MAC.
- Warm-up Time: <20 sec (concentrations are reported and the automatic agent identification is running within 20 seconds).
- Accuracy:
  - CO2: ±(0.3 vol%+ 4% of reading)
  - N2O: ±(2 vol%+ 5% of reading)
  - HAL, ENF, ISO, SEV, DES: ±(0.2 vol%+ 10% of reading)
SPO2 Module
- Range: 70% ~ 100%
- Resolution: 1%
- Absolute Accuracy: ±2%
- PR Range: 30～250bpm
- PR Resolution: 1bpm
- PR Accuracy: 2bpm

Electrical Specifications Power & Battery Backup

Power Input: 110 ~ 240 Vac, 50/60 Hz
Auxiliary Electrical Outlet: Up to 3 outlets (2A for each)
Battery Backup:
- 60 min for 1 piece battery (powered by new fully-charged batteries with 25℃ ambient temperature)
- Built-in Li-ion battery, 11.1 VDC, 7800 mAh
Safety Features: In case of electricity and battery failure, manual ventilation, gas delivery and agent delivery are possible.

Pneumatic Specifications

ACGO (Auxiliary Common Gas Outlet)
- Connector Size: ISO 22 mm OD and 15 mm ID
- Pipeline Supply:
  - Gas Type: O2, N2O, Air
  - Pipeline Input Range: 280 to 600 kPa
  - Pipeline Connection: NIST
- Pipeline Supply Pressure Gauge
  - Display Type: Mechanical
  - Range: 0 to 1MPa
  - Accuracy: ± (4% of the full scale reading + 8% of the actual reading)
- Cylinder Supply:
  - Cylinder Type: E-size Cylinder (US standard or UK standard)
  - O2 Input Range: 400 to 450 MPa
  - N2O Input range: 400 to 450 MPa
  - Cylinder Connection: Pin-Index Safety System (PISS)
  - Yoke Configuration: O2, N2O
- Cylinder Supply Pressure Gauge
  - Display: Type: Mechanical
  - O2 Range: 0 to 25 MPa
  - N2O Range: 0 to 25 MPa
  - Accuracy: ± (4% of the full scale reading + 8% of the actual reading)
- O2 Control
  - Method: N2O shut off with loss of O2 pressure
  - O2 Flush: 25 ~ 75 L/min
- O2-N2O Link System
  - Type: Mechanical
  - Range: O2 concentration not lower than 21%
- Auxiliary: O2: Flowmeter
  - Range: 0 ~ 15 L/min
  - Indicator: Flow tube
- Electronic Flow Meter
  - O2 Flow Range: 0~ 10 L/min
  - Air Flow Range: 0~ 10 L/min
  - N2O Flow Range: 0~ 10 L/min
  - Accuracy: Between -10% and +10% of the indicated value (under 20℃ and 101.3 kPa, for flow between 10% and 100% of full scale ±200mL/min(for flow below 10% of full scale)

Environmental Specifications

Temperature
- Operation: 10 ~ 40℃
- Storage and Transport: -20 ~ 55℃
Relative Humidity (non-condensing)
- Operation: ≤ 80% R.H.
- Storage and Transport: ≤ 93% R.H.
Atmospheric Pressure
- Operation: 70 ~ 106 kPa
- Storage and Transport: 50 ~ 106 kPa
Electromagnetic Compatibility
- Immunity Complies with all requirements of IEC 60601-1-2
- Emission Complies with all requirements of IEC 60601-1-2

Breathing System Specification

Material: PC or PPSU(optional)
CO2 Absorber
- Absorber Capacity: 1500 mL
Breathing Circuit Parameters
- Compliance: 0.87 mL/100Pa (bag mode) Automatically compensates for compression losses within the breathing circuit in mechanical mode
- Expiration Resistance: < 0.6 kPa @30 L/min
- Inspiration Resistance: < 0.6 kPa @30 L/min
System Pressure Gauge
- Range: -20 ~ 100 cmH2O
- Accuracy: ± (2% of the full scale reading + 5% of the actual reading)
Ports and Connector
- Exhalation, Inhalation Manual Bag Port: 22 mm OD /15 mm ID conical
APL Valve
- Range: 2 ~ 70 cmH2O or 2 ~ 90 cmH2O(optional) Tactile knob indication at above 30 cmH2O
- Accuracy: ± 10 cmH2O or ± 15% of the setting value, which is greater

Anesthetic Gas Scavenging System (AGSS)

Size: (H x W x D) 480 x 134 x 95 mm
Type of Disposal System: Low Flow Active AGSS
Applicable Standard: ISO 80601-2-13
Pump Rate: 40 ~ 50 L/min
Connector of the Disposal System: ISO 9170-2

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