Limboesp

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Information about Limboesp
Education

Published on March 14, 2009

Author: educacionanestesia

Source: slideshare.net

LIMBO

WHAT IS IT??? One corrugate tube 22mm diameter Septum/wall extruded down its middle Inspiratory and expiratory channels are completely divided Made of three different resins Area of each distinct channel = 15.5mm

One corrugate tube

22mm diameter

Septum/wall extruded down its middle

Inspiratory and expiratory channels are completely divided

Made of three different resins

Area of each distinct channel = 15.5mm

PATENTS The Limbo has two patents: Process = 6,431,218D1. Method of manufacture. Design = 6,394,442B1. Single limb circle breathing system.

The Limbo has two patents:

Process = 6,431,218D1. Method of manufacture.

Design = 6,394,442B1. Single limb circle breathing system.

CHARACTERISTICS OF LIMBO Less compliant - the septum along with the stiffness of the tubing decreases compliance thereby increasing total volume delivered to the patient. “What you set is what you get.” Less heat loss - the septum permits the transfer of heat from the patient’s warm exhaled breath. Tests reveal an increase of 6.2°C @ 4L/min fresh gas flow rates.

Less compliant - the septum along with the stiffness of the tubing decreases compliance thereby increasing total volume delivered to the patient. “What you set is what you get.”

Less heat loss - the septum permits the transfer of heat from the patient’s warm exhaled breath. Tests reveal an increase of 6.2°C @ 4L/min fresh gas flow rates.

CHARACTERISTICS OF LIMBO Less weight - less plastic results in less weight and less torque on the patient’s artificial airway device. Limbo weighs 34% less than coaxial circuits and 25% less than traditional circle circuits. Less inventory - One circuit for pediatrics and adults! Use Limbo with pediatric patients weighing 4.5kg or greater.

Less weight - less plastic results in less weight and less torque on the patient’s artificial airway device. Limbo weighs 34% less than coaxial circuits and 25% less than traditional circle circuits.

Less inventory - One circuit for pediatrics and adults! Use Limbo with pediatric patients weighing 4.5kg or greater.

LIMBO WEIGHT PARAMETERS Minimum tidal volume requirements to avoid rebreathing CO2: 3 x amount of mechanical dead space Dead space of the Limbo is ~15cc 3 x 15cc = 45cc tidal volume minimum 10cc per kg of body weight is the usual estimate of VT 45cc minimum VT/10cc body weight = 4.5kg or 9.9lbs

Minimum tidal volume requirements to avoid rebreathing CO2:

3 x amount of mechanical dead space

Dead space of the Limbo is ~15cc

3 x 15cc = 45cc tidal volume minimum

10cc per kg of body weight is the usual estimate of VT

45cc minimum VT/10cc body weight = 4.5kg or 9.9lbs

CLINICAL USES FOR LIMBO ANESTHESIA TRANSPORT RESPIRATORY CARE

ANESTHESIA

TRANSPORT

RESPIRATORY CARE

ANESTHESIA Standard connections adapt to anesthesia machines

Standard connections adapt to anesthesia machines

TRANSPORT

TRANSPORT KIT

MAPLESON D adapter

MAPLESON D adapter

MAPLESON D adapter

MAPLESON D adapter

4300MDE Adapter for administering an MDI Disposable For use in respiratory care or anesthesia 4300MDI also available - fits onto inspiratory limb

Adapter for administering an MDI

Disposable

For use in respiratory care or anesthesia

4300MDI also available - fits onto inspiratory limb

Multi-Access™ Adapter Used for measuring proximal airway pressure For Bear 1000 or any other vent requiring proximal pressure port 22mm I.D./ 22mm O.D. Product code: 174024

Used for measuring proximal airway pressure

For Bear 1000 or any other vent requiring proximal pressure port

22mm I.D./ 22mm O.D.

Product code: 174024

Multi-Access™ Adapter

RESPIRATORY CARE For use with but not limited to Servo 900c (pictured), 300 Temperature port adapter P/N 174020 if using heater Possible future design with heated wire

For use with but not limited to Servo 900c (pictured), 300

Temperature port adapter P/N 174020 if using heater

Possible future design with heated wire

RESPIRATORY CARE For use with PB7200 (pictured), PB840 Not limited to these vents May be used with any volume ventilator that uses a circle breathing circuit

For use with PB7200 (pictured), PB840

Not limited to these vents

May be used with any volume ventilator that uses a circle breathing circuit

QUALITY ASSURANCE Every two hours, 10 hose segments are verified in order to validate the extrusion process Every circuit is 100 % leak tested with a flow detector A circle is created with the tubing and is pressurized according to ISO standards If a leak is detected the circuit is considered a failure and is discarded Actions are taken to modify the materials

Every two hours, 10 hose segments are verified in order to validate the extrusion process

Every circuit is 100 % leak tested with a flow detector

A circle is created with the tubing and is pressurized according to ISO standards

If a leak is detected the circuit is considered a failure and is discarded

Actions are taken to modify the materials

SALES STRATEGIES Inventory consolidation = one circuit for peds and adults Three applications = OR, TXP, RT Mapleson D adapter No risk of increased dead space (King F2) Thermally efficient Flexible configurations Unique!

Inventory consolidation = one circuit for peds and adults

Three applications = OR, TXP, RT

Mapleson D adapter

No risk of increased dead space (King F2)

Thermally efficient

Flexible configurations

Unique!

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