| Item number | Description | Units per box |
|---|---|---|
| CS08657-03 | Monitor with printer | 1 |
| CS08651-03 | Monitor (without printer) | 1 |
| BP01000 | Battery Pack | 1 |
| 10002385 | Roll stand, handle and basket | 1 |
| 10003482 | Wall channel, vertical | 1 |
| 10003484 | Wall channel, vertical with 12 in pivot arm | 1 |
Bedside capnography monitors
Capnostream™ 20p bedside capnography monitor
<p>The Capnostream™ 20p patient monitor with Microstream™ technology provides a complete measurement of a patient’s oxygenation and ventilation status.</p>
Features
- The dual parameter monitor supports current standards of care by providing etCO2 and SpO2 measurements.
- The monitor is compatible with central monitoring systems and interfaces with nurse call systems and electronic medical records.
- Smart Alarm Management™ integrated algorithms2,3 include Smart Alarm Management™ integrated algorithms, a suite of algorithms proven to reduce alarms and simplify the use of patient monitoring to enhance patient safety and improve clinical efficiency.4
- Smart Breath Detection™ (SBD) screens out low amplitude "non-breath" etCO2 excursions like talking, crying, or snoring.
- Smart Alarm for Respiratory Analysis™ (SARA) reduces 53% of clinically insignificant, unactionable nuisance alarms.5
- Nellcor™ SatSeconds alerts clinicians to clinically significant changes in pulse oximetry.
- Integrated Pulmonary Index™ algorithm (IPI) presents one value demonstrating real-time respiratory status based on etCO2, RR, PR, and SpO2.†
- Apnea-Sat Alert™ algorithm (ASA)‡ tracks and reports apneas per hour and oxygen desaturation index and provides the data in trend reports.
Specifications
| Power supply | |
|---|---|
| Input voltage | 100-240VAC, 50/60Hz |
| Fuses | Two F3.15A 250 volt |
| Input power | 90 VA |
| Battery | |
| Battery type | 14.4V, 4.5Ah lithium-ion |
| Battery operation | 2.5 hours (without thermal recorder) |
| Battery charging time | 100% in 12 hours |
| Controls | |
| Front panel | 1 switch for monitor on/off control 4 specific function keys 1 optical encoder with switch |
| Display | |
| Screen | 162 mm (6.4 in) color TFT display Pixel pitch: 0.204 (horizontal) x 0.204 (vertical) mm Active display area: 130.56 (horizontal) x 97.92 (vertical) mm (5.14 x 3.86 in) Resolution: 640 x 480 pixels Viewing angle: (vertical) 110 degrees Viewing angle: (horizontal) 140 degrees |
| Trace speed | 3.0, 6.3, 12.5, and 25 mm/second |
| Waveform sampling rate | 75.7 samples/second for SpO2 (fixed) 20 samples/second for capnography (fixed) |
| Trend storage | 8640-point storage 12 hours at 5 seconds resoltuion 24 hours at 10 seconds resolution 72 hours at 30 seconds resolution |
| Trend display | Graphical display: 2-hour, 6-hour, 12-hour views Tabular display intervals: 60 minutes, 15 minutes, 3 minutes, and minimum resolution (minimum resolution settable to 5, 10 or 30 seconds) |
| Microstream™ capnography | |
| CO2 units | mmHg or kPa or Vol% |
| CO2, etCO2 FiCO2 range | 0–150 mmHg |
| CO2, waveform resolution | 0.1 mmHg |
| EtCO2, FiCO2 resolution | 1 mmHg |
| CO2 accuracy | 0–38 mmHg: ±2 mmHg 39–150 mmHg: ± (5% of reading + 0.08 for every 1 mmHg above 38 mmHg) |
| Respiration rate range | 0–150 bpm |
| Respiration rate accuracy | 0–70 bpm: ±1 bpm 71–120 bpm: ±2 bpm 121–150 bpm: ±3 bpm |
| CO2 alarms | No breath, etCO2 High, etCO2 Low, RR High, RR Low, Integrated Pulmonary Index™ algorithm (IPI). IPI also requires pulse oximetry information |
| Flow rate | 50 (42.5 ≤ flow ≤ 65) mL/minute, flow measured by volume |
| Waveform sampling | 20 samples/second |
| Response time | 2.95 seconds (typical); with use with sampling lines with long tubing, ~5.0 seconds |
| Initialization time | 40 seconds (typical) |
| Calibration interval | Initially calibrate after 1,200 operating hours, then once a year or after 4,000 operating hours, whichever comes first |
| Nellcor™ pulse oximetry | |
| SpO2 measurement range | 1 to 100% |
| SpO2 accuracy | |
| Neonatal to adult | Saturation (% SpO2 ±1 SD) Without motion: 70 to 100% +/- 2 digits With motion: 70-100% +/- 3 digits |
| Low perfusion | 70 to 100% ±2 digits 20 to 250 bpm ±3 digits |
| Alarms | Adjustable alarm limits SpO2 High, SpO2 Low, PR High, PR Low |
| Nellcor™ SatSeconds alarm management range | 10, 25, 50, 100 |
| Data output and connectivity | |
| Data output | USB storage to flash memory devices Analog output for use in sleep labs and other laboratory enviornments Serial port (RS-232) for data transfer |
| Connectivity options | Vital Sync™ virtual patient monitoring platform connectivity option Profox™* respiratory oximetry software Nurse call Nuvon VEGA™* system iSirona™* system Capsule™* system Cerner™* system Epic™* system |
Frequently asked questions
Explain that the medication they will be given can make their breathing slow or shallow. Explain that a capnography monitor will alert clinicians to small changes in breathing before any problems can occur. Because the patient may be sedated, it is also important to educate family or friends who are present.
Let your patients and their family members know that alarms alert clinicians to a change in breathing. Explain that alarms can serve as a reminder to the patient to take a few deep breaths if they are awake.
Routine post-surgical activity, like sipping water or eating ice chips, does not interfere with monitoring.
Generally, patients will be monitored until the physician believes there is no longer a risk of slow or shallow breathing. This period depends on the type and duration of medication prescribed, as well as the patient’s response to the medication.
Ordering information
Resources
Videos
Capnostream™ 20p Monitor Troubleshooting Tips (03:32)
Capnostream™ 20p monitor buttonology (07:00)
Related links
The Microstream™ capnography monitoring system should not be used as the sole basis for diagnosis or therapy and is intended only as an adjunct in patient assessment.
TM* Third-party brands are trademarks of their respective owners.
† SpO2 data from host required.
‡ Apnea-Sat Alert™ algorithm is FDA cleared for adults 22 years of age or older.
- Maddox Ray R, Williams Carolyn K, Oglesby Harold, Butler Betty, Colclasure Bernie. Clinical experience with patient-controlled analgesia using continuous respiratory monitoring and a smart infusion system. Am J Health Syst Pharm. 2006;63(2):157-164.
- ECRI Institute. The hazards of alarm overload. Keeping excessive physiologic monitoring alarms from impeding care. Health Devices. 2007;36(3):73–83.
- Hockman S, Glembot T, Niebel K. Comparison of capnography derived respiratory rate alarm frequency using the SARA algorithm versus an established non-adaptive respiratory rate alarm management algorithm in bariatric surgical patients. Respir Care. 2009;54(11):1582.
- Ronen M, Weissbrod R, Overdyk FJ, Ajizian S. Smart respiratory monitoring: clinical development and validation of the IPI™ (Integrated Pulmonary Index) algorithm. J Clin Monit Comput. 2017;31:435–442.
- Internal test data on file.