Overview:

Certainty When It Matters Most

From procedural sedation to general care floor, reliable access to respiratory status is vital to providing comprehensive care. The Capnostream™ 35 portable respiratory monitor delivers real-time, continuous monitoring of your patient’s respiratory status by measuring etCO2, SpO2, respiration rate, and pulse rate. The Capnostream™ 35 monitor is designed for monitoring in virtually any clinical setting.

The Capnostream™ 35 portable respiratory monitor offers you comprehensive respiratory monitoring to help you respond earlier and intervene sooner if your patient is showing signs of respiratory compromise. The monitor provides information to help support clinical decisions and may improve workflow.

Capnostream™ 35 Portable Respiratory Monitor Features

Features:
  • Continuous, non-invasive, real-time respiratory status monitoring of etCO2, SpO2, respiration rate, and pulse rate.
  • May help increase opportunities for clinicians to identify respiratory events earlier and intervene sooner when monitoring patients on the general care floor, in the emergency department and recovery room , during procedural sedation and during intra-hospital and prehospital transport.
  • Intended for use with patients of any age; adult, pediatric, infant to neonate; intubated to non-intubated, with sampling lines specifically developed for patient type and use case.
  • Rugged, lightweight, shockproof, ergonomic design that’s as functional in the hospital setting as it is in air and ground transport.

Smart Algorithms and Smart Alarm Capabilities:

  • The Integrated Pulmonary Index™ algorithm combines four real-time measures: etCO2, SpO2, respiratory rate and pulse rate, to provide an inclusive assessment of a patient’s respiratory status in a single number.
  • Apnea-Sat Alert™ algorithm provides actionable insight to potentially prevent adverse respiratory events with summary reports of recurring apnea events per hour as well as oxygen desaturations.
  • Smart alarm management technology may reduce clinically insignificant respiratory alarms and provides a clearer indication of patient status while preserving alarm vigilance. Smart alarm technology includes Nellcor™ pulse oximetry SatSeconds™ alarm management and Smart Alarm for Respiratory Analysis™ algorithm (SARA).

Data Management Capabilities:

  • Patient data can be sent wirelessly to the Vital Sync™ virtual patient monitoring platform, providing the flexibility to view patient information on any web enabled device, EMR or Clinical Information System.
  • Patient data can be stored on USB drive or SD Card, printed, and transferred to other data systems.

Specifications

Specifications:

Specification Overview

General characteristics
Unit dimensions:

213 mm. (h) x 137 mm. (w) x 55 mm. (d) (8.385 in. (h) x 5.393 in. (w) x 2.165 in. (d))

(8.385 in. (h) x 5.393 in. (w) x 2.165 in. (d))

Unit weight: 1 kg.
  2.2 lb.
Power supply
Input Voltage 100-240 V, 50/60 Hz, ± 10%.
Battery
Battery Type Lithium Ion
Battery Pack Nominal Voltage and Energy 7.2V; 18.72Wh
Battery Operation 3 hours for removable bettery pack; 20 minutes for internal battery pack
Battery Charging Time Up to 5 hours when the monitor is off and up to 8 hours when the monitor is on, for both batteries
Display
Screen

109mm (4.3inch) Color TFT Display

Pixel Pitch: 0.198 (horizontal) x 0.198(vertical) mm

Active Display Area: 95.04 (horizontal) x 53.856 (vertical) mm

Resolution 480 x 272 pixels

Viewing angle (vertical) 125°

Viewing angle (horizontal) 140°

Trace Speed 3.0, 6.3, 12.5 and 25 mm/sec
Waveform Sampling Rate

77.82 samples/sec for SpO2 (fixed)

20 samples/sec for Capnography (fixed)

Trend Storage 48 hours with 1 second resolution
Trend Display

Graphical Display: 1h, 2h, 4h, 8h, 12h views

Tabular Display intervals: 1 sec, 5 sec, 15 sec, 30 sec, 1 min, 5 min, 15 min, 30 min, 1 hour

Algorithms
Integrated Pulmonary Index™ algorithm, Nellcor™ SatSeconds Technology, Apnea-Sat Alert™ algorithm, Smart Alarm For Respiratory Analysis™
Communication interface
Wi-Fi (Vital Sync ™ virtual patient monitoring platform connectivity option) and file transfer via USB flash drive or micro SD card
Microstream™ capnography
CO2 Units  mmHg, kPa or Vol%.
CO2, etCO2 Range 0-150 mmHg
CO2 Waveform Resolution 0.1 mmHg
etCO2 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, IPI low

(IPI also requires pulse oximetry information)

Flow Rate 50 (42.5 ≤ flow ≤ 65) ml/min, flow measured by volume
Waveform Sampling 20 samples/s
Response Time 2.95 s (typical); with use with sampling lines with long tubing, ~5.0 s
Initialization Time 40 s (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  1-100%.
Sp02 accuracy
Adult and pediatric modes
SpO2 range 70%-100% ±2 digits over the range of 70 to 100% (when using the accessories defined in this document), including under low perfusion; with motion, ±3 digits; with low saturation (60-80%) ±3 digits 
Infant/neonatal mode
SpO2 range 70%-100%  ±2% over the range of 70 to 100% (when using the accessories defined in this document), with motion ±3%; with low saturation (60-80%) ±3%
Pulse Rate Range

20 to 250 beats per minute

Pulse Rate values of < 20 beats per minute shall be displayed as 0 beats per minute

Pulse Rate values of > 250 beats per minute shall be displayed as 250 beats per minute.

Pulse Rate Accuracy

±3 digits over the range of 20 to 250 beats per minute inclusive, 

including under low perfusion; with motion, 48 to 127 bpm ±5 digits

Alarms SpO2 High, SpO2 Low, PR High, PR Low
Sat Sec Range 10 - 100
Alarms
ITEM AUDIBLE ALARM VISUAL ALARM
High Priority Alarm Beep pattern repeated every 5 seconds Flashing Red LED
Medium Priority Alarm Triple beep repeated every 10 seconds Flashing Yellow LED
Advisories Alarm No audible alarm No LED
Compliance
This product is designed to conform to the following standards: 
  • IEC 60601-1 
  • IEC 60601-1-2 
  • IEC 60601-2-49 
  • IEC 60601-1-12 
  • IEC 60601-1-6 
  • IEC 60601-1-8 
  • ISO 80601-2-61 
  • ISO 80601-2-55 
  • ISO 15223-1 
  • Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EC 
  • Directive on the restriction of the use of certain hazardous substances (ROHS) in electrical and electronic equipment - 2011/65/EU 
  • IEC 62133 
  • UN 38.3 
  • EN 301 489-1 V1.9.2

Proven Performance in Critical Situations

2015 AHA guidelines: Waveform capnography enables monitoring of CPR quality, chest compressions, ROSC, and correct placement of endotracheal tube. Capnography monitoring in transport can reduce the risk of unrecognized tube displacement.

Sepsis, severe sepsis, and septic shock are a common cause of hospital death with high costs to healthcare. Rapid identification and intervention increase survival and improve economic outcomes. Evidence suggests capnography may provide a comparable assessment to lactic acid levels.

  • Lightweight: 2.2 lbs
  • Shockproof: 1.25 meters
  • 4.3” sunlight readable, color screen
  • 9 display views
  • Liquid / Solid ingress protection (iP54)
  • Hot swap battery
  • Data storage: USB/SD card
  • Resuscitation Mode – immediately initiates monitoring