Ada 306764
Ada 306764
A
R
M Systems Research Branch
S
T
R
O
N
G CREW SYSTEMS DIRECTORATE
Crew Technology Division
2504 Gillingham Drive, Suite 25
L Brooks Air Force Base, TX 78235-5104
A
B
O
R
A
March 1996
T
Interim Technical Report for Period October 1991-December 1995
O
R
Y Approved for public release; distribution is unlimited.
19960409 166
AIR FORCE MATERIEL COMMAND
BROOKS AIR FORCE BASE, TEXAS
DISCLAIHEl NOTICE
«„r™^^ G°VGrnment drawings, specifications, or other data are used for any
fhXnLnl£rl1aVU connect,on with a definite|y Government-related procurement,
?ho fa^S StfesGovernment incurs no responsibility or any obligation whatsoeve
The fact that the Government may have formulated or in any way supplied the said
drawings, specifications, or other data, is not to be regarded by implication or
°h'™f'n any manner construed, as licensing the holder or ariy other person or
nl ontfi ; °r,aS c°nvey|n9.any r''ghts or permission to manufacture, use or sell any
patented invention that may in any way be related thereto. »«»any
\P&*^M, M
JAMES P. DIXON, Colonel, USAF, BSC
Chief, Crew Technology Division
Form Approved
REPORT DOCUMENTATION PAGE OMBNo. 0704-0188
AL/CFTS
8. PERFORMING ORGANIZATION
7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) REPORT NUMBER
Armstrong Laboratory
Crew Systems Directorate
Crew Technology Division kL/CF-TR-1995-0171
2504 Gillingham Drive Suite 25
Brook Air Force Base, Texas 78235-5104
10. SPONSORING/MONITORING
9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES)
AGENCY REPORT NUMBER
CATEGORIES CLASSIFICATION
• AIR AND OXYGEN
• CARDIAC
•
•
INCUBATORS
INFUSION
ACCEPTABLE
• MISCELLANEOUS
• POWER
• PULSE OXIMETERS
• RESPIRATORY
• SECURING
•
•
SUCTION
VENTILATORS
UNACCEPTABLE
Definitions of Equipment Classifications
ACCEPTABLE - the equipment is approved for use on large-bodied United States
Air Force aeromedical evacuation aircraft
CONDITIONAL - the equipment is approved for use on large-bodied United States
Air Force aeromedical evacuation aircraft only when specific
operational restrictions are met
UNACCEPTABLE - the equipment is not approved for use on any United States Air
Force aeromedical evacuation aircraft
In the past, airworthiness evaluations involved only the large-bodied Unites States Air Force cargo
aircraft specifically designated for aeromedical evacuation. More recently, the smaller bodied aircraft
such as the C-12, C-21, C-26, and C-27 have joined the aeromedical evacuation inventory, and
Aeromedical Research has adjusted testing procedures to accommodate these additional auframes. In
order to ensure the sage operation of previosly approved equipment in the smaller aircraft,
Aeromedical Research must examine the electromagnetic interference data of the initial evaluation.
This process has begun, and a preliminary list of equipment approved for the smaller aircraft is
available.
iii
AIR & OXYGEN
Comments: Humidifiers, oxygen monitors, and pulse oximeters should always be used in
administering oxygen. During follow-up testing we found the PT LOX can be used to
deliver oxygen to four patients (using a Y-connector) up to 151pm each, for a total of 60
lpm. The flowmeters require 50 psi to give an accurate flow, and the flowmeters provided
with the PT LOX have no indicator of flow actually being delivered. For this reason, it is
recommended that when more than three patients are being serviced, and /or flow exceeds 45
lpm, the patients should be monitored with pulse oximeters to ensure they are adequately
oxygenated. It is also recommended that, when using Y-connectors or flowrates above 45
lpm, a flowmeter (such as the Ohio/Ohmeda) be used. This will insure that a decrease in
flow will be readily noticeable. Ventilators use oxygen in different manners. Ventilators that
do not need a 50 psi source and have flow rates less than 65 lpm can be safely used with the
PT LOX. Ventilators that need a 50 psi source should operate, if they do not require flow
rates above 45 lpm.
AIR & OXYGEN
AERO-WEST AEROSOL
DISPENSER WITH "DEAR West Chemical Products, Inc.
5439 Highland Park Drive
JOHN" AEROSOL MODEL St. Louis, Missouri 63110
510H-15
Sorry, no
Description: Not available in record.
picture
available.
J
Power Requirements: 110 VAC 60 Hz
Comments: The Aero-West Model 510H-15 aerosol dispenser with "Dear John" Aerosol
is acceptable for use on the C-141 in the latrine of the comfort pallet using the razor outlet. If
the dispenser is to be used in other than the razor outlet, modifications are required to make
this unit acceptable. Those modifications: (1) Replacement of the two wire line cord with a
three wire system; (2) grounding the chassis of the unit; (3) fusing the unit's electrical
system. An "on-off' indicator and switch are desirable but are not essential features.
AIR & OXYGEN
Comments: Electromagnetic Compatibility was the only test conducted. The unit was
operated on 115 VAC 60 Hz, and connected to a flow meter set a 5 LPM, the mist
temperature exiting a 36-inch (91.3 cm) corrugated tubing stabilized at 89 degrees F (31.7
degrees C). The flow rate was increased to 10 LPM and the temperature stabilized at 86.4
degrees F (30.2 degrees C). With the unit operating on 115 VAC 400 Hz, and the flow
meter set at 10 LPM, it stabilized at 88.8 degrees F (31.6 degrees C). Based on these
results, the unit is acceptable for use onboard aeromedical evacuation aircraft.
UNACCEPTABLE AIR & OXYGEN
Puritan Bennett
BENNETT CASCADE Corporation
10th & Harrison Berkeley,
HUMIDIFIER, MODEL 1900 CA 94710
(213) 390-8565
Comments: The cascade is not acceptable for use onboard aeromedical airlift aircraft.
During on/off operation of the heater thermostat, it exceeds radiated and conducted emission
limits as specified by MIL-STD-461A.
•
CCEPTÄBLE AIR & OXYGEN
Sorry, no
Description: Not available in record picture
available.
Power Requirements: None
Comments: Relative Humidity testing - 65% at 95 degrees F was the only test conducted.
Packaged with the BioMarine Oxygen Analyzer, Model 202R sensor.
•
ACCEPTABLE AIR & OXYGEN
BioMarine Industries
BIOMARINE OXYGEN 303 West Lancaster Ave
ANALYZER, MODEL OA202R Devon, PA 19333
(215) 647-7200
Comments: The purchase order should request that the meter display P02 in mmHg and
that the sensor is for high altitude use.
ACCEPTABLE AIR & OXYGEN
Power Requirements: Pnuematically driven. For optimum efficiency use compressed air
at 50 psi and Oxygen at 50 psi.
10
UNACCEPTABLE AIR & OXYGEN
Power Requirements: 115 VAC, 60 Hz, 1.5 amp to operate temperature controller.
[ ' i i' '" ...,,■„..,'—,.,..,—'.',. ,.'.J!.,'l"i! "-■—1- I..!','.,. I"I'""I "" '
11
UNACCEPTABLE AIR & OXYGEN
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: Failed safety requirements.
12
ACCEPTABLE AIR & OXYGEN
BLOUNT INHALATION
THERAPY EQUIPMENT - Blount, Inc.
TWIN-O-VAC, MIST-VIVA 1031 Industrial Drive
RESPIRATOR, Santa Rosa, CA 95406
(707) 544-5171
OXYGEN-FLOWMETER,
HUMIDIFIER
13
ACCEPTABLE AIR & OXYGEN
14
AIR & OXYGEN
Power Requirements: Oxygen source (medical grade, 100%) with adjustable flowmeter
and tapered output fitting for cannula attachment.
■ —i
Comments: The Oxymizer requires approximately 40% less oxygen flow than the
currently used standard nasal cannula. Therefore, flow rates prescribed for use with a
standard nasal cannula must be reduced by approximately 40% when using the Oxymizer. If
the user does not reduce the flow rate, the possibility of hyperoxia exists. In the case of
Chronic Obstructed Pulmonary Disease (COPD) patients the difference in oxygen
consentration could have severe consequences. The Oxymizer is to be used only when
specifically requested by the prescribing physician, or in situations where oxygen resources
are extremely limited.
15
UNACCEPTABLE AIR & OXYGEN
•
Comments: First Article Testing Tested for Defense Personnel Support Center (DPSC)
Failed vibration testing.
16
ACCEPTABLE AIR & OXYGEN
Sorry, no
Description: Not available in record picture
available.
Power Requirements: None
Comments: Results indicate the mask with the rebreather bag to be
superior to the others tested.
Tomac bagless, Adult size, Catalog # 19300020
Tomac with Rebreather bag, Adult size, Catalog # 19304020
17
ACCEPTABLE AIR & OXYGEN
—
KAMEN-WILKINSON Bivona Surgical Instruments, Inc.
161 East Grand Ave.
FOAM CUFF AND Chicago, IL 60611
ENDOTRACHEAL TUBE (714) 981-0802
18
ACCEPTABLE AIR & OXYGEN
Extracorporeal Medical
LANZ ENDOTRACHEAL TUBE Specialties, Inc.
Royal & Ross
WITH MCGINNIS CUFF King of Prussia, PA 19406
(215) 337-2400
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: None
Comments: The McGinnis high residual volume cuff with attached control balloon (Lanz
endotracheal tube) allowed for fluctuations of pressure during testing with changes of
altitude. This is the only cuff tested thus far that could make these changes spontaneously.
19
AIR & OXYGEN
Catalyst Research
(A Division Of Mine Safety
Appliances Company)
MINIOX III OXYGEN MONITOR 3706 Crondall Lane
Owing Mills, MD 21117
(800) 851-4500 or (301)
356-2400
20
ACCEPTABLE AIR & OXYGEN
^-«NWN* *
21
ACCEPTABLE AIR & OXYGEN
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: In response to a Military Airlift Command request, the United States Air Force
School of Aerospace Medicine procured test quantities of the Mistogen Electronic Nebulizer,
Model 153. This ultrasonic device is designed to deliver controllable amounts of liquid
aerosol to patients via an open mask, face tent or tracheotomy mask. The nebulizer is
secured to a mount which permits easy attachment to the standard NATO litter poles.
Following operational test and evaluation (OT&E). MAC personnel recommended
"standardization of the Mistogen Electronic Nebulizer, Model XEN 153." It is capable of
supplying the necessary supplemental humidification required by the vast majority of
patients airlifted.
The unit can be operated from an ambient air or oxygen power source.
22
i
AIR & OXYGEN
Power Requirements: 120 VAC 60 Hz. Unit not tested on 400 Hz.
Comments: The Ohio High Performance Air Compressor is conditionally acceptable for
use in aeromedical evacuation aircraft and Air Rescue & Recovery Service helicopters. This
unit does not have a current overload protector and this could present a hazardous condition.
When ordering this item from the manufacturer, request an adequate current overload
protector be installed. The manufacturer has agreed to satisfy this request. The maximum
flow rate at 50 psi is 28 liters per minute at sea level and 20 liters per minute at 8,000 ft. The
unit was not designed for ventilator use. To use it with a ventilator, insure the air flow is
adequate to operate your ventilator.
23
ACCEPTABLE AIR & OXYGEN
Comments: The School of Aerospace Medicine portable therapeutic liquid oxygen systems
were designed, fabricated, standardized and placed in use for worldwide aeromedical airlift
on multi-mission aircraft not having an integral therapeutic oxygen system. For info on latest
version, see 10-LITER PATIENT THERAPEUTIC LIQUID OXYGEN CONVERTER (PT
LOX), MODEL CRU-87/U Dated January 1 1987.
24
AIR & OXYGEN
25
AIR & OXYGEN
Timeter Instrument
TIMETER ARIDYNE MEDICAL Corporation
Allied Health Care Products
AIR COMPRESSOR, MODEL 2501 Oregon Pike
3500 Lancaster, PA 17601
(800) 233-0258
Power Requirements: 110 VAC 60 HZ, 8.5 amps (Unit not tested on 400 Hz)
— ■ ■ ■
Comments: The Timeter Aridyne 3500 Air Compressor is suitable for use in aeromedical
evacuation aircraft up to 8,000 ft cabin altitude. The unit will NOT provide 50 psi pressure at
altitudes above 8,000 ft. 50 psi can be maintained up to 8,000 ft, but both pressure and
output flow decreases as altitude increases. Maximum flow rate from this compressor is 45
liters per minute at sea level and 41 liters per minute at 8,000 ft. If this unit is to power a
ventilator, insure the air flow is adequate for that ventilator.
26
ACCEPTABLE AIR & OXYGEN
Veriflo Corporation
Medical Product Division
VERIFLO OXYGEN P.O. Box 4034
REGULATOR, MODEL 747, 250 Canal Blvd.
Richmond, CA 94804-0034
P/N 1900231 (800) 962-4074 or
(415) 235-9590
27
AEROMEDICAL
RESEARCH
STATUS GUIDE
CARDIAC
29
» LIFESTAT 100 NONTNVASIVE BLOOD PRESSURE MONTTOR
• MDE Escort 300
» MDE ESCORT MODEL E-100. VTTAL SIGNS MONTTOR
» MEDASONICS ULTRASOUND STETHOSCOPE
» MEDTEK BPI 420 BLOOD PRESSURE/PULSE MONITOR
» MENNEN-GREATBATCH CARDIO/PAK 936SR MONITOR.
DEFIBRILLATOR/SYNCHRONTZER. AND RECORDER
» MENNEN-GREATBATCH NEONATAL MONITOR 744 AND 700-150
CHART RECORDER
> MONOPULSE 807B DEFIBRILLATOR WITH ELECTROCARDTOSCOPI
PACEMAKER. AND SYNCHRONIZER
> MOTOROLA ADVANCED PORTABLE DUPLEX CORONARY
OBSERVATION RADIO fAPCOR)
> MRL 450 SL-AF MONITOR. DEFIBRILLATOR/SYNCHRONTZER.
RECORDER
> OMEGA BLOOD PRESSURE MONTTOR. MODEL 5000-110
> PHYSIO-CONTROL ELECTROCARDIOGRAPH RECORDER
> PROPAO VITAL STGNS MONITOR MODEL 106
SOMATRONIX DIGTTAL BP AND PULSE MONTTOR. MODEL 307
SPACELABS VITAL STGNS MONTTOR
SPHYGMOSTAT ELECTRONIC BLOOD PRESSURE MONTTOR. MODE
B-350
SPHYGMOSTAT MODEL B-300 ELECTRONIC BLOOD PRESSURE
MONITOR
SPHYGMOSTAT MODEL P-75. PULSE MONTTOR
SPHYMETRICS INFRASONDE ELECTRONIC BLOOD PRESSURE
MONITOR. MODEL M3010
TEKTRONIX 413 PORTABLE NEONATAL MONITOR. OPTTON 82. 40
SERIES RECORDER. OPTION 4
TEKTRONIX MODEL 413A NEONATAL MONTTOR
TEKTRONIX PHYSIOLOGICAL MONTTOR. TYPE 410
ULTRASONIC MONITOR. HEMOSONDE MODEL 2300
30
ACCEPTABLE CARDIAC
Medical Research
AMB PAK MODEL 500/AT-AF Laboratories, Inc.
6457 W. Howard Street
PHYSIOLOGICAL MONITOR Niles, IL 60648
(312) 647-0777
31
UNACCEPTABLE CARDIAC
32
ACCEPTABLE CARDIAC
Power Requirements: 115 VAC 60 Hz (400 Hz not tested) & 9.6 volt rechargeable
Ni-Cad Internal battery
Comments: Based on the results of the tests conducted, the Biomega Blood Pressure/Pulse
Monitor, Model 423B is considered acceptable for use onboard both fixed and rotary wing
aircraft used for aeromedical evacuation. It should be noted that a careful technique for
determining the blood pressure must be adopted as outlined under Applications in the
Operations Manual. The patient's arm should not be allowed to rest on the litter or arm rest
of the seat but must be supported free of these areas while taking the blood pressure.
33
ACCEPTABLE CARDIAC
Comments: They deliver excellent audible signals of blood pressure, respiration, and heart
beat, while effectively rejecting extraneous aircraft noise. The Model C-2000 utilizes a dual
transmission tube while the Model KR-700 employs a single transmission tube. A
transducer guard is included with the Model C-2000 to prevent accidental damage to the
stethoscope head.
34
ACCEPTABLE CARDIAC
BIRTCHER
ELECTROCARDIOGRAPH Unknown
RECORDER, MODEL 355
Sorry, no
Description: Unknown picture
available.
35
UNACCEPTABLE CARDIAC
Power Requirements: 115 VAC 60-400 Hz or 12, 24 & 28 VDC or Internal battery
Comments: Original testing of unit on 2/1/82 found acceptable for use on 60 Hz, internal
battery and 28 VDC power. In 1986 unit tested again on 115 VAC 60-400 Hz power and
Failed EMI testing. This failure caused the unit to no longer considered acceptable for use on
board United States Air Force/Military Airlift Command aeromedical aircraft.
36
CARDIAC
BURDICK DC180M
DEFIBRILLATOR/MONITOR, WITH Burdick Corporation
Milton, WI 53563
SERIAL NUMBERS 020003 AND (800) 868-7631
BELOW
Power Requirements: 12, 24, 28 VDC or 115 - 230 VAC 60 Hz (400 Hz not tested) or
Internal battery
i i
37
CARDIAC
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: The Burdick ECG Recorder, Model EK-4, is acceptable for use onboard
aeromedical evacuation aircraft. It exceeds the 10 microampere maximum specified in Air
Force Regulation 160-3, and should not be used on or near an electrically susceptible
patient.
38
ACCEPTABLE CARDIAC
Power Requirements: 120 VAC 60 Hz, 0.13 amp, operated with Model 900C
adapter/charger or Internal battery
Comments: The Model 901 was evaluated as a component of the International Biomedical
Neonatal Transport System. The Model 901 may be used apart from or as a component of
the International Biomedical Neonatal Transport System.
39
CARDIAC
Comments: The Model 506 may be used independently, or as a component of the Neonatal
Transport System. During rapid decompression testing from 10,000 to 40,000 ft, the
cathode-ray tube was damaged, making part of the display screen unreadable. This
malfunction was not considered a failure since it presented no danger to the patient or
personnel. Unit Must be modified to conform to MIL-STD-461C, Category Ale.
40
UNACCEPTABLE CARDIAC
Sorry, no
Description: Not available in record picture
available.
Power Requirements: 90-117 VAC 50 - 60 Hz or Battery
=>
Comments: The Datascope Cardiotron, Model 650, with the Model G Power Module, is
unacceptable for use on United States Air Force Aeromedical Aircraft. The unit possessed
satisfactory operational characteristics, did not exceed electromagnetic interference limits,
and operated satisfactory under environmental conditions of: 1) 8,000 feet equivalent
altitude; 2) high temperature of 120 degrees F; 3) low temperature of 40 degrees F; 4) low
humidity of 30 - 35%; and 5) high humidity of 90 - 98%. However, due to problems with
construction, the inability to withstand operations under prolonged vibration, incompatibility
with electrical power systems on multi-purpose aircraft configured for aeromedical airlift and
the improper operation of the battery mode function are grounds for judging this unit is
unacceptable for use in aeromedical operations.
41
ACCEPTABLE CARDIAC
Comments: When operated from the internal battery supply, it may be used on an
electrically susceptible patient. However, if the unit's battery is being charged, or if it is
interconnected to a defibrillator, it cannot be used on or near an electrically susceptible
patient.
42
UNACCEPTABLE CARDIAC
DATASCOPE M/D 2J
MONITOR/DEFIBRILLATOR/ Datascope Corporation
580 Winters Ave
SYNCHRONIZER DATABANK 770 Paramus, NJ 07652
RECORDER, AND STANDARD (201) 265-8800
BATTERY CHARGER
43
UNACCEPTABLE CARDIAC
Datascope Corporation
DATASCOPE M/D 3A 580 Winters Ave
DEFIBRILLATOR SYSTEM Paramus, NJ 07652
(201) 265-8800
44
CARDIAC
Comments: When ordering specify Air Force model for support module II. The optional
lithium battery pack is not recommended for aircraft use.
Silver interior shielding must be present for EMI shielding. All leakage currents were within
the limits of Air Force Regulation 160-3 for Class A devices. The M/D3 may be used on
electrically susceptible patients. Based on the results of the tests conducted, the Datascope
M/D3 model with EMI shielding is considered acceptable for use in aircraft used for
aeromedical evacuation.
45
ACCEPTABLE CARDIAC
Datascope Corporation
DATASCOPE PHYSIOLOGICAL 580 Winters Ave
MONITOR, MODEL 850 Paramus, NJ 07652
(201) 265-8800
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: The Datascope Model 850, Dual Trace Physiological Monitor, modified to
secure printed circuit boards and transformers and to lengthen wires from input selector
switch to input of the amplifier printed circuit board, is acceptable for use onboard
aeromedical evacuation aircraft. The unit cannot monitor the patient during defibrillation.
46
CARDIAC
Datascope Corporation
DATASCOPE RESUSCITRON DC 580 Winters Ave
DEFIBRILLATOR, MODEL 680 Paramus, NJ 07652
(201) 265-8800
Power Requirements: Ni-Cad batteries charged with 15V built-in battery charger.
Battery charger operates on 115 VAC 50-400 Hz
■ ■
Comments: Datascope Resuscitron DC Defibrillators with serial numbers 2049 and higher
are acceptable for use on United States Air Force aeromedical aircraft. Units below this
number are considered electrically hazardous to patients when the unit is plugged into an AC
outlet. When defibrillating it is recommended the unit not be plugged into AC line power.
47
UNACCEPTABLE CARDIAC
48
UNACCEPTABLE CARDIAC
49
CARDIAC
Comments: Failed EMI testing on line power. Acceptable for use "ONLY" on internal
batteries.
50
UNACCEPTABLE CARDIAC
51
CARDIAC
Hewlett-Packard Medical
HEWLETT-PACKARD Supply Division
NEONATAL MONITOR, MODEL 175 Wyman Street
Waltham, MA 02154
78260A (800) 225-0230 or (617)
890-6300
Comments: The heart rate module must be modified to reduce radiated emissions.
52
CARDIAC
Description: The Lifepak 3 is a portable, battery feäSä^*"1**'4" «IM IIMIJJSUE'W"'- ■■'■ '*;<w!
operated instrument for monitoring the ECG signal
from a patient. A solid-state memory and a freeze
circuit are combined to offer a choice between real
time display or a QRS complex held in time for close
inspection or measurement The defibrillator is a
controlled monophasic defibrillator pulse to the
patients heart. Rapid assessment of the patient's
condition and fast delivery of the DC defibrillating
pulse are both accomplished through the same pair of
quick-look paddles.
Power Requirements: 115 VAC 60-400Hz (Available through charger only) internal
battery
i i
Comments: The basic Life Pak 3 unit (no telemetry modulator) may be used onboard
aeromedical airlift aircraft only if, when purchased, the RFI option (RF1 Shielding) is
obtained with the basic unit, and the unit is operated from its internal battery pack. Under
these conditions, the Life Pak 3 unit complies with MTL-STD-461A emission hmits. When
the Life Pak 3 unit is operating from its internal battery pack, leakage current is not present.
However, when the Life Pak 3 unit is used with the Charge Pak and operated from 115
VAC power, leakage current exceeds the 10 microamperes specified in paragraph 4.8.1 of
the Association for the Advancement of Medical Instrumentation (AAMI) Safety Standard
for electromedical apparatus, if the third wire (ground) of the Charge Pak AC cable is broken
or disconnected. Therefore, the Life Pak 3 unit, when operating from 115 VAC, should not
be used on or near an electrically susceptible patient (a patient with probes, catheters, or
other conductive paths from outside the body into the thorax) unless, prior to use, the third
wire (ground) of the Charge Pak AC cable and AC outlet power source are checked and
found to have a low resistance continuity.
53
ACCEPTABLE CARDIAC
«MT*C].CMW
54
ACCEPTABLE CARDIAC
Physio-Control Corporation
LIFE PAK 5 CARDIOSCOPE 11811 Willows Rd.
AND BATTERY PAK CHARGER Redmond, WA 98052
(800) 426-8047
Power Requirements: 110 VAC 50 - 400 Hz (Battery Charger), 0.16 amp. Internal
Battery (Life Pak 5)
Comments: Based on results of tests conducted on the Life Pak 5 Cardioscope, Recorder,
and Defibrillator/Synchronizer modules can be considered acceptable for use on board
aeromedical evacuation aircraft and Air Rescue & Recovery Service helicopters. Life Pak 5
batteries may be charged by the Physio-Control Battery Support System (BSS), which was
evaluated and approved in 1991.
55
UNACCEPTABLE CARDIAC
Physio-Control
LIFEPAK 7 Corporation
CARDIAC MONITOR/ 11811 Willows Rd.
Redmond, WA 98052
DEFIBRILLATOR (800) 426-8047
Sorry, no
Description: Not available in record. picture
available.
Power Requirements: 115 VAC 60 - 400 Hz
Comments: Failed EMI testing. Testing halted per manufacturer's request.
56
CARDIAC
Physio-Control
Corporation
LIFEPAK 10 CARDIAC 11811 Willows Rd.
MONITOR/DEFIBRILLATOR Redmond, WA 98052
(800) 426-8047 or (206)
867-4000
57
CARDIAC
Physio Control
11811 Willows Rd. Northeast
LIFEPAK BATTERY SUPPORT P.O. Box 97006
SYSTEM (BSS) Redmond, WA 98073-9706
(800) 426-8047 or (206)
867-4000
58
UNACCEPTABLE CARDIAC
Physio Control
11811 Willows Rd.
Northeast
LIFESTAT 100 NONINVASIVE P.O. Box 97006
BLOOD PRESSURE MONITOR Redmond, WA
98073-9706
(800) 426-8047 or (206)
867-4000
59
UNACCEPTABLE CARDIAC
60
UNACCEPTABLE CARDIAC
61
ACCEPTABLE CARDIAC
MedaSonics
340 Pioneer Way
MEDASONICS ULTRASOUND P.O. Box M
STETHOSCOPE Mountain View, CA 94042
(800) 227-8076 or (415)
965-3333
i^sswif^M
Uf«5fli '■*■*"£*$
$m*ä®MBW&tö&&?!9f.
Description: The MedaSonics Ultrasound ■ ytilQrsSb&itSSfSSBSSt
62
ACCEPTABLE CARDIAC
Medtek Corporation
MEDTEK BPI 420 BLOOD 745 Alexander Rd.
Princeton, NJ 08540
PRESSURE/PULSE MONITOR (800) 527-0226 or (609)
452-9393
63
UNACCEPTABLE CARDIAC
64
UNACCEPTABLE CARDIAC
65
ACCEPTABLE CARDIAC
MONOPULSE 807B
DEFIBRILLATOR WITH
Travenol Laboratories, Inc.
ELECTROCARDIOSCOPE, Deerfield, IL 60015
PACEMAKER, AND
SYNCHRONIZER
66
UNACCEPTABLE CARDIAC
Power Requirements: 115 VAC 60 Hz for rapid charger unit and to recharge battery in
telemetry unit. Rechargeable Ni-Cad battery pack
Comments: Failed EMI testing.
67
ACCEPTABLE CARDIAC
Medical Research
MRL 450 SL-AF MONITOR, Laboratories, Inc.
DEFIBRILLATOR/SYNCHRONIZER, 7450 Natchez Ave.
RECORDER Niles, IL 60648
(312) 792-2666
Power Requirements: 115 VAC 60-400 Hz, 28 VDC external; 12 VDC external, 12
VDC internal battery
Comments: First tested in DEC 79 under AMB Pak 450-SL Monitor file name.
Once the defibrillator has been charged, merely turning off the MRL will not release the
charge. The paddles must be discharged into the paddle placement location in the MRL
cover. Do not discharge into the air or by holding the paddles together.
68
UNACCEPTABLE CARDIAC
Invivo Research
Laboratories
OMEGA BLOOD PRESSURE 3061 West Albany Street
MONITOR, MODEL 5000-110 Broken Arrow, OK
74012
(918) 250-0566
Comments: Waiver was granted for use on aeromedical evacuation aircraft August 1974.
The third wire (ground) of the recorder's AC power cable and AC outlet should be checked
for low-resistance (0.15 ohms or less) continuity before using the recorder on or near
electrically susceptible patients.
70
ACCEPTABLE CARDIAC
!
1 Evaluation Date: February 1 1991
Power Requirements: 120 VAC, 60 HZ, 0.2 amps or Lead acid battery with internal
charger
■ —■
Comments: To be used inflight, the 106 must be modified to comply with MEL-STD-461C
EMI standards; and must be so labeled.
71
UNACCEPTABLE CARDIAC
•
Sorry, no
Description: Not available in record.
picture
available.
•
Power Requirements: Battery
72
UNACCEPTABLE CARDIAC
73
UNACCEPTABLE CARDIAC
74
UNACCEPTABLE CARDIAC
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: AC power or Battery
Comments: Failed human factors. In the present configuration, the Sphygmostat Model
B-300, electronic blood pressure monitor, has several deficiencies and characteristics that
make it unacceptable for aeromedical airlift operations. In brief, the unit demonstrated
unsatisfactory operation on a cursory test aboard a C-131 aircraft; the unit is not constructed
for routine use on aircraft; the unit circuitry does not provide an adequate degrees of
electrical safety when in the battery charging mode; and the unit does not provide adequate
readability on dimly lighted aircraft. The unit was not adversely affected by environmental
variations, nor did it produce electromagnetic interference (EMI). However, due to failure of
human factors evaluation the unit is unacceptable for aeromedical use.
75
UNACCEPTABLE CARDIAC
•
Sorry, no
Description: Not available in record
picture
available.
•
- '
Power Requirements: 110 VAC or Battery
' —■—
~ i
Comments: The Sphygmostat, Model P-75, Pulse monitor has several deficiencies and
characteristics that render it unacceptable for aeromedical airlift operations. The unit provided
for test was electrically hazardous, the inflight operational performance was inadequate, the
electrical workmanship was of poor quality, and the meter readability was unsatisfactory.
76
CARDIAC
77
1 UNACCEPTABLE CARDIAC
TEKTRONIX
Tektronix, Inc.
413 PORTABLE NEONATAL P.O. Box 500
MONITOR, OPTION 82 Beaverton, OR 97005
(800) 547-8805
400 SERIES (503) 644-0161
RECORDER, OPTION 4
Adjustable alarm limits are provided for heart rate and respiration rate. Independent controls
are provided for heart rate and respiration rate. Independent controls are provided for
continuous-tone-alarm loudness and for beat-tone. Separate QRS and inspiration detectors
provide information for rate alarms, rate digital displays, and sweep triggering. A pulse
alarm indicates pulse or pressure failure. Other features are a color-changing light emitting
diode (LED) to indicate battery condition, and a "Hospital Grade" power plug.
The 400 series recorder, Option 4, provides a single-channel waveform writing of the
selected patient parameters at two selectable chart speeds (25 or 50 mm/sec.) Its display is
ALWAYS one half the amplitude of the monitor display. It also provides an alphanumeric
printout, with every record cycle, of patient vital signs and elapsed time. A stylus heat
control is provided for adjustment of copy darkness. The recorder can be set to record every
15 minutes, to start when the monitor alarms, or manually. Only Tektronix recording paper
should be used with the recorder.
■ ■
Power Requirements: 115 VAC, 48-440 Hz line power and four (4) F-cell Ni-Cad
batteries
Comments: Failed EMI, vibration and environmental testing.
78
UNACCEPTABLE CARDIAC
Tektronix, Inc.
TEKTRONIX MODEL 413A P.O. Box 500
Beaverton, OR 97005
NEONATAL MONITOR (800) 547-8805
(503) 644-0161
79
CARDIAC
Tektronix, Inc.
TEKTRONIX PHYSIOLOGICAL P.O. Box 500
MONITOR, TYPE 410 Beaverton, OR 97005
(503) 644-0161
Comments: The Tektronix Type 410, Physiological Monitor, is acceptable for routine use
on aeromedical aircraft. The physician-in-charge and the user organization should be
cognizant that the unit will probably be rendered inoperable if a rapid decompression of the
aircraft cabin should occur. Because of the excessive leakage currents from the monitor, the
Type 410 monitor should not be used for patients having devices whose terminal end is
introduced into the thorax and is consecutively connected to a point accessible outside the
body (such as a probe, catheter, or electrode).
80
ACCEPTABLE CARDIAC
83
UNACCEPTABLE INCUBATORS
84
INCUBATORS
Power Requirements: 115 VAC 50 400 Hz, 3.0 amps, 12 - 14.5 VDC or Internal
battery 12-24 VDC Sealed Lead acid
Comments: This unit is susceptible to significant increases in temperature within the infant
chamber, when exposed to direct sunlight. This can be avoided by covering the clear
plexiglass hood assembly with an item such as a folded cotton bed sheet Unless absolutely
necessary, do not remove the hood assembly, as it can separate and fall on the infant, the
aircraft floor, another patient or crewmember. The USAF Occupational and Environmental
Health Laboratory (OEHL) at Brooks AFB, Texas, determined the noise levels within the
incubator while on the C-9, C-12, C-21, C-130, C-141 aircraft and UH-1 helicopter, were
not loud enough to produce a significant risk to hearing damage; due to the relatively short
period of exposure. Currently, there is no commercially available hearing protection
equipment for infants. OEHL advises not taping ear plugs over infant's ears, as it is of little
to no value. An oxygen analyzer should be used whenever supplemental oxygen is used.
The Model 185 was retested for EMI in March 1990 it had been fitted with an improved
brushless air circulation motor, Brailsford model T-2NFR. Using this new motor, the 185
passed EMI and is acceptable for aeromedical use. If more information is required, refer to
USAFSAM-TR-89-35 available through the National Technical Information Service, U.S.
Department of Commerce, 5285 Port Royal Rd., Springfield VA 22161. Telephone: (703)
487-4650
85
INCUBATORS
86
UNACCEPTABLE INCUBATORS
Power Requirements: 110-120 VAC, or 220-240 volt, 50-60 Hz; 12 VDC; Battery
Operation-12 volts, rechargeable
Comments: Failed EMI and environmental testing, had C02 build-up, potential fire
hazard.
87
UNACCEPTABLE INCUBATORS
Healthdyne
HEALTHDYNE INFANT 2253 Northwest Parkway
TRANSPORT SYSTEM Marietta, GA 30067
(404) 955-9555
89
INCUBATORS
90
Neonatal Transport System (ALSS Model 20H)
Incubator, ALSS Model 20H 110 VAC, 3.0 amps or Internal battery
Requires EMI & Hood modification
Neonatal Monitor 110 VAC, 0.17 amp or Internal battery Model 506
Corometrics Model MVP-10 Requires EMI modification
Suction Unit, Laerdal, Model LSU 110 VAC, 0.6 amp or Internal battery
Infusion Pump, Travenol Model AS20S 110 VAC 0.3 amp or Internal battery
91
UNACCEPTABLE INCUBATORS
Mistogen Equipment
MISTOGEN TRANSPORT Company
2711 Adeline Street
INCUBATOR, MODEL TI-700 Oakland, CA 94607
(415) 834-1550
92
INCUBATORS
Comments: The unit must be modified for EMI. The T167-1 should not be operated on
line power (110 VAC 50 - 400 Hz) onboard aeromedical evacuation aircraft. Based on the
results of the tests conducted, The Narco Air-Shields Mobile Transport Incubator Model
T167-1 is acceptable for use onboard aircraft and helicopters used for aeromedical
evacuation. It should be noted that extremely high storage temperatures could render the
hood thermometer nonfunctional.
93
ACCEPTABLE INCUBATORS
Power Requirements: 110 VAC 60 - 400 Hz, 2.0 amps or 12 VDC External battery pack
(requires 2.0 amps when charging from 110 VAC) or 24 VDC
Comments: Based upon test results, the Air-Evac Transport Incubator is acceptable for use
on USAF aeromedical flights. On units produced prior to 1975 and having serial numbers
beginning with AKH, a sticker label stating 'Temperature Warning: Check infant
compartment temperature" should be in place next to the temperature warning light on the
heater and should cover up the "high temp warning."
94
UNACCEPTABLE INCUBATORS
Sorry, no
Description: Not available in record. picture
available.
Power Requirements: Not recorded
Comments: Failed EMI. In the present configuration, the cradle warmer, model 121800,
has several deficiencies that make it unacceptable for aeromedical airlift In brief, the audible
alarm produces unacceptable electromagnetic interference; mattress expansion could throw
an infant against the canopy during rapid decompression; transport handles and tiedown
fixtures are not provided; there are no restraints to protect the infant occupant. Of less
concern is the fact that the following are not in accord with the manufacturer's specifications:
temperature dial control data; the overheat light and alarm limit; underheat light activation
point The cradle warmer can be made minimally acceptable for aeromedical airlift use with
relatively minor modifications.
95
UNACCEPTABLE INCUBATORS
Power Requirements: 210/250 VAC/100 VAC or 105/125 VAC 100 VAC or 12V, DC.
100W nominal
96
AEROMEDICAL
RESEARCH
STATUS GUIDE
INFUSION
97
UNACCEPTABLE INFUSION
McGraw Laboratories
A Division of American
ACCUMED TM IV DELIVERY Hospital Supply
SYSTEM Corporation
Irvine, CA 92714
(714) 754-2000
98
ACCEPTABLE INFUSION
AVI. Inc.
ARM-A-FLOW IV FLOW 3M Health Care
REGULATOR / 3M IV FLOW 1120 Red Fox Rd
St. Paul, MN 55112
REGULATOR (800) 336-7657
Comments: The regulator provides a reliable means of controlling IV drip rates during
field operations, when transporting patients, and when a power supply is not available. The
regulator is not a replacement for an electronic infusion pump. The height of the IV bag to
the administration site must be maintained if used in a gravity-dependent IV set-up. On
12/29/93 The Arm-A-Flow regulator, manufactured under the name 3MIV Flow Regulator,
was retested in altitude chamber and found acceptable for use.
99
UNACCEPTABLE INFUSION
100
INFUSION
Comments: Operation of the unit on 115 VAC 400 Hz power is NOT recommended. Use
of the Model 100 onboard C-130 and C-141 aircraft should be limited to battery operation,
or operation from a frequency converter that provides 115 VAC 60 Hz power. Although the
manufacturer's air-in-cassette detector prevented any appreciable air bubbles from passing
through the upper pump chamber of the cassette during our evaluation, an in-line filter
should still be placed close to the infusion site to remove any air or particles which may
occur in the IV fluid. Exposure to subfreezing temperatures for even short periods of time
may cause the infusion fluid in the narrow IV tubing to freeze, activating an audio/visual
alarm and stopping the fluid flow. To prevent unrestricted flow of IV fluid, always use the
manual IV clamp before removing the administration set.
101
ACCEPTABLE INFUSION
Power Requirements: 115 VAC 60 Hz (not tested on 400 Hz) or Internal battery.
Amperage output 0.03 amps
Comments: None
102
UNACCEPTABLE INFUSION
Baxter Healthcare
BAXTER CONTROL-A-FLO IV Corporation
One Baxter Parkway
REGULATOR Deerfield, IL 60015
(708) 270-5122
103
ACCEPTABLE INFUSION
Comments: The care provider must monitor and adjust the drip rate as necessary if the SA
Pressor is used for other than a maximum flow. The IV bag fluid level cannot be seen
without close inspection. Manufacturer "Migada, Inc."
104
UNACCEPTABLE INFUSION
Sorry, no
Description: File empty, unable to find any
documentation. picture
available.
Power Requirements: None
Comments: Adversely affected by changes in altitude and solution head pressure.
105
A r*r*p DT
AUutr A RI P
lÄDLt INFUSION
Migada, Inc.
EMERGENCY AND MILITARY 150 E. Olive Ave, Suite 215
INFUSION SYSTEM (EMIS) Burbank, CA 91502
(818) 848-3880
Sorry, no
Description: Not available in record picture
available.
Power Requirements: None
Comments: The dominant factor differentiating the EMIS set from the regular set is the
design of the drip chamber which serves as a trap for air bubbles at the same time. The
EMIS drip chamber is made of a rigid transparent material. This configuration ensures that
after the chamber is partially filled with fluid, there is no contact between the outlet opening
and the air bubble, in any possible position of the chamber. Thus the small amount of air left
in the drip chamber enables monitoring of the flow when the drip chamber is held in the
upright position, but the air does not escape into the circulatory system. The EMIS has a
drop/volume ratio of 20 drops/ml and an accuracy of ±10%.
106
j
INFUSION
Extracorporeal Medical
EXTRACORPOREAL INFUSION Specialties, Inc.
Royal & Ross
PUMP, MODELS 1203, 1211 Kings of Prussia, PA 19406
(215) 337-2400
Comments: The Extracorporeal Infusion Pump (1200 series) with integral empty bottle
detector modified for EMI is acceptable for use onboard aeromedical airlift aircraft. In
addition, the following modifications are strongly recommended to improve the safety and
serviceability of the pump series:
1. Adaptation of empty bottle detector so that rv tubing remains horizontal to the detector
with the bottom tubing wall resting against the bottom of the detector groove. This will
ensure that all air bubbles will be detected.
2. Addition of dummy plug to allow pump to continue to operate should the detector become
non-operational. It is not to be used to circumvent an operational detector.
107
ACCEPTABLE INFUSION
Comments: Based on the test results the device is acceptable for use on board United
States Air Force aeromedical evacuation aircraft.
108
UNACCEPTABLE INFUSION
Harvard Apparatus
HARVARD COMPACT INFUSION Company, Inc.
150 Dover Rd
PUMP, MODEL 975 Millis, MA 02054
(617) 376-2987
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: Based upon tests of this single unit, the Harvard Compact Infusion pump,
Model 975, is unacceptable for routine use on United States Air Force Aeromedical Airlift.
Testing of this item was terminated due to an apparent deficiency in the syringe holders. The
interchangeable snap-in-plates which house syringe holders are provided for operation with
5 ml, 20 ml, 50 ml, and 100 ml standard syringes (glass or plastic). A U-shaped spring steel
chp, coated with plastic, is used to hold the syringes. Clips on the plates supplied were too
tight for the syringes and caused the unit to malfunction. Using 5 ml, 20 ml, and 50 ml
plastic syringes, the clips caused the syringe walls to deform. This caused the plunger seal to
break permitting fluid to discharge from the top of the syringes. One of the 5 ml plastic
syringes cracked when placed in the clip. Using a 100 ml ground glass syringe, the clips
caused the plunger to bind, stall and the motor to stop. Two Flight Nurses, reported that
they had problems with the syringe holder clips in this type pump in that the cups became
loose with use and caused operational difficulties. For the above reasons, the test and
evaluations were terminated and the Harvard Compact Infusion Pump, Model 975, judged
unacceptable.
109
INFUSION
Comments: Based on tests conducted on one unit, the Holter Pump Power
Supply/Charger unit meets all criteria required. From a clinical standpoint, the Holter pump
should not be used without an air bubble detector with capabilities to shut off the pump at the
first indication of air bubbles. Air may be pumped if the fluid container is allowed to empty
or the pump chamber is torn or punctured. When using 115 VAC 400 Hz, power unit
should not be operated near an electrically susceptible patient Recommend using an
air-line-detector
110
INFUSION
Sorry, no
Description: Not available in record picture
available.
Power Requirements: 110 VAC 50 - 400 Hz or internal sealed gel-eel Lead acid battery
Comments: The IMED 922 Volumetric Infusion Pump is conditionally acceptable for use.
The air-in-line detector does not sense air bubbles 0.95 cm (3/8 inch) or smaller; therefore, a
final inline air eliminator type filter should be used to outgas any air that passes the detector.
On line power, the IMED exceeded the ground resistance limit by 10 milliohms; therefore,
the pump should NOT be used on an electrically susceptible patient. However, it passed
electromagnetic interference tests when operating on battery power, and can be used in the
airborne environment. Due to the pump's height and weight, a special securing method will
be required. A fully charged battery will operate for 40 hours at 125 ml/hr under ideal
conditions. The low battery alarm will activate at 5.8 volts and the unit will continue to
operate until it falls below 5.5 volts (approximately one hour). The manufacturer
recommends battery replacement if, for any reason, battery voltage drops below 4-4.5 volts;
however, normal battery life should be at least 2 years. New units are no longer available
from the manufacturer.
Ill
INFUSION
IMED Corporation
9925 Carroll Canyon Rd
IMED 928 VOLUMETRIC PUMP San Diego, CA 92131
(800) 854-2033
Power Requirements: 110 VAC 60 Hz (not evaluated on 400 Hz) 1.2 amps or internal
sealed gel-eel Lead acid battery
Comments: "Operate Only on Internal Batteries," Failed EMI testing on 60 Hz. New units
are no longer available, refurbished only.
112
INFUSION
IMED Corporation
IMED 960 VOLUMETRIC 9925 Carroll Canyon Rd
INFUSION PUMP San Diego, CA 92131
(800) 854-2033
Power Requirements: 120 VAC 60 Hz (not evaluated on 400 Hz) 0.5 amps or Internal
rechargeable battery
I =3
Comments: Based on test results the device is acceptable for use in aeromedical evacuation
aircraft and helicopters. Even tho, the air-in-line detector functioned in accordance with
manufacturer's specifications, it is still recommended to add a final filter to outgas any air
that might pass the air-in-line detector. New units are no longer available from the
manufacturer; refurbished only.
113
UNACCEPTABLE INFUSION
Comments: The I.V. Stat is not recommended for use on aerovac flights mainly for safety
reasons. The roller used to squeeze the I.V.. bag, automatically locks up and stops I.V. fluid
administration if the device is tilted more than 10 degrees s on one end. There is no visual
indication to show if the roller is released or locked-up. Edge of the roller is thin and could
cut, if it were to accidentally fall on a patient or care provider. Other sharp corners on the
device could also potentially injure patient or care provider. Found unacceptable.
114
UNACCEPTABLE INFUSION
Sorry, no
Description: Not available in record picture
available.
Power Requirements: Not recorded
Comments: Based upon tests of this single unit, the IVAC Model 400 Automatic
Self-Regulating IV Infusion Pump is not acceptable for routine use on USAF Aeromedical
Airlift. Major modifications and improved quality control would be required to make this
unit minimally acceptable. Those characteristics subject to objection include: 1) the unit
provided for test was faulty and had to be repaired before the operational characteristics
could be evaluated; 2) the unit pumped air from the drip chamber through the IV needle
under environmental conditions commonly encountered in aeromedical evacuation; 3) the
unit is not configured for convenient transport, handling, securing for operation, or to resist
the adverse effects of shock and prolonged vibration. The electromagnetic radiation intensity
from the pump is within the limits specified in MIL-STD-461 A. Failed Rapid
Decompression, Vibration, and Environmental Testing
115
UNACCEPTABLE INFUSION
116
UNACCEPTABLE INFUSION
MiniMed Technologies
12744 San Fernando Rd
MINIMED III INFUSION SYSTEM Slymar, CA 91342
(818) 362-6822
117
INFUSION
Power Requirements: 110-115 VAC 50 - 400 Hz, 0.03 amps or rechargeable sealed
gel-eel battery 6 VDC
118
ACCEPTABLE INFUSION
Comments: Results of test on the bubble detector in conjunction with the Holter infusion
pump, model 903 and 911, may be used on board United States Air Force aeromedical
evacuation aircraft.
119
UNACCEPTABLE INFUSION
Sigmamotor , Inc.
SIGMAMOTOR TM-20-2 14 Elizabeth Street
INFUSION PUMP Middleport, NY 14105
(716) 735-3616
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: 110 VAC 60-400 Hz (Not tested on 400 Hz)
Comments: Failed EMI testing. Based upon tests of a single unit, The Sigmamotor
TM-20-2 Infusion Pump is unacceptable for routine use on USAF Aeromedical Airlift.
Modifications would be required to make this unit acceptable. Those characteristics subject
to objection include: 1) the unit is not configured for convenient transport handling, securing
for operation, and to resist the adverse effects of shock and prolonged vibration; 2) the low
voltage rating of the 100 uf electrolytic capacitor in the rectifier circuit; and 3) the
electromagnetic radiation intensity from the pump exceeds the limits specified in
MIL-STD-461A.
120
UNACCEPTABLE INFUSION
Sigmamotor, Inc.
SIGMAMOTOR VOLUMET 14 Elizabeth Street
INFUSION PUMP Middleport, NY 14105
(716) 735-3616
121
UNACCEPTABLE INFUSION
122
ACCEPTABLE INFUSION
Power Requirements: 105 -125 VAC 60 Hz, 0.03 amp or internal Ni-Cad battery
■
Comments: The AS20S may be used independently of, or as part of, the Neonatal
Transport System. Some models of the AS20S are wired to accommodate international
voltages. Since these units have not been tested for electromagnetic interference using those
voltages, they are not recommended for aeromedical use.
123
INFUSION
Comments: Inflight testing indicated that seed bubbles form sporadically in both the
container and administration line. These bubbles tend to adhere to the walls of the container
and line. Cause of formation was not determined. However, the system should be carefully
observed inflight due to the sporadic formation of bubbles. An inline filter should be used to
negate the problem of seed bubbles during aeromedical evacuation missions.
124
AEROMEDICAL
RESEARCH m
STATUS GUIDE
MISCELLANEOUS
126
' ':■■ :
'■ ■ : - : l
■
MISCELLANEOUS
127
ACCEPTABLE MISCELLANEOUS
Comments: Tested by United States Army Aeromedical Research Laboratory and accepted
for us by United States Air Force.
128
UNACCEPTABLE MISCELLANEOUS
129
ACCEPTABLE MISCELLANEOUS
Ames Division
COMPUR M 1000 Miles Laboratories, Inc.
P.O. Box 70
MINI-PHOTOMETER Elkhart, IN 46515
(219) 264-8645 & (800) 248-2637
130
ACCEPTABLE MISCELLANEOUS
Ames Division
Miles Laboratories, Inc.
COMPUR M 1100 (Diagnostic Division)
MINI-CENTRIFUGE P.O. Box 70
Elkhart, IN 46515
(219) 264-8645 & (800) 248-2637
131
ACCEPTABLE MISCELLANEOUS
Comments: Based on the results of the tests conducted, both units are acceptable for use
onboard aeromedical evacuation aircraft and Air Rescue Recovery Service helicopters. In the
event of an extremely rapid decompression (1 sec or less), the momentary high positive
pressure in the system might cause reflux to the bladder.
132
UNACCEPTABLE MISCELLANEOUS
Im
i
Description: The DePuy Cast-O-Vac cast cutter is 12 inches
long and weighs 4 pounds 3 ounces. An integral blower collects
the plaster dust and retains it in a reusable cloth bag.
MHBBS aU^JpM£^~>^rasiä«
133
ACCEPTABLE MISCELLANEOUS
Ames Division
DEXTROMETER Miles Laboratories, Inc.
REFLECTANCE P.O. Box 70
Elkhart, IN 46515
COLORIMETER (219) 264-8645 & (800) 248-2637
134
ACCEPTABLE MISCELLANEOUS
135
ACCEPTABLE MISCELLANEOUS
DOVER URINARY
DRAINAGE BAG WITH Will Ross Inc.
FLO-CHECK VALVE Dover Urology Products
11500 S. Main, Suite 126
DOVER URINARY Houston, TX 77025
DRAINAGE BAG WITH (512) 661-2341 & (713) 667-2907
URINE METER
Comments: Based on the results of the tests conducted, both the Dover drainage bag with
flo-check valve and the Dover drainage bag with urine meter can be considered acceptable
for use onboard aeromedical evacuation aircraft and Air Rescue Recovery Service
helicopters. In the event of an extremely rapid decompression (1 sec or less), the momentary
high positive pressure in the system might cause reflux to the bladder.
136
ACCEPTABLE MISCELLANEOUS
DYNACOR CLOSED
URINARY DRAINAGE Manufacturer Unknown
SYSTEM
137
MISCELLANEOUS
L
EXTRACORPOREAL
MEMBRANE For Manufacturer's Address call
OXYGENATION SYSTEM Aeromedical Research
(ECMO)
Comments: As of the Evaluation Completed, Wilford Hall Medical Center was the only
United States Air Force medical treatment facility that provides ECMO services. Acceptable
for use on the C-9A aircraft only. Aeromedical Evacuation Crew Member's will not operate
the system. Users from the medical treatment facility must have received inflight training
with the ECMO system, and understand the environmental factors involved. In-line air filters
must be used to trap air bubbles formed at altitude.
138
EXTRACORPOREAL MEMBRANE OXYGENATION
SYSTEM (ECMO)
MAJOR COMPONENTS OF ECMO
POWER
COMPONENT MANUFACTURER FUNCTION REQUIREMENTS
The system weighs approximately 200 pounds assembled, and 300 pounds crated.
139
MISCELLANEOUS
Coquille International
FRENCH VACUUM 35, rue du Marechal De Lattre de
Tassigny
IMMOBILIZER LITTER P.O. Box Nr 3
Erstein, France 67150
140
ACCEPTABLE MISCELLANEOUS
141
UNACCEPTABLE MISCELLANEOUS
HARDWIRED
COMMUNICATION SYSTEM 40 AES
(40 AES)
Comments: Failed EMI testing when unit was turned on & off, also when unit push to talk
button was depressed. This device is a "homemade" piece of equipment, and is of niinimum
quality and workmanship.
142
UNACCEPTABLE MISCELLANEOUS
HARDWIRED HEADSET,
SOMMERKAMP PROTOTYPE 69 AES
(69 AES)
143
MISCELLANEOUS
IVAC DIGITAL
ELECTRONIC IVAC Corporation
11353 Sorrento Valley Rd
THERMOMETER WITH EMI San Diego, CA 92121
SUPPRESSION CASE, (713) 453-4320
MODEL 810
Comments: The thermometer did not pass EMI testing; however, with the thermometer in
the aluminum case, the thermometers were approved for aeromedical evacuation.
144
ACCEPTABLE MISCELLANEOUS
145
ACCEPTABLE MISCELLANEOUS
Comments: Two litter back rest, FSN 6230-299-8353, one modified to allow folding and
one unmodified, were tested to determine if they were safe for use by patients during
take-off and landing in aeromedical evacuation aircraft The tests indicated that both the
modified and unmodified back rests can withstand the forces applied to them by a
250-pound patient during aircraft acceleration for take-off and climb to altitude.
146
ACCEPTABLE MISCELLANEOUS
LITTER ENPLANING -
DEPLANING DEVICE Local Fabrication
(LEDD)
147
ACCEPTABLE MISCELLANEOUS
Comments: The redesigned litter linen lift meets the performance specifications and fulfills
the development objective. Engineering drawings for the lift are on file at the Engineering
Data Center, 2750 ABW/EDDR, Wright-Patterson AFB, Ohio. No. 731813 - Linen Lift
Assembly
148
ACCEPTABLE MISCELLANEOUS
149
ACCEPTABLE MISCELLANEOUS
Comments: The medical treatment chest for tactical aeromedical airlift aircraft met the
design requirements and is acceptable for use on C-130 aircraft. A list of parts is contained
in Report SAM-TR-74-61 Medical Treatment Chest for Tactical Aeromedical Airlift Nov.
74. This technical report can be obtained by writing or telephoning: U.S. Department of
Commerce, National Technical Information Service, 5285 Port Royal Road, Springfield,
VA 22161, (703) 487-4650
150
ACCEPTABLE MISCELLANEOUS
151
ACCEPTABLE MISCELLANEOUS
Comments: The structural integrity of two modified Stokes Litters was evaluated by
comparison to the original unmodified Utter. The modifications included:
1. Incorporation of the quick release pin (MS 17990). The litter was found to have a 57%
improvement in landing stress.
2. Incorporation of tube fittings was found to be equal to or better than the unmodified litter.
152
ACCEPTABLE MISCELLANEOUS
Nelkin/Piper International
NELKIN/PIPER 811 Wyandotte Street
DIGITAL THERMOMETER, P.O. Box 807
Kansas City, MO 64141
MODEL 268 (800) 523-7521 & (816) 842-1711
Power Requirements: 1.55 VDC, Internal Type SR41 silver oxide battery
'
Comments: Users should closely supervise all patients utilizing this device to prevent the
thermometer's sensor or sensor stem from being bent, bitten, or dropped. The liquid crystal
display on the Model 268 is significantly smaller than the display on the Model 270.
153
ACCEPTABLE MISCELLANEOUS
Nelkin/Piper International
NELKIN/PIPER 811 Wyandotte Street
DIGITAL THERMOMETER, P.O. Box 807
Kansas City, MO 64141
MODEL 270 (800) 523-7521 & (816) 842-1711
Power Requirements: 1.55 VDC, Internal Type SR41 silver oxide battery
Comments: Users should closely supervise all patients utilizing this device to prevent the
thermometer's sensor or sensor stem from being bent, bitten, or dropped. The liquid crystal
display on the Model 270 is significantly larger and easier to read than the display on the
Model 268.
154
ACCEPTABLE MISCELLANEOUS
Comments: Test results of the thermal characteristics of the various warm and cold packs,
using human subjects, showed significant variations from that reported by the manufacturer.
This difference may primarily result from variations in test methods and procedures. The
significance of the thermal characteristics versus therapeutic value of these units was not
ascertained in this evaluation and is relegated to the physician in charge and or the user
organization. The warm and cold packs could be easily activated and there was no chemical
leakage during storage, activation, and subsequent use. No apparent damage to the warm
and cold packs occurred during altitude testing. The solution within the packs was no caustic
to the skin. The possibility of attaining the special conditions necessary for these items to
create or enhance the danger of a fire or explosion onboard an aeromedical airlift aircraft is
extremely remote.
155
MISCELLANEOUS
Comments: Since this unit is an intentional emitter of EMI, the transmission output power
created excessive electromagnetic noise which interfered with aircraft communications.
However, the manufacturer has modified current production models by reducing
transmission output power to acceptable levels. The maximum output power must be
adjusted to 10 milliwatts (mW). A label stating certification for aeromedical evacuation must
be on each headset. Modified headsets must be labeled "Approved for inflight use on AE
missions," to prevent inadvertent use of unmodified units. If the headset has no such label, it
should not be used.
156
MISCELLANEOUS
REMINGTON
ELECTRIC SHAVER Remington Company
ELECTRO SHAVE 6
Sorry, no
Description: Not available in record picture
available.
Power Requirements: 115 VAC 60 Hz or Battery
Comments: Three Remington Electric Shavers, Model Electro Shave 6 were tested for
electromagnetic interference (EMI). The shaver's radiation and conducted emission do not
exceed the limits specified by MTD-STD 461A when operating only on battery power.
Testing requested by Head Quaters Military Airlift Command.
157
ACCEPTABLE MISCELLANEOUS
Linear Corp.
RF NURSE CALL SYSTEM - 347 S. Glascow Ave.
MEDICALL Inglewood, CA 90301
(213) 678-4242
Comments: The system met the stated objectives, enabled aeromedical crewmembers to
assist litter patients more efficiently, and was enthusiastically endorsed by them during
operational test and evaluation.
158
ACCEPTABLE MISCELLANEOUS
159
ACCEPTABLE MISCELLANEOUS
Comments: Based on test results the Steritemp Digital Thermometer is acceptable for use
on board United States Air Force aeromedical evacuation aircraft. Patients should be closely
monitored when obtaining temperatures to prevent the thermometer's sensor or sensor stem
brom being bent, bitten, or dropped.
160
UNACCEPTABLE MISCELLANEOUS
Stryker Corporation
STRYKER CAST CUTTER 420 Alcott Street
PLASTER VAC, MODEL 845 Kalamazoo, MI 49001
(616) 381-3811
Comments: Based upon tests , the cast cutter is unacceptable for routine use on United
States Air Force aeromedical airlift. Those characteristics subject to objection are: 1) the
electromagnetic interference from the unit exceeds limits prescribed in MEL-STD-461A and
462,1 May 70; 2) the unit will not operate at 115 VAC 400 Hz which is the available electric
power on the multi-purpose aircraft configured for aeromedical airlift; and 3) it is not
configured for convenient handling on a multi-purpose aircraft configured for aeromedical
airlift.
161
ACCEPTABLE MISCELLANEOUS
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: None
162
ACCEPTABLE MISCELLANEOUS
Power Requirements: DC, internal type LR44 alkaline manganese dioxide battery
»
Comments: Users should closely supervise all patients utilizing this device to prevent the
thermometer's sensor or sensor stem from being bent, bitten, or dropped, and to prevent the
internal battery from being accidentally ingested. Users must time the temperature taking
procedure since there is no measurement complete indicator.
163
ACCEPTABLE MISCELLANEOUS
164
UNACCEPTABLE MISCELLANEOUS
165
ACCEPTABLE MISCELLANEOUS
TRANSPORTABLE
AIRBORNE THERAPEUTIC Contract
STATION (TATS)
Comments: Engineering drawings are on file at the Engineering Data Center, 2750
ABW/EDDR Wright-Patterson AFB, Ohio. No. 7037674 - Transportable Airborne
Therapeutic Station Assembly.
166
UNACCEPTABLE MISCELLANEOUS
r v Tffl£
Description: The Travenol Cystoflo II Drainage "^rfSff'Sf-i^
Bag is a disposable urinary drainage bag with a
sample port and an anti-reflux valve. It provides a
closed system for the collection and measurement of
urinary output. An anti-reflux valve is provided to
prevent urine returning to the bladder should the bag i
K^",J-^W^k " ^ i
%'is
Power Requirements: None
Comments: Failed in RD testing. The device is acceptable for use onboard Air Rescue &
Recovery Service helicopters without additional means of venting.
167
ACCEPTABLE MISCELLANEOUS
168
UNACCEPTABLE MISCELLANEOUS
ValleyLab Inc.
VALLEYLAB FORCE IB 5920 Longbow Dr.
ELECTROSURGICAL P.O. Box 9015
Boulder, CO 80301
GENERATOR (303) 530-2300
169
MISCELLANEOUS
Vickers Limited
(Medical Engineering)
VICKERS AIRCRAFT Priestley Road
TRANSIT ISOLATOR Basingstroke
Hampshire
RG 24 9NP, England
Comments: Based on the results of the tests conducted, The Vickers aircraft transit isolator
can be considered acceptable for use on C-130 and C-141 aircraft used for aeromedical
evacuation provided the following conditions are met: (a) the liquid, lead-acid batteries be
removed and replaced with gel cell type batteries, (b) all electrical connections be reworked
to assure reliability, (c) capacitors be installed (as noted in paragraph 4.2 a (1) of the final
test and evaluation report *) to reduce radiated emissions, (d) oxygen therapy be limited to 6
liters per minute, (e) a specially trained isolation team be utilized for all patient transfers.
170
AEROMEDICAL
RESEARCH
STATUS GUIDE
POWER
171
ACCEPTABLE POWER
Comments: The ECAS is considered acceptable for use on board United States Air Force
aeromedical evacuation aircraft.
172
ACCEPTABLE POWER
173
UNACCEPTABLE POWER
174
ACCEPTABLE
JB .JHfa. jMk MMM MMfe. MMM ME MHh, IK ggggg
POWER
Comments: Based on test results this device is acceptable for use on United States Air
Force aeromedical evacuation aircraft.
175
ACCEPTABLE POWER
Vanner Incorporated
VANNER ELECTRICAL 4282 Reynolds Dr.
INVERTER, MODEL SP 00112 Hilliard, OH 43026
(614) 771-2718
Comments: The 15-ft 4-ga cable that is provided with the Vanner is the ONLY cable that
may be used to connect to aircraft power. The Vanner must be fitted with a remote switch
by-pass plug. When secured on the aircraft, at least four inches of clearance must be around
and above the Vanner. Whenever maintenance is performed, broken or displaced tie-wraps
must be checked.
Only certain medical equipment items may be powered by the Vanner. Those
are the Bear 33 ventilator, Bard-Parker wrap-around nebulizer heater,
Impact Model 308M suction, and the Protocol ProPaq Model 106 vital signs
monitor. No other devices may be powered by the Vanner without prior
laboratory testing.
176
AEROMEDICAL
RESEARCH
STATUS GUIDE
PULSE OXIMETERS
177
PULSE
ACCEPTABLE OXIMETERS
Biochem International Inc.
BIOCHEM 3040 PULSE W238 N1650 Rockwood Dr.
Waukesha, WI 53188
OXIMETER (800) 558-2345 & (414)
542-3100
Comments: Failed EMI testing. New improved model sent with fixes, see report on
1040A.
178
PULSE OXIMETERS
Power Requirements: 115 VAC 60 - 400 Hz, 0.15 amp or Internal rechargeable battery
Comments: As with any pulse oximeter patient movement or vibration of the unit may
cause the pulse rate display to be erratic and unreliable; therefore, it should only be used for
trend analysis of the patient pulse rate. Though patient movement or vibration doesn't seem
to affect the Sa02% reading, it should also only be used for trend analysis of the patient's
Sa02%.
The unit uses a Model 1044 battery charger/power cord which must be modified with a
1000u\F capacitor to pass EMI at 400 Hz.
The Model 1044 battery charger/power cord will not adequately fit the Electrical Cord
Accessory Set (ECAS) used on the C-130 and C-141B or the C-9A 115 VAC 60 Hz outlets.
A 15.24 cm (6 inch) extension/adapter (no model number or other designation) was made by
the manufacturer to facilitate connection of the Model 1044. The extension adapter has been
EMI tested, and is acceptable for use. There were problems charging the 1040A using 50 Hz
power at some overseas locations. Further testing and evaluation for 50 Hz use may be
required. Regardless of the outcome , the 1040A may be effectively charged on 60 Hz or
400 Hz power and operated on 60 Hz, 400 Hz or internal battery.
179
ÄCCEPTABLi PULSE OXIMETERS
Sorry, no
Description: None available in file.
picture
available.
Power Requirements: Not recorded
Comments: Failed EMI testing.
180
PULSE OXIMETERS
181
PULSE
UNACCEPTABLE OXIMETERS
Hewlett Packard
HEWLETT PACKARD EAR 175 Wyman Street
OXIMETER 47201A Waltham, MA 02154
(617) 890-6300
182
PULSE OXIMETERS
Nellcor Inc.
NELLCOR N-200 PULSE 25495 Whitesell Street
OXIMETER Hayward, CA 94545
(800) 635-5267
Sorry, no
Description: Not available in record picture
available.
183
ACCEPTABLE PULSE OXIMETERS
184
ACCEPTABLE PULSE OXIMETERS
Comments: The unit uses a Nonin Model 7708 AC adapter/battery charger which is
modified with a lOOOuF capacitor to pass EMI at 400 Hz.
As with any pulse oximeter, patient movement may cause the pulse rate display to be erratic
and unreliable at times; therefore, it should only be used for trend analysis of the patient's
pulse rate. Though patient movement or vibration doesn't seem to affect the Sa02% reading,
it should also only be used for trend analysis of the patient's Sa02%.
185
ACCEPTABLE PULSE OXIMETERS
As with any pulse oximeter, patient movement may cause the pulse rate display to be erratic
and unreliable at times; therefore, it should only be used for trend analysis of the patient's
pulse rate. Though patient movement or vibration doesn't seem to affect the Sa02% reading,
it should also only be used for trend analysis of the patient's Sa02%.
186
PULSE OXIMETERS
187
PULSE
UNACCEPTABLE OXIMETERS
Oximeter Systems,
OXIMETRIX SHAW CATHETER Oximetrix, Inc.
1212 Terra Bella Ave.
OXIMETER Mountain View, CA 94043
(415) 961-4380
188
AEROMEDICAL
RESEARCH
STATUS GUIDE
"%ß *%P
RESPIRATORY
189
ACCEPTABLE RESPIRATORY
Comments: Results of tests conducted on the unit indicate that it will withstand the stresses
of flight without degradation of function. When supplemental oxygen is supplied to the unit,
care should be taken to observe the sensitivity of the bag to deflation at flow rates above 10
liters per minute.
190
UNACCEPTABLE RESPIRATORY
Healthdyne
AIR-SHIELDS AS 301 330 Jacksonville Rd.
TCPC02 MONITOR Hatboro, PA 19040
(215) 675-5200
191
ACCEPTABLE RESPIRATORY
itm
Zmmm
Comments: Results of tests conducted on the unit indicated that it will withstand the
stresses of flight without degradation of function. It should be fully assembled to achieve the
highest oxygen concentration when supplemental oxygen is introduced into the unit.
Accessory pop-off valve available.
192
ACCEPTABLE RESPIRATORY
Comments: None
193
RESPIRATORY
Comments: Unit must be used with a Heimlich Valve to prevent cabin air from entering the
patient's pleural cavity. For increased patient comfort, ensure that the Heimlich Valve is
mounted close to the patient's chest tube. The Argyle has a check valve between the
chambers so that water from the water seal chamber does not enter the collection chamber,
and water in the patient assessment chamber does not enter the water seal chamber. This unit
does not allow any cabin air to enter the collection chamber - but a large negative pressure
(approximately 260 cm H20) may develop at the chest tube. The only way to alleviate the
negative pressure is to vent the unit manually so that cabin air is allowed to enter the unit. To
ensure proper operation, manually vent the unit and readjust the water level in the water seal
and suction control chamber as necessary after each landing.
194
ACCEPTABLE RESPIRATORY
Bard-Parker Laboratories
P.O. Box 300
HEIMLICH VALVE Lincoln Park, NJ 07035
(201) 628-9600
195
ACCEPTABLE RESPIRATORY
Ohmeda
HOPE II INFANT P.O. Box 7550
RESUSCITATOR Madison, WI 53707
(800) 345-2700 & (608) 221-1511
Comments: The mask is constructed of black, opaque rubber which prevents observation
of the mouth and nose during a resuscitative effort. The Hope II Infant Resuscitator is
available with or without a magnetic relief valve set at 40 cm H20 pressure. With the valve
set at 40 cm H20 pressure, over inflation of the infant's lungs should not occur; however,
some infants will require a pressure in excess of 40 cm H20 to adequately inflate their
lungs. These factors must be given careful consideration prior to deciding which unit setup
(with/without the preset relief valve) is most suited for the intended use.
196
ACCEPTABLE RESPIRATORY
Comments: Results of tests conducted on the unit indicate it will withstand the stresses of
flight without degradation of function. Highest oxygen concentrations are obtained when
supplemental oxygen is introduced with the unit fully assembled. The Midas mask should be
used as it has a transparent dome. Care must be taken not to crush the accumulator during
use as this could create potentially dangerous bag pressures.
197
ACCEPTABLE RESPIRATORY
Comments: Results of tests conducted on both (P/N 5852, polyvinyl chloride compression
bulb and P/N 5852-S, silicone compression bulb) indicated they could be exposed to rapid
decompression and extremes of environment without degradation of materials or malfunction
during operation. The silicone compression bulb is designed as the one to use is
environmental extremes are anticipated, as silicone is not affected by cold. Both units have
the capability to deliver high oxygen concentrations when supplemental oxygen is added to
the units. Both should be fully assembled to achieve highest oxygen concentrations. Request
the unit with the silicone compression bulb.
198
UNACCEPTABLE RESPIRATORY
American Electronic
INFANT SENTRY APNEA Laboratories
P.O. Box 552
ALARM (AEL Model 1500) Lansdale, PA 19446
(215) 822-2929
199
ACCEPTABLE RESPIRATORY
W#W^^$%ß®%^$%%xßffi$%f
Comments: Results of tests conducted on the unit indicate that it will withstand the stresses
of flight. Highest oxygen concentrations are achieved when the unit is fully assembled, and
supplemental oxygen is introduced at a flow rate of at least 10 liters per minute. When not in
use, the bag should be properly folded and stored to prevent possible deformity.
200
SUCTION
GOMCO Surgical
AUTOMATIC THERMOTIC Manufacturing Corp.
ASPIRATORY VACUUM PUMP, 828 E. Ferry Street
Buffalo, NY 14211
MODEL 763 N (716) 894-6678
-224
ACCEPTABLE RESPIRATORY
Comments: Completely assembled and with a supplemental oxygen flow rate of 10 liters
per minute, oxygen concentrations of 95 to 99% are attainable.
202
RESPIRATORY
Migada, Inc.
MIGADA UNDERWATER 150 E. Olive Ave, Suite 215
CHEST DRAINAGE UNIT Burbank, CA 91502
(818) 848-3880
Comments.: Because fluids from the collection chamber will travel up the drainage tube
during descent, ensure that the Migada is located well below the patient to prevent
complications from the fluid backing into the Heimlich Valve. This unit must be used
with a Heimlich Valve. Place Heimlich Valve close to the patient's chest tube. Migada
does NOT have suction control capability. Suction applied to the patient must be
regulated at the suction source.
203
ACCEPTABLE RESPIRATORY
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: 02 Source
Comments: The Ohio Model 885 conversion, anesthesia machine easily connects to the
PTLOX with no additional connectors or adapters required. A single anesthesia machine can
be operated from the PTLOX. Flow testing indicates that at least three anesthesia machines
can be operated from a single PTLOX simultaneously. This conclusion is drawn from device
flow requirements and actual measurements and observations by Aeromedical Research
personnel utilizing one anesthesia machine and two flowmeters (simulated anesthesia
machines). It should be noted that if the flush function is operated for prolonged periods of
time (greater than two minutes), the oxygen temperature from the PTLOX outlet may drop
more than 20 degrees F (-6.6 degrees C) below ambient temperature. Since the anesthesia
machine's flush function is used only momentarily during normal operation, no significant
temperature decrease should be expected.
204
RESPIRATORY
PLEUR-EVAC
ADULT-PEDIATRIC, Howmedica, Inc.
NON-METERED (Deknatel Division)
Krale Laboratories
MODEL A-4000 Queens Village, NY 11429
ADULT-PEDIATRIC, (516) 488-5400
METERED, MODEL A-4010
205
RESPIRATORY
ConMed Corp.
PLEURA GARD CHEST 310 Broad Street
DRAINAGE SYSTEM Utica, NY 13501
(800) 448-6506
Comments: Must be used with a Heimlich Valve. For patient comfort, ensure valve
is mounted close to the patient's chest tube. During ascent and descent the changing cabin air
pressure forces the water levels to move between the different chambers of the unit. To
ensure proper operation, readjust the water level in the water seal and suction control
chamber as necessary after each landing. During descent, water from the water seal chamber
will move into the collection chamber. This will dilute the patient's fluids which have
accumulated and this additional fluid must be accounted for when measuring the patient's
output.
206
UNACCEPTABLE RESPIRATORY
Comments: Failed EMI testing. The Bennett Nebulizer has a thermostat that turns the
heater on and off approximately once every 5 minutes. When the thermostat turns on or off a
pulse is generated mat exceeds both the radiated and conducted emission limits specified by
MDL-STD-461A. Leakage current is less than one micro-ampere. No attempt was made to
measure the resistance of the power cable 3d wire ground. Thermostat setting does not
significantly change the timing of the on/off cycle.
207
RESPIRATORY
Comments: This unit must be used with a Heimlich Valve. For patient comfort,
ensure the valve is mounted close to the patient's chest tube. During ascent and descent the
changing cabin air pressure forces the water levels to move between the different chambers
of the unit. To ensure proper operation, readjust the water level in the water seal and suction
control chamber as necessary after each landing.
208
RESPIRATORY
Davol Inc.
THORA-KLEX CHEST Div CR Bard Inc.
DRAINAGE UNIT P.O. Box 8500
Cranston, RI 02920
7750 and 7700 (800) 556-6275
Comments: This unit must be used with a Heimlich Valve. For patient comfort,
ensure the valve is mounted close to the patient's chest tube. During ascent and descent the
changing cabin air pressure forces the water levels to move between the different chambers
of the unit. To ensure proper operation, readjust the water level in the water seal chamber as
necessary after each landing. The water seal chamber can only be filled using a needle and
syringe. Suction applied to the patient is adjusted by turning a "thumb screw". Suction can
be accurately delivered, but the "thumb screw" is affected by aircraft vibrations so that the
applied suction will vary between 8 and 41 cm H20 negative pressure throughout the flight.
Unit product code changed, evaluated new device and found acceptable for use 10/93. See
record for letter.
209
ACCEPTABLE RESPIRATORY
TRAVENOL HEART-LUNG
RESUSCITATOR, MODEL Manufacturer Unknown
HLR 50-90
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
210
AEROMEDICAL
RESEARCH
STATUS GUIDE §P
SECURING
• AEROMEDICAL POLE
• CLINICAL RECORDS RACK
• HORTON BRACKET
• INFLIGHT INTRAVENOUS BOTTLE HOLDER
• LITTER EQUIPMENT SUPPORT DEVICE
• LITTER/STRYKER FRAME RESPIRATOR MOUNT
• MULTIPURPOSE AEROMEDICAL TRAY HOLDER
• NEONATAL TRANSPORT SYSTEM (NTS)
C-21 SECURING PLATE
• NEONATAL TRANSPORT SYSTEM (NTS)
WOODEN SUPPORT BLOCK
• PEDIATRIC SAFETY NET
• WATERS BRACKET
211
ACCEPTABLE SECURING DEVICES
Comments: The device works well for mounting several pieces of recently approved
aeromedical evacuation equipment, such as the MiniOX m Oxygen Monitor, the Biochem
1040A Pulse Oximeter, and the MTP Infusion Pump. Contract specifications required that
those items' mounting devices fit the NATO titter pole. Often, items fitted for the Utter pole
will fit nothing else on the aircraft. Mounted on a Utter pole the items protrude into the aisle
of the crowded aircraft, presenting a safety hazard. Using the securing pole is a vast
improvement. Installing the pole on the stanchions of the C-130 and C-141B and mounting
the equipment on the pole, eliminates the hazard. VisibiUty is also improved, as the items can
be mounted higher on the stanchion. The same method can be employed on the C-9A. A
cantilever arm must be dedicated for the pole and equipment item, with the cantilever arm
placed at a level close to the patient's Utter.
212
ACCEPTABLE SECURING DEVICES
213
r^CDTADI
Vl/tr ET
IMDLC SECURING DEVICES
214
SECURING
ACCEPTABLE DEVICES
215
SECURING
ACCEPTABLE DEVICES
Comments: The device has proven, during feasibility testing, to be a versatile aid to
securing most of the medical equipment items presently secured on an empty patient litter,
e.g., incubator, battery pack, patient monitor, defibrillator, etc.
216
SECURING
ACCEPTABLE DEVICES
LITTER/STRYKER FRAME
RESPIRATOR MOUNT Contract
OXYGEN PACK FOR SIZE "D"
OR "E" TANKS
217
SECURING
MA. 1 JTL Mt li 1 i\ \ \\ i
DEVICES
MULTIPURPOSE
AEROMEDICAL TRAY Local Fabrication.
HOLDER
Engineering drawings for the holder are on file at the Engineering Data
Center, 2750 ABW/EDDR, Wright-Patterson AFB, Ohio. No. 7150201 -
Multipurpose Aeromedical Tray Holder General Assembly.
218
SECURING
ACCEPTABLE DEVICES
NEONATAL TRANSPORT
SYSTEM (NTS) C-21 Local Fabrication
SECURING PLATE
219
SECURING
ACCEPTABLE DEVICES
NEONATAL TRANSPORT
SYSTEM (NTS) WOODEN Local Fabrication
SUPPORT BLOCK
Comments: The block is an effective device for providing the weight distribution, when
securing the NTS on aeromedical aircraft. Without the blocks all the weight, over 200
pounds, is distributed among the four wheels, with each wheel applying over 50 psi to the
floor of the aircraft; before tightening the cargo tie-down straps. With the blocks, the weight
is more evenly distributed to slightly over 3 psi, before tightening. An added advantage is
that there is no stress applied to the NTS wheels, as they are suspended 1/4 inch above the
floor. On the C-9 and C-141 aircraft, four blocks are needed; two for the front and two for
the rear. On the C-21, two blocks are needed for the front only. The rear frame, with the
wheels removed, rests on a four-inch ledge that runs the length of the cabin.
220
ACCEPTABLE SECURING DEVICES
221
ACCEPTABLE SECURING DEVICES
Comments: The device works will for mounting several pieces of recently approved
aeromedical evacuation equipment, such as the MiniOX JE Oxygen Monitor, the Biochem
1040A Pulse Oximeter, and the MTP Infusion Pump. Contract specifications required that
items' mounting devices fit the NATO Utter pole. Often, items fitted for the htter pole will fit
nothing else on the aircraft. Mounted on a htter pole, the items protrude into the aisle of the
crowded aircraft, presenting a safety hazard. Using this device is a vast improvement.
Installing the bracket on the stanchions of the C-9 and C-141B and mounting the equipment
on the pole, eliminates the hazard. Visibility is also improved, as the items can be mounted
higher on the stanchion. This bracket will NOT accommodate the C-130 litter stanchion.
Design plans can be obtained from the Aeromedical Research, Armstrong
Laboratory/CFTS, Brooks AFB, TX 78235-5301.
222
AEROMEDICAL
RESEARCH
STATUS GUIDE
SUCTION
223
SUCTION
224
SUCTION
GOMCO Surgical
GOMCO ASPIRATOR Manufacturing Corp.
828 E. Ferry Street
PORTABLE PUMP, MODEL 789 Buffalo, NY 14211
(716) 894-6678
225
UNACCEPTABLE SUCTION
Allied Healthcare
Products, Inc.
GOMCO MODEL 6003/6053 (GOMCO Division)
ASPIRATORS 1720 Sublette Ave.
St. Louis, MO 63110
(314) 771-1242
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: Failed EMI testing. Size a limiting factor. Securing on A/C problem.
226
SUCTION
1. The box shall only be used with a 308M suction unit that has a 250 VAC/3 Amp
slow-blow fuse installed in the input power circuit.
2. The main vacuum control knob tends to spontaneously move, due to vibration. It is
essential that each of the 3 suction setups be monitored for degradation of suction.
227
UNACCEPTABLE SUCTION
228
SUCTION
Power Requirements: 120 VAC - 60 Hz, 0.4 amp (Only tested and approved charger is
P/N 810-0001-00), Internal rechargeable battery or External 12 VDC
Comments: Users should be instructed to keep the lid of the Impact open at all times when
the unit is being used. A potential electrical hazard exists if the aspirate canister overflows
from the exhaust port when the lid is closed. This warning will be stated in the operator's
manual. An additional warning sticker should be placed on the unit.
229
UNACCEPTABLE SUCTION
230
ACCEPTABLE SUCTION
Power Requirements: 115 VAC 50 400 Hz, 2.0 amp, Internal Battery or External 12
VDC
Comments: We strongly suggest that users be instructed to keep the lid of the Impact open
at all times when the unit is being used. A potential electrical hazard exists if the aspirate
canister overflows from the exhaust port when the lid is closed.
231
SUCTION
Comments: The Laerdal was evaluated as a component of the neonatal Transport System.
Due to electromagnetic interference, this unit may be used only when installed within the
support structure of the system. DO NOT USE THIS DEVICE OUTSIDE THE
NEONATAL TRANSPORT SYSTEM. DOING SO COULD AFFECT THE
AIRCRAFT COMMUNICATION OR NAVIGATION SYSTEMS.
232
SUCTION
Comments: Based on the results of the tests conducted, the LSU with the EMI modified
motor and the Transformer/Rectifier can be considered acceptable for use onboard aircraft
used for aeromedical evacuation.
This unit only operates in a relatively high (594 mmHg) suction mode which is ideal for
oronasopharynx suctioning. A lower and more closely controlled suction mode such as 150
mmHg (ECRI Journal Mar 1978 for a traumatic tracheal suctioning is available with the
installation of a Wika Variable control regulator 793000). This unit has auxiliary bottles to
augment the 480 ml bottle; however, to maintain adequate suction time, we do not
recommend using suction containers which accumulate greater than 1300 cm.
The Mascot 24/12 VDC converter, type 7413, emits excessive EMI and
therefore cannot be considered acceptable for use onboard aircraft.
233
UNACCEPTABLE SUCTION
Comments: Failed EMI Testing. The unit did pass all environmental tests including
vibration and rapid decompression. In accordance with paragraph 4.23, Association for the
Advancement of Medical Instrumentation (AAMI), Safe Current Limits Standard (April
1974), the Sundstrand vacuum pump is classified as equipment "likely to contact the
patient." Table 4.3.1 of the standard indicates leakage current limits from chassis to ground
shall not exceed 100 microamperes when the third wire (ground) of the 115 volts alternating
current (VAC) power cable is open. The Sundstrand vacuum pump does not exceed the
leakage current limits when the pump is operating from direct current power or from 115
VAC 60 Hz power. However, when the unit is operating from 115 VAC 400 Hz power and
the third wire (ground) of the power cable is open, leakage current from chassis to ground
exceeds the limits specified by the AAMI standard.
234
SUCTION
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: 24 - 28 VDC
Comments: The Mueller Aspirator Pump (Carmody) was tested for EMI only and was
found to exceed radiated and conducted emission limits specified by MIL-STD-461 A. It is
for interim use only and should not be used if an acceptable aspirator is available. A waiver
was granted for the use of the unit on the aircraft.
235
ACCEPTABLE SUCTION
— '
Power Requirements: An external vacuum supply source provides power for the
mechanical action of the unit. The unit will operate on line vacuums from approximatelv 300
rnmHg to 740 mmHg.
Comments: Normally, when used inflight, the aircraft vacuum pump switch need not be
turned on. However, minimum vacuum pressure for the unit to operate properly at sea level
cabin pressure is at least 300 mmHg. Minimum vacuum pressure at 8,000 ft cabin pressure
is a least 350 mmHg. To supply the required vacuum pressure the C-9A vacuum pump may
have to operate throughout the entire flight. To use the Ohio when the aircraft is on the
ground, the vacuum pump switch must be turned on. Currently, only the C-9A aircraft can
accommodate the unit.
236
ACCEPTABLE SUCTION
Power Requirements: For field use, an internal battery is provided that makes the unit
fully operable without external power. The unit will also operate from 28 VDC. An external
battery charger module is provided to recharge the battery from 117 VAC. The battery can
also be recharged while plugged into 28 VDC.
i , , • =i
Comments: 117 VAC, 28 VDC or Internal Battery The Portable Tracheal Aspirator passed
all environmental tests, including vibration, rapid decompression and electromagnetic
compatibility (EMC).
237
ACCEPTABLE SUCTION
{tMlM^*>K*-
238
UNACCEPTABLE SUCTION
Sorry, no
Description: Not available in record picture
available.
Power Requirements: 115 VAC 60 Hz
Comments: Suction unit. Failed EMI testing. File had no manufacturer information
available, only EMI results. No description of unit or manufacturer brochure of unit.
239
SUCTION
Sundstrand Aviation
SAM MULTIPURPOSE (Division of Sundstrand Corp.)
4747 Harrison Ave.
VACUUM PUMP (SMVP) Rockford, IL 61101
(815) 226-6000
Comments: The unit passed all environmental tests including vibration, rapid
decompression, and electromagnetic compatibility (EMC). The School of Aerospace
Medicine pump does not exceed the leakage current limits specified by Air Force Regulation
160-3, Atch 3, when the unit is operating from 115 VAC, 60 Hz power with the third wire
(ground) of the power cable open. When the unit is operating from 115 VAC 400 Hz power
and the third wire (ground) of the power cable is open, leakage current from chassis to
ground exceeds the limits specified. In this mode, unit should not be operated near an
electrically susceptible patient.
240
AEROMEDICAL
RESEARCH
STATUS GUIDE *^^£W
VENTILATORS
BABYBIRD INFANT VENTILATOR. MODEL 5900
BEAR 2 ADULT VOLUME VENTILATOR
BEAR 33 VOLUME VENTILATOR
BEAR MODEL INFANT CUB VENTILATOR
BENNETT MODEL MA-1. VENTILATOR
BIO-MED DEVICES P-7 ADULT VENTILATOR. SN 0298204
BIO-MED INFANT VENTILATOR. MODEL MVP-10
BTRD MARK 7A
BIRD MARK 10 VENTILATOR
BIRD MARK 14 VENTILATOR
BIRD VENTILATOR UNIT (TMV BIRD. NEONATE URGENCY BIRD. OXYGEN
BLENDER
BOURNS BP200 INFANT PRESSURE VENTILATOR
FLYNN SERIES III VENTILATOR WITH OXYGEN POWERED ASPIRATOR
IMPACT UNI-VENT 750 VENTILATOR
INSPIR AID VA-1 VENTILATOR
LIFE CARE PLV 100 VENTILATOR
LIFE CARE PLV 102 VENTILATOR
MILESTONES. PNEU/PACK VENTILATORS
MILITARY TRANSPORT RESPIRATOR. MODEL TXP
MONAGHAN 225 VOLUME VENTILATOR
NEWPORT. ElOOi VENTILATOR
OHMEDA LOGIC 07 VENTILATOR
PENLON TRANSPORT VENTILATOR
PORTABLE VOLUME CONTROL RESPIRATOR (PVCR) (PROTOTYPE)
PURITAN-BENNETT CHEMICAL OXYGEN POWERED
SINGLE PATIENT COMBAT VENTILATOR
ROBERTSHAW DUAL CYLINDER PORTABLE RESUSCITATOR
SAMSON NEONATAL RESUSCITATOR
SEARLE VA ADULT VOLUME VENTILATOR. POWER PACK. SEARLE
AUTOWEDGE
SPIROMETER. TIDAL HUMIDIFIER
SIEMENS-ELEMA 900B SERVO VENTILATOR
STEIN-GATES OMNI-VENT VENTILATOR
URGENCY BIRD REDUCED FOR NEONATES
241
ACCEPTABLE VENTILATORS
Comments: The Babybird ventilator, Model 5900, operated satisfactorily from ground
level to 34,000 ft equivalent altitude. The airway pressure at the test lung varied with
simulated altitude changes, with rapid decompression causing the greatest change in airway
pressure. A pressure relief valve in the airway line reduced the effects of rapid
decompressions. The breaths per minute delivered by the Babybird decreased with an
mcrease in equivalent altitude. The oxygen concentrations at the numbered mixer settings
remained relatively constant at ground level and 8,000 ft equivalent altitude. Results of
temperature tests indicate the ventilator cannot be operated at ambient temperatures below 4
degrees C (40 degrees F).
242
UNACCEPTABLE VENTILATORS
243
VENTILATORS
Power Requirements: 120 VAC 60 Hz, 1.5 amp or 12 VDC internal battery
Comments: The Bear 33 was tested and approved for use on the C-9A, C-130, and
C-141B aircraft. The ventilator is NOT approved for use on any aircraft where an external
power supply (AC power) is unavailable. The internal battery should only be used as a
back-up power supply. The humidifier has no internal battery, and is powered only by 120
VAC 60 HZ. An inline oxygen monitor should always be used with the Bear 33. The
audible alarms cannot be heard inflight, and the ventilator should be positioned so that the
visual alarms can be seen. Though not tested, and therefore not found acceptable, The Bear
33 can also accommodate a 12 VDC external battery. On the C-130 and C-141 aircraft, the
Bear 33 may be powered by the Vanner Power Inverter Model SP 00112. However, the
Bear Humidifier Model LS 420 MAY NOT be powered by the Vanner.
244
UNACCEPTABLE VENTILATORS
Sorry, no
Description: Not available in record. picture
available.
Power Requirements: Not recorded
245
UNACCEPTABLE VENTILATORS
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: 115 VAC, 60 Hz
Comments: Excessive EMI. Failed rapid decompression test. The Bennett Model MA-1,
Respiration Unit is unacceptable for use on aeromedical airlift. The MA-1 possesses
electromagnetic interference with exceeds MIL-STD 461A and 462; components, printed
circuit boards, pumps and valves are not sufficiently secured to withstand prolonged aircraft
vibrations; provides no means of securing to the aircraft; the AC line is not fused; operates at
115 VAC, 60 Hz only; and, electrical leakage current will not allow use with electrically
susceptible patients. Environmental testing of the Model MA-1 has not been performed.
Electromagnetic interference from the units alarms can probably be eliminated. It must be
kept in mind the Bennett MA-1 does not exceed EMI limits during operation without tripping
the alarm circuits.
246
UNACCEPTABLE VENTILATORS
247
VENTILATORS
248
ACCEPTABLE VENTILATORS
249
ACCEPTABLE VENTILATORS
Comments: None
250
AUUtr iÄDLL VENTILATORS
251
UNACCEPTABLE VENTILATORS
Power Requirements: Medical gas source 45-55 psi and 115 VAC 60 Hz or 28VDC
Comments: Failed EMI testing.
252
UNACCEPTABLE VENTILATORS
253
ACCEPTABLE VENTILATORS
254
UNACCEPTABLE VENTILATORS
Comments: Testing on prototype was completed in 1988. Testing on production model not
completed and unit has not been approved for use.
255
UNACCEPTABLE VENTILATORS
256
UNACCEPTABLE VENTILATORS
Lifecare
LIFE CARE PLV 100 8042 El Rio
Houston, TX 77054
VENTILATOR (303) 666-9234 & (800)
669-9234
Power Requirements: 120 VAC 50 - 60 Hz, 2.5 amp, 12 VDC internal battery,
257
VENTILATORS
Lifecare
LIFE CARE PLV 102 8042 EI Rio
VENTILATOR Houston, TX 77054
(303) 666-9234 & (800) 669-9234
Power Requirements: 120 VAC 50 - 60 Hz , 2.5 amp, 115 VAC 400 Hz, 12 VDC
external battery or 12 VDC internal battery
Comments:'External Battery not tested. The modified unit passed all of our testing.
Modified unit must have AF identifier on it, noting Aerovac approved. Waiver was granted
from ASC/ENACE, Wright-Patterson for 400 Hz power. Recommend an inline oxygen
sensor be used during flight.
258
UNACCEPTABLE VENTILATORS
Sorry, no
Description: Not available in record
picture
available.
Power Requirements: Not recorded
Comments: Not all tests were completed on the pneu/PAC ventilators. See record for
history. Tested units were: Child-Adult
259
VENTILATORS
Comments: This TXP was tested specifically for use by the U.S. Army Institute of
Surgical Research, Burn Flight Team at Fort Sam Houston, Texas. This system is approved
for use in a one-on-one clinical relationship where constant qualified medical surveillance is
provided. The composite cylinder is approved by the Department of Transportation (DOT)
for use in a mobile environment. Based on the manufacturer's extensive testing on the
cylinder, the DOT approval, and the burn team's years of usage with no signs of
degradation, we recommend the cylinders for use in aeromedical transport. For further
information on the bum team's operational experience with the TXP, potential users may
consult with the U.S. Army Institute of Surgical Research, Bum Flight Team at Fort Sam
Houston TX; telephone (512) 221-2943, DSN 471-2943. For use on aeromedical
evacuation aircraft, The TXP cylinder MUST be fitted with a pressure relief
valve to prevent over pressurization.
260
UNACCEPTABLE VENTILATORS
Monaghan, A Division of
MONAGHAN 225 VOLUME Sandoz, Inc.
4100 East Dry Creek Rd.
VENTILATOR Littleton, CO 80122
(303) 770-2700
:»f^»^.v.*$3^>t
261
UNACCEPTABLE VENTILATORS •
Sorry, no
Description: Not available in record
picture
available.
•
Comments: Ventilator, gas and electrical powered. Required air and oxygen. A detailed
description not given since testing was not completed. The item was sent back to the
company because it did not meet our specifications. EMI testing was completed, but no other
tests were done. The company did not appear to be interested in making the necessary
changes to pass our testing. Not acceptable for use.
262
UNACCEPTABLE VENTILATORS
263
UNACCEPTABLE VENTILATORS
Comments: Altitude evaluations were conducted in Feb. 85, with an apparent failure.
There is no record of correspondence with the manufacturer. No other testing was
accomplished. See record for history.
264
UNACCEPTABLE VENTILATORS
265
UNACCEPTABLE VENTILATORS
PURITAN-BENNETT
Puritan-Bennett Corp.
CHEMICAL OXYGEN (Puritan-Bennett Aero Systems Co.)
POWERED SINGLE 10800 Pflumm Rd.
Lenexa, KS 66215
PATIENT COMBAT (816) 421-2122
VENTILATOR
Comments: Failed Altitude testing. The pressure vessel was not tested, per the requesting
authority (AMD/RDSX). The SPCV was evaluated for use while operating on an external air
supply only. No testing was accomplished with the unit operating from its own chemically
generated oxygen source. Therefore, the operation, safety and maintainability of the
chemical generator were not evaluated.
266
VENTILATORS
267
ACCEPTABLE J L
VENTILATORS
Comments: None
268
UNACCEPTABLE VENTILATORS
Comments: Failed EMI, cold temperature operation and humidity testing. Vibration testing
not done, record indicates unit probably would not pass test. For airborne use, the
equipment does not have a means of securing to the aircraft other than the lower part of the
stand.
269
UNACCEPTABLE VENTILATORS
Siemens Corporation
SIEMENS-ELEMA 900B SERVO Ventilator Products
P.O. Box 554
VENTILATOR Union, NJ 07083
(201) 9964-0575
Power Requirements: 100 VAC 60 Hz, Compressed air and therapeutic oxygen
Comments: Failed EMI testing, erratic readings from unit controls during vibration tests
significant sensitivity to high humidity and varying temperatures. Excessive peak airway
pressure during rapid decompression.
270
UNACCEPTABLE VENTILATORS
Stein-Gates Medical
STEIN-GATES OMNI-VENT Equipment, Inc.
121 North Fourth Street
VENTILATOR Atchison, KS 66002
(913) 367-3945
Ü &ää
271
ACCEPTABLE VENTILATORS
Comments: The Urgency Bird reduced for neonates is acceptable for aeromedical
evacuation use.
272