Ain Shams University

Faculty of Engineering 1 Year Mechanical Department Technical Writing & Communication

st

Report (1) Orson Medical Supplies (EDC) Offer

By: Sherif Mostafa Mohamed Gamal El Din El_Toukhi Sec: 4 S.N: 14218 B.N: 41

Expenses for medical oxygen have increased steadily for several years. Now the government is reducing the amount of coverage that Medicare allows for prescription oxygen. These cost increases can be reduced through the use of our new Electronic Demand Cannula (EDC). The EDC delivers oxygen to the patient only when the patient inhales. Oxygen does not flow during the exhalation phase. Therefore, oxygen is conserved. This oxygen-saving feature can reduce your oxygen expenses by as much as 50 percent. Patients, who use portable oxygen supplies, can enjoy prolonged intervals between refilling, thus providing more freedom and mobility. The present document aims to sell the new Electronic Demand Cannula (EDC) to the La Habra Retirement Center, La Habra, California. This bid to sell offers you a special discount when you purchase our EDCs in the quantities suggested in this proposal. Since 2000, the price of medical-grade oxygen has sky-rocketed. It costs $ 10 per 1000 cubic feet (cu ft) in 2000. Today, medical-grade oxygen costs $ 26 per 1000 cu ft. In fact, you can expect next year's oxygen expenses to double the amount you spent this year. Many factors have contributed to this soaring cost, including demand, product liability, and inflation. However, two factors contributed the most. First, legislation reduced the amount that Medicare pays for prescription oxygen. Second, few insurance companies offer programs covering long-term prescription oxygen. Therefore, you, or your patients, must pay the additional expenses. Because prescription oxygen has risen in cost so dramatically, few medical service companies can produce affordable EDCs and stay competitive. Since 2001, according to Medical Digest Bulletin, 80 percent of medical service vendors have gone out of business. Your ability to receive quality at an affordable price has diminished. Because the price of oxygen will not go down, you must try to use less while obtaining the same clinical benefits. Orson Medical Supplies, a leader in oxygen-administering technology, proposes the implementation of our new EDC. Using state-of-the-art electronics, the EDC senses the patient's inspiratory effort. When a breath is detected, the EDC dispenses oxygen through the patient's cannula. The patient receives oxygen only when he or she needs it. Continuously flowing cannulas waste gas during exhalation and rest. Clinical studies have proved that 50 percent of the oxygen used by cannula patients is wasted during that phase. These same tests also revealed that blood oxygen saturation does not significantly vary between continuous and intermittent flow cannulas. The patient receives the same benefit from less oxygen.

Prescribed Flow rate Breaths per Minute Blood Oxygen Saturation % (L/min) (bpm) Intermittent Continuous 0.5 12 96% 98% 1 12 98% 99% 2 12 99% 100% 3 12 100% 100% 4 12 100% 100% We have included a technical description of the EDC to help explain how this system will benefit oxygen cannula users. The EDC is an oxygen-administering device that is designed to conserve oxygen. The EDC is composed of six main parts: oxygen inlet connector, visual display indicators (LEDs), power switch, patient connector, AC adapter connector, and high-impact plastic case.

The oxygen inlet connector is a DISS No. 1240 (Diameter index safety system) and is made of chrome-plated brass. For the visual display, two LEDs provide visual indications of important functions. Alarm functions are monitored by a red LED, Motorola No. R32454. An indication of each delivered breath is given by the pulse display, which is a yellow LED, Motorola No. Y32454. The power switch is an ALCO No. A72-3 slide switch. The dimensions are o.5" x 0.30": button height is 0.20". Electrical Specifications: Dry contact ratings 1 amp, contract resistance is 20 milliohms, and the life expectancy is 100 000 actuations. Attachment of the patient cannula system is made at the patient connector, which is located at the bottom of the case. The white nylon connector, Air Logic No. F-3120-85, is a 10-32, UNF male threaded, straight barbed connector for 1/8" ID flexible tubing. An optional AC adapter and battery charger assembly, part number PA-32, plugs into the AC adapter connector, which is located at the bottom left-hand side of the case. The connector is a male, D-subminiature, 12-pin flush insert supplied by Dupont Connector Systems. The part number is DCS: 68237009. The case housing is made from an impact-resistant, flame-retardant, oxygen-compatible ABS plastic. The EDC is an oxygen-saving and administering device. By following these five easy steps, you will be able to enjoy the benefits of intermittent demand oxygen (Warning: Law prohibits the sale or use of this device without the order of a physician). Attach your oxygen supply to the Oxygen Inlet Connector located at the top of the case. Move the Pulse-Steady Switch to the Pulse position to begin intermittent demand flow. Connect your nasal cannula to the Patient Outlet Connector located at the bottom of the case. Adjust your oxygen supply to the oxygen flow prescribed by your physician. Put on your nasal cannula and breath normally. The pulse light will turn on when a breath is delivered. You are now ready to conserve oxygen by as much as 50 percent. Should you have the need to go back to continuous flow, just push the Pulse-Steady Switch to the "steady" position. Orson Medical Supplies has been an international leader in the field of respiratory therapy since 1975. Pure Air introduced the first IPPB respirator on the market. In 1985, responding to the needs of doctors and therapists, we produced the first life support volume ventilator, the VV-1. The VV-1 became the industry standard by which all other ventilators were measured. In 1990, Orson Medical Supplies introduced the first computer-controlled life support system, the VV-2. Technology developed for this product has found application in other areas as well. Recently, we introduced one such product, the Electronic Demand Cannula. Orson Medical Supplies is located in Overland Park, Oregon. The main manufacturing and engineering facility employs 450 people. Regional sales and service branch offices are located throughout the United States.

Each of our engineering facilities is staffed by trained technicians ready to answer your questions. The following individuals have been assigned to La Habra Retirement Center: Randy Draper Randy (BS, Electrical Engineering, South Central Texas University, 1992) has worked at Orson Medical Supplies since 1992. In 11 years at Orson, Randy has been promoted from service technician to supervisor. Randy specializes in developing new medical equipment. He has supervised the development teams that worked on the X29 respirator, the Z284-00 ventilator, and the Omega R-449 sphygmomanometer. Randy was lead development specialist for the Pure Air EDC. Randy will be in charge of your account. Please contact him directly regarding any questions you might have about the EDC. Ruth Bressette Ruth (BS, Mechanical Engineering, Pittsburgh State University, 1997) has worked at Orson Medical Supplies since 1998. She has risen in our company from service technician to manager of troubleshooting/maintenance. Ruth has received the highest-level certification (Master Technician) offered by the IEEE for service on every piece of equipment developed, manufactured, and sold by Orson. Ruth will be the manager of your Orson equipment maintenance and troubleshooting crew. Her responsibility is to ensure that your equipment is kept in outstanding working condition. She will schedule maintenance checks and promptly assign technicians to troubleshoot potential malfunctions. Douglas Loeb Doug (AA, Electrical Engineering Technology, Plainview Community College, 1992) is one of our most accomplished troubleshooters. Having worked at Orson for 11 years, Doug is commended annually for his speed, accuracy, and skill. Your equipment is in good hands with Doug. He will be your primary troubleshooter and maintenance person. Orson Medical Supplies is pleased to offer our Pure Air EDC at cost-effective pricing. You may benefit by purchasing in quantity. Quantity 1-9 units 10-24 units 25+ units Price/unit $ 75 $ 60 $ 50

As you can see, Orson is happy to offer you substantial savings when you purchase our Pure Air EDC in volume. At these prices, and assuming normal use, the oxygen cost savings will exceed your initial investment in less than one year.

Orson Medical Supplies warrants this product to be free of manufacturing defects for a oneyear period after the original date of consumer purchase. This warranty does not include damage done to the product due to accident, misuse, improper installation or operation, or unauthorized repair. This warranty also does not include replacement of parts due to normal wear. If the product becomes defective within the warranty period, we will replace or repair it free of charge. In addition to the coverage provided in our unconditional warranty, you might want to take advantage of our extended warranty package. For the prices provided previously, Orson Medical Supplies will extend the warranty to cover a three-year period after the original date of consumer purchase. With this three-year extended warranty, Orson not only covers manufacturing defects but also replaces worn parts free of charge. The extended warranty does not cover damage to the product resulting from accident, misuse, improper installation or operation, or unauthorized repair. For answers to any of your questions regarding repair, replacement, warranty, or extended warranty, please call 1-800-555-ORSN, or write to Manager, Customer Relations, Orson Medical Supplies, 12345 College Blvd., Overland Park, OR 90091. Glossary ABS plastic AC adapter Blood oxygen saturation Cannula Electronic Demand Cannula (EDC) Inspiratory effort Light-emitting diode (LED)

Acrylonitrile butadiene styrene, a durable and long-lasting plastic. A remote power supply used to convert alternating current to direct current. The partial pressure of oxygen in alveolar blood recorded in percent. A small tube inserted into the nose, specifically for administering oxygen. An electronically controlled device that dispenses oxygen only when triggered by an inspiratory effort. The act of inhaling A solid-state semiconductor device that produces light when current flows in the forward direction

List of Acronyms/Abbreviations bpm DISS EDC IPPB L/min

Breaths per minute Diameter index safety system Electronic Demand Cannula Intermittent positive pressure breathing Liters per minute

Questions: 1- Write an abstract for the report. 2- Write a conclusion for the report. 3- Adjust the report by a titles' structure. 4- Prepare a list of tables and a list of Figures for the report. 5- Adjust the Tables and Figures included in the report according to the standards known.