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Resuscitator volume
Delivered volume one hand*
Delivered volume two hands*
Dimensions (length x diameter)
Approx. 265 x 85 mm
Weight, without Reservoir and mask
Pressure limitation system
4.0 kPa (40 cm H
Dead space
the delivered volume
(2.4 cm H
Inspiratory resistance
(3.9 cm H
(1.6 cm H
Expiratory resistance
(4.5 cm H
Approx. 1500 ml (bag)
Reservoir volume
Approx. 100 ml (tube)
Patient connector
Expiration connector
(for PEEP valve attachment)
Manometer Port connector
Forward and backward leakage
Operation temperature
Storage temperature
O
inlet connector
2
For long term storage the resuscitator should be kept in
Long term storage
closed packaging in a cool place away from sunlight.
Bag inlet connector
*Tested according to EN ISO 10651-4
Mark IV Baby
Mark IV Adult
Approx. 487 ml
Approx. 1596 ml
300 ml
600 ml
1000 ml per the test report
Approx. 275 x 135 mm
Approx. 190 g
Approx. 415 g
O)
Approx. 7.0 kPa (70 cm H
2
≤ 5ml + 10 % of
≤ 5ml + 10 % of
the delivered volume
Max 0.24 kPa
O) at 5 l/min.
Max. 0,29 kPa (2.9 cm H
2
and max 0.39 kPa
at 50 l/min.
O) at 50 l/min.
2
Max 0.16 kPa
O) at 5l/min.
Max. 0.27 kPa (2.7 cm H
2
and max 0.45 kPa
at 50 l/min.
O) at 50 l/min.
2
Approx. 1500 ml
Outside 22 mm male (ISO 5356-1)
Inside 15 mm female (ISO 5356-1)
30 mm male (ISO 5356-1)
Ø 4,2 +/- 0,1 mm
Not measurable
-18 °C to +50 °C (-0.4 °F to 122 °F)
Tested at -40 °C (-40 °F) and +60 °C (140 °F)
according to EN ISO10651-4
according to EN 13544-2
Inside 32 mm female
(ISO10651-4)
4. Principle in operation 
The illustration (1) shows the ventilation gas flow mixtures into the bag and to and
from the patient during manual operation of the resuscitator. (a) Mark IV, (b) Mark IV
Baby with closed reservoir, (c) Mark IV Baby with open reservoir.
The gas flow is similar when the patient is breathing spontaneously through the
device. The O
reservoir assembly is fitted with two valves, one allowing ambient air
2
O)
2
to be drawn in when the reservoir is empty and one spilling out surplus oxygen
when the reservoir bag is full.
1.1 Excess oxygen, 1.2 Air, 1.3 Oxygen inlet, 1.4 Patient, 1.5 Expiration, 1.6 Manometer
port, 1.7 Pressure limiting valve.
O)
2
During normal operation of the bag, the elasticity of the outer bag will automatically
limit the ventilation pressure, as stated in the table. This pressure limitation with no
O)
2
stroke volume loss is unique to the Ambu Mark IV and Mark IV Baby resuscitator.
5. Instructions for use
5.1. Resuscitator

Preparation

- Fit the facemask and place all items in the plastic bag supplied with the resuscitator.
- The integrity of the kits issued for storage ready for use should be inspected at the
interval established in the local protocol.
- Before use on the patient make a brief functional test as described in section 9.
Patient use
- Clear the patient's mouth and airway using recommended techniques. Use
recommended techniques to position the patient correctly to open the airway
and to hold the mask firmly against the face. (  )
- Ventilate the patient. During insufflation observe the rise of the patient's chest.
Release the bag abruptly and listen for the expiratory flow from the patient valve
and observe lowering of the chest.
9

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