Philips 200, Trilogy 200 manual

CLINICAL MANUAL

REF 1054728

1072919

JH 6/7/10

Contents

Main FOR CLINICIANS USE ONLY Accessing Prescription Setting Screens Full Menu Access Mode Press the Down button and the Alarm Indicator/Audio Page Page Page Table of Contents Page Page Page Page Page Chapter 1 Introduction 1 1. Introduction Package Contents This chapter provides an overview of the Trilogy200 device. Package Contents Intended Use Warnings and Cautions Page Page Annunciated alarms on the ventilator are also Disconnecting the remote alarm cable from the Passive Active Flow Active PAP (Proximal Airway Pressure ) Page Page Notes This product does not contain natural latex rubber or dry Contraindications Inability to maintain a patent airway or adequately clear System Overview Symbols ~ Front Panel ~ Rear and Side Panels O Page Page 2. System Description Front Panel Features Buttons Visual Indicators Display Screen Side and Rear Panel Features Page 3. Modes, Features, and Alarms Therapy Modes Breath Types Spontaneous Mandatory Assisted Sigh Chapter 3 Modes, Features, and Alarms Therapy Mode Table Therapy Parameters Pressure Control Ventilation Therapy Modes Page Page Page Page Volume Control Ventilation Therapy Modes Page Page Therapy Mode Features Flex Comfort Feature Ramp Rise Time AVAPS Feature Flow Pattern Types Square Ramp Page Sigh Feature Dual Prescription Feature Triggering Page Page Page Page BTPS Compensation Ventilator Alarms Loss of Power Alarm Ventilator Inoperative Alarm Ventilator Service Required Alarm Check Circuit Alarm Low Circuit Leak Alarm High Expiratory Pressure Alarm Low Expiratory Pressure Alarm High Internal Oxygen Alarm Circuit Disconnect Alarm Apnea Alarm High Vte Alarm Low Vte Alarm High Vti Alarm Low Vti Alarm High Respiratory Rate Alarm Low Respiratory Rate Alarm High Inspiratory Pressure Alarm Low Inspiratory Pressure Alarm High Minute Ventilation Alarm Low Minute Ventilation Alarm Low Battery Alarm High Temperature Alarm Replace Detachable Battery Alarm Ventilator Service Recommended Alarm AC Power Disconnected Alarm Keypad Stuck Alarm Battery Discharging Stopped due to Temperature Info Message Battery Not Charging due to Temperature Info Message Battery Not Charging Info Message Page 4. Ventilator Setup Position the Device Install the Air Filter Supply Power to the Device AC Power External Battery Detachable Battery Pack Internal Battery Using AC Power Using DC Power Page Device Power Source Indicators Page Battery Disposal First Time Use Connect the Breathing Circuit to the Ventilator Page Page Connect the White Striped Flow Line to Connect the other Flow Line to the Connect the Exhalation Valve Line to the Connect a Water Trap Connect Supplemental Oxygen (Optional) Connect the Remote Alarm (Optional) The ventilator is o. Any alarm occurs and is not silenced or reset. 5. Viewing and Changing Settings Keypad Lock Feature Accessing the Startup and Monitor Screens Page Monitor Screen Indicators Monitor Panel Indicators Measured Settings Panel Indicators Status Panel Indicators Page Page Page Page On-Screen Button Panel The left on-screen button species the action for the Left The center on-screen button species the action for the The right on-screen button species the action for the Navigating the Menu Screens Use the Up/Down button to scroll through the menu Use the Left and Right buttons to perform the actions Changing and Viewing Settings in Full Menu Access Mode Safely Remove SD Card - This option will appear if an SD Settings and Alarms: View and change prescription Options: View and change device settings, such as Full or Alarm Log: View a list of the 20 most recent alarms that Changing the Device Settings and Alarms Switch to Primary/Secondary Settings Primary Settings and Alarms Secondary Settings and Alarms CPAP S S/T T PC PC-SIMV CV AC SIMV Passive Active PAP Active Flow Page Page Page Page Page Page Page Page Flow Cycle Sensitivity (if Trigger Type is set to Flow Rise Time Page Viewing and Changing Options Menu Items Menu Access You can select Full or Limited menu Detailed View You can turn Detailed View on or o Language The next item on the Options menu allows Pressure Units The next item allows you to select the Alarm Volume You can adjust the volume of the device Keypad Lock You can enable or disable the Keypad Keypad Backlight The next item you can set is the LCD Brightness The LCD display is lit by a backlight. Screen Saver You can change the screen saver to Page Operational Hours The operational hours displays Viewing the Alarm Log Viewing the Event Log Viewing Device Information Updating Prescriptions Using the SD Card Page Page Changing and Viewing Settings in Limited Menu Access Mode Switch to Primary (or Secondary) Settings: If your health care Safely Remove SD Card: This option will appear if an SD card My Settings: View and change certain prescription settings, Options: View and change certain device settings, Alarm Log: View a list of the 20 most recent alarms that Information: View detailed information about your Activating Your Primary or Secondary Prescription Viewing and Changing My Settings Menu Items Rise Time The Rise Time is the time it takes the Ramp Start Pressure The ventilator is equipped Flex The optional Flex feature allows you to adjust the Connecting the Ventilator to the Patient 1. Perform System Checkout 2. Start Therapy 3. Connect the Breathing Circuit to the Patient Interface 6. Ventilator Alarms High Priority Require immediate response by the Medium Priority Require prompt response by the Low Priority Require operator awareness. These alarms Audible and Visual Alarm Indicators Audible Indicators Ventilator Inoperative Audible Indicator When a Power Failure Audible Indicator When a power failure High Priority Audible Indicator When a high priority Informational Messages and Conrmation Audible Alarm Messages Page Remote Alarm Audio Pause and Alarm Reset Features Audio Pause Alarm Reset Alarm Volume Control What to Do When An Alarm Occurs 107 Alarm Summary Table Page Page Page Page Page Page Page Page Page Page 7. Cleaning and Maintenance Cleaning the Ventilator Cleaning and Replacing the Air Inlet Filter Replacing the Air Inlet Path Foam Cleaning the Patient Circuit Cleaning Instructions (Reusable Circuits) Page Preventive Maintenance Service Date Service Hours Page Page 8. Troubleshooting Page Page Page 9. Accessories Adding a Humidier Adding Supplemental Oxygen to the Device Supplemental Oxygen Warnings When administering xed-ow supplemental oxygen, This device DOES NOT alarm for loss of the low ow Using a Remote Alarm Unit Using a Nurse Call System Using a Secure Digital (SD) Card Using the Philips Respironics DirectView Software Using the Optional In-Use Bag Traveling with the System Airline Travel Page Tools Required Universal Porting Block Active PAP Exhalation Device (with Tube Adapter Visual Inspection 10. System Checkout Procedures Initial Setup Settings and Alarms Tests 1. Setup 2. Verify the High Tidal Volume Alarm The High Priority audible indicator sounds A red light ashes on the Alarm Indicator/Audio The High Tidal Volume alarm condition appears on The High Priority audible indicator has stopped 3. Verify the Low Tidal Volume Alarm The High Priority audible indicator sounds A red light ashes on the Alarm Indicator/Audio The Low Tidal Volume alarm condition appears on the The High Priority audible indicator has stopped The red light on the Alarm Indicator/Audio Pause 4. Verify Circuit Disconnect Alarm The High Priority Audible Indicator sounds A red light ashes on the Alarm Indicator/Audio The Circuit Disconnect alarm condition appears on The High Priority audible indicator has stopped The red light on the Alarm Indicator/Audio Pause 5. Verify the High Inspiratory Pressure Alarm The Medium Priority audible indicator sounds A yellow light ashes on the Alarm Indicator/Audio The High Inspiratory Pressure alarm condition The Medium Priority audible indicator has stopped The yellow light on the Alarm Indicator/Audio Pause 6. Verify the Low Inspiratory Pressure Alarm The High Priority audible indicator sounds A red light ashes on the Alarm Indicator/Audio The Low Inspiratory Pressure alarm condition Battery Function Verication Page Alarm and Event Log Clean-Up Results 11. Technical Specications Environmental Physical RTCA-D0160F section 21, category M; Emission of Radio Frequency Energy Standards Compliance Electrical Pressure SD Card and SD Card Reader Chapter 11 Technical Specications 153 Control Accuracy Parameter Range Accuracy Spontaneous Breathing During Power Failure Conditions Disposal 12. Glossary Page Page Page Page Page Chapter 13 EMC Information 161 13. EMC Information Guidance and Manufacturers Declaration - Electromagnetic Emissions This device is intended for use in the electromagnetic environment specied below. The user of this Emissions Test Compliance Electromagnetic Environment - 162 Guidance and Manufacturers Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specied below. The user of this Immunity Test IEC 60601 Test Compliance Level Electromagnetic Environment - Chapter 13 EMC Information Guidance and Manufacturers Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specied below. The user of this Immunity Test IEC 60601 Test Compliance Level Electromagnetic Environment - Page Index A B C D E F H I K P R S T V Page Limited Warranty