128 | Philips Trilogy 200 guide

128

Trilogy200 clinical manual

Image 139

Philips Trilogy 200 manual 128

Contents

F 1 0 5 4 7 2 For CLINICIAN’S USE only Full Menu Access Mode F 1 0 5 4 7 2 Koninklijke Philips Electronics N.V. All rights reserved Page Table of Contents Dual Prescription Feature Iii Connect the Breathing Circuit to the Ventilator 100 139 Introduction Package Contents Intended Use Patient Disconnect Patient MonitoringAlternative Ventilation Qualifications Battery Back-upPower Personnel Bacteria Filter TemperaturesOperating Storage Oxygen Remote AlarmsFire or Explosion Ventilator AlarmsImproperly Functioning Cleaning Maintenance Air Filter Battery LifeDetachable Battery Condensation Discharge ESD External DC PowerPatient Circuit Electrostatic System Overview Contraindications Rear and Side Panels SymbolsSymbol Description Front Panel How to Contact Philips Respironics Trilogy200 clinical manual System Description Front Panel FeaturesButtons Display Screen Visual Indicators Exhalation Porting Block Side and Rear Panel FeaturesAC Power Inlet Breathing Circuit Connection External Battery Connector DC Power Inlet Serial ConnectorRemote Alarm/Nurse Call Connector Ethernet Connector when available Therapy Modes Modes, Features, and Alarms Assisted Breath Breath TypesSpontaneous Breath Mandatory Breath Therapy Parameters Therapy Mode Table Spontaneous S Mode Continuous Positive Airway Pressure Cpap ModePressure Control Ventilation Therapy Modes Spontaneous/Timed S/T Mode Timed T Mode Pressure Control PC Mode Seconds Control Ventilation CV Mode Volume Control Ventilation Therapy Modes Synchronized Intermittent Mandatory Ventilation Simv Mode Assist Control AC Mode Simv Mode Flex Comfort Feature Therapy Mode FeaturesFlex Bi-Flex Ramp Rise Time Avaps Feature Square Flow Pattern Types Ramp Dual Prescription Feature Sigh Feature Digital Auto-Trak Sensitivity Triggering Auto-Trak Sensitivity Shape Signal Spontaneous Expiratory Threshold Inspiration to Expiration Leak Compensation Flow Trigger Ventilator Service Required Alarm Ventilator AlarmsLoss of Power Alarm Ventilator Inoperative Alarm Low Expiratory Pressure Alarm Check Circuit AlarmLow Circuit Leak Alarm High Expiratory Pressure Alarm Low Vte Alarm Circuit Disconnect AlarmApnea Alarm High Vte Alarm Low Respiratory Rate Alarm High Vti AlarmLow Vti Alarm High Respiratory Rate Alarm High Minute Ventilation Alarm Low Inspiratory Pressure AlarmLow Minute Ventilation Alarm Ventilator Service Recommended Alarm Low Battery AlarmHigh Temperature Alarm Replace Detachable Battery Alarm Battery Not Charging due to Temperature Info Message AC Power Disconnected AlarmKeypad Stuck Alarm Battery Discharging Stopped due to Temperature Info Message Detachable Battery Disconnected Info Message Check External Battery Info MessageBattery Depleted Info Message External Battery Disconnected Info Message Ventilator Setup Supply Power to the Device Install the Air FilterPosition the Device Connecting the AC Power Cord Ventilator Setup Using AC Power External Battery Using DC Power Attaching the Detachable Battery Detachable Battery Pack AC Power Indicator Device Power Source IndicatorsBattery Capacity Internal Battery Battery DC Power IndicatorsDC Power Indicator Description First Time Use Battery Disposal Connect the Breathing Circuit to the Ventilator Active Exhalation Device with Proximal Pressure Connecting the Flow Sensor Ventilator Setup Connect a Water Trap Connect Supplemental Oxygen Optional Connect the Remote Alarm Optional Keypad Lock Feature Viewing and Changing Settings Accessing the Startup and Monitor Screens Monitor Screen Detailed View On Monitor Panel Indicators Monitor Screen IndicatorsIndicator Description Per Minute BPM. This only appears in detailed view PIP Measured Settings Panel Status Panel Indicators Displays when the Ramp feature is active On-Screen Button Panel Navigating the Menu Screens Changing and Viewing Settings in Full Menu Access Mode Device Settings Common to All Therapy Modes Changing the Device Settings and AlarmsDual Prescription Setting Circuit Type Mode Setting Apnea Circuit Disconnect High Vti Low VteHigh Vte Low Vti High Respiratory Rate Low Minute VentilationHigh Minute Ventilation Low Respiratory Rate Low Inspiratory Pressure Additional Settings Specific to Therapy ModesHigh Inspiratory Pressure Ramp Length Spontaneous S Mode Ipap Spontaneous/Timed S/T Mode Pressure Control PC Mode Control Ventilation CV Mode Assist Control AC Mode Viewing and Changing Options Menu Items Following settings are available on the Options menu Viewing and Changing Settings Trilogy200 clinical manual Alarm Log Screen Viewing the Alarm Log Viewing Device Information Viewing the Event Log Updating Prescriptions Using the SD Card Trilogy200 clinical manual Message Cause Action Changing and Viewing Settings in Limited Menu Access Mode Activating Your Primary or Secondary Prescription Viewing and Changing My Settings Menu Items Progressively increase the pressure relief Perform System Checkout Connecting the Ventilator to the PatientStart Therapy Ventilator Alarms Alarm LED Indicators Audible and Visual Alarm Indicators100 101 Audible Indicators 102 Alarm Messages 103 Alarm in Menu Banner Screen 104 Remote Alarm 105 Audio Pause and Alarm Reset FeaturesAlarm Reset Audio Pause Alarm Volume Control What to Do When An Alarm Occurs106 107 Alarm Summary Table 108 Clinician Remove 109 110 111 112 113 114 115 116 117 118 119 120 Cleaning the Ventilator Cleaning and Maintenance121 122 Cleaning and Replacing the Air Inlet Filter 123 Replacing the Air Inlet Path Foam Cleaning Instructions Reusable Circuits Cleaning the Patient Circuit124 125 Cleaning the Exhalation DevicesReplacing the Bacteria Filter Optional 126 Preventive Maintenance 127 Time / Hours of Service Recommended Maintenance 128 Device does not turn on TroubleshootingIssue Why It Happened What To Do 129 Performance of the device 130Batteries are not Charging Mask Discomfort 131Excessive Warm Air Out Mask Exhalation Valve or Flow 132Dryness Sinus or Ear Pain 133 AccessoriesAdding a Humidifier Adding Supplemental Oxygen to the Device Supplemental Oxygen Warnings Using a Remote Alarm Unit134 Using a Secure Digital SD Card Using a Nurse Call System135 Using the Optional In-Use Bag Using the Philips Respironics DirectView Software136 Airline Travel Traveling with the System137 138 139 System Checkout ProceduresTools Required Visual Inspection Setting Value Initial SetupSettings and Alarms Tests Setup 141 142 Verify the High Tidal Volume AlarmSetting Value High Vte/High Vti 50 ml Setting Value High Vte/High Vti 500 ml Setting Value Low Vte/Low Vti 50 ml Verify the Low Tidal Volume AlarmSetting Value High Vte/High Vti Off Setting Value Low Vte/Low Vti 500 ml 144 Verify Circuit Disconnect AlarmSetting Value Low Vte/Low Vti Off Setting Value Circuit Disconnect Seconds Setting Value Circuit Disconnect Off Verify the High Inspiratory Pressure Alarm145 146 Verify the Low Inspiratory Pressure Alarm 147 148 Battery Function Verification 149 Verify the External Battery Function If Available Results Alarm and Event Log Clean-Up150 Standards Compliance Technical SpecificationsEnvironmental Physical 152 ElectricalPressure SD Card and SD Card Reader 153 Control AccuracyParameter Range Accuracy 154 Spontaneous Breathing During Power Failure ConditionsMeasured Patient Parameters Disposal 155 GlossaryTerm/Acronym Definition Btps 156 OSA PC Simv 157 158 159 160 161 EMC Information Level 162Immunity Test IEC 60601 Test Electromagnetic Distance in meters m 163 Watts 164 165 Index 166 167 168 169 Limited Warranty 170