Using a Nurse Call System, 135 | Philips Trilogy 200 instruction

Using a Nurse Call System

You can use an institutional Nurse Call system with your device. There are several Philips Respironics cables available to connect a nurse call system to the device. Refer to the instructions included with your cable assembly if you have questions on how to connect it to the device.

Using a Secure Digital (SD) Card

An SD card is provided with the device to record device usage information. You can insert the SD card into the SD Data Card slot on the left side of the device. Make sure the label on the SD card faces the back of the ventilator.

To insert the SD card:

1.Open the SD card door by sliding the door forward and then pulling it out, as shown below.

135

WARNING

Ensure that the Nurse Call systems used do not exceed SELV (Safety Extra Low Voltage) levels as described in IEC 60601-1. SELV levels do not exceed a nominal value of 25VAC or 60VDC at rated supply voltage on the transformer or converter, between conductors in an earth- free circuit which is isolated from the supply mains by a safety extra low voltage transformer or by a device with equivalent separation.

WARNING

The Trilogy’s Nurse Call feature is for use only in a medically supervised environment.

WARNING

Do not rely on the audible indicator provided by the Nurse Call system as the primary indicator of the operating state of the device or of patient events.

WARNING

The Nurse Call feature should be considered a back-up to the Trilogy device’s primary alarm system. Do not rely solely on the Nurse Call feature.

Opening the SD Card Door

Chapter 9 Accessories

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Philips Trilogy 200 manual Using a Nurse Call System, Using a Secure Digital SD Card, 135

Contents

F 1 0 5 4 7 2 Full Menu Access Mode For CLINICIAN’S USE only 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 Package Contents Introduction Intended Use Ventilation Patient MonitoringAlternative Patient Disconnect Personnel Battery Back-upPower Qualifications Storage TemperaturesOperating Bacteria Filter Fire or Explosion Remote AlarmsOxygen Functioning AlarmsImproperly Ventilator Maintenance Cleaning Condensation Battery LifeDetachable Battery Air Filter Electrostatic External DC PowerPatient Circuit Discharge ESD Contraindications System Overview Front Panel SymbolsSymbol Description Rear and Side Panels How to Contact Philips Respironics Trilogy200 clinical manual Buttons Front Panel FeaturesSystem Description Visual Indicators Display Screen Breathing Circuit Connection Side and Rear Panel FeaturesAC Power Inlet Exhalation Porting Block Ethernet Connector when available Serial ConnectorRemote Alarm/Nurse Call Connector External Battery Connector DC Power Inlet Modes, Features, and Alarms Therapy Modes Mandatory Breath Breath TypesSpontaneous Breath Assisted Breath Therapy Mode Table Therapy Parameters Pressure Control Ventilation Therapy Modes Continuous Positive Airway Pressure Cpap ModeSpontaneous S Mode Spontaneous/Timed S/T Mode Timed T Mode Pressure Control PC Mode Seconds Volume Control Ventilation Therapy Modes Control Ventilation CV Mode Assist Control AC Mode Synchronized Intermittent Mandatory Ventilation Simv Mode Simv Mode Flex Therapy Mode FeaturesFlex Comfort Feature Ramp Bi-Flex Avaps Feature Rise Time Flow Pattern Types Square Ramp Sigh Feature Dual Prescription Feature Triggering Digital Auto-Trak Sensitivity Auto-Trak Sensitivity Shape Signal Spontaneous Expiratory Threshold Inspiration to Expiration Flow Trigger Leak Compensation Ventilator Inoperative Alarm Ventilator AlarmsLoss of Power Alarm Ventilator Service Required Alarm High Expiratory Pressure Alarm Check Circuit AlarmLow Circuit Leak Alarm Low Expiratory Pressure Alarm High Vte Alarm Circuit Disconnect AlarmApnea Alarm Low Vte Alarm High Respiratory Rate Alarm High Vti AlarmLow Vti Alarm Low Respiratory Rate Alarm Low Minute Ventilation Alarm Low Inspiratory Pressure AlarmHigh Minute Ventilation Alarm Replace Detachable Battery Alarm Low Battery AlarmHigh Temperature Alarm Ventilator Service Recommended Alarm Battery Discharging Stopped due to Temperature Info Message AC Power Disconnected AlarmKeypad Stuck Alarm Battery Not Charging due to Temperature Info Message External Battery Disconnected Info Message Check External Battery Info MessageBattery Depleted Info Message Detachable Battery Disconnected Info Message Ventilator Setup Position the Device Install the Air FilterSupply Power to the Device Using AC Power Connecting the AC Power Cord Ventilator Setup Using DC Power External Battery Detachable Battery Pack Attaching the Detachable Battery Internal Battery Device Power Source IndicatorsBattery Capacity AC Power Indicator DC Power Indicator Description DC Power IndicatorsBattery Battery Disposal First Time Use 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 Viewing and Changing Settings Keypad Lock Feature Accessing the Startup and Monitor Screens Monitor Screen Detailed View On Indicator Description Monitor Screen IndicatorsMonitor Panel Indicators Per Minute BPM. This only appears in detailed view Measured Settings Panel PIP Status Panel Indicators Displays when the Ramp feature is active Navigating the Menu Screens On-Screen Button Panel Changing and Viewing Settings in Full Menu Access Mode Dual Prescription Setting Changing the Device Settings and AlarmsDevice Settings Common to All Therapy Modes Mode Setting Circuit Type Circuit Disconnect Apnea Low Vti Low VteHigh Vte High Vti Low Respiratory Rate Low Minute VentilationHigh Minute Ventilation High Respiratory Rate High Inspiratory Pressure Additional Settings Specific to Therapy ModesLow 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 Following settings are available on the Options menu Viewing and Changing Options Menu Items Viewing and Changing Settings Trilogy200 clinical manual Viewing the Alarm Log Alarm Log Screen Viewing the Event Log Viewing Device Information 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 Start Therapy Connecting the Ventilator to the PatientPerform System Checkout Ventilator Alarms 100 Audible and Visual Alarm IndicatorsAlarm LED Indicators Audible Indicators 101 Alarm Messages 102 Alarm in Menu Banner Screen 103 Remote Alarm 104 Audio Pause Audio Pause and Alarm Reset FeaturesAlarm Reset 105 106 What to Do When An Alarm OccursAlarm Volume Control Alarm Summary Table 107 108 109 Clinician Remove 110 111 112 113 114 115 116 117 118 119 120 121 Cleaning and MaintenanceCleaning the Ventilator Cleaning and Replacing the Air Inlet Filter 122 Replacing the Air Inlet Path Foam 123 124 Cleaning the Patient CircuitCleaning Instructions Reusable Circuits Replacing the Bacteria Filter Optional Cleaning the Exhalation Devices125 Preventive Maintenance 126 Time / Hours of Service Recommended Maintenance 127 128 129 TroubleshootingIssue Why It Happened What To Do Device does not turn on Charging 130Batteries are not Performance of the device Mask 131Excessive Warm Air Out Mask Discomfort Sinus or Ear Pain 132Dryness Exhalation Valve or Flow Adding Supplemental Oxygen to the Device AccessoriesAdding a Humidifier 133 134 Using a Remote Alarm UnitSupplemental Oxygen Warnings 135 Using a Nurse Call SystemUsing a Secure Digital SD Card 136 Using the Philips Respironics DirectView SoftwareUsing the Optional In-Use Bag 137 Traveling with the SystemAirline Travel 138 Visual Inspection System Checkout ProceduresTools Required 139 Setup Initial SetupSettings and Alarms Tests Setting Value 141 Setting Value High Vte/High Vti 500 ml Verify the High Tidal Volume AlarmSetting Value High Vte/High Vti 50 ml 142 Setting Value Low Vte/Low Vti 500 ml Verify the Low Tidal Volume AlarmSetting Value High Vte/High Vti Off Setting Value Low Vte/Low Vti 50 ml Setting Value Circuit Disconnect Seconds Verify Circuit Disconnect AlarmSetting Value Low Vte/Low Vti Off 144 145 Verify the High Inspiratory Pressure AlarmSetting Value Circuit Disconnect Off Verify the Low Inspiratory Pressure Alarm 146 147 Battery Function Verification 148 Verify the External Battery Function If Available 149 150 Alarm and Event Log Clean-UpResults Physical Technical SpecificationsEnvironmental Standards Compliance SD Card and SD Card Reader ElectricalPressure 152 Parameter Range Accuracy Control Accuracy153 Disposal Spontaneous Breathing During Power Failure ConditionsMeasured Patient Parameters 154 Term/Acronym Definition Glossary155 156 Btps 157 OSA PC Simv 158 159 160 EMC Information 161 Electromagnetic 162Immunity Test IEC 60601 Test Level 163 Distance in meters m 164 Watts Index 165 166 167 168 Limited Warranty 169 170