170 | Philips Trilogy 200 instruction

170

To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contact Respironics, Inc. at:

1001 Murry Ridge Lane

Murrysville, Pennsylvania 15668-8550

1-724-387-4000

Trilogy200 clinical manual

Image 181

Philips Trilogy 200 manual 170

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 Alternative Patient MonitoringVentilation Patient Disconnect Power Battery Back-upPersonnel Qualifications Operating TemperaturesStorage Bacteria Filter Oxygen Remote AlarmsFire or Explosion Improperly AlarmsFunctioning Ventilator Cleaning Maintenance Detachable Battery Battery LifeCondensation Air Filter Patient Circuit External DC PowerElectrostatic Discharge ESD System Overview Contraindications Symbol Description SymbolsFront Panel Rear and Side Panels How to Contact Philips Respironics Trilogy200 clinical manual System Description Front Panel FeaturesButtons Display Screen Visual Indicators AC Power Inlet Side and Rear Panel FeaturesBreathing Circuit Connection Exhalation Porting Block Remote Alarm/Nurse Call Connector Serial ConnectorEthernet Connector when available External Battery Connector DC Power Inlet Therapy Modes Modes, Features, and Alarms Spontaneous Breath Breath TypesMandatory Breath Assisted 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 Loss of Power Alarm Ventilator AlarmsVentilator Inoperative Alarm Ventilator Service Required Alarm Low Circuit Leak Alarm Check Circuit AlarmHigh Expiratory Pressure Alarm Low Expiratory Pressure Alarm Apnea Alarm Circuit Disconnect AlarmHigh Vte Alarm Low Vte Alarm Low Vti Alarm High Vti AlarmHigh Respiratory Rate Alarm Low Respiratory Rate Alarm High Minute Ventilation Alarm Low Inspiratory Pressure AlarmLow Minute Ventilation Alarm High Temperature Alarm Low Battery AlarmReplace Detachable Battery Alarm Ventilator Service Recommended Alarm Keypad Stuck Alarm AC Power Disconnected AlarmBattery Discharging Stopped due to Temperature Info Message Battery Not Charging due to Temperature Info Message Battery Depleted Info Message Check External Battery Info MessageExternal Battery Disconnected Info Message Detachable 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 Battery Capacity Device Power Source IndicatorsInternal Battery AC Power Indicator 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 Vte Low VteLow Vti High Vti High Minute Ventilation Low Minute VentilationLow Respiratory Rate High 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 Alarm Reset Audio Pause and Alarm Reset FeaturesAudio Pause 105 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 Issue Why It Happened What To Do Troubleshooting129 Device does not turn on Batteries are not 130Charging Performance of the device Excessive Warm Air Out 131Mask Mask Discomfort Dryness 132Sinus or Ear Pain Exhalation Valve or Flow Adding a Humidifier AccessoriesAdding Supplemental Oxygen to the Device 133 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 Tools Required System Checkout ProceduresVisual Inspection 139 Settings and Alarms Tests Initial SetupSetup Setting Value 141 Setting Value High Vte/High Vti 50 ml Verify the High Tidal Volume AlarmSetting Value High Vte/High Vti 500 ml 142 Setting Value High Vte/High Vti Off Verify the Low Tidal Volume AlarmSetting Value Low Vte/Low Vti 500 ml Setting Value Low Vte/Low Vti 50 ml Setting Value Low Vte/Low Vti Off Verify Circuit Disconnect AlarmSetting Value Circuit Disconnect Seconds 144 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 Environmental Technical SpecificationsPhysical Standards Compliance Pressure ElectricalSD Card and SD Card Reader 152 153 Control AccuracyParameter Range Accuracy Measured Patient Parameters Spontaneous Breathing During Power Failure ConditionsDisposal 154 155 GlossaryTerm/Acronym Definition Btps 156 OSA PC Simv 157 158 159 160 161 EMC Information Immunity Test IEC 60601 Test 162Electromagnetic Level Distance in meters m 163 Watts 164 165 Index 166 167 168 169 Limited Warranty 170