Ventilator Setup | Philips Trilogy 200 manual

Trilogy200

clinical manual

49

4. Ventilator Setup

This chapter provides instructions on how to assemble the ventilator. It includes the following setup information:

•• Properly positioning the device

•• Installing the air filter

•• Supplying power to the device

•• Connecting the breathing circuit

•• Connecting a water trap (optional)

•• Connecting a remote alarm (optional)

WARNING

Ventilator dependent patients should be continuously monitored by qualified personnel. These personnel should be prepared to provide alternate therapy in the event of ventilator failure or inoperative equipment.

WARNING

Do not use the ventilator on a patient until a system checkout has been performed. See Chapter 10 of this manual.

WARNING

For ventilator dependent patients, always have alternate ventilation equipment, such as a back-up ventilator, manual resuscitator, or similar device, available.

CAUTION

Do not operate the ventilator at temperatures below 5° C (41° F) or above 40° C (104° F).

Chapter 4 Ventilator Setup

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Philips Trilogy 200 manual Ventilator Setup

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 Patient Monitoring AlternativeVentilation Patient Disconnect Battery Back-up PowerPersonnel Qualifications Temperatures OperatingStorage Bacteria Filter Remote Alarms OxygenFire or Explosion Alarms ImproperlyFunctioning Ventilator Maintenance Cleaning Battery Life Detachable BatteryCondensation Air Filter External DC Power Patient CircuitElectrostatic Discharge ESD Contraindications System Overview Symbols Symbol DescriptionFront Panel Rear and Side Panels How to Contact Philips Respironics Trilogy200 clinical manual Front Panel Features System DescriptionButtons Visual Indicators Display Screen Side and Rear Panel Features AC Power InletBreathing Circuit Connection Exhalation Porting Block Serial Connector Remote Alarm/Nurse Call ConnectorEthernet Connector when available External Battery Connector DC Power Inlet Modes, Features, and Alarms Therapy Modes Breath Types Spontaneous BreathMandatory Breath Assisted Breath Therapy Mode Table Therapy Parameters Continuous Positive Airway Pressure Cpap Mode Spontaneous S ModePressure Control Ventilation Therapy Modes 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 Therapy Mode Features Flex Comfort FeatureFlex 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 Alarms Loss of Power AlarmVentilator Inoperative Alarm Ventilator Service Required Alarm Check Circuit Alarm Low Circuit Leak AlarmHigh Expiratory Pressure Alarm Low Expiratory Pressure Alarm Circuit Disconnect Alarm Apnea AlarmHigh Vte Alarm Low Vte Alarm High Vti Alarm Low Vti AlarmHigh Respiratory Rate Alarm Low Respiratory Rate Alarm Low Inspiratory Pressure Alarm High Minute Ventilation AlarmLow Minute Ventilation Alarm Low Battery Alarm High Temperature AlarmReplace Detachable Battery Alarm Ventilator Service Recommended Alarm AC Power Disconnected Alarm Keypad Stuck AlarmBattery Discharging Stopped due to Temperature Info Message Battery Not Charging due to Temperature Info Message Check External Battery Info Message Battery Depleted Info MessageExternal Battery Disconnected Info Message Detachable Battery Disconnected Info Message Ventilator Setup Install the Air Filter Supply Power to the DevicePosition the Device Using AC Power Connecting the AC Power Cord Ventilator Setup Using DC Power External Battery Detachable Battery Pack Attaching the Detachable Battery Device Power Source Indicators Battery CapacityInternal Battery AC Power Indicator DC Power Indicators BatteryDC Power Indicator Description 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 Monitor Screen Indicators Monitor Panel IndicatorsIndicator Description 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 Changing the Device Settings and Alarms Device Settings Common to All Therapy ModesDual Prescription Setting Mode Setting Circuit Type Circuit Disconnect Apnea Low Vte High VteLow Vti High Vti Low Minute Ventilation High Minute VentilationLow Respiratory Rate High Respiratory Rate Additional Settings Specific to Therapy Modes Low Inspiratory PressureHigh 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 Connecting the Ventilator to the Patient Perform System CheckoutStart Therapy Ventilator Alarms Audible and Visual Alarm Indicators Alarm LED Indicators100 Audible Indicators 101 Alarm Messages 102 Alarm in Menu Banner Screen 103 Remote Alarm 104 Audio Pause and Alarm Reset Features Alarm ResetAudio Pause 105 What to Do When An Alarm Occurs Alarm Volume Control106 Alarm Summary Table 107 108 109 Clinician Remove 110 111 112 113 114 115 116 117 118 119 120 Cleaning and Maintenance Cleaning the Ventilator121 Cleaning and Replacing the Air Inlet Filter 122 Replacing the Air Inlet Path Foam 123 Cleaning the Patient Circuit Cleaning Instructions Reusable Circuits124 Cleaning the Exhalation Devices 125Replacing the Bacteria Filter Optional Preventive Maintenance 126 Time / Hours of Service Recommended Maintenance 127 128 Troubleshooting Issue Why It Happened What To Do129 Device does not turn on 130 Batteries are notCharging Performance of the device 131 Excessive Warm Air OutMask Mask Discomfort 132 DrynessSinus or Ear Pain Exhalation Valve or Flow Accessories Adding a HumidifierAdding Supplemental Oxygen to the Device 133 Using a Remote Alarm Unit Supplemental Oxygen Warnings134 Using a Nurse Call System Using a Secure Digital SD Card135 Using the Philips Respironics DirectView Software Using the Optional In-Use Bag136 Traveling with the System Airline Travel137 138 System Checkout Procedures Tools RequiredVisual Inspection 139 Initial Setup Settings and Alarms TestsSetup Setting Value 141 Verify the High Tidal Volume Alarm Setting Value High Vte/High Vti 50 mlSetting Value High Vte/High Vti 500 ml 142 Verify the Low Tidal Volume Alarm Setting Value High Vte/High Vti OffSetting Value Low Vte/Low Vti 500 ml Setting Value Low Vte/Low Vti 50 ml Verify Circuit Disconnect Alarm Setting Value Low Vte/Low Vti OffSetting Value Circuit Disconnect Seconds 144 Verify the High Inspiratory Pressure Alarm Setting Value Circuit Disconnect Off145 Verify the Low Inspiratory Pressure Alarm 146 147 Battery Function Verification 148 Verify the External Battery Function If Available 149 Alarm and Event Log Clean-Up Results150 Technical Specifications EnvironmentalPhysical Standards Compliance Electrical PressureSD Card and SD Card Reader 152 Control Accuracy 153Parameter Range Accuracy Spontaneous Breathing During Power Failure Conditions Measured Patient ParametersDisposal 154 Glossary 155Term/Acronym Definition 156 Btps 157 OSA PC Simv 158 159 160 EMC Information 161 162 Immunity Test IEC 60601 TestElectromagnetic Level 163 Distance in meters m 164 Watts Index 165 166 167 168 Limited Warranty 169 170