Philips Trilogy 200 guide

iv
Battery Disposal	56
First Time Use	56
Connect the Breathing Circuit to the Ventilator	57
Connect a Water Trap	60
Connect Supplemental Oxygen (Optional)	61
Connect the Remote Alarm (Optional)	62
Chapter 5. Viewing and Changing Settings	63
Keypad Lock Feature	63
Accessing the Startup and Monitor Screens	64
Monitor Screen Indicators	66
On-Screen Button Panel	71
Navigating the Menu Screens	71
Changing and Viewing Settings in Full Menu Access Mode	72
Changing the Device Settings and Alarms	73
Device Settings Common to All Therapy Modes	73
Additional Settings Specific to Therapy Modes	78
Continuous Positive Airway Pressure (CPAP) Mode	78
Spontaneous (S) Mode	80
Spontaneous/Timed (S/T) Mode	82
Timed (T) Mode	82
Pressure Control (PC) Mode	83
Pressure Control Synchronized Intermittent Mandatory
Ventilation (PC-SIMV) Mode	83
Control Ventilation (CV) Mode	84
Assist Control (AC) Mode	85
Synchronized Intermittent Mandatory Ventilation
(SIMV) Mode	85
Viewing and Changing Options Menu Items	86
Viewing the Alarm Log	89

Trilogy200 clinical manual

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Philips Trilogy 200 manual Connect the Breathing Circuit to the Ventilator

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 Remote Alarms OxygenFire 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 Front Panel Features System DescriptionButtons 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 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 Control Ventilation CV Mode Volume Control Ventilation Therapy Modes Synchronized Intermittent Mandatory Ventilation Simv Mode Assist Control AC Mode Simv Mode Therapy Mode Features Flex Comfort FeatureFlex 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 Low Inspiratory Pressure Alarm High Minute Ventilation 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 Install the Air Filter Supply Power to the DevicePosition 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 DC Power Indicators BatteryDC 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 Screen Indicators Monitor Panel 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 Changing the Device Settings and Alarms Device Settings Common to All Therapy ModesDual 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 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 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 Connecting the Ventilator to the Patient Perform System CheckoutStart Therapy Ventilator Alarms Audible and Visual Alarm Indicators Alarm LED 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 What to Do When An Alarm Occurs Alarm Volume Control106 107 Alarm Summary Table 108 Clinician Remove 109 110 111 112 113 114 115 116 117 118 119 120 Cleaning and Maintenance Cleaning the Ventilator121 122 Cleaning and Replacing the Air Inlet Filter 123 Replacing the Air Inlet Path Foam Cleaning the Patient Circuit Cleaning Instructions Reusable Circuits124 Cleaning the Exhalation Devices 125Replacing 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 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 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 Verify the High Inspiratory Pressure Alarm Setting Value Circuit Disconnect Off145 146 Verify the Low Inspiratory Pressure Alarm 147 148 Battery Function Verification 149 Verify the External Battery Function If Available Alarm and Event Log Clean-Up Results150 Environmental Technical SpecificationsPhysical Standards Compliance Pressure ElectricalSD Card and SD Card Reader 152 Control Accuracy 153Parameter Range Accuracy Measured Patient Parameters Spontaneous Breathing During Power Failure ConditionsDisposal 154 Glossary 155Term/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