Respironics V200 Ventilator
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Authorized European address
Table of Contents
Contents
Oxygen Sensor Option
External Battery Option
Oxygen Manifold Option
RS-232 Communications Option 2 Com2
Graphics
Communications Option Com1
Respiratory Mechanics Option
Respiratory Profile Monitor Interface NICO-Esprit Option
Speaking Mode Option
Flow-TrakOption
Neonatal Option
Viii
Introduction and Intended Use
Introduction and Intended Use
Summary
Instructions in this manual are not followed correctly
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
Chapter
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Symbols
Symbols
Symbol Description
Symbols
Symbols Sheet 3
Symbols Sheet 4
Symbols Sheet 5
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Getting Started
Unpacking
Unpacking Instructions
List of Parts and Accessories
Inspection
Tools Required Box knife
Repacking Instructions
Repacking
Possible personal injury or damage to the equipment
Respironics backup battery P/ N
Backup Battery
Off switch to off
Sealed lead acid. Recycle or dispose of batteries properly
Backup Battery Removal and Installation
3illustrates the backup battery assembly
Disconnecting the Battery Cable
Personal injury or damage to the equipment
Removing the Ventilator from the Cart
Remove the screws 4 holding the battery tray to the cart
Disconnecting the Old Battery from the Battery Tray’s Cable
Connect the battery to the battery tray’s cable
13 Installing the Battery Tray
15 Battery Tray Mounting Screws
16 Backup Battery Connector
Battery Capacity
Backup Battery Operation
From the battery power should be dis
Battery Charging
Warranty
Inspiratory Bacteria Filter Installation
19 Inserting Disposable Inspiratory Bacteria Filter
Inspiratory Bacteria Filter Installation Instructions
Heated Expiratory Bacteria Filter Installation
Heated Expiratory Bacteria Filter Installation Instructions
Maintenance, and removal and disposal of expiratory filter
Oxygen Source Connection
Environment
Oxygen Source Connection Instructions
Patient Circuit Flex Arm Installation
Patient Circuit Flex Arm Installation Instructions
Back Panel Connections Controls
Setup
Pcmcia
Potential Equalization Connection Common grounding point
Connecting AC Power Cord
Grounded AC power outlet
Power On/Off
Connecting AC Power Cord Instructions
Turning the Ventilator On
Turning the Ventilator Off
Entering Diagnostic Mode
Main Screen in Diagnostic Mode
Setting Date and Time Format
Date and Time
Setting the Date
Setting Altitude
Altitude
10 Setting Altitude
Enabling/Disabling Tubing Compliance
12 Backup Battery Activated
Extended Self Test EST
Equipment
Connecting Additional Equipment
Communication Interface
Connecting Serial Communications Devices
Connecting Remote Alarm Port
Remote alarm
Connecting Humidifier
Remote Alarm Cable Kits System Part Number
Port and cable by
Humidifier AC Outlet Cover
Connecting the Patient Circuit
Humidifier Outlet to Patient Wye Connection
Connecting the Analog Port
Patient Circuit Connections Without Humidifier
Analog Port
Operating Theory
Volume Control Ventilation VCV
Introduction System Overview Ventilator Breath Types
Operating Theory
Pressure Control Ventilation PCV
Synchronized Intermittent Mandatory Ventilation Simv
Ventilation Modes Common to VCV
Assist Control Ventilation A/C
Simv Logic
Continuous Positive Airway Pressure Cpap
Pressure Support Ventilation PSV
Positive End Expiratory Pressure Peep
Rise Time Setting
Patient Initiated Breath Triggering
Ventilation Modes Common to Nppv
Spontaneous Ventilation Mode Spont
Spontaneous/Timed Ventilation Mode Spont/T
Patient Leak Display
Emergency Modes of Ventilation
Apnea Ventilation
Safety Valve Open SVO
VCV PCV Nppv
Close to the ventilator
Operating Instructions
Overview
Environment
Operating Instructions
Front Panel
Front Panel Text Version
Front Panel Symbol Version
Patient when Vent Inop occurs,
Alarm Status Indicators
Alarm Indicator Status Description
Indicated by both visual and audible
Battery Indicator Status Description
Power Status Indicators
Power Status Indicators
Flashing red, operation
Power Status Indicators Sheet 2
Front Panel Keys
Front Panel Keys
Key Symbol Definition Description
Front Panel Keys
Front Panel Controls
Front Panel Level Controls
Control Definition Description
Front Panel Touch Display
Ventilator Screens
Common Ventilator Screen Components
10shows the top bar and describes its buttons
Breath Indicator
Breath Symbol Description
Settings Screens
Pressing the HIP indicator on the screen -12will
Selecting Settings
Ventilation control settings VCV, PCV, or Nppv
Selecting Alarm Limits
14 Changing a Setting
15 Setting Alarm Limits That Are Currently Active
Inspiratory pressure as patient conditions allow
16 PCV Setting while Nppv is the active breath type
18 Setting Alarm Limits That Are Not Currently Active
Selecting Waveforms VCV only
Selecting Adult/Pediatric Buttons
19 Selecting Waveforms descending ramp selected
Settings with Calculated Values
Selecting the Inspiratory Trigger I-Trigger
Rate and Apnea Rate Settings Relationship
VCV Settings Window Insert
Selecting a New Ventilation Breath Type VCV, PCV, or Nppv
Changing Ipap or Epap in Nppv
To this screen
To go to this screen
Ventilation Available Mode During… Description
Selecting the Mode A/C-SIMV-CPAP or Spont-Spont/T
Summary-Ventilation Modes and Availability
30 Ventilation Mode buttons A/C and Spont/T active as shown
Apnea Ventilation
Patient Data Definitions Range, Units & Resolution
Patient Data Screen
Monitor Screen
Ventilation Breath Type Monitor Screen Settings Displayed
Rate, IPAP, EPAP, %O
Special Procedures
Auto-PEEP Calculation
Ensure that the ventilator is not on a patient
Preoperational Procedure
Patient
37 SST Results
Requirement
Alarm Testing Procedure
Where To Go For Help
Vent
Alarms
Introduction Visual Alarms
Inop Valve
Audible Alarms
Alarm Silence
Operator-Initiated Alarm Reset
Alarm Reset
Automatic Alarm Reset Auto-Reset
Alarm Reset Terminates Alarm Silence
Alarm Volume Control
Alert Messages
Alarm Alert Messages
Alert Message Description
Alarm Alert Messages Sheet 2
Alarm Alert Messages Sheet 3
Alarm Alert Messages Sheet 4
Alarm Med/Low
Alarm Indicators
Alarm High
Normal
Safety Valve
Ventilatory support
General Information Cleaning
Care and Maintenance
10-1
Chemical Disinfecting
Sterilization
Steam Autoclaving
10-2
O2 Gas Supply Filter/Water Trap
Ventilator Exterior
Patient Circuit Support Arm
10-3
Reusable In-line Water Traps
Reusable Patient Circuit Tubing, Couplings, and Connectors
Bacteria Filters
10-4
Removing and Replacing Expiratory Bacteria Filter
Handling the filter housing
Removing and Replacing Inspiratory Bacteria Filter
10-5
10-6
Removing and Replacing Expiratory Bacteria Filter
Schedule for Periodic Maintenance Frequency Component
Periodic Maintenance
10-7
Removing Cooling Filter
10-8
Removing and Replacing O2 Input Filter Element
10-9
Removing and Replacing Internal Air Source Inlet Filter
Storage
Repairs
10-10
Diagnostic Mode since normal ventilation is suspended
Diagnostics
11-1
Entering Diagnostic Mode
11-2
11-3
Short Self Test SST
Airway pressures generated during SST can injure a patient
Hardware Software
11-4
Diagnostic Codes
User Config
11-5
Diagnostic Codes and Descriptions
11-6
11-7
3XXX Extended Self Test
11-8
Information
Safety Valve Open or Backup Battery Not connected
Software Diagnostic information
Option
Introduction
Power On Self Test Post
Self Test
Self-Test Hardware
Restart
Built-In Test
11-11
11-12
Resolution
Technical Specifications
Volume Ventilation
Breath Types
Pressure Control Ventilation Settings, Ranges & Resolution
Pressure Control Ventilation Settings Ranges Resolution
12-2
12-3
Resolution Apnea Ventilation
Pressure Ventilation
Epap
12-4
Assist/Control Ventilation Value Entry Reasonability Checks
Limit Exceeded Message
General Value Entry Reasonability Checks
Patient Data Range, Resolution, Units & Accuracy
Non-Invasive Ventilation Value Entry Reasonability Checks
12-5
12-6
Front Panel Keys
LPM
Level Controls
Interface Ports
Environmental Specifications Protection
Alarms
Connectors
Connectors
12-9
Measuring Display Devices AC Power and Battery Indicators
Filters
Power Requirements
Leakage Current
Electromagnetic Compatibility Declaration
Dimensions and Weights
Dimensions and Weights
12-12
IEC 60601 Test Compliance
12-13
Immunity Test Level Guidance
12-14
IEC
12-15
12-16
Separation Distance According to Frequency of Transmitter
Pneumatic System
12-18
Labels
Ventilator Labels
Label Description
12-19
Oxygen Inlet Label Emergency Air Intake Label
12-20
Introduction
Options and Accessories
Options and Accessories
13-1
Disposable Items
13-2
Reusable Items
Documentation
Analytical Industries Inc
Oxygen Sensor Option
MSA MiniOX O2
13-3
3 2
13-4
O2 Sensor Tee
Warranty
13-5
13-6
External Battery Option
13-7
Cart, contact Respironics Customer Service at
External Battery Backup Battery Operation
Power Consumption Sequence
13-8
13-9
On/Off switch
For more than 2 weeks and is not connected to AC power
Alternate source of ventilation
Battery Charging
Battery Capacity
13-10
Battery Specifications
Testing
13-11
13-12
Kit Contents
Oxygen Manifold Option
Minimum inlet pressure 50 Psig at 200 Slpm
13-14
13-15
10 Ventilator With Oxygen Manifold
13-16
11 Attaching Manifold Support Bracket
To Use Wall Supply Oxygen
Replacement Parts
Using the Manifold
To Use O2 Cylinders
13-18
Graphics
Starting Graphics Using Graphics
13-19
Replotting Scrolling
13-20
16 shows waveforms before and after rescaling
13-21
13-22
Freeze Feature
Decrease
Save and Overlay Features
13-23
Inspiratory Area
13-24
Alarms During Graphics
13-25
13-26
Print Screen
Connecting to a Printer
Communications Option Com1
13-27
Print Screen Messages
Canceling a Print Screen Request
Printing a Screen
13-28
Message Corrective action
Connecting to the VueLink Module
13-29
Changing modes
Configuring the VueLink Module
Configuration Overview
13-30
Preselecting Devices
13-31
V200 Comments Message Equivalent CareNet
Information Sent to the VueLink System
Available
13-32
FIO2
13-33
Awrr
Alarms
13-34
13-35
Inops
Respironics V200 Ventilator Analog Output Port Pinout
Analog Output Chart Recorder
V200 Comments Message Equivalent
13-36
13-37
13-38
13-39
RS-232 Communications Option 2 Com2
Connected to the ventilator
Description Example Resolution Range Units Comments
Commands Transmitted to the Ventilator
SNDACR, Send Variable Length Ventilator Settings Report
Ventilation Report
CMV
13-41
MMM DD Yyyy
Simv
Ramp
13-42
Square
OFF
13-43
Resolution Range Units Comments
13-44
Normal Reset Alarm
13-45
13-46
13-47
13-48
13-49
Time
13-50
Respiratory Mechanics Option
Accessing Respiratory Mechanics Data
13-51
Maneuver
How to perform the Vital Capacity Maneuver
13-52
Close clinical supervision is recommended
13-53
Maneuver, close clinical supervision is recommended
How to perform an MIP or P0.1 maneuver
13-54
Supervision is recommended
13-55
Clinical supervision is recommended
13-56
How to perform Static C and R maneuver
Information type
13-57
Static C and Static R windows
Alarms and Error Messages
13-58
13-59
Maneuver Error Messages Temporarily Disabled Alarms
MIP
13-60
13-61
System for leaks Static C and R maneuver
Parameter Description
13-62
13-63
13-64
Ttot
Dynamic Compliance
Compliance C Resistance R Computations
13-65
Static C and R
Dynamic Resistance
13-66
Wye and the alveoli of the lungs
13-67
13-68
Trending Option
Accessing Trending Data
13-69
32 VCV Settings Screen
13-70
13-71
Summary of Trending Screen Information
Information type Description
13-72
View 1 and View 2 buttons
13-73
Changing the Cursor Position
Using the Manual Rescale Function
13-74
Selecting the Time Scale
13-75
Using the Zoom Function
Using the Rescale Button
Using the +2 Hrs/-2 Hrs buttons
13-76
Alarms during Trending
Using the Clear button
Using the View 1/ View 2 buttons
Pcmcia Card
Trending Not Available
Installed. This is to protect the ventilator
13-78
13-79
Trended data
13-80
Set Ipap
13-81
Static R
13-82
Flow-TrakOption
13-83
On the Screen
13-84
13-85
Breath Delivery
Inspiratory Hold Respiratory Mechanics
Response
13-86
Flow-Trak Affected Alarms
Respiratory Mechanics Maneuvers with Flow-Trak
Maneuver Affect of Flow-Trak
13-87
Accessories
Respiratory Profile Monitor Interface Nico Esprit Option
Monitor
Specification Setting
Hardware Setup
Ventilator RS-232 Communications Port Settings
Communications
13-89
13-90
45 Select a Screen Menu screen
Etco
RS-232 Communications
13-91
VCO
13-92
Trended Nico Data
FIO
48 VCV Settings Screen
13-93
13-94
50 Trending Screen
13-95
51 Trended Data screen
13-96
Troubleshooting
Troubleshooting
Check Communication
Neonatal option Requirements
Recommended Accessories Part Number
Neonatal Option
13-97
Selecting Neonatal Patient Type
Changing Patient Types
13-98
Heated Filter Test
13-99
Ventilation Settings Value Ranges
Initial Neonatal Settings
Initial Patient Settings, Ranges
Alarm Settings Value Ranges
Percent Leak
13-101
Patient Leak Values
13-102
Speaking Mode Option
13-103
Patient Preparation
Speaking Mode on a patient
13-104
13-105
Pass
Speaking Mode Ventilator Settings
Settings
13-106
60 Turn Speaking Mode On? First Message Box
13-107
13-108
Disabled Alarms
13-109
Mode-Specific Alarms
13-110
Displayed Data
13-111
Trended Data
Speaking Mode Trended Data
13-112
67 Selecting Speaking Mode on the Trended Data Screen
13-113
North America
13-114
Discontinue Speaking Mode
13-115
13-116
Compatible Patient Interfaces
When adjusting Epap or other settings
Auto-Trak Sensitivity
13-117
How to Select Auto- Trak
13-118
13-119
75 Settings Window with Auto-Trak Selected
13-120
Triggering
Triggering and Cycling with Auto- Trak
Leak Detection and Compensation
Cycling
13-122
Ventilator Report Command Response Vrpt
Appendix A. RS-232 Communications Protocol
Description Example
Appendix A-2
Range Units Comments
Flow Auto
Appendix A-4
SPONT/T Spont
Auto Flow
Appendix A-6
BPM/L
Table A-1 Ventilation Report Sheet 6
Appendix A-8
Normal Alarm Reset
Alarm Reset
Appendix A-10
Volume Control Ventilation Settings Report Vcvs
None
Appendix A-12
Volume Control Ventilation Settings Report
Vcvs
Table A-2 Volume Control Ventilation Settings Report Sheet 2
Appendix A-14
Pressure Control Ventilation Settings Report Pcvs
Pressure Control Ventilation Settings Report
Pcvs
Appendix A-15
Appendix A-16
Non-Invasive Positive Pressure Ventilation Settings Report
Npvs
Appendix A-17
Appendix A-18
Patient Data Report Ptdt
Patient Data Report
Ptdt
Table A-5 Patient Data Report Sheet 2
Appendix A-20
Alarm Status Report Alrm
Description Example Range Comments
Alarm Status Report
Appendix A-22
Alrm
Table A-6 Alarm Status Report Sheet 2
Appendix A-24
Unrecognized Commands
Unrecognized Commands
Description Example Comments
Two Year Warranty
Appendix B. Customer Service & Warranty
Customer Service
Warranty Limits
Options and Accessories
Appendix B-2
Appendix C. Alarm Testing Procedure
Setup
Low O2 Alarm Test
High Inspiratory Pressure Alarm Test
Low Volume Alarm Test
Power Fail Alarm Test
Apnea Alarm Test
Appendix C-4
Glossary
Abbreviations
Glossary
Glossary-2
Glossary-3
Definitions
Glossary-4
Glossary-5
Glossary-6
Glossary-7
Glossary-8
Index Symbols
BTPS, G-1
Index
Index-2
Modes, 8-1,12-1
Post
Index-4