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Philips V200 manual 13-68

Models: V200

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Chapter 13

Options and Accessories

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13-68

Respironics V200 Ventilator Operator’s Manual

REF 1057983 A

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Philips V200 manual 13-68

Contents

Respironics V200 Ventilator Email and web addresses For Technical Support and Customer Service, contactAuthorized European address Table of Contents Contents Oxygen Sensor Option External Battery OptionOxygen Manifold Option Graphics Communications Option Com1RS-232 Communications Option 2 Com2 Respiratory Mechanics OptionSpeaking Mode Option Flow-TrakOptionRespiratory Profile Monitor Interface NICO-Esprit Option Neonatal OptionViii Introduction and Intended Use Introduction and Intended Use Summary Instructions in this manual are not followed correctlyChapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter This page is intentionally blank Symbols SymbolsSymbol Description Symbols Symbols Sheet 3 Symbols Sheet 4 Symbols Sheet 5 This page is intentionally blank Getting Started UnpackingList of Parts and Accessories InspectionUnpacking Instructions Tools Required Box knifeRepacking Instructions RepackingPossible personal injury or damage to the equipment Backup Battery Off switch to offRespironics backup battery P/ N Sealed lead acid. Recycle or dispose of batteries properlyBackup Battery Removal and Installation 3illustrates the backup battery assemblyDisconnecting the Battery Cable Personal injury or damage to the equipment Removing the Ventilator from the CartRemove 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 OperationFrom the battery power should be dis Battery Charging WarrantyInspiratory Bacteria Filter Installation 19 Inserting Disposable Inspiratory Bacteria FilterInspiratory Bacteria Filter Installation Instructions Heated Expiratory Bacteria Filter Installation Heated Expiratory Bacteria Filter Installation InstructionsMaintenance, and removal and disposal of expiratory filter Oxygen Source Connection EnvironmentOxygen Source Connection Instructions Patient Circuit Flex Arm Installation Patient Circuit Flex Arm Installation InstructionsBack Panel Connections Controls SetupPcmcia Potential Equalization Connection Common grounding point Connecting AC Power Cord Grounded AC power outletPower On/Off Connecting AC Power Cord InstructionsTurning the Ventilator On Turning the Ventilator OffEntering Diagnostic Mode Main Screen in Diagnostic ModeSetting Date and Time Format Date and TimeSetting the Date Setting Altitude Altitude10 Setting Altitude Enabling/Disabling Tubing Compliance12 Backup Battery Activated Extended Self Test EST EquipmentConnecting Additional Equipment Communication InterfaceConnecting Serial Communications Devices Connecting Remote Alarm PortConnecting Humidifier Remote Alarm Cable Kits System Part NumberRemote alarm Port and cable byHumidifier AC Outlet Cover Connecting the Patient Circuit Humidifier Outlet to Patient Wye Connection Connecting the Analog Port Patient Circuit Connections Without HumidifierAnalog Port Operating Theory Volume Control Ventilation VCVIntroduction System Overview Ventilator Breath Types Operating Theory Pressure Control Ventilation PCVVentilation Modes Common to VCV Assist Control Ventilation A/CSynchronized Intermittent Mandatory Ventilation Simv Simv LogicContinuous Positive Airway Pressure Cpap Pressure Support Ventilation PSVPositive End Expiratory Pressure Peep Rise Time SettingPatient Initiated Breath Triggering Spontaneous Ventilation Mode Spont Spontaneous/Timed Ventilation Mode Spont/TVentilation Modes Common to Nppv Patient Leak DisplayEmergency Modes of Ventilation Apnea VentilationSafety Valve Open SVO VCV PCV NppvOperating Instructions OverviewClose to the ventilator EnvironmentOperating Instructions Front Panel Front Panel Text VersionFront Panel Symbol Version Alarm Status Indicators Alarm Indicator Status DescriptionPatient when Vent Inop occurs, Indicated by both visual and audiblePower Status Indicators Power Status IndicatorsBattery Indicator Status Description Flashing red, operationPower Status Indicators Sheet 2 Front Panel Keys Front Panel KeysKey Symbol Definition Description Front Panel KeysFront Panel Controls Front Panel Level ControlsControl Definition Description Front Panel Touch Display Ventilator ScreensCommon Ventilator Screen Components 10shows the top bar and describes its buttons Breath Indicator Breath Symbol DescriptionSettings Screens Pressing the HIP indicator on the screen -12willSelecting Settings Ventilation control settings VCV, PCV, or NppvSelecting Alarm Limits 14 Changing a Setting15 Setting Alarm Limits That Are Currently Active Inspiratory pressure as patient conditions allow16 PCV Setting while Nppv is the active breath type 18 Setting Alarm Limits That Are Not Currently Active Selecting Waveforms VCV onlySelecting Adult/Pediatric Buttons 19 Selecting Waveforms descending ramp selectedSettings with Calculated Values Selecting the Inspiratory Trigger I-TriggerRate and Apnea Rate Settings Relationship VCV Settings Window InsertSelecting a New Ventilation Breath Type VCV, PCV, or Nppv Changing Ipap or Epap in NppvTo this screen To go to this screen Ventilation Available Mode During… Description Selecting the Mode A/C-SIMV-CPAP or Spont-Spont/TSummary-Ventilation Modes and Availability 30 Ventilation Mode buttons A/C and Spont/T active as shown Apnea VentilationPatient Data Definitions Range, Units & Resolution Patient Data ScreenMonitor Screen Ventilation Breath Type Monitor Screen Settings Displayed Rate, IPAP, EPAP, %OSpecial Procedures Auto-PEEP CalculationEnsure that the ventilator is not on a patient Preoperational ProcedurePatient 37 SST Results RequirementAlarm Testing Procedure Where To Go For HelpAlarms Introduction Visual AlarmsVent Inop ValveAudible Alarms Alarm SilenceAlarm Reset Automatic Alarm Reset Auto-ResetOperator-Initiated Alarm Reset Alarm Reset Terminates Alarm SilenceAlarm Volume Control Alert MessagesAlarm Alert Messages Alert Message DescriptionAlarm Alert Messages Sheet 2 Alarm Alert Messages Sheet 3 Alarm Alert Messages Sheet 4 Alarm Indicators Alarm HighAlarm Med/Low NormalSafety Valve Ventilatory supportGeneral Information Cleaning Care and Maintenance10-1 Sterilization Steam AutoclavingChemical Disinfecting 10-2Ventilator Exterior Patient Circuit Support ArmO2 Gas Supply Filter/Water Trap 10-3Reusable Patient Circuit Tubing, Couplings, and Connectors Bacteria FiltersReusable In-line Water Traps 10-4Handling the filter housing Removing and Replacing Inspiratory Bacteria FilterRemoving and Replacing Expiratory Bacteria Filter 10-510-6 Removing and Replacing Expiratory Bacteria FilterSchedule for Periodic Maintenance Frequency Component Periodic Maintenance10-7 Removing Cooling Filter 10-8Removing and Replacing O2 Input Filter Element 10-9Storage RepairsRemoving and Replacing Internal Air Source Inlet Filter 10-10Diagnostic Mode since normal ventilation is suspended Diagnostics11-1 Entering Diagnostic Mode 11-211-3 Short Self Test SSTAirway pressures generated during SST can injure a patient Hardware Software 11-4Diagnostic Codes User Config11-5 Diagnostic Codes and Descriptions 11-611-7 3XXX Extended Self Test11-8 Safety Valve Open or Backup Battery Not connected Software Diagnostic informationInformation OptionPower On Self Test Post Self TestIntroduction Self-Test HardwareRestart Built-In Test11-11 11-12 Technical Specifications Volume VentilationResolution Breath TypesPressure Control Ventilation Settings, Ranges & Resolution Pressure Control Ventilation Settings Ranges Resolution12-2 Resolution Apnea Ventilation Pressure Ventilation12-3 Epap12-4 Assist/Control Ventilation Value Entry Reasonability ChecksLimit Exceeded Message Patient Data Range, Resolution, Units & Accuracy Non-Invasive Ventilation Value Entry Reasonability ChecksGeneral Value Entry Reasonability Checks 12-512-6 Front Panel KeysLPM Level Controls Interface PortsEnvironmental Specifications Protection AlarmsConnectors Connectors12-9 Measuring Display Devices AC Power and Battery Indicators FiltersPower Requirements Leakage CurrentDimensions and Weights Dimensions and WeightsElectromagnetic Compatibility Declaration 12-12IEC 60601 Test Compliance 12-13Immunity Test Level Guidance 12-14 IEC12-15 12-16 Separation Distance According to Frequency of TransmitterPneumatic System Labels Ventilator Labels12-18 Label Description12-19 Oxygen Inlet Label Emergency Air Intake Label12-20 Options and Accessories Options and AccessoriesIntroduction 13-113-2 Reusable ItemsDisposable Items DocumentationOxygen Sensor Option MSA MiniOX O2Analytical Industries Inc 13-33 2 13-4O2 Sensor Tee Warranty13-5 13-6 External Battery Option 13-7External Battery Backup Battery Operation Power Consumption SequenceCart, contact Respironics Customer Service at 13-8On/Off switch For more than 2 weeks and is not connected to AC power13-9 Alternate source of ventilationBattery Charging Battery Capacity13-10 Battery Specifications Testing13-11 13-12 Kit Contents Oxygen Manifold OptionMinimum inlet pressure 50 Psig at 200 Slpm 13-1413-15 10 Ventilator With Oxygen Manifold13-16 11 Attaching Manifold Support BracketReplacement Parts Using the ManifoldTo Use Wall Supply Oxygen To Use O2 Cylinders13-18 Graphics Starting Graphics Using Graphics13-19 Replotting Scrolling 13-2016 shows waveforms before and after rescaling 13-2113-22 Freeze FeatureDecrease Save and Overlay Features 13-23Inspiratory Area 13-24Alarms During Graphics 13-2513-26 Connecting to a Printer Communications Option Com1Print Screen 13-27Canceling a Print Screen Request Printing a ScreenPrint Screen Messages 13-28Message Corrective action Connecting to the VueLink Module13-29 Configuring the VueLink Module Configuration OverviewChanging modes 13-30Preselecting Devices 13-31Information Sent to the VueLink System AvailableV200 Comments Message Equivalent CareNet 13-32FIO2 13-33Awrr Alarms 13-3413-35 InopsAnalog Output Chart Recorder V200 Comments Message EquivalentRespironics V200 Ventilator Analog Output Port Pinout 13-3613-37 13-38 13-39 RS-232 Communications Option 2 Com2Connected to the ventilator Commands Transmitted to the Ventilator SNDACR, Send Variable Length Ventilator Settings ReportDescription Example Resolution Range Units Comments Ventilation Report13-41 MMM DD YyyyCMV Simv13-42 SquareRamp OFF13-43 Resolution Range Units Comments 13-44Normal Reset Alarm 13-4513-46 13-47 13-48 13-49 Time13-50 Respiratory Mechanics Option Accessing Respiratory Mechanics Data13-51 Maneuver How to perform the Vital Capacity Maneuver13-52 Close clinical supervision is recommended 13-53Maneuver, close clinical supervision is recommended How to perform an MIP or P0.1 maneuver 13-54Supervision is recommended 13-55Clinical supervision is recommended 13-56 How to perform Static C and R maneuverInformation type 13-57 Static C and Static R windowsAlarms and Error Messages 13-5813-59 Maneuver Error Messages Temporarily Disabled AlarmsMIP 13-60 13-61 System for leaks Static C and R maneuverParameter Description 13-6213-63 13-64 TtotDynamic Compliance Compliance C Resistance R Computations13-65 Static C and R Dynamic Resistance13-66 Wye and the alveoli of the lungs 13-6713-68 Trending Option Accessing Trending Data13-69 32 VCV Settings Screen 13-7013-71 Summary of Trending Screen InformationInformation type Description 13-72 View 1 and View 2 buttons13-73 Changing the Cursor Position Using the Manual Rescale Function13-74 Selecting the Time Scale 13-75Using the Rescale Button Using the +2 Hrs/-2 Hrs buttonsUsing the Zoom Function 13-76Using the Clear button Using the View 1/ View 2 buttonsAlarms during Trending Pcmcia CardTrending Not Available Installed. This is to protect the ventilator13-78 13-79 Trended data13-80 Set Ipap13-81 Static R13-82 Flow-TrakOption 13-83On the Screen 13-84Breath Delivery Inspiratory Hold Respiratory Mechanics13-85 ResponseFlow-Trak Affected Alarms Respiratory Mechanics Maneuvers with Flow-Trak13-86 Maneuver Affect of Flow-TrakAccessories Respiratory Profile Monitor Interface Nico Esprit Option13-87 MonitorHardware Setup Ventilator RS-232 Communications Port SettingsSpecification Setting Communications13-89 13-90 45 Select a Screen Menu screenRS-232 Communications 13-91Etco VCO13-92 Trended Nico DataFIO 48 VCV Settings Screen 13-9313-94 50 Trending Screen13-95 51 Trended Data screenTroubleshooting Troubleshooting13-96 Check CommunicationRecommended Accessories Part Number Neonatal OptionNeonatal option Requirements 13-97Selecting Neonatal Patient Type Changing Patient Types13-98 Heated Filter Test 13-99Initial Neonatal Settings Initial Patient Settings, RangesVentilation Settings Value Ranges Alarm Settings Value RangesPercent Leak 13-101Patient Leak Values 13-102Speaking Mode Option 13-103Patient Preparation Speaking Mode on a patient13-104 13-105 PassSpeaking Mode Ventilator Settings Settings13-106 60 Turn Speaking Mode On? First Message Box 13-10713-108 Disabled Alarms 13-109Mode-Specific Alarms 13-110Displayed Data 13-111Trended Data Speaking Mode Trended Data13-112 67 Selecting Speaking Mode on the Trended Data Screen 13-113North America 13-114Discontinue Speaking Mode 13-11513-116 When adjusting Epap or other settings Auto-Trak SensitivityCompatible Patient Interfaces 13-117How to Select Auto- Trak 13-11813-119 75 Settings Window with Auto-Trak Selected 13-120Triggering and Cycling with Auto- Trak Leak Detection and CompensationTriggering Cycling13-122 Ventilator Report Command Response Vrpt Appendix A. RS-232 Communications ProtocolDescription Example Appendix A-2Range Units Comments Flow Auto Appendix A-4 SPONT/T Spont Auto FlowAppendix A-6 BPM/LTable A-1 Ventilation Report Sheet 6 Appendix A-8 Normal Alarm Reset Alarm ResetAppendix A-10 Volume Control Ventilation Settings Report Vcvs NoneAppendix A-12 Volume Control Ventilation Settings ReportVcvs Table A-2 Volume Control Ventilation Settings Report Sheet 2 Pressure Control Ventilation Settings Report Pcvs Pressure Control Ventilation Settings ReportAppendix A-14 PcvsAppendix A-15 Appendix A-16 Non-Invasive Positive Pressure Ventilation Settings ReportNpvs Appendix A-17 Patient Data Report Ptdt Patient Data ReportAppendix A-18 PtdtTable A-5 Patient Data Report Sheet 2 Appendix A-20 Alarm Status Report Alrm Alarm Status Report Appendix A-22Description Example Range Comments AlrmTable A-6 Alarm Status Report Sheet 2 Unrecognized Commands Unrecognized CommandsAppendix A-24 Description Example CommentsAppendix B. Customer Service & Warranty Customer ServiceTwo Year Warranty Warranty LimitsOptions and Accessories Appendix B-2Appendix C. Alarm Testing Procedure SetupHigh Inspiratory Pressure Alarm Test Low Volume Alarm TestLow O2 Alarm Test Power Fail Alarm TestApnea Alarm Test Appendix C-4 Glossary AbbreviationsGlossary Glossary-2Glossary-3 Definitions Glossary-4Glossary-5 Glossary-6 Glossary-7 Glossary-8 Index Symbols BTPS, G-1Index Index-2Modes, 8-1,12-1 Post Index-4