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Philips V200 manual 13-81, Static R

Models: V200

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Chapter 13

Options and Accessories

Trended data:	Static C
Mech	(static compliance maneuver, only available if Mechanics option is installed)
	Static R
	(static resistance maneuver, only available if Mechanics option is installed)
	VC
	(vital capacity maneuver, only available if Mechanics option is installed)
	MIP
	(maximum inspiratory pressure maneuver, only available if Mechanics option
	is installed)
	P0.1
	(P0.1 maneuver, only available if Mechanics option is installed)
	Dynamic C
	(dynamic compliance, only available if Mechanics option is installed)
	Dynamic R
	(dynamic resistance, only available if Mechanics option is installed)
	Auto PEEP
	(expiratory hold)

Trended data:	CO-a
NICO	(Cardiac Output Average, only available if the respiratory profile monitor
	interface (NICO-Esprit) option is installed)
	SpO2
	(O2 Saturation, only available if the respiratory profile monitor interface
	(NICO-Esprit) option is installed)
	ETCO2
	(End Tidal CO2, only available if the respiratory profile monitor interface
	(NICO-Esprit) option is installed)
	VCO2
	(CO2 Elimination, only available if the respiratory profile monitor interface
	(NICO-Esprit) option is installed)
	Vtalv
	(Alveolar Tidal Volume, only available if the respiratory profile monitor
	interface (NICO-Esprit) option is installed)
	Mvalv
	(Alveolar Minute Volume, only available if the respiratory profile monitor
	interface (NICO-Esprit) option is installed)

Time scales	Selected time scales apply to all displayed waveforms:
	2, 4, 8, 16, 24, 48, or 72 hours.

Table 13-12: Trending Data Specifications (Sheet 4 of 4)

REF 1057983 A

Respironics V200 Ventilator Operator’s Manual

13-81

Image 245

Philips V200 manual 13-81, Static R

Contents

Respironics V200 Ventilator Authorized European address For Technical Support and Customer Service, contactEmail and web addresses Table of Contents Contents Oxygen Manifold Option External Battery OptionOxygen Sensor Option Communications Option Com1 GraphicsRS-232 Communications Option 2 Com2 Respiratory Mechanics OptionFlow-TrakOption Speaking Mode OptionRespiratory Profile Monitor Interface NICO-Esprit Option Neonatal OptionViii Introduction and Intended Use Introduction and Intended Use Instructions in this manual are not followed correctly SummaryChapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter Chapter This page is intentionally blank Symbol Description SymbolsSymbols Symbols Symbols Sheet 3 Symbols Sheet 4 Symbols Sheet 5 This page is intentionally blank Unpacking Getting StartedInspection List of Parts and AccessoriesUnpacking Instructions Tools Required Box knifePossible personal injury or damage to the equipment RepackingRepacking Instructions Off switch to off Backup BatteryRespironics backup battery P/ N Sealed lead acid. Recycle or dispose of batteries properly3illustrates the backup battery assembly Backup Battery Removal and InstallationDisconnecting the Battery Cable Removing the Ventilator from the Cart Personal injury or damage to the equipmentRemove 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 From the battery power should be dis Backup Battery OperationBattery Capacity Warranty Battery Charging19 Inserting Disposable Inspiratory Bacteria Filter Inspiratory Bacteria Filter InstallationInspiratory Bacteria Filter Installation Instructions Heated Expiratory Bacteria Filter Installation Instructions Heated Expiratory Bacteria Filter InstallationMaintenance, and removal and disposal of expiratory filter Environment Oxygen Source ConnectionOxygen Source Connection Instructions Patient Circuit Flex Arm Installation Instructions Patient Circuit Flex Arm InstallationPcmcia SetupBack Panel Connections Controls Potential Equalization Connection Common grounding point Grounded AC power outlet Connecting AC Power CordConnecting AC Power Cord Instructions Power On/OffTurning the Ventilator Off Turning the Ventilator OnMain Screen in Diagnostic Mode Entering Diagnostic ModeDate and Time Setting Date and Time FormatSetting the Date Altitude Setting AltitudeEnabling/Disabling Tubing Compliance 10 Setting Altitude12 Backup Battery Activated Equipment Extended Self Test ESTCommunication Interface Connecting Additional EquipmentConnecting Remote Alarm Port Connecting Serial Communications DevicesRemote Alarm Cable Kits System Part Number Connecting HumidifierRemote alarm Port and cable byHumidifier AC Outlet Cover Connecting the Patient Circuit Humidifier Outlet to Patient Wye Connection Patient Circuit Connections Without Humidifier Connecting the Analog PortAnalog Port Introduction System Overview Ventilator Breath Types Volume Control Ventilation VCVOperating Theory Pressure Control Ventilation PCV Operating TheoryAssist Control Ventilation A/C Ventilation Modes Common to VCVSynchronized Intermittent Mandatory Ventilation Simv Simv LogicPressure Support Ventilation PSV Continuous Positive Airway Pressure CpapPatient Initiated Breath Triggering Rise Time SettingPositive End Expiratory Pressure Peep Spontaneous/Timed Ventilation Mode Spont/T Spontaneous Ventilation Mode SpontVentilation Modes Common to Nppv Patient Leak DisplayApnea Ventilation Emergency Modes of VentilationVCV PCV Nppv Safety Valve Open SVOOverview Operating InstructionsClose to the ventilator EnvironmentOperating Instructions Front Panel Text Version Front PanelFront Panel Symbol Version Alarm Indicator Status Description Alarm Status IndicatorsPatient 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 KeysFront Panel Keys Key Symbol Definition DescriptionControl Definition Description Front Panel Level ControlsFront Panel Controls Common Ventilator Screen Components Ventilator ScreensFront Panel Touch Display 10shows the top bar and describes its buttons Breath Symbol Description Breath IndicatorPressing the HIP indicator on the screen -12will Settings ScreensVentilation control settings VCV, PCV, or Nppv Selecting Settings14 Changing a Setting Selecting Alarm LimitsInspiratory pressure as patient conditions allow 15 Setting Alarm Limits That Are Currently Active16 PCV Setting while Nppv is the active breath type Selecting Waveforms VCV only 18 Setting Alarm Limits That Are Not Currently Active19 Selecting Waveforms descending ramp selected Selecting Adult/Pediatric ButtonsSelecting the Inspiratory Trigger I-Trigger Settings with Calculated ValuesVCV Settings Window Insert Rate and Apnea Rate Settings RelationshipChanging Ipap or Epap in Nppv Selecting a New Ventilation Breath Type VCV, PCV, or NppvTo this screen To go to this screen Summary-Ventilation Modes and Availability Selecting the Mode A/C-SIMV-CPAP or Spont-Spont/TVentilation Available Mode During… Description Apnea Ventilation 30 Ventilation Mode buttons A/C and Spont/T active as shownPatient Data Screen Patient Data Definitions Range, Units & ResolutionMonitor Screen Rate, IPAP, EPAP, %O Ventilation Breath Type Monitor Screen Settings DisplayedAuto-PEEP Calculation Special ProceduresPatient Preoperational ProcedureEnsure that the ventilator is not on a patient Requirement 37 SST ResultsWhere To Go For Help Alarm Testing ProcedureIntroduction Visual Alarms AlarmsVent Inop ValveAlarm Silence Audible AlarmsAutomatic Alarm Reset Auto-Reset Alarm ResetOperator-Initiated Alarm Reset Alarm Reset Terminates Alarm SilenceAlert Messages Alarm Volume ControlAlert Message Description Alarm Alert MessagesAlarm Alert Messages Sheet 2 Alarm Alert Messages Sheet 3 Alarm Alert Messages Sheet 4 Alarm High Alarm IndicatorsAlarm Med/Low NormalVentilatory support Safety Valve10-1 Care and MaintenanceGeneral Information Cleaning Steam Autoclaving SterilizationChemical Disinfecting 10-2Patient Circuit Support Arm Ventilator ExteriorO2 Gas Supply Filter/Water Trap 10-3Bacteria Filters Reusable Patient Circuit Tubing, Couplings, and ConnectorsReusable In-line Water Traps 10-4Removing and Replacing Inspiratory Bacteria Filter Handling the filter housingRemoving and Replacing Expiratory Bacteria Filter 10-5Removing and Replacing Expiratory Bacteria Filter 10-610-7 Periodic MaintenanceSchedule for Periodic Maintenance Frequency Component 10-8 Removing Cooling Filter10-9 Removing and Replacing O2 Input Filter ElementRepairs StorageRemoving and Replacing Internal Air Source Inlet Filter 10-1011-1 DiagnosticsDiagnostic Mode since normal ventilation is suspended 11-2 Entering Diagnostic ModeAirway pressures generated during SST can injure a patient Short Self Test SST11-3 11-4 Hardware Software11-5 User ConfigDiagnostic Codes 11-6 Diagnostic Codes and Descriptions3XXX Extended Self Test 11-711-8 Software Diagnostic information Safety Valve Open or Backup Battery Not connectedInformation OptionSelf Test Power On Self Test PostIntroduction Self-Test Hardware11-11 Built-In TestRestart 11-12 Volume Ventilation Technical SpecificationsResolution Breath Types12-2 Pressure Control Ventilation Settings Ranges ResolutionPressure Control Ventilation Settings, Ranges & Resolution Pressure Ventilation Resolution Apnea Ventilation12-3 EpapLimit Exceeded Message Assist/Control Ventilation Value Entry Reasonability Checks12-4 Non-Invasive Ventilation Value Entry Reasonability Checks Patient Data Range, Resolution, Units & AccuracyGeneral Value Entry Reasonability Checks 12-5LPM Front Panel Keys12-6 Interface Ports Level ControlsAlarms Environmental Specifications Protection12-9 ConnectorsConnectors Filters Measuring Display Devices AC Power and Battery IndicatorsLeakage Current Power RequirementsDimensions and Weights Dimensions and WeightsElectromagnetic Compatibility Declaration 12-12Immunity Test Level Guidance 12-13IEC 60601 Test Compliance IEC 12-1412-15 Separation Distance According to Frequency of Transmitter 12-16Pneumatic System Ventilator Labels Labels12-18 Label DescriptionOxygen Inlet Label Emergency Air Intake Label 12-1912-20 Options and Accessories Options and AccessoriesIntroduction 13-1Reusable Items 13-2Disposable Items DocumentationMSA MiniOX O2 Oxygen Sensor OptionAnalytical Industries Inc 13-313-4 3 213-5 WarrantyO2 Sensor Tee 13-6 13-7 External Battery OptionPower Consumption Sequence External Battery Backup Battery OperationCart, contact Respironics Customer Service at 13-8For more than 2 weeks and is not connected to AC power On/Off switch13-9 Alternate source of ventilation13-10 Battery CapacityBattery Charging 13-11 TestingBattery Specifications 13-12 Oxygen Manifold Option Kit Contents13-14 Minimum inlet pressure 50 Psig at 200 Slpm10 Ventilator With Oxygen Manifold 13-1511 Attaching Manifold Support Bracket 13-16Using the Manifold Replacement PartsTo Use Wall Supply Oxygen To Use O2 Cylinders13-18 13-19 Starting Graphics Using GraphicsGraphics 13-20 Replotting Scrolling13-21 16 shows waveforms before and after rescalingDecrease Freeze Feature13-22 13-23 Save and Overlay Features13-24 Inspiratory Area13-25 Alarms During Graphics13-26 Communications Option Com1 Connecting to a PrinterPrint Screen 13-27Printing a Screen Canceling a Print Screen RequestPrint Screen Messages 13-2813-29 Connecting to the VueLink ModuleMessage Corrective action Configuration Overview Configuring the VueLink ModuleChanging modes 13-3013-31 Preselecting DevicesAvailable Information Sent to the VueLink SystemV200 Comments Message Equivalent CareNet 13-32Awrr 13-33FIO2 13-34 AlarmsInops 13-35V200 Comments Message Equivalent Analog Output Chart RecorderRespironics V200 Ventilator Analog Output Port Pinout 13-3613-37 13-38 Connected to the ventilator RS-232 Communications Option 2 Com213-39 SNDACR, Send Variable Length Ventilator Settings Report Commands Transmitted to the VentilatorDescription Example Resolution Range Units Comments Ventilation ReportMMM DD Yyyy 13-41CMV SimvSquare 13-42Ramp OFF13-43 13-44 Resolution Range Units Comments13-45 Normal Reset Alarm13-46 13-47 13-48 Time 13-4913-50 13-51 Accessing Respiratory Mechanics DataRespiratory Mechanics Option 13-52 How to perform the Vital Capacity ManeuverManeuver Maneuver, close clinical supervision is recommended 13-53Close clinical supervision is recommended 13-54 How to perform an MIP or P0.1 maneuverClinical supervision is recommended 13-55Supervision is recommended Information type How to perform Static C and R maneuver13-56 Static C and Static R windows 13-5713-58 Alarms and Error MessagesMIP Maneuver Error Messages Temporarily Disabled Alarms13-59 13-60 System for leaks Static C and R maneuver 13-6113-62 Parameter Description13-63 Ttot 13-6413-65 Compliance C Resistance R ComputationsDynamic Compliance 13-66 Dynamic ResistanceStatic C and R 13-67 Wye and the alveoli of the lungs13-68 13-69 Accessing Trending DataTrending Option 13-70 32 VCV Settings ScreenInformation type Description Summary of Trending Screen Information13-71 View 1 and View 2 buttons 13-7213-73 13-74 Using the Manual Rescale FunctionChanging the Cursor Position 13-75 Selecting the Time ScaleUsing the +2 Hrs/-2 Hrs buttons Using the Rescale ButtonUsing the Zoom Function 13-76Using the View 1/ View 2 buttons Using the Clear buttonAlarms during Trending Pcmcia Card13-78 Installed. This is to protect the ventilatorTrending Not Available Trended data 13-79Set Ipap 13-80Static R 13-8113-82 13-83 Flow-TrakOption13-84 On the ScreenInspiratory Hold Respiratory Mechanics Breath Delivery13-85 ResponseRespiratory Mechanics Maneuvers with Flow-Trak Flow-Trak Affected Alarms13-86 Maneuver Affect of Flow-TrakRespiratory Profile Monitor Interface Nico Esprit Option Accessories13-87 MonitorVentilator RS-232 Communications Port Settings Hardware SetupSpecification Setting Communications13-89 45 Select a Screen Menu screen 13-9013-91 RS-232 CommunicationsEtco VCOFIO Trended Nico Data13-92 13-93 48 VCV Settings Screen50 Trending Screen 13-9451 Trended Data screen 13-95Troubleshooting Troubleshooting13-96 Check CommunicationNeonatal Option Recommended Accessories Part NumberNeonatal option Requirements 13-9713-98 Changing Patient TypesSelecting Neonatal Patient Type 13-99 Heated Filter TestInitial Patient Settings, Ranges Initial Neonatal SettingsVentilation Settings Value Ranges Alarm Settings Value Ranges13-101 Percent Leak13-102 Patient Leak Values13-103 Speaking Mode Option13-104 Speaking Mode on a patientPatient Preparation Pass 13-10513-106 SettingsSpeaking Mode Ventilator Settings 13-107 60 Turn Speaking Mode On? First Message Box13-108 13-109 Disabled Alarms13-110 Mode-Specific Alarms13-111 Displayed Data13-112 Speaking Mode Trended DataTrended Data 13-113 67 Selecting Speaking Mode on the Trended Data Screen13-114 North America13-115 Discontinue Speaking Mode13-116 Auto-Trak Sensitivity When adjusting Epap or other settingsCompatible Patient Interfaces 13-11713-118 How to Select Auto- Trak13-119 13-120 75 Settings Window with Auto-Trak SelectedLeak Detection and Compensation Triggering and Cycling with Auto- TrakTriggering Cycling13-122 Appendix A. RS-232 Communications Protocol Ventilator Report Command Response VrptRange Units Comments Appendix A-2Description Example Flow Auto Appendix A-4 Auto Flow SPONT/T SpontBPM/L Appendix A-6Table A-1 Ventilation Report Sheet 6 Appendix A-8 Alarm Reset Normal Alarm ResetAppendix A-10 None Volume Control Ventilation Settings Report VcvsVcvs Volume Control Ventilation Settings ReportAppendix A-12 Table A-2 Volume Control Ventilation Settings Report Sheet 2 Pressure Control Ventilation Settings Report Pressure Control Ventilation Settings Report PcvsAppendix A-14 PcvsAppendix A-15 Npvs Non-Invasive Positive Pressure Ventilation Settings ReportAppendix A-16 Appendix A-17 Patient Data Report Patient Data Report PtdtAppendix A-18 PtdtTable A-5 Patient Data Report Sheet 2 Appendix A-20 Alarm Status Report Alrm Appendix A-22 Alarm Status ReportDescription Example Range Comments AlrmTable A-6 Alarm Status Report Sheet 2 Unrecognized Commands Unrecognized CommandsAppendix A-24 Description Example CommentsCustomer Service Appendix B. Customer Service & WarrantyTwo Year Warranty Warranty LimitsAppendix B-2 Options and AccessoriesSetup Appendix C. Alarm Testing ProcedureLow Volume Alarm Test High Inspiratory Pressure Alarm TestLow O2 Alarm Test Power Fail Alarm TestApnea Alarm Test Appendix C-4 Abbreviations GlossaryGlossary-2 GlossaryGlossary-3 Glossary-4 DefinitionsGlossary-5 Glossary-6 Glossary-7 Glossary-8 BTPS, G-1 Index SymbolsIndex-2 IndexModes, 8-1,12-1 Index-4 Post