Philips V200 8-4

Chapter 8

8-4 Respironics V200 Ventilator Operator’s Manual REF 1057983 A

Operating Instructions

Figure 8-3: Front Panel — Symbol Version

Inop

Vent Safety

Valve

Alarm Status Indicators

Touch Display

Power Status Indicators

Front Panel Keys

Power On/Off Switch

Level Controls

Contents

Main For Technical Support and Customer Service, contact: USA Email and web addresses Authorized European address Table of Contents 1. Introduction and Intended Use 2. Warnings, Cautions, and Notes 3. Symbols 4. Getting Started 5. Setup 6. Connecting Additional Equipment 8. Operating Instructions 9. Alarms 10. Care and Maintenance 11. Diagnostics 12. Technical Specifications 13. Options and Accessories Page Page Page Chapter 1. Introduction and Intended Use Page Chapter 2. Warnings, Cautions, and Notes Summary of Warnings, Cautions, and Notes Warnings Page Page Page Cautions Page Page Notes Page Page Page Page Chapter 3. Symbols 3-2 Page 3-4 % Page Chapter 4. Getting Started Unpacking Unpacking Instructions Inspection List of Parts and Accessories Repacking Repacking Instructions Ventilator Positioning Backup Battery Backup Battery Removal and Installation Page Page Page Page Page Page Page Page Backup Battery Operation Battery Capacity Battery Charging Warranty Inspiratory Bacteria Filter Installation Inspiratory Bacteria Filter Installation Instructions 4-18 Heated Expiratory Bacteria Filter Installation Heated Expiratory Bacteria Filter Installation Instructions Refer to Figure 4-20. Page 4-20 Oxygen Source Connection Oxygen Source Connection Instructions Patient Circuit Flex Arm Installation Chapter 5. Setup Back Panel Connections and Controls Figure 5-1: Back Panel Page Connecting AC Power Cord Connecting AC Power Cord Instructions Power On/Off Turning the Ventilator On Turning the Ventilator Off Entering Diagnostic Mode Entering Diagnostic Mode User Configuration Screen Date and Time Setting Date and Time Format Page Altitude Setting Altitude Enabling/Disabling Tubing Compliance Backup Battery Extended Self Test (EST) Chapter 6. Connecting Additional Equipment Communication Interface Connecting Serial Communications Devices Connecting Remote Alarm Port Connecting Humidifier Page Connecting the Patient Circuit Page Page Page Chapter 7. Operating Theory Introduction System Overview Ventilator Breath Types Volume Control Ventilation (VCV) Pressure Control Ventilation (PCV) Ventilation Modes Common to VCV and PCV Assist Control Ventilation (A/C) Synchronized Intermittent Mandatory Ventilation (SIMV) Continuous Positive Airway Pressure (CPAP) Pressure Support Ventilation (PSV) Positive End Expiratory Pressure (PEEP) Rise Time Setting Patient Initiated Breath Triggering Patient Leak Display Ventilation Modes Common to NPPV Spontaneous Ventilation Mode (Spont) Spontaneous/Timed Ventilation Mode (Spont/T) Emergency Modes of Ventilation Apnea Ventilation 7-8 Safety Valve Open (SVO) During SVO: Parameters Used in Apnea Ventilation, Settings, and Alarm Limits Chapter 8. Operating Instructions Overview Page The Front Panel 8-4 Figure 8-3: Front Panel Symbol Version Alarm Status Indicators Alarm Status Indicators 8-6 Power Status Indicators Power Status Indicators Power Status Indicators (Continued) Front Panel Keys Front Panel Keys (Continued) 8-10 Front Panel Level Controls The front panel level controls enable you to adjust ventilator settings, brightness, and volume. Front Panel Keys (Continued) Front Panel Controls Ventilator Screens Common Ventilator Screen Components Page Page Settings Screens Selecting Settings Selecting Alarm Limits Page Page Selecting Waveforms (VCV only) Selecting Adult/Pediatric Buttons Selecting the Inspiratory Trigger (I-Trigger) Settings with Calculated Values Rate and Apnea Rate Settings Relationship Changing IPAP or EPAP in NPPV Selecting a New Ventilation Breath Type (VCV, PCV, or NPPV) Page Page 8-26 Selecting the Mode (A/C-SIMV-CPAP or Spont-Spont/T) SummaryVentilation Modes and Availability Apnea Ventilation 8-28 Patient Data Screen Patient Data Definitions: Range, Units & Resolution Monitor Screen NOTE: Pt. Leak only appears on Patient Data block on Settings screen. Patient Data Definitions: Range, Units & Resolution (Continued) 8-30 Monitor Screen Settings Displayed Special Procedures Preoperational Procedure Page Alarm Testing Procedure Where To Go For Help Chapter 9. Alarms Introduction Visual Alarms Audible Alarms Alarm Silence Alarm Reset Operator-Initiated Alarm Reset Alarm Reset Terminates Alarm Silence Alarm Volume Control Alert Messages Alarm Alert Messages 9-6 Page 9-8 Alarm Indicators Normal Alarm High Alarm Med/Low Vent Inop Safety Valve Alarm Silence Chapter 10. Care and Maintenance General Information Cleaning Sterilization Steam Autoclaving Chemical Disinfecting Ventilator Exterior Patient Circuit Support Arm O2 Gas Supply Filter/Water Trap Reusable Patient Circuit Tubing, Couplings, and Connectors Reusable In-line Water Traps Bacteria Filters Removing and Replacing Inspiratory Bacteria Filter Removing and Replacing Expiratory Bacteria Filter Page Periodic Maintenance Schedule for Periodic Maintenance Frequency Component Maintenance 10-8 Removing Cooling Filter Removing and Replacing O2 Input Filter Element Removing and Replacing Internal Air Source Inlet Filter Storage Repairs Chapter 11. Diagnostics Entering Diagnostic Mode Diagnostic Functions Extended Self Test (EST) Hardware Software User Config Diagnostic Codes Page 3XXX Extended Self Test Diagnostic Codes and Descriptions (Continued) Table 11-1: Diagnostic Codes and Descriptions (Sheet 2 of 4) Code Description 11-8 Diagnostic Codes and Descriptions (Continued) Table 11-1: Diagnostic Codes and Descriptions (Sheet 3 of 4) Code Description Information Option Self Test Self-Test Hardware Power On Self Test (POST) Built-In Test Restart Page Chapter 12. Technical Specifications Breath Types Modes Volume Ventilation Settings, Ranges and 12-2 Pressure Control Ventilation Settings, Ranges and Table 12-4: Pressure Control Ventilation Settings, Ranges & Resolution (Sheet 1 of 2) Resolution is one unit unless otherwise noted (cmH2O is considered numerically equivalent to hPa). Volume Ventilation Settings, Ranges & Resolution (Continued) Setting Range Non-Invasive Positive Pressure Ventilation Settings, Ranges and Apnea Ventilation 12-4 Value Entry Message Table 12-7: Pressure Control Ventilation Value Entry Reasonability Checks Item Limit Exceeded Message Table 12-6: Assist/Control Ventilation Value Entry Reasonability Checks Pressure Control Ventilation Patient Data Screen Table 12-10: Patient Data Range, Resolution, Units & Accuracy (Sheet 1 of 2) Non-Invasive Ventilation Table 12-8: Non-Invasive Ventilation Value Entry Reasonability Checks General Value Entry Reasonability Checks Front Panel Keys 12-6 Patient Data Range, Resolution, Units & Accuracy (Continued) Patient Data Display Range Units Resolution Accuracy Table 12-10: Patient Data Range, Resolution, Units & Accuracy (Sheet 2 of 2) Level Controls Calculated Values from Expiratory Hold Maneuver Table 12-14: Interface Ports Interface Ports Level Controls Environmental Table 12-17: Alarms (Sheet 1 of 2) Environmental Protection Alarms Environmental Specifications Connectors Alarms (Continued) Table 12-18: Connectors Table 12-17: Alarms (Sheet 2 of 2) Connectors Filters Table 12-21: AC Power & Battery Indicators Measuring and Display Devices AC Power and Battery Indicators Filters Leakage Current Compliance and Approvals Table 12-24: Power Requirements Power Requirements Leakage Current Dimensions and Weights Table 12-26: EMC Declaration - Emissions Electromagnetic Compatibility Declaration NOTE: The humidifier power connection is available only on 100-120VAC ventilators. Dimensions and Weights Immunity Test IEC 60601 Test Level Electromagnetic Environment - Table 12-27: EMC Declaration - Immunity Level Compliance Guidance d 3.5 V V ------- P= d23 Table 12-28: EMC Declaration - Immunity 12-16 Table 12-29: EMC Declaration - Recommended Distances V Separation Distance According to Frequency of Transmitter (Meters) ------P=d12 ------P=d23 Pneumatic System 12-18 Labels Ventilator Labels Label Description Ventilator Labels (Continued) Page Chapter 13. Options and Accessories Introduction Table 13-1: Options and Accessories (Sheet 1 of 2) accessories. Options and Accessories Software Options 13-2 Reusable Items Table 13-1: Options and Accessories (Sheet 2 of 2) Disposable Items Documentation Oxygen Sensor Option Assemble O2 Sensor Refer to Figure 13-1 for the following instructions. MSA MiniOX O Analytical Industries Inc. Attaching the Sensor to the Ventilator Warranty O 2 Sensor Tee Page Page Page Page Battery Capacity Battery Charging MAINS Testi ng Battery Warranty Oxygen Manifold Option Kit Contents Assembly Instructions Page Page Replacement Parts: Using the Manifold To Use O2 Cylinders Transport Use Page Graphics Starting Graphics Using Graphics Replotting and Scrolling Rescaling the Display Page Freeze Feature Save and Overlay Features Inspiratory Area Page Page Communications Option (Com1) Print Screen Connecting to a Printer Printing a Screen Canceling a Print Screen Request Print Screen Messages VueLink Compatibility Connecting to the VueLink Module Configuring the VueLink Module Configuration Overview Changing modes Preselecting Devices Information Sent to the VueLink System Available on CareNet CMS message V200 13-34 Alarms Available on CareNet CMS message V200 Inops Available on CareNet CMS message V200 Analog Output (Chart Recorder) Respironics V200 Ventilator Analog Output Port Pinout Page RS-232 Communications Option 2 (Com2) RS-232 Configuration Commands Transmitted to the Ventilator Transmission of Data from the Ventilator SNDA<CR>, Send Variable Length Ventilator Settings Report Table 13-4: Ventilation Report (Sheet 2 of 10) 13-42 Table 13-4: Ventilation Report (Sheet 3 of 10) Table 13-4: Ventilation Report (Sheet 4 of 10) 13-44 Table 13-4: Ventilation Report (Sheet 5 of 10) Table 13-4: Ventilation Report (Sheet 6 of 10) 13-46 Table 13-4: Ventilation Report (Sheet 7 of 10) Table 13-4: Ventilation Report (Sheet 8 of 10) 13-48 Table 13-4: Ventilation Report (Sheet 9 of 10) Table 13-4: Ventilation Report (Sheet 10 of 10) Page Respiratory Mechanics Option Accessing Respiratory Mechanics Data Vital Capacity Maneuver Page MIP/P0.1 Maneuver Page Static C and R Maneuver Page Alarms and Error Messages Page 13-60 Page 13-62 Page 13-64 Compliance (C) and Resistance (R) Computations ------------------------------------------------------------------------------------------------= Q C Page Page Page Trending Option Accessing Trending Data Page Figure 13-34: Trending Screen Summary of Trending Screen Information Information type Description Table 13-10: Summary of Trending Screen Information Selecting Parameters for Display Page Using the Manual Rescale Function Changing the Cursor Position Selecting the Time Scale Using the +2 Hrs/-2 Hrs buttons The +2 Hrs and 2 Hrs buttons shift all three Using the Zoom Function Using the Rescale Button Using the Clear button Alarms during Trending PCMCIA Card Trending Not Available Table 13-12: Trending Data Specifications (Sheet 2 of 4) 13-80 Table 13-12: Trending Data Specifications (Sheet 3 of 4) Table 13-12: Trending Data Specifications (Sheet 4 of 4) Page Flow-Trak Option On the Screen Breath Delivery Inspiratory Hold Respiratory Mechanics Alarms Respiratory Profile Monitor Interface (NICO- Esprit) Option System Requirements Communications Hardware Setup Page Page RS-232 Communications Information Transferred from the Respiratory Profile Monitor to the Ventilator Information Transferred from the Trended NICO Data Page Page Page 13-96 Troubleshooting Troubleshooting Neonatal Option System Requirements Changing Patient Types Selecting Neonatal Patient Type Heated Filter Test 13-100 Initial Neonatal Settings Table 13-21: Initial Neonatal Patient Settings Ventilation Settings Value Ranges Alarm Settings Value Ranges Percent Leak Patient Leak Values Speaking Mode Option Warnings, Cautions, and Notes Patient Preparation Figure 13-58: Speaking Mode Sequence for Use Settings Starting Speaking Mode Page Page Alarms Disabled Alarms Mode-Specific Alarms Displayed Data Trended Data Speaking Mode Trended Data Page Page Discontinue Speaking Mode Page Auto-Trak Sensitivity Introduction Compatible Patient Interfaces Page Page Page Turning Auto-Trak Off Triggering and Cycling with Auto- Trak Triggering Cycling Leak Detection and Compensation Page Appendix A. RS-232 Communications Protocol Appendix A-2 Table A-1: Ventilation Report (Sheet 1 of 10) Table A-1: Ventilation Report (Sheet 2 of 10) Appendix A-4 Table A-1: Ventilation Report (Sheet 3 of 10) Table A-1: Ventilation Report (Sheet 4 of 10) Appendix A-6 Table A-1: Ventilation Report (Sheet 5 of 10) Table A-1: Ventilation Report (Sheet 6 of 10) Appendix A-8 Table A-1: Ventilation Report (Sheet 7 of 10) Table A-1: Ventilation Report (Sheet 8 of 10) Appendix A-10 Table A-1: Ventilation Report (Sheet 9 of 10) Volume Control Ventilation Settings Report (VCVS) Table A-1: Ventilation Report (Sheet 10 of 10) Appendix A-12 Table A-2: Volume Control Ventilation Settings Report (Sheet 1 of 2) Volume Control Ventilation Settings Report (Continued) Table A-2: Volume Control Ventilation Settings Report (Sheet 2 of 2) Appendix A-14 Pressure Control Ventilation Settings Report (PCVS) Table A-3: Pressure Control Ventilation Settings Report (Sheet 1 of 3) Pressure Control Ventilation Settings Report (Continued) Table A-3: Pressure Control Ventilation Settings Report (Sheet 2 of 3) Non-Invasive Positive Pressure Ventilation Settings Report (NPVS) Non-Invasive Positive Pressure Ventilation Settings Report (Continued) Table A-4: Non-Invasive Positive Pressure Ventilation Settings Report (Sheet 2 of 3) Patient Data Report (PTDT) Table A-5: Patient Data Report (Sheet 2 of 4) Appendix A-20 Table A-5: Patient Data Report (Sheet 3 of 4) Alarm Status Report (ALRM) Table A-5: Patient Data Report (Sheet 4 of 4) Appendix A-22 Alarm Status Report Table A-6: Alarm Status Report (Sheet 1 of 3) Description Example Range Comments Alarm Status Report (Continued) Description Example Range Comments Table A-6: Alarm Status Report (Sheet 2 of 3) Unrecognized Commands Appendix B. Customer Service & Warranty Customer Service Warranty Exclusions Warranty Limits Page Appendix C. Alarm Testing Procedure Setup Alarm Testing Procedure High Inspiratory Pressure Alarm Test Low Volume Alarm Test Low O2 Alarm Test Power Fail Alarm Test Alarm Testing Procedure Apnea Alarm Test Page Glossary Abbreviations Page Page Definitions Page Page Page Page Index Symbols A B C D E F G H I L M N Symbols P R S T U