Flight Medical Innovations FLIGHT 50 Operator'S Manual Download Page 102

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Operator's Manual

8-2

Exhalation Valve

3-29

Exhalation Valve Calibration

7-6

External Power Connector

3-30

FAULT BAT SYS

3-24, 3-25

Filter Cover

3-30

Frequency

3-27

Frequency of Breaths

3-7

Fresh Gas Intake

3-30

Front Panel

3-1, 3-27

front panel alarm

3-16

Front Panel Indicators

2-4

Gas Output Connector

3-29

High Baseline Pressure Alarm

3-20

High PAW

3-16

High Prox Temp

3-23

High Temp Core

3-23

Humidifier Alarm

3-22

Humidifier Assembly

6-3

Cleaning

6-3

Disassembling

6-3

Disinfecting

6-4

Sterilizing

6-4

Humidifier Fail

3-23

Humidifier On Button

3-12

Humidifier Temperature Probe

6-4

Cleaning

6-5

Disassembling

6-4

Disinfecting

6-5

Sterilizing

6-5

E Ratio Button

3-13

Indicators

Auto Lock On

2-4

Charging internal battery

2-4

External Power

2-4

Humidifier On

2-4

E 2-4

Internal Battery

2-4

On/Standby

2-4

Ptrig

2-4

Reset

2-4

Silence

2-4

Inspection Check

7-6

Inspiratory Time

3-8

Installation Instructions

Air/Oxygen Entrainment Mixer

5-12

Internal Battery Check

7-4

Internal Battery Maintenance

6-11

Internal battery Test Button

3-14

Inverse I:E

3-28

Low Baseline Pressure Alarm

3-21

Low PAW

3-16

Main Parameters

4-2

Maintenance

15,000 hour

6-12

Internal battery

6-11

mandatory breaths

4-2

Manual inflation

2-2

Manual Inflation

3-11

mechanical ventilation

2-1

Message Window

3-17

Mode

A/CMV

3-5

SIMV

3-6

SPONT

3-6

Mode Control

3-5

Monitored Information

3-7

Monitoring

High P value

3-32

MOTOR FAULT

3-25

Mounting the ventilator

5-2

No ext power

3-25

Occlusion Alarm

3-20

On button

2-3

On Condition

3-1

A/CMV

3-2

SIMV

3-2

SPONT

3-2

Operating

Altitude

2-6

Humidity

2-6

Pressure

2-6

Operation information

3-27

Operation Verification

7-7

optional humidifier

3-29

Oxygen Blending Bag Kit

1-2, 1-3, 3-32, 5-13

Cleaning

5-15, 6-2

Disassemble

6-2

Disassembling

5-15

Installation

5-14

Installing

5-14

Monitoring oxygen supply flow

5-15

Oxygen Enrichment

5-16

Panel Locked

3-29

Parameter adjustment

3-7

Patient circuit

Cleaning

6-6

Disassembling

6-6

Sterilizing

6-7

Patient Set Up Procedure

5-6

Paw (High Pressure) Alarm

3-17

Paw Meter

3-16

Paw Monitor Check

7-4

PC - Peep Too Low

3-28

PCV Not Reached Alarm

3-22

Peep + PS Too High

3-28

PEEP Too Low

3-28

PEEP/CPAP Button

3-10

pneumothorax

3-19

Power Cord Ferrite

3-31

Power Save

3-33

Power Switchover Alarm

3-25

Power Switchover Alarm Check

7-2

Preserving internal battery life

6-11

Pressue control

2-2

Pressure Control

3-9, 4-4

Pressure Meter Check

7-4

Pressure Units

3-33

Pressure values

3-27

Summary of Contents for FLIGHT 50

Page 1: ...FLIGHT MEDICAL INNOVATIONS LTD FLIGHT 50 Ventilator Operator s Manual LIT 0002 Rev A00 ...

Page 2: ...entilator the Operator s and Service Manuals and the labeling on the ventilator take into consideration that the purchase and use of the equipment is restricted to trained professionals and that certain inherent characteristics of the ventilator are known to the operator Instructions warnings and caution statements are therefore limited to the specifics of the FLIGHT 50 Ventilator Federal law US r...

Page 3: ...arranty FLIGHT 50 Ventilator warranty does not apply for in case of Defects caused by misuse mishandling tampering or by modifications not authorized by FLIGHT MEDICAL or its representatives Rubber and plastic components and materials which are guaranteed to be free of defects at time of delivery Any product which proves during the warranty period to be defective in workmanship or material will be...

Page 4: ...e Synchronized Intermittent Mandatory Ventilation 3 6 3 2 4 SPONT Mode Spontaneous Ventilation 3 6 3 2 5 Up and Down Control 3 6 3 2 6 Frequency of Breaths ƒ 3 7 3 2 7 tI Inspiratory Time 3 8 3 2 8 Volume Control tidal volume 3 8 3 2 9 Pressure Control target pressure 3 9 3 2 10 Ptrig sensitivity 3 10 3 2 11 PEEP CPAP 3 10 3 2 12 PSupport 3 11 3 2 13 Manual Inflation 3 11 3 2 14 Humidifier On Butt...

Page 5: ... 3 3 17 Fault Battery System Alarm Device Alert automatic 3 24 3 3 18 Power Switchover Alarm automatic 3 25 3 3 19 Device Alert Alarm automatic 3 25 3 3 20 Shut Down Alert Alarm automatic 3 26 3 4 FRONT PANEL MESSAGE DISPLAY WINDOW 3 27 3 4 1 Message Monitoring 3 27 3 4 2 Alarm and Caution Messages 3 28 3 4 3 Setting Limitation Messages 3 28 3 5 LEFT SIDE CONNECTORS 3 29 3 5 1 Airway Pressure Conn...

Page 6: ...TILATOR 5 1 5 3 VENTILATOR SET UP PROCEDURE 5 2 5 3 1 Exhalation Valve Calibration 5 4 5 4 PATIENT SET UP PROCEDURE 5 1 5 5 BUILT IN HUMIDIFIER 5 3 5 5 1 General Description 5 4 5 5 2 Preparation for Use 5 4 5 5 3 Set Up and Operation 5 5 5 6 OXYGEN ACCESSORIES 5 6 5 6 1 Air Oxygen Entrainment Mixer Optional Accessory 5 6 5 6 2 Oxygen Blending Bag Kit Optional Accessory 5 8 6 CLEANING AND MAINTENA...

Page 7: ...2 2 Alarms and Indicators Check 7 3 7 2 3 Paw Monitor Pressure Meter Check 7 4 7 2 4 Volume Frequency Monitor Check 7 4 7 2 5 Internal Battery Check 7 4 7 3 CHECK OFF SHEET 7 5 7 4 ABBREVIATED CHECK PROCEDURE 7 6 7 4 1 Inspection Check 7 6 7 4 2 Exhalation Valve Calibration 7 6 7 4 3 Battery Function and Charge Level Verification 7 7 7 4 4 Operation Verification 7 7 8 INDEX 8 1 ...

Page 8: ......

Page 9: ...power only connect to hospital grade receptacles Always disconnect the external power supply prior to servicing There is a risk of explosion if used in the presence of flammable anesthetics All settings and adjustments in the different ventilation modes must be made in accordance with a physician s prescribed therapy Do not use electrically conductive patient circuits Always use a clean disinfecte...

Page 10: ...lator from the batteries This ensures that the batteries will be fully charged During storage charge the batteries for a minimum of three hours every 30 days This improves the chances of always having charged batteries Always ensure that the green Ext Power LED is illuminated after connecting the FLIGHT 50 Ventilator to an external AC or DC power source If the LED is not illuminated check all powe...

Page 11: ...his equipment causes harmful interference with other devices which can be determined by turning the equipment off and on the user is encouraged to try to correct the interference by one or more of the following measures Reorient or relocate the receiving device Increase the distance between the equipment Connect the equipment into an outlet on a circuit different from that to which the device s is...

Page 12: ...on Do not discard them in an incinerator or force them open Batteries should not be disposed of with normal waste Use the tools and equipment specified in this manual to perform specific procedures 1 3 Contact Information Address further questions or problems to one of the FLIGHT MEDICAL offices FLIGHT MEDICALINNOVATIONS Ltd Address 13 Hamelacha St Lod 71520 ISRAEL Tel 972 8 923 5111 Fax 972 8 923...

Page 13: ... qualified trained personnel under the direction of a physician it is suitable for use in hospital sub acute emergency room and home care environments as well as for transport and emergency response applications Front panel controls allow trained operators to select between a number of operational modes pressure support and volume or pressure control Flight 50 Ventilator has a comprehensive built ...

Page 14: ...Manual 2 2 2 2 SYMBOLS and SPECIFICATIONS Main Power On Alarm Setting Main Power Standby Audible Alarm Silence Reset Equipotentiality High Alarm Set High Alarm Low Alarm Set Low Alarm Refer to Operating Manual Low Alarm Set Low Alarm Applied Parts Type BF ...

Page 15: ...lation 3 sec maximum While button is pushed the ventilator closes the exhalation valve and delivers an operator controlled breath to the patient Humidifier Optional 19ºC to 39ºC Airway Pressure Meter 10 to 100 cmH2O 10 to 98 mbar Alarm Silence Reset Button Indicator Pressing the button silences an audible alarm violation for 60 seconds and resets a latched alarm indicator LED lights to indicate th...

Page 16: ...ff Push To Unlock Buttons Indicator Pressing the button unlocks the front panel buttons if they were locked by automatic panel lock feature Auto lock is enabled disabled in User Set Up LED lights to indicate panel is locked Alarms Paw High Pressure 4 to 99 cmH2O 4 to 99 mbar must be 1 Low Paw Paw Low Pressure 3 to 98 cmH2O 3 to 98 mbar limited by PEEP 3 and High Paw 1 Low Baseline Pressure Paw PEE...

Page 17: ...ONT mode is active Controls Volume Control Pressure Control Green LED indicates Volume Control ventilation Green LED indicates Pressure Control ventilation Alarms Paw High Pressure Paw Low Pressure Apnea Device Alert I High Insp Min Volume I Low Insp Min Volume Back Up Vent Red LED indicates high peak airway pressure high baseline pressure or occlusion alarm violation Red LED indicates low peak ai...

Page 18: ... max 2 A 50 60 400 Hz 12 30 VDC max 12 A Dual Internal Battery Primary battery lead acid 12 VDC 5 AH Secondary back up battery nickel metal hydride 12 VDC 2 1 AH When new and fully charged the Dual internal battery supplies power for up to 10 hours of operation at these settings A CMV mode ƒ 15 Volume Control 500 mL tI 1 0 sec PEEP Ø max airway pressure 30 cmH2O mbar Power Save mode ON The dual in...

Page 19: ... Agency Standards Requirements Complies with the following international standards and requirements IEC 60601 1 1988 A1 1991 A2 1995 EN 60601 1 1990 A1 1993 A2 1995 A3 1996 Medical Electrical Equipment Part 1 General Requirements for Safety CEI IEC 60529 2001 Degrees of Protection Provided by Enclosures IP Code IEC 60601 1 2 2001 A1 2006 Medical Electrical Equipment Collateral Standard Electromagn...

Page 20: ...ble 22 mm I D adult pediatric circuit with 3 16 inch 4 8 mm I D proximal pressure sensing line 1 8 inch 3 2 mm I D exhalation valve control drive line and exhalation valve Exhalation Valve FLIGHT MEDICAL S FLIGHT 50 exhalation valve P N V54 00000 67 is manufactured and designed specifically for the FLIGHT 50 Ventilator FLIGHT MEDICAL does not approve of the use of any type or brand of exhalation v...

Page 21: ...nal Pneumatic Requirements Oxygen 35 to 90 psig 2 4 to 6 2 Bar full operating range 40 to 70 psig 2 7 to 4 8 Bar accuracy 08 Air Atmospheric pressure FIO2 Control Adjusted continuously from 0 21 to 1 00 Continuous oxygen monitoring is required for patient safety FLIGHT 50 does not have a built in alarm system to notify user of a failure or disconnect of the oxygen source Oxygen Blending Bag Kit Sp...

Page 22: ......

Page 23: ...g of control parameters and exhalation valve calibration On Enables ventilation There is approximately a two second delay in going from Off to Setting condition During this time the FLIGHT 50 Ventilator performs a self test and will light all displays on the front panel 3 1 2 Changing the MODE Control The MODE control buttons A CMV SIMV SPONT function differently in Setting and On conditions 3 1 2...

Page 24: ...NT 1 Select Adjust Up Down Accept 2 Select the Pressure Control or Volume Control button The LED indicator and the target value blink 3 Adjust the blinking target value for the selected control with the Up Down buttons 4 To accept the new control and target value either Press the selected button again Press another button to select a new parameter for adjustment Wait 5 seconds without making a cha...

Page 25: ...locked preventing accidental parameter changes Auto Panel Lock is factory preset to Disabled off To temporarily unlock parameters when Auto Panel Lock is active press the Push To Unlock button for at least one second The Panel will relock 30 seconds after the last button is pushed Figure 1 FLIGHT 50 Ventilator Front Panel 3 2 Front Panel Controls and Indicators Front panel controls that have corre...

Page 26: ...nd delay in going from Standby to Setting condition During this time the FLIGHT 50 Ventilator performs a self test and will light all displays on the front panel During Setting condition all adjustable LEDs are lit This allows the operator to preset and adjust controls prior to ventilation The On Standby indicator is not lit The Message Display Window shows Press On to Vent suggesting to the opera...

Page 27: ...CMV Mode Assist Control Mandatory Ventilation Figure 4 A CMV Mode Button In A CMV the user may choose to volume or pressure control mandatory breaths In either case all breaths delivered to the patient whether time ventilator initiated or patient activated are the same The ƒ frequency setting determines the minimum number of time activated mandatory breaths delivered each minute The Ptrig setting ...

Page 28: ...ivation results in a mandatory breath or a spontaneous breath The Ptrig setting determines the airway pressure threshold that patient effort must reach to activate mandatory breaths and also to activate spontaneous breaths in between mandatory breaths If patient effort doesn t cause airway pressure to drop enough to meet the Ptrig threshold or if the patient doesn t breathe the FLIGHT 50 Ventilato...

Page 29: ...tment for the new breath type selected Volume or Pressure will be accepted as noted above but the breath type VC or PC will only change if the user taps the new breath type control button again 3 2 5 2 Monitored Information The Up Down controls are used to access and display monitoring messages in the Message Display Window Monitored information includes volume frequency pressure values and operat...

Page 30: ...ton If the tI settings results in an inverse I E Ratio the user is alerted by an audible beep and an Inverse I E message in the Message Display Window Attempts to continue increasing the value after this alert are permitted up to an I E Ratio of 3 1 If the inspiratory time setting causes the flow rate to reach the maximum or minimum level of the flow specification adjustment of tI ceases a beep so...

Page 31: ...LIGHT 50 Ventilator is ventilating A PRESS AGAIN message appears in the Message Display Window Adjust the tidal volume level by pressing the Up Down controls while the LED and numerical display are blinking If the FLIGHT 50 Ventilator is ventilating you will need to press the Volume Control button again within 5 seconds following adjustment 3 2 9 Pressure Control target pressure Figure 10 Pressure...

Page 32: ...ain within 5 seconds following adjustment The minimum target airway pressure is 5 cmH2O mbar above set baseline pressure 3 2 10 Ptrig sensitivity Figure 11 Ptrig Button Range 0 0 to 9 9 cmH2O mbar The Ptrig setting determines trigger sensitivity in terms of how far airway pressure must drop below the set baseline pressure for a patient s spontaneous efforts to be detected The Ptrig LED indicator i...

Page 33: ...y pressure to the Psupport PEEP level Any time the active Psupport control is pressed Psupport flow delivery slows to a lower level then it gradually increases to the appropriate level as pressure rise is re assessed The value of PEEP CPAP plus P support cannot exceed 60cmH2O mbar 3 2 13 Manual Inflation Figure 14 Manual Inflation Button Range 0 to 3 0 sec Pressing this button delivers an operator...

Page 34: ...lowing occurs Five seconds have elapsed without touching the control The Humidifier On button is tapped again Another parameter is selected for adjustment The display stops blinking and the measured temperature is displayed While the humidifier is On the target temperature can be readjusted by pressing the Humidifier On button and using the Up Down controls Preheating the humidifier for 30 minutes...

Page 35: ... and the heater shuts down automatically To restart the humidifier correct the alarm condition and press the Humidifier On button 3 2 15 mandatory flow Figure 16 mandatory flow Button Range 6 to 100 L min shares a numeric display window with I E Ratio LED is illuminated green when flow is displayed Displays the calculated flow delivered from the ventilator during volume controlled mandatory breath...

Page 36: ...harge Level to be read in the lower half of the Paw meter window The battery charge level should only be tested when the FLIGHT 50 Ventilator is operating on the dual internal battery Testing while plugged into any external power source will give inaccurate readings Test the FLIGHT 50 Ventilator dual internal battery periodically to verify that the charge level is in the blue area The numbers on t...

Page 37: ...uished 2 After thirty 30 seconds have elapsed without pressing any buttons the Auto Lock is automatically activated again Auto Panel Lock is factory preset to Disabled off 3 2 20 Silence Reset Figure 21 Silence Reset Button The Silence Reset button has three functions Silencing alarms press the Silence Reset button to silence all alarms for 60 seconds When the Silence Reset indicator is illuminate...

Page 38: ...front panel alarm LED indicators blink when an alarm limit setting is violated Once the violation is no longer in effect the indicators latch remain steadily lit until they are reset by pressing the Silence Reset button 3 3 1 High Paw and Low Paw Alarm Control and Display Airway Pressure Figure 23 High Paw and Low Paw Alarm Control and Display Range Paw 10 to 100 cmH2O 98 mbar High Paw Alarm 4 to ...

Page 39: ...value at least 1 above the Paw alarm setting 3 3 2 Paw High Pressure Alarm user adjustable Figure 24 Paw High Pressure Alarm Audible Alarm Intermittent beep Visual Alarm Paw indicator blinks red Message Window HIGH PRESSURE The High Paw Alarm is activated when airway pressure Paw reaches the Paw alarm limit setting Any breath in progress immediately cycles to exhalation The alarm violation is canc...

Page 40: ...splays the inspiratory minute volume in liters and is automatically updated every 10 seconds The I window always displays the delivered minute volume except when the user is in the process of setting either the High or Low I alarm limit To adjust the High or Low I alarm limit 1 Press or The value in the adjacent display window blinks 2 Use the Up Down controls to adjust the displayed alarm limit v...

Page 41: ...Minute Volume Alarm Back up Ventilation Audible Alarm Intermittent beep Visual Alarm I indicator blinks red Message Window LOW I LOW I BUV if back up ventilation is active The Low Insp Minute Volume Alarm is activated when delivered inspiratory minute volume falls below the Low I alarm limit setting The Insp Minute Volume Alarms are based on the delivered volume from the ventilator The actual minu...

Page 42: ...rm Paw indicator blinks red at the high priority rate Message Window OCCLUSION An Occlusion alarm is activated when airway pressure is above the set PEEP 15 cmH2O mbar at 3 seconds after the beginning of expiration or at the end of expiration whichever comes first When a breathing circuit occlusion occurs the ventilator will be unable to release the pressure Therefore additional breaths will not b...

Page 43: ...tor blinks red Message Window LOW Pbase The Low Baseline Pressure Low Pbase Alarm is activated by an unstable baseline leak in the breathing circuit or by a baseline decrease since the last PEEP CPAP control change A Low Pbase violation occurs in all modes when airway pressure remains 3 cmH2O mbar below baseline for 3 seconds The same LED that blinks during Low Paw violations blinks when this alar...

Page 44: ...a indicator blinks red Message Window PCV NOT REACHED The PCV Not Reached Alarm is activated in pressure control ventilation when the maximum inspiratory pressure Paw P is less than 50 of the target pressure for two consecutive mandatory breaths The alarm is reset when maximum inspiratory pressure Paw P is 50 of the target pressure 3 3 14 Humidifier Alarm automatic Figure 35 Humidifier Alarm autom...

Page 45: ...o not function when the FLIGHT 50 Ventilator is powered on internal battery 3 3 15 Battery Low Alarm Figure 36 Battery Low Alarm Audible Alarm Intermittent 3 pulse caution beeps Visual Alarm Int Battery indicator blinks yellow Message Window Battery Low Indicates that a minimum of 15 minutes of operating power remains in the dual internal battery Pressing the Silence Reset button will cancel the a...

Page 46: ...d Charge the battery for a minimum of 5 hours 80 recharged before powering the ventilator again from the internal battery If the battery is completely depleted it takes approximately 7 to 8 hours to fully recharge If the FLIGHT 50 Ventilator is to be powered from the dual internal battery for an extended period ensure that the dual internal battery is fully charged prior to use 3 3 17 Fault Batter...

Page 47: ...external power If internal battery operation has lasted longer than 60 seconds there will be a delay of up to an additional 60 seconds before the FLIGHT 50 Ventilator will switch back to external power If No ext power message is still displayed following the re connection to external power press Silence Reset button to cancel the message 3 3 19 Device Alert Alarm automatic Figure 39 Device Alert A...

Page 48: ...use of the SYSTEM ERROR does not allow the FLIGHT 50 Ventilator to display the alarm message and the Device Alert indicator to light the ventilator will shut down and the Shut Down Alert Alarm will activate Upon the next power up of the unit the SYSTEM ERROR message will be displayed If the cause of the alarm has been corrected the message can be cancelled by pressing the Silence Reset button If a...

Page 49: ... Tidal volume baseline pressure and peak pressure are updated breath by breath Frequency and mean pressure are also updated breath by breath using a 6 second rolling average for frequency and a 60 sec rolling average for mean pressure Minute volume is updated every ten 10 seconds using a sixty 60 second rolling average Monitoring Messages cannot be accessed during alarm violations There are 3 sele...

Page 50: ...larms If more than one alarm is violated they are displayed in order of medical priority Alarm messages override the display of monitored parameters 3 4 3 Setting Limitation Messages The following Setting Limitation messages are displayed to notify the user that adjustments have caused parameters to reach software defined limitations Reached Max maximum flow setting has been reached Reached Min mi...

Page 51: ...ies gas flow to the patient Connect the patient breathing circuit to this outlet 3 5 3 Exhalation Valve Connector Controls the exhalation valve Connect the exhalation valve control drive line to this outlet 3 5 4 Temperature Probe Connector The electrical connector for dual channel temperature probes which connectors are used to measure the temperature in the humidifier water bottle and the patien...

Page 52: ...ced behind the Filter Cover This protects the patient as well as the ventilator s piston system from dirt and particles The Fresh Gas Intake is the attachment socket for the optional FLIGHT 50 Ventilator Air Oxygen Entrainment Mixer or an Oxygen Blending Bag Do not block the Fresh Gas Intake 3 6 2 External Power Connector 100 240 VAC max 2A 12 30 VDC max 12A 50 60 400 Hz The FLIGHT 50 Ventilator u...

Page 53: ...ferrite should be attached to the power cord Operating from D C power does not require the use of the ferrite Always use the A C power cord supplied with the FLIGHT 50 Ventilator 3 7 Optional Accessories 3 7 1 Air Oxygen Entrainment Mixer Figure 44 Air Oxygen Entrainment Mixer The Air Oxygen Entrainment Mixer is used to blend atmospheric air with medical grade oxygen at a precise ratio A control k...

Page 54: ...xternal power source equal to or greater than 12 VDC including the D C lighter plug 3 8 User Set Up The User Set Up allows the operator to select a variety of functional parameters User Set Up parameters must be established before the FLIGHT 50 Ventilator is used for ventilation HOME CAREGIVERS The User Set Up parameters should be defined in conjunction with your physician or Homecare Dealer Once ...

Page 55: ...Reset and Int Battery buttons are active during User Set Up 3 8 1 User Set Up Parameter 3 8 1 1 Power Save Use the Up Down controls to toggle the Power Save function On or Off To conserve battery power consumption during internal battery operation the Power Save function automatically blanks the FLIGHT 50 Ventilator s numeric displays if the ventilator has operated for 2 minutes with no buttons pr...

Page 56: ...red on Default parameters are listed on page 2 1 HOME CAREGIVERS This parameter should always be set to USER for home use to ensure that when the FLIGHT 50 Ventilator is powered off and on the physician directed ventilation settings remain in place 3 8 1 4 Auto Panel Lock This setting allows the user to enable turn on or disable turn off the Auto Panel Lock feature For a complete description of Au...

Page 57: ... pressure mean pressure and baseline PEEP pressure Real time patient circuit pressure is displayed at all times on the airway pressure gauge on the face panel The user sets variable alarm settings for High Pressure Low Pressure High Inspiratory Minute Volume and Low Inspiratory Minute Volume with Back Up Ventilation provided in all modes in response to a Low Minute Volume Alarm There are also buil...

Page 58: ...owing operational modes A CMV Assist Control Mandatory Ventilation SIMV Synchronized Intermittent Mandatory Ventilation SPONT Spontaneous Ventilation 4 3 A CMV Mode In A CMV mode time activated mandatory breaths are delivered in accordance with the f setting Patients can trigger mandatory breaths in addition to or in place of time activated mandatory breaths if the effort that they generate causes...

Page 59: ...breaths time activated or patient activated the patient receives in 60 seconds to the ƒ b min setting As with all FLIGHT 50 Ventilator operating modes Back up Ventilation is activated if the Low I alarm limit is violated 4 5 SPONT MODE Spontaneous Ventilation In SPONT mode mandatory breaths are not delivered but the user can adjust both PEEP CPAP and pressure support Psupport levels The patient ha...

Page 60: ...trol setting by 8 cmH2O mbar The target airway pressure for pressure controlled mandatory breaths in A CMV and SIMV is the display setting above ambient pressure not above PEEP Both time and patient activated mandatory breaths can be delivered in A CMV and SIMV Pressure Control operation During SIMV Pressure Control operation patients can breathe spontaneously between mandatory breaths with or wit...

Page 61: ... modes Back up Ventilation is not active for 60 seconds after the user adjusts any ventilator controls changes modes or turns the ventilator On from the Setting condition During Back up Ventilation the Silence Reset button can be tapped to silence the audible alarm This will not cancel Back up Ventilation Back up Ventilation in the FLIGHT 50 Ventilator is based on the delivered inspiratory minute ...

Page 62: ...s suspended for one minute and all user selected ventilation parameters are employed Another 60 seconds must pass after parameter adjustments before a I alarm violation will result in Back up Ventilation 4 9 3 2 Patient Cancelled If delivered inspiratory minute volume exceeds the Low I alarm setting by 10 Back up Ventilation is cancelled the audible alarm stops the Low I Back up Vent alarm indicat...

Page 63: ...ressure Control and Volume Control ventilation Follow the sections specific to the type of ventilation required for your patient s 5 2 Assembling the Ventilator Before assembling the ventilator review the assembly set up shown in Figure 49 and familiarize yourself with the various components Remove all of the items from the shipping box and inspect each part and component for completeness and to v...

Page 64: ...sport or in home care environments for example alternate humidification devices may be necessary For a complete list of FLIGHT 50 Ventilator accessories see Appendix B 5 3 Ventilator Set Up Procedure Figure 47 Power Cord Restraint To set up the ventilator 1 Mount the ventilator on a stable surface e g bedside table or the Compact Stand Assembly 2 For Compact Stand Assembly follow the instructions ...

Page 65: ...on the FLIGHT 50 Ventilator When using a humidifier connect one end of the short humidifier tubing to the Gas Output on the FLIGHT 50 Ventilator and the other end to the inlet port of the humidifier Then attach one end of the 22 mm ID breathing circuit limb to the outlet port of the humidifier Attach the Proximal Inline Filter with tubing to the Airway Pressure connection located below the Gas Out...

Page 66: ...or patient breathing circuit to the ventilator as instructed above 2 Connect an adult 500 mL test lung or occlude the patient connection of the breathing circuit 3 Press the On Standby button once to enter Settings condition 4 Press the Manual Inflation button once then again within three seconds 5 The FLIGHT 50 Ventilator will start the EZ Cal and the ventilator will automatically test the exhala...

Page 67: ...a FLIGHT MEDICAL approved reusable FLIGHT 50 Ventilator breathing circuit exhalation valve assembly to ensure that the FLIGHT 50 Ventilator performs to specification HOME CAREGIVERS It is common practice to have two patient breathing circuits available in homecare environments to ensure that a clean circuit is always available for regularly scheduled circuit changes The exhalation valve in each ci...

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Page 69: ...reathing circuit exhalation valve is changed HOME CAREGIVERS Initial set up and verification of the ventilator operation should be done by the caregiver in conjunction with the Homecare Dealer or hospital provided clinician 3 Press the On Standby button located on the lower right side of the ventilator s front panel The ventilator performs a brief self test to ensure proper microprocessor function...

Page 70: ...ilation The On indicator illuminates 15 Connect the ventilator breathing circuit to the patient interface 16 Reassess High and Low Paw alarm settings and adjust to appropriate levels 17 Verify that the Ptrig indicator blinks each time the patient initiates a spontaneous inspiratory effort Readjust Ptrig as necessary 18 Reassess High and Low I alarm settings and adjust to appropriate levels FLIGHT ...

Page 71: ... humidifier bottle is opened to refill the water and after sixty 60 minutes in the Setting condition The FLIGHT 50 Ventilator built in humidifier can only be powered on by the user It never powers on automatically When the FLIGHT 50 Ventilator is powered by internal battery appropriate actions such as using an HME should be taken to prevent significant humidity deficit in the patient When a humidi...

Page 72: ...connector is monitored During Setting condition humidifier bottle temperature is monitored Pressing the button while the humidifier is operating shows the set target temperature blinking and allows for re adjustment To turn the humidifier off press and hold the Humidifier On button for one second after which an audible beep is heard and both the indicator and the display go dark The FLIGHT 50 humi...

Page 73: ...ill the lower half with sterile distilled water up to the FULL line Attach the upper half of the bottle to the lower half 7 Re attach the humidifier bottle to the ventilator Secure the clamp knob 8 Connect the short side of the Humidifier Temperature Probe cable to the port on the top of the humidifier bottle 9 Plug the electrical connector into the side of the FLIGHT 50 Ventilator and then connec...

Page 74: ...Humidifier On button 6 The absorbent paper in the humidifier should be replaced with each cleaning weekly during use or sooner if it becomes torn Humidifier specifications may be found on page 2 7 For cleaning disinfection and sterilization of the humidifier please see page 6 12 5 6 Oxygen Accessories Continuous oxygen monitoring is required for patient safety The FLIGHT 50 Ventilator does not hav...

Page 75: ...ixer is designed to operate with hospital grade O2 supply No oxygen is delivered through the Air Oxygen Entrainment Mixer while the FLIGHT 50 Ventilator is in User Setup or Settings Condition 5 6 1 1 Installation Instructions Make sure to monitor and when necessary replace the air inlet filter to ensure that it is clean when using the Mixer The Air Oxygen Entrainment Mixer attaches into the inlet ...

Page 76: ... Blending Bag Kit is designed for use with the FLIGHT 50 Ventilator The Oxygen Blending Bag Kit p n V17 00001 67 allows the operator to ventilate patients with oxygen enriched gas of up to 100 oxygen The Oxygen Blending Bag Kit is designed to operate with a hospital grade O2 supply The flow rate of the supply to the oxygen blending bag should not exceed 10 L min flow Before attaching the Oxygen Bl...

Page 77: ... oxygen supply tubing To install the Oxygen Blending Bag Kit 1 Remove the three thumb screws from the Filter Cover 2 Remove the Filter Cover and inspect the filter Replace the filter if it is dirty 3 Reattach the Filter Cover ensuring that the three thumb screws are tight Before attaching the Oxygen Blending Bag make sure that the three hold down screws on the Filter Cover are tight If the screws ...

Page 78: ...dded The oxygen supply flow of the Oxygen Blending Bag Kit is determined according to the desired percent of oxygen enrichment as well as the minute volume of the patient The oxygen blending bag is not a calibrated oxygen mixing device It requires the use of oxygen monitoring to verify the level of oxygen enrichment The information in these graphs should be used as a reference only To use the grap...

Page 79: ... air Use the chart in Figure 52when the patient is ventilated without PEEP use the chart in Figure 53 in the presence of PEEP Data in the chart in Figure 53 are taken at an I E ratio of 1 2 Different I E ratios may slightly affect the Desired of Oxygen Enrichment when PEEP is in use Figure 53 Oxygen Supply Flow for Desired of Oxygen Enrichment with PEEP ...

Page 80: ...es that a liquid chemical disinfectant should be used Sterilize Indicates that liquid chemicals pasteurization steam autoclave or Ethylene Oxide EtO should be used When using liquid chemical agents closely follow the manufacturer s recommendations Prior to use verify that the agent is compatible with plastics Ethylene Oxide EtO is toxic All accessories MUST be completely dry prior to packaging for...

Page 81: ...that contain acetone toluene halogenated hydrocarbons or strong alkaline Never autoclave or EtO sterilize the FLIGHT 50 Ventilator and its accessories These processes will damage the FLIGHT 50 Ventilator and accessories rendering them unusable 6 1 2 FLIGHT 50 Ventilator Accessories All accessories should be thoroughly cleaned rinsed and air dried prior to disinfecting Examine all accessories for e...

Page 82: ...and the heat sink in a warm detergent solution using a soft brush Rinse thoroughly with sterile water Do not use harsh abrasives on humidifier bottle or heat sink 2 Shake off excess water and place all parts on a clean towel to air dry Do not heat or blow dry To disinfect the Humidifier 1 Soak in one part white vinegar to three parts of water 2 Rinse thoroughly with sterile distilled water 3 Air d...

Page 83: ...rts Contact FLIGHT MEDICAL for replacements 6 1 4 Humidifier Temperature Probe Wipe clean and disinfect the Humidifier Temperature Probe twice a week while in use and clean and sterilize between patients To disassemble the Humidifier Temperature Probe 1 Remove the temperature probes from the patient breathing circuit humidifier outlet and exhalation valve 2 Unplug the electrical connector from the...

Page 84: ...tire probe assembly The following sterilizing methods are suitable for the bottle and heat sink 1 Soak in an approved chemical sterilant following the manufacturer s instructions 2 Rinse thoroughly with sterile distilled water 3 Air dry Ethylene Oxide 55ºC 131ºF Visually inspect all parts for cracks or damage Do not use cracked or damaged parts Contact FLIGHT MEDICAL for replacements 6 1 5 Reusabl...

Page 85: ...attach and detach the circuit by handling only the silicone cuffs Do not pull or twist the circuit To clean the patient circuit 1 Use a low flow of running water or air to clear tubing and passages of organic matter 2 Bathe for a minimum of 10 minutes using mild detergent or liquid cleanser 3 Wash all components of the patient circuit with a soft brush 4 Rinse thoroughly with sterile distilled wat...

Page 86: ...n of the valve can be cleaned as assembled or it can be disassembled for thorough cleaning The Exhalation Valve should be inspected after cleaning and or sterilizing to check for deterioration If the valve is damaged or shows excessive wear replace with a new valve Also perform the exhalation valve calibration whenever the circuit is changed to assure that the circuit will perform correctly To dis...

Page 87: ...ation valve 1 Carefully seat the diaphragm so that it lies flat on the white plastic drive line fitting and snaps on around the edge completely 2 Place the fitting diaphragm assembly in the valve body with the drive line fitting lined in the opposite direction of the patient and or the arrow sign 3 Carefully place the cap over the fitting diaphragm assembly and turn the cap clockwise until it come...

Page 88: ...e inspected and or changed more often 6 1 5 3 Proximal Inline Filter Figure 56 Proximal Inline Filter Always use a Proximal Inline Filter at the Airway Pressure Connector to protect the internal pressure transducers from moisture or other contaminants Never reverse the Proximal Inline Filter The Proximal Inline Filter has a very important function in the FLIGHT 50 Ventilator Located at the Airway ...

Page 89: ...re not reusable HOME CAREGIVERS When the FLIGHT 50 Ventilator is used in homecare environments the filter may become dirty more frequently and therefore it must be inspected and or changed more often NEVER reverse the inlet particle filter when it is dirty Inspect the FLIGHT 50 Ventilator power cord on a regular basis for signs of a broken or frayed power cord Inspect the exhalation valve and flow...

Page 90: ...ontact your provider or FLIGHT MEDICAL for detailed information on the 15 000 hour maintenance HOME CAREGIVERS Do not attempt to open or perform any service procedures on the FLIGHT 50 Ventilator Only FLIGHT MEDICAL trained technicians are authorized to service the ventilator Contact your Homecare Dealer or FLIGHT MEDICAL If the message Service Needed appears in the Message Display Window upon pow...

Page 91: ... disinfection such as phenols halogen releasing compounds oxygen releasing compounds and strong organic acids Exposure to such substances may cause damage that is not immediately recognizable The reusable single patient patient circuit including the exhalation valve and flow sensing kit and other parts that come in direct contact with the patient should be periodically disinfected while in use ...

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Page 93: ...ower management Checking the alarms Checking the monitored parameters HOME CAREGIVERS This procedure should be performed by your Homecare equipment provider prior to delivery of the FLIGHT 50 Ventilator to verify proper operation It can also be performed in the homecare environment to ensure proper setup and function of the ventilator Do not use the FLIGHT 50 Ventilator if it fails this procedure ...

Page 94: ...t 99 cmH2O Low MV alarm limit 0 1 L minimum setting High MV alarm limit 50 L maximum setting PEEP 0 cmH2O mbar Psupport 0 cmH2O mbar Humidifier Off 7 Press the On Off button to initiate ventilation 7 2 QUICK CHECK PROCEDURE 7 2 1 Power Switchover Alarm Check To check the power switchover alarm 1 Disconnect the A C power cord 2 Verify that there is an audible beep Power Switchover alarm The Ext Pow...

Page 95: ...e Silence Reset button to clear the alarm and the message in the Message Display Window To check the Humidifier alarm on V51 00000 60 model only 1 Read the temperature displayed in the humidifier temperature window 2 Press the Humidifier On button once and use the Down control to lower the set humidifier temperature by 5º 3 Verify that an audible alarm sounds and the Message Display Window reads H...

Page 96: ...P CPAP to zero 6 Select Pressure Control and set pressure at 20 cmH2O mbar 7 Verify that both the Paw meter and the Message Display Window read a peak pressure that is within 3 cmH2O mbar of each other 8 Place the ventilator in Volume Control by pressing the Volume Control button twice 7 2 4 Volume Frequency Monitor Check To check the Volume Frequency Monitor 1 Press the Up control until VT I ƒ is...

Page 97: ...d verification of the ventilator operation should be done by the caregiver in conjunction with the Homecare Dealer or hospital provided clinician The Abbreviated Check Procedure may be performed in the homecare environment to ensure proper set up and function of the ventilator ...

Page 98: ...e before it is used 1 Connect the FLIGHT 50 patient breathing circuit to the ventilator 2 Connect the patient connection exhalation valve of the breathing circuit to an adult 500 mL test lung with restrictor LNG500A or occlude the patient connection of the breathing circuit 3 Press the On Standby button once to enter Settings condition 4 Press the Manual Inflation button once then again within thr...

Page 99: ...l read in the red area Reconnect to A C power The FLIGHT 50 should not be used on internal battery unless the battery is charged to its full level If the internal battery system charge level is low connect the FLIGHT 50 to an external power source The FLIGHT 50 dual internal battery system is charged when the ventilator is connected to external power 7 4 4 Operation Verification 1 Press On Standby...

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Page 101: ... Low Alarm 3 23 Built In Humidifier 5 8 Buttons Humidifier On 3 12 I E Ratio 3 13 Int Battery 3 14 Mandatory flow 3 13 Manual Inflation 3 11 PEEP CPAP 3 10 PSupport 3 11 Ptrig 3 10 Push to Unlock 3 15 Silence Reset 3 15 Buttons A CMV Mode 3 5 Frequency of Breaths 3 7 Inspiratory Time 3 8 On Standby 3 4 Pressure Control 3 9 SIMV Mode 3 6 Volume Control 3 8 Buzzer Volume 3 15 Changing MODE Control 3...

Page 102: ...ters 4 2 Maintenance 15 000 hour 6 12 Internal battery 6 11 mandatory breaths 4 2 Manual inflation 2 2 Manual Inflation 3 11 mechanical ventilation 2 1 Message Window 3 17 Mode A CMV 3 5 SIMV 3 6 SPONT 3 6 Mode Control 3 5 Monitored Information 3 7 Monitoring High P value 3 32 MOTOR FAULT 3 25 Mounting the ventilator 5 2 No ext power 3 25 Occlusion Alarm 3 20 On button 2 3 On Condition 3 1 A CMV 3...

Page 103: ... 2 Setting High P value 3 18 3 32 Main Parameters 4 2 PEEP value 3 15 Target volume 3 10 Setting condition 3 1 Shut Down Alert 3 26 Silence Reset button 3 15 SIMV 3 6 SIMV Mode 4 2 SPONT mode 4 3 SPONT Mode 3 6 Standby button 2 3 Storage Humidity 2 6 Storage Temperature 2 6 SYSTEMERROR 3 25 Technical Set Up 3 33 Temperature Probe 3 29 trigger sensitivity 3 10 Turning on off 3 1 Up and Down Control...

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Flight Medical Innovations FLIGHT 50, Operator'S Manual

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