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MTV1000 Ventilator System

3

User’s Manual

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Key Pad Description

......................................................................................................... 42

Power Status LED

......................................................................................................... 42

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Modes available with dual limb circuit

.......................................................................... 43

Modes available with single limb circuit (External Exhalation Valve)

....................... 44

Measurement Information

.................................................................................................... 45

........................................................................................................................................... 46

Alarm Messages

......................................................................................................................... 47

Ventilation Parameter Setting

............................................................................................. 48

Monitoring menu

....................................................................................................................... 51

E Flow(End of Exhaled flow)

........................................................................................... 50

Graphics menu

........................................................................................................................... 51

.................................................................................................................................. 52

Events menu

........................................................................................................................ 53

System menu

...................................................................................................................... 54

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Alarm Setting

...................................................................................................................... 58

Useful Hot-key

.................................................................................................................... 60

Miscellaneous

..................................................................................................................... 61

........................................................................................................................................ 62

Setting Parameter Description

............................................................................................ 62

Trigger Function

.................................................................................................................... 62

Inspiratory Rise Time

........................................................................................................... 63

Respiratory Rate

................................................................................................................... 63

............................................................................................................................ 63

......................................................................................................................................... 63

I:E Ratio/ Inspiratory Time

................................................................................................. 63

Volume Level Setting

........................................................................................................... 63

Controlled / Supported Pressure Level

............................................................................. 64

................................................................................................................... 64

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Proximal Sensor On/Off

....................................................................................................... 64

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Predicted Body Weight

......................................................................................................... 65

Ventilation Modes

..................................................................................................................... 66

V-ACV(Volume Assist Control Ventilation)

.................................................................... 66

V-SIMV(Volume based Synchronized Intermittent Mandatory Ventilation)

............. 68

P-ACV(Pressure Assist Control Ventilation)

.................................................................. 72

P-SIMV(Pressure based Synchronized Intermittent Mandatory Ventilation)

PRVC(Pressure Regulated Volume Control Ventilation)

.............................................. 76

SPONT+(Spontaneous Ventilation)

............................................................................... 78

.................................................................................................................................. 81

Operating Theory

...................................................................................................................... 81

Accessories

.................................................................................................................................. 82

Alarm Operation according to ventilation mode

.......................................................... 85

........................................................................................................ 86

Connection Information

.......................................................................... 86

............................................................................................................... 86

.............................................................................................................. 87

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Summary of Contents for MTV1000

Page 1: ... 2 3 2016 08 17 User s Manual MTV1000 Ventilator System User s Manual can be modified without announcement for performance improvement Screens and pictures on User s Manual may be different from actual product ...

Page 2: ...3 4 Internal and External Symbols 21 3 5 Maintenance and Repair 22 3 6 Cleaning 23 4 Installation and Set Up 24 4 1 External Power Supply 24 4 1 1 Description on Commercial Power 24 4 1 2 External Battery 25 4 2 Internal Battery 26 4 2 1 Power Status Indicator 27 4 2 2 Internal Battery Replacement Method 28 4 3 Oxygen O2 Supply 29 4 4 Bacteria Filter 30 4 5 Movement Method 30 4 6 Installation Guid...

Page 3: ... 3 Respiratory Rate 63 7 1 4 Apnea Time 63 7 1 5 PEEP 63 7 1 6 I E Ratio Inspiratory Time 63 7 1 7 Volume Level Setting 63 7 1 8 Controlled Supported Pressure Level 64 7 1 9 O2 Cencentration 64 7 1 10 Sigh Time 64 7 1 11 Proximal Sensor On Off 64 7 1 12 Mask On Off 64 7 1 13 En_Sense 64 7 1 14 Ex_Sense 64 7 1 15 Predicted Body Weight 65 7 2 Ventilation Modes 66 7 2 1 V ACV Volume Assist Control Ve...

Page 4: ...anufacturer s declaration 89 electromagnetic emissions 89 7 7 2 Guidance and manufacturer s declaration 89 electromagnetic immunity 89 7 7 3 Guidance and manufacturer s declaration 90 electromagnetic immunity 90 7 7 4 Recommended separation distances 92 7 8 Product Warranty Policy 93 ...

Page 5: ...se amended without prior approval 1 2 Warranty Contents in this publication may change without notice MEKICS takes no responsibility for any problems and damages caused by performance or different data from the details of this document 1 3 Revision History The part numbers and revision number indicated in this document represent the current version The revision number does not change even if any s...

Page 6: ...each section of this manual NOTE This symbol is associated with issues you should note regarding the surrounding environment or additional references to the descriptions in this manual It does not pertain to possible damages to the product or the patient This User Manual may differ from the actual product in terms of functionality If deemed necessary the company may make any improvement to the pro...

Page 7: ...90 Do not install or place the product where it may fall or be dropped Do not store the product in a place that may cause the patient any harm Do not store the product in a place where the product could be exposed to extreme impact or vibration Do not store the product in a place where the product could be exposed to chemicals or explosive gases Be careful to prevent dirt especially metal material...

Page 8: ...dity 8 It is very dangerous to operate the product with wet hands 9 Do not use the product in a place exposed to direct sunlight 10 Do not use the product in a place with extreme temperature variations The proper temperature ranges from 10 C to 40 C 11 Do not use the product near a heating device 12 Do not use the product in a very humid place or a place with poor ventilation 13 The proper humidit...

Page 9: ...ble is damaged immediately stop using the product and replace the power cord or cable Using the product when the power cord or sensor cable is damaged may cause an electric shock short circuit current leakage or product damage 6 Do not bump or move the product while the power cord or sensor cable is connected to it This may cause patient injuries or product malfunctions 7 When using the product wi...

Page 10: ...ectromagnetic wave may affect the performance of the product Basically the product is designed to not suffer functional disorders by surrounding electromagnetic waves Notwithstanding strong electromagnetic waves may cause the product to malfunction This may include displaying incorrect calculation values disappearance of measurements and noises affecting the wave pattern If such errors continue co...

Page 11: ... access menu through touch screen and encoder Real time graphs and values can be saved and represented using trend function along with various warning messages When an alarm sounds function is turned off an alarm is displayed visually on the screen Electric Performance The rated voltage of this product is 100VAC 240VAC In case of problems in input power fuse internalized in the product can be used...

Page 12: ...ator system and patient B Key Panel Includes various input buttons and encoder to handle the ventilator C Speaker Creates various sounds such as alarms and warnings D Alarm Status LED Displays alarm status using LED colors Normal Green Alarm Red Blue E Power Status LED Displays power currently used AC Power Green Battery Power Orange A B C E D ...

Page 13: ...r used to replace battery B O2 Change Cover Cover used to replace O2 cell WARNING Be careful about polarity when replacing the battery If polarity is reversed the product can be damaged Prevent the terminal from contacting metals For batteries auxiliary products designated by our company must be used A B ...

Page 14: ... is connected to the patient through a circuit D Expiration Port Input port of gas coming out of the patient is connected to the patient through a circuit E Proximal Pressure Input Connects proximal pressure line F Exhalation Drive Line Outlet Connects Exhalation Valve Control line G Nebulizer Port Option Connects Nebulizer Accessory WARNING If you do not use the Proximal Pressure Port should not ...

Page 15: ... Standby power on off D COMM RS 232 communication port E Low Flow O2 Supply Inlet Connects oxygen concentrator F Air Filter Filters inhaled air gas G High Pressure O2 Supply Inlet Connects high pressure oxygen tank ATTENTION Do not touch RS 232 Port Video Output Port USB A Type Port and USB B Type Port with metal substances Also turn off the power when connecting cables to these ports B F G C D A ...

Page 16: ...MTV1000 Ventilator System 16 User s Manual 3 2 5 Top View No Part Name Description A Handle Handle for easy movement of ventilator B Port Cover Cover to protect ports for external communication B A ...

Page 17: ...can be used 3 3 2 Electric Specification Commercial power input 100 240 VAC 50 60 Hz Fuse capacity 250V 6 3A Power consumption 150 VA External battery input 12VDC 7A lead battery Internal battery 10 8V 4400mA Li ion battery 2 EA Total 8800mAh Three hours of use under normal operation Charging time Up to four hours Replaced after two years of use Communication Upgradable MAIN Pneumatic board Displa...

Page 18: ...ivity ExSENS 10 80 30 Pressure Support 0 60 cmH2O 1 7 4 of the actual reading cmH2O 5 cmH2O Trigger sensitivity Pressure OFF 0 5 20 cmH2O 3 cmH2O Trigger sensitivity Flow OFF 0 5 20 lpm 7 lpm Tidal Volume 50 ml 2500 ml 15 VTIDAL 100ml 20ml VTIDAL 100ml 10 ml kg Rate 2 60 bpm 2 bpm 12 bpm O2 21 100 3 30 Sigh OFF 30 60 90 120 RPB OFF BTPS OFF MANUAL DRY MANUAL HUMID MASK ON OFF Proximal Pressure Sen...

Page 19: ... volume 3 3 5 Alarm Specification Item Range PRESSURE HIGH OFF 0 cmH2O 120 cmH2O PRESSURE LOW OFF 0 cmH2O 110 cmH2O VTIDAL High OFF 20 ml 2500 ml VTIDAL LOW OFF 10 ml 2400 ml O2 HIGH OFF 0 100 O2 LOW OFF 0 80 RATE HIGH 2 150 BPM RATE LOW 0 148 BPM VE MIN HIGH 0 5 50 LPM VE MIN LOW 0 0 49 0 LPM O2 Pressure Fail AIR LEAK 10 ml 500 ml OFF APNEA 2 60 sec VENT INOP O2 CELL ERROR CIRCUIT OPEN BATTERY MO...

Page 20: ...00 to 1060 mbar 10 2 15 4 psi Operating Altitude range Up to 3000 m 9 842 ft Operating Humidity range 0 to 95 Storage Temperature range 20 to 50 Storage Atmosphere Pressure range 500 to 1060 mbar 7 3 15 4 psi Storage Altitude range Up to 6560 m 20 000 ft Storage Humidity range 10 to 90 O2 supply pressure range 2 56 7 3 Kgf or 2 4 6 9 bar or 35 90 psig International Standards This product selected ...

Page 21: ...7 5009 3 AC power plug This symbol displays AC plug without ground poles This is for AC power IEC 417 5534 5 AC Power AC Power Operation 4 Battery Power Battery Power Operation 5 External battery This symbol indicates external battery 6 Graph Freeze Freezes currently displayed graph 7 Exit Removes menu tree from the screen 8 Alarm silence Turning off audible alarm sound for two minutes 9 Alarm res...

Page 22: ...er necessary Oxygen cell Oxygen cell calibration using O2 CAL button Every 10 000 hours Various auxiliary products Replacement of parts using 10 000 Hours Service Kit CAUTION User must inspect installation state and abnormalities in filters and patient circuit system every day with unaided eyes If abnormalities are found corresponding parts must be immediately supplemented or replaced CAUTION When...

Page 23: ...iod 2 Take care on the main body and sensors after cleaning Do not use damaged or aged device 3 Once a month clean the exterior of the product using soft cloth soaked in warm water or alcohol 4 Do not use lacquer paint thinner ethylene or oxidizer that may damage the product 5 Do not place accessories in liquids or detergents 6 Take care to prevent liquids from entering the product or sensor probe...

Page 24: ...ery power can be used 4 1 1 Description on Commercial Power External commercial power connector is on left side of the product WARNING If rating is incorrect user and product can be damaged Power cord must be connected to the outlet attached to the ground Damaged power cord or sheath must be replaced When external DC power or AC power is connected power LED is turned on indicating which power is b...

Page 25: ...External battery input CAUTION Do not short any pins of Ext Batt Connector It may damage internal electric circuit Be careful about polarity when connecting and replacing batteries Use rated voltage of 12V DC and current must be 7A or above WARNING Fuse is internalized in the product Time Lag Type 250V 6 3A NOTE Internal battery is not charged while external battery is being used 1 2 3 4 ...

Page 26: ...low measurement information relating ventilation may result in errors If remaining battery is low connect to commercial power Be careful about polarity when replacing battery Connect to red and to black If polarity is mistaken it may damage the product Do not short battery terminal Battery may explode and cause harm on human body Use rated voltage and current 10 8V 4400mA In case of abnormality in...

Page 27: ...on 2 Battery remains 80 Full 3 Battery remains 50 80 4 Battery remains 20 50 5 Battery remains Empty 20 With this status the symbol keeps blinking and beep sound is made To protect the battery power is automatically blocked and the device is turned off after about five minutes NOTE When the product is used over two hours with internal battery ventilator may not operate properly Measurement values ...

Page 28: ...tery cover 2 After removing battery cover separate battery pack 3 There are two batteries Replace the wanted battery and assemble in a reverse sequence WARNING Place battery connector in the correct position when replacing battery If the connector is misplaced it may damage the product CAUTION All bolts are tightened clockwise and loosened counterclockwise ...

Page 29: ...y 2 Low flow O2 supply WARNING Since oxygen tank pressure is high always keep oil away from connector to prevent explosion Before connecting or disconnecting high pressure hose close oxygen tank valve first Check that high Pressure O2 supply pressure is appropriate 35 90 PSI High pressure hose must be kept away from people during use and transportation If low flow O2 supply is not used keep low fl...

Page 30: ...ller when using other products This product must only be operated with authorized standard products Our company is not responsible for problems caused by use of unauthorized products Since accessories are aseptic products packages must only be opened before use There must be no flaws or defects in the packages 4 5 Movement Method No Figure Description 1 Move the product using handle WARNING When m...

Page 31: ... limb circuit without external Exhalation Valve Non vented Mask Type Circuit Type MASK Type Proximal Pressure Port Mask without Exhalation Hole Mask with Exhalation Hole Dual limb circuit O X O Single limb circuit with Exhalation valve O X O MENU SETUP Limb Type MODE SETTING MASK ON or OFF SETUP Proximal ON OFF ...

Page 32: ...MTV1000 Ventilator System 32 User s Manual Circuit Type B Single limb circuit with external Exhalation Valve Non vented Mask Type ...

Page 33: ...cord to AC power inlet AC commercial power LED is turned on B Position power switch at stand by symbol C System fail buzzer sound is created 3 Turning on power When stand by switch is pushed for two seconds power is normally supplied and system fail sound disappears Wait for preparation of various sensors Screen state Initial word is displayed at first Afterwards Ready appears CAUTION Buzzer alarm...

Page 34: ...the patient is decided PBW predicted body weight is automatically calculated 5 Selecting Ventilation Mode A Click READY button to see ventilation modes screen B Select appropriate ventilation mode For more details refer to Vent Mode section 6 Selecting Ventilation Parameter A Set appropriate parameters for selected vent mode B Push accept button to start ventilation A B C A B A B ...

Page 35: ... Description 1 Entering Quick ventilation mode A Select System menu Patient button B Input the SVC Code 97 C Push Enter key Then ventilator will change the Quick ventilation mode 2 Standby Screen Changing Normal Mode Initial Standby screen will change the Quick mode Initial Screen 3 Quick Ventilation Mode Press directly on the appropriate screen icons to access display screens and select parameter...

Page 36: ...cess these screens No Item Figure Description 1 Entering Clinical Screens A Select System menu Patient button B Input the SVC Code 98 C Push Enter key Then ventilator will change the clinical screens 2 Clinical Screen The Clinical screen will display 3 Entering Quick Mode Screens A Select System menu Patient button B Input the SVC Code 99 C Push Enter key Then ventilator will change the Quick Mode...

Page 37: ...cations There modification is automatically saved when you exit the clinical setting menu No Item Figure Description 1 Selecting a ventilation program to setup A Select M1 or M2 ventilation program B Select Setting Button 2 Selecting Patient type Height C Select Patient type D Input patient height with encoder E Push Next Button 3 Program Ventilation Value F Setup M1 ventilation value G And push S...

Page 38: ...gure Description 1 Entering Quick ventilation mode A Select System menu Patient button B Input the SVC Code 95 C Push Enter key Then ventilator will change the Quick ventilation mode 2 Standby Screen Changing Normal Mode Initial Standby screen will change the Quick mode Initial Screen 3 Quick Ventilation Mode Press directly on the appropriate screen icons to access display screens and select param...

Page 39: ...cess these screens No Item Figure Description 1 Entering Clinical Screens A Select System menu Patient button B Input the SVC Code 98 C Push Enter key Then ventilator will change the clinical screens 2 Clinical Screen The Clinical screen will display 3 Entering Quick Mode Screens D Select System menu Patient button E Input the SVC Code 99 F Push Enter key Then ventilator will change the Quick Mode...

Page 40: ...desired modifications There modification is automatically saved when you exit the clinical setting menu No Item Figure Description 1 Selecting a ventilation program to setup A Select M1 ventilation program B Select Setting Button 2 Selecting Patient type Height C Select Patient type D Input patient height with encoder E Push Next Button 3 Program Ventilation Value F Setup M1 ventilation value G An...

Page 41: ...arm Lamp CAUTION Once alarm occurs in the device red light blinking This light is kept on until user pushed RESET button even after the condition is removed Turn Left Descend menu Decrease setting value Turn Right Elevate menu Increase setting value Click Select menu save setting value Status Figure Color Description NORMAL GREEN Light is turned on if ventilator is being operated normally and ther...

Page 42: ...ternal battery starts to operate and BATTERY ON LED is turned on CAUTION If AC Power ON LED and Battery ON LED are both OFF internal battery has run out No Item Figure Description 1 Standby Switch 1 Push for one second to turn power ON Push for 10 seconds to turn power OFF 2 Set ventilation mode to standby 2 Alarm 2 Min Auditory alarm signal is not created for two minutes 3 Alarm Reset Existing al...

Page 43: ...Pressure Synchronized Intermittent Mandatory Ventilation SPONT Spontaneous Ventilation PRVC Pressure Regulated Volume Control Ventilation V ACV Volume Assist Control Ventilation V SIMV Volume Synchronized Intermittent Mandatory Ventilation AUTO This mode provides quick start of ventilation based on PBW Predicted Body Weight P ACV or V ACV modes are available NOTE For more details on the mode refer...

Page 44: ...atory Ventilation SPONT Spontaneous Ventilation PRVC Pressure Regulated Volume Control Ventilation V ACV Volume Assist Control Ventilation V SIMV Volume Synchronized Intermittent Mandatory Ventilation AUTO This mode provides quick start of ventilation based on PBW Predicted Body Weight P ACV or V ACV modes are available NOTE For more details on the mode refer to Appendix 1 Ventilation Mode Specifi...

Page 45: ...to ventilation is displayed on the left of the screen Measurement information list differs according to the ventilation mode VTE VE MIN RATE PAW and PEEP are displayed basically Other information can be checked by selecting Monitoring button Refer to Monitoring section for details Measurement Information ...

Page 46: ...tem 46 User s Manual 6 4 Graphs Pressure flow and volume waves are measured and displayed along with various trend graphs Display layout can be changed in Graphics menu For more details refer to Graphics section Wave Graphs ...

Page 47: ...ontact customer service team Sensor is defective O2 CELL ERR Problem of O2 cell O2 cell is defective Replace O2 cell CIRCUIT OPEN Patient circuit is open Leakage in circuit Inspect circuit connection Battery Mode Battery power is on AC Power loss Connect AC power Power board is defective Contact customer service team COM ERROR Inter communication error has been occurred Cable is defective Contact ...

Page 48: ...ventilation modes Value of each parameter can be changed using touch or encoder and the change goes into effect immediately Setting list according to ventilation mode is as below Vent Mode Setting list V ACV VTIDAL RATE PEEP O2 V SIMV VTIDAL RATE PEEP O2 P ACV PINSP RATE PEEP O2 P SIMV PINSP RATE PEEP O2 PRVC VTIDAL RATE PEEP O2 SPONT PS APNEA Time PEEP O2 AUTO Identical to V ACV Mode or P ACV Mod...

Page 49: ...een measured PEEP and configured PEEP VI TIDAL mL Inspiratory tidal volume per breath VE TIDAL mL Expiratory tidal volume per breath VE MIN LPM Expiratory minute volume per minute PEEP H cmH2O High PEEP PEEP L cmH2O Low PEEP F PEAK LPM Maximum inspiratory flow RESP R BPM Respiratory RR SPONT BPM Respiratory rate in spontaneous breath VEMIN SPONT LPM Expiratory volume per min in spontaneous breath ...

Page 50: ...low rate at the end of expiration is zero then it means that lung pressure is enough lowered down to PEEP pressure It means that the reference lung pressure at the end of exhalation is higher than PEEP The cause is short exhalation time In mandatory ventilation if E_flow is not zero Exhalation time is short and Self PEEP exists therefore you must lower the respiratory rate to use it On the other h...

Page 51: ...Layout 1 Pressure flow and volume graphs are displayed Layout 2 Among pressure flow flow volume and pressure volume XY graph are displayed Layout 3 Among pressure flow and volume one wave graph is displayed with four trend graphs Trend is saved at every breath Scrolling interval of the trend graph is adjusted by trend timing ...

Page 52: ...r s Manual 6 9 Tools menu Insp Hold function can be performed in Tools menu Item Description Insp hold Compliance resistance elastance and time constant of the patient are measured with addition of one second in inspiration hold time ...

Page 53: ...s menu Events Menu shows all events that occur Item Description Setting Events relating to changes in ventilation mode and parameter setting are displayed Alarm Events relating to alarm are displayed ALL Both setting events and alarm events are displayed ...

Page 54: ...ON O2 gas is used when O2 cell is normal OFF This is when there is no O2 gas lifespan of O2 cell has expired or O2 cell can not be used for a different reason There is no influence on supply of O2 gas Trend Init ON OFF Initialize trend data BTPS OFF BTPS is turned OFF Manual DRY BTPS is turned on in the condition that humidifier is not used Manual Humid BTPS is turned on in the condition that humi...

Page 55: ...ge time of nebulizer BTPS is an abbreviation of Body Temperature and Pressure Saturated with Water Vapor and refers to the state in which physical factors that influence volume inside body are taken into consideration This function compensates for volume of air supplied considering difference between body temperature and external temperature with altitude above sea level 6 11 2 DATE Item Descripti...

Page 56: ...Cell Exp Flow Auto Cal START OFF Perform adjustment of equilibrium for inspiratory flow and expiratory flow EtCO2 Initial START OFF Perform calibration of EtCO2 sensor Touch Cal ON OFF Perform calibration of Touch Screen Leak Test START OFF Analysis of leakage and compliance is conducted CAUTION When performing O2 calibration both 21 and 100 must be carried out CAUTION Before performing Exhalation...

Page 57: ...te patient s bed number ID Input patient s ID number IP Input IP address for external connection using LAN PORT Input port number for external connection using LAN SVC Code Configure password for IP and port input When user attempts to enter a number the following keyboard appears on the screen ...

Page 58: ...2 VTE 10 2500 OFF mL 10 Configure upper lower limits for volume per breath VE MIN 0 0 50 LPM 0 1 Configure upper lower limits for volume per minute RATE 0 150 BPM 1 Configure upper lower limits for number of breaths per minute PAW 0 120 OFF cmH2O 1 Configure upper lower limits for pressure O2 0 100 OFF 1 Configure upper lower limits for oxygen concentration AIR LEAK 10 500 OFF mL 10 Configure diff...

Page 59: ...ts for oxygen saturation in blood PR 25 250 BPM 1 Configure upper lower limits for heart rate EtCO2 0 10 0 1 Configure upper lower limits for expiratory CO2 concentration iCO2 0 10 0 1 Configure upper lower limits for inspiratory CO2 concentration RESP 2 150 RPM 5 Configure upper lower limits for number of CO2 breaths per minute ...

Page 60: ...eze 3 Manual Inspiration Deliver mandatory one breath 4 Nebulizer Option It is a function for a patient to breathe in by nebulizing medicine such as nebulizing type antibiotics etc In general it delivers about 5 10ml It is designed to provide a certain medicine during patient s inhalation by setting nebulizing time But you must note that it does not operate in volume ventilation mode of below 200m...

Page 61: ...ual 6 14 Miscellaneous No Item Description 1 Sound Volume Indicate current alarm sound volume setting 2 Power Status Indicate which power is being supplied 3 I E RATIO Ratio of I E is displayed as a graph Sound Volume I E Ratio Power Status ...

Page 62: ...mH2O pressure trigger setting is also related to PEEP setting Flow trigger refers to the amount of bias flow that must be inhaled by the patient to induce new breath WARNING The trigger sensitivity bar has different colors based on the setting A light blue bar indicates a normal setting for flow A red bar indicates that triggering is required for flow The ventilator continuously delivers a gas flo...

Page 63: ...lculation of tidal volume if the ventilator is configured for Minute volume setting 7 1 4 Apnea Time Apnea time refers to set apnea time until beginning of controlled ventilation in Spont mode Range of setting is 2 60sec 7 1 5 PEEP Setting range of Positive End Expiratory Pressure PEEP is 0 50cmH2O PEEP is maintained in the alveoli and may prevent the collapse of the airways 7 1 6 I E Ratio Inspir...

Page 64: ...cise flow measurements and tube compensation such as premature and neonate patients It is safe to use this function in supported ventilation below 200ml Appropriate sensor for adults for infants must be used depending on the patient 7 1 12 Mask On Off This option can be turned On Off in all modes except for O2 stream and HFV Once turned On leakage compensation ability is increased 7 1 13 En_Sense ...

Page 65: ...and it needs patient s effort The mechanic characteristic in PSV is not same in each ventilator The Ex_Sense is to be decided by individual condition of patients If the patient doesn t have enough spontaneous respiratory capacity then inhalation must be sufficiently taken place Therefore Ex_Sense must be decreased 7 1 15 Predicted Body Weight It is not the actual body weight and is based on the me...

Page 66: ...e patient to breathe If there is no intention to breathe air is supplied based on Assisted Controlled Mandatory Breath period Item Range Unit Step Description B W 10 150 kg 1 Configure patient s body weight VTIDAL 50 2500 mL 5 Air volume of the patient at a time RATE 2 60 BPM 1 Configure number of inspirations per minute PEEP 0 50 cmH2O 1 Configure PEEP base pressure of patient O2 21 100 1 Configu...

Page 67: ...se in the resistance and decrease in compliance will lead to an increased airway pressure To protect the patient s lungs from excessive pressure it is very important to set the upper pressure limit to a suitable value It is possible for the patient to trigger extra breaths if they can overcome the pre set trigger sensitivity It is also possible for the patient by their own inspiratory efforts to r...

Page 68: ...rmined by items that influence inspiratory time and by respiratory rate When changing setting values of I E ratio or items that influence inspiratory time breath timing bar is displayed to show changes in cycle time inspiratory time expiratory time and I E ratio ...

Page 69: ...chanical ventilation is paralleled based on volume according to spontaneous ventilation or in case of no spontaneous ventilation based on time period configured SIMV mode is a mode in which Mandatory Breath and Spontaneous Breath are mixed SIMV mode guarantees one mandatory breath per SIMV cycle This mandatory breath is either patient initiated mandatory PIM or assisted mandatory breath or ventila...

Page 70: ...t shows no ventilation PEEP 0 50 cmH2O 1 Configure PEEP base pressure of patient O2 21 100 1 Configure O2 oxygen concentration of gas supplied to the patient TI 0 2 9 9 sec 0 1 Configure inspiration time patient Trise Fast Mediu m Low Configure arrival time to peak flow or peak pressure EnSENS 10 80 5 Configure sensitivity with which each breath is completed by the patient using expiration ExSENS ...

Page 71: ...H2O 1 Configure pressure limit supplied to the patient during spontaneous ventilation MASK ON OFF Configure mask on off ACCEPT Execute V SIMV Mode CANCEL Move back to the previous menu NOTE Default value is configured proportional to body weight of the patient ...

Page 72: ...piration can be controlled using exhalation valve Spontaneous ventilation by the patient is also allowed Item Range Unit Step Description B W 1 150 kg 1 Configure patient s body weight PINSP 5 80 cmH2O 1 Configure pressure supplied during inspiration TI 0 2 9 9 sec 0 1 Configure patient s inspiration time Trise Fast Mediu m Slow Configure arrival time to peak flow or peak pressure RATE 2 60 BPM 1 ...

Page 73: ...s maintained constant during inspiration flow pattern is shown in the form of ramp Plateau function cannot be used Pressure Control assures that the preset inspiratory pressure level is maintained constantly during the entire inspiration The preset pressure level is controlled by the ventilator The resulting volume depends on the set pressure level inspiration time and the patient s lung mechanica...

Page 74: ...hanical ventilation is paralleled based on volume according to spontaneous ventilation or in case there is no spontaneous ventilation using configured time period SIMV mode is a mode in which Mandatory Breath and Spontaneous Breath are mixed SIMV mode guarantees one mandatory breath per SIMV cycle This mandatory breath is either patient initiated mandatory PIM or assisted mandatory breath or venti...

Page 75: ...ival time to peak flow or peak pressure RATE 2 60 BPM 1 Configure number of inspirations per minute APNEA 2 60 sec 1 Configure time to convert to Apnea Mode if patient shows no ventilation PEEP 0 50 cmH2O 1 Configure PEEP base pressure of patient O2 21 100 1 Configure O2 oxygen concentration supplied to the patient ExSENS 10 80 5 Configure sensitivity with which each breath is completed by the pat...

Page 76: ...spiration time The inspiratory pressure level is constant during each breath but automatically adapts in small increments breath by breath to match the patient s lung mechanical properties for target volume delivery Despite advantages of pressure mode instability of not guaranteeing inspiratory volume caused by long term or acute change in patient s respiratory status or long term change in lung c...

Page 77: ...TE 2 60 BPM 1 Configure number of inspirations per minute PEEP 0 50 cmH2O 1 Configure PEEP base pressure of patient O2 21 100 1 Configure O2 oxygen concentration supplied to the patient TRIGGER Type Pressure Flow Configure spontaneous ventilation detection method as pressure or flow type F P TRIG OFF 0 5 20 cmH2O LPM 0 5 Configure sensitivity for detecting spontaneous ventilation by the patient P ...

Page 78: ...or spontaneous ventilation reaches sensitivity flow is provided to the patient Pressure is maintained between sensitivity setting value and pressure level 1 cmH2O below sensitivity setting Once pressure becomes 1 cmH2O larger than PEEP exhalation valve is opened to begin expiration If the patient falls into apnea during SPONT mode Apnea Alarm goes off by itself and Apnea Ventilation V ACV Mode or ...

Page 79: ...tion detection method as pressure or flow type F P TRIG OFF 0 5 20 cmH2O LPM 0 5 Configure sensitivity for detecting spontaneous ventilation by the patient PS 0 60 cmH2O 1 Configure pressure supplied to the patient during spontaneous ventilation Trise Fast Mediu m Slow Configure arrival time to peak flow or peak pressure APNEA 2 60 sec 1 Configure time to convert to Apnea Mode if patient shows no ...

Page 80: ...ttings are automatically configured and mode can be operated as soon as body weight is entered Item Range Unit Step Description B W 10 150 kg 1 Configure patients body weight Vent Mode P ACV V ACV Configure operation mode MASK ON OFF Configure mask on off ACCEPT Execute AUTO Mode CANCEL Move back to the previous menu NOTE If you use the Oxygen gas of low flow through the Flowmeter the effect of ox...

Page 81: ...y flow supplied to patient There are three flow measurement sensors One is INS_DP2 for inspiratory flow measurement Another is BLEND_DP1 for O2 gas flow measurement The other is EXP_P4 for expiratory flow measurement O2 gas supply system PV valve controls O2 gas flow supplied to the tank PEEP control system LS1 valve controls positive end expiratory pressure in the lungs Inspiratory flow control s...

Page 82: ...S0330_00 Info Info EA 1 EA 1 Power Fuse 250V 6 3A High pressure O2 hose 3 5m Or No AZ0550_00 Or No AR0039_00 Info Info EA 2 EA 1 Peep Pad Silicon Expiration Flow Sensor Or No MA0105_01 Or No MA0107_01 Info Info EA 2 EA 1 Truss head screw M3 10mm O2 Sensor ass y Installed Or No AS0041_00 Or No MA0100_01 Info Info EA 1 EA 1 User s Manual Air Filter Or No AS0168_00 Or No AS0139_00 Info Info EA 1 EA 1...

Page 83: ..._00 Info Info EA 1 EA 1 Humidifier VHB15A Humidifier VHB10A Or No PG0032_03 Or No PG0032_04 Info Info EA 1 EA 1 SpO2 Sensor SpO2 Extension cable Or No AC0007_00 Or No AC0145_00 Info Info EA 1 EA 1 EtO2 Sensor EtO2 Extension cable Or No PG0022_00 Or No AC0124_00 Info Info EA 1 EA 1 Monitor External Cable Or No AC0140_00 Info EA 1 ...

Page 84: ...ermined based on ventilation mode MODE V Tidal High V Tidal Low V Min High V Min Low Paw High Paw Low O2 High O2 Low RATE High RATE Low V ACV O O O O O O O O O O V SIMV O O O O O O O O O O SPONT O X O O O X O O X X P ACV O O O O O O O O O O P SIMV O O O O O O O O O O PRVC O O O O O O O O O O AUTO O O O O O O O O O O ...

Page 85: ...EtCO2 of the patient can be measured by additionally attaching SpO2 EtCO2 modules When the module is attached SpO2 EtCO2 graph selection menu is added automatically 7 6 1 SpO2 EtCO2 Connection Information No Figure Description 1 Prepare SpO2 EtCO2 Sensor and each extension cable ...

Page 86: ...veform 4 Check the measurement WARNING SpO2 extension cable connector is in bright silver color EtCO2 extension cable connector is in black color Be careful not to confuse between them when connecting cables Sensor can be damaged by incorrect connection Please contact customer service team if the sensor functions improperly after mistaking between two connectors ...

Page 87: ... of sensor burning Immediately remove the sensor if the patient calls for discomfort ATTENTION Inaccurate values and waves can result if sensor is used incorrectly as below When sensor not certified by MEKICS is used or sensor is used incorrectly Functional disorder in hemoglobin When sensor is excessively exposed to medical light especially xenon light bilirubin light fluorescent light infrared h...

Page 88: ...ays be used in combination with other vital signs monitoring devices and or professional human judgments of patient condition The IRMA probe is intended to be used by trained and authorized health care professionals only Stage Description 1 2 Initial stage of expiration in which gas inside anatomical dead space with almost no carbon gas is discharged 2 3 Stage in which gas from pulmonary alveoli a...

Page 89: ... s endotracheal tube Alternatively connect an HME Heat Moisture Exchanger between the patient s endotracheal tube and the IRMA probe Placing an HME in front of the IRMA probe protects the airway adapter from secretions and effects of water vapor and eliminates the need of changing the adapter It allows free positioning of the IRMA probe as well Unless the IRMA probe is protected with an HME always...

Page 90: ...hould be assured that the IRMA probe is used in the electromagnetic environment specified in this manual Do not place the IRMA airway adapter between the endotracheal tube and an elbow as this may allow patient secretions to block the adapter windows and result in incorrect operation Do not use the IRMA airway adapter with metered dose inhalers or nebulized medications as this may affect the light...

Page 91: ... Class A Voltage fluctuations flicker emissions IEC 61000 3 3 Complies 7 7 2 Guidance and manufacturer s declaration electromagnetic immunity The MTV1000 is intended for use in the electromagnetic environment specified below The customer or the user of the MTV1000 should assure that it is used in such an environment Immunity test IEC 60601 Test level Compliance level Electromagnetic environment gu...

Page 92: ... mains voltage prior to application of the test level 7 7 3 Guidance and manufacturer s declaration electromagnetic immunity The MTV1000 is intended for use in the electromagnetic environment specified below The customer or the user of the MTV1000 should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Conducted ...

Page 93: ...ations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the EUT is used exceeds the applicable RF compl...

Page 94: ...frequency of transmitter m 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz V1 3 Vrms E1 3 V m E1 3 V m 0 01 0 12 0 11 0 23 0 1 0 37 0 36 0 73 1 1 17 1 16 2 33 10 3 69 3 68 7 37 100 11 66 11 66 23 33 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable to the frequency of the transmi...

Page 95: ...ter installation Defect from repair or renovation made by an individual other than service agents designated by MEKICS F Preparations for repair requests If defect occurs immediately stop the use and check details on the defect in this manual Before contacting our company s customer service team for repair request please check model name manufacture number purchase date and problem CAUTION If defe...

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