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Index

Index-4

Respironics V200 Ventilator Operator’s Manual

REF 1057983 A

Respiratory Mechanics

13-1

RS-232 Communications 2

13-1

Trending

13-1

Output

Analog label

3-1

Analog port

6-7

Field

A-1

Port

6-1

Serial label

3-2

Oxygen

Source Connection

4-21

Oxygen Sensor

13-3

Panel, Back

Connections and Controls

5-1

Panel, Front

Dispay

8-11

Patient Initiated Breath Triggering

7-5

Patient Leak Display

7-6

Pediatric

Patient Circuit Kit

13-2

Positive End Expiratory Pressure (PEEP)

7-5

POST

11-10

Power Cord

5-3

Power On Self Test (POST)

11-10

Power Status Indicators

8-6

Pressure Support Ventilation (PSV)

7-4

PVC O2 Sensor Tee

Cannot be autoclaved

10-2

Cannot be chemically disinfected

10-2

Restart

11-11

Alarm

9-8

Rise Time Setting

7-5

Safety Valve Open

12-9

Safety Valve Ventilator Inoperative

8-5

Schedule for Periodic Maintenance

10-7

Screen Lock Key

8-8

Screen Locked

12-9

Self-Test Hardware

11-10

Serial Port

5-1

SIMV

7-3

Software Options

13-1

Spont Rate

8-29

Spontaneous Respiratory Rate (Spont Rate)

G-6

Spontaneous Volume Exhaled (Spont VE)

G-6

SST

11-3

Symbols

3-1

Synchronized Intermittent Mandatory Ventilation
(SIMV)

7-3

Table Top Mounting

4-4

Tidal Volume

G-6

Time Format

5-7

Time Setting

5-7

Total Rate

8-29

Total VE

8-29

Touch Display

8-11

Using Default Altitude Alarm

9-8

Using Default Compliance Alarm

9-8

Using Default Settings Alarm

9-8

Ventilator Inoperative

12-9

Ventilator Inoperative Indicator

8-5

Warnings

2-1

Warranty

13-5

B-1

Summary of Contents for Respironics V200

Page 1: ...1057983 50 Respironics V200 Ventilator Operator s Manual ...

Page 2: ...hilips com healthcare Authorized European address Respironics Deutschland GmbH Gewerbestrasse 17 D 82211 Herrsching Germany 49 8 15 29 30 60 2009 Respironics and its affiliates All rights reserved This work is protected under Title 17 of the United States copyright code and is the sole property of Respironics No part of this document may be copied or otherwise reproduced or stored in any electroni...

Page 3: ...tient Circuit Flex Arm Installation 4 22 5 Setup 5 1 Back Panel Connections and Controls 5 1 Connecting AC Power Cord 5 3 Power On Off 5 4 Entering Diagnostic Mode 5 5 User Configuration Screen 5 7 Backup Battery 5 11 Extended Self Test EST 5 12 6 Connecting Additional Equipment 6 1 Communication Interface 6 1 Connecting Serial Communications Devices 6 2 Connecting Remote Alarm Port 6 2 Connecting...

Page 4: ...ction 9 1 Visual Alarms 9 1 Audible Alarms 9 2 Alarm Reset 9 3 Alert Messages 9 4 Alarm Indicators 9 9 10 Care and Maintenance 10 1 General Information 10 1 Cleaning 10 1 Sterilization 10 2 Bacteria Filters 10 4 Periodic Maintenance 10 7 Storage 10 10 Repairs 10 10 11 Diagnostics 11 1 Entering Diagnostic Mode 11 2 Diagnostic Functions 11 3 Extended Self Test EST 11 4 Self Test 11 10 12 Technical S...

Page 5: ...rements 12 11 Dimensions and Weights 12 12 Electromagnetic Compatibility Declaration 12 12 Pneumatic System 12 17 Labels 12 18 13 Options and Accessories 13 1 Introduction 13 1 Oxygen Sensor Option 13 3 Assemble O2 Sensor 13 3 Attaching the Sensor to the Ventilator 13 4 Warranty 13 5 O2 Sensor Tee 13 5 External Battery Option 13 7 Installation 13 8 Power Consumption Sequence 13 8 External Battery ...

Page 6: ...om the Ventilator 13 40 SNDA CR Send Variable Length Ventilator Settings Report 13 40 Respiratory Mechanics Option 13 51 Accessing Respiratory Mechanics Data 13 51 Vital Capacity Maneuver 13 52 MIP P0 1 Maneuver 13 54 Static C and R Maneuver 13 56 Alarms and Error Messages 13 58 Compliance C and Resistance R Computations 13 65 Trending Option 13 69 Accessing Trending Data 13 69 Selecting Parameter...

Page 7: ...3 96 Neonatal Option 13 97 System Requirements 13 97 Changing Patient Types 13 98 Percent Leak 13 101 Patient Leak Values 13 102 Speaking Mode Option 13 103 Warnings Cautions and Notes 13 103 Patient Preparation 13 104 Settings 13 106 Starting Speaking Mode 13 106 Alarms 13 109 Displayed Data 13 111 Trended Data 13 112 Discontinue Speaking Mode 13 115 Auto Trak Sensitivity 13 117 Introduction 13 1...

Page 8: ...and and Response VRPT A 1 Volume Control Ventilation Settings Report VCVS A 11 Pressure Control Ventilation Settings Report PCVS A 14 Non Invasive Positive Pressure Ventilation Settings Report NPVS A 16 Patient Data Report PTDT A 18 Alarm Status Report ALRM A 21 Unrecognized Commands A 24 B Customer Service Warranty B 1 Customer Service B 1 Warranty B 1 Options and Accessories B 2 C Alarm Testing ...

Page 9: ...er to the appropriate instruction manual prior to operating the accessory with the ventilator Advanced troubleshooting calibration and maintenance instructions are included in the Esprit V200 Ventilator Service Manual P N 580 1000 02 All maintenance and repair work should be performed by qualified biomedical technicians who have received appropriate training and authorization to provide maintenanc...

Page 10: ...Chapter 1 1 2 Respironics V200 Ventilator Operator s Manual REF 1057983 A Introduction and Intended Use This page is intentionally blank ...

Page 11: ... should not attempt to lift the ventilator or remove it from the shipping carton or the cart At least two people are required to avoid possible personal injury or damage to the equipment To reduce the chance of contamination or infection always use an inspiratory and expiratory filter when the ventilator is in operation Refer to manufacturer s instructions and follow institutional infection contro...

Page 12: ... available on 100 120 VAC ventilators Under no circumstances does the Respironics V200 Ventilator provide control for the humidifier To ensure patient safety it is important that any humidifier used with the ventilator include an acceptable temperature control and monitoring mechanism as well as a temperature display and appropriate alarm capabilities refer to ISO 8185 To avoid electrical shock ha...

Page 13: ...nt Vent Inop is a serious condition which is indicated by both visual and audible alarms If the ventilator is attached to a patient when Vent Inop occurs the patient must be supported with another means of life support ventilation When the battery low indicator is flashing red operation of the ventilator from battery power should be discontinued For patient safety the HIP Limit Setting should be s...

Page 14: ...ct trained service personnel if any diagnostic codes appear with the exception of 1 3 2000 3000 5000 5002 8003 or 8004 Use of a ventilator that has not passed SST or EST is against the strongest recommendation of Respironics Please contact Respironics Customer Service at 1 800 345 6443 or consult your service manual if any diagnostic codes are encountered When connecting a humidifier to the humidi...

Page 15: ...ilator using the original packing material If the original material is not available contact your Respironics representative to order replacements Do not operate the ventilator without a properly functioning expiratory filter and heater Doing so may cause damage to delicate ventilator components such as the expiratory flow sensor which may lead to inaccurate spirometry or a Vent Inop condition The...

Page 16: ...mA with a minimum current of 1 mA Failure to protect the expiratory filter from damage by using inappropriate patient circuit configurations may cause damage to delicate ventilator components such as the expiratory flow sensor which may lead to inaccurate spirometry or a Vent Inop condition If clinical conditions do not require setting the HIP Limit above 60 cmH2O we recommend the setting normally...

Page 17: ...d to elevated temperatures DO NOT allow liquid to penetrate the ventilator rear or front panel DO NOT attempt to sterilize the ventilator by exposing to ETO gas DO NOT steam autoclave Troubleshooting and repair should be performed only by a qualified service technician If the optional external O2 sensor is in line it must be calibrated during EST Diagnostic codes should only be cleared by qualifie...

Page 18: ...e and or cause filter damage Review ventilator patient graphics frequently for changes in expiratory resistance Consult filter manufacturer recommendations regarding duration of use maintenance and removal and disposal of expiratory filter The ventilator should only be connected to an appropriate medical grade 100 O2 gas source capable of delivering a regulated 40 to 90 PSIG 276 620 kPa The ventil...

Page 19: ...rging indicator light turns off and then unplug the unit To monitor backup battery performance and life run the ventilator on battery power for at least 20 minutes at typical settings once a month Recharge the battery when the test is complete If the 100 O2 key is pressed and a 100 O2 gas source is not available the Low O2 alarm will be active for the two minute 100 O2 delivery period Manual breat...

Page 20: ...nvironments cause a quicker collection of lint and dust than others inspect and clean the fan filters more often than every 250 hours if necessary The Hardware function and EST in the Diagnostics Mode should only be run by qualified personnel A restart is an infrequent event The gas return port on the ventilator is a cylindrical port which requires mating to a specified expiratory filter to seal t...

Page 21: ... Operator s Manual 2 11 Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in Chapter 12 Technical Specifications Speaking Mode is available ONLY in invasive ventilation mode ...

Page 22: ...Chapter 2 2 12 Respironics V200 Ventilator Operator s Manual REF 1057983 A Warnings Cautions and Notes This page is intentionally blank ...

Page 23: ...ackup battery if the battery charge is within operating specifications OFF condition for part of the equipment PROTECTIVE EARTH ground POTENTIAL EQUALIZATION CONNECTOR used to connect the equipment to an electrical installation earth busbar TYPE B applied part which indicates equipment that provides a particular degree of protection against electric shock particularly with regards to allowable lea...

Page 24: ...rinter connection ALARM SILENCE Silences alarm for two minutes BRIGHTNESS ADJUST AUDIO ALARM VOLUME CONTROL ACCEPT ALARM RESET 100 OXYGEN Located between the ALARM RESET and 100 O2 buttons this symbol indicates that the two keys ALARM RESET AND 100 O2 must be pressed simultaneously for approximately five seconds to enter Diagnostic Mode Symbols Continued Symbol Description Table 3 1 Symbols Sheet ...

Page 25: ... only Flashes red to indicate that the backup battery is LOW Symbol version of the front panel only MAINS battery indicator Symbol version of the front panel only EXTERNAL BATTERY is in use DANGEROUS VOLTAGE electrical shock hazard The portion of the circuit breaker that must be pushed in to turn the CIRCUIT BREAKER OFF The portion of the circuit breaker that must be pushed in to turn the CIRCUIT ...

Page 26: ...BATTERY MUST BE RECYCLED SEALED NON SPILLABLE LEAD ACID BATTERY MUST BE RECYCLED RECYCLE THIS SIDE UP AT LEAST TWO PEOPLE ARE REQUIRED TO LIFT THE VENTILATOR TO AVOID POSSIBLE PERSONAL INJURY OR DAMAGE TO THE EQUIPMENT KEEP DRY LIMIT TEMPERATURE TO BETWEEN 20 AND 60 ºC 4 AND 140 ºF FRAGILE Symbols Continued Symbol Description Table 3 1 Symbols Sheet 4 of 5 Pb Pb 60C 20C 500 1060 hPa ...

Page 27: ...ter 3 Symbols REF 1057983 A Respironics V200 Ventilator Operator s Manual 3 5 STORE AT 10 95 RELATIVE HUMIDITY Do not stack 2 high Symbols Continued Symbol Description Table 3 1 Symbols Sheet 5 of 5 10 95 2 ...

Page 28: ...Chapter 3 3 6 Respironics V200 Ventilator Operator s Manual REF 1057983 A Symbols This page is intentionally blank ...

Page 29: ...he shipment is unpacked Report any damage to the shipping container or ventilator to your local authorized Respironics distributor and to the carrier Save all packing material after removing the ventilator In the event that the ventilator or backup battery needs to be repacked and reshipped use the original packing material or order replacement material from a Respironics representative NOTE The c...

Page 30: ...e packing list that accompanies the ventilator take an inventory of the entire shipment before assembling the ventilator In case of discrepancies immediately contact Respironics Customer Service at 1 800 345 6443 The Esprit V200 Ventilator Service Manual P N 580 1000 02 is available for qualified personnel It includes block diagrams components parts lists descriptions calibration instructions and ...

Page 31: ... the box on the middle foam insert 7 Gently place the ventilator into the open bag Check to ensure that the ventilator is firmly positioned into bottom foam insert Close plastic bag over the ventilator 8 Replace accessories box not shown in the center foam insert beside the ventilator if also being shipped 9 Place top foam insert onto ventilator Ensure snug fit 10 Close top flaps of carton and sea...

Page 32: ...l operate the ventilator for approximately 30 minutes dependent upon the specific ventilator setting WARNING The batteries backup battery in the battery compartment are non spillable sealed lead acid Recycle or dispose of batteries properly WARNING Do not connect the DC power cord from the backup battery while the Respironics V200 is functioning as a ventilator Always turn the Power On Off switch ...

Page 33: ...s been installed on the ventilator and its operation has been confirmed NOTE Save the shipping container in case the backup battery has to be returned to Respironics Figure 4 3 illustrates the backup battery assembly Figure 4 3 Backup Battery 1 Before the backup battery is installed disconnect AC power and any attached equipment Disconnect the backup battery cable connector from the rear panel of ...

Page 34: ... A Getting Started Figure 4 4 Disconnecting the Battery Cable 2 Remove the rear cable channel cover from the cart by gently prying it back from the top of the center column freeing it from the column Figure 4 5 Removing the Rear Cable Channel Cover Rear cable channel cover ...

Page 35: ...he underside of the cart and remove the ventilator from the cart WARNING One person alone should not attempt to lift the ventilator or remove it from the shipping carton or the cart At least two people are required to avoid possible personal injury or damage to the equipment Figure 4 6 Removing the Ventilator from the Cart Mounting screws ...

Page 36: ...ual REF 1057983 A Getting Started 4 Remove the screws 4 holding the battery tray to the cart Figure 4 7 Removing the Battery Tray 5 Gently pull up the battery tray and remove it from the cart Figure 4 8 Removing the Battery Tray Battery tray mounting screws ...

Page 37: ...tery is present in the battery tray disconnect the old battery from the battery tray s cable Figure 4 9 Disconnecting the Old Battery from the Battery Tray s Cable 7 Undo the straps remove the old battery if present and place the new battery in the battery tray Figure 4 10 Inserting Battery Into Tray ...

Page 38: ...e 4 11 Positioning the D Rings on the Battery Straps 9 Connect the battery to the battery tray s cable Figure 4 12 Connecting the Battery to the Battery Tray s Cable 10 Insert the battery tray into the cart s center column by mating the battery tray s channel guide to the tray s channel guide of the center column CAUTION When inserting the battery tray into the cart s center column make sure not t...

Page 39: ...lling the Battery Tray 11 Slide the battery halfway down the center column and insert the circular right angle battery connector into the cutout Pull the cable downward as the tray is fully inserted into the cart s center column Figure 4 14 Inserting the Circular Right Angle Battery Connector Into the Cutout ...

Page 40: ...the cart using the 4 screws used when the tray was removed Figure 4 15 Battery Tray Mounting Screws 13 Set the ventilator back on the cart ensuring that the four ventilator feet meet the four circular recesses on the top of the cart Tighten the four mounting screws that were loosened in step 3 Battery tray mounting screws ...

Page 41: ...e the Backup Battery confirmation feature refer to Chapter 5 Backup Battery 18 Run SST refer to Chapter 11 Diagnostics 19 After SST has been successfully completed exit the diagnostics mode and power up the ventilator in the normal ventilation mode 20 While the ventilator is cycling unplug the AC power from the wall 21 The ventilator should continue ventilation without interruption of any kind 22 ...

Page 42: ...about 5 minutes of operation left an audible nonresetable HIGH priority alarm will sound When this happens the red front panel indicator labeled Low text version of the front panel as shown in Figure 4 17 or the low battery symbol symbol version of the front pan el as shown in Figure 4 18 and the high priority alarm LED will flash continu ously In addition Low Backup Battery is displayed When powe...

Page 43: ...ackup battery establish full backup battery charge by plugging the ventilator into AC power for eight 8 hours maximum or until the charging indicator light turns off and then unplug the unit NOTE To monitor backup battery performance and life run the ventilator on battery power for at least 20 minutes at typical settings once a month Recharge the battery when the test is complete Warranty Respiron...

Page 44: ...outlet port 1 located in the lower right corner on the front of the ventilator If the optional O2 sensor 2 will be used it will be connected to the gas outlet port 1 before the inspiratory bacteria filter is connected For more information regarding the optional O2 sensor refer to Chapter 13 Options and Accessories Figure 4 19 Inserting Disposable Inspiratory Bacteria Filter Flow 1 2 3 4 4 3 2 1 5 ...

Page 45: ... 2 using the 22mm connector 3 or the gas outlet port 1 if the optional O2 sensor 2 is not used 5 Connect inspiratory limb of patient circuit 5 to bacteria filter 4 WARNING To reduce the chance of contamination or infection always use an inspiratory and expiratory filter when the ventilator is in operation Refer to manufacturer s instructions and follow institutional infection control guidelines wh...

Page 46: ...heater Doing so may cause damage to delicate ventilator components such as the expiratory flow sensor which may lead to inaccurate spirometry or a Vent Inop condition WARNING Vent Inop is a serious condition which is indicated by both visual and audible alarms If the ventilator is attached to a patient when Vent Inop occurs the patient must be supported with another means of life support ventilati...

Page 47: ...put port 7 if the filter does not come out easily 7 Insert the new expiratory bacteria filter 1 into the heater housing 5 8 Reinstall housing 5 and filter 1 into receiving compartment 6 then close retaining bracket 3 9 Ensure that the retaining bracket 3 is securely closed and turn knob 2 clockwise to secure latch 10 Connect the exhalation limb and water collection system of the patient circuit no...

Page 48: ...r oils should not be used since an oxygen leak or intense fire could result WARNING Care in the routing of the oxygen inlet hose should be exercised to ensure it is not exposed to mechanisms that could cause damage by cutting or heating melting CAUTION The ventilator oxygen filter should be replaced annually as a part of preventive maintenance NOTE The ventilator should only be connected to an app...

Page 49: ...erly attached to the ventilator Inspect the bowl 1 for cracks or potential leaks Ensure all connections are tight 3 Inspect the O2 hose 2 hose connector 3 and the hose connector mate 4 4 Check the oxygen gas supply Clean adjust pressure and drain condensate from any water traps filters or regulators in the O2 supply lines 5 Connect O2 gas connector 3 to the ventilator O2 filter with DISS hose conn...

Page 50: ... on either the left or right side rail on the cart Figure 4 22 Patient Circuit Flex Arm Installation Patient Circuit Flex Arm Installation Instructions Refer to Figure 4 22 1 Slide flex arm bracket 1 on to the side rail of the cart one per side 2 Tighten black screw knob 2 on flex arm bracket 3 Insert base of flex arm 3 into flex arm bracket and tighten 4 Place patient circuit hose clamp 4 into th...

Page 51: ...munications Option Refer to Chapter 13 Options and Accessories 4 PCMCIA Card Slot PC Card For use with the Trending Option Refer to Chapter 13 Options and Accessories 11 Humidifier AC Outlet 12 Air Inlet Duct and Filter 14 O2 Inlet Connector 15 O2 Inlet Filter and Water Trap 2 Remote Alarm Nurse Call 3 Parallel Printer Port 4 PCMCIA Card Slot 8 Humidifier AC Circuit Breaker 10 Mains Circuit Breake...

Page 52: ...entilator 16 Potential Equalization Connection Common grounding point 17 Cooling Fan Inlet Allows cooling air to enter the ventilator WARNING The cover plate for the PCMCIA slot at the back of the ventilator must be replaced after the adapter and card are installed This is to protect the ventilator CAUTION The PCMCIA card should only be removed by trained service personnel once power to the ventil...

Page 53: ...power outlet CAUTION Before connecting the ventilator to the AC power source ensure that the total electrical load does not exceed the ampere rating of the AC branch circuit especially when using the ventilator with other electrical equipment An AC branch circuit includes all outlets serviced by a single circuit breaker If the maximum current drain through a branch circuit exceeds the circuit brea...

Page 54: ...ully inserted tighten the retaining bracket screw 2 so that the power cord cannot be inadvertently disconnected from the ventilator Power On Off The ON OFF switch is located in the lower portion of the front panel and is recessed to avoid inadvertent access When the switch is in OFF position the ventilator does not provide mechanical ventilation If the AC plug is connected and the Mains circuit br...

Page 55: ...e discussed in detail in Chapter 12 Technical Specifications The functions of the Diagnostic Mode that are used to make the machine ready for use as a ventilator when it is first put into service are explained here WARNING The ventilator front panel LEDs will indicate the power source that is being used If the ventilator is plugged in and the MAINS LED is not lit either the circuit breaker is off ...

Page 56: ...taneously press the ALARM RESET and 100 O2 keys on the front panel for approximately five seconds while turning the ventilator power on The following message will appear on the screen Figure 5 4 Warning in Diagnostic Mode 2 Press the OK button to enter the Diagnostic Mode The following screen appears Figure 5 5 Main Screen in Diagnostic Mode ...

Page 57: ...utomatic patient circuit compliance compensation feature Set the proper altitude Set 24 Hrs AM PM time display Activate or deactivate backup battery check at startup Date and Time The real time clock and calendar will last for approximately 2 5 years When the ventilator is received the clock s time will have to be changed to that of the existing time zone The date should be checked and changed if ...

Page 58: ...g screen Press the CANCEL button to leave the value unchanged Figure 5 7 Setting the Date Figure 5 8 Setting the Time 4 After the date and time values have been set the changes will be shown on the screen 5 Press the APPLY DATE and APPLY TIME buttons to activate the change Window insert to change the value of Month Window insert to change the value of Hour ...

Page 59: ...agnostic Mode is used to input the altitude of the location of the ventilator To enter Diagnostic Mode follow the instructions Entering Diagnostic Mode on page 5 6 At Figure 5 5 select USER CONFIG and the screen in Figure 5 10 appears Pressing the ALTITUDE button enables you to set the altitude to that of the present geographical location of the ventilator This factor ensures a more accurate tidal...

Page 60: ...ting Altitude Enabling Disabling Tubing Compliance The operator can activate or deactivate tubing compliance compensation in the User Configuration screen To enter Diagnostic Mode follow the instructions for Entering Diagnostic Mode on page 5 6 At Figure 5 5 select USER CONFIG and the screen in Figure 5 11 appears Figure 5 11 Compliance Activated Window insert to change the value of Altitude ...

Page 61: ...p Battery You can have the ventilator confirm the backup battery is connected each time that the machine powers on Pressing the BKUP BATTERY button Figure 5 12 allows this confirmation feature which is identified by an active button with a white background Figure 5 12 Backup Battery Activated From then on when the machine powers on it searches for a backup battery If the backup battery is connecte...

Page 62: ...stic Mode select USER CONFIG button which takes you to the User Config screen 5 Press the BKUP BATTERY button The background color should return to blue signifying that this feature has been deactivated Extended Self Test EST We recommend that you run an Extended Self Test EST upon receipt of the ventilator to ensure that there has been no shipping damage to the system We also recommend that you r...

Page 63: ...urn the ventilator power OFF before connecting additional equipment CAUTION To prevent the risk of excessive leakage due to external equipment being connected to the ventilator via the communication ports a means for external separation of the conductive earth paths must be provided CAUTION All equipment used and connected to the ventilator communications ports analog parallel and serial must comp...

Page 64: ... responds with a fixed format message The commands and the responses are specified in Appendix A RS 232 Communications Protocol Connecting Remote Alarm Port The ventilator is equipped with a remote alarm port enabling ventilator alarm conditions to be sounded at remote locations away from the ventilator Pressing ALARM SILENCE deactivates the remote alarm The ventilator signals an alarm using a nor...

Page 65: ...low sensor which may lead to inaccurate spirometry or a Vent Inop condition Remote Alarm Cable Kits System Part Number Remote Alarm Cable Kit Normally Open Protocol 1003741 Remote Alarm Cable Kit Normally Closed Protocol 1003742 Remote Alarm Cable Kit Respironics LifeCare 1003743 WARNING Use only Respironics approved cables when connecting to the remote alarm port Be sure to fully insert the cable...

Page 66: ...cedure supplied by the humidifier manufacturer The following steps should be followed to electrically connect the humidifier to the ventilator for 100 120 VAC ventilators For ventilators using voltage other than 100 120 VAC the humidifier must be connected to another AC outlet 1 Remove the cover of the humidifier AC power outlet on the back of the ventilator Figure 6 3 Figure 6 3 Humidifier AC Out...

Page 67: ...ent wye Figure 6 6 2 Follow steps illustrated by Figure 6 5 Figure 6 6 and Figure 6 7 Figure 6 5 Ventilator Gas Outlet Port to Humidifier Patient Circuit Connection WARNING AC power is applied to the humidifier from the ventilator humidifier outlet only available on 100 120 VAC ventilators Under no circumstances does the Respironics V200 Ventilator provide control for the humidifier To ensure pati...

Page 68: ...r Operator s Manual REF 1057983 A Connecting Additional Equipment Figure 6 6 Humidifier Outlet to Patient Wye Connection Figure 6 7 Expiratory Limb of Patient Circuit to Water Trap Connection Shows Down Tube between Ventilator and Water Trap ...

Page 69: ...or example when using a heat and moisture exchanger refer to Figure 6 8 Figure 6 8 Patient Circuit Connections Without Humidifier Connecting the Analog Port The analog output port adds a second remote alarm output Pin 12 fourth pin from the top left is pin 12 signals an unsilenced high or medium urgency alarm 0 VDC active alarm 1 5 VDC no alarm or silenced alarm ...

Page 70: ... Operator s Manual REF 1057983 A Connecting Additional Equipment The Communications option provides additional signals on this port Refer to Chapter 13 Options and Accessories Figure 6 9 Analog Port Analog Port Circuit breaker cover not shown ...

Page 71: ...entilation Ventilator Breath Types The ventilator provides the following ventilation breath types Volume Control Ventilation VCV invasive ventilation Pressure Control Ventilation PCV invasive ventilation Non Invasive Positive Pressure Ventilation NPPV non invasive ventilation During mechanical ventilation the operator selects one of the ventilation modes The selected ventilation breath type along ...

Page 72: ...V In Pressure Control Ventilation breaths may be controlled by the ventilator mandatory or by the patient spontaneous When controlled by the ventilator breaths are pressure limited and time cycled resulting in an operator set PRESSURE pressure being delivered for an operator set I TIME period of time Refer to Figure 7 2 Figure 7 2 Pressure Control Ventilation PCV Waveform ...

Page 73: ...owed to breathe spontaneously and the machine attempts to deliver volume VCV or pressure PCV mandatory breaths in synchrony with the patient s effort at the operator set rate and volume or pressure This is accomplished by a combination of spontaneous and mandatory windows that open and close The type of breath delivered depends upon whether the event during the window is patient initiated operator...

Page 74: ...7 3 Figure 7 3 Continuous Positive Airway Pressure CPAP Pressure Support Ventilation PSV In Pressure Support Ventilation the patient s spontaneous efforts are assisted by the ventilator at an operator set level of inspiratory pressure Inspiration is initiated by the patient and terminated when the inspiratory flow falls below an operator set percentage of the peak flow during this breath During Pr...

Page 75: ...ted breaths PSV PCV and IPAP in NPPV The operator can adjust the velocity of pressurization to better match the patient s demand for flow Refer to Figure 7 6 Figure 7 6 Rise Time Patient Initiated Breath Triggering Patient initiated breaths can be flow or pressure triggered in A C SIMV CPAP for Pressure or Volume breath types or flow triggered in NPPV The pressure trigger level determines the amou...

Page 76: ...p seal The operator determines whether the mode is totally spontaneous Spont Ventilation Mode or spontaneous with a backup rate Spont T Ventilation Mode Spontaneous Ventilation Mode Spont In Spontaneous Ventilation Mode the operator sets the pressure during exhalation EPAP and the target pressure during inspiration IPAP The patient triggers the breath based on the Flow Trigger setting Exhalation i...

Page 77: ... interval of time The apnea time can be set between 10 and 60 seconds Upon entering this mode of ventilation the ventilator will alarm and immediately start using the Apnea Rate setting specified by the operator In PCV and VCV the ventilator will begin delivering breaths in Assist Control A C but with the operator set Apnea Rate In NPPV the ventilator will deliver only machine controlled breaths e...

Page 78: ...case Call for service During SVO 1 The safety valve is opened 2 The exhalation valve is opened 3 The air and oxygen valves remain closed 4 A high priority alarm is activated 5 The Safety Valve Open indicator is illuminated 6 The Normal indicator is turned off Parameters Used in Apnea Ventilation Settings and Alarm Limits VCV PCV NPPV Settings Tidal Volume Peak Flow PEEP I Trigger pressure flow Flo...

Page 79: ...types The ventilator is easy to use because all mode settings and alarm limits are selected using the same three step process 1 Select the parameter to be changed by pressing the associated button The screen shown in Figure 8 1 appears WARNING Ensure that an alternative means of ventilation that is a resuscitator or similar device is available while the ventilator is in use on a patient WARNING Th...

Page 80: ...to enter the value and return to the previous display Press the CANCEL button to leave the value unchanged NOTE All volumes entered into the ventilator are assumed to be BTPS Body Temperature atmospheric Pressure Saturated with H2O volumes unless otherwise noted All volumes reported by the ventilator are reported as BTPS volumes All pressures are assumed to be relative to atmospheric pressure unle...

Page 81: ...sion of the ventilator s front panel includes the indicators and controls shown in Figure 8 2 The symbol version of the front panel is shown in Figure 8 3 Figure 8 2 Front Panel Text Version Inop Vent Safety Valve Alarm Status Indicators Touch Display Power Status Indicators Front Panel Keys Power On Off Switch Level Controls ...

Page 82: ...ilator 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 ...

Page 83: ...vice During Vent Inop the ventilator opens the safety valve to enable the patient to breathe room air spontaneously The ventilator also discontinues detection of new alarm conditions during Vent Inop WARNING Vent Inop is a serious condition which is indicated by both visual and audible alarms If the ventilator is attached to a patient when Vent Inop occurs the patient must be supported with anothe...

Page 84: ...icators Battery Indicator Status Description In Use Yellow active The ventilator is running on backup battery power The backup battery is used when there is no AC power and no other battery is available Charging Yellow active The backup battery is charging The battery should not be considered a fully charged power source when this indicator is illuminated The Charging indicator will stay on for th...

Page 85: ... and the rear panel Mains circuit breaker is on I Ext Battery Yellow Continuously illuminated when the external battery is in use NOTE The external battery is an optional accessory See Options and Accessories on page 13 1 for more information Power Status Indicators Continued Battery Indicator Status Description Table 8 2 Power Status Indicators Sheet 2 of 2 ...

Page 86: ...he alarm keys and buttons Figure 8 7 Front Panel Keys Text Version Figure 8 8 Front Panel Keys Symbol Version Front Panel Keys Key Symbol Definition Description Screen Lock Function Locks and unlocks the graphic display touch screen When the screen lock is activated all on screen buttons are disabled until the touch screen is unlocked This prevents inadvertent setting and display changes via the t...

Page 87: ... Ventilation on page 8 27 Alarm Reset also terminates ALARM SILENCE NOTE The ventilator may automatically reset certain types of alarm conditions once the causes of the alarms are corrected After an automatic reset the ventilator will clear the audible alarm and will display a Low Urgency Alarm alert in the Alert Message Insert to inform the operator that an alarm condition existed When this situa...

Page 88: ... 3 Front Panel Keys Sheet 3 of 3 Front Panel Controls Control Definition Description Adjust Control Used in conjunction with the front panel graphical display and touch screen to enter operator selected values for ventilator settings and alarms Display Brightness Increases or decreases the brightness of the touch screen display Audible Alarm Volume Increases or decreases the audible alarm volume T...

Page 89: ...ens Ventilator Screens that appear when the machine is functioning as a ventilator Diagnostic Screens that appear when the machine is not functioning as a ventilator and is running internal tests Refer to Chapter 11 Diagnostics for more information about displaying ventilator diagnostic information Common Ventilator Screen Components Except for the patient data screen screen configurations are det...

Page 90: ...en Making a setting screen selected for a breath type that is not active is the first step to activate that ventilation breath type Refer to Selecting a New Ventilation Breath Type VCV PCV or NPPV on page 8 23 Active Mode push to display the settings for the active ventilation mode and breath type Active Alarms push to show current alarm settings for the active ventilation mode and breath type Pat...

Page 91: ... Indicator High pressure alarm setting press this button to modify HIP Breath Indicator Manometer with Waveform Manometer only for mode setting screens Breath Indicator Breath Symbol Description Mand Operator or ventilator triggered mandatory breath Assist Patient triggered mandatory breath Plateau Inspiratory hold can be set at the end of the inspiratory phase of a VCV breath type Support Patient...

Page 92: ...ert window will appear that will allow the operator to change the value of the setting Figure 8 1 Pressing the ACTIVE MODE button displays the settings screen for the currently selected ventilation breath type and mode Chapter 7 Operating Theory for more information on ventilation modes breath types and controls For example in Figure 8 13 the current breath type is VCV and the mode is A C Because ...

Page 93: ...he ventilator displays the current value for that parameter in an insert that allows the operator to adjust the settings value Figure 8 14 3 Press the bar to increase or decrease the setting to the value you want or use the front panel knob to adjust the value of the setting 4 Press the screen ACCEPT button or the front panel ACCEPT button to activate the new setting or CANCEL to leave the setting...

Page 94: ...cting Alarm Limits Follow these steps to adjust currently active alarm limits 1 Push ALARM SETTINGS The ventilator displays the alarm limits for the currently active ventilation mode Figure 8 15 2 Push the button for the alarm limit you want to adjust The ventilator displays the current value for that alarm limit in a display insert similar to Figure 8 14 3 Press the bar or use the front panel kno...

Page 95: ...S or NPPV SETTINGS button that has a gray background and black letters not active WARNING For patient safety the HIP Limit Setting should be set as close to the peak inspiratory pressure as patient conditions allow CAUTION If clinical conditions do not require setting the HIP Limit above 60 cmH2O we recommend the setting normally be adjusted to 60 cmH2O or less in order to prolong the operating li...

Page 96: ...display the alarm settings for PCV Figure 8 18 4 Notice that all the alarm buttons Figure 8 18 are grayed out indicating that the alarm limits are not currently active The ventilator displays the current value for that set of alarm limits Push the button for the alarm limit you want to adjust 5 Press the bar or use the front panel knob to adjust the value as shown in Figure 8 14 6 Press ACCEPT to ...

Page 97: ...tory VCV breaths whether they are initiated by the patient the ventilator or the operator The waveform selection is not applicable to PCV or NPPV NOTE Any of the changes made in the screen shown in Figure 8 18 do not take effect until the operator switches to the new ventilation breath type in this case Pressure Control Grayed out buttons indicate that the alarm limits are not active Push button o...

Page 98: ...ge ventilator or alarm settings The patient type selection determines flow output at various rise time settings for PCV PSV and IPAP In addition the I Time too long alarms and time out for spontaneous breaths are set to 3 5 seconds for the adult setting and 2 5 seconds for the pediatric setting Peak flow is limited to 100 LPM in all pressure based breaths when using the pediatric setting Figure 8 ...

Page 99: ...V and PCV select Pressure or Flow Because only the flow trigger is available in NPPV the Pressure and Flow buttons do not appear in this insert in NPPV 4 Adjust and change the value as described above Figure 8 21 Inspiratory Trigger Window Settings with Calculated Values Certain window inserts that are used to modify values of settings can also have calculated results in them Figure 8 22 When the ...

Page 100: ...ulated Results Rate and Apnea Rate Settings Relationship For all breath types VCV PCV and NPPV the ventilator ensures the Apnea Rate setting is equal to or greater than the set Rate up to 20 BPM When set rate is equal to the Apnea Rate and less than 20 BPM increasing the Set Rate increases the Apnea Rate equally up to 20 BPM Above 20 BPM the Apnea Rate can be greater than or less than the Set Rate...

Page 101: ...ton for the new breath type you want to select from the bottom bar Figure 8 24 PCV in this example Figure 8 24 Ventilation Control Buttons PCV settings selected 2 The setting screen for the selected breath type appears All of the settings are grayed out indicating that they are not currently active However you can use the grayed out buttons to change the settings as necessary with the exception of...

Page 102: ...pt when Activate is pressed and PCV settings selected 4 At this prompt the operator can Move directly into PCV by pressing the OK button or Review the PCV alarm settings or Change nothing and return to the PCV settings screen by pressing the CANCEL button If the OK button is pressed the ventilator immediately begins operations in PCV the PCV settings become active and screen in Figure 8 27 a appea...

Page 103: ... selected breath type as shown in Figure 8 27 c 5 If the operator elects to review alarm settings the alarm settings screen for the destination mode is shown Figure 8 28 All the alarm limits are grayed out in this screen because the selected breath type PCV is not yet active However the grayed out buttons can be used to adjust values as seems appropriate for the patient Figure 8 28 Alarm Limits Sc...

Page 104: ... Mode Available during Description A C VCV or PCV Assist control all breaths are mandatory and are triggered by operator patient or ventilator SIMV VCV or PCV Synchronous intermittent mandatory ventilation breaths can be mandatory or spontaneous Mandatory breaths are triggered by operator patient or ventilator PSV is available CPAP VCV or PCV Continuous positive airway pressure all patient trigger...

Page 105: ...mode change the ventilator changes the mode selected to active Figure 8 32 Figure 8 32 Ventilation Mode buttons SIMV and Spont shown as active Apnea Ventilation Apnea ventilation provides an emergency mode of ventilation if the ventilator does not deliver a breath for an operator set interval of time The apnea time can be set between 10 and 60 seconds Upon entering this mode of ventilation the ven...

Page 106: ...ak Inspiratory Pressure The maximum airway pressure during inspiration 20 0 to 130 cmH2O hPa 0 1 for 20 0 to 99 9 1 for 100 to 130 MAP Mean Airway Pressure The average of airway pressure during one full breath cycle 20 0 to 120 cmH2O hPa 0 1 for 20 0 to 99 9 1 for 100 to 130 Pe End Pressure at End Expiration The pressure measured at the end of expiration 20 0 to 99 9 cmH2O hPa 0 1 Pi End Pressure ...

Page 107: ...e compensated if enabled 0 00 to 99 9 L BTPS 0 01 for 0 00 to 9 99 0 1 for 10 0 to 99 9 O2 Delivered O2 One second average of O2 sensor reading if O2 sensor is installed 0 0 to 110 0 01 for 0 00 to 9 99 1 for 100 to 110 Spont Rate Spontaneous Respiratory Rate The respiratory rate of spontaneous breaths 0 0 to 150 Bpm 0 1 for 0 0 to 9 9 1 for 10 to 150 Total Rate Total Respiratory Rate The respirat...

Page 108: ... Displayed Ventilation Breath Type Monitor Screen Settings Displayed VCV Rate Peak Flow Tidal Volume PEEP O2 Pressure Support PCV Rate Inspiration Time Pressure PEEP O2 Pressure Support NPPV Rate IPAP EPAP O2 Table 8 8 Monitor Screen Settings Displayed This screen is displayed in VCV This screen is displayed in NPPV This screen is displayed in PCV ...

Page 109: ...ill be closed During this period there is no flow of gas into or out of the patient circuit from the ventilator You can monitor the airway pressure by watching the EXPIRATORY PAUSE PRESSURE digital display and by watching the pressure versus time waveform When you determine the airway pressure has stabilized the EXP HOLD key should be released If the key is held for 5 seconds the ventilator will a...

Page 110: ...monitor or airway temperature monitors 4 Ensure that the ventilator is not on a patient 5 Hold down the ALARM RESET and 100 O2 keys while the ventilator is powered up The operator must confirm that the machine should be in Diagnostic Mode Figure 8 36 Figure 8 36 Entering Diagnostic Mode 6 Press OK to clear the Warning message and enter Diagnostic Mode WARNING Ensure that an alternative means of ve...

Page 111: ...est results Figure 8 37 Do not proceed until the ventilator completes SST without failures Figure 8 37 SST Results NOTE If time is found to be incorrect more than once in the preoperational procedure an internal battery may have to be replaced Contact qualified service personnel or call Respironics Customer Service at 1 800 345 6443 Any failures detected during SST are listed here Push USER CONFIG...

Page 112: ...use are in effect at power up Select appropriate settings for the next patient as described in this chapter Alarm Testing Procedure A procedure is available if the operator wants to test the operation of alarms We recommend following the preoperational procedure Refer to C Alarm Testing Procedure Where To Go For Help For clinical or technical support contact Respironics Customer Service at 1 800 3...

Page 113: ... the alarm will have the following audible and visual components an indicator is illuminated a sequence of tones sounds a screen alert window appears with a message in it Visual Alarms The ventilator includes alarm and status indicators located on the front panel to provide a visual summary of active alarm conditions Each of these indicators is illuminated by either a red green or yellow light whi...

Page 114: ...s for silencing audible alarms are described below Alarm Silence To silence alarms perform the following Press the ALARM SILENCE key on the front panel The audible tone will cease and the alarm silence indicator will illuminate and remain lit for two minutes Specific alarms that cannot be silenced are listed in Table 9 1 Alarm Alert Messages When ALARM SILENCE is pressed before the end of the two ...

Page 115: ...alarm condition reoccurs the alarm restarts at its initial level of urgency and elevates as described in Table 9 1 Alarm Alert Messages on page 9 5 For you to clear an apnea alarm the ALARM RESET key may be pressed Once it has been pressed the ALARM RESET will cancel an existing apnea alarm and return ventilation to the active mode If the condition that triggered the apnea alarm persists after the...

Page 116: ...low the Patient Data box in the middle of the screen While the alarm is active i e visual and audible alarms are still present the message in the Alert insert appears in bold faced type Once the alarm condition has been corrected the message automatically switches to regular face type Pressing ALARM RESET clears alarm messages When the operator presses the ALARM RESET button described above the al...

Page 117: ...ilenced Exp Valve Stuck Open Alarm cannot be silenced or manually reset Call for service Gas Supplies Lost SVO A high urgency alarm indicates the oxygen and air source are no longer operable Safety valve opens Check O2 source and internal air source Call for service Cannot be silenced or manually reset High Inspiratory Pressure Indicates that circuit pressure exceeds the high pressure limit When H...

Page 118: ... I Time Too Long The ventilator triggers a medium urgency alarm to indicate that a spontaneous breath has exceeded the maximum allowed inspiratory time of 3 5 seconds 2 5 seconds in Pediatric mode The alarm is elevated to high urgency after two consecutive breaths that meet the alarm criteria Low Backup Battery If the backup battery is low a high priority alarm will be triggered Immediately connec...

Page 119: ...reset Low O2 Supply A high urgency alarm indicates that O2 gas supply is below acceptable levels and the O2 setting is above 21 Check O2 gas connections and inlet filter Alarm cannot be manually reset Low PEEP If PEEP is less than the operator set Low PEEP limit for one second during exhalation triggers a medium priority alarm If the Low PEEP alarm remains active for one minute the alarm moves to ...

Page 120: ... is elevated to high urgency after one minute Note A Low Vt setting of zero 0 will disable this alarm O2 Valve Stuck Closed Alarm cannot be silenced or manually reset Call for service Occlusion SVO Safety Valve opens The ventilator triggers a high urgency alarm to indicate that an occlusion has been detected in the patient circuit Check circuit tubing for crimped hoses or blockage Check filters an...

Page 121: ...en a low priority alarm condition exists this indicator remains lit with a steady yellow light until the alarm is reset Vent Inop The Vent Inop indicator signals the operator that the ventilator is not capable of supporting ventilation and requires service During a ventilator inoperative condition the ventilator enters a safe state where the safety valve is opened and new alarm condition detection...

Page 122: ...any other time it cannot be reset Immediately use an alternative ventilation source and call for service Alarm Silence The indicator on the Alarm Silence key will illuminate with a steady yellow light whenever the operator presses the alarm silence control The indicator remains lit for two minutes after the Alarm Silence key is pressed If Alarm Silence is active and an alarm takes place that invol...

Page 123: ...ventilator are described in the following sections Some ventilator parts must be disassembled before cleaning and sterilizing Refer to Removing and Replacing Internal Air Source Inlet Filter on page 10 10 Cleaning When cleaning parts avoid the use of hard brushes or other instruments likely to cause surface damage CAUTION Care should be taken when cleaning the touch display Refer to Figure 8 2 on ...

Page 124: ...ical indicator in the autoclave load as a subsequent test for sterility 4 Aseptically store parts until used Chemical Disinfecting The O2 sensor tee P N 1001736 and the O2 sensor coupling P N 1002505 may be chemically disinfected The PVC O2 sensor tee P N 8 100498 00 gray in color cannot be chemically disinfected For chemically disinfected parts reassemble after disinfecting WARNING Do not expose ...

Page 125: ...on of soap and water Rinse and dry parts Do not steam autoclave chemically disinfect or expose to ETO gas Do not allow liquid to migrate into the inlet port CAUTION Formaldehyde phenol based and quaternary ammonium compound QUATS disinfectants are not recommended because these agents can cause cracking and crazing of plastic parts Exposure of components to disinfectant concentrations stronger than...

Page 126: ...h the ventilator Replace if cracked or leaking Bacteria Filters Bacteria filters are typically used on the inspiratory and expiratory port connections on the front of the ventilator Filter locations are illustrated below Figure 10 1 Inspiratory and Expiratory Bacteria Filter Locations The inspiratory filter port is a 22mm standard connector Use the filter supplied with the ventilator The expirator...

Page 127: ...odged When used O2 sensor is located between gas outlet 4 and filter 3 3 Insert new filter onto the gas outlet 4 with flow direction indicator on the filter pointing away from the ventilator 4 Reconnect circuit tubing 1 to new filter outlet 2 Removing and Replacing Expiratory Bacteria Filter Refer to the illustration below and follow the steps outlined below to remove and replace the expiratory ba...

Page 128: ...bracket 2 4 Use tabs 3 to gently remove heater housing 5 and filter 4 from the ventilator 5 Do not touch heater housing If ventilator has not been turned off and heater housing has not been allowed to cool it may be hot to the touch 6 Carefully remove filter 4 from heater housing 5 7 Tap filter input port 6 if filter 4 cannot be easily removed from housing 5 8 Insert new filter into housing 5 9 Re...

Page 129: ...dity and aerosol medications may reduce expiratory filter life increase expiratory resistance and or cause filter damage CAUTION Do not operate the ventilator without a properly functioning expiratory filter and heater Doing so may cause damage to delicate ventilator components such as the expiratory flow sensor which may lead to inaccurate spirometry or a Vent Inop condition WARNING Vent Inop is ...

Page 130: ...1733 Kit contents are subject to change Install 12 500 hour preventive maintenance kit Clean ventilator interior and exterior Complete performance verification procedure CAUTION The 12 500 hour preventive maintenance procedure is to be performed only by a qualified service technician As required External oxygen sensor Backup Battery Replace and recalibrate new sensor by running Extended Self Test ...

Page 131: ...0 5 Removing and Replacing O2 Input Filter Element Refer to Figure 10 5 1 Disconnect O2 Hose 1 2 Unscrew filter housing 3 3 Unscrew filter element retaining screw 4 4 Remove and replace filter element 5 5 Reconnect filter element retaining screw 4 6 Reinstall filter housing 3 7 Reconnect O2 hose 1 8 Check system for leaks prior to patient use 1 5 2 3 4 ...

Page 132: ... duct 2 as indicated by the arrow 3 Wash internal air source filter 1 with mild soap and water 4 Rinse thoroughly then pat dry 5 Reinstall internal air source filter 1 from underneath the duct 2 in the same fashion it was removed Storage If you need to store the ventilator for fifteen days or more ensure that the altitude temperature and humidity of the storage site fall within the following range...

Page 133: ...guration including time and date compliance compensation enable disable local altitude and time format backup battery confirm at startup enable disable Check diagnostic codes WARNING The patient must be disconnected from the ventilator before entering the Diagnostic Mode since normal ventilation is suspended CAUTION Troubleshooting and repair should be performed only by a qualified service technic...

Page 134: ... you turn on the ventilator A message appears on the ventilator prompting you to confirm that the patient is disconnected before entering Diagnostic Mode Figure 11 1 Press OK to enter Diagnostic Mode Figure 11 1 Entering Diagnostic Mode Once you ve entered Diagnostic Mode you can select any of diagnostic functions by pressing its button Change values in Diagnostic Mode the same way you change vent...

Page 135: ...nsors and or temperature sensor Plug or cap for the patient wye Follow these steps to run SST 1 Connect the circuit to be used on the next patient to the ventilator 2 Press the SST button Figure 11 1 on the diagnostic screen 3 Press the Start SST button to begin the test 4 When prompted unplug the patient wye and press the OK button 5 When prompted plug the patient wye and press the OK button 6 Wh...

Page 136: ...egin EST 5 Follow the prompts 6 When EST completes successfully press the OK button Hardware The hardware function allows a trained service technician to operate critical components separately to help identify a faulty component in the event that the ventilator fails SST EST or performance verification testing For more information on the Hardware function see the Esprit V200 Ventilator Service Man...

Page 137: ...on on the diagnostic screen The ventilator displays the following information Number Diagnostic codes are numbered in reverse order of occurrence most recent first Code The number assigned to a specific diagnostic code used in determining the cause of a possible failure Repeat If the same code occurs consecutively this parameter will be incremented rather than creating a new entry in the log For e...

Page 138: ... are preceded by a 2 and EST codes are preceded by a 3 For example if code 106 occurred during an SST it would be logged as 2106 If it occurred during an EST it would be logged as 3106 CAUTION Diagnostic codes should only be cleared by qualified personnel WARNING Remove the ventilator from service and contact trained service personnel if any diagnostic codes appear with the exception of 1 3 2000 3...

Page 139: ... Motor Outside Range 3103 Air Flow Outside Range 3104 O2 Flow Outside Range 3105 Exh Flow Outside Range 3106 Patient Circuit Leak 3107 Inh Pressure Too Low 3108 Exh Pressure Outside Range 3109 Check Valve 2 Leak 3110 Check Valve 3 Leak 3111 O2 Not Connected 3112 O2 Not Disconnected 3113 FiO2 Sensor Sample Out of Range 3114 FiO2 Sensor Average Out of Range 3115 Primary Audio Not Sounding 3116 Backu...

Page 140: ...ilure O2 Flow Sensor Cal 3139 Verify Failure Exh Flow Sensor Cal 3140 Cannot Erase Flow Sensor Tables 3141 Cannot Open Inh Autozero Solenoid 3142 Cannot Open Exh Autozero Solenoid 3143 Air Step Position for Open Outside Range 3144 Air Step Position for Midpoint Outside Range 3145 Air Step Position for Close Outside Range 3146 O2 Step Position for Open Outside Range 3147 O2 Step Position for Midpoi...

Page 141: ...tside Range 5XXX Safety Valve Open or Backup Battery Not connected 5000 Occlusion Safety Valve Open Alarm 5001 Gas Supplies Lost Safety Valve Open Alarm 5002 Backup Battery Not Connected 8XXX Software Diagnostic information 8003 Software Option Button Failure 8004 Insufficient Blower Current WARNING Please contact Respironics Customer Service at 1 800 345 6443 or consult your service manual if any...

Page 142: ...r that only times out if there has been no activity on the microprocessor bus If there is no activity on the bus it would indicate there is a malfunction of some kind and the microprocessor is restarted in the same way that the watchdog timer does Power On Self Test POST POST is the test that the ventilator does when the machine power is turned on or if there has been a potential fault detected by...

Page 143: ...or only operates as a ventilator if the extensive constraints of the safety system are met Restart During normal operation the ventilator performs background checks to ensure the integrity of the system If a problem is detected the ventilator enters the restart sequence in which it opens the safety valve while it performs additional integrity checks Restart is 10 to 20 seconds depending upon the r...

Page 144: ...Chapter 11 11 12 Respironics V200 Ventilator Operator s Manual REF 1057983 A Diagnostics This page is intentionally blank ...

Page 145: ...led Ventilation PCV Non Invasive Positive Pressure Ventilation NPPV Apnea Ventilation Table 12 1 Breath Types Modes Assist Control A C VCV PCV SIMV VCV PCV CPAP VCV PCV Spont T NPPV Spont NPPV Table 12 2 Modes Volume Ventilation Settings Ranges Resolution Setting Range Respiratory Rate 1 to 80 Bpm Tidal Volume 50 to 2500 mL Peak Inspiratory Flow 3 to 140 Lpm Compliance compensated actual to 200 Lp...

Page 146: ...amp square Patient Type Adult Pediatric Volume Ventilation Settings Ranges Resolution Continued Setting Range Table 12 3 Volume Ventilation Settings Ranges and Resolution Sheet 2 of 2 Pressure Control Ventilation Settings Ranges Resolution Setting Range Apnea Rate 1 80 Bpm Respiratory Rate 1 to 80 Bpm PCV Pressure 5 to 100 cmH2O hPa Relative to PEEP Inspiratory Time 0 1 to 9 9 seconds Resolution i...

Page 147: ... 1 to 0 9 seconds O2 21 to 100 Patient Type Adult Pediatric Pressure Control Ventilation Settings Ranges Resolution Continued Setting Range Table 12 4 Pressure Control Ventilation Settings Ranges Resolution Sheet 2 of 2 Non Invasive Positive Pressure Ventilation Settings Ranges Resolution Setting Range Respiratory Rate 1 to 80 Bpm EPAP 2 to 25 cmH2O hPa IPAP 2 to 35 cmH2O hPa Inspiratory Time 0 1 ...

Page 148: ...ust be less than or equal to 3 1 Check Vt Apnea Rate or Peak Flow Waveform I E Ratio 3 1 I E Ratio must be less than or equal to 3 1 Check Vt Peak Flow or Apnea Rate I Time I Time 9 sec I Time must be less than or equal to 9 sec Check Vt Peak Flow Insp Hold or Waveform Table 12 6 Assist Control Ventilation Value Entry Reasonability Checks Pressure Control Ventilation Value Entry Reasonability Chec...

Page 149: ...her or adjust EPAP lower EPAP EPAP IPAP EPAP must be less than or equal to IPAP Readjust EPAP lower or adjust IPAP higher Rise Time Rise Time I Time Rise Time must be less than I Time Decrease the Rise Time or increase the I Time Table 12 8 Non Invasive Ventilation Value Entry Reasonability Checks General Value Entry Reasonability Checks Item Limit Exceeded Message Changed Apnea Apnea Rate Set Rat...

Page 150: ... to 150 Bpm 1 for 10 150 0 1 for 0 0 to 9 9 10 Spontaneous Respiratory Rate 0 0 to 150 Bpm 1 for 10 150 0 1 for 0 0 to 9 9 10 End Exhalation Pressure Pe End 20 0 to 99 9 cmH2O hPa 0 1 10 Patient Leak Pt Leak 0 0 to 140 LPM 0 1 for 0 0 99 9 1 for 100 140 Not specifieda Percent Patient Trigger Pt Trigger 0 0 to 99 9 0 1 for 0 0 99 9 1 for 100 10 a Due to the variable nature of patient leaks this par...

Page 151: ...to 77 db Adjust Control Continuous to change values on screen Table 12 12 Level Controls Calculated Values from Expiratory Hold Maneuver Value Range End Expiratory Pressure 20 to 120 cmH2O hPa Expiratory Pause Pressure 20 to 120 cmH2O hPa Auto PEEP calculated range 0 to 120 cmH2O hPa Table 12 13 Calculated Values from Expiratory Hold Maneuver Interface Ports Parallel Printer Port future RS 232 out...

Page 152: ...ig Flow 200 L min minimum Table 12 15 Environmental Specifications Environmental Protection Batteries Do not dispose of in fire possible explosion hazard Do not dispose of in garbage recycle lead batteries Ventilator Enclosure The system plastic enclosure should not be disposed of in fire possible toxic fumes may be generated General The system and accessories bacteria filters patient tubing etc m...

Page 153: ...60 Lpm Alarm Status Indicators Normal Indicator High Urgency Alarm flashing red Medium Low Urgency Alarm flashing yellow steady yellow Alarm Silence Safety Valve Open Ventilator Inoperative steady red Screen Locked Alarms Continued Table 12 17 Alarms Sheet 2 of 2 Connectors Inspiratory Limb Connector Gas outlet port 22 mm conical male Expiratory Limb Connector Gas return port on expiratory filter ...

Page 154: ...Position Inhalation output port Exhalation input port Measurements Patient airway pressure Volume Measurements Type Hot Film Anemometer flow integrated Sensing Position O2 air and exhalation Measurements O2 flow air flow and exhalation flow Oxygen Measurements Type Zirconia solid electrolyte Sensing Position Internal enclosure Measurements Oxygen concentration range 0 to 95 Type Galvanic cell Sens...

Page 155: ... medical devices and the requirements of Directive 89 336 EEC relating to electromagnetic compatibility IEC 601 1 Classification Protection class 1 type B applied part drip proof continuous operation The ventilator system complies with these international and European Standards IEC 601 1 EN60601 1 IEC 601 1 2 EN60601 1 2 EN 794 1 The ventilator system has been certified by the following CSA NRTL C...

Page 156: ...The ventilator is intended for use in the electromagnetic environment specified below The user of the ventilator should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Enforcement Guidance RF Emissions CISPR 11 Group 1 The ventilator uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause interference...

Page 157: ...nvironment Surge IEC 61000 4 5 1kV differential mode 2kV common mode 1kV differential mode 2kV common mode Mains power quality should be that of a typical hospital environment Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 5 UT 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 30 dip in UT for 25 cycles 5 UT 95 dip in UT for 5 sec ...

Page 158: ...calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Table 12 29 EMC Declaration Recommended Distances 3 Vrms150 kHz to 80 MHz outside ISM bandsa 3Vrms Radiated RF IEC 61000 4 3 10 Vrms 150kHz to 80 MHz in 10 Vrms 10 V m 80Mhz to 2 5GHz 10 V m 80Mhz to 800Mhz 800Mhz to 2 5GHz where P is the maximum output power rating of the transmitter in wat...

Page 159: ...this reason an additional factor of 10 3 is used in calculating the recommended separation distance for transmitters in these frequency ranges c Field strengths from fixed transmitters such as base stations 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 electromagne...

Page 160: ...0 3 79 7 40 100 12 00 12 00 12 00 23 00 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be determined using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation d...

Page 161: ... Manual 12 17 Pneumatic System Figure 12 1 Pneumatic System To Patient From Patient Internal Blower Heated Exhalation Filter Assy User Interface Inspiratory Module w SV and PRV Expiratory Gas to Atmosphere Exhalation Valve Assembly Oxygen Assembly System Electromechanical Controls O2 Inlet ...

Page 162: ...ription On Off Switch Label Heated Expiratory Filter Label Gas Return Label Gas Outlet Label Serial Port Remote Alarm Nurse Call parallel printer port Label Keep Covered Label Analog port Potential Equalization Connector DC Battery Connection Label AC Power Label Humidifier Outlet Label Power Switch on Front Label Circuit Breakers Label ...

Page 163: ...sposal warning label Warning Label Attention Label Hot and Attention Label Ventilator Labels Continued 1059179 REV A Respironics California Inc 2271 Cosmos Court Carlsbad CA 92011 MADE IN THE U S A Authorized Representative Respironics Deutschland GmbH Gewerbestrasse 17 D 82211 Herrsching Germany Covered by one or more of the following patents 6 543 449 Other patents pending WARNING Lamps in displ...

Page 164: ...er 12 12 20 Respironics V200 Ventilator Operator s Manual REF 1057983 A Technical Specifications Air Intake Label Protective Earth Ground Label Ventilator Labels Continued WARNING Air Intake Do Not Obstruct ...

Page 165: ... 2 13 39 1015725 Trending 13 69 1013446 Speaking Mode 13 103 1046805 Auto Trak 13 117 1061450 Hardware Accessories AC Power Cord 1001832a Backup Battery 1059956 External Battery 13 6 1059955 Vuelink Cable 1006912 V200 Cart 1060495 Flex Arm Assembly 1003781 Flex Arm Bracket 1002497 Humidifier Bracket Kit Hudson CONCHATHERM IV 1061390 Humidifier Mounting Adapter Hudson CONCHATHERM Series III IV 1002...

Page 166: ...e Vial System Water Collection 1021884 Disposable Items Disposable Exhalation Bacteria Filter pkg of 12 1002240 Disposable Inspiratory Bacteria Filter Single 1014047 Disposable Inspiratory Bacteria Filter pkg of 10 0342077 Disposable Patient Circuit Adult Kit includes 1 Disposable Inspiratory Bacteria Filter 1 Disposable Exhalation Bacteria Filter 2 Coupling Straight Silicone 1003698a 1014047 1002...

Page 167: ...tions MSA MiniOX O2 1 Remove the O2 sensor a from the package Discard the o ring and adapter not shown provided with the sensor 2 Place flat gasket b into the threaded hole of the O2 Sensor Tee c 3 Screw the O2 sensor b into the O2 sensor tee c 4 Insert one end of the O2 sensor cord d into ventilator Insert other end of O2 sensor cord d into the sensor Fasten each end with knurled collars Analytic...

Page 168: ...re 13 3 Connecting O2 Sensor and Patient Circuit 2 Connect the T fitting 2 to the gas outlet port 1 3 Insert the inspiratory bacteria filter 4 into the T fitting 2 using the 22mm connector 3 if necessary Some bacteria filters provide an arrow or other mark to indicate the direction of flow The flow indicator should be pointed away from the ventilator toward the patient circuit connection CAUTION T...

Page 169: ... MSA and Analytical Industries External Oxygen Sensors Both tees are compatible with all ventilators Both tees have 22mm female male connections therefore the 22mm male male adapter P N 1002505 is not needed when using this adapter Figure 13 4 Sensor Tee NOTE Record O2 sensor manufacturing or warranty numbers and installation date for future reference NOTE To ensure accurate O2 monitoring check O2...

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Page 171: ...ilator Operator s Manual 13 7 External Battery Option The V200 External Battery is designed for use with a Respironics V200 Ventilator equipped with a backup battery Figure 13 5 Ventilator with External Battery Installed External battery ...

Page 172: ... battery power is used until depleted An audible alarm sounds when the backup battery is in use The ventilator will not operate when the battery is depleted AC power can be restored to the ventilator at any time during battery use When AC power is restored the ventilator consumes AC power only and both batteries begin recharging See Battery Charging on page 13 10 External Battery Backup Battery Op...

Page 173: ...tor sounds a high urgency audible alarm a repeating sequence of five tones that cannot be reset and the red Low text version of the front panel or symbol version of the front panel and Alarm High indicators flash WARNING The external battery ON OFF switch must be in the ON I position to ensure operation during a power failure When this switch is in the OFF O position the external battery is disabl...

Page 174: ...y mode A new external battery fully charges within 15 hours The time required to recharge depends on the original charge level of the battery When the external battery is connected to a functioning AC power source the MAINS indicator located on the front of the ventilator is lit and the green AC indicator on the external battery is lit Figure 13 7 The yellow Battery Charging indicator on the exter...

Page 175: ...h a regionally approved recycling center For additional information contact Respironics Customer Service at 1 800 345 6443 CAUTION The External Battery is designed to recharge only as described here Do not use any other method to recharge the External Battery CAUTION If the ventilator is expected to be stored for more than 2 weeks the external battery ON OFF switch should be set to the OFF O posit...

Page 176: ...in any way that in Respironics judgment affect its ability or reliability or which has been subjected to misuse negligence abuse or accident Unauthorized service and or failure to perform periodic maintenance may void this warranty This warranty does not cover damage that may occur in shipment This warranty takes precedence over all other warranties expressed or implied This warranty also takes pr...

Page 177: ...necting from the wall or cylinders This allows quick easy transfer between oxygen supplies without interruption of flow Easy transfer of oxygen supply facilitates patient transport within the facility and allows replacement of one cylinder while operating from the other Figure 13 8 Oxygen Manifold Assembly Kit Contents 1 Oxygen Manifold Assembly 1 Oxygen Manifold Bracket with Grommet 2 24 inch Med...

Page 178: ...lator Wheel WARNING The Oxygen Manifold is for oxygen use only WARNING Maximum inlet pressure 90 PSIG Minimum inlet pressure 50 PSIG at 200 SLPM WARNING Keep all hoses within the limits of the ventilator footprint to prevent a tripping or snag hazard CAUTION Use this kit with the Respironics V200 Ventilator only CAUTION Do not use the oxygen manifold or oxygen hoses to move the ventilator ...

Page 179: ...oxygen inlet elbow fitting Using the manifold for leverage rotate the oxygen inlet elbow fitting until the manifold assembly is vertical as shown in Figure 13 10 Figure 13 10 Ventilator With Oxygen Manifold Oxygen Manifold Kit P N 1004415 For Use With Exprit Ventilato r Only CAUTION Use Oxygen Only Operating Pressure Range 50 90 PSIC at 200 SLPM WALL CONNECTION O2 CYLINDER O2 CYLINDER RESPIRO NIC ...

Page 180: ...10mm screws Figure 13 11 Attaching Manifold Support Bracket 4 If you will be using O2 cylinders connect either or both of the oxygen hoses from the O2 cylinders to the left and right inlets of the oxygen manifold assembly These inlets are marked O2 Cylinder Figure 13 12 Completed Manifold Assembly Oxyge n Manifo ld Kit P N 1004415 For Use With Exp rit Ven tilat or Only CAUTION Use Oxygen Only Oper...

Page 181: ...inder valves Oxygen is delivered to the ventilator from all sources that are active Therefore if the O2 cylinder valves are open while oxygen is being delivered from the wall supply the cylinders can be depleted of oxygen To avoid depleting the O2 cylinders shut off the cylinder valves when using the wall oxygen supply To Use O2 Cylinders Open the O2 cylinder valves and disconnect the wall oxygen ...

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Page 183: ...indow pressure flow or volume a flow volume loop window and a pressure volume loop window Graphics is available in all ventilation types Starting Graphics To enter the graphics screens press the Graphics icon button in the lower right corner of the screen Figure 13 13 Figure 13 13 VCV Settings Screen and the Graphics Icon Button Using Graphics Press the WAVEFORMS button to view two waveforms or pr...

Page 184: ...illoscope Scrolling selects a waveform that is drawn from left to right then continuously shifts to the left to display the most recent data at the right edge of the screen similar to a stripchart Rescaling the Display Press RESCALE Figure 13 15 to allow software to adjust the vertical scales for waveforms and vertical and horizontal scales for loops Rescaling is available for waveforms and loops ...

Page 185: ...ms Screen a Before and b After Rescale Follow these steps to change scales manually 1 Touch the upper or lower portion of the scale you want to change 2 Press the INCREASE or DECREASE bar or turn the knob to adjust the scale range 3 Press ACCEPT onscreen button or offscreen key Figure 13 17 shows an example of how to adjust an upper scale limit a BEFORE Rescale b AFTER Rescale ...

Page 186: ...ture is in effect each graphics window shows numeric data for the cursor position on the waveform display To adjust the cursor position and select which breath appears on the loops windows and view the exact flow pressure and volume at different points of each breath press the arrow button or turn the knob Press the CONTINUE button to unfreeze graphics Figure 13 19 shows a frozen Loops display Pre...

Page 187: ...s screen 2 Use the arrow buttons or knob to select a breath 3 Press the SAVE button 4 Press CONTINUE to unfreeze the screen 5 Press the OVERLAY button to superimpose a gray image of the saved loop on the current display the Overlay feature works on frozen or unfrozen displays 6 Press the SINGLE VIEW button to view current graphics without the saved loops Figure 13 20 illustrates the Overlay featur...

Page 188: ...t represents the ventilator imposed work of breathing and is only calculated and displayed for a frozen loop If the ventilator is supporting the entire breath the Insp Area window displays 0 000 If the Insp Area window shows dashes the ventilator is not calculating inspiratory area because the loops are not frozen Figure 13 21 Loops Screen with Inspiratory Area Window SAVE button OVERLAY icon butt...

Page 189: ...057983 A Respironics V200 Ventilator Operator s Manual 13 25 Chapter 13 Alarms During Graphics If an alarm occurs during Graphics an Alerts window Figure 13 22 lists the active alarms Figure 13 22 Graphics Screen with Alerts window ...

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Page 191: ...option button a printer icon is displayed in the lower right corner of the screen Figure 13 23 The printer icon is gray if the Communications option is not installed not available or a print is in progress Figure 13 23 Communications Print Option Button Printer Icon Print Screen The Communications Print option allows the ventilator to print out the screen contents to an attached printer The printe...

Page 192: ...s cover the printer icon and are not available for printing The print screen function is also not available any other time the printer icon is gray Canceling a Print Screen Request To cancel a print screen request e g during an alarm touch the frozen screen at any location Any contact with the touch screen including the gray printer icon while the printer icon is gray cancels the print in progress...

Page 193: ...re listed in order of priority as defined by the ventilator Data displayed on the VueLink system is for reference purposes only Decisions for patient care should not be based solely on the data displayed on the VueLink system Connecting to the VueLink Module The Communications option enables the ventilator to connect to a VueLink module using a VueLink cable Respironics part number 1006912 a VueLi...

Page 194: ...irections for an Open Interface device For reference purposes only below are configuration directions from the Agilent M1032A VueLink Module Handbook Fourth Edition 08 2000 Configuration Overview The VueLink Module must be configured during installation Additional configuration will be required whenever a new device driver is preselected for availability in Monitoring Mode The VueLink Module can b...

Page 195: ...at the LED next to Open Device is lit while in Monitoring mode to display ventilator data If it is not lit press the button on the VueLink Module select Open Interface and press confirm Pressing the button on the VueLink Module will then display the Standard Parameter Interface SPI screen Pressing the VueLink Module button a second time will activate the ventilator screen with more information Pre...

Page 196: ...ed to the module the CMS automatically displays ventilator parameters The active type of ventilation determines what data the CMS displays Table Figure 13 24 defines CMS displays and equivalent Respironics V200 Ventilator information Available on CareNet CMS message V200 equivalent Comments Volume control ventilation VCV parameters Mode and type of ventilation will always be displayed X AWF Flow D...

Page 197: ...sured peak inspiratory pressure MnAwP MAP Measured mean airway pressure Pplat Pi End Measured end inspiratory plateau pressure PEEP Pe End Measured positive end expiratory pressure sPVcP set pressure Set PCV pressure SpMV Spont VE Measured spontaneous minute volume MV VE Measured minute volume PtLeak Pt Leak Estimated patient leak X TV Vt Measured tidal volume sFIO_2 set O2 Set oxygen percentage f...

Page 198: ...nspired oxygen sInsTi set I Time Set inspiratory time RiseTi Rise Time Set rise time sAWRR set Rate Set airway respiratory rate SpAWRR Spont Rate Measured spontaneous respiratory rate X AWRR Rate Measured airway respiratory rate F TV F Vt Ratio of frequency to tidal volume rapid shallow breathing index Alarms X OCCL Disconnec t Occlusion SV Open SM Occlusion Disconnect Occlusion safety valve open ...

Page 199: ... Rate High respiratory rate limit violation Yellow Alarm X HIGH O2 High O2 High measured oxygen concentration Yellow Alarm X LOW PEEP EPAP Low PEEP Low PEEP limit violation Yellow Alarm X LOW PEEP EPAP Low EPAP Low EPAP limit violation Yellow Alarm X BACKUP BATT ON Battery In Use indicator on ventilator front panel Ventilator has switched from AC power to Backup Battery operation Yellow Alarm Inop...

Page 200: ...eeds maximum limit X HIGH INT O2 High Internal O2 Oxygen concentration within ventilator enclosure exceeds maximum limit NOTE The following alarm messages are not displayed on the CMS Bad ADCWrap Sensor ERROR Bad Bat Volt Sensor Service Due Bad Int O2 Sensor Using Default Altitude Bad Int Temp Sensor Using Default Compl Battery Charging Using Default Settings Available on CareNet CMS message V200 ...

Page 201: ... 0 V exhalation phase 5 V inhalation or plateau phase 14 No data 15 No data NOTE All analog outputs 0 V at power up Voltages have a linear relationship to the corresponding values For example 2 5 V on pin 9 0 LPM 2 5 V on pin 11 70 cmH2O NOTE The resolution of the analog output is 0 to 5 V in 256 increments Respironics V200 Ventilator Analog Output Port Pinout ...

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Page 203: ...onfigured for all communications functions in the following manner Baud Rate 9 600 Data Bits 8 Parity None Stop Bits 1 NOTE In diagnostics mode with Com2 installed the baud rate is 19 200 To properly use the Com2 option connect the communications cable to the 9 pin serial connection on the back of the ventilator Figure 13 26 9 pin serial port connection WARNING It is the responsibility of the end ...

Page 204: ...by transmitting the information shown in Table 13 4 Ventilation Report The ventilator responds to the SNDA command by returning a string with a variable length The second and third fields define the length of the message The second field indicates the number of characters between the start and stop codes The third field indicates the number of fields between the start and stop codes The fourth fie...

Page 205: ...0 1 0 1 20 0 cm H2O Outputs value from active type VCV or PCV When active type is NPPV then outputs the VCV value PEEP or EPAP setting 0 0 0 1 0 0 35 0 cm H2O Uses PEEP setting from active ventilation type VCV or PCV When active type is NPPV uses EPAP setting VCV Insp Hold Setting 0 0 0 1 0 0 2 0 Sec Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A...

Page 206: ...A N A Outputs example value Not used N A N A N A Outputs example value 100 Oxygen setting ON N A ON OFF N A Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Measured total respiratory rate 0 0 0 1 or 1 0 0 9 9 10 150 BPM For values greater than 150 output set to 150 Measured tidal volume 1 15 0 01 0 00 9 99 L Outputs f...

Page 207: ... Insp Hold setting 0 Measured I E ratio 0 2 0 1 0 1 9 9 10 99 N A Fractional representation of 1 X X with one 1 decimal place e g 4 1 0 3 High Inhalation Pressure Alarm setting 20 1 10 105 cm H2O Outputs high inhalationpressure setting for active ventilation type PCV or VCV or IPAP 10 if NPPV is active Low Inhalation Pressure Alarm setting 3 1 3 105 cm H2O Outputs Low Inhalation Pressure setting f...

Page 208: ... Low Exhaled Minute Volume Alarm setting 0 0 0 1 0 0 60 0 L Low Exhaled Minute Volume alarm limit from active type VCV PCV or NPPV High Respiratory Rate Alarm setting 0 1 0 150 BPM High Respiratory Rate from active type VCV PCV or NPPV High Inhalation Pressure Alarm status NORMAL N A NORMAL RESET ALARM N A Low Inhalation Pressure Alarm status or Disconnect Alarm status RESET N A NORMAL RESET ALARM...

Page 209: ...e Volume Alarm status NORMAL N A NORMAL RESET ALARM N A High Respiratory Rate Alarm status NORMAL N A NORMAL RESET ALARM N A Low Oxygen Supply Pressure Alarm status NORMAL N A NORMAL RESET ALARM N A Air Source Inoperative Alarm status NORMAL N A NORMAL RESET ALARM N A Low Battery Alarm status NORMAL N A NORMAL RESET ALARM N A Status of Low Backup Battery Alarm Apnea Alarm status NORMAL N A NORMAL ...

Page 210: ...installed Dynamic Resistance 0 0 0 1 or 1 0 1 99 9 100 400 cm H2O L s Outputs when Mechanics option is not installed Maximum Inhalation Pressure 0 1 0 100 cm H2O Outputs when Mechanics option is not installed or no maneuver was performed Vital Capacity 0 0 0 1 0 1 9 9 L Outputs when Mechanics option is not installed or no maneuver was performed when the value is out of range output is Peak Lung Fl...

Page 211: ...A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Not used N A N A N A Outputs example value Measured end inhalation pressure 20 0 0 1 or 1 0 0 99 9 100 130 cm H2O Outputs when Ventilation type is PCV or NPPV or Ventilation mode is CPAP or Spont ...

Page 212: ...ate Setting 12 0 1 or 1 1 0 9 9 10 80 BPM Outputs PCV Apnea Rate setting when VCV or PCV active NPPV Apnea rate when NPPV active PCV Apnea Inhalation Time Setting or NPPV Apnea Inhalation Time Setting 2 00 0 01 0 10 9 90 sec Outputs PCV Inhalation Time setting when VCV or PCV active NPPV Inhalation Time when NPPV active PCV Apnea Oxygen Concentration Setting or NPPV Apnea Oxygen Concentration 100 ...

Page 213: ...ple value Not used N A N A Outputs example value Not used N A N A Outputs example value Not used N A N A Outputs example value Not used I TIME N A I TIME N A Outputs example value I E Ratio 1 99 N A 9 9 1 1 99 N A measured I E ratio expressed as 1 X X 1 XX X X 1 or XX 1 Stop Code 0x03 N A N A N A ASCII End Transmission Character ETX Ventilation Report Description Example Resolution Range Units Com...

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Page 215: ... at 100 ms P0 1 The P0 1 maneuver measures the pressure change after the first 100 milliseconds ms of an inspiratory phase It is available only in VCV and PCV This maneuver is also known as P100 Static Compliance and Resistance Static C and R The static C and R maneuver estimates the compliance and resistance of the patient s lungs It is available only in VCV Plateau Pressure Pplat is a measured v...

Page 216: ... 29 allows you to perform a Vital Capacity maneuver and displays the maneuver results graphically and numerically The Vital Capacity maneuver is available only in VCV and PCV It is not available in NPPV How to perform the Vital Capacity Maneuver 1 Enter the Vital Capacity screen Touch the Mechanics icon button then the Vital Capacity button 2 Touch the Start button Instruct the patient to inhale t...

Page 217: ... the display 5 Touch Continue the button changes to Start and you can repeat the maneuver Figure 13 29 Vital Capacity Screen WARNING Perform the Vital Capacity maneuver according to instructions Because machine assisted breath delivery apnea detection and detection of certain patient alarms are temporarily disabled during a Vital Capacity maneuver close clinical supervision is recommended WARNING ...

Page 218: ...er four preselected patient initiated breaths have occurred or one minute has elapsed whichever comes first 3 Once touched either one of the Start buttons changes to Stop The Stop button allows you to cancel the maneuver at any time A high priority alarm also cancels the maneuver 4 At the end of a successful maneuver a pop up screen displays the result of the maneuver and asks you to accept or rej...

Page 219: ...nue the button changes to Start and you can repeat the maneuver Figure 13 30 MIP P0 1 Screen WARNING Perform the MIP maneuver according to instructions Because machine assisted breath delivery apnea detection and detection of certain patient alarms are temporarily disabled during a MIP maneuver close clinical supervision is recommended WARNING Because PEEP is temporarily set to 0 cmH2O during a MI...

Page 220: ...touched the Start button changes to Stop The Stop button allows you to cancel the maneuver at any time A high priority alarm automatically cancels the maneuver Information type Description Start MIP Press Hold button Starts the MIP maneuver Changes to Continue when the maneuver is complete or when finger is lifted from the button Changes to Start when Continue is touched Start P0 1 button Starts t...

Page 221: ...ntilation mode from VCV to the previous mode if necessary Figure 13 31 Static C and R Screen Information type Description Pressure Volume or Pressure Time button Pressure Volume Displays a real time pressure volume loop Pressure Time Displays a real time pressure time waveform Start button Starts the maneuver Changes to Stop when the maneuver is started Changes to Continue when the maneuver is com...

Page 222: ...summarizes error messages and changes that can occur during Respiratory Mechanics Pplat window Displays the most recently accepted maneuver results The date and time of the maneuver appear below each window Scale button at left of graphic display Allows you to adjust graphic scales manually The default scales for the Static C R screen are 0 cmH2O to the High Pressure limit for pressure 0 to Vt 100...

Page 223: ... of starting maneuver Maneuver cancelled by alarm condition Alarm condition occurs after maneuver begins Low Exhaled Minute Volume Low Exhaled Mandatory Tidal Volume High Exhaled Minute Volume Low Exhaled Spontaneous Tidal Volume Low PEEP MIP Measurement out of range Measured pressures exceed 100 to 200 cmH2O MIP unavailable due to alarm condition Alarm condition exists when maneuver requested Man...

Page 224: ...s when maneuver requested Maneuver cancelled Operator presses Stop button and no P0 1 maneuver breaths performed Maneuver cancelled by alarm condition Alarm condition occurs after maneuver begins Maneuver timed out One minute elapses with no P0 1 maneuver breaths performed None all alarms are active during the P0 1 maneuver Maneuver Error Messages Temporarily Disabled Alarms Table 13 8 Respiratory...

Page 225: ...ration time must be between 200 ms and 5 seconds Static C R unavailable I Time greater than 5 seconds Inspiration time must be between 200 ms and 5 seconds Plateau pressure stability not achieved Static C R unavailable Stable plateau pressure cannot be achieved Maneuver cancelled Operator presses Stop button Maneuver timed out No machine or operator initiated inspiration within 20 seconds of start...

Page 226: ...f measured volume exceeds these limits only a message no data is displayed VC is displayed in mL and is time stamped based on ventilator time and date Range 0 to 9999 mL Resolution 1 mL Accuracy 10 of true value Maximum Inspiratory Pressure MIP maneuver Procedure To perform a MIP maneuver the clinician asks the patient to inhale as forcefully as possible against a closed circuit that allows the pa...

Page 227: ...e in the first 100 ms of four preselected patient initiated breaths If you press Stop during a P0 1 maneuver results are displayed for the maneuver breaths that did occur Results display P0 1 is displayed in cmH2O and is time stamped based on ventilator time and date Measured pressures from 100 to 200 cmH2O are displayed for the P0 1 maneuver If measured pressure exceeds these limits only a messag...

Page 228: ...ths only During the last saved Static C and R maneuver Plateau Pressure Pplat is measured and displayed as a static value Static C and R are time stamped based on ventilator time and date Static compliance values from 0 to 350 mL cmH2O and static resistance values from 0 to 400 cmH2O L s are displayed If either value exceeds its limits or a stable plateau pressure cannot be achieved only a message...

Page 229: ...chine or operator initiated inspiration Dynamic compliance is displayed in mL cmH2O Dynamic resistance is displayed in cmH2O L s All compliance and resistance values are estimated on time or operator triggered mandatory breaths only If there were no machine or operator initiated breaths within the last one minute is displayed These alarms interrupt dynamic compliance and resistance updates Corrupt...

Page 230: ...umber of samples taken during for the calculation i Sample number Qi Patient flow Vi Lung volume for the th sample number Pi Pressure sensor measurement for the th sample number Static C and R Static C and R are calculated using these equations Where RL QiVi PiVi PiQi Vi i 0 n i 0 n i 0 n i 0 n QiVi i 0 n 2 Qi 2 i 0 n Vi 2 i 0 n Qi t d CL V Peplat P0 CRL Pei Peplat PVplat CL QLend ...

Page 231: ...est wall RL The value of the combined resistance elements between the patient wye and the alveoli of the lungs V Lung volume Peplat End of plateau pressure Vplat Lung volume added during the plateau phase QLend Patient flow at the end of the delivery phase beginning of plateau phase P0 Pressure at the start of inspiration Pei Pressure at the end of inspiration ...

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Page 233: ...ta data in this category is available only if the respiratory profile monitor interface NICO Esprit option is installed All data is date and time stamped and 32 parameters are stored for use by the Trending option You can view three trended parameters at a time and you can change the displayed parameters and time scale at any time Accessing Trending Data Touch either the Patient Data button at the...

Page 234: ...ptions and Accessories Figure 13 32 VCV Settings Screen In the Patient Data screen Figure 13 33 or Graphics screen not shown touch the Trending button to display the Trending screen Figure 13 34 Figure 13 33 Patient Data Screen Patient Data button Graphics button Trending button ...

Page 235: ...Hrs and 2 Hrs buttons Shifts the waveform forward or backward by 2 hours without changing the time scale If you press and hold the buttons the time scale shifts every second If less than 2 hours of data exists the waveform shifts by the time available The button is grayed if the waveform cannot shift any further Zoom in out button Zoom in sets the time scale to 2 hours with time centered at the cu...

Page 236: ...at the top of the Trended Data pop up window Each button when pressed displays a different set of Parameter select buttons There are a total of 78 parameters that are displayed by the four category select buttons Below is a summary of each category select button Time scale button Displays the time scale menu to select from 2 to 72 hours The button shows the currently selected time scale View 1 and...

Page 237: ...nics Technical Service at 1 800 345 6443 Summary of Trended Data Information Information type Description Pt Data Settings or Mech button Selects the category of data to choose from the current selection is highlighted Changing the category causes a different set of parameter select buttons to appear Parameter select button Selects which parameter to display as trended data the current selection i...

Page 238: ...Changing the Cursor Position The Cursor arrow buttons Figure 13 36 allow you to adjust the position of the cursor for all three waveforms You can also turn the knob to adjust the cursor position The data display window for each waveform shows the value of the data at the time indicated by the cursor position A window at the bottom of the screen shows the time reflective of the cursor position Alar...

Page 239: ...rent scale press the Time scale button a Time Scale pop up window allows you to select another scale Press the Cancel button to exit the pop up window without making changes or press Accept to select the new value and exit the pop up window The new value will appear on the time scale button Cursor arrow buttons Cursor Data display window End Trending Time Begin Trending Time Cursor Time NOTE If th...

Page 240: ...ed data by switching the time scale to two hours centered around the cursor position If the current time scale is two hours the zoom button is grayed When the Zoom button shows a magnifying glass with a plus sign the zoom in function is available Once zoomed in the button changes to a magnifying glass with a minus sign to indicate that the zoom out function is available and the Time and View butto...

Page 241: ... to exit the pop up window without making changes Repeat the process to store settings to the other View button Using the Clear button The Clear button allows you to clear all stored data for trending Press Clear between patients or to erase all of a patient s previously stored data When you press Clear a pop up window asks you to confirm that you want to erase all stored data Press Yes to clear t...

Page 242: ... adaptor and card are installed This is to protect the ventilator CAUTION The PCMCIA card should only be removed by trained service personnel once power to the ventilator is off Data collection and display The system collects numeric data every 20 seconds Alarms are considered active if they occurred at any time during the previous 20 second interval If the selected time scale is 2 hours each data...

Page 243: ... PIP peak inspiratory pressure MAP mean airway pressure Tidal Vol exhaled tidal volume Total VE total minute volume Spont VE spontaneous minute volume Tot Spt VE both spontaneous and total minute volume displayed on the same waveform Total Rate measured total respiratory rate Spont Rate measured spontaneous respiratory rate Tot Spt Rate measured spontaneous and total rate displayed on the same wav...

Page 244: ...atient triggered breaths Pt Leak patient leak Trended data Settings Set Tidal Vol set tidal volume only available in VCV mode Set Pressure set pressure only available in PCV mode Set PEEP set PEEP level only available in VCV or PCV mode Set O2 set delivered O2 Set PSV set pressure support only available in VCV mode Set IPAP set inspiratory positive airway pressure level only available in NPPV mode...

Page 245: ...EEP expiratory hold Trended data NICO CO a Cardiac Output Average only available if the respiratory profile monitor interface NICO Esprit option is installed SpO2 O2 Saturation only available if the respiratory profile monitor interface NICO Esprit option is installed ETCO2 End Tidal CO2 only available if the respiratory profile monitor interface NICO Esprit option is installed VCO2 CO2 Eliminatio...

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Page 247: ...ure 13 39 Flow Trak option label Once the Flow Trak option has been loaded on the ventilator it is active Follow these steps to turn Flow Trak Off and On 1 While in VCV press the Peak Flow settings button 2 Press the Ftrak OFF button 3 Press the Accept button Use these same steps pressing Ftrak On to turn Flow Trak on Figure 13 40 Turning off the Flow Trak Option Flow Trak will stay resident on th...

Page 248: ... not been installed Contact Respironics Customer Service Within the U S A 1 800 345 6443 Outside the U S A 724 387 4000 Figure 13 41 FTrak On Button Grayed Out Flow Trak is Not Loaded On the Screen When a patient initiates a Flow Trak breath the ventilator screen shows the Breath Indicator bubble change from mandatory Mand or Assist to spontaneous Spont Figure 13 42 Breath Indicator During Flow Tr...

Page 249: ...he actual I Time is greater than the calculated I Time the next scheduled mandatory inspiration is postponed to ensure exhalation time NOTE In VCV the calculated I Time is based on the set tidal volume peak flow and waveform shape Inspiratory Hold Inspiratory hold is only allowed if the actual I Time is less than or equal to the calculated I Time Respiratory Mechanics The Flow Trak option affects ...

Page 250: ...Flow Trak Static C R The maneuver is cancelled if the patient initiates a Flow Trak breath A message appears when the maneuver is cancelled due to the change in breath type Dynamic C R Dynamic C R are not calculated for Flow Trak breaths Ti Ttot Ti Ttot is not calculated for Flow Trak breaths Peak Lung Flow Peak Lung Flow is calculated for Flow Trak breaths Flow Trak Affected Alarms Alert Message ...

Page 251: ...are and software is required for the proper use of the respiratory profile monitor interface Table 13 16 respiratory profile monitor Interface Option Requirements Respiratory Profile Monitor Interface NICO Esprit Requirements Monitor NICO Monitor Model 7300 Part number varies by language NICO2 Monitor Model 7600 Respironics V200 Ventilator Trending option loaded and enabled Respironics V200 ventil...

Page 252: ...ket and then attach the assembly to the ventilator Assembly instructions are included with the bracket Figure 13 43 Assembled Monitor Bracket and Ventilator Ventilator RS 232 Communications Port Settings Specification Setting Baud Rate 19200 Data Bits 8 Parity None Stop Bits 1 Table 13 17 Ventilator RS 232 Communications Port Settings NOTE The respiratory profile monitor interface NICO Esprit opti...

Page 253: ...ion Ports for the Monitor and the Ventilator 4 Connect the patient circuit to the ventilator 5 Power up the ventilator if not already operating 6 Power up and connect the monitor according to the user s manual for your Respironics respiratory profile monitor Inspect the monitor before powering up Press the Operate Standby key to turn the monitor on WARNING Always turn the ventilator power OFF befo...

Page 254: ...monitor Press the MENU key to activate the SELECT A SCREEN menu Figure 13 45 Select A Screen Menu screen Turn the knob to highlight SETUP and then press the knob The SETUP screen appears Turn the knob to highlight INPUT OUTPUT and then press the knob The INPUT OUTPUT screen appears Figure 13 46 Input Output Setup Screen Turn the knob to highlight RS232 2 and then press the knob The RS232 2 screen ...

Page 255: ...or recognizes the connect request message from the monitor and responds Information Transferred from the Respiratory Profile Monitor to the Ventilator The respiratory profile monitor provides the ventilator with the data listed in the following table The monitor sends the average value for each parameter for the previous 60 seconds Table 13 18 Information Transferred from the Monitor to the Ventil...

Page 256: ...and monitor information for intervals from 2 to 72 hours To access the respiratory profile monitor trended data 1 Touch the Patient Data button at the top of any settings screen VCV PCV or NPPV Information Transferred from the Ventilator to the Respiratory Profile Monitor Data Description Breath Type Mandatory Assisted Spontaneous or Supported FIO2 The percentage of oxygen in the gas delivered to ...

Page 257: ...creen 2 Touch the Trending button to display the Trending screen Figure 13 33 Figure 13 49 Patient Data Screen The Trending screen Figure 13 34 displays three trending waveforms as well as a summary of ventilator settings and patient data You can change the waveforms and time scale at any time Patient Data button Trending button ...

Page 258: ...ameter for display press the button above the waveform The Trended Data pop up window appears showing the available data choices 3 Press the NICO button on the Trended Data pop up window to view the available parameters See Figure 13 51 4 Select a parameter button then press Accept or Cancel to return to the Trending Data screen Parameter select button Manual rescale button Begin trending time Cur...

Page 259: ...57983 A Respironics V200 Ventilator Operator s Manual 13 95 Chapter 13 Figure 13 51 Trended Data screen NOTE For more information regarding the Trending Data screen or using the Trending Option refer to Trending Option on page 13 69 ...

Page 260: ... 1018292 is being used Check cable connections Preform the steps listed on page 13 90 and page 13 91 for setting up the monitor with the RS 232 input output for the ventilator Cycle the power on the monitor If there is no improvement Contact Respironics Technical Service 1 800 345 6443 The monitor displays the CHECK COMMUNICATION message Probable Cause What to Do The bidirectional communication li...

Page 261: ...tware and accessories for proper use Figure 13 52 Circuit to Filter Connection Neonatal option Requirements Respironics V200 Ventilator Neonatal option loaded and enabled NOTE Ventilators with the Neonatal option software installed are identified by the option label located near the power switch Recommended Accessories Part Number Neonatal patient circuits 10 mm I D Fisher Paykel reusable circuit ...

Page 262: ...that you must run SST or EST in order to change patient type Selecting Neonatal Patient Type To select the neonatal patient type you must enter Diagnostic Mode 1 Power off the ventilator 2 Power on the ventilator while holding down the ALARM RESET and 100 O2 keys for approximately 5 seconds A message appears on the ventilator screen that prompts the user to Verify that the patient is disconnected ...

Page 263: ...or screen prompting the user to Verify that the patient is disconnected prior to proceeding Press OK to enter Diagnostic Mode 3 Once you ve entered Diagnostic Mode select the HARDWARE screen 4 Press the SAFETY button so that it has a white background 5 Attach a length of 22 mm I D tubing to the gas outlet port of the ventilator 6 Set the air flow to 100 LPM Record what the inhalation pressure sens...

Page 264: ...Ventilation Settings Value Ranges Ventilation Mode PCV SIMV AC SIMV CPAP Rate 20 BPM 1 150 BPM Pressure 10 cmH2O 5 100 cmH2O I Time 0 3 Sec 0 1 2 0 Sec PEEP 3 cmH2O 0 35 cmH2O PSV 0 cmH2O 0 100 cmH2O I Trigger 2 0 L Min 0 3 10 0 L Min E Cycle 25 10 80 Rise TIme 0 2 Sec 0 1 0 5 Sec O2 same as last O2 setting 21 100 Apnea Rate 20 BPM 1 80 BPM Alarm Settings Value Ranges High Press 30 cmH2O 10 105 cm...

Page 265: ... types when the neonatal software option is loaded While the estimate for percent leak is not a precise measurement it can be used to trend relative changes in leak delivered volume Figure 13 55 Patient Data Screen With Leak NOTE Patient data ranges and accuracies can be found in Chapter 12 Technical Specifications with the exception of the Exhaled Tidal Volume The accuracy for exhaled Tidal Volum...

Page 266: ...Options and Accessories Patient Leak Values Patient Leak values as seen in the Patient Data window Figure 13 56 between 0 and 1 LPM are rounded values Refer to Chapter 7 Operating Theory for more information about Patient Leak Display Figure 13 56 Patient Data Window Patient Leak ...

Page 267: ...upport and in the Flow Trak ventilator option if enabled Speaking Mode is not available in NPPV mode Respiratory Mechanics and Neonatal options Ventilators installed with Speaking Mode option software have the following identifying label located near the power switch Figure 13 57 Speaking Mode Option Label Warnings Cautions and Notes Warnings A warning indicates a condition that could cause injury...

Page 268: ...tes from baseline parameters Perform an airway patency test immediately after activating Speaking Mode NOTE Speaking Mode is available ONLY in invasive ventilation mode Patient Preparation Using Speaking Mode on a patient requires preparation before activating the mode Refer to the Sequence for Use diagram in Figure 13 58 and follow the necessary steps before starting Speaking Mode and discontinui...

Page 269: ...eline clinical parameters Patient assessment Observe patient settings Monitor with pulse oximeter Instruct patient Suction oral airway and tracheostomy tube Activate Speaking Mode on the ventilator Confirm airway patency Position patient Deflate cuff Encourage speech Discontinue Speaking Mode Inflate cuff Check ventilator settings and alarms Procedure complete Procedure halted PASS FAIL FAIL Monit...

Page 270: ...lator Settings Available in Modes Pressure Control Ventilation AC SIMV and CPAP Volume Control Ventilation AC SIMV and CPAP Pressure Support Ventilation SIMV and CPAP Apnea Ventilation Patient Type Adults Pediatrics PEEP Automatically reset to zero and low PEEP alarm is reset to zero Trigger type Automatically will switch from flow triggering if previously selected to a pressure triggering of 1 cm...

Page 271: ...ure 13 60 Turn Speaking Mode On First Message Box The second message box then appears with the same command Turn Speaking Mode On reminding the user to Please be sure there is NO Speaking Valve installed and the tracheostomy cuff is deflated 3 Press Accept to continue or Cancel to exit Speaking Mode Figure 13 61 Turn the Speaking Mode On Reminder Second Message Box ...

Page 272: ...utton at the bottom of the screen has a white background Figure 13 62 How the Ventilator Screen Appears When Speaking Mode Is ON 4 We recommend reviewing alarm and ventilator settings at this time Continue to monitor patient s respiratory effort and clinical status If patient s respiratory efforts deteriorate discontinue Speaking Mode See Discontinue Speaking Mode on page 115 Active Mode button is...

Page 273: ...nute Volume High Exhaled Minute Volume Low Exhaled Mandatory Tidal Volume Low Exhaled Spontaneous Tidal Volume Disabled Alarms The Low PEEP alarm is disabled while in Speaking Mode This alarm will be appear grayed out When the ventilator returns to PSV PCV VCV SIMV or CPAP operation the current alarm settings will remain after Speaking Mode is discontinued Figure 13 63 Alarm Settings Screen Change...

Page 274: ...surrounding the tracheostomy tube becomes obstructed during ventilation in Speaking Mode e g the tracheostomy cuff is inflated so the flow rate through the patient s airway during exhalation is less than 5 L min for the entire exhalation a high urgency airway occlusion alarm will sound The ventilator continues to ventilate and the exhalation valve closes during inhalation only The airway occlusion...

Page 275: ...not available in Speaking Mode including data on Patient Leak circled below in Figure 9 Figure 13 65 Active Mode Displayed Data in the VCV Settings Screen The following data in the Patient Data screen displays in delivered volumes not exhaled volumes Tidal Volume Spontaneous Minute Volume Total Minute Volume The following data is not available in Speaking Mode Dashed lines appear in the data box i...

Page 276: ...the Trending button at the bottom of the settings screen see Figure 13 67 3 Choose a Parameter select button light blue button above each displayed data option that shows the name of the currently displayed data option see Figure 13 67 4 Once the Trended Data pop up window has displayed click on one of the Category Select buttons at the top of the menu to view and select parameters for each option...

Page 277: ...r 13 1 Press the Settings button 2 Press the Speaking Mode button to show trended data options available in Speaking Mode Figure 13 68 Figure 13 67 Selecting Speaking Mode on the Trended Data Screen Category select buttons Parameter select buttons Trended Data pop up window Parameter select button ...

Page 278: ...d Data Screen For more information regarding Trending see the Trending Option instructions or contact Respironics Inc Customer Service at the following numbers USA and Canada 1 800 345 6443 or 724 387 4000 Europe Africa and the Middle East 33 1 47 52 30 00 Asia Pacific 852 3194 2280 In North America Respironics California Inc 2271 Cosmos Court Carlsbad California 92011 Made in USA Speaking Mode tr...

Page 279: ...to inflate tracheostomy cuff AFTER switching SM OFF Patent Data values and alarms will be based on exhaled volumes WARNING Do not inflate the tracheostomy tube cuff until Speaking Mode has been turned off Press Yes to turn Speaking Mode off 3 Inflate the tracheostomy tube cuff if Yes was pressed Press No to remain in Speaking Mode Figure 13 69 Turn Speaking Mode Off Message Box When discontinuing ...

Page 280: ...Chapter 13 13 116 Respironics V200 Ventilator Operator s Manual REF 1057983 A Options and Accessories This page is intentionally blank ...

Page 281: ...with each mask for detailed instructions Respironics Image3 Full Face Mask Respironics Spectrum Disposable Full Face Mask Respironics Total Face Mask Respironics Disposable Contour Deluxe Nasal Mask Respironics Disposable Small Child Nasal Mask Respironics Disposable Nasal Mask The V200 Ventilator s built in exhalation valve satisfies any Respironics mask requirement for an exhalation port in the ...

Page 282: ...ch either the I Trigger or E Trigger button in the Settings screen Figure 13 70 Figure 13 70 Settings Screen 2 When the I Trigger or E Trigger window appears touch the Auto button Figure 13 71 and Figure 13 72 Figure 13 71 Sample Inspiratory Trigger Windowwith Auto Trak Option Available Pressure is not an available option for NPPV ...

Page 283: ...mple Expiratory Trigger Window with Auto Trak Option Available The Pressure or Flow values that previously appeared in the I Trigger and E Trigger windows are removed Figure 13 73 and Figure 13 74 Figure 13 73 Sample Inspiratory Trigger Window with Auto Trak Option Selected Pressure is not an available option for NPPV ...

Page 284: ...4 Sample Expiratory Trigger Window with Auto Trak Option Selected 3 Touch the Accept button The ventilator does not begin using Auto Trak until you touch the Accept button The Settings screen now displays Auto as the I Trigger and E Trigger settings Figure 13 75 Figure 13 75 Settings Window with Auto Trak Selected ...

Page 285: ...e breathing cycle Triggering Auto Trak monitors changes in pressure and flow patterns throughout exhalation applies compensation for circuit leaks and triggers an inspiration when the criterion for one of the triggering algorithms has been met As a backup Auto Trak uses pressure triggering at a fixed level of 3 cm H2O Cycling Auto Trak automatically cycles breathing based on the pressure and flow ...

Page 286: ...igher the pressure the higher the leak flow and the physical characteristics of the leak itself The Patient Leak value is the average Leak Flow over an entire breath When Auto Trak is selected in NPPV mode the estimated exhaled tidal volume includes compensation for the estimated leak volume lost during exhalation Therefore all other parameters that depend on exhaled tidal volume also include this...

Page 287: ...all other commands Transmission of Data from the Ventilator Unless stated otherwise all fields will be left justified and six 6 characters in length A comma will separate each field Each data transmission shall be terminated with a carriage return In the following subparagraphs a space is designated as When data is unavailable the output field shall contain i e four dash characters followed by two...

Page 288: ...mm Date FEB 23 1997 N A N A N A 12 character field MMM DD YYYY Current Ventilation Type VCV N A VCV PCV NPPV N A The ventilation type currently being used by the ventilator VCV Mode Setting A C N A A C SIMV CPAP N A VCV Waveform Setting RAMP N A RAMP SQUARE N A VCV Patient Type ADULT N A ADULT PED NEO VCV Respiratory Rate Setting 12 1 1 80 BPM VCV Tidal Volume Setting 500 1 50 2500 mL VCV Peak Flo...

Page 289: ...a VCV Low PEEP Alarm Limit Setting 0 1 0 35 cmH2O hPa VCV Low Mandatory Tidal Volume Alarm Limit Setting 0 1 0 2500 mL VCV Low Spontaneous Tidal Volume Alarm Limit Setting 0 1 0 2500 mL VCV High Respiratory Rate Alarm Limit Setting 150 1 0 150 BPM VCV Low Minute Volume Alarm Limit Setting 1 00 0 01 for 0 00 to 9 99 0 1 for 10 0 to 60 0 0 00 60 0 L VCV Apnea Interval Alarm Limit Setting 20 1 10 60 ...

Page 290: ...10 80 PCV Rise Time 0 1 0 1 0 1 0 9 sec PCV Oxygen Concentration Setting 21 1 21 100 PCV Apnea Rate Setting 12 1 1 80 BPM PCV Apnea Interval Alarm Limit Setting 20 1 10 60 sec PCV High Inspiratory Pressure Alarm Limit Setting 35 1 10 105 cmH2O hPa PCV Low Inspiratory Pressure Alarm Limit Setting 3 1 3 105 cmH2O hPa PCV Low PEEP Alarm Limit Setting 0 1 0 35 cmH2O hPa PCV Low Mandatory Tidal Volume ...

Page 291: ... NPPV IPAP Setting 5 1 2 35 cmH2O hPa NPPV Inspiratory Time Setting 1 0 0 1 0 1 9 9 sec NPPV Rise Time 0 1 0 1 0 1 0 9 sec NPPV I Trigger Type AUTO N A FLOW AUTO N A NPPV Flow I Trigger Setting 3 0 0 1 0 5 20 0 LPM NPPV E Cycle Type AUTO N A FLOW AUTO N A NPPV Flow Expiratory Cycle Setting 25 1 10 80 NPPV Oxygen Concentration Setting 21 1 21 100 NPPV Apnea Rate Setting 12 1 1 80 BPM NPPV Low Inspi...

Page 292: ...nd Inhalation Pressure 24 0 0 1 for 20 0 to 99 9 1 for 100 to 130 20 0 130 cmH2O hPa The Plateau value from the Patient Data screen Measured Tidal Volume 468 1 0 2500 mL The Tidal Volume value from the Patient Data screen Measured Spontaneous Minute Volume 0 00 0 01 for 0 00 to 9 99 0 1 for 10 0 to 60 0 0 00 60 0 L The Spont VE value from the Patient Data screen Measured Minute Volume 5 83 0 01 fo...

Page 293: ... Patient Data Screen Ti Ttot 0 23 0 01 0 00 1 00 N A The Ti Ttot display from the Mechanics Patient Status Screen Dynamic Resistance 5 43 0 01 for 0 00 to 9 99 0 1 for 10 0 to 99 9 1 for 100 to 400 0 00 400 cmH20 L Sec The Dynamic Resistance display from the Mechanics Patient Status Screen Dynamic Compliance 19 2 0 01 for 0 00 to 9 99 0 1 for 10 0 to 99 9 1 for 100 to 350 0 00 350 mL cmH20 The Dyn...

Page 294: ...00 cmH20 P0 1 display from MIP P0 1 display screen P0 1 Time of Last Maneuver 11 14 01 13 11 1 minute 01 01 70 0 00 to 01 1 38 3 14 N A P0 1 Time of Last Maneuver display from MIP P0 1 Screen 15 character field 24 hour clock MM DD YYwwHH MM Static Resistance 5 43 0 01 for 0 00 to 9 99 0 1 for 10 0 to 99 9 1 for 100 to 400 0 00 400 cmH20 L Sec Static Resistance display from the Static C R screen St...

Page 295: ...N A Safety Valve Status NORMAL N A NORMAL ALARM RESET N A Low Internal Battery Alarm Status NORMAL N A NORMAL ALARM RESET N A Nonvolatile Memory Failure Using Default Settings NORMAL N A NORMAL ALARM RESET N A Primary Alarm Failure NORMAL N A NORMAL ALARM RESET N A High Inspiratory Pressure Alarm Status NORMAL N A NORMAL ALARM RESET N A Apnea Alarm Status NORMAL N A NORMAL ALARM RESET N A Low Insp...

Page 296: ...larm Status NORMAL N A NORMAL ALARM RESET N A Low Tidal Volume Alarm Status NORMAL N A NORMAL ALARM RESET N A Low Spontaneous Tidal Volume Alarm Status NORMAL N A NORMAL ALARM RESET N A I Time Too Long Alarm Status NORMAL N A NORMAL ALARM RESET N A High Respiratory Rate Alarm Status NORMAL N A NORMAL ALARM RESET N A High O2 Alarm Status NORMAL N A NORMAL ALARM RESET N A High Enclosure Temperature ...

Page 297: ...h Leak Alarm Status NORMAL N A NORMAL ALARM RESET N A 100 O2 Function Status OFF N A ON OFF N A Status of the 100 O2 LED on the front panel Alarm Silence Status OFF N A ON OFF N A Status of the Alarm Silence LED on the front panel Screen Lock Status OFF N A ON OFF N A Status of the Screen Lock LED on the front panel Tube Type ET N A ET TT NONE N A Tube type as selected in Respiratory Mechanics Scr...

Page 298: ...ASCII Start Transmission Character STX Time of request 13 45 N A N A N A 24 hour clock hh mm Date FEB 23 1997 N A N A N A 12 character field MMM DD YYYY Current Ventilation Type VCV N A VCV PCV NPPV N A The ventilation type currently being used by the ventilation VCV Mode Setting A C N A A C SIMV CPAP N A VCV Waveform Setting RAMP N A RAMP SQUARE N A VCV Patient Type ADULT N A ADULT PED NEO VCV Re...

Page 299: ...hPa VCV Low PEEP Alarm Limit Setting 0 1 0 35 cmH2O hPa VCV Low Mandatory Tidal Volume Alarm Limit Setting 0 1 0 2500 mL VCV Low Spontaneous Tidal Volume Alarm Limit Setting 0 1 0 2500 mL VCV High Respiratory Rate Alarm Limit Setting 150 1 0 150 BPM VCV Low Minute Volume Alarm Limit Setting 1 00 0 01 for 0 00 to 9 99 0 1 for 10 0 to 60 0 0 00 60 0 L VCV Apnea Interval Alarm Limit Setting 20 1 10 6...

Page 300: ...string is the stop code 0x03 Pressure Control Ventilation Settings Report Description Example Resolution Range Units Comments Command Name PCVS N A N A N A Number of characters between the start and stop codes 195 N A N A N A 3 character field Number of fields between the start and stop codes 27 N A N A N A 2 character field Start Code 0x02 N A N A N A ASCII Start Transmission Character STX Time o...

Page 301: ...rm Limit Setting 20 1 10 60 sec PCV High Inspiratory Pressure Alarm Limit Setting 35 1 10 105 cmH2O hPa PCV Low Inspiratory Pressure Alarm Limit Setting 3 1 3 105 cmH2O hPa PCV Low PEEP Alarm Limit Setting 0 1 0 35 cmH2O hPa PCV Low Mandatory Tidal Volume Alarm Limit Setting 0 1 0 2500 mL PCV Low Spontaneous Tidal Volume Alarm Limit Setting 0 1 0 2500 mL PCV High Respiratory Rate Alarm Limit Setti...

Page 302: ... code 0x03 PCV High Minute Volume Alarm Limit Setting 60 0 0 01 for 0 00 to 9 99 0 1 for 10 0 to 60 0 0 00 60 0 L Stop Code 0x03 N A N A N A ASCII End Transmission Character ETX Pressure Control Ventilation Settings Report Continued Description Example Resolution Range Units Comments Table A 3 Pressure Control Ventilation Settings Report Sheet 3 of 3 Non Invasive Positive Pressure Ventilation Sett...

Page 303: ...N A NPPV Flow Expiratory Cycle Setting 25 1 10 80 NPPV Oxygen Concentration Setting 21 1 21 100 NPPV Apnea Rate Setting 12 1 1 80 BPM NPPV Low Inspiratory Pressure Alarm Limit Setting 3 1 3 105 cmH2O hPa NPPV Low EPAP Alarm Limit Setting 0 1 0 25 cmH2O hPa NPPV Low Tidal Volume Alarm Limit Setting 0 1 0 2500 mL NPPV High Respiratory Rate Alarm Limit Setting 150 1 0 150 BPM NPPV Low Minute Volume A...

Page 304: ...3 N A N A N A ASCII End Transmission Character ETX Non Invasive Positive Pressure Ventilation Settings Report Continued Description Example Resolution Range Units Comments Table A 4 Non Invasive Positive Pressure Ventilation Settings Report Sheet 3 of 3 Patient Data Report Description Example Resolution Range Units Comments Command Name PTDT N A N A N A Number of characters between the start and s...

Page 305: ...M The Spont Rate value from the Patient Data screen Measured Total Breath Rate 12 0 0 1 for 0 0 to 9 9 1 for 10 to 150 0 150 BPM The Total Rate value from the Patient Data screen Measured Rapid Shallow Breathing Index 5 1 0 500 BPM L The F Vt value from the Patient Data screen Measured I E Ratio 1 4 1 0 1 for 9 9 1 to 1 9 9 1 for 1 10 to 1 99 4 1 1 1 99 N A The I E Ratio display from the Patient D...

Page 306: ...A Time of Last Maneuver display from the Vital Capacity Screen 15 character field 24 hour clock MM DD YYuuHH MM MIP 54 1 0 1 for 99 9 to 99 91 for 100 and 100 to 200 100 200 cm H20 MIP display from MIP P0 1 display Screen MIP Time of Last Maneuver 11 14 01 13 11 1 minute 01 01 7 0 0 00 to 01 19 38 3 14 N A MIP Time of Last Maneuver display from MIP P0 1 Screen15 character field 24 hour clock MM DD...

Page 307: ... 01 for 0 00 to 9 990 1 for 10 0 to 99 91 for 100 to 350 0 00 350 mL cmH2 O Static Compliance display from the Static C R Screen Static C R Time of Last Maneuver 11 14 01 13 11 1 minute 01 01 70 0 00 to 01 19 38 3 14 N A Static C R Time of Last Maneuver display from Static C R Screen 15 character field 24 hour clock MM DD YYwwHH MM AutoPeep 1 2 0 1 for 9 9 to 9 91 for 10 to 201 for 10 to 120 20 12...

Page 308: ...ter field MMM DD YYYY Occlusion Alarm Status or SM Occlusion Status NORMAL NORMAL ALARM RESET Safety Valve Status NORMAL NORMAL ALARM RESET Low Internal Battery Alarm Status NORMAL NORMAL ALARM RESET Nonvolatile Memory Failure Using Default Settings NORMAL NORMAL ALARM RESET Primary Alarm Failure NORMAL NORMAL ALARM RESET High Inspiratory Pressure Alarm Status NORMAL NORMAL ALARM RESET Apnea Alarm...

Page 309: ...SET High Minute Volume Alarm Status NORMAL NORMAL ALARM RESET Low Tidal Volume Alarm Status NORMAL NORMAL ALARM RESET Low Spontaneous Tidal Volume Alarm Status NORMAL NORMAL ALARM RESET I Time Too Long Alarm Status NORMAL NORMAL ALARM RESET High Respiratory Rate Alarm Status NORMAL NORMAL ALARM RESET High O2 Alarm Status NORMAL NORMAL ALARM RESET High Enclosure Temperature Alarm Status NORMAL NORM...

Page 310: ... High Leak Alarm Status NORMAL NORMAL ALARM RESET Stop Code 0x03 N A ASCII End Transmission Character ETX Alarm Status Report Continued Description Example Range Comments Table A 6 Alarm Status Report Sheet 3 of 3 Unrecognized Commands Description Example Comments The unrecognized command response ERROR ERROR Time of request 13 45 24 hour clock hh mm Up to the first five characters received set of...

Page 311: ...und to be defective Exclusions This warranty does not apply to any unit or individual parts which have been repaired or altered in any way that in Respironics judgement affect its ability or reliability or which has been subjected to misuse negligence abuse or accident Unauthorized service and or failure to perform periodic maintenance may void this warranty This warranty does not cover damage tha...

Page 312: ...0 Ventilator Operator s Manual REF 1057983 A Customer Service Warranty Options and Accessories Warranties are available for various options and accessories See the specific option or accessory in Chapter 13 for complete warranty information ...

Page 313: ...arm Testing Procedure is followed Setup 1 Connect O2 supply to the Respironics V200 Ventilator 2 Connect optional O2 sensor 3 Run EST 4 Attach the test lung to the patient wye Use the test lung provided with your system 5 Use the following settings Mode VCV A C Tidal Vol 400ml High Pressure HIP 50cmH20 hPa or higher if required by the test lung Rate 10 Bpm Low Insp Press 3 cmH20 hPa Peak Flow 40 L...

Page 314: ... limb of the patient circuit Leave the electrical connection 3 Connect the inspiratory bacteria filter directly to the gas outlet port and connect the inhalation limb to the filter 4 Turn the ventilator ON 5 Set the O2 setting to 40 6 Wait at least 3 5 breaths the alarm should sound 7 Set the O2 setting to 21 8 Wait for 3 5 breaths the alarm should reset 9 Press the RESET key to clear the alarm 10...

Page 315: ...lator should return to AC power If no battery is attached the ventilator will resume operating Apnea Alarm Test 1 Set the rate to 1 breath per minute 2 Wait for 20 seconds 3 The Respironics V200 should begin ventilating at a rate of 20 BPM while activating the Apnea alarm 4 Reset the rate to 10 BPM 5 RESET the alarm 6 The Respironics V200 should begin ventilating normally ...

Page 316: ...Appendix C Appendix C 4 Respironics V200 Ventilator Operator s Manual REF 1057983 A Alarm Testing Procedure This page is intentionally blank ...

Page 317: ...ith water vapor Auto PEEP end expiratory alveolar pressure above set PEEP level Aux auxiliary BTPS Body temperature 98 F ambient pressure 100 saturated with water vapor C compliance ratio of change in volume divided by change in pressure CL lung compliance cmH2O unit of pressure measurement centimeters of water CMV controlled mechanical ventilation same as A C CPAP continuous positive airway press...

Page 318: ...spiration exhalation ratio ICU intensive care unit ISO International Standards Organization IMV intermittent mandatory ventilation Inop inoperational IPAP inspiratory positive airway pressure I Time inspiratory time L Liter MAP mean airway pressure mL milliliter or 1 1000 L mm millimeters msec millisecond M a notation for screw threads metric NPPV noninvasive positive pressure ventilation NO nitri...

Page 319: ...e inch Unit of pressure measurement psig pounds per square inch gauge above atmospheric pressure PSV pressure support ventilation SIMV synchronous intermittent mandatory ventilation Spont Rate spontaneous respiratory rate Spont T spontaneous timed Spont VE spontaneous volume exhaled STPD standard temperature standard pressure dry SVO safety valve open Tidal Vol tidal volume Total RR total respirat...

Page 320: ... peak inspiratory flow that end inspiratory flow needs to drop to in order for inspiration to end End Expiratory Pressure End Exp the airway pressure measured at the end of exhalation The display is updated at the end of each exhalation Expiratory phase exhalation the part of the ventilatory cycle from the beginning of expiratory flow to the beginning of inspiratory flow Flow Trigger initiation of...

Page 321: ...moving out of the lungs during 1 minute Noninvasive pertaining to a diagnostic or therapeutic technique that does not require the skin to be broken or a cavity or organ of the body to be entered Mechanical ventilation via mask nasal prongs or mouthpiece Peak Inhalation Pressure PIP the greatest airway pressure during an inspiratory cycle no matter what the breath type The pressure is measured at t...

Page 322: ...t breaths delivered by the ventilator Spontaneous Volume Exhaled Spont E the exhaled volume that would come from spontaneous breaths projected over one minute The calculation is done by averaging the spontaneous exhaled tidal volume from the last eight breaths and projecting what that volume would be if it continued for one minute Tidal Volume Tidal Vol the volume of patient gas as measured at the...

Page 323: ... Ventilator Operator s Manual Glossary 7 Trigger normally a patient effort to begin inhalation Volume space occupied by matter measured in milliliters or liters Window either a period of time or a portion of a screen depending on the context ...

Page 324: ...Glossary 8 Respironics V200 Ventilator Operator s Manual REF 1057983 A Glossary This page is intentionally blank ...

Page 325: ...nitiated Reset of 9 3 Remote 6 2 Reset 9 3 Silence 9 2 Visual 9 1 Alert Messages 9 4 Altitude Setting 5 5 5 9 Analog Port 5 2 6 7 Apnea Alarm 9 5 Apnea Ventilation 7 7 8 27 Operation During 7 7 Respiratory Rate 8 22 Apply Date 5 8 Apply Time 5 8 Assist Control Ventilation 7 3 Assist Control Ventilation A C 7 3 Audible Alarm Failed Alarm 9 5 Auto PEEP 8 31 Calculation 8 31 B Backup Battery 4 4 Powe...

Page 326: ...Expiratory Hold Key 8 10 Expiratory Positive Airway Pressure G 1 Extended Self Test EST 5 12 11 4 F F Vt 8 29 Filters Removal Installation Bacteria 10 4 Cooling 10 8 Heated Bacteria 4 18 Inspiratory Bacteria 4 16 Internal Air Source Inlet 10 10 O2 Input Filter 10 9 Flex Arm 4 22 Front Panel 8 3 Controls 8 10 Keys 8 8 Text Version 8 3 Touch Display 8 11 G Gas Supplies Lost SVO Alarm 9 5 Glossary G ...

Page 327: ...8 13 Manual Breath Key 8 10 Med Low Indicator 8 5 Medium Low Urgency Alarm 12 9 Modes 8 1 12 1 Common to NPPV 7 6 Common to VCV PCV 7 3 Emergency 7 7 Mount Wall 5 4 N Non Invasive Positive Pressure Ventilation NPPV 7 6 Non Invasive Ventilation 7 1 7 6 8 1 Normal Indicator 8 5 12 9 Notes 2 8 NPPV 7 6 8 23 Symbols Nurse Call Label 12 18 Remote Alarm 5 1 O O2 Cylinder Bracket 13 1 High Pressure Hose ...

Page 328: ...be autoclaved 10 2 Cannot be chemically disinfected 10 2 R Restart 11 11 Alarm 9 8 Rise Time Setting 7 5 S Safety Valve Open 12 9 Safety Valve Ventilator Inoperative 8 5 Schedule for Periodic Maintenance 10 7 Screen Lock Key 8 8 Screen Locked 12 9 Self Test Hardware 11 10 Serial Port 5 1 SIMV 7 3 Software Options 13 1 Spont Rate 8 29 Spontaneous Respiratory Rate Spont Rate G 6 Spontaneous Volume E...

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