Philips Respironics V60, User Manual

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Warnings, cautions, and notes
WARNING: We do not recommend you use AVAPS on patients who require rapid and
frequent IPAP adjustments to maintain a consistent tidal volume. AVAPS, a
volume targeted mode, changes the IPAP setting in order to achieve the
target tidal volume. During AVAPS setup, there may be a period of time
before the target tidal volume is achieved. AVAPS is ideal for more
stabilized patients.
WARNING: To reduce the risk of CO
2
rebreathing, make sure EPAP pressures and
exhalation times are sufficient to clear all exhaled gas through the
exhalation port. In noninvasive ventilation continuous air flow through the
port flushes exhaled gases from the circuit. The ability to completely
exhaust exhaled gas from the circuit depends on the EPAP setting and I:E
ratio. Higher tidal volumes further increase the volume of CO
2
rebreathed
by the patient. Note: this may occur if exhalation time is insufficient.
WARNING: To reduce the risk of CO
2
rebreathing, monitor the patient for changes in
respiratory status at the start of ventilation and with each change in
ventilator settings, circuit configuration, or patient condition. Pay
attention to ventilator alarms that warn of increased CO
2
rebreathing risk.
WARNING: To ensure accuracy of oxygen administration and to monitor for the
presence of contamination (incorrect gas connected), use an external
oxygen monitor to verify the oxygen concentration in the delivered gas.
WARNING: To reduce the risk of fire, use the ventilator in well-ventilated areas away
from flammable anesthetics. Do not use in a hyperbaric chamber or other
similarly oxygen-enriched environments. Do not use near an open flame.
WARNING: To reduce the risk of electric shock from liquid entering the device, do
not put a container filled with a liquid on the ventilator.
WARNING: To reduce patient risk of oxygen toxicity, keep free-flowing oxygen away
from air inlet of ventilator.
WARNING: The nurse call/remote alarm should be considered a backup to the
ventilator’s primary alarm system.
WARNING: Set the alarm loudness above the ambient level. Setting the alarm
loudness too low may prevent recognition of alarm conditions.
WARNING: Avoid blocking the alarm speakers beneath the ventilator.
WARNING: Do not leave the ventilator unattended when stationed on an incline.
WARNING: The V60/V60 Plus Ventilator may cause radio interference or may disrupt
the operation of nearby equipment. It may be necessary to take mitigation
measures, such as re-orienting or relocating the ventilator or shielding
the location.
WARNING: This Equipment is designed to comply with IEC 60601-1-2. This
equipment generates, uses, and can radiate radio frequency energy and,
if not installed and used in accordance with instructions, may cause
harmful interference to other devices in the vicinity. However, there is no
guarantee that interference will not occur in a particular installation.
Harmful interference to other devices can be determined by turning this
equipment ON and OFF. Try to correct the interference using one or more
of the following:
- Reorient or relocate the receiving device
- Increase the separation between the equipment