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Contents

9650-002360-01 Rev. A

ZOLL Z Vent Ventilator Operator’s Guide

Using the Ventilator in Hazardous Environments................................................................ 6-3

Bacterial/Viral Filter Use  ............................................................................................. 6-4
Chemical/Biological Filter Use  .................................................................................... 6-4
Check Valve on Patient Circuit when in Hazardous Environments  ............................ 6-5

Using the Ventilator in an MRI Environment ....................................................................... 6-6

Chapter 7

Maintenance

Inspecting the Ventilator ..................................................................................................... 7-1
Cleaning.............................................................................................................................. 7-2

Post-Contaminated Environment Cleaning ................................................................. 7-2

Fresh Gas/Emergency Air Intake Filters ............................................................................. 7-3

Inspecting and Replacing the Foam Filter .................................................................. 7-3
Inspecting and Replacing the Disk Filter .................................................................... 7-3

Replacing Ventilator Filters ................................................................................................. 7-4

Replacing the Foam Filter ........................................................................................... 7-4
Replacing the Disk Filter ............................................................................................. 7-4

Battery Maintenance........................................................................................................... 7-5

Battery Storage ........................................................................................................... 7-7
Ventilator Storage ....................................................................................................... 7-7
Battery Replacement and Shipping Regulations ........................................................ 7-8

Calibration Checks.............................................................................................................. 7-8
Electrical Safety Check....................................................................................................... 7-8
Troubleshooting .................................................................................................................. 7-9

Appendix A

Specifications

General ...............................................................................................................................A-1
Pulse Oximeter ...................................................................................................................A-3
Device Classification...........................................................................................................A-3

Appendix B

Accessories

Appendix C

Pulse Oximeter Principles

Appendix D

Troubleshooting Patient Circuits

Troubleshooting Procedure.................................................................................................D-1

Index

Summary of Contents for Z Vent

Page 1: ...Z Vent Ventilator Operator s Guide 9650 002360 01 Rev A...

Page 2: ...e owners Masimo Pulse Oximeter This device uses Masimo SET technology to provide continuous pulse oximeter and heart rate monitoring and is covered under one or more of the following U S A patents 5 7...

Page 3: ...Features 1 9 Warnings 1 10 General 1 10 Ventilator 1 10 Pulse Oximeter 1 11 Batteries 1 12 User Safety 1 12 Patient Safety 1 12 MR Conditional Equipment 1 13 Cautions 1 14 FDA Tracking Requirements 1...

Page 4: ...nt Circuit 2 16 Chapter 3 Setting Up the Z Vent Ventilator 1 Attach the Patient Circuit 3 2 2 Attach the High Pressure Oxygen Supply Optional 3 3 3 Inspect Fresh Gas Emergency Air Intake Filters 3 3 4...

Page 5: ...meter I E or Ti 4 12 Rise Time 4 12 Cycle Off Parameter 4 13 Spont Ti Limit Parameter 4 13 BPM Parameter Window Reference 4 14 Vt Parameter Window Options 4 15 Secondary Parameters and Alarm Threshold...

Page 6: ...4 Alarm Types 5 4 Patient Safety Alarms 5 4 Environmental and Use Alarms 5 7 Self Check Alarms 5 9 Managing Alarms 5 11 Alarm Muting 5 12 Start Up Muting 5 12 Preemptive Muting 5 12 Disabling Alarms f...

Page 7: ...rgency Air Intake Filters 7 3 Inspecting and Replacing the Foam Filter 7 3 Inspecting and Replacing the Disk Filter 7 3 Replacing Ventilator Filters 7 4 Replacing the Foam Filter 7 4 Replacing the Dis...

Page 8: ......

Page 9: ...ation regarding FDA tracking requirements and the product s warranty and software license How to contact ZOLL Medical Corporation for service to this product Product Description The ZOLL Z Vent ventil...

Page 10: ...mechanical and electrical integrity If the contents are incomplete if there is mechanical damage or if the ventilator does not pass its Self Check test when turned on U S A customers should call ZOLL...

Page 11: ...part of this medical device Serial Number Numbers following SN indicate the serial number Defibrillation Proof Indicates the degree of protection against electrical shock BF Symbol Protection against...

Page 12: ...ton that when pressed displays a menu of options that you can select to configure the ventilator High Pressure O2 Connector top faceplate icon Exhalation Valve top faceplate icon Exhaust Do Not Occlud...

Page 13: ...cation that the pulse oximeter is in use Alarm Bell Identifies the number of off screen alarms Alarm Bell Outline Identifies alarm limit settings Identifies the on screen alarms O2 reservoir mode is i...

Page 14: ...vice is operating without an external power source Internal Battery Provides indication of battery capacity and charging Indicates that an external battery is powering the ventilator No Internal Batte...

Page 15: ...e Accept button This guide uses uppercase italics for text messages displayed on the screen for example EXTERNAL POWER FAILURE Warning Warning statements alert you to conditions or actions that can re...

Page 16: ...nute PIP Peak Inspiratory Pressure cm H2O Centimeters of Water PPV Positive Pressure Ventilation CPAP Continuous Positive Airway Pressure PS Pressure Support CPR Cardiopulmonary Resuscitation psig Pou...

Page 17: ...nvasive monitoring of the oxygen saturation of arterial hemoglobin SpO2 and pulse rate The pulse SpO2 oximeter and accessories are indicated for use with adult and pediatric patients during both no mo...

Page 18: ...ce We describe the EMC performance for this device in Appendix A Specifications of this guide The ventilator may cause radio interference or may disrupt the operation of nearby equipment It may be nec...

Page 19: ...ylene blue Exposure to excessive illumination such as surgical lamps especially ones with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight exposure to...

Page 20: ...e and the MRI unit may affect the accuracy of the dosimetry measurements Batteries Only use the power supply provided with the device Use of any other power supply could cause damage or create a fire...

Page 21: ...shall NOT be allowed in the MRI Environment including Pulse Oximeters sensors and cabling External AC DC Power Supply Rolling Cart Breathing Circuit Arm Active Humidification and associated support ap...

Page 22: ...this device if it is used with unauthorized sensors cables or patient circuits FDA Tracking Requirements U S Federal Law 21 CFR 821 requires the tracking of ventilators Under this law owners of this v...

Page 23: ...interests in the system software and all copies thereof remain at all times vested in the manufacturer and Licensors to ZOLL Medical Corporation and they do not pass to purchaser 3 Assignment Purchas...

Page 24: ...ULTING FROM ANY CAUSE WHATSOEVER AND WITHOUT LIMITATION ZOLL WILL NOT IN ANY EVENT BE LIABLE TO THE CUSTOMER FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES OF ANY KIND WHETHER FOR DEFECTIVE OR NONCONFORMING...

Page 25: ...ervice request SR number appears on each package and follow the Shipping Regulations as described in Chapter 7 of this manual Return the device to For customers Return the device to In the U S A ZOLL...

Page 26: ......

Page 27: ...chapter describes the Z Vent ventilator and provides more detailed descriptions of the following Main features Controls and indicators Display screen Fresh Gas Emergency Air Intake and attachments Top...

Page 28: ...gh pressure oxygen source Status Indicator LED Array Top Lights to indicate ventilator status and a visible alarm indicator External Power Input Connector Top Enables connection to an external power s...

Page 29: ...ettings Battery Compartment Bottom Holds the ventilator s rechargeable Li ion battery Fresh Gas Emergency Air Intake Side Enables the ventilator internal compressor to use ambient air and acts as an a...

Page 30: ...arameter Context Menu item and Menu item Values accelerate with speed of turning Mute Cancel button The Mute Cancel button mutes the audible alarm allowing the user time to change parameters It can al...

Page 31: ...and actions that you can take in response Popup Windows Display information that assists you when adjusting parameter values Parameter Windows Each parameter window displays its primary parameter and...

Page 32: ...bient conditions ZOLL offers an Oxygen Reservoir Bag Assembly Kit to allow for low flow oxygen use with the ventilator to provide supplemental oxygen to patients Low flow oxygen sources can be from a...

Page 33: ...gure 2 5 Z Vent with O2 Reservoir Kit Top Panel The oxygen hose patient circuit external power and pulse oximeter attach to the top panel of the ventilator The USB port is only used when servicing the...

Page 34: ...ice of 24 V at 4 2 A When this external power source is present the ventilator automatically charges its internal battery while operating Only use the external power supply provided with the ventilato...

Page 35: ...e and a compressor to provide the appropriate gas mixture for the patient The system includes transducers for pressure measurements including O2 input supply and barometric pressure The Wye circuit is...

Page 36: ...te If external oxygen is connected the oxygen pressure must be at least 41 psig 2 psig at the time the ventilator performs its Self Check after turning on the ventilator High Pressure Oxygen Supply Ho...

Page 37: ...Product Overview 9650 002360 01 Rev A ZOLL Z Vent Ventilator Operator s Guide 2 11 Figure 2 9 Ventilator Gas Sources...

Page 38: ...g information regarding patient circuits is found in Appendix D Figure 2 10 Patient Circuits ZOLL provides the following circuit types Pediatric Adult 6 ft and 12 ft Infant Pediatric 6 ft and 12 ft Ca...

Page 39: ...if the ventilator has patient circuit alarm conditions replace the patient circuit Use of Heat and Moisture Exchangers Heat and Moisture Exchangers HMEs can be used with the device The HME provides he...

Page 40: ...the Ventilator Figure 2 11 shows how to attach a patient circuit to the ventilator Figure 2 11 Patient Circuit Attachment The list that follows identifies the circuit connections Connection Symbol on...

Page 41: ...following specifications Internal Diameter 22 mm Inspiratory Resistance RINSP 30 Lpm 0 02 hPa l min Expiratory Resistance REXP 30 Lpm 0 10 hPa l min Tubing Compliance CT 60 hPa 2 8 ml hPa Dead Space 2...

Page 42: ...ended length of the tubing in the 12 ft circuit results in a higher RINSP compared to the 6 ft circuit Warning Compressible volume can significantly decrease the delivered tidal volume When managing p...

Page 43: ...patient To set up the ventilator you must perform the following tasks 1 Attach the patient circuit 2 Attach the high pressure oxygen supply optional 3 Inspect Fresh Gas Emergency Air Intake filters 4...

Page 44: ...green 3 16 inch ID airway pressure line to the pressure transducer The clear 1 4 inch ID exhalation valve control line to the exhalation valve fitting The oxygen hose to the Oxygen Input connector Not...

Page 45: ...entilator oxygen inlet is shown in Figure 3 2 Warning Use only with medical grade USP oxygen When using with an oxygen cylinder the cylinder must be secured The O2 hose is either colored green or whit...

Page 46: ...CTED alarm from sounding 2 Attach the Oxygen Reservoir Bag Assembly to the Fresh Gas Emergency Air Intake This port is located in the side of the ventilator It will be necessary to use the supplied 22...

Page 47: ...supply rate Bacterial Viral BV Filter If the ventilator will operate in an environment where the patient is at risk from cross contamination or airborne pathogens you may choose to attach a BV filter...

Page 48: ...tandard vehicle DC outlet using either the 12 or 28 VDC Power Cable that ZOLL provides to connect the ventilator to the DC outlet The ventilator s input connector accepts DC voltages between 11 8 to 3...

Page 49: ...d Disconnecting the Power Supply Warning If the power supply power cable or power connection plugs are damaged or become damaged during use immediately disconnect the power cable from external power a...

Page 50: ...nt circuit pulse oximeter adjust ventilator settings and perform an operational test without distraction The start up mute self clears when there are not any active medium priority alarms and no un mu...

Page 51: ...head with mask icon appears in the location used by the speaker mute icons Low and Medium priority alarms cause this head with mask icon to disappear It reappears when low priority alarms are muted Wh...

Page 52: ...you connect the patient to the ventilator while the Start Menu is still active To resolve the alarm you must select a mode of ventilation and configure the device appropriately for the patient In addi...

Page 53: ...t port to reset the PATIENT DISCONNECT alarm e With no other alarms occurring remove external power from the ventilator The EXTERNAL POWER LOW DISCONNECT alarms should activate Reconnect external powe...

Page 54: ...ion port Note If there are circuit related alarms during set up or initial use such as Disconnect PEEP Leak Low Airway Pressure or Auto PEEP check all circuit connections and the exhalation valve Warn...

Page 55: ...ollowing topics Initial operation with default predefined parameter settings Changing parameter settings Saving custom configurations for future use Using the last settings enabled on the ventilator M...

Page 56: ...tart Menu choices include Warning Do not connect patient to the ventilator while the Start Menu is active Default Parameter Settings for Adult Pediatric and Mask CPAP The default settings for Adult Pe...

Page 57: ...al until Mask CPAP highlights 2 Press the Accept button to enable your choice The ventilator begins operation with the choice you made For initial set up see Chapter 3 Note The ventilator provides a 1...

Page 58: ...tient appear as outlined text in the parameter window Figure 4 1 shows parameter windows Figure 4 1 Parameter Windows and Auxiliary Boxes Figure 4 2 shows the buttons associated with parameter windows...

Page 59: ...hlight secondary parameters moving in a clockwise direction Press and Hold opens the context menu for those primary parameters that have a context menu Turning the Dial highlights context menu items N...

Page 60: ...t button Example 2 Changing a Secondary Parameter In Example 2 the ventilator is operating with the default Adult parameters and user wants to adjust the PEEP secondary parameter setting from 5 the ad...

Page 61: ...When the Start up Menu displays turn the Dial to highlight Custom Settings and then press the Accept button 3 The ventilator displays the custom parameter settings in the parameter windows Warning Th...

Page 62: ...expiratory pressure EPAP Secondary Parameters and Alarm Thresholds Limits The Mode parameter window has two secondary parameter choices Breath target Leak Compensation Breath Target Volume targeting V...

Page 63: ...or BL the suppressed alarms should be set to ensure safe ventilation of the patient When in BL or CPAP modes the Insufficient Flow alarm Service Code 2095 triggers when the patient s inspiratory flow...

Page 64: ...d other options for the Mode parameter window Warning Apnea Backup settings are appropriate for most adult patients For small adult and pediatric patients adjust the Apnea Backup settings so that they...

Page 65: ...w BPM alarm limit lower number below the Alarm Bell symbol Control Parameter I E ratio or Ti Note Display of I E or Ti in the BPM parameter window is determined by the Control Parameter setting in the...

Page 66: ...al I E is from 1 1 0 to 1 99 Going inverse requires a popup confirmation due to the potential for harm when this setting is inappropriate for the patient s condition Inverse I E ratio is not available...

Page 67: ...us breathe may time cycle causing asynchrony You can adjust the Cycle Off value to account for patient leaks and weak respiratory effort Users must carefully assess the patient s response when adjusti...

Page 68: ...ter in the BPM context menu Ti 0 1 to 5 0 or I E 4 1 to 1 99 Inverse I E is available as an advanced feature of the Z Vent Alarm Limits High breath rate 20 to 99 OFF Low breath rate 2 to 99 Measured V...

Page 69: ...and Alarm Thresholds Limits The secondary parameters for the Vt parameter window are the following Vt High Limit lower number below the alarm bell Vt Low Limit number below the Vt High Limit Note The...

Page 70: ...uits to prevent a selection beyond the range of the standard circuits In order to prevent inappropriate or unsafe use of this feature the tubing compliance compensation is turned OFF at startup Adult...

Page 71: ...ine pressure maintained above atmospheric pressure at the end of exhalation to prevent alveolar collapse and improve gas exchange For BL mode the ventilator provides noninvasive ventilation with the a...

Page 72: ...e the magnitude To prevent auto triggering the magnitude of the trigger pressure may need to be increased This should be done with caution as it will increase the work of breathing and may lead to asy...

Page 73: ...PIP Parameter Window Reference The following table provides the options and ranges for the PIP parameter window PIP Parameter Window Options Range Availability Notes Primary Parameter PIP 10 to 80 Vol...

Page 74: ...high pressure oxygen use is calculated Secondary Parameters and Alarm Thresholds Limits There are no secondary parameters for the FIO2 parameter window Context Menu Access the FIO2 context menu to tu...

Page 75: ...potension severe vasoconstriction severe anemia or hypothermia There is an arterial occlusion proximal to the sensor The patient is in cardiac arrest or is in shock Patient movement Nail polish or fin...

Page 76: ...ntext Menu The Masimo context menu is the same for both the SpO2 and HR parameter windows The menu provides for the following pulse oximeter controls Standby Pulse Ox Fast SAT Sensitivity APOD Averagi...

Page 77: ...ng rapid changes in SpO2 is paramount such as induction intubation and sleep studies Sensitivity Norm Max Norm Norm adjusts the pleth signal sensitivity Max interprets and displays data for even the w...

Page 78: ...he HR parameter button more than once until desired limit setting highlights 2 Turn the Dial to adjust the value of the parameter 3 Press the Accept button Context Menu The menu supports both HR and S...

Page 79: ...g rapid changes in SpO2 is paramount such as induction intubation and sleep studies Sensitivity Norm Max Norm Norm adjusts the pleth signal sensitivity Max interprets and displays data for even the we...

Page 80: ...is optional on the Z Vent ventilator If the ventilator support the Plateau Pressure option the Manual Breath button is Labeled Manual Breath P Plat see Figure 4 3 When Plateau Pressure is available o...

Page 81: ...set the parameter beyond the typical range A sample popup message is shown in Figure 4 4 When a message occurs you are asked to press the Accept button before you can adjust a parameter beyond the ty...

Page 82: ...al norms or is outside its performance range Popup messages also appear when you are required to confirm their action before you proceed For example setting the low breath rate alarm below 4 would all...

Page 83: ...flow capability of the O2 valve Resolution involves changing a setting to increase the flow required from the O2 valve if possible Note This condition is only possible with infant setting and for FIO2...

Page 84: ...atio to another mode where inverse I E is not allowed Message Inverse I E only allowed in AC Mode change will reset I E to 1 3 I E Setting Conflict Popup message triggers when the user attempts to set...

Page 85: ...e Confirmation required press accept key to allow Vt 1000ml PEEP Setting Conflict Popup message triggers when the user attempts to set the PEEP setting 5 cm H2O below the PIP High pressure limit Messa...

Page 86: ...button and then continue to set a value 6 bpm followed by Accept again to confirm the setting change Message Confirmation required press accept key for values below 6 BPM BPM Limit Conflict Popup mes...

Page 87: ...ired press accept key to exceed 60 cm H2O PIP Limit Conflict Popup message triggers when the user attempts to set the PIP High limit the PIP Low limit Message Cannot adjust high limit lower than low l...

Page 88: ...Accept button and then adjust the I E ratio to the desired inverse value and press Accept again to confirm the setting change Message Confirmation required press accept key to allow inverse I E Exces...

Page 89: ...higher than PIP High Limit High IPAP Setting Popup message triggers during BL mode when the user attempts to set the IPAP 30 cm H2O To do this the user must press the Accept button and then adjust IP...

Page 90: ...must be appropriate for the patient being ventilated If a parameter is changed adjust the high and low alarm limit to bracket selected value Warning The transition into CPAP or BL from invasive modes...

Page 91: ...tion Adult Settings Pediatric Settings Start Menu 4 Press the Accept button to confirm the new starting configuration 5 Press the Mute Cancel button to return to the Menu 6 Press the Mute Cancel butto...

Page 92: ...then press the Accept button to set the new contrast value 4 Press the Mute Cancel button to return to the Menu Note The contrast value is saved between uses This may require adjusting the contrast v...

Page 93: ...the Dial to highlight UTC Offset and then press the Accept button 3 Turn the Dial clockwise or counterclockwise to find the offset value for your timezone then press the Accept button to set the new c...

Page 94: ...rvice Code The calendar date when the event was entered Whether the alarm is set or cleared The time 24hr when the event was entered The log entry number NNN The higher the number the more recent the...

Page 95: ...device detects a problem it triggers an alarm and displays a Smart Help message to alert you Smart Help presents a multi line message in the upper left hand corner of the display screen This screen ar...

Page 96: ...rms are active the number of bells corresponds to the number of alarms The alarm in the AMC is displayed as the solid bell To view each active alarm turn the Dial to scroll through all active alarms T...

Page 97: ...button has no effect on a high priority alarm The alarm can only be silenced by turning off the ventilator Some alarms can be resolved by turning the ventilator off then on again Medium Priority Mech...

Page 98: ...ailures of inter device communication cyclic redundancy checking or processor related issues Pneumatic Sensor faults failures of the pneumotachographs that measure gas flow or the pressure transducers...

Page 99: ...notes in Chapter 4 2072 Low Tidal Volume Vt Low ml 0 to 2000 OFF with popup confirmation 0 without confirmation Default Adult N A Pediatric 500 Default OFF in CPAP or BL See transition and feature no...

Page 100: ...172 Spontaneous Breath VT Low 0 to 2000 OFF with popup Confirmation 0 without confirmation Default Adult N A Pediatric 500 Default OFF in CPAP or BL See transition and feature notes in Chapter 4 2173...

Page 101: ...er must correct the cause of the alarm or change the therapy The table that follows lists the Environmental and Use alarms They are grouped based on their condition and effect on the ventilator Heart...

Page 102: ...2450 3450 Too hot for charge discharge w external power 3451 3452 Too Cold for charge 3453 Power Fault Failure Complete Power Failure 1420 External Power Failure 3431 Insufficient Current 3442 High V...

Page 103: ...r the risk of using the device with these alarms before using it with a patient Note The alarm priority is dependent on whether an alternate power or gas source is detected These alarms clear when the...

Page 104: ...1012 2012 3012 Sensor Transducers Cal file Failures 1003 1052 1174 Sensor and Transducers Faults 3143 3130 3032 Power System Fault Failure 5V Bus Compromised 1172 No Back Up power available Input Prot...

Page 105: ...er is prompted to address the issue or issues that most effect the safety of the patient This grouping is to provide a framework to identify the alarm conditions The AMC accommodates the display of up...

Page 106: ...Start Menu is used the 2 minute countdown starts once you select a start option Once the patient is connected the mute cancels automatically after 15 seconds when there are no active alarms Note When...

Page 107: ...2411 Heart Rate Low Pulse Rate Low 3300 SpO2 Shutdown MS2011SB Failure Monitor Not In Use 3301 SpO2 Shutdown Communication Failure EMV Pulse Ox Monitor Not In Use 3310 No SpO2 Sensor Connected No Sens...

Page 108: ...ibration due Alarm 3120 reappears in the next operating session Note To avoid nuisance alarms the Auto PEEP alarm 3091 is disabled at start up The user can choose to activate the alarm if they believe...

Page 109: ...ttings are not possible The backup mode is activated with all internal COMM failure alarms Service Codes 1173 1471 1472 1474 and 1475 While in backup mode if any of the following conditions are detect...

Page 110: ...ise Time 5 As Set 6 PIP High 25 As Set 25 PIP Low 3 As Set 10 Vt High 700 As Set 750 Vt Low As Set 250 FIO2 As Set As Set 21 Trigger 2 cm H2O As Set 2 cm H2O Service Code Alarm Name Mitigation Resolut...

Page 111: ...nter 1011 Self Check Failure Pneumatic System O2 Valve Alarm occurs when the signal to the O2 valve is not delivering the required flow rate and the compressor is not available to provide ventilation...

Page 112: ...ce should be turned off and then restarted with supply pressure in the appropriate range 40 to 87 psig 276 to 600 kPa or without the high pressure O2 source connected Mitigation Info Manually Ventilat...

Page 113: ...replace the breathing circuit and restart the ventilator If this does not resolve the problem replace the ventilator and contact the service center for additional information Mitigation Info Patient C...

Page 114: ...d after the failure and there are no other issues it can be returned to service If there are any questions contact the service center for additional information Mitigation Info No LCD Display 1430 Dra...

Page 115: ...tient Contact Service Center 1475 Self Check Failure Internal COMM Alarm triggers when the device has lost communication with the contrast control and in most instances the content of the LCD is not v...

Page 116: ...in this state the user should monitor the SpO2 to ensure that adequate oxygenation is maintained If low flow O2 is available it can be entrained through the Fresh Gas Emergency Air Intake port using t...

Page 117: ...start O2 operation unless the supply pressure is 40 psig 276 kPa This is done to prevent continuous cycling between alarms during the inspiratory phase and no alarm during the expiratory phases If low...

Page 118: ...vice Ventilator Manually Ventilate Patient 2070 Airway Pressure High Pressure Exceeds Limit Setting Alarm triggers when the airway pressure PIP is the high airway pressure limit for 2 consecutive brea...

Page 119: ...n the airway pressure at airway pressure limit for the duration of the breath inspiratory time If the PIP setting is set properly the breath should be greater than the low limit provided it is set cor...

Page 120: ...ing the expiratory phase of the breath This can be caused by a leak in the breathing circuit exhalation valve or patient airway The user should check the breathing circuit and exhalation valve to ensu...

Page 121: ...us breaths The user should quickly check for kinked hoses tubes and check for airway obstruction Suctioned the patient if necessary The user should also check if the High PIP limit is set correctly of...

Page 122: ...larm triggers when the communication between the pulse oximeter module and device fails When this occurs the user must turn off the pulse oximeter monitor to end the alarm condition through the SpO2 C...

Page 123: ...it is 40 beats minute The user should consult with the attending physician on how best to increase the heart rate to an acceptable level Mitigation Info Heart Rate Below Limit Check Low Limit Setting...

Page 124: ...es 75 C 167 F the battery will shut down to prevent failure and the device will sound a high priority alarm and shutdown If possible the user should provide a source of external power which will allow...

Page 125: ...te supply of O2 Failure to maintain the O2 supply will result in a high priority alarm and loss of ventilation The user cannot repair the device replace the ventilator and contact the service center f...

Page 126: ...2 back to the original value If the blockage is cleared operation with the compressor will restart If the blockage is not cleared the alarm will resound set the FIO2 to 100 continue ventilation and en...

Page 127: ...e and ensure that the pressure does not rise further Mitigation Info Decrease O2 Supply Pressure Replace Regulator Connect Low Flow O2 Monitor SpO2 Monitor O2 Supply Pressure 3073 Tubing Compliance Fa...

Page 128: ...Service Center 3120 PM Due Alarm triggers at start up when the preselected number of days has elapsed since the last calibration When appropriate the device should be replaced and sent for preventive...

Page 129: ...tion Info Beyond Altitude Compensation Limit Maintain Airway Pressure Check Patient Chest Rise Monitor Ventilator Patient Reduce Altitude Pressurize Cabin if Possible 3132 Low Altitude High Barometric...

Page 130: ...itional information Mitigation Info Environmental Sensor Temperature Ventilator Operating Service Required Contact Service Center 3172 Self Check Fault Pneumatic Sensor Autocal Alarm triggers when the...

Page 131: ...u to put the monitor in standby Contact the service center for additional information Mitigation Info Check Pulse Ox Sensor Check Sensor Ventilator Connection Reinsert Sensor Replace Cable Sensor Repl...

Page 132: ...a fault is detected and or the sensor has failed To resolve the alarm condition the sensor should be replaced If the alarm condition cannot be resolved the user should turn off pulse oximetry monitori...

Page 133: ...larm triggers when the battery charging circuit fails When this alarm is active the battery cannot be charged The device can only run with external power If power is lost ventilation will stop and a h...

Page 134: ...y caused by a faulty DC source The user should seek an alternate power source Mitigation Info DC Voltage Reversed Internal Battery Operation Disconnect Power Source Replace Power Source 3450 Battery D...

Page 135: ...ttery Communication Alarm triggers when the device is not able to communicate with the internal battery and external power is connected To continue operation the device must remain connected external...

Page 136: ......

Page 137: ...vironmental conditions temperature and ambient pressure and when it detects extreme environments the device alerts you with a Low Priority alarm which defines the operating condition and prompts your...

Page 138: ...ery performance Note If the device is stored ready for use at the temperature extremes users should note the battery charging and discharging conditions identified below Charging If operating using ex...

Page 139: ...perbaric chamber can result in harm to the patient and or damage to the device Rain and Snow You should prevent exposing the device to rain or snow Use the optional padded case provided with the venti...

Page 140: ...into the Fresh Gas Emergency Air Intake Warning If filters have been exposed to biological matter dispose of them following the Universal Precaution procedures for your facility Chemical Biological Fi...

Page 141: ...tients if they rapidly inhale exhale as the valve may not fully close in time to prevent hazardous gas entrainment Also if the PEEP is set low patients may inhale faster than the flow is delivered whi...

Page 142: ...r mounted to an MRI roll stand Warning Use only Z Vent ventilators marked with the MR symbol in the MRI environment Before using the ventilator in an MRI environment it is important that you read and...

Page 143: ...Operating Environments 9650 002360 01 Rev A ZOLL Z Vent Ventilator Operator s Guide 6 7 Figure 6 4 Ventilator Mounted on MRI Rolling Stand With IV Support Arm...

Page 144: ......

Page 145: ...ting the Ventilator You should perform the following physical inspections of the ventilator on a regular basis Ensure that the ventilator is clean and free of visible damage Inspect all accessories an...

Page 146: ...device with abrasives or chlorinated hydrocarbon cleansers which damage the housing and interface lens After cleaning thoroughly dry the device with a lint free cloth Make sure that all exposed surfac...

Page 147: ...Disk Filter is located behind the Foam Filter This filter provides a second level of filtration to the ambient air that is delivered to the patient You must check this filter periodically and replace...

Page 148: ...de the Fresh Gas Emergency Air Intake 1 Carefully remove the Foam Filter using a hemostat or tweezers DO NOT reuse or attempt to clean the old filter 2 Replace the Foam Filter with a new filter Lightl...

Page 149: ...tting Assembly into the lower segment making sure that its alignment pin mates 6 Secure the Compressor Inlet Fitting Assembly to the device by equally tightening each of the four 4 8 32 x 3 Phillips F...

Page 150: ...ly clear themselves When operating from battery always monitor the battery charge state via the battery icon that provides both a graphical and numeric indication of the remaining battery power The ve...

Page 151: ...rten the useful life of the battery Note When charging in the storage case be advised that the battery may stop charging if ambient temperature is above 40 C 104 F even though the device is still conn...

Page 152: ...ned to storage If the ventilator fails the self check restart the device if it fails again it should be returned to ZOLL or an authorized Service Center for calibration Electrical Safety Check The ven...

Page 153: ...l control panel settings and follow the alarm mitigation instructions provided in the Smart Help message s Verify that the Fresh Gas Emergency Air Intake disk filter and foam filter are not clogged or...

Page 154: ......

Page 155: ...ec for I E from 1 1 to 1 99 0 to 5 0 1 sec for I E from 4 0 1 to 1 99 Inverse I E Setting resolution 0 05 s Tidal Volume Setting 50 to 2000 ml ATPD 5 ml 10 setting Inverse I E ratio is available Setti...

Page 156: ...device DC Supply Nominal 12 5 to 28 0 VDC accepts DC voltages between 11 8 to 30 VDC Operating Time Internal Battery 10 hours at default settings Ventilator Temperature Ranges Standard Operating Temp...

Page 157: ...Perfusion Performance 0 02 Pulse Amplitude Saturation SpO2 2 digits and Transmission 5 Pulse Rate 3 digits Interfering Substances Carboxyhemoglobin may erroneously increase readings The level of incre...

Page 158: ...st Compliance Electromagnetic environment guidance RF emissions CISPR 11 Group 1 The ventilator used RF energy only for their internal function Therefore their RF emissions are very low and are not li...

Page 159: ...lator be powered from an uninterruptible power supply or a battery Power frequency 50 60 magnetic field IEC 6100 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a...

Page 160: ...66 MHz to 40 70 MHz b The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2 5 GHz are intended to decrease the likelihood that mobile port...

Page 161: ...ted 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 maxi...

Page 162: ......

Page 163: ...untry Specific Connector Contact factory for complete part number for each country Cord set 6 ft IEC 60320 C5 Plug to Country Specific Connector Contact factory for complete part number for each count...

Page 164: ...Adult Sensor to DB9 Male Note All LNCS Masimo cables are approved for use with the ZOLL ventilators Cable 6 ft BS 546 UK SA Plug Right Angle Cable 3 ft Masimo SET Oximeter LNCS Type Inf Inf 3 Infant...

Page 165: ...Mounting Bracket Carry all Case with Foam Inserts without AC Receptacle Carry all Case with AC Receptacle Case Transit Carry Case Transit Carry with AC Bulkhead Connector Case Transit Carry with AC B...

Page 166: ...ss Mask CPAP 5 Adult with Harness Case of 20 Mask CPAP 5 Adult with Harness Case of 50 Mask CPAP 6 Large Adult with Harness Mask CPAP 6 Large Adult with Harness Case of 20 Mask CPAP 6 Large Adult with...

Page 167: ...frared light emitting diodes LEDs in oximetry sensors serve as the light sources a photodiode serves as the photodetector Traditional pulse oximetry assumes that all pulsations in the light absorbance...

Page 168: ...60 S 905 x R which is the same relationship for traditional pulse oximeter The equation for the noise reference is based on the value of R the value being sought to determine the SpO2 The MS board sof...

Page 169: ...ct PEEP Leak Low Airway Pressure or Auto PEEP check all circuit connections and the exhalation valve If the exhalation valve is not performing manually ventilate the patient and perform the following...

Page 170: ...rcuit s Silicone Diaphragm 3 Carefully re seat the silicone diaphragm in the exhalation valve seat Tap around the silicone diaphragm lightly to ensure that kinks do not develop when closing the exhala...

Page 171: ...mation 1 2 Attaching a Patient Circuit to the Ventilator 2 14 B Backup 5 15 Backup Mode Apnea Backup Mode 5 15 Backup Modes 5 15 Battery Maintenance 7 5 Storage 7 7 BPM Parameters Alarm Thresholds 4 1...

Page 172: ...essure Gas Supply 2 10 High Priority Alarms 5 16 How to Use this Guide 1 1 HR Parameters Alarm Thresholds 4 24 Context Menu 4 24 HR Parameter Group Reference 4 25 Primary Parameter 4 24 Secondary Para...

Page 173: ...ith Heat and Moisture Exchangers 2 13 Patient Detect Mode 5 14 Patient Safety Alarms 5 4 Related to Use of a Pulse Oximeter 5 6 PIP Parameters Alarm Thresholds 4 17 Context Menu 4 18 PIP Parameter Gro...

Page 174: ...el 2 7 Transitions 4 36 U Unit Info 4 39 Unpacking the Ventilator 1 2 Using the Main Menu Alarm configuration 4 36 Alarm History 4 40 LCD brightness 4 38 LCD Contrast 4 38 Powerup 4 37 Unit Info 4 39...

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ZOLL Z Vent, Operator'S Manual

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