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GE iVent 201 Series, Руководство пользователя

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VI 

 

Theory ................................................................................................................................................................................................ 205

 

Ambient Air Filter ........................................................................................................................................................................... 205

 

CBRN Filter (optional) ................................................................................................................................................................... 205

 

Low Pressure O2 Adapter and Filter (optional) ............................................................................................................... 205

 

Air/Oxygen Blending System ................................................................................................................................................... 205

 

Inlet Manifold .................................................................................................................................................................................. 205

 

Turbine Unit ..................................................................................................................................................................................... 206

 

Turbine Pressure Sensor ............................................................................................................................................................ 206

 

Turbine Valves ................................................................................................................................................................................ 206

 

Over Pressure Relief Valve ........................................................................................................................................................ 206

 

Airway Flow and Pressure Sensors ...................................................................................................................................... 206

 

Pressure Switch ............................................................................................................................................................................. 206

 

Inlet and Outlet Mufflers ............................................................................................................................................................ 206

 

APPENDIX D: THEORY OF BREATH DELIVERY ...................................................................................................... 211

 

Breath Delivery ............................................................................................................................................................................... 213

 

Patient Triggering ......................................................................................................................................................................... 213

 

Breath Types ................................................................................................................................................................................... 214

 

Adaptive Flow and Adaptive I-Time ..................................................................................................................................... 215

 

Mandatory Volume Control Breath ...................................................................................................................................... 216

 

Pressure Control Breath............................................................................................................................................................. 217

 

Manual Mandatory Breath ....................................................................................................................................................... 218

 

Patient Pressure Support Breath ........................................................................................................................................... 218

 

Patient Spontaneous Breath ................................................................................................................................................... 219

 

Summary .......................................................................................................................................................................................... 220

 

APPENDIX E: VENTILATION MODES ....................................................................................................................... 223

 

Assist/Control Mode ..................................................................................................................................................................... 225

 

Definition ........................................................................................................................................................................................... 225

 

Available Breath Types ............................................................................................................................................................... 225

 

Description ....................................................................................................................................................................................... 225

 

Parameters Setting ...................................................................................................................................................................... 226

 

Synchronized Intermittent Mandatory Ventilation Mode ........................................................................................... 226

 

Definition ........................................................................................................................................................................................... 226

 

Available Breath Types ............................................................................................................................................................... 226

 

Description ....................................................................................................................................................................................... 226

 

Parameters Setting ...................................................................................................................................................................... 227

 

Continuous Positive Airway Pressure Mode ..................................................................................................................... 228

 

Definition ......................................................................................................................................................................................................... 228

 

Available Breath Types .............................................................................................................................................................................. 228

 

Description ...................................................................................................................................................................................................... 228

 

Содержание iVent 201 Series

Страница 1: ...GE Healthcare iVentTM201 User s Reference Manual Revision 13...

Страница 2: ...VersaMed a General Electric Company doing business as GE Healthcare...

Страница 3: ...support is necessary Model Number Serial Number Customer Service If you have a ventilator problem you cannot solve and you purchased your ventilator directly from GE call US number 800 345 2700 Custo...

Страница 4: ......

Страница 5: ...d Controlled Parameters 17 Pulse Oximetry Specifications 18 Standards and Safety Requirements 19 User Adjustable Alarms 22 Additional Alarms and Indicators 23 Waveforms and Diagnostics Packages 23 Int...

Страница 6: ...nd Power Up 52 The Front Panel 52 Silence 52 Manual Breath 53 Hold 53 Clear 53 LED Indicators 53 The Screen 54 3 OPERATING THE IVENTTM201 SETTING MODES AND PARAMETERS 57 Introduction 59 Operation of t...

Страница 7: ...Alarm Messages 96 Low Monitoring Option 97 Low Option 97 None Option 98 Adaptive Peak Flow 98 Humidifier Setting 99 Pulse Oximetry 100 Pneumatic Nebulizer 102 Set Time and Date 103 Restore Default Se...

Страница 8: ...er Failure 138 Excessive Triggering auto cycling 138 I E Cycling Dysynchrony 138 Premature I E Cycling 138 6 ALARMS 141 Introduction 143 How Alarms Work 143 Responding to an Alarm 143 Alarm settings 1...

Страница 9: ...fication tests 179 Required Equipment and Supplies 180 Starting the VVT 181 The Alarm Sound Test 181 Pressure Tests 182 Flow Tests 182 O2 Tests 182 Battery Test 183 Watchdog Timer Tests 183 VVT Comple...

Страница 10: ...gering 213 Breath Types 214 Adaptive Flow and Adaptive I Time 215 Mandatory Volume Control Breath 216 Pressure Control Breath 217 Manual Mandatory Breath 218 Patient Pressure Support Breath 218 Patien...

Страница 11: ...RR Vt Ratio 239 APPENDIX G ACCESSORIES 241 Disposable Breathing Circuit 243 Instructions for Use 244 Instructions for Use With a Pneumatic Nebulizer 245 Reuseable Patient Breathing Circuit 245 Conten...

Страница 12: ...m for Breathing Circuit 261 connecting the Patient circuit to the Support Arm 261 Roll Stand 262 Mounting the iVentTM201 On The Roll Stand 262 Dismounting the iVentTM201 From The Roll Stand 262 Connec...

Страница 13: ...1 1 INTRODUCTION This chapter contains the following sections Introduction Page 3 Specifications Page 13 Intended Use Page 25 Use of the iVentTM201 With MRI Page 25...

Страница 14: ......

Страница 15: ...ermittent Mandatory Ventilation SIMV o Volume Controlled SIMV Vctrl SIMV o Pressure Controlled SIMV Pctrl SIMV Continuous Positive Airway Pressure CPAP Pressure Support Ventilation PSV NOTE Certain mo...

Страница 16: ...ith the iVent 201 in close proximity along with a patient circuit preferably with a test lung and Rp20 resistor Become comfortable with the Control Knob and the front panel buttons The user interface...

Страница 17: ...G AT THE IVENT 201 Figure 1 Front View of the iVent 201 Item Number Description 1 Display 2 Keypad 3 Control Knob 4 Exhalation valve luer inlet 5 Ventilator outlet 6 Sensor line luer inlets 7 Nebulize...

Страница 18: ...ector 3 Remote alarm connector 4 External screen connector 5 LAN connector Do not remove connector cap This connection port is not in use 6 AC cable clip 7 RS 232 connectors COM1 and COM2 8 On off swi...

Страница 19: ...e airflow provided by the iVentTM201 The iVentTM201 must not be operated immediately following storage or transport outside the recommended operation condition The iVentTM201 internal battery contains...

Страница 20: ...e it is in use Make sure that the iVentTM201 is positioned so that its inlet ports and cooling vents are open to freely circulating air SYMBOLS AND LABELS Symbol Meaning Indicates that you should Refe...

Страница 21: ...Inlet Cooling Fan Connector DC Fuse Device ID Device Product Ethernet Connector not on all units External Display Connector AC IN 100 240V 50 60Hz 1 6A 2xT3 15AL 250V INLET AIR FILTER DO NOT OBSTRUCT...

Страница 22: ...10 High Pressure Oxygen Inlet Keyboard Connector Power Pack Fuse Power Switch Remote Alarm Connector Serial Communication Connector T15A 250V ON OFF REMOTE ALARM RS 232...

Страница 23: ...1 Power Pack inside VersaMed Caution This Power Pack contains a sealed Lead Acid Battery Disposal of this unit should be according to Environmental Safety Requirements for Lead Acid batteries POWER PA...

Страница 24: ...r Adaptive I Time sec 10 Y Y 80 Peak Flow up to 120 or Adaptive Flow L min 10 Y Y 74 Peak Flow Spontaneous up to 180 L min 10 Y Y 74 Oxygen Mix FiO2 21 to 100 10 of the set value or 3 absolute whichev...

Страница 25: ...o 150 min Exhale tidal volume Range 0 to 5000 mL Resolution 1 mL Accuracy 10 mL or 15 whichever is greater for 0 to 300 mL 10 for 300 to 5000 mL Exhaled Minute Volume Range 0 to 99 9L Resolution 0 1 L...

Страница 26: ...cmH2O Resolution 0 1 ml cmH2O Accuracy 2 20 of actual value ml cmH2O RR Vt Rapid Shallow Breathing Index RSBI Range 0 200 min L Resolution 1 min L Accuracy 5 20 of actual value min L Static compliance...

Страница 27: ...24 5 lb 11 1 kg Overall Weight with extended Battery 27 8 lb 12 6 kg VENTILATION MODES Assist Control A C o Volume Controlled A C o Pressure Controlled A C Synchronized Intermittent Mandatory Ventila...

Страница 28: ...External Sound Level 40 45 dBa at one meter POWER SUPPLY Parameter External AC 100 to 240 V 50 60 Hz max 1 6 A External DC Battery 12 to 15 V max 8 5 A Internal Battery Sealed Lead Acid 12 V 8 Ah rec...

Страница 29: ...e Tidal volume Measurement 15 above 100 mL from actual reading or 10 cc below 100 mL Inspiratory Pressure Limit 5 to 80 5 cmH2O Inspiratory Time Adaptive TimeTM or 0 2 to 3 10 sec Peak Flow PIF Adapti...

Страница 30: ...300 BPM adult pediatrics Motion 40 240 BPM adult pediatrics Low Perfusion 40 240 BPM adult pediatrics 3 digits 3 digit 3 digits Operating Temperature 0 C to 50 C 32 F to 122 F Storage Temperature 20 C...

Страница 31: ...ibility requirements and tests EN IEC 60601 1 6 General requirements for basic safety and essential performance Collateral standard Usability EN IEC 60601 2 12 Medical Electrical Equipment Particular...

Страница 32: ...ivity Values Triggers Pressure and Flow cmH2O LPM Pressure Support Ventilation PSV cmH2O Flow termination Esens Rise time drive Alarm Pressure Limit Pressure cmH2O Positive End Expiratory Pressure PEE...

Страница 33: ...tion 21 Parameter Unit of Measure Set Displayed Sigh Breath Setting Humidifier Setting purge cycle Nebulizer Settings time Hr min In SW version 19 18 01 estimated leak in adaptive Bi Level mode is pre...

Страница 34: ...essure High 4 80 cmH2O Low 1 77 cmH2O Apnea 5 120 seconds FiO2 High 22 100 Low 21 99 Leak 0 100 Low Tidal Volume Delivered Off or 15 85 Volume Limit Reached 100 2000 mL Inverse I E Ratio ON OFF Patien...

Страница 35: ...Disconnect Patient Disconnect Service Notice High PEEP Need Cal Calibration Patient Circuit Failed SpO2 Patient Disconnect SpO2 Sensor Disconnect SpO2 Reading Failed The following table shows addition...

Страница 36: ...Package includes the following Real Time Pressure and Flow Waveforms Waveform History Browsing Trending of Monitored Data Respiratory Diagnostics Software Package Pressure Flow and Volume Loops Lung M...

Страница 37: ...sive monitoring of oxygen saturation and pulse rate and is suitable for use in all above mentioned areas excluding MR environments The iVent 201 MR Conditional ventilator is a restricted medical devic...

Страница 38: ...ne on the floor with a durable tape VersaMed Gauss line warning floor label Versamed P N 350C0323 01 GE P N M1218236 shown in Figure 3 below can be used to emphasize the location of the 100 Gauss line...

Страница 39: ...100 Gauss field line of the MR magnet If there is a risk of personnel moving the ventilator it should be tethered to the wall or placed within a retaining box affixed to the floor The SpO2 option is...

Страница 40: ...ecifications refer to MRI Conditional Tests Specifications below The outcomes of the test results were There was no detectable magnetic attraction of the ventilator when placing the iVentTM201 close t...

Страница 41: ...oil for transmitting receiving signals Field Strength 3 Tesla Spatial gradient 0 12 mT m dB dt 200mT m ms RF 13 231 Watts SAR 0 2 92 2 Spin echo SE 2D Time of echo TE 20 ms Time of repetition TR 1000...

Страница 42: ......

Страница 43: ...sections Introduction Page 32 Power Connection Page 32 Oxygen Supply Page 38 Patient Circuit Page 40 Other Connections Page 44 Patient Connection Page 49 Filters Page 49 Operational Case Page 51 The...

Страница 44: ...Packing the unit in its optional transportation case POWER CONNECTION EXTERNAL POWER The iVentTM201 can use either external alternating current AC or direct current DC power Both AC and DC inputs are...

Страница 45: ...prevent accidental disconnection of the AC power cord secure it with the cable clip WARNING If the power cord is damaged worn or frayed replace it immediately NOTE Before you turn off the iVentTM201 c...

Страница 46: ...m the DC power supply the screen shows No EXT in black CAUTION If the screen flashes EXT in red the external battery voltage is low Replace the battery at once Ensure adequate power is immediately ava...

Страница 47: ...al battery can supply approximately 3 to 4 hours of power under typical conditions and settings CAUTION The iVentTM201 should only be used with a properly functioning battery The battery is automatica...

Страница 48: ...s NOTE If the Extended battery is in use charge the unit for at least 24 hours 3 Switch on the ventilator When the Weight Selection window appears select the 70kg patient weight setting 4 Set the pres...

Страница 49: ...With a 1 Phillips head screwdriver remove all four screws from the battery pack plate Figure 7 Figure 8 Figure 7 Unscrewing the Battery Pack Figure 8 Unscrewing the Extended Battery Pack 3 Using the...

Страница 50: ...ensure that the correct type of oxygen source is selected in Advanced Settings Main Screen Menu Advanced Settings Oxygen Supply Pressure See page 94 The factory default is High pressure WARNING The O2...

Страница 51: ...r LOW PRESSURE OXYGEN SUPPLY Connecting a low pressure O2 supply Adapter requires a low pressure O2 filter adapter fitted with a 22mm female port To connect the low pressure oxygen supply 1 Remove the...

Страница 52: ...easily blocked When the Low M option is the selected in the Advanced Settings window the measured FiO2 level is displayed in the Main window of the screen PATIENT CIRCUIT There are three ways to conn...

Страница 53: ...iratory limb onto the ventilator outlet The connector should fit snugly 2 Connect the Flow Sensor tubing the clear tubes to their connectors Ensure correct connection of the Male and Female luer conne...

Страница 54: ...s connected to external Exhalation valve which is then connected to the iVentTM201 To connect a dual limb patient circuit 1 Connect the Exhalation valve and its accessories to the ventilator 2 Connect...

Страница 55: ...gure 1 item number 5 4 Connect the patient circuit inspiratory limb to the one way valve sitting on the ventilator patient outlet and the expiratory limb to the exhalation valve 5 If appropriate fit t...

Страница 56: ...the ventilator s Patient Disconnect alarm detection Do not use any filter that appears to be discolored or filled with water NOTE Adding attachments components or sub assemblies to the iVentTM201 bre...

Страница 57: ...uit 5 Connect the Male and Female clear sensor tubing connectors to the Male and Female luer inlets on the front of the iVent201 as described above in Patient Circuit page 40 6 Connect the blue Expira...

Страница 58: ...enable the nebulizer operation To activate the nebulizer you need to select the High option under Oxygen Supply in the advance menu See page 95 To connect a nebulizer device 1 Connect the Nebulizer tu...

Страница 59: ...ute cables and connections to reduce the possibility of entanglement and strangulation The SpO2 device do not meet defibrillation proof requirement per IEC 60601 1 Do not sterilize the SpO2 device Ref...

Страница 60: ...32 connector to the RS 232 port COM1 or COM2 located on the right side of the device Figure 20 Figure 20 iVentTM201 Rear Panel You can connect the RS 232 to any communication port The iVentTM201 sets...

Страница 61: ...imes SENSOR LINE MAINTENANCE The iVentTM201 monitors the sensor lines and periodically sends pressurized air through the lines to clear them of any accumulated material It is possible for secretions a...

Страница 62: ...contamination of the patient circuit components and prevents bacteria excessive humidity and liquids from entering the iVentTM201 WARNING Failure to use an adequate bacterial filter may cause severe...

Страница 63: ...h as rain or snow Padding and protected ventilation ports enable full function in a variety of situations Figure 23 Soft Case THE IVENTTM201 USER INTERFACE It is important to invest time to acquaint y...

Страница 64: ...pin button or counter in increments calibrated precisely along the full range of values In some settings menus one press of the knob is enough to instantly select or confirm a value which thereafter i...

Страница 65: ...ory hold maneuver which allows the calculation of intrinsic PEEP For more details see page 235 Clear Clear has several functions Press it to perform the following Clear the screen of its current selec...

Страница 66: ...sure below a digital readout of the last peak inspiratory pressure value On the top left of the screen a large shows the total measured respiratory rate in breaths per minute in large blue numbers The...

Страница 67: ...he Main Screen If a pulse oximeter is connected to the iVentTM201 the SpO2 levels and Heart rate are displayed on the lower right side of the screen Figure 27 Figure 27 The Main Screen With the Pulse...

Страница 68: ...56 Notes...

Страница 69: ...TM201 Setting Modes and Parameters 57 3 OPERATING THE IVENTTM201 SETTING MODES AND PARAMETERS This chapter contains the following sections Introduction Page 59 Operation of the iVentTM201 Page 59 Comm...

Страница 70: ......

Страница 71: ...values OPERATION OF THE IVENTTM201 The following section describes the various functions and capabilities for operating the iVentTM201 POWER UP AND WEIGHT SELECTION If you have installed a patient cir...

Страница 72: ...sistance it sounds an alarm and begins ventilating in SIMV pressure control mode at a rate of 15 breaths per minute P INSP 20 and a PEEP of 5 If the iVentTM201 detects no airway resistance it enters S...

Страница 73: ...fully completed the O V T the patient circuit and ventilator are ready for use If the O V T fails 1 Verify that both Flow Sensor tubes are properly and snugly connected to the correct luer ports on th...

Страница 74: ...he knob until Standby is selected and press Then select the Yes option in the Confirmation window and press the knob The ventilator suspends operation NOTE Always return the iVentTM201 to Standby mode...

Страница 75: ...eters or change any of them For example to change to SIMV pressure control mode from SIMV volume control mode 1 Make sure that you start from the Main screen NOTE To return to the Main screen press th...

Страница 76: ...Parameters Screen 5 Note that Accept is automatically selected which makes it possible to accept the default parameters immediately and go directly into patient ventilation This is after you have ver...

Страница 77: ...adjustment When you have set each parameter you can accept all of them at once To change ventilation parameters through the Main Screen 1 Return to the Main screen if you are not already there press t...

Страница 78: ...tion about restoring defaults See page 105 Restore Default Settings THE SELECTION INTERFACE Most of the quantitative parameters are presented in the form of an oval dial with black numerals in the iVe...

Страница 79: ...sen value press the Clear button To return the selection of ALL ventilation parameters to their default levels for a given patient weight see page 105 ADJUSTING THE BREATH RATE The following procedure...

Страница 80: ...e change automatically 4 After setting a new value press the Control Knob to confirm and accept the settings NOTE Certain modes and values described in this section are not operational in all iVentTM2...

Страница 81: ...adjust the tidal volume 1 Select the Tidal Volume or in Pressure Control select Volume Limit setting from the top middle section of the Main screen Figure 38 Figure 38 Tidal Volume Selected on the Ma...

Страница 82: ...aneous and mandatory peak flows are displayed and cannot be changed Breath Types The following section describes the various breath types which are each represented by their own specific icon The Tida...

Страница 83: ...sensors are measuring accurately Blue P Purge sensor lines function activated Periodically the iVentTM201 sends a puff of high pressure air through the sensor lines to clean them You can set the purgi...

Страница 84: ...n Or select the Pressure option in the Mode Parameters screen Figure 43 Figure 43 Pressure Limit Selected on the Mode Parameters Screen 2 Press the Control Knob to display the Set Pressure pop up wind...

Страница 85: ...n see page 148 4 Press the Control Knob to confirm and save the settings ADJUSTING FIO2 The O2 percentage delivered to the patient is adjustable NOTE Adjusting FiO2 can be performed only when the Oxyg...

Страница 86: ...g the FiO2 percentage automatically changes the O2 alarm based on a default margin of 20 10 O2 The O2 alarm parameters can also be adjusted from the Alarm Settings See page 150 ADJUSTING PEAK FLOW In...

Страница 87: ...ers 75 Figure 48 Peak Flow Selected on the Main Screen Or select the Peak Flow on the Mode Parameters screen Figure 49 Figure 49 Peak Flow Selected on the Mode Parameters Screen 2 Press the Control Kn...

Страница 88: ...selected a blue icon with a black circled A is displayed on the Main screen Figure 51 Figure 51 Adaptive Flow Icon If a Manual Peak Flow is set a transparent icon with a black circled M is displayed...

Страница 89: ...V Selected on the Main Screen Or select the PSV option in the Mode Parameters screen Figure 54 Figure 54 PSV Selected on the Mode Screen 2 Press the Control Knob The PSV pop up window appears Figure 5...

Страница 90: ...EP The PEEP level of the patient is adjusted to a set value during the ventilation To adjust the PEEP 1 Select PEEP from the second row on the Main screen Figure 56 Figure 56 PEEP Selected on the Main...

Страница 91: ...r than P limit PSV or a maximum value of 40 cmH2O 4 Press the Control Knob to confirm and accept the settings ADJUSTING TRIGGER SENSITIVITY When the patient s breathing is measured and above the adjus...

Страница 92: ...the Control Knob to confirm the pressure settings and select the Flow gauge 5 Dial to select the required Flow settings 6 Press the Knob to confirm and accept the settings ADJUSTING INSPIRATORY TIME...

Страница 93: ...Time Selected on the Main Screen Or select the Inspiratory Time option on the Mode Parameters screen Figure 63 Figure 63 Inspiratory Time Selected on the Mode Parameters Screen 2 Press the Control Kn...

Страница 94: ...ure 65 Manual I Time Figure 66 Adaptive I Time If a manual I time is set that does not allow for a 1 1 I E Ratio or does not allow the set volume to be delivered within the set I time then the display...

Страница 95: ...select the Rise Time option in the Mode Parameters screen Figure 68 Figure 68 Rise Time Selected on the Mode Parameters Screen NOTE The Rise Time option is located in the top left of the Mode Paramet...

Страница 96: ...ect the required value 4 Press the Control Knob to confirm and accept the settings ADJUSTING FLOW TERMINATION ESENS The iVentTM201 terminates the pressure support breath delivery after flow drop detec...

Страница 97: ...ode Parameters screen Figure 72 Figure 72 The Esens Option Selected on the Mode Parameters Screen 2 Press the Control Knob The Set Flow Term pop up window appears Figure 73 Figure 73 The Set Flow Term...

Страница 98: ...86 Notes...

Страница 99: ...gating the Main Menu Page 89 Alarm Settings Page 90 Advanced Settings Page 91 Restore Default Settings Page 105 Show Graphs Page 108 Show Trends Page 112 Show Loops Page 117 Show Mechanics Page 119 Pu...

Страница 100: ......

Страница 101: ...ry window Display a Log Book showing all adjustments and recent history of i iVentTM201 use Select the display type Perform an Operational Verification Test Access the Maintenance menu NOTE Depending...

Страница 102: ...he function you have selected To return to the Main Screen from anywhere in the Main Menu either Press the Clear button on the keypad until you return or Use the Control Knob to select Display on the...

Страница 103: ...Select and press the Menu option in the Main screen to access the Main Menu Figure 75 2 Turn the Control Knob to select the second item on the Main Menu list Advanced Settings 3 Press the Control Kno...

Страница 104: ...Breath Every The current interval is shown in the right column of the screen Figure 77 Figure 77 Sigh Breath Selected in the Advanced Settings Screen 3 Press the Control Knob A pop up window appears...

Страница 105: ...enable or disable the Easy Exhale 1 From the Main screen select Menu Advanced Settings 2 In the Advanced Settings screen select Easy Exhale The current status is shown in the right column of the scre...

Страница 106: ...ription below To set the oxygen supply pressure 1 From the Main screen select Menu Advanced Settings 2 In the Advanced Settings screen select Oxygen Supply Pressure The current option is shown in the...

Страница 107: ...73 High Option The High option is used for high pressure supply either from a wall outlet or a compressed canister both of which use the internal O2 mixer The High option is the factory default settin...

Страница 108: ...two options for the FiO2 setting are 21 or 100 After this value is changed to 21 or 100 the new settings are displayed with a yellow background Figure 83 Alarm Message O2 Sensor Failed For 12000 1499...

Страница 109: ...een shows the measured FiO2 the FiO2 delivered to the patient as in the Alarm screen Menu Alarm Settings All O2 related alarms are enabled If the O2 sensor fails the following alarm message is display...

Страница 110: ...en this option is selected all the O2 related alarms are disabled The alarm settings and readings are also disabled and the FiO2 field displays If the O2 sensor fails no alarm is displayed ADAPTIVE PE...

Страница 111: ...ted sensor purging NOTE This is an optional feature not available in all units Possible values are Heated purge every 1 minute HME purge every 10 minutes and Off The factory setting is HME There are n...

Страница 112: ...ed heart rate and a graphical display of the blood flow past the probe plethysmograph A pulse oximeter can be connected to the iVentTM201 ventilator allowing the operator to continuously monitor patie...

Страница 113: ...hibits an allergic reaction to the adhesive material To enable the Pulse Oximetry function 1 From the Main screen select and press Menu Advance Setting 2 In the Advanced Settings screen select SpO2 en...

Страница 114: ...ring nebulization the flow is synchronized with the inspiratory phase of each breath Note that the Nebulizer works during the inspiratory phase only For proper installation of the Nebulizer see page 4...

Страница 115: ...splayed at the bottom of the screen and is depicted by a thick gray line You can set more nebuliziation time while the nebulizer is activated The new set time is the sum of the time you have added and...

Страница 116: ...make sure the hour is selected then press the Control Knob Turn the dial to adjust the clock clockwise to set the clock to a later hour counterclockwise to set it earlier 5 Press the Control Knob to...

Страница 117: ...p state use Restore Defaults The factory startup default state is based on a patient weight of 70 kg SIMV Volume Control mode WARNING Restoring Defaults resets all parameters and settings to their def...

Страница 118: ...gain The iVentTM201 s settings return to their defaults and the Main screen is displayed DEFAULT PARAMETERS SETTINGS The following tables summarize the default parameters and alarm values for the iVen...

Страница 119: ...rameters for Pressure Ventilation for 10 kg to 70 kg Patient Weight RATE PInsp above PEEP I Time Volume Limit kg lb bpm cmH2O sec mL 10 22 30 20 0 6 200 15 33 25 20 0 8 300 20 44 20 20 1 0 400 30 66 1...

Страница 120: ...lts to displaying the waveform graphs while ventilating The Main Menu allows the operator to choose to display only the waveform graphs default or to split the view between waveform graphs and Trends...

Страница 121: ...at the Select bar of either is chosen Figure 97 Figure 97 The Flow Waveform Selected 2 Press the Control Knob to display the Graph Choice bar 3 From the Graph Choice bar select Browse with the Control...

Страница 122: ...display waveforms based on the selected ventilation parameters If you wish to change the view scale of Pressure or Flow waveforms use the Range function To change the waveform range 1 From the Main sc...

Страница 123: ...90 60 L minute and Auto the default Turn the dial to select the required value and press to accept the new range Figure 101 Flow Ranges If you select the Flow graph the choices are 210 150 120 90 60 L...

Страница 124: ...Mandatory Rate Spontaneous Rate Mandatory Volume Spontaneous Volume Spontaneous inspiratory time Mandatory inspiratory time I E Ratio Mean Airway Pressure Resistance Compliance Up to three trends at...

Страница 125: ...igure 103 Figure 103 Trends Pop Up Window in Standby Mode If the ventilator is in operation the three displayed Trends appear in a window beside the waveforms Figure 104 Figure 104 Trends Pop Up Windo...

Страница 126: ...elected 2 Press the Control Knob The Trends Choice window appears 3 Turn the Control Knob to Select then press A pop up window appears with a choice of parameters and diagnostic variables Figure 106 F...

Страница 127: ...BROWSING TRENDS You can recall trend information over a 72 hour period using the Browse feature To browse the trends 1 Turn the Control Knob to select the Select bar of the Trend graph you want to br...

Страница 128: ...l clockwise moves the time cursor indicator forward Rotating the dial counterclockwise moves the indicator backwards along the timeline 5 You can change the scale of the time coordinate on which the T...

Страница 129: ...the Show Graphs option and press the Control Knob The Trends pop up window closes and only the graphs are displayed SHOW LOOPS You can view Loops in four ways Volume Flow Pressure Flow Pressure Volume...

Страница 130: ...ample of a Pressure Volume Loop is displayed below Figure 113 Figure 113 A Pressure Volume Loop Each new loop is drawn in blue and turns to dark gray once the inspiratory cycle begins The display reta...

Страница 131: ...ed then press As soon as the current breath is completed the frozen loop disappears and the display resumes its default behavior drawing each new loop in blue and displaying the two previous loops in...

Страница 132: ...cted 3 Press the Control Knob The right section of the screen shows the selection of numeric values Figure 116 The Mechanics Pop Up Window PULSE OXIMETRY SCREEN The Pulse Oximetry screen Figure 117 di...

Страница 133: ...urements are displayed in blue The plethysmography waveform is displayed on the screen lower section Figure 118 Figure 118 The Pulse Oximetry screen To display the Pulse Oximetry screen 1 Select and p...

Страница 134: ...lowing alarms are the pulse oximetry alarms They are activated only when the Pulse Oximetry screen is enabled SpO2 reading failed SpO2 Patient disconnect SpO2 Sensor disconnect Low SpO2 High SpO2 High...

Страница 135: ...ress the Control Knob for acceptance 5 Select Accept and press the Control Knob for confirming and accepting the settings SHOW LOG BOOK Beginning each time it is powered up every time the ventilator e...

Страница 136: ...g of events Rotating the dial clockwise advances the log book forward in time DISPLAY You can choose from among three displays Main Monitoring and Home Care NOTE Depending on which iVentTM201model you...

Страница 137: ...tilation parameters The Pulse SpO2 pop up window can be viewed on the Monitor display To display the SpO2 pop up window on the monitoring screens select and press the SPO2 option on the lower left sid...

Страница 138: ...lect and press the SPO2 option on the lower left side of the screen The SpO2 pop up window appears on right side of the screen Figure 125 Figure 125 The Pulse Oximetery Option in the Home Care Display...

Страница 139: ...y 3 The Display menu pop up window appears Select the display you require and press the Control Knob O V T The O V T Operational Verification Test tests the patient circuit and the alarm sound It must...

Страница 140: ...128 Notes...

Страница 141: ...Adaptive Bi Level Page 131 Guide to Adaptive Bi Level Page 131 Indications and Warnings Page 132 Setup Page 132 Adjusting Adaptive Bi Level Parameters Page 134 Adaptive Bi Level Window Page 135 Easy E...

Страница 142: ......

Страница 143: ...reaths GUIDE TO ADAPTIVE BI LEVEL Adaptive Bi Level is a support mode of ventilation where spontaneous breathing efforts are pressure supported at a high inspiratory and low expiratory pressure In the...

Страница 144: ...ients exhibiting an altered level of consciousness requiring intubation for mechanical ventilation inability to tolerate facemask ventilation injury burn etc or severe decompensated respiratory failur...

Страница 145: ...ply a facemask to the patient Connect the ventilator breathing circuit to the facemask 6 Adjust the ventilator parameters for optimal ventilator patient synchrony and adequate ventilation See page 134...

Страница 146: ...nea Time is 20 seconds FiO2 Default for High FiO2 is 20 from set value Default for Low FiO2 is 21 or 10 from set value Leak Default for Leak is 100 NOTE Auto Settings are disabled in Adaptive Bi Level...

Страница 147: ...P Low 2 EPAP 0 to IPAP minus 2 or Maximum 30 cmH2O Esens 10 to 90 I Time 0 2 to 3 seconds with CAUTION indication at 2 0 seconds or when rate setting I E ratio reaches 1 4 NOTE If I Time flashes inspi...

Страница 148: ...low the Tidal Volume field of the display The Leak Estimate value is measured in lpm See Figure 129 Figure 129 Leak Estimated Value in LPM In SW version 19 18 01 estimated leak in adaptive Bi Level mo...

Страница 149: ...discretion See page 93 OPTIMIZING THE PATIENT VENTILATOR INTERFACE Setting up the Patient Ventilator interface is straightforward Either a nasal CPAP mask or a full facemask can be used If the mask i...

Страница 150: ...sure alarms or obvious ventilator patient dysynchrony and breath stacking Intervention Increase the percent of peak flow termination value Esens from the menu Additionally consider decreasing I time A...

Страница 151: ...pressure release Table 9 Recommended Masks Part Number Description Nasal Masks All Types chin strap may be required for mouth breathers Respironics Image 3 SE disposable version Resmed Mirage 2 reusa...

Страница 152: ......

Страница 153: ...sections Introduction Page 143 How Alarms Work Page 143 Alarm settings Page 144 Guide to Alarm Definitions and Priorities Page 158 Alarms Test Page 167 The Sensor Failure Alarm Page 169 Patient Discon...

Страница 154: ......

Страница 155: ...ys a pop up window on the LCD screen After the alarm is minimized using the Silence or Clear key it is minimized to the bottom left of the screen In that position it performs the following Appears red...

Страница 156: ...ed the minimized alarm appears red with a text message that describes the alarm condition If the alarm condition is not resolved within two minutes the alarm pop up window maximizes and sounds an audi...

Страница 157: ...window in the Main screen whereas the other alarms are set from the Alarm Settings screen Audio Alarm Volume Inverse I E Ratio Alarm Tidal Volume not delivered Patient Circuit Disconnect Enable Disab...

Страница 158: ...numerals to the left of each gauge show the absolute maximum or minimum allowed alarm setting The larger blue numbers to the left of each gauge are displayed only during ventilation showing each param...

Страница 159: ...the alarm rate for the lower limit in Breaths per Minute Note that adjusting the lower limit higher than the currently selected higher limit moves the higher limit up 8 Press the Control Knob to conf...

Страница 160: ...ected bright blue Turn the dial to adjust the alarm for the lower limit in liters per minute Note that adjusting the lower limit higher than the currently selected higher limit moves the higher limit...

Страница 161: ...ight blue Turn the dial to adjust the alarm for the lower limit in cmH2O Note that adjusting the lower limit higher than the currently selected higher limit moves the higher limit up 8 Press the Contr...

Страница 162: ...layed You can dial and select an additional alarm setting to adjust or dial and select Accept to accept all the alarm settings and return to the Main screen Setting the FiO2 Alarm To set the FiO2 alar...

Страница 163: ...The Alarm Setting screen is re displayed You can dial and select another alarm setting to adjust or dial and select Accept to accept all the alarm settings and return to the Main screen Setting the L...

Страница 164: ...TION The factory default setting for Leak Alarm is set to OFF You must manually set the leak alarm to enable it NOTE The Auto settings option is available only when the iVentTM201 is ventilating To ch...

Страница 165: ...arm Enable or disable the Patient Circuit Disconnect alarm To access the Alarm Options menu 1 From the Main screen select Menu Alarm Settings The Alarm Settings screen is displayed Figure 141 2 Select...

Страница 166: ...le of the level If you set the level under 2 or over 8 a Caution pop up window appears 5 Press the Control Knob to confirm the settings 6 You are returned to the Alarm Settings screen Dial and select...

Страница 167: ...The default setting for Tidal Volume Not Delivered Alarm is 85 Before disabling or adjusting any alarms be sure that you are operating in accordance with facility policy and patient needs NOTE This op...

Страница 168: ...connect Alarm WARNING The default setting for the Patient Circuit Disconnect Alarm is ON It should be shut off under medical discretion ONLY if necessary Be sure that you are operating in accordance w...

Страница 169: ...The Patient Circuit Disconnect Alarm Off Warning 6 Press Yes by using the Control Knob to confirm 7 You are returned to the Alarm Settings screen Dial and select Accept to accept the Alarm Options set...

Страница 170: ...Mid Triple beep every 5 secs Alarm pop up is removed Message is removed Log is updated Low Single beep No pop up Message is removed Log is updated Table 11 below shows alarm definitions and guides you...

Страница 171: ...e Verify patient is adequately ventilated Check changes in patient symptoms and vital signs Correct setting Battery Empty 10 min operating time left Internal battery is nearly depleted operating time...

Страница 172: ...concentration with external analyzer Refer unit to qualified service technician for calibration of O2 sensor High Heart Rate 2 breath delay The heart rate exceeds the upper rate limit Mid Clinical Con...

Страница 173: ...patient clinical condition decreasing the FiO2 level or increasing the SpO2 alarm settings Inverse I E Ratio for Volume Control modes only 20 mandatory breaths delay The I E ratio has changed to an in...

Страница 174: ...Alarm set too high No or low oxygen flow to system Calibration required High variability in patient breathing FiO2 is higher than alarm setting for 2 breaths Check oxygen supply Verify delivered O2 c...

Страница 175: ...tient clinical condition increasing the FiO2 concentration or decreasing the SpO2 alarm setting Auto Start Patient is connected but the unit is in Standby mode High Mid User enters Standby mode uninte...

Страница 176: ...clean Remove or protect unit from external heat source Remove unit for inspection and servicing by qualified service personnel Patient Disconnect 2 breaths delay Loss of patient resistance detection L...

Страница 177: ...firmly connected The signals from the SpO2 sensor return to normal values Check if the sensor is placed correctly on the patient try to find a better place for connecting the patient Reconnect the pa...

Страница 178: ...atient Reduce Inspiratory pressure Increase volume limit High PEEP Alarm 2 breath delay Actual PEEP value more than 10 cmH2O from set value High Exhalation Valve occlusion Improper parameter setting P...

Страница 179: ...e page 60 5 Attach a 2L test lung with Rp20 resistance to the patient circuit through an HME filter and start ventilation 6 Tube Disconnect alarm test Wait for at least 30 seconds after the ventilatio...

Страница 180: ...window and restore the alarm setting to its default value 13 High O2 alarm test Press Menu and open the Alarm Settings screen Set the High O2 alarm setting to a value below the measured value for FiO...

Страница 181: ...le wait approximately 10 breaths sometimes coughing can cause Check Sensor or Sensor Disconnect alarms If the ventilator does not automatically return to the previous mode and setup press the Restore...

Страница 182: ...settings when one full breath is detected NOTE During ventilation under high leak conditions e g non inflated cuff of the endotracheal tube a Patient Disconnect alarm is activated if the exhaled tidal...

Страница 183: ...Page 173 Cleaning and Maintenance Page 173 Planned Maintenance Page 174 Storage Planned Maintenance Page 176 The O V T Page 176 The Maintenance Screen Page 176 Ventilator Verification tests Page 179...

Страница 184: ......

Страница 185: ...mild detergent Air Inlet Filter Replace every 500 hours or 1 month of operation or as necessary Do not attempt to clean or reuse the air inlet filter Cooling Vents Cooling Inlet Filter Clean every 150...

Страница 186: ...closure Wipe clean the exterior Patient tubing Replace and perform O V T Cooling air filter and vents Clean and replace air filter as needed O2 sensor Replace the O2 sensor Every 500 hours or 1 month...

Страница 187: ...bration It is good practice to perform O2 calibration every 3 months Perform VVT Perform safety checks Replace listed parts by an authorized VersaMed Service Technician Every 2 years O2 sensor Replace...

Страница 188: ...ator Perform VVT Annually Battery Replace the battery Ventilator Full calibration Perform VVT Every 2 years O2 sensor Replace O2 sensor THE O V T O V T Operational Verification Test should be performe...

Страница 189: ...another for 21 oxygen NOTE You are required to perform O2 calibration every 6 months To calibrate the O2 1 Turn the control knob on the Main screen to select Menu Maintenance A caution pop up window a...

Страница 190: ...ealed by any component 6 Remove the inlet filter on the side of the ventilator and install the O2 calibration cover Figure 154 Figure 154 O2 Calibration Filter Cover 7 In the O2 System Calibration scr...

Страница 191: ...reen VENTILATOR VERIFICATION TESTS The Ventilator Verification Test VVT is a set of simple self tests designed to confirm ventilator functionality It is designed as a troubleshooting procedure to chec...

Страница 192: ...measurement and pressure performance Blower pressure measurement Transducer tubes leak Motor speed measurement Positive relief valves Solenoid valves two Flow performance Flow zeroing accuracy 21 FiO2...

Страница 193: ...performing the VVT the unit must be in a warm condition Connect the breathing circuit to a test lung and operate the ventilator for at least 15 minutes 4 Proceed to the Main Menu from the Main screen...

Страница 194: ...d The unit automatically proceeds through a number of tests for approximately 30 seconds The VVT instruction pop up window appears Flow Tests The following procedures explain how to perform an O2 Test...

Страница 195: ...s off and that the AC plug icon at the bottom of the LCD display is crossed out 3 Press OK Once the test has completed which takes approximately 20 seconds the VVT Instruction pop up window appears Wa...

Страница 196: ...w appears Select Yes 3 The Maintenance menu appears Select Configuration Screen WARNING Several functions on the Configuration Screen are designed only as service indicators and are not accessible Do...

Страница 197: ...t selected When the iVentTM201 is restarted the first screen appears with the weight you have selected now selected NOTE Note that the weight selection does not take effect until the ventilator is res...

Страница 198: ...need and press the knob to confirm COMMUNICATION RATE The iVentTM201 has a serial port installed for remote communication with other devices The default data transfer rate is 115 200 bps Ordinarily th...

Страница 199: ...g Pop Up Window 2 Select Yes and press the Control Knob The Localization screen appears 3 Make sure Language is selected and press the Control Knob A pop up window appears with a choice of several lan...

Страница 200: ...character that separates the day month and year can also be selected by choosing the Date Interfield Character menu This character can be either a forward slash a colon or a period TOTAL OPERATING HO...

Страница 201: ...7 Care Maintenance and Tests 189 Notes...

Страница 202: ......

Страница 203: ...Appendix A Glossary 191 APPENDIX A GLOSSARY...

Страница 204: ......

Страница 205: ...level at which a high pressure alarm occurs Apnea Apnea occurs when the patient fails to receive or perform a breath during a period of 20 seconds or as set Apnea Mode A ventilation mode that automati...

Страница 206: ...ressure is applied throughout the breath cycle Easy Exhale When active this feature relieves the exhalation valve diaphragm of pressure immediately at the end of inspiration Exhalation Phase The part...

Страница 207: ...airway pressure throughout the breath cycle Minimum Exhalation Time A period of time starting at the beginning of the exhalation phase during which any type of breath cannot be initiated Nebulizer Ne...

Страница 208: ...ng cycle may be chosen through the Advanced Menu Pressure Support Breath A patient breath in which the ventilator elevates the inspiratory pressure above the baseline i e PEEP Available in SIMV and CP...

Страница 209: ...te period measured in liters Transducer Sensor A device used to measure pressure and flow Ventilator Breath A ventilator delivered breath that is initiated controlled and terminated by the ventilator...

Страница 210: ...198 Notes...

Страница 211: ...Appendix B Warranty 199 APPENDIX B WARRANTY...

Страница 212: ......

Страница 213: ...lity or fitness for a particular purpose In no event shall the Supplier be liable for any damages including loss of profits incidental or consequential damages arising out of or in connection with the...

Страница 214: ...thout the prior written consent of the Supplier nor shall this Warranty or any rights of the Purchaser inure to the benefit of any trustee in bankruptcy receiver creditor trustee or successor of the P...

Страница 215: ...Appendix C Operating Theory 203 APPENDIX C OPERATING THEORY...

Страница 216: ......

Страница 217: ...ogical and Nuclear CBRN filter LOW PRESSURE O2 ADAPTER AND FILTER OPTIONAL An optional configuration that enables the usage of low pressure O2 sources such as concentrators to provide O2 enrichment AI...

Страница 218: ...release pressure in the patient circuit An air path from the patient breathing circuit to the manifold and air inlet filter is present OVER PRESSURE RELIEF VALVE If the control system fails to limit t...

Страница 219: ...Appendix C Operating Theory 207...

Страница 220: ......

Страница 221: ...Appendix C Operating Theory 209 Notes...

Страница 222: ......

Страница 223: ...Appendix D Theory of Breath Delivery 211 APPENDIX D THEORY OF BREATH DELIVERY...

Страница 224: ......

Страница 225: ...lows the patient to exhale 2 An exhalation phase in which air flows out from the patient s lungs and pressure returns to the baseline pressure The baseline pressure may be either the ambient pressure...

Страница 226: ...patient safety it is not possible to disable flow or pressure triggering when using the Adaptive Bi level Mode BREATH TYPES The ventilator delivers two primary breath types 1 Mandatory Breath A breat...

Страница 227: ...ratio of 1 2 In the absence of sufficient spontaneous patient efforts Adaptive Flow and Adaptive I Time work together in volume control modes SIMV and A C When used together The default state for SIM...

Страница 228: ...low rate that the ventilator uses is depicted by a circled M symbol next to the peak inspiratory flow value NOTE When setting a manual inspiratory flow during low flow conditions this flow target may...

Страница 229: ...initiated both by the ventilator ventilator pressure control breath and by the patient assist pressure control breath The inspiratory phase is terminated by the ventilator when inspiration time is ela...

Страница 230: ...ng to the default volume control for the specified patient weight PATIENT PRESSURE SUPPORT BREATH A patient pressure support breath is a positive pressure patient breath in which the ventilator mainta...

Страница 231: ...s is that the spontaneous breath pressure is maintained at the PEEP level PSV 0 during the inspiratory phase Flow is regulated by the ventilator to meet the patient s inspiratory flow demand and to ma...

Страница 232: ...y Ventilator time trigg Pressure Level Volume By Ventilator Inspiratory Time is elapsed Assist Pressure Control By Patient pt trigg Pressure Level Volume By Ventilator Inspiratory time is elapsed Manu...

Страница 233: ...Appendix D Theory of Breath Delivery 221 Notes...

Страница 234: ......

Страница 235: ...Appendix E Ventilation Modes 223 APPENDIX E VENTILATION MODES...

Страница 236: ......

Страница 237: ...igure 170 Breath Pattern in Assist Control Mode At the beginning of the breath cycle event a the ventilator delivers a ventilator breath After the ventilator breath is delivered the patient does not a...

Страница 238: ...eive a set number of mandatory breaths All breath types are available in this mode This mode is identical to Assist Control mode except for the following Patient spontaneous breaths are allowed betwee...

Страница 239: ...period an Assist window opens and the ventilator either waits for the next patient effort or delivers the next mandatory breath at the end of the Breath window Mandatory breaths terminate when The set...

Страница 240: ...172 illustrates how breaths are delivered in this mode Figure 172 Pressure During CPAP Mode for Spontaneous Breaths and Pressure Support Breath Patient triggering results in the delivery of a patient...

Страница 241: ...Volume for CPAP mL bpm mL 50 90 30 70 91 120 25 105 121 175 20 140 176 245 18 210 246 315 16 280 316 385 14 350 386 455 12 420 456 12 490 The ventilator remains in apnea backup ventilation until the...

Страница 242: ...mit Ventilation is based on the average measured inhaled volume similar to apnea ventilation See Table 16 above Pressure is measured via an internal pressure sensor Upon the restoration of normal cond...

Страница 243: ...Appendix E Ventilation Modes 231 Notes...

Страница 244: ......

Страница 245: ...Appendix F Hold Function and Static Mechanics Measurements 233 APPENDIX F HOLD FUNCTION AND STATIC MECHANICS MEASUREMENTS...

Страница 246: ......

Страница 247: ...g end inspiratory hold and Auto PEEP using end expiratory hold Due to the fact there is resistance in airways there is a delay to the equilibration of pressure throughout the respiratory system In ord...

Страница 248: ...halation valve closed until a plateau pressure is reached The following pop up window Figure 175 appears on the screen of the ventilator Figure 175 Inspiratory Hold Popup The ventilator automatically...

Страница 249: ...indow with the appropriate time when the respective hold maneuvers are performed See page 238 Reviewing Static Mechanics and Intrinsic PEEP Measurements CLINICAL CONSIDERATIONS The clinician should no...

Страница 250: ...lace the end expiratory hold is suspended Figure 175 Note that if the patient is conscious and breathing rapidly it may not be possible to perform an end expiratory hold maneuver If the ventilator sen...

Страница 251: ...anical ventilation One of the most popular and easiest methods of predicting this success is through the use of the RR Vt ratio or Rapid Shallow Breathing Index RSBI It is the relationship between the...

Страница 252: ...240 Notes...

Страница 253: ...Appendix G Accessories 241 APPENDIX G ACCESSORIES...

Страница 254: ......

Страница 255: ...Phthalates Risks and Precautionary Measures related to Phthalates This instruction pertains to the phthalate symbol marked on the device or its packaging If this device is used for the treatment of ch...

Страница 256: ...al exhalation valve E Flow sensor F Wye connector G Nebulizer 1 Connect the Inspiratory limb Figure 177 to the iVentTM201 outlet NOTE If using a humidifier see Other Connections page 44 See manufactur...

Страница 257: ...the free end of the nebulizer tube to the respective nebulizer port 4 For instructions on activating the Nebulizer see page 102 REUSEABLE PATIENT BREATHING CIRCUIT These instructions refer to the fol...

Страница 258: ...alates This instruction pertains to the phthalate symbol marked on the device or its packaging If this device is used for the treatment of children or treatment of pregnant or nursing women please not...

Страница 259: ...Connect opposite end of tubing to humidifier inlet and connect 22 mm tubing with the installed watertrap between humidifier outlet and Y connector Figure 178 F 4 If using Patient circuit with heated w...

Страница 260: ...ubing assembly Cleaning and Sterilization Disassembly 1 Detach the one way valve from the Y Connector and the long inspiratory corrugated tube Note Do not remove the tube holders that support the sens...

Страница 261: ...itutes for washing purposes Wash according to preset washing cycles and use different adapters to pass cleaning solution through the thin tubes 2 Remove the patient circuit components from the solutio...

Страница 262: ...upper and lower parts exhalation valve together 6 Check that the groove in the cap mates with the pin in the valve housing in the same orientation 7 Check that all tube holders on corrugated tube are...

Страница 263: ...increased risk of exposure conclusive evidence of human health risks has not been established As a precautionary measure to reduce the potential for unnecessary exposures to phthalates the product mus...

Страница 264: ...rb fitting of the exhalation valve and the other end to the barb fitting of the reusable Luer fitting 2 Connect the assembled PEEP pressure line by securing the luer lock fitting to the Exhalation val...

Страница 265: ...Appendix G Accessories 253 Figure 181 Attaching the Exhalation Valve Adapter Figure 182 Mounting the Exhalation Valve Adapter Figure 183 Tubing Connectors on the iVentTM201...

Страница 266: ...TERY 1 Make sure that the iVentTM201 is turned off 2 Disconnect the iVentTM201 from external power 3 Remove all four screws from the power pack using a 1 Phillips screwdriver as shown in the Figure 18...

Страница 267: ...sure that the female connectors of the battery are in place 8 You can pack the regular battery in the extended battery package placing back the foam inverted Charge the extended battery for at least 2...

Страница 268: ...or nursing women please note that the following types of procedures may increase the risk of exposure to phthalates Exchange transfusion in neonates total parenteral nutrition in neonates multiple pro...

Страница 269: ...Appendix G Accessories 257 Duration of use should be determined by the appropriate personnel based on accepted infection control procedures but no more than 30 days...

Страница 270: ...Exhalation valve luer inlet 5 Connect the open male side of the 22 mm Extension Tube to the female side of the Patient Circuit 6 On the open side connect the two transparent Channel Flow Sensor luer...

Страница 271: ...old model with an old mounting plate VersaMed P N 325A0162 A3 GE P N M1161827 is attached to the ventilator release the 4 screws that hold the old model of the Mounting plate and remove it See Figure...

Страница 272: ...tion on the HS Ventilator Figure 192 Positioning the Mounting Plate Figure 193 Inserting Screws into Flat Washer and Spring Washer NOTE The iVentTM201 MRI Transport Mounting Plate is an MR conditional...

Страница 273: ...RM 1 Place the Support Arm base on the roll stand frame as shown in Figure 194 2 Turn the lower screw A in Figure 195 to fasten the Support Arm to the roll stand CAUTION The side screw B in Figure 195...

Страница 274: ...as per F 2503 05 MOUNTING THE IVENTTM 201 ON THE ROLL STAND WARNING Make sure that the patient is not connected to the ventilator and that the device is in Standby mode or shut down 1 Verify that the...

Страница 275: ...ll Stand CONNECTING THE OPTIONAL BATTERY HOLDER ACCESSORY P N M1162050 1 Fasten the Battery Holder mount screws to the post using a Philips screwdriver See Figure 199 2 Using the Adjustment screw at t...

Страница 276: ...264 5 Fasten the external battery using the strap belt Figure 199 Connecting the Optional Battery Bag...

Страница 277: ...Appendix H Remote Alarm Connector 265 APPENDIX H REMOTE ALARM CONNECTOR...

Страница 278: ......

Страница 279: ...or provides access to a relay that is normally activated but deactivates when an alarm status occurs or the main power is turned off In Normal mode the N O contact to common is disconnected while the...

Страница 280: ......

Страница 281: ...Appendix I Part Numbers and Accessories 269 APPENDIX I PART NUMBERS AND ACCESSORIES...

Страница 282: ......

Страница 283: ...DISPOSABLE 4M M1198077 iVentTM201 PATIENT CIRCUIT W TRAP MULTI USE QTY 15 Mechanical M1199141 PATIENT CIRCUITS HW MU QTY 1 Breathing Circuits Components M1161015 319G0040 A0 FLOW SENSOR Y PIECE REUSA...

Страница 284: ...DER HOLDER MRI CONDITIONAL M1174996 Suko Roll Stand Caster Kit Oxygen M1162017 620B0002 01 OXYGEN SUPPLY HOSE 15FT LENGTH DISS FITTINGS M1162020 Adapter For Low Pressure O2 SpO2 M1176366 611A0005 02 N...

Страница 285: ...64 AC Cable 3pin 180 cm Brazil M1212963 EU AC CORD L 2M Batteries M1161011 504A0051 A0 EXTERNAL BATTERY KIT M1171502 900K0011 01 EXTENDED POWER PACK KIT M1171503 900K0011 02 H S EXTENDED POWER PACK KI...

Страница 286: ...274...

Страница 287: ...cycle 194 Breath type 13 breathing circuit 32 44 60 133 180 181 193 206 Compliance dynamic 14 DC 7 8 16 23 27 32 33 34 159 161 206 Delivered O2 13 disposable patient circuit 40 41 dual limb patient ci...

Страница 288: ...236 Plateau Pressure 14 119 pneumatic nebulizer 32 245 pressure alarm 193 Pressure control breath 215 PSV 12 17 20 196 Purging cycle 196 Purging Cycle 17 Resistance dynamic 14 Respiratory Rate 12 13 1...

Страница 289: ...Index 277...

Страница 290: ...Medical Systems Israel LTD a General Electric Company doing business as GE Healthcare Manufacturer VersaMed Medical Systems Ltd P O B 5011 Ornat Bldg Hasharon Ind Park Kadima 60920 Israel 0473 Obelis...

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