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e700 User Manual

5.2.3. BiLVL (Biphasic Positive Airway Pressure)

5.2.4. CPAP (Continuous Positive

Airway Pressure)

5.2.5. CPR mode

5.3. Turning Ventilator OFF

6. Post use

6.1. Disconnect device after use

6.2. Storage

7. Alarms and Indicators

7.1. Ventilation Alarms

7.2. Battery status indicator

7.3. LEDs

8. Cleaning, Preventive Maintenance & Servicing

8.1. Cleaning & Disinfection

8.2. Charging the Battery

8.3. Ambient Air entrainment Filter

8.4. Preventive Maintenance and Servicing

9. Technical Data

9.1. Specifi cations

9.2. Circuit Description

9.3. Battery and Power Supply

9.4. Battery Operating time

9.5. Electromagnetic Compatibility

9.6. Oxygen consumption

9.7. Oxygen Concentration delivered against

diff erent back pressures

10. Trouble Shooting

11. Abbreviations and Acronyms

12. Accessories

13. Warranty

Содержание 01EVE700

Страница 1: ...e700 User Manual 15PL1009 Rev 16 Sep 2020 USER MANUAL o_two e700 AUTOMATIC TRANSPORT VENTILATOR 01EVE700 ...

Страница 2: ...ent Circuit 14 3 5 Display 15 3 5 1 Screen Layout 15 3 5 2 Live Monitoring Parameters 18 3 6 Symbols Notations 19 4 Preparation For Use 20 4 1 Set up 20 4 1 1 Connecting electrical power supply 20 4 1 2 Installing replacing the battery 20 4 1 3 Connecting the gas supply 21 4 1 4 Connecting patient circuit 22 4 1 5 Turning Ventilator ON 22 4 2 Pre use check 22 5 Operate Instructions 26 5 1 Startup ...

Страница 3: ...aning Preventive Maintenance Servicing 47 8 1 Cleaning Disinfection 47 8 2 Charging the Battery 47 8 3 Ambient Air entrainment Filter 48 8 4 Preventive Maintenance and Servicing 49 9 Technical Data 50 9 1 Specifications 50 9 2 Circuit Description 52 9 3 Battery and Power Supply 52 9 4 Battery Operating time 53 9 5 Electromagnetic Compatibility 53 9 6 Oxygen consumption 55 9 7 Oxygen Concentration ...

Страница 4: ... flammable gases or anaesthetic agents Operating the unit in a confined space will elevate ambient oxygen levels The ventilation setting will turn off during battery replacement while the device is in operational mode and the external power supply is not connected Only use O Two specified hoses patient circuits batteries and external power supplies to avoid affecting the output performance of the ...

Страница 5: ...ease breathing resistances Use pressure regulators maintaining a minimum output flow of 120 L min at a dynamic pressure of minimum 45 PSI to ensure the proper functioning of the ventilator Operation of this ventilator outside the environmental condition range specified in this manual may result in a reduction and or failure in the ventilator s performance In extreme temperature conditions the effe...

Страница 6: ...intake filter being fitted otherwise particles may contaminate the ventilator and affect its function This ventilator must only be serviced by the manufacturer or its authorized service centers Device single use patient circuits and battery packs should be safely discarded in accordance with local state and institutional laws and procedures Spare O Two patient circuits are recommended at all times...

Страница 7: ...nsure that all components are assembled correctly and ready for use When selecting very small tidal volumes during ventilation of infants take into consideration the dead space in the patient circuit 2 Intended Use Thee700isatime cycled volume constantandpressure controlled emergency and transport ventilator designed for use in the pre hospital intra hospital inter hospital and transport settings ...

Страница 8: ...B I E L C J F M G N Warning indicator Battery operation indicator External power indicator Battery charging indicator Manual Inspiratory Hold key Screen brightness key Alarm Silence key Pause Resume key Lock key Waveform selection key Cancel key Confirmation indicator light Control Selection Knob ON OFF key ...

Страница 9: ...To turn off the ventilator Press and hold the ON OFF button for 4 seconds the green power LED will start flashing at a high frequency After 4 seconds the ventilator will turn off and all ventilation will stop If the button is pressed and held for less than 4 seconds the ventilator will stay ON WARNING At approximately 2 of full battery capacity the ventilator will not start when in the off positio...

Страница 10: ...20 seconds It could be also selected without an active alarm to silence potential alarms This function is activated or deactivated by pressing the Alarm Silence key once When selected the Alarm Silence symbol will be displayed on the left of the screen Note During the Lock function if any locked key is pressed or the control knob is pressed or rotated the Lock symbol on the left of the screen will...

Страница 11: ...symbol as well as the Confirmation indicator L Figure 01 to guide users to activate the pause function by pressing the Control Selection Knob M Figure 01 2 The symbol will flash for 10 seconds and then disappear if the Control Selection Knob M Figure 01 is not selected Users can also press the Cancel key K Figure 01 to quit this selection before the 10 seconds 3 2 6 Screen brightness Pressing the ...

Страница 12: ...ontrol Selection Knob M Figure 01 5 When ventilation is resumed the ventilator will recommence ventilation with current settings shown on the screen unless new set up selections were made 3 2 9 Manual Inspiratory Hold During the exhalation phase if the Manual Inspiratory Hold key E Figure01 ispressed a mandatorybreathwill beinitiatedandeither the flow rate or set pressure control parameter will be...

Страница 13: ... 3 External Connectors O R P S Q T DC Input connector Air Intake filter Sensor connector 1 Sensor connector 2 22mm gas output connector Gas supply input O P Q R S T Figure 02 Battery door Relieve Flapper Air O2 Exhaust Port ...

Страница 14: ...Intake Valve Exhalation port Breathing Valve Flow sensor adapter Elbow Note To avoid entanglement of the patient circuit tubing and pressure sensing hoses during movement of the patient the pressure sensing hoses and the 22mm corrugated hose are contained within in a close fitting non woven fabric sheath Figure 03 ...

Страница 15: ...s as shown below and each section is dedicated to display the following parameters Figure 04 Section 1 Battery status during charge and discharge Section 2 Live ventilation parameters Vte Mve Pawpeak PawAV Rate Section 3 Ventilation Modes A C V SIMV BiLVL CPAP CPR Section 4 Alarms Warnings Section 5 Ventilation waveforms Section 6 Set up parameters Section 7 Confirmation request Patient effort Inv...

Страница 16: ...16 e700 User Manual The followings are screen layouts for each ventilation mode A C screen layout SIMV screen layout BiLVL screen layout ...

Страница 17: ...17 e700 User Manual CPAP screen layout CPR screen layout ...

Страница 18: ...e rate at which breaths are delivered in one minute It is the monitored breath rate calculated by measuring the time interval Tb in seconds between 2 breaths Rate BPM 60 Tb The number is updated after each breath This number will be displayed for both mandatory and spontaneous breathing phases Vte ml Tidal volume is the volume exhaled from the patient in mandatory spontaneous or PSV Pressure Suppo...

Страница 19: ...to assist in the proper use of the equipment Confirmation Symbol Invalid Setting Symbol Conflict Setting Symbol Keep away from open flames No smoking around ventilator Ingress protection rating Splash proof Do not immerse Class II equipment Protection against electric doesn t rely on Basic Insulation only additional safety precautions such as Double or Reinforced insulation are provided Type BF ap...

Страница 20: ...UTION A fully charged battery must always be installed for safety reasons even when operating from an external power supply so that continuous ventilation is not interrupted in the absence of external power The use of batteries other than those specified may cause the ventilator to fail and or endanger the patient and operator Connect the ventilator to an external electrical source right away if t...

Страница 21: ...ll over Keep away from excessive heat to avoid the risk of explosion Do not grease or lubricate oxygen fittings cylinder valves and pressure reducers and do not handle with greasy hands to avoid the risk of fire Only open or close cylinder valves by hand or with the correct cylinder wrench Open the cylinder valve slowly at least two full turns counter clockwise Do not use any other tools Do not sm...

Страница 22: ...OFF key N Figure 01 for one second During that second the associated green LED will start blinking at a high frequency After 1 second the ventilator will turn on but with no ventilation at this point If the key is pressed and released for less than one second the ventilator will remain OFF Note A C V with volume control VCV is the default start up ventilation mode for the e700 4 2 Pre use Checks T...

Страница 23: ...et value is appropriate for the patient being ventilated 1 Visually inspect the ventilator for mechanical damage 2 Ensure that battery is fully charged 3 Ensure the e700 is connected to a gas supply Cylinder or piping system capable of delivering flow of 120 L min and maintaining a minimum pressure of 45 PSI 3 Bar and a maximum 87 PSI 6 Bar output pressure 4 Ensure that the patient circuit and mon...

Страница 24: ...epeat from 1 To confirm correction of the leak Input Leak Test Once all connections are verified open the cylinder valve slowly at least two full turns counter clockwise From the pressure regulator gauge reading ensure the cylinder pressure is above 650 PSI 45 bar otherwise replace with new oxygen cylinder Once pressurized turn off the oxygen cylinder and observe the output pressure on the gauge o...

Страница 25: ...d with yellow warning indicator The BCI audible alarm associated with red warning indicator will activate with a delay of 15 seconds 6 Block the patient output completely the Pmax alarm should be activated 7 Re connect the test lung the BCI visual and audible alarms should be de activated 8 Change the tidal volume Vt and observe the changes in the lung movement live ventilation parameters and the ...

Страница 26: ... no ventilation at this point If the key is pressed and released for less than a second the ventilator will remain OFF Note Start up figures are used during start up only and are not active during ventilation B Start default ventilation Once the ventilator is turned on 3 solid silhouette start up figures Figure 06 will be displayed on the screen representing Infant Child and Adult patient sizes Ea...

Страница 27: ... M Figure 01 and a square frame will move around the selected figure Once the desired patient size is selected the user must confirm the selection by pressing the Control Selection Knob M Figure 01 to start ventilation If no selection occurs with in 20 seconds the ventilator will start ventilation with child setting as its default start up Figure 07 o two e700 v1 9 15 01 23 48 PM 11 07 20 ...

Страница 28: ...7 The user can pause the ventilation by pressing the Pause Resume key H Figure 01 and adjust the parameters to the patient s requirements before commencing ventilation if necessary Infant Child Adult AC V SETTINGS Rate BPM 30 15 10 Vt ml 100 250 500 Mv L calculated values 3 0 3 7 5 0 PEEP cm H2 O 5 5 5 P max cm H2 O 25 25 30 P min cm H2 O 3 3 3 Mv max L 30 30 30 Mv min L 0 5 0 5 0 5 Ti Sec 0 66 1 ...

Страница 29: ...ursor Figure 08 to section 3 of the screen Figure 04 for ventilation mode setup or to the parameter to be set up located at section 6 of the screen Figure 04 The user must confirm the selection by pressing the Control Selection Knob M Figure 01 Once confirmed the selected area will be highlighted with solid contrast background Figure 09 Figure 08 Showing frame around Parameter during selection Fig...

Страница 30: ...ed and the previous parameter values will remain 5 2 Ventilation Modes The e700 ventilator is equipped with a number of ventilation modes to enable the healthcare provider to tailor the ventilator settings to the patient s specific respiratory requirements Ventilation could be delivered invasively ET tube or non invasively mask In all modes should the patient demand more flow than set by Health ca...

Страница 31: ... trigger for A C V is 3 L min but can be adjusted up to 15 L min If no inspiratory effort is detected during the trigger window the ventilator will initiate mandatory ventilation at the end of trigger window Should the patient demand more flow than set by user he she can withdraw the excess from ambient TABLE 2 Default Ventilation Setting A C V PARAMETER RANGE DEFAULT INFANT CHILD ADULT Tidal Volu...

Страница 32: ...32 e700 User Manual Figure 10 a a A C V waveform with volume control Figure 10 b A C V waveform with pressure control Ti may be limited below its range depending on set I E ratio and rate ...

Страница 33: ...hronized volume controlled mandatory ventilation In SIMV mode the selected breathing rate remains constant and the time of spontaneous breathing window will change if patient triggers the synchronized mandatory breath before the normal start of inhalation phase beginning of Ti If no effort was detected during the trigger period the ventilator will initiate mandatory ventilation at the end of trigg...

Страница 34: ...max 2 40 L 30 30 30 Mv min 0 5 35 L 0 5 0 5 0 5 P max 10 80 cmH2 O 25 25 30 P min 0 20 cmH2 O during I time only 3 3 3 Manual Refer to Manual and I Hold section ready ready ready Ti may be limited below its range depending on set I E ratio and rate Figure 11 b SIMV waveform with pressure support ...

Страница 35: ...rt of the inhalation phase beginning of Ti If no effort is detected during the trigger period the ventilator will initiate mandatory ventilation at the end of trigger window Should the patient demand more flow than set by user he she can withdraw the excess from ambient PSV Pressure Support Ventilation Figure 12 b PSV is a form of assisted ventilation for the patient who is breathing spontaneously...

Страница 36: ... 2 Ti 0 2 9 sec 0 66 1 33 2 0 PSV OFF 4 35 cm H2 O Off unless selected Off unless selected Off unless selected Trig 1 15 L min 3 3 3 Termination 20 80 of maximum set flow 50 50 50 O2 100 or 60 O2 100 100 100 Mv max 2 40 L 30 30 30 Mv min 0 5 35 L 0 5 0 5 0 5 P max 10 80 cm H2 O 25 25 30 P min 0 20 cm H2 O during I time only 3 3 3 Manual Refer to Manual and I Hold section ready ready ready Ti may b...

Страница 37: ...ure close to CPAP setting The other mode is when the optional PSV Pressure Support is set to a desired value The ventilator will deliver the set PSV pressure starting at triggering point and until the exhalation phase starts The CPAP mode is equipped with APNEA back up ventilation in which the ventilator switches to Assist Control ventilation A C V when the ventilator does not trigger patient s sp...

Страница 38: ... L 0 5 0 5 0 5 P max 10 80 cmH2 O 25 25 30 P min 0 20 cmH2 O during I time only 3 3 3 The trigger changes from pressure trigger P to 3 L min default flow trigger when the ventilator switches to APNEA back up PSV Pressure Support Ventilation PSV is a form of assisted ventilation for the patient who is breathing spontaneously but whose respirations are insufficient The ventilator provides an inspira...

Страница 39: ... ventilated patients consists of 2 phases chest compression and ventilation 30 chest compressions over 18 seconds are synchronized with audible prompts and on screen visual animations followed by two 1 second mandatory breaths within a 5 second ventilation phase The ratio between chest compressions and ventilations is 30 2 The CPR mode for intubated patients consists of continuous compressions ind...

Страница 40: ...H2 O during I time only 3 3 3 CPR FOR MASKED PATIENTS Figure 14 a CPR waveform for masked patient On screen chest compressing animation On screen ventilation animation patient size selection when switching to CPR mode but could be adjusted to desired values Optional pressure controlled ventilation isprovidedbysettingthePCVpressureparameter IfPCVparameter is selected the flow controlled ventilation...

Страница 41: ...waveform for intubated patient Paw Flow 100 times chest compressions per minute Ventilation frequency 10 bpm 1s Flow Paw 1s 5 3 Turning the Ventilator Off Press and hold the ON OFF key for 4 seconds the Ventilator will turn OFF On screen intubated CPR animation ...

Страница 42: ... the alarm is resolved During alarm activation the user may press the Alarm Silence key G Figure 01 which will silence the audible alarm for 2 minutes but the visual alarm will continue to flash until the cause of the problem is resolved During alarm silence should a new alarm develop the Alarm Silence function will continue and only the new visual alarm will be shown flashing on the screen Alarms...

Страница 43: ... sec delay Two bursts with five pulses LOW PAW Low Airway Pressure High Flashing Symbol Red Two bursts with five pulses HIGH PAW High Airway Pressure High Flashing Symbol Red Two bursts with five pulses LowMv Low minute Volume High Flashing Symbol Red Two bursts with five pulses HighMv High Minute Volume High Flashing Symbol Red Two bursts with five pulses Blocked Airway Blocked airway High Flashi...

Страница 44: ...arning LED High input pressure 90 PSI High Flashing symbol Red Two bursts with five pulses APNEA High Flashing symbol Red Two bursts with five pulses Empty Battery High Flashing symbol Red Two bursts with five pulses Low Battery Low Flashing symbol N A N A Pause N A Flashing symbol Yellow every 15 seconds N A Play N A Flashing symbol N A N A Lock N A Solid symbol N A N A Alarm Silence N A Solid sy...

Страница 45: ...8 2 status respectively TABLE 8 1 Battery discharging status TABLE 8 2 Battery charging status 1 Full Capacity 2 Approx 75 of full capacity 3 Approx 50 of full capacity 4 Approx 25 of full capacity Symbol changes to yellow flashing 5 Approx 5 of full capacity Symbol changes to red flashing with associated red colour LED 1 Full Capacity 2 95 of full capacity 3 90 of full capacity 4 80 of full capac...

Страница 46: ...0 Green color LED Continuous when unit is operated using internal battery WARNING At approximately 2 of full battery capacity the ventilator will not start when it is turned off or will shut down when it is turned on Note The battery capacity level is detected from measured voltages and the capacities shown above are based on results from new batteries tested at room and low temperature Battery ca...

Страница 47: ...lator The LED indicators illuminate as follows WARNING RISK OF EXPLOSION Cleaning agents containing alcohol or grease become flammable when combined with compressed oxygen and can cause explosions WARNING Do not immerse the e700 Ventilator or patient circuit or supply hoses in disinfectant or other liquids serious electric shock hazard and damage to the ventilator may occur If the Ventilator is ac...

Страница 48: ...o C and 35o C during battery charge CAUTION Always keep the ambient air entrainment port clear of obstructions Always replace the filter after use 2 Turn unit ON and observe battery level section 1 of the screen Refer to 7 2 Battery Status Indicator for exact battery charging status The battery shall be fully charged Note The Battery pack can be charged during operation The Battery pack may be cha...

Страница 49: ...s will nullify the product warranty Level II service The device shall be returned to the manufacturer or a service center authorized by the manufacturer for Level II service every 2 years Manufacturer full service The device shall be returned to O Two Medical Technologies for Manufacturer Full Service every 6 years TYPE DESCRIPTION PROCEDURE CRITERIA SCHEDULE By PM Charging battery User Manual Cha...

Страница 50: ...ORY HOLD TIME 6 sec I E RATIO 1 4 3 1 20 PEEP cmH2O 0 4 20 10 or 2 cmH2O PSV OFF 4 35 10 or 2 cmH2O CPAP cmH2O 4 20 10 or 2 cmH2O O2 60 or 100 15 PMAX cmH2O 10 80 10 or 2 cmH2O PMIN cmH2O 0 20 10 or 2 cmH2O PCV cmH2O 4 50 10 or 2 cmH2O TI SEC 0 2 9 0 20 TRIGGER SENSITIVITY L MIN 1 15 or 2 cm H2 O below baseline in CPAP mode only INHALATION PRESSURE cmH2 O 4 50 10 or 2 cmH2 O PRESSURE VENTILATION T...

Страница 51: ...C to 40o C Discharge 20o C to 60o C Storage 20o C to 35o C low humidity and no corrosive gas atmosphere Patient Circuit Operating 18o C to 50o C Rh 15 to 95 Storage 20o C to 60o C Rh 15 to 95 Note Measurement uncertainty 5 for volume parameters and 6 for pressure parameters Volume measurements corrected to BTPS Body Temperature 37o C barometric Pressure 101 3Kpa under Saturated 100 humidity condit...

Страница 52: ...n of 60 9 2 Circuit Description 9 3 Battery Power Supply Battery Pack Type 01 Type 02 Battery Cell Type Rechargeable Lithium Ion Cell Type 4ICR19 65 3 4INR19 66 3 Nominal Capacity 7500 mAh Min 111 Wh 6000 mAh 86 4 Wh Nominal Voltage 14 8 V 14 4 V Max Charging Current 3750 mA 5000 mA Max Charging Voltage 16 8 0 1 V Dimension mm in 144 x 62 x 42 5 66 X 2 44 x 1 65 Weight 642 g 1 41 lbs Test specific...

Страница 53: ...on disconnecting AC Power supply Ventilator will automatically switch to Battery operation without affecting ventilator behaviour 9 4 Battery Operating Time Battery operation time ranges from 22 hours in normal operating temperature to 16 hours under extreme low operating temperature 9 5 Electromagnetic Compatibility O Two e700 has been tested and complies with IEC 60601 1 2 2007 requirements Elec...

Страница 54: ...ical fast transient burst IEC61000 4 4 2 kV for power supply lines 2 kV for power supply lines Surge IEC61000 4 5 1 kV line to line 2kV line to earth 1 kV line to line 2kV line to earth Voltage dips short interruptions and voltage variations on power supply input lines IEC61000 4 11 5 UT for 0 5 cycle 40 UT for 5 cycle 70 UT for 25 cycle 5 UT for 5 s 5 UT for 0 5 cycle 40 UT for 5 cycle 70 UT for ...

Страница 55: ...onsumption of a cylinder in minutes is calculated approximately by dividing the liter content by the minute volume with or without PEEP RATED MAXIMUM OUTPUT POWER OF TRANSMITTER W SEPARATION DISTANCE M 150kHz to 800 MHz outside ISM bands d 3 5 3 P 150kHz to 800 MHz in ISM bands d 1 2 P 80 MHz to 800 MHz d 1 2 P 80 MHz to 800 MHz d 1 2 P 0 01 0 12 0 12 0 12 0 23 0 1 0 4 0 4 0 4 0 7 1 1 16 1 2 1 2 2...

Страница 56: ... High Mv High Minute Volume Check patient reset parameters Low Pi Low inhalation pressure Check mask patient Integrity Blocked Airway Obstructed Airway Check airway patient Apnea spontaneous breathing failed or disconnection faulty sensor Switch to Assist Control ventilation ensure connections tight Replace patient circuit No Oxygen 20 PSI Change Oxygen cylinder Low Oxygen 40 21 PSI Change Oxygen ...

Страница 57: ...on time to expiration time LED Light Emitting Diode Mve Exhaled Minute Volume Mv Minute volume O2 Percentage of Oxygen inspired Paw AV Average airway pressure Paw peak Peak airway pressure PCV Pressure control Ventilation PEEP Positive End Expiratory Pressure Pi Inhalation Pressure P min Minimum airway pressure P max Maximum airway pressure PSV Pressure Support Ventilation SIMV Synchronized Interm...

Страница 58: ...ER 1 O Two Single Use Electronic Transport Ventilator breathing circuit 6 1 83 m case of 10 01CV8030 cs 2 PVC 6 1 83 m input pressure hose 9 16 DISS nut fitting 01FV4302 3 Intake filter case of 10 01CV8040 cs 4 Power supply Cord Canada and the US 01CV0106 5 Battery Pack 01CV9100 6 e Ventilator External Power Supply 01CV0105 7 SMART MOUNT Mounting Bracket for Road ambulance 01EV7035 8 1L Test lung ...

Страница 59: ... battery for a period of one year from the date of purchase WARNING It is recommended that the routine preventive maintenance shall be carried out at least every 6 months from date of purchase Repair and general overhaul of the ventilator must be carried out by trained service personnel Evaluation of performance against manufacturer s specifications may be undertaken by suitably qualified personne...

Страница 60: ...utor In North America call Toll Free 1 800 387 3405 MedNet EC REP GmbH Borkstrasse 10 48163 Münster Germany EC REP SERIAL N0 www otwo com 45A Armthorpe Road Brampton ON Canada L6T 5M4 Telephone 1 905 792 OTWO 6896 N A Toll Free 1 800 387 3405 Facsimile 1 905 799 1339 Email resuscitation otwo com ...

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