Table Of Contents - CareFusion AVEA Operating Instructions Manual

Table of Contents

Table Of Contents5
Emc Notice7
Mri Notice7
Intended Use Notice7
Regulatory Notice7
Classification8
Safety Information9
Terms9
Warnings9
Cautions10
Equipment Symbols11
Functions & Accessories15
Chapter 1: Introduction15
Features16
Artificial Airway Compensation16
Full Range Of Patient Size17
Non-Invasive Ventilation17
Leak Compensation17
Circuit Compliance Compensation17
Humidification18
Heliox Delivery (Comprehensive Only, Option On Standard)18
Unpacking And Setup21
Items Required For Ventilator Setup21
Air Or Heliox Supply21
Oxygen Supply21
Chapter 2: Unpacking & Setup21
Ventilator Assembly & Physical Setup21
Assembling The Ventilator22
Setting Up The Front Of The Ventilator23
Assembling The Exhalation Filter And Water Trap23
External Battery Option23
Disposable Expiratory Filter / Water Trap26
User Instructions26
Additional Information29
Attaching The Patient Circuit30
Adult Circuit Using An Active Humidifier30
Adult Circuit Without Active Humidifier30
Neonatal Patient Circuit31
Front Panel Connections31
Attaching Flow Sensors32
Hot Wire Flow Sensor32
Hot Wire Flow Sensor Zero Procedure33
Variable Orifice Flow Sensor34
Attaching A Nebulizer35
Attaching A Proximal Pressure Sensor36
Esophageal Balloon37
Tracheal Catheter37
Setting Up The Rear Of The Ventilator38
Connecting The Oxygen Sensor39
Connecting Gas Fittings39
The "Smart" Air Fitting39
The "Smart" Heliox Fitting40
Attaching The Gas Hoses40
Oxygen Connection40
Heliox Connection40
Attaching The Air Hose41
Utilities Screens42
Configuration Tab42
Alarm Loudness42
Enable / Disable O2 Alarm42
Flow Correction43
Ilv Mode43
Setting Up Independent Lung Ventilation (Ilv)43
Ilv Connector Pin Configuration44
Analog Ground Pins View44
Selecting Language45
Low Vte Alarm Sensitivity45
Increase F Io245
Input/Output Tab46
Analog Input Configuration47
Analog Input Connections47
Analog Outputs48
Set Analog Output Type48
Analog Outputs Pin Configuration48
Rs 232 Output49
Ilv And Analog I/O Pin Configuration49
Vuelink50
Nurse Call Connection51
Date/Time Tab51
Setting The Date51
Setting The Time51
Powering Up The Avea52
User Verification Test53
The Power On Self Test (Post)53
The Extended Systems Test (Est)54
The Alarms Test55
Default Settings For Adult, Pediatric And Neonate57
Ventilation Setup57
Primary Controls57
Advanced Settings57
Alarm Settings58
Auxiliary Controls58
Avea User Verification Test Checklist59
Avea Troubleshooting60
Membrane Buttons And Leds65
User Interface Module (International) Showing Button Icons65
Chapter 3: Ventilator Operation65
Alarm Silence (Led)66
Alarm Reset66
User Interface Module (English) Showing Button Labels66
Alarm Limits67
Manual Breath67
Suction (Led)67
Increase O267
Data Dial68
Accept68
Cancel68
Expiratory Hold69
Inspiratory Hold (Manual)69
Nebulizer69
Patient Size69
Panel Lock (Led)70
Print70
Set-Up70
Advanced Settings (Led)/Mode/Event70
T. Freeze71
Flow/Volume Loop In Freeze Mode71
Screens72
Main72
Alarm Status Leds72
Screens Selection Box View72
Patient Setup73
Patient Select Screen73
Patient Size Select Screen74
Ventilation Setup Screen View75
Artificial Airway Compensation (Aac)75
Leak Compensation (Leak Comp)76
Circuit Compliance76
Humidifier77
Patient Weight77
Identification77
Est (Extended Systems Test)78
Setting The Ventilation Breath Type And Mode80
Adult And Pediatric Mode Select Screen80
Infant Mode Select Screen80
Volume Guarantee (Vg)81
Breath Types81
Specific Controls81
Flow Cycle/Volume Limit81
Machine Volume82
Volume Target82
Inspiratory Pressure82
Delivered Pressure82
Alarms And Safety Systems83
Wye Sensor Disconnect83
Low Ppeak83
High Ppeak83
Low Expired Volume84
Limit Volume84
Alarm Activation84
Initiating Volume Guarantee85
Messages86
Troubleshooting87
Mandatory Breaths88
The Intra-Breath Demand System In Volume Ventilation88
Volume Breaths88
Pressure Breaths89
Time Cycled Pressure Limited (Tcpl)89
Pressure Regulated Volume Control (Prvc)89
Demand Breaths90
Psv (Pressure Support Ventilation)90
Spontaneous Breath91
Ventilation Modes92
Assist Control Ventilation (A/C)92
Synchronized Intermittent Mandatory Ventilation (Simv)93
Simv Waveform93
Airway Pressure Release Ventilation (Aprv / Biphasic)94
Adjustable Psv In Aprv / Biphasic94
Apnea Ventilation In Aprv / Biphasic95
Aprv / Biphasic Mode95
Cpap Waveform96
Apnea Backup Ventilation97
Apnea Backup In Assist Control Or Simv97
Psv Waveform97
Apnea Backup In Cpap/Psv Or Aprv / Biphasic98
Pressure Apnea Backup Settings For Aprv / Biphasic Mode99
Volume Apnea Backup Settings For Cpap Mode99
Pressure Apnea Backup Settings For Cpap Mode100
Standby101
Screen Select101
Standby Message101
Standby Screen102
Available Breath Types & Modes By Patient Size103
Adult And Pediatric Ventilation Modes103
Neonatal Ventilation Modes103
Primary Breath Controls104
Descriptions Of Primary Breath Controls106
Breath Rate (Rate)106
Tidal Volume (Volume)106
Inspiratory Pressure (Insp Pres)106
Peak Flow107
Inspiratory Time (I-Time)107
Inspiratory Pause (Insp Pause)107
Psv (Pressure Support)107
Positive End Expiratory Pressure (Peep)108
Inspiratory Flow Trigger (Flow Trig)109
Pressure High (Pres High)109
Time High109
Accessing The Advanced Settings110
Time Low110
Pressure Low110
Advanced Settings Indicator View110
Controls And Advanced Settings Associated With Breath Type & Mode111
Advanced Settings Characteristics And Ranges112
Volume Limit (Vol Limit)112
Machine Volume (Mach Vol)113
Insp Rise114
Flow Cycle114
Waveform114
Demand Flow114
Sigh115
Bias Flow115
Pres Trig115
Vsync115
Vsync Rise116
Psv Rise116
Psv Cycle117
Psv Tmax117
T High Sync117
T High Psv/T Low Sync117
Independent Lung Ventilation (Ilv)118
Graphic Displays119
Graphics Colors119
Waveforms119
Chapter 4: Monitors, Displays And Maneuvers119
Waveform Selection120
Axis Ranges121
Time Ranges121
Waveform Choices121
Loops122
Accessing The Loops Screen122
Choice Of Loops122
Using The Freeze Button To Compare Loops123
Saving A Loop123
Creating A Reference Loop123
Maneuvers124
Esophageal Maneuver Screen125
Controls125
Selecting Balloon Size And Type126
Balloon Leak / Size Test126
Balloon Fill Start / Stop126
Chest Wall Compliance (C Cw)127
Alarms127
To Perform Esophageal Maneuvers127
Mip / 100 Pmaneuver Screen129
Mip Maneuver Settings129
Duration129
Sensitivity130
Start / Stop130
Inflection Point (Pflex) Maneuver Screen131
Pflex Maneuver Settings131
Maneuver Peep (Peep)132
Peep Equilibration Time (Peep Teq)132
Upper Pflex And Lower Pflex Determination133
Autopeep Maneuver Screen135
To Perform An Autopeep Maneuver136
Capnometry Screen137
Tracheal Catheter Placement137
Digital Displays138
The Monitor Screen138
Monitored Values Menu Choices139
Events142
Trends143
Main Screen Displays144
Calculated I:e Ratio144
Calculated Minute Volume (Calc Ve)144
Calculated Time High & Time Low Min / Max144
Calculated Time High: Time Low Ratio145
Main Screen Monitors146
Chapter 5: Volumetric Capnography147
Theory Of Operation147
Setup (Volumetric Capnography)148
Adult / Pediatric Adapter View150
Pediatric / Neonatal Adapter View150
Settings And Monitored Values151
Capnography – Enable / Disable151
Etco2 Averaging151
Vco2 Averaging151
Monitored Values152
Zero Co2/Calibration Check152
End Tidal Co2 (Etco2)152
Co2 Elimination (Vco2)152
Co2 (Vtco2)153
Anatomical Dead Space (Vd Ana)153
Anatomical Dead Space / Tidal Volume Ratio (Vd / Vt Ana)153
Alveolar Ventilation (Va)/Physiologic Dead Space (Vd Phy)153
Physiologic Dead Space / Tidal Volume Ratio (Vd / Vt Phy)154
Alveolar Dead Space (Vd Alv)/Oxygenation Index (Oi)154
Waveforms And Loops154
Pco2 Wave (Capnogram)/Pco2/ Vte Loop154
Capnometry Alarms155
High Etco2155
Low Etco2155
Maneuvers (Volumetric Capnography)156
Event Softkey156
Capnometry In Maneuver Screen View157
Zeroing The Capnostat 5158
Bottom Of Avea Uim View158
Zero Co2 Sensor Message159
Checking The Accuracy Of The Capnostat 5160
Bottom Of Uim View160
Configuration Tab In Utility Screen View161
Co2 Calibration Message161
Nasal Cpap (Ncpap)163
Circuit Compatibility163
General Specifications (Ncpap)163
Chapter 6: Infant Non-Invasive Ventilation163
Initiating Nasal Cpap164
High Ncpap Pressure164
Low Ncpap Pressure164
Ncpap Pressure Limit164
Disconnect Point For Calibration165
Mode Selection165
Calibration Required Message165
Calibration Progress Message166
Calibration Successfully Completed Screen166
Monitors167
Ncpap Primary Controls And Alarm Threshold Indicators167
Caution Message Display (Ncap)167
Graphics168
Displayed Waves168
Nasal Intermittent Mandatory Ventilation (Nimv)169
Circuit Compatibility (Nimv)169
General Specifications (Nimv)169
Insp Press/Insp Rise170
Insp Time170
Rate170
Ncpap Flow170
Alarms Suspended During Ncpap With Rate Set To Off171
Ncpap/Imv Disconnect Sensitivity172
Initiating Nasal Cpap / Nimv174
Monitors (Nasal Cpap)177
Graphics (Nasal Cpap)178
Displayed Waveforms (Nasal Cpap)178
Messages (Nasal Cpap)179
Troubleshooting (Nasal Cpap)179
Status Indicators181
Compressor Active/Heliox Source Connected181
Mains/Battery Indicators181
Chapter 7: Alarms And Indicators181
Internal Battery Power Indicator182
Battery Status Indicators182
"Popup" Alert Messages183
The Message Bar183
Alarm Categories184
High Priority (Warning)184
Medium Priority (Caution)184
Low Priority (Advisory)/Backup Alarm (Advisory)184
Alarm Controls185
Setting An Alarm Limit185
Alarm Types186
Alarm Silence/Alarm Reset186
Machine Alarms186
Safety Valve Open/Ventilator Inoperative/Not Ventilating186
Gas Supply Indicators And Alarms187
Fan Failure Alarm/Circuit Disconnect Alarm187
Loss Of Air Alarm187
Loss Of O 2 Alarm/Loss Of Gas Supply Alarm187
Pressure Alarms188
Loss Of Heliox Alarm188
Low Peak Pressure Alarm188
High Peak Pressure Alarm188
Extended High Peak Pressure Alarm189
Low Peep Alarm189
Circuit Occlusion Alarm189
Volume Alarms190
Low Exhaled Minute Volume (Low Ve)190
High Exhaled Minute Volume (High Ve)190
Low Exhaled Tidal Volume (Low Vt)190
Rate/Time Alarms191
High Tidal Volume (High Vt)191
Apnea Interval/High Rate/I:e Ratio Limit (I:e Limit) Alarm191
Maximum Inspiratory Time Limit (Max I-Time) Alarm191
O2 Alarms192
Nasal Cpap / Nasal Imv Alarms195
Volume Guarantee Alarms198
Cleaning And Sterilization201
Limitations On Reprocessing201
Manual Cleaning201
Chapter 8: Maintenance And Cleaning201
Cleaning The Outside Of The Capnometry Sensor And Cable202
Sterilization202
Capnometry Airway Adapters202
Additional Information On Cleaning203
Recommended Periodic Maintenance204
Battery Care205
Internal Battery Pack View205
Precedence Of Power Use206
Battery Status207
Failure To Charge The Battery207
Battery Fuses208
External Battery Connector & Fuse View208
Operator's Manual208
Mains Fuses209
Replacing A Mains Electrical Fuse209
Appendix A: Contact & Ordering Information211
How To Call For Service211
Ordering Parts212
Pneumatic Supply Specifications215
Electrical Supply Specifications215
Ac Power Supply Specifications215
Air Or Heliox Supply Specifications/Oxygen Supply Specifications215
Appendix B: Specifications215
Data Input / Output Specifications216
Dc Power Supply Specifications216
Independent Lung Ventilation (Ilv) Specifications216
Analog Inputs Data217
Analog Outputs Data217
Volume Data218
Breath Phase Data218
Digital Communication219
Voxp (Ventilator Open Xml Protocol)221
Atmospheric & Environmental Specifications222
Voxp Communications Requirements222
Remote Nurse Call222
Temperature And Humidity Data222
Physical Dimensions223
Accessories223
Barometric Pressure223
Pall Microbial Filter Data/Water Trap Data223
Avea Disposable Expiratory Filter / Water Trap Specifications224
Gas Delivery Engine225
Appendix C: Pneumatic Diagram225
Appendix D: Monitor Ranges And Accuracies227
Appendix E: Sensor Specifications & Circuit Resistance231
Varflex ® Sensor Specifications231
Hot Wire Flow Sensor Specifications232
Circuit Resistance Test233
Volumetric Capnography Specifications234
Appendix F: Avea Message Bar Text235
Rapid Shallow Breathing Index (F / Vt)237
Chest Wall Compliance (Ccw)237
Lung Compliance (Clung)237
Appendix G: Advanced Pulmonary Mechanics Monitored Parameters237
Compliance Ratio (C20/C)238
Respiratory System Resistance (Rrs)238
Peak Expiratory Resistance (Rpeak)238
Imposed Resistance (Rimp)239
Lung Resistance (Rlung)239
Peak Inspiratory Flow Rate (Pifr)239
Peak Expiratory Flow Rate (Pefr)239
Delta Airway Pressure (Dpaw)240
Delta Esophageal Pressure (Dpes)240
Autopeepaw240
Delta Autopeepaw (Dautopeepaw)241
Autopeepes241
Transpulmonary Pressure, Plateau (Ptp Plat)241
Transpulmonary Pressure, Autopeep (Ptp Peep)242
Maximum Inspiratory Pressure (Mip)242
Respiratory Drive (P100)242
Ventilator Work Of Breathing (Wobv)243
Patient Work Of Breathing (Wobp)243
Imposed Work Of Breathing (Wobi)244
Appendix H: Capnometry Troubleshooting245
Volumetric Co2 Calculations247
Appendix I: Volumetric Co 2 Calculations247
Anatomic Dead Space (Vd Ana)249
Anatomic Dead Space / Tidal Volume Ratio (Vd Ana / Vt)250
Alveolar Dead Space250
Alveolar Ventilation (Va)250
Oxygenation Index (Oi)250
Appendix J: Electromagnetic Declarations251
Guidance and Manufacturer's Declaration - Electromagnetic Immunity252
Distance Between Rf Communications Equipment And Avea Ventilator254
Appendix K: Glossary255
Index257