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Philips Respironics V60 User Manual

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Respironics V60 Ventilator
User Manual

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  • Page 1 Respironics V60 Ventilator User Manual...
  • Page 2 USA and Canada: 800-345-6443 or 724-387-4000 Respironics Europe, Africa, Middle East: +33-1-47-52-30-00 Respironics Asia Pacific: +852-3194-2280 Facsimile: +1-724-387-5012 Respironics California, Inc. 2271 Cosmos Court Carlsbad, CA 92011 Email and web addresses service@philips.com clinical@philips.com www.philips.com\healthcare Authorized European representative Respironics Deutschland GmbH Gewerbestrasse 17 D-82211 Herrsching Germany...
  • Page 3: Table Of Contents

    AVAPS mode (optional) ....... 4-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 4 Freezing and unfreezing waveforms ......7-3 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 5 Installing the oxygen manifold kit ......A-7 Configuration and screen calibration ......A-7 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 6 Index ..........Index-1 Respironics V60 Ventilator User Manual...
  • Page 7: Warnings, Cautions, And Notes

    It is not intended to provide the total ventilatory requirements of the patient. WARNING: We do not recommend you use the Respironics V60 Ventilator on patients who require ventilation at predetermined tidal volumes. The ventilator provides continuous positive airway pressure (CPAP) and positive pressure ventilation (S/T, PCV, and AVAPS) and is indicated for assisted ventilation only.
  • Page 8 Federal law (USA) restricts this device to sale by or on the order of a physician. CAUTION: The Respironics V60 Ventilator is designed to operate in the temperature range of 5 to 40 ºC (41 to 104 ºF). To minimize the risk of overheating the device, do not operate adjacent to heaters or other heat sources.
  • Page 9: Preparing For Ventilation

    If you detect any unexplained changes in the performance or visual displays of the ventilator, discontinue ventilator use and contact Respironics. NOTE: The Respironics V60 Ventilator does not support automatic record keeping. Preparing for WARNING: Connect the ventilator to an appropriate medical-grade oxygen source only.
  • Page 10 The battery’s operation time is approximate and is affected by ventilator settings, discharge and recharge cycles, battery age, and ambient temperature. Battery charge is reduced at low ambient temperatures or in situations where the alarm is continuously sounding. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 11: Operation

    To prevent possible patient injury, inspect and verify the proper operation of the exhalation port regularly during use. WARNING: To reduce the risk of fire, explosion, leakage, or other hazard, take these precautions with respect to the battery: 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 12: First-Time Installation

    - Do not short-circuit the battery or allow metallic or conductive objects to contact the battery connector housing. - Use the battery with the Respironics V60 Ventilator only. WARNING: This product consists of devices that may contain mercury, which must be recycled or disposed of in accordance with local, state, or federal laws.
  • Page 13: Communications Interface

    1 mA. Diagnostic mode WARNING: To prevent possible patient injury, do not enter the diagnostic mode while a patient is connected to the ventilator. Verify that the patient is disconnected before proceeding. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 14 Chapter 1 Warnings, cautions, and notes (This page is intentionally blank.) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 15: Symbols

    Requires alternating current (AC) Degree of fluid ingress protection provided by the enclosure (drip-proof) Alarm and remote alarm Two states of control: ON and Shutdown Battery European Conformity Date of manufacture Manufacturer 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 16 Product must be disposed of in accordance with the WEEE directive. Noninvasive ventilation (patient with mask) Invasive ventilation (intubated patient) Do not block the cooling fan Inlet (at the rear of the ventilator). Hospital-grade (On power cord) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 17 Do not stack > 3 high Do not stack > 7 high Limit temperature to between -20 and 50 ºC (-4 and 122 ºF) Hazmat class 9 Fire hazard uR UL recognition symbol Battery option 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 18 Ventilator is powered by the battery. This symbol shows the approximate battery time remaining in hours and minutes, and it shows the capacity graphically. Help button. Touch to display onscreen help information. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 19 No valid data to display Data is under range Data is over range Pressure, centimeters of water Flow, liters per minute. BTPS compensated. Volume, milliliters User-set Ramp Time. Ramp graphic fills in as Ramp Time progresses. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 20 Table 2-2: Symbols used on graphical user interface (continued) Symbol Description Ramp Time is OFF (no ramp time set). Intentional leak. The number corresponds to the leak symbol printed on Respironics masks. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 21: General Information

    Chapter 3. General information Intended use The Respironics V60 Ventilator is an assist ventilator and is intended to augment patient breathing. It is intended for spontaneously breathing individuals who require mechanical ventilation: patients with respiratory failure, chronic respiratory insufficiency, or obstructive sleep apnea in a hospital or other institutional settings under the direction of a physician.
  • Page 22: Contraindications

    Chapter 3 General information Contraindications The Respironics V60 Ventilator is contraindicated for patients with any of the following conditions: • Lack of spontaneous respiratory drive • Inability to maintain a patent airway or adequately clear secretions • At risk for aspiration of gastric contents •...
  • Page 23 The ventilator is equipped with a remote alarm/nurse call connection to activate alarms remotely. Upgradability via Respironics Respi-Link remote diagnostic system. The Respi- Link interface permits software upgrade and remote troubleshooting of the ventilator through the RS-232 port. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 24: Physical Description

    Physical description Patient circuits, masks/patient interfaces, and accessories Figure 3-2 shows the Respironics V60 Ventilator with its patient circuit and accessories. Table 3-1 on page 3-5 lists recommended patient circuits, masks/patient interfaces, and other accessories for use with the ventilator.
  • Page 25: General Information

    • Fisher & Paykel MR810 or MR850 • Hudson RCI CONCHATHERM or CONCHATHERM Neptune Oxygen monitor • CRITERION OxiCheck oxygen analyzer (PN 8-100661-00) • Teledyne MX300 oxygen monitor • An equivalent that complies with ISO 7767 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 26: Ventilator Unit

    Off when ventilator is running on battery or when the venti- lator is off and AC power is not connected. ON/Shutdown key with LED. Turns on AC power and initiates ventilator shutdown. LED is continuously on when AC power is connected. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 27 General information Figure 3-4: Side view Number Description Ventilation vents. Allow intake of air for delivery to the patient. Air inlet filter (under side panel). Filters the air for delivery to the patient. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 28 Connects Respi-Link remote diagnostic system gateway for software updates. Cooling fan filter High-pressure oxygen inlet connector Option labels Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 29: Graphical User Interface

    Compressed waveforms window with Alarms/ Messages list (see page 8-2) Window/window tabs (see page 6-1) Power symbols Help button (see page 5-5) (see page 6-14) Figure 3-6: Parts of graphical user interface 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 30 Chapter 3 General information (This page is intentionally blank.) 3-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 31: Principles Of Operation

    Chapter 4. Principles of operation System operational The Respironics V60 Ventilator is a microprocessor-controlled pneumatic system that delivers a mixture of air and oxygen. It is powered by AC with overview optional battery backup to protect against power failure or unstable power and to facilitate intrahospital transport.
  • Page 32: Pneumatic System Operation

    Triggering, cycling, and leak adaptation Unlike other ventilators, the Respironics V60 Ventilator does not require you to set triggering and cycling sensitivity or to adjust baseline flow.The ventilator’s unique Auto-Trak Sensitivity algorithm adjusts these automatically; see “Auto- Trak Sensitivity”...
  • Page 33: Pressure Rise Time

    Auto-Trak Sensitivity An important characteristic of the Respironics V60 Ventilator is its ability to recognize and compensate for unintentional leaks in the system and to automatically adjust its triggering and cycling algorithms to maintain optimum performance in the presence of leaks.
  • Page 34 (SET); see Figure 4-3. The SET represents the intersection of the flow waveform and a line of a given slope. SET is updated each breath. Spontaneous exhalation threshold Figure 4-3: Spontaneous exhalation threshold (SET) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 35: Leak Adaptation

    Figure 4-4 shows how the ventilator adjusts the baseline. Inspiration Cycle to Flow exhalation baseline Original End exhalation baseline Additional leak TIME Spontaneous trigger Patient flow Adjustment of baseline Figure 4-4: Expiratory flow adjustment 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 36 The ventilator adjusts the baseline to reduce this tidal volume difference for the next breath. Figure 4-5 shows how the ventilator adjusts the baseline. New baseline Additional leak introduced Flow Volume Volume adjustment Figure 4-5: Tidal volume adjustment Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 37: Ventilation Modes

    Chapter 4 Principles of operation Ventilation modes The Respironics V60 Ventilator operates in the following ventilation modes: • CPAP (continuous positive airway pressure) mode • S/T (spontaneous/timed) mode • PCV (pressure-controlled ventilation) mode • AVAPS (average volume-assured pressure support) mode (optional) Table 4-1 summarizes the characteristics of these modes.
  • Page 38: Cpap Mode

    – a time when patients may be uncomfortable with CPAP – and returning it to the set CPAP level before the end of exhalation. Figure 4-6: CPAP controls CPAP Time Figure 4-7: CPAP waveforms Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 39: Pcv Mode

    Figure 4-9 shows a PCV mode pressure waveform. Figure 4-8: PCV controls Pressure Rise IPAP EPAP Time Patient-triggered I-TIme Machine-triggered (Spont) breath (Timed) breath 1/Rate Figure 4-9: PCV pressure waveform 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 40: S/T Mode

    S/T mode are shown in Figure 4-10. Figure 4-11 shows an S/T mode pressure waveform. Figure 4-10: S/T controls Pressure Mandatory Rise (Timed) breath IPAP EPAP Time Patient-triggered (Spont) 1/Rate spontaneous breath with I-TIme pressure support Figure 4-11: S/T pressure waveform 4-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 41: Avaps Mode (Optional)

    Auto-Trak Sensitivity algorithms. The control settings active in the AVAPS mode are shown in Figure 4-12. Figure 4-13 shows AVAPS mode waveforms. Figure 4-12: AVAPS controls 4-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 42 Chapter 4 Principles of operation Max P Mandatory (Timed) Rise breath EPAP Min P I-TIme Patient-triggered (Spont) 1/Rate spontaneous breath Time Figure 4-13: AVAPS waveforms Figure 4-14: 4-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 43: Preparing For Ventilation

    To avoid depleting the cylinders, close the cylinder valves when using the wall oxygen supply. Connect the oxygen hose to the ventilator’s oxygen inlet connector (Figure 5-1) or to the oxygen manifold, if applicable. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 44: Installing The Patient Circuit

    Respironics, see “Parts and accessories” on page D-1. 1. Assemble the patient circuit, including the main flow (inspiratory) bacteria filter, proximal pressure line, and humidifier (if desired). Figure 5-2 and Figure 5-3 show circuit configurations for noninvasive Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 45 Figure 5-3: Invasive patient circuit, with humidification 2. Properly position the patient circuit after assembly. Make sure the tubing will not be pushed, pulled, or kinked during patient movement or other procedures. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 46: Connecting To Ac Power

    The ventilator charges the battery whenever the ventilator is connected to AC, with or without the ventilator switched on. The Battery (charged) LED flashes to show that the battery is being charged. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 47 The ventilator is powered by the battery. This symbol shows the ap- proximate battery time remaining in hours and minutes, and it shows the capacity graphically. Figure 5-4: Power indicators 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 48: Starting Up The Ventilator

    NOTE: If the screen is blank and the dialogue box cannot be displayed, shut down the ventilator by pressing the ON/Shutdown key, then the Accept button on the navigation ring. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 49: Navigating The Graphical User Interface

    The navigation ring also lets you adjust the position of the cursor in the waveforms window while the screen is frozen. See “Freezing and unfreezing waveforms” on page 7-3 for more information. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 50: Preoperational Check

    5. Disconnect the proximal airway pressure Proximal Pressure Line Disconnect alarm is line from the ventilator connector. annunciated (audio, visual, and flashing Alarm LED) by the ventilator and remote alarm, if connected. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 51: Troubleshooting

    10.Return settings to hospital-standard values. WARNING:To prevent possible patient injury, always return alarm settings to hospital-standard values after the preoperational check. Troubleshooting If any test step fails, discontinue ventilator use and contact Respironics. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 52: Alarm Tests

    V 2. VERIFY that the Low Tidal Volume alarm is activated. 3. Turn the Lo V alarm setting OFF. 4. VERIFY that the alarm resets. 5-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 53: Patient Disconnect

    2. VERIFY that the Patient Circuit Occluded alarm is activated. 3. Unblock the outlet, and reconnect the circuit. 4. VERIFY that the alarm resets. 5-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 54 Chapter 5 Preparing for ventilation (This page is intentionally blank.) 5-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 55: Operation

    “Navigating the graphical user interface” on page 5-7. Access the ventilator setting windows from the tabs at the bottom of the screen. page 6-3 page 6-6 page 6-2 page 6-11 page 6-12 page 6-14 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 56: Changing The Mode

    2. Select the desired mode. Active mode 3. Adjust settings as desired (see “Changing individual ventilator settings” on page 6-4). Newly adjusted setting values are shown in yellow. 4. Select Activate Mode to apply. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 57: Changing Control Settings

    2. Select the active mode. Active mode 3. Adjust settings as desired (see “Changing individual ventilator settings” on page 6-4). Newly adjusted setting values are shown in yellow. 4. Select Activate Batch Change to apply. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 58: Changing Individual Ventilator Settings

    2. Select the desired setting. As an example we will show the IPAP adjustment. 3. The setting window opens. Adjust the setting. Select Accept to apply. Adjustment Setting range scale arrow button Additional information Current settings area Proposed value Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 59: Using The Ramp Time Function

    End Ramp. 4. To end the ramp and start a new one, select Start New Ramp. The Ramp Time setting window opens again so that you can set up a new ramp. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 60: Changing Alarm Settings

    1. Open the Alarm Settings window. 2. Select the desired setting, adjust it, and select Accept to apply. The ventilator annunciates an alarm when a monitored value goes out of the range bounded by the alarm limits. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 61: Selecting The Mask And Exhalation Port

    Accept to apply. For information concerning mask/port leak characteristics, see the instructions provided with each mask/port. See Appendix D for a complete list of masks, circuits, and related components used with the ventilator. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 62 ET/trachestomy tubes and most Respironics masks require the use of an exhalation port. If you selected ET/Trach or Leak 1 as a mask/ patient interface, you may not select None as an exhalation port. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 63 If you selected PEV or Other as an exhalation port, you must run an exhalation port test. NOTE: If the exhalation port test fails, the intentional leak is unknown. Tot.Leak rather than Pt. Leak is displayed in the patient data window. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 64: Running The Exhalation Port Test

    1. Disconnect the patient circuit from the mask/patient interface. 2. Occlude the circuit outlet. Select Start Test. 3. Wait while the test runs. Progress 4. Verify that Test Passed is displayed. 6-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 65: Troubleshooting

    You will hear audible feedback as you go through the selections. Mask/Port See “Selecting the mask and exhalation port” on page 6-7. Vent Info (ventilator information) The Ventilator Information window displays version and other information specific to your ventilator. 6-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 66: Screen Lock

    The standby mode request cancels in 60 seconds if the patient remains connected. NOTE: Standby mode disables alarms and should be used when the patient is disconnected. 6-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 67 3. To resume ventilation, reconnect the patient. When the ventilator senses a patient breathing effort, ventilation automatically resumes in the previous mode. NOTE: You can also manually resume ventilation with the Restart Mode button. 6-13 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 68: Help Function

    Chapter 6 Operation Help function Select the help button to display additional information. Help messages are displayed: Help message 6-14 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 69: Table Of Modes And Control Settings

    EPAP I-Time (Inspira- Time to deliver the required gas. Inverse ra- 0.30 to tory Time) tio ventilation is not allowed. 3.00 secs Resulting I:E Shows where I:E ratio ratio becomes inverse 6-15 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 70 Target tidal volume to be delivered during inspiration. The ventilator meets this target by 200 to get Tidal Vol- adjusting the inspiratory pressure with each breath. 2000 mL ume) Applies in AVAPS mode only. 6-16 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 71 5 to 60 secs sure Delay Time) tion of low inspiratory pres- sure until the alarm becomes active. • (Low Minute Ventila- Low expiratory minute vol- OFF to 99.0 L/min tion Alarm) ume. 6-17 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 72 Chapter 6 Operation (This page is intentionally blank.) 6-18 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 73: Patient Monitoring

    The following symbols may be displayed in place of numeric values: Data is not valid, and/or ventilator is in standby mode or disconnected +++ Data is over range - - - Data is under range 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 74: Table Of Monitored Parameters

    The vertical scale button autoscales the Y axes to best fit the current data. The horizontal (time adjust) button rescales the X axis to show 3, 6, 12, or 24 seconds. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 75: Freezing And Unfreezing Waveforms

    Data values at cursor location for pressure, flow, and volume are displayed in the white boxes. Unfreeze the waveforms with the resume button. Resume button Measurements at unfreezes cursor waveforms Cursor Figure 7-2: Waveform window with frozen screen 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 76 Chapter 7 Patient monitoring (This page is intentionally blank.) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 77: Alarms And Messages

    You may silence the alarm if possible. 2. Correct the alarm condition, referring to the alarm messages in Table 8-2. You can modify alarm settings at any time through the Alarm Settings tab. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 78 (active alarm status) Autoreset alarm (strikeout line through message) Waveforms Alarms/Messages list (compressed) Up to 7 entries, prioritized from high to low to informational messages Alarm LED Active alarms Figure 8-1: Visual alarm indications Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 79 Table 8-4. Loss of Blank Blank Immediately secure alter- power native ventilation for the patient. * The volume of the primary alarm is the same for low- and high-priority alarms. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 80: Setting Alarm Loudness

    Chapter 8 Alarms and messages Figure 8-2: Vent Inoperative screen Setting alarm You can set the alarm loudness from the Menu window (see “Loudness” on page 6-11). loudness Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 81: Silencing Alarms

    If the alarm cannot be manually reset, you see the following: Clearing autoreset alarms from the Alarms list Autoreset alarms are shown with text crossed out in the Alarms list. Clear the message from the Alarms list by selecting Alarm Reset. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 82: Hiding/Displaying Alarm Messages

    Check the patient. If prob- High sure than 92 psig, so O enrich- lem persists, provide alter- (44) ment ends. Autoresets native ventilation. Have when O supply pressure ventilator serviced. falls below 87 psig. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 83 Have ventilator liver as much oxygen as serviced. possible, but ends oxygen support when oxygen inlet pressure drops to less than 18 psig. Autoresets when oxygen supply pressure ex- ceeds 23 psig. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 84 Patient the patient circuit for bulk (35) circuit occluded. liquid, crimps, or blocked filter. Confirm ventilator and alarm settings are appropri- ate. If problem persists, pro- vide alternative ventilation. Have ventilator serviced. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 85 (52) values were restored by the user. Vent Inoperative x See Table 8-4 on page 8-13 description of failure 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 86 Check the patient. Provide High ter Calibration Data sure of 686.0 mmHg (ap- alternative ventilation. Have (17) Error proximately 900 m/2953 ft the ventilator serviced. above sea level) used in cal- culations 8-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 87 Check the patient. Check for High Temperature High causes of overheating, such (29) as high room temperature, blocked vents, clogged air inlet filter, or nonfunctional fan. Provide alternative ven- tilation. Have the ventilator serviced. 8-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 88 High (3) Alarm Failed alternative ventilation. Have the ventilator serviced. Check Vent: Pro- Technical failure Check the patient. Provide High (1) gram CRC Test Failed alternative ventilation. Have the ventilator serviced. 8-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 89 Technical failure. The venti- Check the patient. Provide al- High (8) 1006 lator is in the ventilator inop- ternative ventilation. Have the erative state. ventilator serviced. Data Acquisition PCBA ADC Failed 8-13 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 90 Vent Inoperative Technical failure. The venti- Check the patient. Provide al- High 100B lator is in the ventilator inop- ternative ventilation. Have the (13) erative state. ventilator serviced Watchdog Test Failed 8-14 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 91: Care And Maintenance

    10% bleach solution (10% bleach, 90% water) • 91% isopropyl alcohol • Germicidal disposable cloth (alkyl dimethyl benzyl ammonium chloride 0.07%; alkyl dimethyl ethybenzyl ammonium chloride 0.07%, remaining inert ingredients) • Ammonium cleaner disinfectant • Ethyl alcohol (70%) 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 92: Touchscreen

    Avoid using gritty cloths. Handle the touchscreen with care. To facilitate cleaning the touchscreen during ventilation, use the Screen Lock function. Bacteria filter, patient circuit, and other accessories Follow the manufacturer’s guidelines. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 93: Preventive Maintenance

    To ensure proper system performance, use a Respironics-approved air inlet filter. Perform preventive maintenance on your Respironics V60 Ventilator according to the schedule in Table 9-1. You can view the hours of ventilator operation in the Vent Info window (“Vent Info (ventilator information)” on page 6-11). The following subsections provide details for some of these preventive maintenance procedures.
  • Page 94: Replacing The Air Inlet Filter

    4. Install a new air filter by tucking it into the recessed area. Replace the side panel, and push in and turn the D-ring fastener one-quarter turn until it locks. Captive fastener Bracket Air inlet filter Figure 9-1: Replacing the air inlet filter Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 95: Cleaning Or Replacing The Cooling Fan Filter

    3. Wash or rinse the filter. Let it dry completely before reinstalling. 4.Replace the filter, then snap the filter cover into place. Fan retaining pin (Do not remove) Filter cover Fan (Do not remove) Foam filter Figure 9-2: Replacing the cooling fan filter 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 96: Removing And Replacing The Battery

    “Installing the optional battery” on page A-3 for more information. Ship the battery and ventilator separately in appropriate packaging in conformance with federal, state, and local regulations. Contact Respironics to obtain appropriate ventilator or battery packaging. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 97: Technical Specifications

    4 to 60 BPM 1 BPM ± 1 BPM 4 BPM Rise (Rise Time) 1 to 5 (AVAPS Target Tidal 200 to 2000 mL BTPS 5 mL ± 15% 500 mL Volume) 10-1 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 98: Patient Data

    Chapter 10 Technical specifications Table 10-2: Controls active in Respironics V60 ventilation modes CPAP AVAPS Timing Rate I-Time Baseline pressure CPAP EPAP Inspiratory pres- IPAP sure MinP MaxP Rise Time Rise Volume Ramp feature Ramp Time Mode-specific C-Flex Patient data...
  • Page 99: Alarms

    Exhalation Port Selection DEP (Respironics Disposable Exhalation Port, Whisper Swivel (Respironics Whisper Swivel), PEV (Respiron- ics Plateau Exhalation Valve, Other (Other Exhalation Port), None (No inline circuit exhalation port) Screen Lock Off, On 10-3 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 100: Operator-Accessible Diagnostic Mode Functions

    Table 10-7: Physical characteristics Parameter Specification Weight 10.9 kg (24 lb) with optional battery 10 kg (22 lb) without battery Dimensions (33.7 cm) 13.3 in. (42.9 cm) (39.4 cm) 16.5 in. 15.5 in. 10-4 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 101: Environmental Specifications

    50 to 60 Hz AC power 300 VA Battery (optional) 14.4 V, 11.5 Ah Maximum system current draw: 11 A Charge voltage: +16.9 V maximum Operating time: 360 minutes under normal condi- tions 10-5 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 102: Other Specifications

    Audio alarm loudness 60 to 95 dB(A) (primary alarm)  65 dB(A) (backup alarm) Acoustic noise Less than 45 dB(A) at 1 m 10-6 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 103: First-Time Installation

    Correct and/or report any problems found to Respironics before using the ventilator. Before using the ventilator the first time, we recommend wiping the exterior clean and disinfecting components according to the instructions in Chapter 9. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 104: Mounting The Ventilator

    The ventilator may be mounted to the optional universal stand or placed on a flat, stable, clean surface. Installing the ventilator to the stand requires a Respironics V60 Ventilator specific mounting plate; follow the instructions included with the mounting plate. Figure A-1 shows the installed ventilator.
  • Page 105: Installing The Optional Battery

    3. Using a 3-mm hex wrench, remove the battery bracket by removing two screws. 4. Holding the battery so that the vent hole faces up and the Philips logo faces out, thread the battery cable through the battery bracket. Position and place the battery inside the battery compartment.
  • Page 106 AC power is disconnected and a battery is not installed, or if the battery is fully discharged. NOTE: A new battery must be charged for at least 5 hours before being placed into service. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 107 Appendix A First-time installation Captive fastener Bracket Battery Orient with vent hole on top and Philips logo facing out Battery cable Figure A-2: Installing the battery 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 108: Installing Oxygen Inlet Connector And Ac Power Cord

    Appendix A First-time installation Installing oxygen Each Respironics V60 Ventilator is customized for the country of destination. In some cases, you must install the power cord and oxygen inlet connector. inlet connector and AC power cord 1. Install the oxygen inlet connector as follows (Figure A-3): (Outside the USA and a.
  • Page 109: Installing The Oxygen Manifold Kit

    After completing the setup activities described in Chapter 5, set or check the ventilator settings for language, units of measure, and time in the diagnostic screen calibration mode (see Appendix F). Calibrate the screen as required, referring to Appendix 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 110 Appendix A First-time installation (This page is intentionally blank.) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 111: Communications Interface

    • Remote alarm/nurse call port. This port is used to activate alarms remotely. RS-232 port Remote alarm/ (25-pin D-sub nurse call port connector) Figure B-1: Location of communications interface ports 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 112: Serial And Analog I/O Port

    Output HIS analog output #2 (0 IN01 to 5 V) OUT2 to 5 V) HIS_SIG_RTN Power HIS RS232/Signal com- Chassis Power Cable shield Figure B-2: RS-232 serial and analog I/O connector pinout Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 113: Communications Protocol

    Number of fields be- 3-character field tween the start and stop codes Start code 0x02 ASCII Start Transmis- sion character (STX) Time of request 13:45◆ 24-hour clock, hh:mm◆ Date FEB◆23◆2008◆ 12-character field, MMM◆DD◆YYYY◆ 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 114 3◆◆◆◆◆ 0 to 40 Off = 0 pressure alarm limit set- ting ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" NPPV low tidal volume 0◆◆◆◆◆ 0 to 1500 Off = 0 alarm limit setting Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 115 0.00 to 1.00 ◆◆◆◆◆◆ 88 to 91 Unused Always output as "◆◆◆◆◆◆" ◆◆◆◆◆◆◆◆◆ Unused Always output as ◆◆◆◆◆◆ "◆◆◆◆◆◆◆◆◆ ◆◆◆◆◆◆" ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" ◆◆◆◆◆◆◆◆◆ Unused Always output as ◆◆◆◆◆◆ "◆◆◆◆◆◆◆◆◆ ◆◆◆◆◆◆" 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 116 ALARM◆ RESET◆ High inspiratory pres- NORMAL NORMAL sure alarm status ALARM◆ RESET◆ Apnea alarm status NORMAL NORMAL Low Rate alarm sta- ALARM◆ RESET◆ Low inspiratory pressure NORMAL NORMAL alarm status ALARM◆ RESET◆ Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 117 ALARM◆ RESET◆ ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" High enclosure tempera- NORMAL NORMAL ture alarm status ALARM◆ RESET◆ ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" Low PEEP alarm status NORMAL NORMAL ALARM◆ RESET◆ 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 118 Time of request 13:45◆ 24-hour clock, hh:mm◆ ◆◆◆◆◆◆◆◆◆◆ Unused Always output as ◆◆◆◆◆◆◆◆ "◆◆◆◆◆◆◆◆◆◆ ◆◆◆◆◆◆◆◆" ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" ◆ ◆ ◆ Date (ventilator system 2008 12-character field, clock) MMM◆DD◆YYYY◆ Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 119 0.00 to range set output to 9.99 99.9◆◆ 0.1 for 10.0 10.0 to 99.9 to 99.9 ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" Measured peak inhala- 50.0◆◆ 0.0 to 99.0 tion pressure 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 120 NORMAL NORMAL alarm status RESET◆ ALARM◆ Low oxygen supply pres- NORMAL NORMAL sure alarm status RESET◆ ALARM◆ ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆" Low battery alarm status NORMAL NORMAL RESET◆ ALARM◆ B-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 121 92 to 95 Unused Always output as "◆◆◆◆◆◆” Parameter control setting I-TIME Always output "I- TIME” ◆◆◆◆◆◆ Unused Always output as "◆◆◆◆◆◆” Stop code 0x03 ASCII End Transmis- sion character (ETX) B-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 122: Remote Alarm Port

    Table B-3: Remote alarm cable kits System Part Number Remote alarm cable kit, normally open protocol 1003741 Remote alarm cable kit, normally closed protocol 1003742 Remote alarm cable kit, Respironics (LifeCare) 1003743 B-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 123: Warranty

    Appendix C. Warranty One-year warranty Respironics warrants the Respironics V60 Ventilator to be free from defects in materials or workmanship for a period of one year from the date of delivery to the purchaser (the “warranty period”). If the product contains a defect in...
  • Page 124 Appendix C Warranty (This page is intentionally blank.) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 125: Parts And Accessories

    Respironics-approved accessories with the ventilator. This appendix lists parts and accessories supplied by Respironics that are compatible with the Respironics V60 Ventilator. Contact your Respironics representative to order these parts. Adult masks...
  • Page 126 — Image3 single-patient-use full face Small 1004878 1004879 — mask with headgear Small 1018585 1018581 — Medium 1004849 1004884 — Medium 1018586 1018583 — Large 1010871 1008887 — Large 1018587 1018584 — Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 127: Pediatric Masks

    Head strap Petite 1018472 1018472 Exhalation ports Description Quantity Part number Plateau exhalation valve (PEV) 302312 Replacement diaphragm for PEV 302310 Whisper Swivel II exhalation port 332113 Disposable exhalation port (DEP) 312149 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 128: Patient Breathing Circuits

    Bacteria filter Description Quantity Part number Single-patient-use bacteria/viral filter, with 22-mm M x F connectors 1014047 342077 Operator maintenance parts Description Quantity Part number Cooling fan filter 1054280 Air inlet filter 1054279 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 129: Other Parts

    Part number Universal stand 1041139 Ventilator-to-universal stand mounting 1048873 plate E-cylinder holder for universal stand 1048903 Oxygen manifold kit 1057785 Support arm 332497 Support arm bracket 1002497 Backup battery 1056921 25-to-9-pin adapter 1058403 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 130 Appendix D Parts and accessories (This page is intentionally blank.) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 131: Regulatory Compliance

    Waste electrical and electronic equipment (WEEE) recycling directive. directive Compliant with the WEEE recycling directive. If you are subject to the WEEE directive, refer to http:// www.healthcare.philips.com/main/about/Sustainability/Recycling/ for the passport for recycling this product. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 132: Safety

    IEC 60601-2-12 Medical Electrical Equipment – Part 2-12: Particular Require- ments for the Safety of Lung Ventilators – Critical Care Ventilators EN 60529 Degrees of Ingress Protection Provided by Enclosures (IPX1@zero degrees tilt) Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 133: Diagnostic Mode

    2. Press and hold the Accept button on the navigation ring and turn on the ventilator by pressing the ON/Shutdown key. The screen displays Press again for Diagnostics or wait for Ventilation. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 134 Appendix F Diagnostic mode 3. Within less than 5 seconds, release and press the Accept button again. The Diagnostics Menu (Figure F-1) is displayed. Figure F-1: Diagnostics Menu 4. Select the desired function. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 135: System Settings

    Appendix F Diagnostic mode System settings From the System Settings screen (Figure F-2) you can perform the functions below. Figure F-2: System Settings screen 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 136: Language

    The Language function lets you set the language of software display. 1. From the System Settings screen, select Language to display the Set Language screen (Figure F-3). Figure F-3: Set Language screen 1 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 137 3. A second Set Language screen is displayed (Figure F-4). Select Ventilator Shutdown to apply the change. The change is effective after you restart the ventilator. Figure F-4: Set Language screen 2 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 138: Date/Time

    1. From the System Settings screen, select Date/Time to display the Set Date and Time screen (Figure F-5). Figure F-5: Set Date and Time screen 2. Adjust the date and time with the + and - buttons; then Apply. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 139: Pressure Units

    Set Pressure Units screen (Figure F-6). Figure F-6: Set Pressure Units screen 2. The active pressure unit is shown in white type. Select the desired pressure unit. The change is effective after you restart the ventilator. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 140: Restore Default Settings

    The factory defaults are listed in Chapter 10. 1. From the System Settings screen, select Restore Default Settings to display the Restore Default Settings screen (Figure F-7). Figure F-7: Restore Default Settings screen 2. Select Restore Defaults. Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 141: Software Options

    4. Verify that the options are enabled by selecting Back to System Settings, then Back to Diagnostics Menu, then Service. The Vent Info window should show the new options. 5. Attach the option label as shown in Figure 3-5 on page 3-8. 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 142: Baud Rate

    Baud Rate for Serial Communications screen (Figure F-9). Figure F-9: Set Baud Rate for Serial Communications screen 2. The active baud rate is shown in white type. Select the desired baud rate. F-10 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 143: Service

    The time, date, and an identifier for event classification are included. 1. From the Service screen, select the Misc tab. 2. The Miscellaneous screen opens (Figure F-10). Select Significant Event Log. Figure F-10: Miscellaneous screen F-11 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 144 Appendix F Diagnostic mode 3. The Significant Event Log opens (Figure F-11). Use the buttons on right side to navigate through the log. Figure F-11: Significant Event Log screen F-12 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 145: Touchscreen Calibration

    2. Follow the steps shown. Press on the middle of each target with a blunt, narrow object. If the calibration is not successful, have the ventilator serviced. Exiting the diagnostic Exit the diagnostic mode by turning off ventilator power with the ON/Shutdown key. mode F-13 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 146 Appendix F Diagnostic mode (This page is intentionally blank.) F-14 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 147: Glossary

    CPAP Continuous positive airway pressure. A ventilation mode that provides a single, continuous level of positive pressure to the patient and a control setting in that mode. Cycle To end inspiration. Glossary-1 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 148 Inspiration:exhalation ratio See I:E ratio. Inspiratory positive airway pressure See IPAP. Inspiratory time See I-Time. Inspiratory duty cycle See T Intentional leakage “Known,” quantifiable leakage that is a function of the mask. Glossary-2 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 149 PCV Pressure-controlled ventilation. A ventilation mode that provides mandatory and spontaneous breaths with a set frequency, pressure, and inspiratory time. Peak inspiratory pressure See PIP. Percentage of patient-triggered breaths See Pt. Trig. Glossary-3 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 150 Standby Suspends ventilation and retains current settings when the clinician wants to temporarily disconnect the patient from the ventilator. Time Trigger Initiation of inspiration by the ventilator according to the Respiratory Rate setting. Glossary-4 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 151 Estimated minute ventilation. The product of tidal volume (spontaneous and timed) and rate (spontaneous and timed), a monitored parameter. Estimated exhaled tidal volume, a monitored parameter and AVAPS Target Tidal Volume, a control setting in AVAPS mode. Glossary-5 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 152 Glossary (This page is intentionally blank.) Glossary-6 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 153 Check Vent: Motor Control PCBA ADC Failed alarm 8-12 Baseline pressure, description 4-3 Check Vent: O Flow Sensor Calibration Data Error alarm 8-12 Batch settings, how to make 6-3 Check Vent: O Pressure Sensor Calibration Data Error alarm 8-12 Index-1 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 154 F-13 HIP (High Inspiratory Pressure Alarm) setting, definition 6- how to restore default factory settings F-8 how to view event log F-11–F-12 Dimensions, ventilator 10-4 Display, brightness, how to set 6-11 Index-2 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 155 Nurse call connector, location 3-8 cooling fan filter 9-5 Nurse call port B-12 oxygen inlet connector A-6 Intake filter. See Filter, air inlet Intended use, Respironics V60 Ventilator 3-1 setting, definition 6-16 Interface. See Patient interface or Communications inter- Operation 6-1 face...
  • Page 156 Vent Inoperative 1003 Internal Temperature High alarm 8-13 Settings, default factory, how to restore F-8 Vent Inoperative 1004 Internal Temperature High alarm 8-13 Shutdown, ventilator 5-6 Vent Inoperative 1005 Internal Temperature High alarm 8-13 Index-4 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 157 Warranty C-1 Waveforms description 7-2 how to freeze and unfreeze 7-3 how to scale axes 7-2 WEEErecycling directive, compliance statement E-1 Weight, ventilator 10-4 Whisper Swivel II exhalation port, part number D-3 Index-5 1047358 Rev C Respironics V60 Ventilator User Manual...
  • Page 158: Index

    Index (This page is intentionally blank.) Index-6 Respironics V60 Ventilator User Manual 1047358 Rev C...
  • Page 160 Printed in USA 1047358 Rev C © 2009 Koninklijke Philips Electronics N.V. All rights are reserved. Reproduction or transmission in whole or in part, in any form or by any means, electronic, mechanical or otherwise, is prohibited without the prior written consent of the copyright owner.