Page 1 ZOLL Ventilator Operator’s Guide Models: EMV+, AEV, Eagle II 906-0731-01-05 Rev. C...
Page 2 The issue date for the ZOLL Ventilator Operator’s Guide (REF 906-0731-01-05 Rev. C) is January, 2018. Copyright © 2018 ZOLL Medical Corporation. All rights reserved. ZOLL, AEV, EMV+, Eagle II, and Smart Help are trademarks or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.
Page 3: Table Of Contents
Symbols on the Ventilator ...................... 2 Symbols on the Ventilator’s Graphical User Interface (GUI)..........5 Conventions ........................... 7 Abbreviations ......................... 8 ZOLL Ventilator Indications for Use ..................9 Ventilation ........................9 Pulse Oximetry (SpO2) ....................9 Features ........................10 Warnings..........................11 General ........................
Page 4 Operating Using External DC Power ................15 Operating Using Battery Power ................... 15 Chapter 3 Setting Up the ZOLL Ventilator 1. Attach the Ventilator Circuit....................2 2. Attach the High Pressure Oxygen Supply (Optional)............3 3. Inspect Fresh Gas Intake Filters ..................3 4.
Page 5 Extreme Temperature Environments ................2 Altitude ........................... 3 Rain and Snow ......................4 Using the ZOLL Ventilator in Hazardous Environments............4 Using the ZOLL Ventilator in an MRI Environment ..............7 Chapter 7 Maintenance Inspecting the ZOLL Ventilator ....................1 Cleaning..........................
Page 6 Replacing the ZOLL Ventilator’s Filters ................. 4 Replacing the Foam Filter ....................4 Replacing the Disk Filter ....................5 Battery Maintenance ......................5 Battery Storage ......................7 Ventilator Storage ......................8 Battery Replacement and Shipping Regulations ............8 Calibration Checks......................... 8 Electrical Safety Check ......................
Page 7: General Information
Chapter 1 General Information This chapter provides general information about the ZOLL ventilator and the ZOLL Ventilator Operator’s Guide, which we provide with this product. Specifically, this chapter provides A brief description of the ZOLL Ventilator. • Information about this manual (ZOLL Ventilator Operator’s Guide).
Page 8: Operator's Guide Updates
Operator’s Guide Updates An issue or revision date for this manual is shown on the front cover. If more than 3 years have elapsed since this date, contact ZOLL Medical Corporation to determine if additional product information updates are available.
Page 9 Power Input Orientation: Locates the DC input identifying its point of insertion. Manufacturer: This symbol shall be adjacent to the name and address of the manufacturer. Manufacturer Date: Manufacturer Date Symbol identifies the device’s date of manufacture. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 10 Connector (top faceplate icon). 280 - 600 kPa (40 - 87 PSIG) Exhalation Valve (top faceplate icon). Exhaust Do Not Occlude (top faceplate icon). Transducer (top faceplate icon). Gas Output -- Patient Circuit Connector (top faceplate icon). www.zoll.com 906-0731-01-05 Rev. C...
Page 11: Symbols On The Ventilator's Graphical User Interface (Gui)
Leak Compensation (LC) feature is ON. Leak Compensation Feature is OFF. _ _ _ Patient Detect Mode: Backup Ventilation Started. Not receiving a reading. Attention: High Priority Alarm Active. Caution: Medium Priority Alarm Active. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 12 No Internal Battery: Indicates when internal battery is not an available power source. Head with Mask: the unit is in Non-invasive Positive Pressure Ventilation (NPPV) mode. Feature OFF -- feature or alarm not selected. Feature ON -- feature or alarm has been selected. www.zoll.com 906-0731-01-05 Rev. C...
Page 13: Conventions
Warning statements alert you to conditions or actions that can result in personal injury or death. Caution Caution statements alert you to conditions or actions that can result in damage to the unit. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 14: Abbreviations
ENERAL NFORMATION Abbreviations A/C- Assist/Control I:E- Inverse ratio AEV- Automatic Electrical Ventilator ID - Internal Diameter ACLS- Advanced Cardiac Life Support L - Liters ALS- Advanced Life Support LCD- Liquid Crystal Display ATLS- Advanced Trauma Life Support LED - Light Emitting Diode...
Page 15: Zoll Ventilator Indications For Use
ZOLL Ventilator Indications for Use Ventilation Each model of the ZOLL 731 Series of Ventilators is indicated for use in the management of infant through adult patients weighing greater than or equal to 5 kg with acute or chronic respiratory failure or during resuscitation by providing continuous positive-pressure ventilation.
Page 16: Features
Sealed gas path with chemical/biological filter connected to assure safe breathing gas • supply. Sealed case and control panel protects components from weather and fluids. • Smart Help messages guide the operator through on-screen commands when responding to • alarms. 1-10 www.zoll.com 906-0731-01-05 Rev. C...
Page 17: Warnings
• When using an external power source, position the supply cables to avoid accidental disconnect. The use of accessories and cables other than those sold by ZOLL may result in increased • emissions or decreased immunity of this device. Portable and mobile RF communication equipment may affect the performance of this •...
Page 18: Pulse Oximeter
Environment” for instructions on the use of MRI conditional units, which gives additional Warnings and Cautions. Do not operate the ZOLL Ventilator on a patient when the USB port is connected to any • other device (you use the USB port only for servicing the ventilator).
Page 19: Batteries
Electric shock hazard: Do not remove equipment covers. You may only perform • maintenance procedures specifically described in this manual. Refer all servicing to ZOLL or a ZOLL-authorized service center. Possible explosion hazard if used in the presence of flammable anesthetics or other •...
Page 20: Patient Safety
You must follow all safety procedures that are in effect for the MRI Environment. Do • not use the ventilator in an MRI Environment with greater than 3T magnetic force. You must secure the unit to a suitable MRI-compatible cart -- ZOLL MRI Roll • Stand ( 816-0731-01);...
Page 21: Cautions
ZOLL cannot ensure the proper functioning of this device if it is used with unauthorized sensors, cables, or patient circuits.
Page 22: Fda Tracking Requirements
• donated, resold, or otherwise distributed to a different organization • If any such event occurs, contact ZOLL Medical Corporation in writing with the following information: 1. Originator's organization – Company name, address, contact name, and contact phone number...
Page 23: Software License
1. Grant of License: In consideration of payment of the software license fee which is part of the price paid for this product, ZOLL Medical Corporation grants the Purchaser a nonexclusive license, without right to sublicense, to use the system software in object-code form only.
Page 24: Limited Warranty
NFORMATION Limited Warranty ZOLL warrants the device to be free from all defects in material and workmanship for a period of one (1) year from the date of delivery to the original purchaser. During the warranty period, ZOLL will repair or replace the device or any part which upon examination is shown to be defective.
Page 25: Service
• Returning a unit for service Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service request (SR) number from the service representative. The Lithium ion battery should remain inside the unit. Follow directions provided on the return authorization form.
Page 26 ENERAL NFORMATION For customers Return the unit to In other locations The nearest authorized ZOLL Medical Corporation representative. To locate an authorized service center, contact the International Sales Department at ZOLL Medical Corporation 269 Mill Road Chelmsford, MA 01824-4105 Telephone: 1-978-421-9655 1-20 www.zoll.com...
Page 27: Product Overview
Chapter 2 Product Overview This chapter provides an overview of the ZOLL Ventilator, which you can use to manage infant through adult patients with acute or chronic respiratory failure or patients that you are resuscitating by providing continuous positive-pressure ventilation. (See Indications for Use in Chapter 1.)
Page 28: Zoll Ventilator Models
RODUCT VERVIEW ZOLL Ventilator Models The ZOLL Ventilator is available as the AEV, EMV+, and Eagle II models. The ventilator offers a range of ventilatory modes to support EMS, military, air transport, and hospital transport needs. The AEV ventilator is designed for managing ventilator support patients during ambulance transport.
Page 29: Zoll Ventilator Features
ZOLL Ventilator Features The ZOLL Ventilator models have these common features: Rugged design • Weight: ~10 lbs • 10 hour battery life • Rapid charger to achieve 90% battery capacity in 2 hours • High performance internal compressor • Smart Help messages •...
Page 30: Zoll Ventilator Device Description
RODUCT VERVIEW ZOLL Ventilator Device Description The following illustration shows the ZOLL Ventilator’s main features: www.zoll.com 906-0731-01-05 Rev. C...
Page 31 Access to the unit settings Bottom Battery Compartment Contains the unit’s rechargeable lithium ion battery Side Fresh Gas/Emergency Air Intake Allows the unit’s internal compressor to take ambient air and acts as an anti-asphyxia valve Handle 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 32: Controls And Indicators
RODUCT VERVIEW Controls and Indicators The ZOLL Ventilator has controls and indicators that facilitate ease of use and visibility in all operating environments. This ventilator’s control panel includes a display screen (liquid crystal display -- LCD), an LED array, and the controls that you use to set up and manage the ventilator.
Page 33: Display Screen
Display Screen The ZOLL Ventilator’s display screen has four functional areas: Message Area Parameter Windows Shared Icon Area Auxiliary Parameter Boxes Message Area The display screen’s message area can display the following: Airway Pressure and Pleth Waveform Plots -- Under normal operation (as in the example •...
Page 34: Shared Icon Area
• Alarm Muted/Audible • Auxiliary Parameter Boxes Some parameters have values that the ventilator displays in the parameter boxes at the bottom of the display screen. You can adjust these values using the parameter’s context menu. www.zoll.com 906-0731-01-05 Rev. C...
Page 35: Pneumatic Design
Pneumatic Design The ZOLL Ventilator includes an oxygen valve and a compressor to provide the gas to the output port. The system includes transducers for pressure measurements including input supply pressure and barometric readings. The wye circuit is part of the ventilator’s pneumatic system. The inspiratory side of the wye circuit provides gas to the patient.
Page 36: Fresh Gas Intake And Attachments
The fresh gas intake contains a particulate filter and permits the operator to connect either a bacteria/viral or a chemical/biological filter depending on ambient conditions ZOLL provides an O2 Reservoir Kit to allow for low flow oxygen supply to the ventilator. An oxygen concentrator source provides oxygen to the O2 reservoir.
Page 37: Oxygen Input: High Pressure Gas Supply
The hose is has compatible fittings between the device an the source identified for use. (Also see Chapter 6 “Operating Environments”). Hoses are available from ZOLL, or a suitable alternative as described below can be used as indicated in the table below.
Page 38: Ventilator Circuits
Figure 2-1 Ventilator Gas Sources Ventilator Circuits The ZOLL Ventilator operates using a standard disposable ventilator circuit. The Ventilator circuit attaches to the device using three ports on the top of the device. Gas Output -- connects to the ventilator circuit using 22 mm ID corrugated hose. The •...
Page 39 Exhalation Valve -- connects to the ventilator circuit using 1/4 inch ID exhalation valve • tubing. The barb-type connector is clear anodized aluminum to distinguish it from the other connectors (the 1/4 inch ID ventilator circuit exhalation valve tubing is clear). Ventilator Circuit Connections 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 2-13...
Page 40: Ventilator Circuit Types
RODUCT VERVIEW Ventilator Circuit Types The ZOLL Ventilator can use 6 ft or 12 ft ventilator circuits to support adult, pediatric, and infant patients. Ventilator Circuits ZOLL provides the following circuit types: Pediatric/Adult, 6 ft (REF 820-0106-XX) • Infant/Pediatric, 6 ft (REF 820-0107-XX) •...
Page 41: Pulse Oximeter Sensors
The Masimo LCSN series of probes are approved for use with the ventilator. The Accessory table in Appendix A lists the sensors which are available for use with the ZOLL Ventilator. Power Sources The ZOLL Ventilator can operate using external power or it can operate powered by its internal Lithium Ion Battery.
Page 43: Chapter 3 Setting Up The Zoll Ventilator
Chapter 3 Setting Up the ZOLL Ventilator This chapter describes how to set up the ZOLL Ventilator. It lists the tasks required to set up the ventilator for safe, effective use, and describes each task in detail. Warning! You must always properly set up the ventilator before use. Failure to do so can result in inadequate care or death of the patient.
Page 44: Attach The Ventilator Circuit
ZOLL V ETTING P THE ENTILATOR Warning! Always follow standard of care, which includes preparations to bag the patient. DO NOT start up the ventilator with the patient attached. 1. Attach the Ventilator Circuit Select the correct ventilator circuit for the patient and environment (as we describe in the previous chapter).
Page 45: Attach The High Pressure Oxygen Supply (Optional)
1. Removable Foam Filter ( 465-0028-00) Fresh Gas Intake Disk Filter ( 465-0027-00) Inspect the filters and, if dirty, replace them (See Chapter 7, “Replacing the Ventilator’s Filters”). Fresh Gas Intake 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 46: Connect Fresh Gas Intake Attachments
“Using the ZOLL Ventilator in Hazardous Environments”). Chemical/Biological C2A1 Filter If the ventilator will operate in a contaminated environment, you may choose to attach a chemical/biological C2A1 filter (See Chapter 6, “Using the ZOLL Ventilator in Hazardous Environments”). www.zoll.com 906-0731-01-05 Rev. C...
Page 47: Select The Ventilator's Power Source
External DC power from a standard vehicle DC outlet using either the 12 or 28 VDC Power Cable that ZOLL provides to connect the ventilator to the DC outlet. The ZOLL Ventilator’s input connector accepts DC voltages between 11.8 to 30.0 VDC.
Page 48: Connecting The Power Supply
ZOLL V ETTING P THE ENTILATOR Connecting the Power Supply Connect the external power cable to the ventilator as follows: Connecting and Disconnecting the Power Supply Caution Do not twist the power cable connection plug. Pinch the plug and slide up to release the safety latches.
Page 49: Power On The Ventilator
During start-up, the ventilator’s alarms are disabled for 120 seconds to allow you to properly adjust the patient circuit, pulse oximeter, and ventilator settings without distraction. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 50: Select Start Up Default Values
ZOLL V ETTING P THE ENTILATOR 7. Select Start Up Default Values When you power on the ventilator, the Start Menu appears, through which you choose the appropriate parameter default values for the patient. You can select the following patient...
Page 51 Low and Medium priority alarms cause this head with mask icon to disappear. It reappears when Low priority alarms are muted. When Medium priority alarms are muted, the muted speaker icon appears. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 52: Select Operating Mode (Optional)
Spontaneous breaths are either unsupported demand ® flow or supported using Pressure Support. (This mode is not available in the AEV unit.) CPAP (Continuous Positive Airway Pressure) -- The patient receives constant positive airway pressure while breathing spontaneously.
Page 53: Change Parameter Values
Brightness). When you press the Menu button, the Main Menu appears: Alarm Config • Powerup Settings • LCD Contrast • LCD Brightness • GMT Offset • Unit Info • Alarm History • 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 3-11...
Page 54: 11. Perform Operational Test
ZOLL V ETTING P THE ENTILATOR 11. Perform Operational Test Before attaching the patient to the ventilator, you must perform an Operational Test to ensure that the breathing circuit is properly attached and that the primary patient safety alarms, such as PATIENT DISCONNECT and AIRWAY PRESSURE HIGH are functioning properly.
Page 55: Attach The Pulse Oximeter Probe (Optional)
Connecting the Pulse Oximeter Sensor The monitoring function begins automatically when a valid patient signal is detected for > 10 seconds. For more information about the Masimo pulse oximetry technology that the ZOLL Ventilator uses, see Appendix C, Pulse Oximeter Principles. 13. Attach Patient After you confirm that the ventilator is operating correctly, detach the test lung (if used in the Operational Test) from the ventilator circuit.
Page 57: Chapter 4 Using The Zoll Ventilator
Chapter 4 Using the ZOLL Ventilator This chapter describes how to use the ZOLL Ventilator. Effective operation of the ventilator requires understanding of the following information: The ZOLL Ventilator Interface and Parameter Windows • Changing Parameter Values • Selecting Ventilation Mode Options •...
Page 58: The Ventilator Interface
To prevent setting of parameter values that are outside the typical clinical range of settings, the ZOLL Ventilator displays Pop Up messages that ask if you are sure you would like to set the parameter beyond the typical range. We describe Pop Up messages in more detail in Chapter 5.
Page 59 Press the Mode parameter button to highlight the current ventilation mode. Press the Mode parameter button again to select volume or pressure targeting which is shown as either “(V)” for volume or “(P)” for pressure. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 60: Breath Target
Incomplete Exhalation (Alarm #3091) • Insufficient Flow (Alarm #2095) • The following table lists the ventilator modes and their availability in the ZOLL ventilator models, and gives the options and ranges for the ventilation mode parameters: Parameter Window Options /...
Page 61: Bpm (Breathes Per Minute) -- Timing And Rate Management
An adult patient with high Resistance may benefit from a Rise Time setting of 3 to 4 for optimal breath delivery. Rise Times of 8 to 10 are optimized for infants and are flow limited. (The infant circuit is not intended for flows > 60 LPM.) 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 62 SING THE ENTILATOR Cycle Off % Parameter The ZOLL Ventilator transitions from inspiratory to expiratory phase when the flow drops below a set percentage of the peak flow. You can adjust the Cycle % value t account for patient leaks.
Page 63: Bpm Parameter Settings
1 to 10 Auxiliary Box Cycle Off % Default 25% 10 to 70% Auxiliary Box (% Cycle ) Spont Ti Limit Default 0.30 to 4.00 Adult = 3.00 Infant = 2.00 Mask CPAP = 3.00 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 64: Vt (Tidal Volume)
The ventilator circuit is part of the breathing system of the ventilator. Tubing compliance of the circuit is a physical property that affects the tidal volume delivered to the patient. The ZOLL Ventilator allows you to adjust the compliance value of the circuit (see Chapter 6 for more information).
Page 65: Pip (Peak Inspiratory Pressure) -- Pressure Management
6.0 to -0.5 cm H2O below the baseline (PEEP) pressure. In order to initiate a spontaneous or assisted breath, the patient must generate -2.0 cm H2O. When the pressure drop is detected, an assisted breath is delivered. The trigger automatically adjusts when the PEEP is changed. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 66: Plateau Pressure
ZOLL V SING THE ENTILATOR Plateau Pressure Press and hold the Manual Breath/Plateau Pressure button to perform a plateau pressure maneauver. 4-10 www.zoll.com 906-0731-01-05 Rev. C...
Page 67: Pressure Management
Low PIP 3 to 35, Off Measured Mean Airway Pres- 0 to 99.9 Value sure Paw Waveform 0 to 100 PIP Context Menu -6 to -0.5 Breath Trigger Default : ‐2 Adjustment Increments: .5 (Assisted, Spontaneous) 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-11...
Page 68: Fio2 (Fraction Of Inspired Oxygen) -- Oxygen Delivery Management
ZOLL V SING THE ENTILATOR FIO2 (Fraction of Inspired Oxygen) -- Oxygen Delivery Management Pressing the FIO parameter button highlights the current FIO value and enables you to adjust it. There are no adjustable secondary parameters. The default values at start up is 21% whether oxygen is present or not.
Page 69: Spo2 -- Using The Pulse Oximeter
You place the pulse oximeter in standby • Note: You can place the pulse oximeter in standby only when the probe is disconnected from the patient. A valid signal automatically brings the pulse oximeter out of standby. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-13...
Page 70: Spo2 Parameter Values
ZOLL V SING THE ENTILATOR SpO2 Parameter Values Pressing the SpO2 parameter button highlights the Low SpO Alarm Limit and enables its value to be changed. The default low SpO value at start up is 94%. The SpO2 parameter uses the same Context Menu as the HR parameter.
Page 71 A value of zero indicates that Value no measurement is available. This value helps clinicians place sensors on optimal sites Signal IQ Measured Bar Graph Bar graph displays the relative reliability of the pulse oximeter signal. Value 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-15...
Page 72: Hr (Heart Rate)
ZOLL V SING THE ENTILATOR HR (Heart Rate) The HR (Heart Rate) parameter window displays the patient’s heart rate when the pulse oximeter is working and the sensor is attached. Pressing the HR parameter button highlights the High Heart Rate alarm limit and enables its value to be changed.
Page 73: Managing Pop Up Messages
“off”, and/or canceled. We provide a comprehensive list of pop up messages in Chapter 5, “Alarms.” Pop Up Message Example 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-17...
Page 74: Managing Alarms
SING THE ENTILATOR Managing Alarms ™ The ZOLL Ventilator uses Smart Help messages that provide a comprehensive suite of alarms. Smart Help messages alert operators and guide their actions to resolve alarm conditions and ensure patient safety. At the onset of an alarm, the screen displays the alarm name and then a series of context-sensitive Smart Help messages, which describe the possible cause and resolution of that alarm.
Page 75: Smart Help Messages
Service Code: Each alarm has a 4 digit number associated with it, which helps the operator indicate the specific alarm when communicating with technical support. Attention Warning Icon: Identifies the severity of the alarm: Low, Medium, or High priority. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-19...
Page 76: Alarm Priorities
ZOLL V SING THE ENTILATOR Alarm Priorities Alarm priorities define the operational state of the device regarding its ability to provide mechanical ventilation. The alarm priority determines what effect pressing the MUTE/CANCEL button has. There are three priorities: High Priority: Mechanical ventilation under operator control is no longer possible. This •...
Page 77: Silencing Alarms
High 2173 Spontaneous Breath-V 2300 Pulse Ox Module Failed 2301 Internal Communication Failed 2314 SpO2 Sensor Off Patient 2401 SpO2 Low 2410 Heart Rate High 2411 Heart Rate Low (Pulse Rate Low) 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-21...
Page 78: Turning Off Alarms At Extreme Range Limits
ZOLL V SING THE ENTILATOR Service Code Alarm Name 3300 SpO2 Shutdown (MS 11 Failure-Monitor Not In Use) 3301 SpO2 Shutdown (Communication Failure EMV-Pulse Ox-Monitor Not In Use) 3310 No SpO2 Sensor Connected (No Sensor Detected) 3311 Defective Sensor 3312...
Page 79: Alarm Cancellation In Alarm Configuration Menu
Self Check Fault, calibration due (Alarm #3120) RTC Battery Fault (Battery Low) (Alarm #3110) Incomplete Exhalation (Alarm #3110) PEEP Leak (Alarm #2090) Fresh Gas Intake Fault (Alarm #3031) Patient Inspiratory Demand Not Met (Alarm #3092) • 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 4-23...
Page 81: Chapter 5 Alarms
Chapter 5 Alarms This chapter provides a detailed description and comprehensive reference for the ZOLL Ventilator’s alarms and Pop Up Messages. This chapter Describes the display format of ZOLL’s Smart Help messages in detail. • Describes alarm types and priorities.
Page 82: Alarm Overview
LARMS Alarm Overview To safeguard the patient, the ZOLL Ventilator continuously monitors the patient, device, and environment to ensure that all of the systems are functioning as intended. When device detects a problem, it triggers an alarm and displays a Smart Help message to alert you.
Page 83 Attention Warning Icon: Identifies the severity of the alarm: Low, Medium, or High priority. See the Symbols table in Chapter 1 for the appearance of the warning triangle for each of these three alarms. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 84: Alarm Priorities
4 that would, practically, disable the alarm. If the desired value is outside the performance range, the Pop Up message alerts you to why cannot make the change. (Example: trying to set the PEEP level greater than the PIP setting). www.zoll.com 906-0731-01-05 Rev. C...
Page 85: Muting Alarms
Alarms Types The ZOLL Ventilator’s alarm types provide a framework for you to see the scope and range of the alarms that the device uses. The alarm types are: Patient Safety -- Patient Safety Alarms address the ventilation of the patient and their •...
Page 86: Alarm Groups
LARMS Alarm Groups The following table displays the ZOLL Ventilator’s Alarm Groups: Alarm Groups Patient Safety Environment Self Check Airway Pressure Battery Ambient Pressure -- High/Low -- Battery Drained -- High/Low -- Battery Nearly Drained -- Battery Low -- Discharge Fault...
Page 87 Alarm Groups SpO2 -- Low -- Disconnect -- Defective Sensor -- Not Connected -- Invalid Sensor -- Light Contamination -- Low Perfusion -- Search Tidal Volume -- High/Low Tubing Compliance 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 88: High Priority Alarms
Occasionally, this alarm can be caused by a regulator that provides a static pressure within range but is not able to provide the flow necessary to meet the patient flow demand. Mitigation/Info: Manually Ventilate Patient, Connect 55 psig/380 kPa O2, Restart, Check O2 Supply for www.zoll.com 906-0731-01-05 Rev. C...
Page 89 Alarm occurs when the 5 volt power bus fails to provide the required voltage. If this failure occurs, the user should manually ventilate the patient, replace the ventilator and contact the service center for additional infor- mation. Mitigation/Info: Pneumatic Sensor: Autocal, Manually Ventilate Patient, **Contact Service Center** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 90 When this occurs ventilation continues at the current settings or the backup mode settings and the high prior- ity alarm sounds. The user should manually ventilate the patient, replace the ventilator and contact the ser- vice center for additional information. Mitigation/Info: Internal COMM, Manually Ventilate Patient, **Contact Service Center** 5-10 www.zoll.com 906-0731-01-05 Rev. C...
Page 91 Ventilation is provided using the backup mode settings. The user should manually ventilate the patient, replace the ventilator and contact the service center for additional information. Mitigation/Info: Firmware Mismatch, Manually Ventilate Patient, Software Compatibility Failure, **Contact Service Center** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-11...
Page 92: Medium Priority Alarms
Maintain an acceptable SpO by adjusting the supply up or down to increase or decrease the amount of O delivered to the patient. Mitigation/Info: Pneumatic System O2 Valve, Set FIO2 To 21%, Connect Low Flow O2, Monitor SpO2 5-12 www.zoll.com 906-0731-01-05 Rev. C...
Page 93 The user should also assess if the patient is fighting the ventilator, asyn- chrony, or if the high airway pressure limit is set too low. Mitigation/Info: Pressure Exceeds Limit Setting, Check Circuit for Kinked Hose/Tube, Check for Airway 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-13...
Page 94 The user should select and active mode of ventilation, AC or SIMV, to support the patient. Mitigation/Info: Apnea Backup Ventilation Started, Set Mode to AC or SIMV, Set Rate and Tidal Volume/ Pressure Target, ** Manually Ventilate Patient** 5-14 www.zoll.com 906-0731-01-05 Rev. C...
Page 95 Mitigation/Info: Check Patient Connection, Check Circuit for Loose Hose/Tube, Check Exhalation Valve, Check Tube Placement/ Cuff, Check Low Limit Setting, **Manually Ventilate Patient** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-15...
Page 96 Alarm triggers when the heart rate is greater than the High Heart Rate Limit. The default value for the limit is 120 beats/minute. The user should consult with the attending physician on how best to reduce the heart rate to an acceptable level. Mitigation/Info: Heart Rate Above Limit, Check High Limit Setting, **Consult Physician** 5-16 www.zoll.com 906-0731-01-05 Rev. C...
Page 97 When external power is connected the alarm priority decreases to Low Priority, replace the ventilator and contact the service center. Mitigation/Info: Battery Communication, Connect External Power, Ensure Ability to Manually Ventilate Patient , **Contact Service Center** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-17...
Page 98: Low Priority Alarms
The user cannot repair the O valve, replace the ventilator and contact the service center for additional information. Mitigation/Info: Pneumatic System: O2 Valve, Compressor Operation Only!, Keep FIO2 at 21%, Con- 5-18 www.zoll.com 906-0731-01-05 Rev. C...
Page 99 The user can choose to activate the alarm if they believe the patient is at risk of Auto-PEEP using the Alarm Configuration submenu that is access using the Main Menu. Mitigation/Info: Increase Expiratory Time, Decrease Inspiratory Time, Decrease Respiratory Rate, Disable 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-19...
Page 100 Where possible cabin pressure should be maintained in the compensated range. Mitigation/Info: Beyond Altitude Compensation Limit, Maintain Airway Pressure, Check Patient Chest Rise, Monitor Ventilator/Patient,**Reduce Altitude/ Pressurize Cabin if Possible** 5-20 www.zoll.com 906-0731-01-05 Rev. C...
Page 101 HR as those parameters are no longer available. When appropriate the user should replace the ventilator and contact the service center for additional information. Mitigation/Info: Internal COMM: Pulse Ox, SpO2/HR Not Available, **Contact Service Center** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-21...
Page 102 (NIBP) cuff. To resolve the alarm condition, move the sensor to a better perfused site or to another limb if the interference is from the NIBP cuff. Mitigation/Info: Pulse Signal Weak, Check Sensor Placement, Change Sensor Placement, Check Sensor Operation, **Turn Off Pulse Ox Monitoring** 5-22 www.zoll.com 906-0731-01-05 Rev. C...
Page 103 The user must maintain constant monitoring of the device and the patient during this period. Mitigation/Info: <30 Minutes Operation, Operating With External Power, Continue Charging With External Power, Ensure Ability To Manually Ventilate, **Contact Service Center** 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-23...
Page 104 The pad- ded case should be used because it provides insulation. Mitigation/Info: Battery Too Cold To Charge, Ensure External Power Available, Use Padded Case **Move to Warmer Location** 5-24 www.zoll.com 906-0731-01-05 Rev. C...
Page 105 This fault occurs when the biomedical technician fails to recalibrate the device following an SPM change or service. When this occurs the device should be replaced when appropriate and sent to the service center. Mitigation/Info: Serial Number Mismatch, Hardware Compatibility Failure, Update Calibration Records 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-25...
Page 106: Pop Up Messages
Message: Confirmation required -- press accept key to disable alarm BPM Setting Conflict Popup triggers when the user attempts to set the BPM to a value that would result in an inspiratory time (I Time) >3 seconds. Message: I Time cannot exceed 3 seconds 5-26 www.zoll.com 906-0731-01-05 Rev. C...
Page 107 Popup triggers when the user attempts to Vt >1000 ml. To do this, the user must press the Accept button and then continue to set a value >1000 ml followed by Accept again to confirm the setting change. Message: Confirmation required -- press accept key to allow Vt > 1000ml 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-27...
Page 108 Message: Cannot adjust low limit higher than high limit Vt Limit Conflict Popup triggers when the user attempts to set the Vt high limit < the Vt low limit. Message: Cannot adjust high limit lower than low limit 5-28 www.zoll.com 906-0731-01-05 Rev. C...
Page 109 Message: Cannot adjust high limit lower than low limit Heart Rate Limit Conflict Popup triggers when the user attempts to set the HR Low limit > the HR High limit. Message: Cannot adjust low limit higher than high limit 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-29...
Page 110 Message: Cannot adjust EPAP target to within 5 of backup PIP PIP Limit Conflict Popup triggers during BL mode when the user attempts to set the peak inspiratory pressure (PIP) < the IPAP target. Message: Cannot adjust high limit lower than IPAP target 5-30 www.zoll.com 906-0731-01-05 Rev. C...
Page 111 O. When the user selects one of the options where this is true, the Popup message is triggered require the user to provide additional conformation, pressing Accept, to initiate ventila- tion with the option. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide 5-31...
Page 113: Operating Environments
Chapter 6 Operating Environments This chapter describes how to operate the ZOLL Ventilator outside of a typical hospital environment. The types of environments that we describe are: Harsh environments -- prehospital and transport • Hazardous environments -- in the presence of chemical and/or biological toxins •...
Page 114: Extreme Temperature Environments
49 Compliance is a physical characteristic of the ventilator that varies with temperature. The circuit becomes more compliant as the temperature rises. The ZOLL ventilator allows you to increase the compliance value when operating in hot environments.
Page 115: Altitude
Altitude The ZOLL 731 Series Ventilator is designed to operate from -610 to 7620 meters (-2,000 to 25,000 feet). An absolute barometric pressure sensor monitors ambient pressure and the unit uses this information to continuously correct the output of the device to maintain the ventilation parameters.
Page 116: Rain And Snow
You should prevent exposing the unit to rain or snow. Use the optional padded case that can be purchased with the ZOLL Ventilator to protect the 731 Series Ventilator from rain and snow. The unit is capable of operating in these conditions if you keep the device in the padded case and use the rain flap that is provided with the padded case.
Page 117 If filters have been exposed to biological matter, dispose of them following the Universal Precaution procedures for your facility. Chemical/Biological Filter Use The ZOLL 731 Series Ventilator is designed to allow attachment of chemical/biological filter/ canister (type C2A1 ) for use in contaminated environments. The Fresh Gas/Emergency Air Intake fitting allows for attachment of standard Rd 40 x 1/7 threads.
Page 118 The correct mating of the Check Valve with the breathing circuit is shown below. Operators who anticipate use in these environments should also stock the Check Valve. Check Valve Connection To Breathing Circuit www.zoll.com 906-0731-01-05 Rev. C...
Page 119: Using The Zoll Ventilator In An Mri Environment
™ You can use ZOLL’s MRI-compliant EMV+ and Eagle II ventilators in an MRI environment while securely mounted to the ZOLL MRI Roll Stand ( 816-0731-01) with the Aluminum IV Support Arm ( 820-0124-00). To securely mount the ventilator, tighten the knob on the back plate of the roll stand to hold the...
Page 120 PERATING NVIRONMENTS Warning! Use only ZOLL’s EMV+ and Eagle II Ventilators marked with the MR symbol in the MRI environment. Caution The use of longer breathing circuits may increase the risk of self-triggering ventilator breaths. Reducing the pressure trigger sensitivity may solve this problem.
Page 121: Chapter 7 Maintenance
Chapter 7 Maintenance This chapter describes how to maintain the ZOLL Ventilator to ensure its optimum working condition and readiness for immediate use. Specifically, this chapter describes how to Inspect the device • Clean the device • Replace intake filters, as necessary •...
Page 122: Cleaning
Additional device information is available through the Main Menu (select Unit Info), including the unit’s calibration date. The ZOLL Ventilator operates on an annual preventative maintenance cycle, and the device issues a low priority alarm to remind you when calibration is due.
Page 123: Post-Contaminated Environment Cleaning
Post-Contaminated Environment Cleaning If you have used the ZOLL Ventilator in an environment where it may have been exposed to contamination from a hazardous materials accident, mass epidemic, or weapon of mass destruction, we recommend that you follow these guidelines: 1.
Page 124: Replacing The Zoll Ventilator's Filters
If filters are exposed to biological matter, dispose of them following Universal Precaution procedures for your facility. Note: Do not attempt to clean this filter and do not operate the internal compressor without a filter in place. Replacing the ZOLL Ventilator’s Filters Tools needed: Hemostat or tweezers Phillips Head screwdriver Warning! Before attempting to replace filters, make sure that external power is disconnected and that the ventilator’s power switch is set to “OFF”.
Page 125: Replacing The Disk Filter
Turn the unit’s POWER switch to its “OFF” position. Battery Maintenance The ZOLL Ventilator uses a rechargeable lithium-ion battery, which offers a wide temperature operating range, does not exhibit “memory” characteristics (reduced capacity), or vent hydrogen gas. Avoid exposing the battery to direct sunlight or heat sources. Never store the 906-0731-01-05 Rev.
Page 126 AC power for 30 seconds to allow the battery to run diagnostics while the battery is discharging. Note: The ZOLL Ventilator continuously monitors the available power sources; occasionally a false Low Priority power alarm can be triggered for approximately 1 second. These false alarms immediately clear themselves.
Page 127: Battery Storage
Lithium Ion batteries discharge during storage. Higher temperatures (above 20C or 68F) reduce the battery storage life. Follow these rules to ensure the best storage life of the ZOLL Ventilator’s batteries: 1. Always store the ventilator with the battery fully charged. DO NOT store the ventilator with the batteries discharged.
Page 128: Ventilator Storage
In event of a fault or failure condition. the device indicates a self-check alarm. The ZOLL Ventilator is double insulated, and is categorized as both Class I or Class II meeting all regulatory codes. When attached to the an AC power supply the ventilator’s external AC/DC converter protects the device in two steps: www.zoll.com...
Page 129: Troubleshooting
Check for operating power with internal batteries and external power sources. If the tests above do not resolve an operating problem, service is required. Contact the closest authorized ZOLL Service Center or the ZOLL Customer Service Department. 906-0731-01-05 Rev. C...
Page 131: Appendix A Specifications
Setting: 10 to 80 cm H O (± 2 cm H O ± 8% of setting) (PIP) Setting Resolution: 1 cm H Measurement: 0 to 99 cm H O ± (2 cm H O + 8% of reading) ZOLL Ventilator Operator’s Guide 906-0731-01-05 Rev. C...
Page 132 Operating Voltages AC Supply: 100 to 240 VAC (50/60 and 400 Hz) -- use only the AC/DC power supply that ZOLL provides with the device. DC Supply: Nominal 12.5 to 28.0 VDC (accepts DC voltages between 11.8 to 30 VDC).
Page 133: Pulse Oximeter
Carboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal to the amount of carboxyhemoglobin present. Dyes, or any substance containing dyes, that change usual arterial pigmentation may cause erroneous readings. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 134: Device Classification
PECIFICATIONS Device Classification The following table describes the ZOLL Ventilator’s device classification: Category Classification Type of Protection against Electric The medical power supply (which contains the Shock system’s safety barrier) is labeled as Class I or Class II. Electrical shock protection is not dependent upon earthing since this power supply design includes double insulation.
Page 135 Complies fluctuations/flicker emissions IEC 61000-3-3 The ZOLL ventilators are intended for use in the electromagnetic environment specified below. The customer or user of the ventilator should ensure that they are used in such an environment Immunity Test Test level Compliance level...
Page 136 Compliance level Electromagnetic environment-guidance Portable and mobile RF communications equipment should be used no closer to any part of the ZOLL ventilator, including cables, then the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended...
Page 137 Recommended separation distances between portable and mobile RF communications equipment and the ZOLL ventilators. The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. You can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and the ventilators as recommended below, according to the maximum output power of the communication equipment.
Page 139: Appendix B Accessories
Appendix B Accessories The following accessories are available for use with the ZOLL Ventilator. To order any of these items, contact ZOLL or your local distributor. Part Number Part Description 024-0012-00 AC/DC Power Supply, 100-240 VAC, 100 W, 24 V, 4.2 A, IEC 320 Plug 708-0042-00 AC Power line cord, 6’...
Page 140 708-0036-00 Cable, 3ft, Masimo SET Oximeter, LNCS Type DC-1, Adult Digit Sensor to DB9 Male Note: All LNCS Masimo cables are approved for use with the ZOLL ventilators 708-0037-00 Cable, 4ft, Masimo LNCS Patient Cable Type LNC-4, DB9 Female to Male...
Page 141 Case, Transit Carry, with Wheels & Pull-Out Handle 703-0731-15 Case, Transit Carry, with Wheels & Pull-Out Handle, AC Bulkhead Connector 704-0700-01 Check Valve Kit 812-0011-00 Mask, CPAP, #6, Large Adult 812-0011-20 Mask, CPAP, #6, Large Adult (Case of 20) 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 142 Mask, CPAP, #6, Large Adult with Harness (Case of 20) 712-0003-50 Mask, CPAP, #6, Large Adult with Harness (Case of 50) 334-0125-00 Harness, Mask, Universal 334-0125-10 Harness, Mask, Universal (Case of 10) 820-0132-00 600 ml ZOLL Test Lung, plastic/silicone www.zoll.com 906-0731-01-05 Rev. C...
Page 143: Appendix C Pulse Oximeter Principles
The values in the look-up table are based upon human blood studies against a laboratory co-oximeter on healthy adult volunteers in induced hypoxia studies. ZOLL Ventilator Operator’s Guide 906-0731-01-05 Rev. C...
Page 144 This entire sequence is repeated once every two seconds on the most recent four seconds of raw data. The MS board SpO therefore corresponds to a running average of arterial hemoglobin that is updated every two seconds. www.zoll.com 906-0731-01-05 Rev. C...
Page 145: Appendix D Patient Circuits
Appendix D Patient Circuits This appendix describes the ZOLL Ventilator’s Patient Circuits. Specifically, this appendix provides the following information about patient circuits: Intended Use • Specifications • Directions for use • Troubleshooting procedures • ZOLL Ventilator Operator’s Guide 906-0731-01-05 Rev. C...
Page 146: Pediatric/Adult, Single-Limb, Wye Patient Circuits
ATIENT IRCUITS Pediatric/Adult, Single-Limb, Wye Patient Circuits ZOLL provides the following pediatric/adult patient circuits for use with all models of the ZOLL defibrillator: Pediatric/Adult, 6 ft (REF 820-0106-XX) • Pediatric/Adult, 12 ft (REF 820-0130-XX) • Intended Use -- Pediatric/Adult Patient Circuits The ZOLL Pediatric/Adult, Single-Limb, Wye Patient Circuits (6 and 12 ft.) are intended for...
Page 147 Warning! Given the additional length of the 12ft circuit, the system may not be able to trap PEEP in patients with short expiatory time. Always ensure that the device is performing as required. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 148: Directions For Use -- Pediatric/Adult Patient Circuits
ATIENT IRCUITS Directions for Use -- Pediatric/Adult Patient Circuits The following steps describe how to attach a Pediatric/Adult patient circuit to a ZOLL Ventilator and verify that it is working correctly. Inspiratory Line Pressure Line (Green) Exhalation Valve Line (Clear) Figure D-1 Pediatric/Adult Patient Circuit 1.
Page 149: Troubleshooting -- Pediatric/Adult Patient Circuits
Note: ZOLL Medical Corporation recommends that, on a daily basis, you examine the patient circuit for damage or wear, such as cracking, discoloration, or disfigurement. If there is any sign of physical degradation or if the unit is indicating breathing problems, replace the patient circuit.
Page 150 Locate the top of the exhalation valve, taking care not to touch the silicone diaphragm. Ensure that the barbed end with tubing is pointing into the FLOW direction. Apply enough pressure to snap the exhalation valve cover in place. www.zoll.com 906-0731-01-05 Rev. C...
Page 151 SNAP the exhalation valve cover in place to secure a tight seal Figure D-5 Closing Exhalation Valve Cover Test the patient circuit with a test lung before using it with a patient. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 152: Infant/Pediatric, Single-Limb, Wye Patient Circuits
ATIENT IRCUITS Infant/Pediatric, Single-Limb, Wye Patient Circuits ZOLL provides the following infant/pediatric patient circuits for use with all models of the ZOLL defibrillator: Pediatric/Adult, 6 ft (REF 820-0107-XX) • Pediatric/Adult, 12 ft (REF 820-0131-XX) • Intended Use The ZOLL Infant/Pediatric, Single-Limb, Wye Patient Circuits (6 and 12 ft.) are intended for use with all models of the ZOLL Ventilator.
Page 153 Warning! Given the additional length of the 12ft circuit, the system may not be able to trap PEEP in patients with short expiatory time. Always ensure that the device is performing as required. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide...
Page 154: Directions For Use -- Infant/Pediatric Patient Circuits
ATIENT IRCUITS Directions for Use -- Infant/Pediatric Patient Circuits The following steps describe how to attach a Pediatric/Adult patient circuit to a ZOLL Ventilator and verify that it is working correctly. Patient Inspiratory Line Connection Elbow with Pressure Line (Green)
Page 155: Troubleshooting -- Infant/Pediatric Patient Circuits
If the diaphragm is kinked, relax the silicone diaphragm with your fingers, ensuring that there are no longer any kinks (this usually take a few seconds). If the diaphragm has a hole or cuts, replace the patient Circuit. 906-0731-01-05 Rev. C ZOLL Ventilator Operator’s Guide D-11...
Page 156 SNAP the exhalation valve cover in place to secure a tight seal Figure D-10 Closing Exhalation Valve Cover Test the patient circuit with a test lung before using it with a patient. D-12 www.zoll.com 906-0731-01-05 Rev. C...

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Eagle ii Emv+

ZOLL AEV Operator's Manual

Chapter 1 General Information

Chapter 2 Product Overview

Chapter 3 Setting up the ZOLL Ventilator

Chapter 4 Using the ZOLL Ventilator

Chapter 5 Alarms

Chapter 6 Operating Environments

Chapter 7 Maintenance

Appendix A Specifications

Appendix B Accessories

Appendix C Pulse Oximeter Principles

Appendix D Patient Circuits

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Troubleshooting

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