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ZOLL Z Vent Operator's Manual

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Z Vent Ventilator Operator's Guide
9650-002360-01 Rev. A

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  • Page 1 Z Vent Ventilator Operator’s Guide 9650-002360-01 Rev. A...
  • Page 2 The issue date for the ZOLL Ventilator Operator’s Guide (REF 9650-002360-01 Rev. A) is September, 2018. Copyright © 2018 ZOLL Medical Corporation. All rights reserved. ZOLL, Z Vent, and Smart Help are trademarks and/or registered trademarks of ZOLL Medical Corporation in the United States and/or other countries.

  • Page 3: Table Of Contents

    How to Use this Guide ......................1-1 Operator’s Guide Updates ....................1-2 Unpacking ........................... 1-2 Assembly ..........................1-2 Product Symbols......................... 1-2 Symbols on the Z Vent Ventilator Graphical User Interface..........1-5 Conventions ........................1-7 Abbreviations ........................1-8 Indications for Use ......................1-9 Ventilation ........................1-9 Pulse Oximetry (SpO2) ....................
  • Page 4 Infant/Pediatric, 6 ft Patient Circuit ..............2-15 Infant/Pediatric, 12 ft Patient Circuit ..............2-16 Chapter 3 Setting Up the Z Vent Ventilator 1. Attach the Patient Circuit ....................3-2 2. Attach the High Pressure Oxygen Supply (Optional)............3-3 3. Inspect Fresh Gas/Emergency Air Intake Filters ............3-3 4.
  • Page 5 HR Parameter Window Reference ................4-25 Manual Breath ........................4-26 Plateau Pressure ......................4-26 Plateau Pressure Maneuver ..................4-26 Popup Messages ......................4-27 Popup Message List ....................4-29 Transitions ........................4-36 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 6 Using the Ventilator in Harsh Environments ............... 6-1 Airborne Particulates ....................6-1 Extreme Temperature Environments ................6-2 Operating at High Temperatures ................. 6-2 Operating at Low Temperatures ................6-2 Altitude ........................6-3 Rain and Snow ......................6-3 www.zoll.com 9650-002360-01 Rev. A...
  • Page 7 Electrical Safety Check ....................... 7-8 Troubleshooting ........................7-9 Appendix A Specifications General ..........................A-1 Pulse Oximeter ........................A-3 Device Classification......................A-3 Appendix B Accessories Appendix C Pulse Oximeter Principles Appendix D Troubleshooting Patient Circuits Troubleshooting Procedure....................D-1 Index 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 9: General Information

    A brief description of the Z Vent ventilator. • Information about this manual (ZOLL Z Vent Ventilator Operator’s Guide). • A table that describes the symbols that appear on the Z Vent ventilator and in this manual. • The Z Vent ventilator Indications for Use. •...

  • Page 10: 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 11 Power Input Orientation: Locates the DC input identifying its point of insertion. Manufacturer: This symbol identifies the name and address of the manufacturer. Manufacturer Date: Manufacturer Date Symbol identifies the device’s date of manufacture. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 12 280 - 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). Contains Phthalates Non-Sterile www.zoll.com 9650-002360-01 Rev. A...

  • Page 13: Symbols On The Z Vent Ventilator Graphical User Interface

    General Information Symbols on the Z Vent Ventilator Graphical User Interface The following symbols appear on the ventilator’s Graphical User Interface (GUI): Symbol Description Heart: Provides indication that the pulse oximeter is in use. Alarm Bell: Identifies the number of off-screen alarms.
  • Page 14 Head with Mask: the device is in the non-invasive positive pressure ventilation modes, CPAP or BL, with Leak Compensation turned on. Feature OFF -- feature or alarm not selected. Feature ON -- feature or alarm has been selected. www.zoll.com 9650-002360-01 Rev. A...

  • Page 15: 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 device. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 16: Abbreviations

    HMEF - Heat and Moisture Exchanger/Bacterial Viral VDC - Volts DC filter combined HP O - High Pressure Oxygen - Tidal Volume Hz - Hertz (as in frequency, cycles per second) WOB – Work Of Breathing I:E- Inspiratory/Expiratory Ratio www.zoll.com 9650-002360-01 Rev. A...

  • Page 17: Indications For Use

    Indications for Use Ventilation The ZOLL Z Vent ventilator 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. The ZOLL Z Vent...

  • Page 18: Warnings

    General Information Warnings General The Z Vent ventilator is intended for use by qualified personnel only. You should read this • manual before using the device. Before using the ventilator on a patient, you must test the device in its normal configuration •...

  • Page 19: Pulse Oximeter

    Do not operate the ventilator on a patient when the USB port is connected to any other • device (the USB port is only for servicing the ventilator). The ZOLL-supplied patient circuit’s labeling provides the resistance and compliance values • for the circuits under normal operating conditions. If added accessories are used (e.g.

  • Page 20: 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 21: Mr Conditional Equipment

    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 device to a suitable MRI-compatible cart -- ZOLL MRI Roll • Stand; Optional IV Arm Assembly.

  • Page 22: Cautions

    ZOLL cannot ensure the proper functioning of this device if it is used with unauthorized sensors, cables, or patient circuits.

  • Page 23: Notification Of Adverse Events

    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.

  • Page 24: Technical Support

    General Information discovered. This warranty does not apply if the device has been repaired or modified without the authorization of ZOLL or if the damage was caused by incorrect (off-label) use, negligence, or an accident. Batteries, which by their nature are consumable and subjected to environmental extremes, will be warranted only for a period of ninety (90) days.

  • Page 25: Returning A Ventilator For Zoll Service

    General Information Returning a Ventilator for ZOLL Service Before sending a ventilator to the ZOLL Technical Support Department for repair, obtain a service request (SR) number from the service representative. The Li-ion battery should remain inside the ventilator or aspirator. Follow directions provided on the return authorization form.

  • Page 27: Product Overview

    Chapter 2 Product Overview This chapter describes the Z Vent ventilator and provides more detailed descriptions of the following: Main features • Controls and indicators • Display screen • Fresh Gas/Emergency Air Intake and attachments • Top Panel • Pulse Oximeter compatibility •...

  • Page 28: Z Vent Ventilator Description

    Product Overview Z Vent Ventilator Description The sections that follow provide a detailed description of the Z Vent ventilator. Main Features Figure 2-1 shows the ventilator’s main features. Figure 2-1 Main Features Item Location Description Oxygen Inlet Enables connection to an external high pressure oxygen source.

  • Page 29: Controls And Indicators

    Enables the user to access primary parameters, secondary parameters and context menus associated with a primary parameter (if applicable), and then modify settings using the Selection Dial). Menu Button Enables the user to access the Menu. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 30: Indicators

    The ventilator’s display screen has four functional areas as shown in Figure 2-3: Alarm Message Center/Waveform Window • Parameter Windows • Shared Icon Area • Auxiliary Parameter Boxes. • These functional areas are discussed in the following sections. Figure 2-3 Display Screen Functional Areas www.zoll.com 9650-002360-01 Rev. A...

  • Page 31: Message Area

    • Outlined text is used for patient-dependant measured values. • Chapter 4, “Using the Z Vent Ventilator” contains more information and instructions for adjusting parameter values. Shared Icon Area Directly below the message area, the device displays icons that indicate The ventilator’s power source (operating on external power or its battery)

  • Page 32: Fresh Gas/Emergency Air Intake And Attachments

    ZOLL offers an Oxygen Reservoir Bag Assembly Kit to allow for low flow oxygen use with the ventilator to provide supplemental oxygen to patients. Low flow oxygen sources can be from a flow meter or an oxygen concentrator.

  • Page 33: Top Panel

    Product Overview Figure 2-5 Z Vent with O Reservoir Kit Top Panel The oxygen hose, patient circuit, external power, and pulse oximeter attach to the top panel of the ventilator. The USB port is only used when servicing the device.The ventilator top panel appears as shown in Figure 2-6.

  • Page 34: Pulse Oximeter Compatibility

    100 to 240 VAC 50/60 Hz. The external supply can also power the device when provided with a 400 Hz input. The external AC/DC Power cable that ZOLL provides with the ventilator delivers a DC input to the device of 24 V at 4.2 A. When this external power source is present, the ventilator automatically charges its internal battery while operating.

  • Page 35: Pneumatic Design

    The ventilator pneumatically controls the exhalation valve and a transducer within the ventilator measures the airway pressure. Figure 2-8 depicts a diagram of the ventilator’s pneumatic design. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 36: Oxygen Input: High Pressure Gas Supply

    A standard 6 foot oxygen hose is available for connecting the ventilator to a high pressure oxygen source. (Also see Chapter 6 “Operating Environments”). Hoses are available from ZOLL, or a suitable alternative as described below can be used as indicated. High Pressure Oxygen Hose for compliance with ISO standard (ISO STANDARD 5359)
  • Page 37 Product Overview Figure 2-9 Ventilator Gas Sources 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 2-11...

  • Page 38: Patient Circuits

    The ventilator can use 6 ft or 12 ft patient circuits (see Figure 2-10) to support adult, pediatric, and infant patients. Note: Troubleshooting information regarding patient circuits is found in Appendix D. Figure 2-10 Patient Circuits ZOLL provides the following circuit types: Pediatric/Adult, 6 ft and 12 ft • Infant/Pediatric, 6 ft and 12 ft •...

  • Page 39: Intended Use

    Not intended for use with heated humidifier. Note: ZOLL Medical Corporation recommends that you examine the patient circuit on a daily basis for damage or wear, such as cracking, discoloration, or disfigurement. If there is any sign of physical degradation or if the ventilator has patient circuit alarm conditions replace the patient circuit.

  • Page 40: Attaching A Patient Circuit To The Ventilator

    Figure 2-11 shows how to attach a patient circuit to the ventilator. Figure 2-11 Patient Circuit Attachment The list that follows identifies the circuit connections. Connection Symbol on the Ventilator Description Inspiratory Line Gas Output Pressure Line (Green) Transducer 2-14 www.zoll.com 9650-002360-01 Rev. A...

  • Page 41: Specifications

    Expiratory Resistance: R @ 15 Lpm: 0.17 hPa/l/min • Tubing Compliance: C @ 60 hPa: 0.5 ml/hPa • Dead Space: 4.2 ml • Maximum Working Pressure: 100 hPa (cm H • 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 2-15...

  • Page 42: Infant/Pediatric, 12 Ft Patient Circuit

    Do not use the 12 ft circuit with PEEP settings below 5 cm H 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. 2-16 www.zoll.com 9650-002360-01 Rev. A...

  • Page 43: Setting Up The Z Vent Ventilator

    Chapter 3 Setting Up the Z Vent Ventilator This chapter describes how to set up the Z Vent ventilator. It lists the tasks required to set up the ventilator for safe, effective use, and describes each task in detail. Warning! You must properly set up the ventilator before use.

  • Page 44: Attach The Patient Circuit

    Infant/Pediatric circuits. Warning! ZOLL recommends the use of the patient circuits that ZOLL offers for the ventilator. If circuits with different resistance/compliance are used or additional accessories are placed in line with the circuit, you must use the appropriate compliance factors for the new circuit, and make sure the dead space volume of the added accessories are considered so that the device delivers an effective tidal volume to the patient.

  • Page 45: Attach The High Pressure Oxygen Supply (Optional)

    Setting Up the Z Vent Ventilator Warning! Dead space increases with mask ventilation; always follow the mask manufacturer's directions. 2. Attach the High Pressure Oxygen Supply (Optional) Since the ventilator includes an internal compressor, the attachment of a high pressure oxygen supply is optional.

  • Page 46: Connect Fresh Gas/Emergency Air Intake Attachments (Optional)

    Setting Up the Z Vent Ventilator Figure 3-3 Fresh Gas/Emergency Air Intake Warning! Never block the Fresh Gas/ Emergency Air Intake, free flow of air is required during compressor operation or in the event of device failure to allow spontaneous breathing.

  • Page 47: Bacterial/Viral (Bv) Filter

    Setting Up the Z Vent Ventilator Never use O flows > 10-12 liters/min. Flows greater than this can cause the baseline pressure to drift, waste oxygen, and may cause an INCOMPLETE EXHALATION alarm. Warning! Always monitor the patient's oxygenation using a pulse oximeter. The O...

  • Page 48: Select The Ventilator's Power Source

    10 hours of operation at factory default settings with pulse oximeter operating at 25 °C (77 °F). External AC/DC Power Supply that ZOLL provides (100 to 240 VAC 50/60 and 400 Hz with an IEC 320 style AC input connector. The AC/DC Power Supply provides a DC output of 24 V at 4.2 A.

  • Page 49: Connecting The Power Supply

    Setting Up the Z Vent Ventilator Connecting the Power Supply Connect the external power cable to the ventilator as described in Figure 3-4 and Figure 3-5. Figure 3-4 Connecting and Disconnecting the Power Supply Warning! If the power supply, power cable, or power connection plugs are damaged or become damaged during use, immediately disconnect the power cable from external power and the device.

  • Page 50: Power On The Ventilator

    Setting Up the Z Vent Ventilator 6. Power On the Ventilator To power on the ventilator, turn the Power switch to “I”. Figure 3-6 shows the location of the ventilator’s Power switch. Figure 3-6 Power Switch After powering on, the device performs its Self-Check test, which checks for alarm conditions and the operation of the pneumatic system, internal communications, and power system.

  • Page 51: Change Operating Mode (Optional)

    (IPAP) and a lower expiratory pressure (EPAP). Note: SIMV mode is an optional mode on the Z Vent ventilator that might not be available on your Z Vent ventilator. To select the operating mode, press the Mode parameter button, turn the Dial to highlight the mode you want to use, and press the Accept button.

  • Page 52: Change Parameter Values

    Setting Up the Z Vent Ventilator When transitioning from active ventilation to CPAP/BL modes, or from CPAP/BL with LC mode to active ventilation, the following parameter/alarm limit may be adjusted: Low BPM Alarm • High BPM Alarm • Low Airway Pressure Alarm •...

  • Page 53: 10. Perform Operational Test

    Setting Up the Z Vent Ventilator 10. Perform Operational Test Before attaching the patient to the ventilator, you should 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 54: 12. Attach Patient

    Setting Up the Z Vent Ventilator Figure 3-7 Connecting the Pulse Oximeter Sensor Monitoring begins automatically when a valid patient signal is detected for greater than 10 seconds. For more information about the Masimo pulse oximetry technology that the ventilator uses, see Appendix C, Pulse Oximeter Principles.

  • Page 55: Chapter 4 Using The Z Vent Ventilator

    Chapter 4 Using the Z Vent Ventilator This chapter describes how to use the ZOLL Z Vent ventilator. Effective operation of the ventilator requires understanding of the following topics: Initial operation with default (predefined) parameter settings • Changing parameter settings •...

  • Page 56: Initial Operation With Default Parameter Settings

    Using the Z Vent Ventilator Initial Operation with Default Parameter Settings Following power on, the ventilator goes through a Self-Check (a set of system tests and checks). If the Self-Check passes, the LED array turns green and the Start Menu displays, indicating that the ventilator is operational.

  • Page 57: Making A Choice From The Start Menu

    Parameter Default Setting Values Mode SIMV (P)* AC(P) PEEP PIP Limit * Note: SIMV (V) and SIMV (P) are optional modes on the Z Vent. Mask CPAP Default Parameter Setting Values Parameter Default Setting Value Mode CPAP Backup BPM Backup I:E...

  • Page 58: Changing Parameter Settings

    Using the Z Vent Ventilator Changing Parameter Settings The Z Vent ventilator helps you to manage the patient by organizing ventilator parameters in groups that are accessed through parameter windows on the right side of the display screen. A button corresponding to each window, enables you to select and set parameters.

  • Page 59: Navigating The Parameter Windows Using Parameter Buttons

    We describe popup messages in more detail later in this chapter. To set the parameter above the limit, you must press the Accept button, and then adjust the values and press the Accept button again. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 60: Changing A Parameter Setting

    Using the Z Vent Ventilator Changing a Parameter Setting To change a parameter, follow these steps. 1. Access the parameter you intend to change using the parameter buttons as described in the previous sections. Press the Accept button to highlight your choice. Multiple presses are required for secondary parameters.

  • Page 61: Saving Changed Parameters For Future Use

    The ventilator begins operation with the last settings used. Warning! Last Settings uses all of the parameters including alarms. You must ensure that both the setting and alarms are appropriate for the patient. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 62: Mode Parameter Window Options

    Spontaneous breaths are either unsupported demand flow or supported using Pressure Support. Note: SIMV is an optional mode on the Z Vent ventilator. CPAP (Continuous Positive Airway Pressure) -- The patient receives constant positive •...

  • Page 63: Leak Compensation

    If the low breath limit is set to 4 and a breath is not detected every 15 seconds the ventilator will begin ventilating at the Apnea back up settings and trigger an alarm. In CPAP or BL modes, Apnea Backup is automatic. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 64: Mode Parameter Window Reference

    Using the Z Vent Ventilator To adjust or change any Apnea Backup settings, 1. From the menu, use the Dial to highlight the parameter to change, and then press the Accept button (The current highlighted parameter value highlights). Use the Dial to set the desired value Press Accept to enable the change.

  • Page 65: Bpm Parameter Window Options

    BPM can be adjusted in this context menu. The menu offers the option of changing the following: Control Parameter (I:E or Ti) • Rise Time (when pressure targeted breathes are available) • Cycle Off % • Spont Ti Limit • 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-11...

  • Page 66: Control Parameter (I:e Or Ti)

    Using the Z Vent Ventilator Control Parameter (I:E or Ti) The control parameter allows you to select between I:E ratio and Ti. The control parameter you select is displayed in the parameter window and the parameter you are measuring is always calculated and shown in the auxiliary boxes.

  • Page 67: Cycle Off % Parameter

    The parameter provides an inspiratory time limit for spontaneous breaths. Adult default is 3.00 sec, Pediatric default is 2.00 sec, and Mask CPAP default is 3.00 sec. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-13...

  • Page 68: Bpm Parameter Window Reference

    Using the Z Vent Ventilator BPM Parameter Window Reference The following table provides the options and ranges for the BPM parameters: BPM Parameter Window Options/Range Availability/Notes Primary Parameter 1 to 80 Breaths per minute Secondary Parameters Ti (sec) Ti 0.3 to 3.0...

  • Page 69: Vt Parameter Window Options

    1. Press the Vt parameter button more than once until desired alarm threshold highlights. Turn the Dial until the desired value is reached. Press the Accept button to enable the change. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-15...

  • Page 70: Context Menu

    • The tubing compliance can be set to off, adult, or infant. Users can chose to use the adult or infant circuit defaults for the standard ZOLL adult/pediatric and infant/pediatric patient circuits. The patient 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.

  • Page 71: Vt Parameter Window Reference

    In pressure targeted ventilation mode, the following secondary parameters are available. High PIP Alarm Limit • Low PIP Alarm Limit • PEEP • PS (Available for SIMV(P), CPAP, and BL) • 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-17...

  • Page 72: Context Menu

    Using the Z Vent Ventilator For PIP High and Low Alarm limits, the user can set the High PIP alarm from 20 to 100 cm 0 and the low PIP alarm from 3 to 35 cm H 0, or turn OFF the Low PIP alarm.

  • Page 73: Pip Parameter Window Reference

    3 to 35, Off Measured Value Mean Airway 0 to 99.9 Pressure Paw Waveform 0 to 100 PIP Context Menu Breath Trigger Default: -2 -6 to -0.5 Adjustment Increments:0.5 (Assisted, Spontaneous) 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-19...

  • Page 74: Fio2 Parameter Window Options

    Using the Z Vent Ventilator Parameter Window Options The FIO (Fraction of Inspired Oxygen) parameter window manages oxygen delivery. Pressing the FIO parameter button highlights the current FIO value so that you can adjust it using the Dial. The default value at start up is 21% whether oxygen is present or not.

  • Page 75: Fio2 Parameter Window Reference

    O Parameter Window Options The SpO parameter window controls the Masimo Pulse Oximeter used in the Z Vent ventilator. The SpO measurement (0 to 100%) is shown in the parameter window and the Pleth waveform is plotted when the sensor is used. The parameter window displays a “--”.

  • Page 76: Secondary Parameters And Alarm Thresholds/Limits

    Using the Z Vent Ventilator Secondary Parameters and Alarm Thresholds/Limits Pressing the SpO parameter button highlights the Low SpO Alarm Limit alarm and enables its value to be changed. The Low SpO Alarm Limit alarm is the only secondary parameter for the SpO parameter window.

  • Page 77: Spo2 Parameter Window Reference

    This value helps clinicians place sensors on the optimal site. Signal IQ Measured Value Bar Graph Bar graph displays the relative reliability of the pulse oximeter signal. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-23...

  • Page 78: Hr (Heart Rate)

    Using the Z Vent Ventilator HR (Heart Rate) The HR parameter window displays the patient’s heart rate when the pulse oximeter is working and the sensor is attached. The HR measurement (0 to 240 beats per minute) is shown in the parameter window and the Pleth waveform is plotted when the pulse oximeter is used.

  • Page 79: Hr Parameter Window Reference

    This value helps clinicians place sensors on optimal sites Signal IQ Measured Value Bar Graph Bar graph displays the relative reliability of the pulse oximeter signal. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-25...

  • Page 80: Manual Breath

    O to prevent excessive pressure in the lung. Note: Plateau Pressure is optional on the Z Vent ventilator. If the ventilator support the Plateau Pressure option, the Manual Breath button is Labeled “Manual Breath/ P Plat” (see Figure 4-3).When Plateau Pressure is available on the Z Vent ventilator, the...

  • Page 81: Popup Messages

    In addition, popup messages can call for you to press the Accept button to acknowledge that you are entering configurations where certain alarms are being suppressed, turned “off”, and/or canceled. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-27...
  • Page 82 Using the Z Vent Ventilator Figure 4-4 Popup Message Example In addition to addressing setting conflicts, popup messages are used for confirmation (for example, alarms). These messages also appear whenever you attempt to adjust the ventilator in a way that is outside clinical norms or is outside its performance range.

  • Page 83: Popup Message List

    Popup message triggers when the user attempts to adjust to disable an alarm by setting the value to 0 or the maximum value which would render the alarm essentially off. Message: Confirmation required -- press accept key to disable alarm 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-29...
  • Page 84 Using the Z Vent Ventilator Popup/Information/Message BPM Setting Conflict Popup message 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...
  • Page 85 PEEP+PS Setting Conflict Popup message triggers when the user attempts to set a combination of PEEP and PS that is < 3 cm H Message: Cannot adjust PEEP+PS below 3 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-31...
  • Page 86 Using the Z Vent Ventilator Popup/Information/Message High Pressure Target Setting Popup message triggers when the user attempts to set the PIP pressure > 60 cm H O. To do this, the user must press the Accept button and then continue to set a value > 60 cm H O followed by Accept again to confirm the setting change.
  • Page 87 Heart Rate Limit Conflict Popup message triggers when the user attempts to set the HR High limit < the HR Low limit. Message: Cannot adjust high limit lower than low limit 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-33...
  • Page 88 Using the Z Vent Ventilator Popup/Information/Message Heart Rate Limit Conflict Popup message triggers when the user attempts to set the HR Low limit > the HR High limit. Message: Cannot adjust low limit higher than high limit PS Conflict Popup message triggers when the user attempts to set the PS > the PIP High limit - PEEP pressure.
  • Page 89 Accept, to initiate ventilation with the option. Message: Confirmation required -- press accept key to recall limit setting above 35 cm H 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-35...

  • Page 90: Transitions

    Using the Z Vent Ventilator Transitions Transitioning between modes or between volume and pressure targeting the device may adjust or set any of the following parameters: BPM, BPM High Limit, BPM Low Limit • VT, VT High Limit, VT Low Limit •...

  • Page 91: Powerup

    Press the Accept button again to save the current parameter settings. Press the Mute/Cancel button to return to the menu. Press the Mute/Cancel button again to return to the configured Powerup setting (Start Menu, Adult, or Pediatric). 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-37...

  • Page 92: Specifying A Language

    Using the Z Vent Ventilator Specifying a Language The ventilator is provided with the English language and a local language. (This feature is limited to ventilators with multiple languages.). LCD Contrast The LCD Contrast submenu allows the user to adjust the contrast of the ventilator display screen to optimize visibility in the current lighting environment.

  • Page 93: Utc Offset

    Serial number of the Smart Pneumatic Module SPM Model Smart Pneumatic Module model EMV Soft Rev Software revision of the ventilator model Device SN Serial number of the ventilator model Device Model Ventilator model 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 4-39...

  • Page 94: Alarm History

    Using the Z Vent Ventilator To view unit information for the ventilator, follow these steps: 1. Press the Menu button to display the Menu. Turn the Dial to highlight Unit Info, and then press the Accept button. The list of information displays with Use Statistics highlighted.

  • Page 95: Chapter 5 Alarms

    Chapter 5 Alarms This chapter provides a detailed description and comprehensive reference for the ZOLL Z Vent ventilator’s alarms. This chapter addresses the following: Describes alarm types and priorities • Provides a comprehensive list of alarms • Alarm Overview To safeguard the patient, the ventilator continuously monitors the patient, device, and environment to ensure that all of the systems are functioning as intended.
  • Page 96 High Priority Alarm F. 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. www.zoll.com 9650-002360-01 Rev. A...

  • Page 97: Muting Alarms

    Mute/Cancel button. For others, the audible alarm is canceled but the Alarm LED stays yellow to remind you that the device is operating in a state that needs monitoring. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 98: Popup Messages

    The table below lists alarms related to patient safety, describes default settings and adjustable ranges in different ventilation modes and provides the Service Code number for each alarm. www.zoll.com 9650-002360-01 Rev. A...
  • Page 99 Spontaneous Breath-PIP Low 3 to 35, OFF (with popup confirmation; 3 2171 without confirmation) Default: 10 in AC, SIMV Default: OFF in CPAP or BL See transition and feature notes in Chapter 4. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 100 Pulse oximetry is not available when the Start Menu is active, only after ventilation is started. Alarm Title (units) Adjustable Range, Default Service Code Sensor Off Patient Not adjustable, OFF (with alarm 2314 menu) Low (%) 86 to 99, (with popup confirmation; 86 2401 without confirmation) Default: 94 www.zoll.com 9650-002360-01 Rev. A...

  • Page 101: Environmental And Use Alarms

    Additionally, these alarms cannot be turned OFF or adjusted. The user must correct the cause of the alarm or change the therapy. The table that follows lists the Environmental and Use alarms. They are grouped based on their condition and effect on the ventilator. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 102 High Voltage 3441 DC Power Reversed 3444 Disconnect/Low Voltage 3421 Altitude Too High/Low 3131 3132 Climatic Environment Fault Temperature Too High/Low 3140 3141 Supply Low O Supply Failure/ Fault 1020 2020 High O Supply Failure/Fault 1041 3041 www.zoll.com 9650-002360-01 Rev. A...

  • Page 103: Self-Check Alarms

    The table that follows lists the Self-Check alarms. Alarm Title Group Service Code Internal COMM CPU - SPM 1171 1473 Internal COMM CPU 1471 Communication 1475 Internal COMM SPM 1175 1472 1474 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 104 Internal COMM Battery Faults 2455 Back Up power available 3455 Internal COMM Power Components Fault 3470 Internal OEM Board (In Use/Not in Use) 2300 3300 Pulse Ox - Module Failure Internal COMM (In Use/Not in Use) 2301 3301 5-10 www.zoll.com 9650-002360-01 Rev. A...

  • Page 105: Managing Alarms

    Alarm History Menu. Lower priority and rank alarms that resolve before the displayed higher alarms will not be logged in the Alarm History Menu. See Chapter 4 for instructions on viewing the Alarm History Menu. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-11...

  • Page 106: Alarm Muting

    2072 High Tidal Volume 2073 Low Tidal Volume 2074 High Breath Rate 2075 Low Breath Rate/Apnea 2076 Apnea 2090 PEEP Leak 2095 Insufficient Flow 2100 Patient Disconnect 2170 Spontaneous Breath-PIP High 2171 Spontaneous Breath-PIP Low 5-12 www.zoll.com 9650-002360-01 Rev. A...
  • Page 107 3312 Pulse Search 3313 Signal Interference 3315 Too Much Ambient Light 3316 Invalid SpO Sensor (Unrecognized Sensor) 3317 Low SpO Perfusion (Low Perfusion) 3318 Low SpO Perfusion (Poor SpO Signal) 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-13...

  • Page 108: Disabling Alarms From The Alarm Configuration Menu

    The Z Vent ventilator allows a series of alarms to be disabled for the duration of the current use. These alarms are listed in the following table:...

  • Page 109: Backup Modes

    Mode context menu along with the default settings and setting ranges. Additionally, the Manual Breath button delivers a single breath when pressed, using the current Apnea Backup settings for a mandatory breath in CPAP and BL modes. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-15...

  • Page 110: Alarm Summary

    O is not available to provide ventilation. Mitigation/Info: Pneumatic System: Compressor, Manually Ventilate Patient, Connect 55 psig/380 kPa O , Restart Ventilator with O **Contact Service Center** 5-16 www.zoll.com 9650-002360-01 Rev. A...
  • Page 111 Mitigation/Info: Manually Ventilate Patient, Connect 55 psig/380 kPa O2, Restart, Check O Supply for Leaks, Replace Regulator, **Contact Service Center** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-17...
  • Page 112 Communication between the airway pressure sensor and SPM is lost. When this happens, manually ventilate the patient, replace the ventilator and contact the service center for additional information. Mitigation/Info: Pneumatic Sensor: Airway Pressure, Manually Ventilate Patient, **Contact Service Center** 5-18 www.zoll.com 9650-002360-01 Rev. A...
  • Page 113 If this failure occurs, the user should manually ventilate the patient, replace the ventilator and contact the service center for additional information. Mitigation/Info: Pneumatic Sensor: Transducer, Manually Ventilate Patient, Restart Ventilator, **Contact Service Center** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-19...
  • Page 114 The user should manually ventilate the patient, replace the ventilator and contact the service center for additional information. Mitigation/Info: Internal COMM, Manually Ventilate Patient, **Contact Service Center** 5-20 www.zoll.com 9650-002360-01 Rev. A...
  • Page 115 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** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-21...

  • Page 116: Medium Priority Alarms

    O delivered to the patient. Mitigation: Pneumatic System: O Valve, Operation Switched to Compressor, Connect Low Flow O , Monitor SpO , **Contact Service Center** 5-22 www.zoll.com 9650-002360-01 Rev. A...
  • Page 117 Reservoir mode while continuing to operate normally. This will suppress the alarm. Mitigation/Info: Operation Switched to O Supply, Clear Blocked Intake, Set FIO to 100%, Monitor SpO , Monitor O , **Contact Service Center** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-23...
  • Page 118 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** 5-24 www.zoll.com 9650-002360-01 Rev. A...
  • Page 119 If a replacement is available the user should replace the breathing circuit. Mitigation/Info: Check For Loose Circuit Connection, Check Trigger Setting, Check High Alarm Limit Setting, ** Consult Physician** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-25...
  • Page 120 If the flow cannot be adjusted appropriately then the patient should be ventilated using volume targeted ventilation. Mitigation/Info: Pressure Target Not Met, Decrease Rise Time, Press/ Hold BPM Button, Consult Physician, ** Ventilate With Volume Target** 5-26 www.zoll.com 9650-002360-01 Rev. A...
  • Page 121 The user should also check if the High VT Limit is set correctly. Mitigation/Info: Check Patient Connection, Check Circuit for Loose Hose/Tube, Check Exhalation Valve, Check Tube Placement/ Cuff, Check Limit Setting, **Monitor Patient** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-27...
  • Page 122 “stby”. Mitigation/Info: Check Pulse Ox Sensor Site, Check Patient for Peripheral Pulse, Change Placement, Check Sensor Operation, Replace Sensor,**Turn Off Pulse Ox Monitoring** 5-28 www.zoll.com 9650-002360-01 Rev. A...
  • Page 123 Pressing the Mute/Cancel button silences the audible alarm for 30 seconds. Replace the ventilator and contact the service center for additional information. Mitigation/Info: Power System, Power System Needs Repair, Internal Battery Operation, Monitor Battery% Charge, **Contact Service Center** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-29...
  • Page 124 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** 5-30 www.zoll.com 9650-002360-01 Rev. A...

  • Page 125: Low Priority Alarms

    Mitigation: Pneumatic System: O Valve, Compressor Operation Only!, Keep FIO at 21%, Connect Low Flow O , Monitor SpO , **Contact Service Center** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-31...
  • Page 126 In this case decrease the rise time or shorten the inspiratory time to increase the inspiratory flow rate. Mitigation/Info: Clear Fresh Gas Intake, Check Filter for Moisture or Dirt, OR, Manage Settings / Inspiratory Demand, **Manually Ventilate Patient** 5-32 www.zoll.com 9650-002360-01 Rev. A...
  • Page 127 AutoPEEP using the Alarm Configuration submenu that is access using the Menu. Mitigation/Info: Increase Expiratory Time, Decrease Inspiratory Time, Decrease Respiratory Rate, Disable Alarm, **Consult Physician** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-33...
  • Page 128 If nonoperating alarms occur, contact the service center for additional information. Mitigation/Info: Power-on Self Checks are Due, When Appropriate, Power Off Then On, Verify Proper Settings, **Review Manual For Additional Information** 5-34 www.zoll.com 9650-002360-01 Rev. A...
  • Page 129 When operating at high temperatures the user should remove the padded case which insulates and increases the ventilator’s internal temperature. Mitigation/Info: High Temperature Detected, Remove Padded Case, **Monitor Patient and Ventilator** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-35...
  • Page 130 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: Pulse Ox Module Not Available, Sp /HR Not Available, **Contact Service Center** 5-36 www.zoll.com 9650-002360-01 Rev. A...
  • Page 131 “stby”. Mitigation/Info: Please Wait Acquiring Signal, Check Sensor Placement, Change Placement of Probe, Minimize Patient Movement, Check Sensor Operation/Replace, **Turn Off Pulse Ox Monitoring** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-37...
  • Page 132 To resolve the alarm minimize patient movement and make sure the sensor is properly applied. Mitigation/Info: Signal Artifact, Minimize Patient Movement, Check Sensor Placement, Check Sensor Operation, **Turn Off Pulse Ox Monitoring** 5-38 www.zoll.com 9650-002360-01 Rev. A...
  • Page 133 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** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-39...
  • Page 134 Mitigation/Info: Battery Too Hot to Discharge, Do NOT Remove External Power!, Remove Padded Case, Ensure Ability to Manually Ventilate Patient, **Move To Cooler Location** 5-40 www.zoll.com 9650-002360-01 Rev. A...
  • Page 135 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 ** Replace/Service Ventilator ** 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 5-41...

  • Page 137: Operating Environments

    Chapter 6 Operating Environments This chapter describes how to operate the ZOLL Z Vent ventilator outside of a 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 138: Extreme Temperature Environments

    The O Valve operating performance can be affected by extremely low temperatures. Consequently, at low temperatures, you should monitor the patient to ensure that the patient is receiving adequate tidal volume and monitor the patient’s SpO readings. www.zoll.com 9650-002360-01 Rev. A...

  • Page 139: Altitude

    AC/DC Power Supply. Altitude The ZOLL Z Vent ventilator is designed to operate from - 685.8 m to 7620 m (- 2,250 to 25,000 ft). An absolute barometric pressure sensor monitors ambient pressure and the device uses this information to continuously correct the output of the device to maintain the ventilation parameters.

  • Page 140: Bacterial/Viral Filter Use

    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 141: Check Valve On Patient Circuit When In Hazardous Environments

    Operating Environments Note: ZOLL does not offer a C2A1 Chemical/Biological filter. This filter can be obtained from a Chemical/Biological filter supplier. Check Valve on Patient Circuit when in Hazardous Environments When operating in a hazardous situation where a chemical/biological filter is in use, you should use a check valve to prevent hazardous gas from entering the patient circuit.

  • Page 142: Using The Ventilator In An Mri Environment

    Operating Environments Using the Ventilator in an MRI Environment You can use ventilator in an MRI environment while using a ZOLL MRI Roll Stand with an Aluminum IV Support Arm. To securely mount the ventilator, tighten the knob on the back plate of the roll stand to hold the ventilator in position, then lock the roll stand wheels (we also recommend that you tether the rolling stand in place).
  • Page 143 Operating Environments Figure 6-4 Ventilator Mounted on MRI Rolling Stand With IV Support Arm 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 145: Chapter 7 Maintenance

    Chapter 7 Maintenance This chapter describes how to maintain the ZOLL Z Vent 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 146: Cleaning

    Cleaning and sterilizing practices may vary between institutions. We suggest that each facility have in place a procedure for the cleaning and disinfection of its medical equipment and that these procedures to be consulted for further guidance. www.zoll.com 9650-002360-01 Rev. A...

  • Page 147: Fresh Gas/Emergency Air Intake Filters

    Chapter 6, “Operating Environments,” additional filter protection may be necessary when operating the device in extreme environments. These filters are replaced every year during the preventative maintenance performed by a ZOLL authorized service center. Inspecting and Replacing the Foam Filter When used in dusty environments, you should inspect and replace, if necessary, the device’s...

  • Page 148: Replacing Ventilator Filters

    Fresh Gas/ Emergency Air Intake. Replacing the Disk Filter 1.Remove the four (4) 8-32 x 3 Phillips Flat Head screws that secure the Fresh Gas/ Emergency Air Intake assembly to the cover. www.zoll.com 9650-002360-01 Rev. A...

  • Page 149: Battery Maintenance

    Following the guidelines that we describe in this chapter prevents premature charge depletion and reduction of the battery’s life. Observe the warnings and cautions and that follow for safe use of the battery: 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 150 Once this is done, the battery will recharge back to 100% in a few minutes. Note: If when operating on battery power the device shuts down due to loss of power, connect external power and power cycle the device to restore function. www.zoll.com 9650-002360-01 Rev. A...

  • Page 151: Battery Storage

    The ventilator is available with transit and carry case options. Follow the instructions that we provide with the transit or carry case. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 152: Battery Replacement And Shipping Regulations

    Maintenance Battery Replacement and Shipping Regulations Only trained technicians at an authorized ZOLL Service Center can replace the ventilator’s battery. Contact your local service center for return instructions and please note the following: Shipping of the ventilator’s battery should always use proper State of Charge (SOC), which •...

  • Page 153: Troubleshooting

    Check for operating power from the internal battery and external power sources. If the actions above do not resolve an operating problem, service is required. Note the service code number(s) and contact the closest authorized ZOLL Service Center or the ZOLL Customer Service Department (techsupport@zoll.com).

  • Page 155: Appendix A Specifications

    Measurement: 0 to 99 cm H O +/- (2 cm H O + 8% of reading) Pressure Support (PS)/ 0 to 60 cm H O +/- (2 cm H O + 8% of setting). IPAP ZOLL Z Vent Ventilator Operator’s Guide 9650-002360-01 Rev. A...
  • Page 156 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 157: Pulse Oximeter

    The pulse oximeter is Type BF Defibrillation Proof Applied Part. Applied Parts Degree of Protection against IPX4: Splash-proof equipment rating, include: Harmful Ingress of Water • Padded case with rain flap • Bacterial/viral filter to protect the compressor 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 158 +/- 1 kV line(s) to +/- 1 kV line(s) to Mains power quality should be that of a IEC 61000-4-5 line(s) line(s) typical commercial or hospital +/- 2 kV line(s) to earth +/- 2 kV line(s) to earth environment. www.zoll.com 9650-002360-01 Rev. A...
  • Page 159 3 Vrms d = 1.17 P IEC 61000-4-6 150 kHz to 80 MHz outside ISM bands 10 Vrms 10 V d = 1.12 P 150 kHz to 80MHz outside ISM bands 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 160 If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the ventilator. d. Over the frequency range 150 kHz to 80 MHz, field strength should be less than 3 V/m. www.zoll.com 9650-002360-01 Rev. A...
  • Page 161 Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people. 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...

  • Page 163: Appendix B Accessories

    Appendix B Accessories The following accessories are available for use with the ZOLL Z Vent ventilator. To order any of these items, contact ZOLL or your local distributor. Part Description AC/DC Power Supply, 100-240 VAC, 100 W, 24 V, 4.2 A, IEC 320 Plug AC Power line cord, 6 ft (United States Version) Battery Pack, 6.6 Ah, 14.8 V, Lithium-Ion, 4S3P...
  • Page 164 Cable, 3 ft, 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 Cable, 4 ft, Masimo LNCS Patient Cable Type LNC-4, DB9 Female to Male...
  • Page 165 Mask, CPAP, #2, Infant (Case of 20) Mask, CPAP, #2, Infant (Case of 40) Mask, CPAP, #1, Small Infant Mask, CPAP, #4, Child with harness Mask, CPAP, #4, Child with Harness (Case of 20) 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide...
  • Page 166 Mask, CPAP, #6, Large Adult with Harness Mask, CPAP, #6, Large Adult with Harness (Case of 20) Mask, CPAP, #6, Large Adult with Harness (Case of 50) Harness, Mask, Universal Harness, Mask, Universal (Case of 10) Test Lung, plastic/silicone www.zoll.com 9650-002360-01 Rev. A...

  • Page 167: 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 Z Vent Ventilator Operator’s Guide 9650-002360-01 Rev. A...
  • Page 168 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 9650-002360-01 Rev. A...

  • Page 169: Appendix D Troubleshooting Patient Circuits

    1. Using a hemostat or a tongue blade, carefully open the exhalation valve as we show in Figure D-1. Remove the top cover first, and then remove the silicon diaphragm. Place the silicon diaphragm in a clean area. Figure D-1 Removing Silicon Diaphragm -- Pediatric/Adult Patient Circuit ZOLL Z Vent Ventilator Operator’s Guide 9650-002360-01 Rev. A...
  • Page 170 Figure D-3 Closing Exhalation Valve Cover Test the patient circuit with a test lung before using it with a patient. If it fails to perform, replace the patient circuit. www.zoll.com 9650-002360-01 Rev. A...
  • Page 171 Default Parameter Settings 4-2 – 4-3 Disabling Alarms 5-14 Display Screen 2-4 Environmental and Use Alarms 5-7 FDA Tracking 1-14 FIO2 Parameters Alarm Thresholds 4-20 Context Menu 4-20 FIO2 Parameter Group Reference 4-21 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide Index-1...
  • Page 172 Patient Detect Mode 5-14 Preemptive Muting 5-12 Start Up Muting 5-12 Manual Breath 4-26 Medium Priority Alarms 5-22 Mode Parameters Alarm Thresholds 4-8 Context Menu 4-9 Mode Parameter Group Reference 4-10 Primary Parameter 4-8 Secondary Parameters 4-8 Index-2 www.zoll.com 9650-002360-01 Rev. A...
  • Page 173 Attaching Optional High Pressure Oxygen Supply 3-3 Attaching the Patient Circuit 3-2 Changing Parameter Values 3-10 Connecting Fresh Gas Intake Attachments 3-4 Inspecting Fresh Gas Intake Filters 3-3 Performing an Operational Test 3-11 9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide Index-3...
  • Page 174 Primary Parameter 4-15 Secondary Parameters 4-15 Vt Parameter Group Reference 4-17 Warnings 1-10 – 1-13 Batteries 1-12 General 1-10 MR Conditional 1-13 Patient Safety 1-12 Pulse Oximeter 1-11 – 1-12 User Safety 1-12 Ventilator 1-10 – 1-11 Index-4 www.zoll.com 9650-002360-01 Rev. A...

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