Notes ..........................10 Contraindications .......................11 System Overview ........................11 Symbols ..........................12 Front Panel ........................12 Rear and Side Panels ....................12 How to Contact Philips Respironics ................13 Chapter 2. System Description ........................15 Front Panel Features ......................15 Buttons ..........................15 Visual Indicators ......................16 Display Screen ......................16 Side and Rear Panel Features ..................17...
Apnea Alarm .......................39 High Vte Alarm ......................39 Low Vte Alarm ......................39 High Vti Alarm ......................39 Low Vti Alarm ......................40 High Respiratory Rate Alarm .................40 Low Respiratory Rate Alarm ..................40 High Inspiratory Pressure Alarm ................40 Low Inspiratory Pressure Alarm ................41 High Minute Ventilation Alarm ................41 Low Minute Ventilation Alarm ................41 Low Battery Alarm .....................42 High Temperature Alarm ..................42...
Chapter 4. Ventilator Setup ..........................45 Position the Device ......................46 Install the Air Filter ......................46 First Time Use ........................46 Supply Power to the Device....................47 Using AC Power ......................47 Using DC Power ......................48 Device Power Source Indicators ................50 Battery Disposal......................52 Connect the Breathing Circuit to the Ventilator .............53 Changing the Exhalation Porting Blocks ..............55 Connect Supplemental Oxygen (Optional) ..............57 Chapter 5.
Activating Your Primary or Secondary Prescription ........88 Viewing and Changing My Settings Menu Items ...........89 Connecting the Ventilator to the Patient ..............91 Chapter 6. Ventilator Alarms ..........................93 Audible and Visual Alarm Indicators ................94 Alarm LED Indicators ....................94 Audible Indicators .....................95 Alarm Messages ......................96 Remote Alarm ......................98 Audio Pause and Alarm Reset Features ..............99...
Using a Remote Alarm Unit..................128 Using a Nurse Call System .................... 129 Using a Secure Digital (SD) Card ................129 Using the Philips Respironics DirectView Software ..........130 Using the Optional In-Use Bag ................... 130 Connect a Water Trap ..................... 130 Using an Oximetry Module (When Available) ............
This chapter provides an overview of the Trilogy100 device. Package Contents The Trilogy100 system may include the following components. Reusable Gray Foam Filters Carrying Case Clinical Manual Trilogy 100 Disposable Active Circuit, No Water Trap Secure Digital Disposable Passive Circuit, No Water Trap (SD) Card Detachable...
Intended Use The Philips Respironics Trilogy100 system provides continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. Trilogy100 is intended for pediatric through adult patients weighing at least 5 kg (11 lbs.). The device is intended to be used in home, institution/hospital, and portable applications such as wheelchairs and gurneys, and may be used for both invasive and non-invasive ventilation.
Warnings and Cautions Caution: U.S. federal law restricts this device to sale by or on the order of a physician. Warnings A warning indicates the possibility of injury to the user or operator. Patient Monitoring Prior to placing a patient on the ventilator, a clinical assessment should be performed to determine: •...
Personnel Trilogy100 is a restricted medical device designed for use by Qualifications Respiratory Therapists or other trained and qualified caregivers under the supervision of a physician. The prescription and other device settings should only be changed on the order of the supervising physician. The operator of the ventilator is responsible to read and understand this manual before use.
Philips Respironics. Proper operation of the device, including alarms, with other circuits has not been verified by Philips Respironics and is the responsibility of the health care professional or respiratory therapist. When adding any components to the breathing system, the flow...
To make sure the device is operating properly at start-up, always verify that the audible tone sounds and the alarm LEDs light red and then yellow momentarily. Contact Philips Respironics or an authorized service center for service if these indications do not occur at start-up.
Oxygen When administering fixed-flow supplemental oxygen, the oxygen concentration may not be constant. The inspired oxygen concentration will vary, depending on the pressures, patient flows and circuit leak. Substantial leaks may reduce the inspired oxygen concentration to less than the expected value. Appropriate patient monitoring should be used, as medically indicated, such as an alarming pulse oximeter.
Alarms Respond immediately to any alarm. It may indicate a potentially life-threatening condition. Refer to the Alarms and Troubleshooting chapters for more information. Visually monitor the patient and ventilator at all times during an Alarm Silence period. Allowing alarms to continue without intervention may result in harm to the patient.
Discontinue use and replace if damaged. Repairs and adjustments must be performed by Philips Respironics- authorized service personnel only. Unauthorized service could cause death or injury, invalidate the warranty, or result in costly device damage.
The internal and detachable batteries wear out based on the amount of use (hours or full charge-discharge cycles). The battery capacity and life are also reduced by operation at higher temperatures. Detachable Battery Only use the Philips Respironics Trilogy Detachable Battery with the ventilator. Trilogy100 clinical manual...
An external battery should only be connected to the ventilator using the Philips Respironics Trilogy External Battery Cable. This cable is fused, pre-wired, and properly terminated to ensure safe connection to a standard deep-cycle, lead acid battery. Use of any other adapter or cable may cause improper operation of the ventilator.
Contraindications If the patient has any of the following conditions, consult their health care professional before using the device in a non-invasive mode: • Inability to maintain a patent airway or adequately clear secretions • At risk for aspiration of gastric contents •...
Symbols The following symbols appear on the device. Front Panel Symbol Description Therapy Start/Stop Alarm Indicator/Audio Pause AC Power Indicator Rear and Side Panels Symbol Description AC Power Connector Secure Digital (SD) Card Slot Serial Port Connector Remote Alarm Connector DC Power Connector Oxygen Inlet Consult accompanying instructions for use.
Drip Proof Equipment For Airline Use. Complies with RTCA-D0160F section 21, category M. How to Contact Philips Respironics To have your device serviced, contact Philips Respironics Customer Service department at 1-724-387-4000 or 1-800-345-6443. Trilogy100 clinical manual...
Trilogy100 clinical manual 2. System Description This chapter describes the front and rear panel device controls and features. Front Panel Features The front panel contains the control buttons, visual indicators, and display screen. Buttons Front Panel Controls and The following buttons are included on the front panel of the device. Display Screen Start/Stop Button Note: When you start therapy,...
Left and Right Buttons These buttons allow you to select display options or perform certain actions specified on-screen. Visual Indicators Several power and alarm indicators appear on the front panel. 5. AC Power LED In the lower right corner of the front panel, a green LED ( indicates that AC power is applied to the device.
Side and Rear Panel Features The ventilator’s side and rear panels contain the following connectors and features, shown at right. 1. AC Power Inlet You can plug the AC power cord into this connector, located on the right side of the ventilator. 2.
6. Remote Alarm/Nurse Call Connector If you are using an optional remote alarm or nurse call system with the ventilator, you can connect the Philips Respironics Rear Panel remote alarm adapter cable or nurse call adapter cable to this connector.
Trilogy100 clinical manual 3. Modes, Features, and Alarms Therapy Modes The device provides Pressure Control Ventilation (PCV) and Volume Control Ventilation (VCV) for non-invasive and invasive patients. Pressure Control ventilation delivers a prescribed pressure to the patient according to set breath rate and set inspiration time parameters.
Breath Types There are four breath types that apply to the Volume Control and Pressure Control ventilation therapy modes: • Spontaneous • Mandatory • Assisted • Sigh Spontaneous Breath A Spontaneous breath is triggered by the patient. Breaths are initiated by the patient’s inhalation effort, and air delivery is controlled based on the current pressure or volume setting.
Therapy Mode Table The following table summarizes all of the therapy modes and the settings available in each mode. Some settings in the table are dependent upon other settings. For instance, if Trigger Type is set to Flow Trigger, then the Flow Trigger Sensitivity and Flow Cycle settings will display. Note: Pressure Support, referred to in the table below and later in this manual, is defined as IPAP - EPAP or Pressure - PEEP (PC-SIMV).
Pressure Control Ventilation Therapy Modes Pressure Control ventilation modes deliver a prescribed pressure to the patient. Continuous Positive Airway Pressure (CPAP) Mode In the Continuous Positive Airway Pressure (CPAP) mode, the device delivers a continuous pressure to the patient at all times. All breaths in this mode are Spontaneous breaths.
Spontaneous/Timed (S/T) Mode In Spontaneous/Timed (S/T) mode, the device delivers bi-level pressure support. This mode provides Spontaneous and Mandatory breaths. A Mandatory breath is delivered if the patient does not spontaneously breathe within the prescribed Breath Rate (BPM) setting. This ensures that the patient receives a minimum number of breaths per minute.
Timed (T) Mode In Timed (T) mode, the device delivers bi-level pressure support. This mode delivers Mandatory breaths only. A Mandatory breath is delivered according to the prescribed BPM and inspiratory time settings. This also means that the ventilator will not respond to patient effort.
Pressure Control (PC) Mode In Pressure Control (PC) mode, the device delivers bi-level pressure support. This mode delivers Assist and Mandatory breaths. This mode is identical to S/T mode, except that all breaths have a fixed inspiratory time. IPAP = 26 cm H = Mandatory Breath EPAP = 6 cm H = Assist Breath...
During the time window, if patient effort is detected, either a Spontaneous or an Assist breath is delivered for the first effort. If the last breath delivered was Mandatory, then a Spontaneous breath is delivered for the first patient effort of the window. If the last breath delivered was an Assist or Spontaneous breath, then an Assist breath is delivered for the first patient effort of the window.
Volume Control Ventilation Therapy Modes Volume Control ventilation modes deliver a prescribed inspired tidal volume according to a set Breath Rate and a set Inspiratory Time. Control Ventilation (CV) Mode In Control Ventilation (CV) mode, the device delivers volume control therapy.
Assist Control (AC) Mode In Assist Control (AC) mode, the device delivers volume control therapy. This mode provides Assist and Mandatory breaths. An Assist breath is started when there is patient effort, but it is ended when the Inspiratory Time setting has been met. A Mandatory breath is delivered if the patient does not spontaneously breathe within the prescribed BPM setting.
During the time window, if patient effort is detected, either a Spontaneous or an Assist breath is delivered for the first effort. If the last breath delivered was Mandatory, then a Spontaneous breath is delivered for the first patient effort of the window. If the last breath delivered was an Assist or Spontaneous breath, then an Assist breath is delivered for the first patient effort of the window.
Therapy Mode Features The device has several additional features that enhance patient comfort. Flex Comfort Feature The device consists of a special comfort feature called Flex. The Note: Flex is not available if AVAPS is enabled or if an active device provides the Flex feature in CPAP mode and S mode.
Bi-Flex Note: Bi-Flex is only available In S mode, the Bi-Flex attribute adjusts therapy by inserting a small up to 25 cm H O in S mode. amount of pressure relief during the latter stages of inspiration and during the beginning part of exhalation. In the following diagram, the bold lines represent Bi-Flex in comparison to the dashed line representing normal BiPAP therapy.
Rise Time In S, S/T, PC, T, PC-SIMV, and SIMV modes, rise time is the amount of time it takes the device to change from the expiratory pressure setting to the inspiratory pressure setting. Rise time levels of 1, 2, 3, 4, 5, or 6 progressively reflect slowed response of the pressure increase that will take place at the beginning of inspiration.
PRESSURE IPAP Max IPAP Min EPAP TIME AVAPS Feature VOLUME Target Volume TIME Flow Pattern Types Two flow patterns are available in Volume Control ventilation therapy modes: • Square • Ramp Square With a square wave pattern, airflow is generally constant throughout inspiration of the breath.
Ramp With a ramp flow pattern, the airflow starts high and decreases throughout inspiration of the breath. FLOW 50% of Peak Flow Ramp Waveform Pattern TIME For the active circuit in volume modes, peak flow is required to be a minimum of 20 l/min. The wave form may be flattened when the combination of Inspiratory Time and Tidal Volume set points would result in a flow of less than 20 l/min.
Sigh Feature The sigh feature is available for Volume ventilation modes only. When the sigh feature is enabled, the ventilator delivers a sigh breath in place of every 100th mandatory or assisted breath delivered regardless of the mode of operation (i.e., AC, CV, and SIMV). The Sigh breath is delivered using a volume equal to 150% of the set volume that was in effect when the breath was initiated.
Triggering The device can be set to trigger breaths using the Auto-Trak or Flow Trigger sensitivity features. Digital Auto-Trak Sensitivity Note: Auto-Trak is only available if you are using a An important characteristic of the device is its ability to recognize passive circuit.
Ventilator Alarms This section describes all of the ventilator alarms and informational messages in order of priority, from high priority alarms to low priority alarms and finally informational messages. Refer to Chapter 6 for more information on alarms. Loss of Power Alarm This is a high priority alarm.
Low Circuit Leak Alarm This is a high priority alarm that only occurs with the passive circuit. It occurs when the system detects a problem with the leak device in the passive circuit. High Expiratory Pressure Alarm This is a high priority alarm. It occurs when the delivered pressure exceeds the target patient pressure during the expiratory phase by 5 cm H O.
Apnea Alarm Note: Apnea alarm is not available in T and CV modes. This is a high priority alarm. It occurs when the patient has not triggered a breath within the time specified in the apnea alarm setting. The device continues to operate. The alarm will automatically terminate when two consecutive patient breaths are detected that meet the apnea alarm time setting.
Low Vti Alarm This is a high priority alarm. It occurs when the delivered tidal volume is less than the Low Vti alarm setting for three consecutive breaths. The device continues to operate. The alarm will automatically terminate when a breath occurs in which the delivered tidal volume exceeds the Low Vti alarm setting.
For pressure modes, the alarm occurs when the delivered pressure exceeds the target patient pressure by 5 cm H O or more during the inspiratory phase. The device will automatically cycle to the expiratory phase and continue to operate. The alarm will automatically terminate when the delivered pressure falls within 5 cm H O of the target patient pressure during the inspiratory phase.
Low Battery Alarm WARNING The Low Battery alarm occurs when the last battery available is Immediately seek an alternate power source when the “Low low or nearly depleted. This alarm occurs in two stages. When Battery” message appears. approximately 20 minutes of battery run time remains, a medium Complete power failure and loss priority alarm is generated, and the device continues to operate.
AC Power Disconnected Alarm This is a medium priority alarm. It occurs when the AC power source was lost, and the device has switched to an alternate power source (either a detachable or external battery, if connected, or the internal battery if no other source is available).
Check External Battery Info Message This info message occurs when a bad connection exists to the external battery or the external battery failed. The device continues to operate using power from the detachable battery, if available, or the internal battery. Battery Depleted Info Message This info message occurs when the affected battery is fully depleted.
Trilogy100 clinical manual 4. Ventilator Setup This chapter provides instructions on how to assemble the ventilator. WARNING It includes the following setup information: Ventilator dependant patients should be continuously • Properly positioning the device monitored by qualified • personnel. These personnel Installing the air filter should be prepared to provide •...
Position the Device Place the ventilator on a flat, level surface. Or, as an alternative, you can place the device in the optional in-use bag. The in-use bag is required for portable use in order to properly secure the ventilator. Do not operate the ventilator while on its side, upside-down, or in any other orientation.
Supply Power to the Device The device can operate on AC or DC power. The ventilator accesses power from potential sources in the following order: • AC Power • External Battery • Detachable Battery Pack • Internal Battery Using AC Power Note: This device is activated (i.e., ‘powered on’) when the AC An AC power cord is provided with the device.
This cable is fused, pre-wired and properly terminated to ensure Refer to the instructions supplied with the Philips Respironics Trilogy safe connection to a standard External Battery Cable for detailed information on how to operate deep cycle lead acid battery.
Detachable Battery Pack Philips Respironics offers a detachable Lithium-Ion battery pack. To use the detachable battery pack, snap the battery into place on the back of the ventilator, as shown in the following illustration. When the device is not connected to an AC power source or an external battery, the detachable battery will power the device, if attached.
One side of the detachable battery has a set of LEDs that indicate the amount of charge left on the battery. You can press the button below the LEDs to view how much charge remains: Battery Capacity All 5 LEDs are lit 80-100% capacity 4 LEDs are lit 60-79% capacity...
Philips Respironics or an authorized service Battery Symbol representative to have your Internal Battery device serviced.
DC Power Indicator Description Red Low Battery When the device detects that an in-use battery’s charge is nearly Indicator depleted (has approximately 10 minutes of charge left), the inside of the box surrounding the battery symbol turns red. In addition to the battery indicator on the Monitoring screen, a high priority alarm message will display indicating “Low Battery.
Connect the Breathing Circuit to the Ventilator WARNING Complete the following steps to set up your patient circuit. Philips Respironics recommends that a main line outlet bacteria 1. If you are using a bacteria filter, connect one end of the flexible...
b. If your circuit type is Active PAP: Active Exhalation Device with Proximal Pressure Note: Passive circuit ventilation 1. Connect the flexible tubing to an Active Exhalation Device provides leak compensation with proximal pressure. in both volume and pressure modes. Active circuit ventilation A.
Exhalation Porting Block Proximal Pressure Exhalation Valve Port Line Connecting an Active Exhalation Device with Proximal Pressure Proximal Pressure Port Exhalation Valve Line Exhalation Valve Port on Porting Block Refer to the instructions included with the Active Exhalation Device for more information. Changing the Exhalation Porting Blocks The Passive Exhalation Porting Block is pre-installed on the device.
2. Using the flat side of the screwdriver, pry the exhalation porting block away from the device until it comes loose, as shown below. Removing the Exhalation Porting Block 3. Align the exhalation porting block that you want to use with the porting block area on the device, and using a screwdriver and screw, insert the exhalation porting block into the device as shown below.
Connect Supplemental Oxygen (Optional) To attach supplemental oxygen to the device: 1. Connect the oxygen tubing to the Oxygen Inlet Quick Connect. Then, connect the Quick Connect to the Oxygen Inlet on the back of the ventilator. Attaching the O Tubing Oxygen Inlet Oxygen Inlet...
Trilogy100 clinical manual 5. Viewing and Changing Settings This chapter explains how to scroll through the ventilation screens Note: There is a keypad lock inactivity time-out period. After and change ventilation settings. It also describes how to connect the you have unlocked the keypad ventilator to the patient once the settings are complete.
Accessing the Startup and Monitor Screens 1. After you press the button to begin therapy, the Startup screen appears momentarily, indicating the device name and the software version. 2. The next screen that appears is the Monitor screen. Note: The symbols that appear The appearance of this screen will vary, depending on how you on the Monitor screen are set up the device.
If Detailed View is turned on in the Options menu, the Monitor screen will look like the screen shown below. Monitor Panel Monitor Screen – Detailed Measured Settings View On Panel Status Panel This screen contains more detailed information about the therapy.
Monitor Screen Indicators Note: Dashes on the display screen indicate that the device This section describes the following indicators: was unable to compute the parameters. For example, when • Monitor Panel Indicators the device is first connected to a • Measured Settings Panel Indicators patient, the tidal volume, minute •...
Indicator Description Low Pressure If you enable a volume therapy mode, this indicator appears Indicator below the manometer bar, indicating the low pressure alarm setting. High Pressure If you enable a volume therapy mode, this indicator appears Indicator below the manometer bar, indicating the high pressure alarm setting.
Measured Settings Panel All of the indicators that may appear on the Measured Settings panel (available only in Detailed view), are described in the following table. Indicator Description Peak Inspiratory Pressure displays the maximum pressure delivered to the patient during the previous breath. I:E Ratio Displays a comparison of the time spent in inspiration to the time spent in expiration during the previous breath.
Description Indicates that the device is in Full Menu Access mode, which means you can adjust all prescription settings. Philips Respironics recommends that you change the device to Limited Menu Access mode before giving the device to the patient, so patients cannot adjust their prescription settings.
Indicator Description A black box displays around the battery that is currently supplying power to the ventilator when AC power is not available. (In the status panel shown above, the external battery is in use, so symbol displays.) A yellow lightning bolt symbol displays with the Detachable or Internal battery symbol to indicate when the battery is charging.
On-Screen Button Panel The illustration below shows the on-screen button panel on the Main Menu screen, in relation to the buttons on the front of the device. On-Screen Button Panel Example On-Screen Button Panel Note: The on-screen buttons will vary depending on which At the very bottom of the display screen is the on-screen button screen is displayed and what panel.
Changing and Viewing Settings in Full Menu Note: For some therapy settings, once you reach the Access Mode highest or lowest setting available, pressing the Up/ Down button again will cycle Clinicians can view and change settings using the Menu screens back through the settings.
Changing the Device Settings and Alarms Note: In the Options menu described later in this chapter, From the Main Menu screen, use the Up/Down button to highlight you can specify the Pressure the Settings and Alarms menu, and press the Right button to select Units displayed by the device, choosing either cm H O, hPa,...
Mode Setting Note: See Chapter 3 for detailed information about each therapy You can change the Mode setting on the Settings and Alarms screen mode. to one of the following therapy modes: Note: Refer to the chart in • Chapter 3 to easily review all of CPAP the settings available in each •...
The Passive circuit provides leak compensation while the Active PAP circuit does not. When using the Passive circuit in Volume Ventilation, the set Vti is delivered to the patient above the calculated circuit and cuff (or mask) leak. This is different from traditional active circuit ventilation where the cuff (or mask) leak reduces the tidal volume delivered to the patient.
Low Vte Note: The High and Low Vte alarms are only available when This setting enables or disables the Low Vte alarm. The alarm the Passive Circuit is selected. activates when the estimated exhaled tidal volume is less than or equal to this setting.
Low Minute Ventilation Note: You can increase or decrease the Low Minute This setting enables or disables the Low Minute Ventilation alarm. The Ventilation setting in 0.1 l/min increments from alarm activates when the calculated minute ventilation is less than or 0.1 to 0.99 l/min and 1 l/min equal to this setting.
Low Inspiratory Pressure Note: If the CPAP pressure is set to 4 (the minimum setting), This setting configures the Low Inspiratory Pressure alarm. It is only the Ramp Length setting will be user-settable in CV, AC, and SIMV modes. It cannot be set lower than unavailable.
Trigger Type Note: Trigger Type is not available when an Active PAP The device can be set to trigger breaths based on automatic flow circuit is selected. Flow trigger is the triggering method used for thresholds or specific flow settings. You can select either Auto-Trak Active PAP circuits.
AVAPS Note: AVAPS is only available if the Passive Circuit is selected. AVAPS is only available if Flex is not enabled. You can disable AVAPS by selecting Off, or you can enable AVAPS by selecting On. If you select Off, the IPAP setting displays. If you select On, the IPAP Max Pressure and IPAP Min Pressure display.
Tidal Volume Note: In CV, AC, and SIMV modes, the tidal volume setting The Tidal Volume setting displays if AVAPS is enabled. You can is limited by the Inspiratory increase or decrease the setting from 50 to 2000 ml in 5 ml Time, to maintain the system’s minimum and maximum peak increments.
Inspiratory Pressure You can increase or decrease the Inspiratory Pressure setting from 4 to 50 cm H O in increments of 1. This is the pressure the ventilator will deliver during the inspiratory phase of a mandatory or assist Note: In PC-SIMV mode, you breath.
Viewing and Changing Options Menu Items From the Main Menu screen, select the Options item. The Options menu appears, shown in the screen below. Options Menu The following settings are available on the Options menu. • Menu Access – You can select Full or Limited menu access.
All pressure units on the screens will display in the unit of measure selected here. WARNING • Alarm Volume – You can adjust the volume of the device alarms using this setting. Select either Loud or Soft as the Make sure the alarm volume is set loud enough to be heard by alarm volume options.
Dim: The display’s backlight is decreased, so that the display is still visible but not as bright. If enabled, the screen saver will display after 5 minutes of no keypad activity. Pressing any button on the device will exit the screen saver.
• Operational Hours – The operational hours displays the total number of hours that the device blower has been on since the last time this value was reset. You can reset this value to zero (0) if desired (e.g., each time you give the device to a new patient).
Viewing the Event Log From the Main Menu screen, you can select Event Log to access the Event Log screen. The event log displays a list of all events that have occurred, such as ventilator setting changes, ventilator inoperative conditions, alarms, etc., in chronological order with the most recent events displayed first.
Updating Prescriptions Using the SD Card WARNING With the Trilogy100, you can update the patient’s prescription using When you change the device the SD Card. This feature lets you update a single prescription or prescription, alarms and other settings using the SD card, both prescriptions if the dual prescription feature is enabled.
3. Select Cancel to cancel the prescription update process and Note: Make sure you closely review the prescription and return the screen to the initial state before the prescription confirm that all settings are update started. Select Page to review the entire prescription. correct.
Message Cause Action Prescription Change Failed Displayed when an error Remove the card and have the occurs during the prescription prescription replaced with a update. This is caused by an valid prescription. attempt to set a value for a prescription parameter that is not valid for the therapy mode or an attempt to set a prescription parameter to an...
Changing and Viewing Settings in Limited Note: If the Keypad Lock feature is enabled, a message will Menu Access Mode appear that says “Hold Right Key for 5 seconds to unlock.” Once you hold the key down for 5 After you press the button and access the Monitor screen, you seconds, the keypad will unlock can view and change settings using the Menu screens.
• My Settings: View and change certain prescription settings, Note: The Options, Alarm Log, and Information items are such as rise time or ramp starting pressure, if these settings were discussed in detail earlier in this enabled by your health care professional. chapter, in the “Changing and •...
Viewing and Changing My Settings Menu Items Note: The options on the My Settings screen will vary depending To view or change the therapy settings available on the My Settings on how your health care screen, use the Up/Down (Navigate) button to highlight the My professional has set up your device.
If your health care professional has enabled Ramp on your ventilator, you can adjust the Ramp Start Pressure setting. The setting can be adjusted from 4.0 to your prescription pressure setting in increments of 1. Note: If the Flex feature is •...
Connecting the Ventilator to the Patient Note: Trilogy100 provides features to control access to the device (prescription) settings After you have finished adjusting your ventilator settings, perform and to transfer new device the following steps to connect the ventilator to the patient. settings onto the device using the SD Card.
Trilogy100 clinical manual 6. Ventilator Alarms This chapter describes the ventilator alarms and what you should do if an alarm occurs. There are three types of alarms: Note: If multiple alarms occur • High Priority – Require immediate response by the at the same time, all alarms are operator processed and displayed, but...
Audible and Visual Alarm Indicators When an alarm condition occurs: • The alarm LED indicator on the Alarm Indicator/Audio Pause button lights • The audible alarm sounds • A message appears on the screen describing the type of alarm • The remote alarm (if applicable) is activated Each of these is described in detail below.
Audible Indicators An audible indicator sounds whenever a power failure or a high, medium, or low priority alarm is detected. Additionally, an audible indicator sounds for informational messages and to confirm that certain actions have occurred (for example, when an SD card is inserted or removed from the device).
• Informational Messages and Confirmation Audible Indicators – When an informational message appears on screen, a brief, 1- beep audible indicator sounds. Additionally, when the device detects that a certain action has been completed (for example, when the Start/Stop button is pressed to start therapy, or when an SD card is inserted or removed from the device) a brief, 1- beep audible indicator sounds.
Alarm in Menu Banner Screen The Alarms and Messages Screen will automatically display in place of the Monitor screen when exiting from the menu system using the Exit soft key when an alarm is displayed in the menu banner. If an alarm is manually reset by the user or self-cancels, the menu banner on-screen before the alarm occurred will reappear.
To turn the ventilator off from a Ventilator Inoperative condition, use the normal power off sequence. When the Start/Stop button is selected, the following screen will display. Ventilator Inoperative Power Off Screen Select the Right button (Yes) to turn the ventilator off and stop the audible alarm.
Audio Pause and Alarm Reset Features This section describes the Audio Pause and Alarm Reset features. Audio Pause When an alarm occurs, you can temporarily silence the audible indicator by pressing the Alarm Indicator/Audio Pause button. The alarm is silenced for 60 seconds and then will sound again if the cause of the alarm has not been corrected.
Alarm Volume Control WARNING As explained in Chapter 5, you can adjust the Alarm Volume from Make sure the alarm volume is the Options menu. You can select Loud or Soft, depending on your set loud enough to be heard by preference.
Alarm Summary Table The following table summarizes all of the high, medium, and low priority alarms and informational messages. See the Troubleshooting section for more information. Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • •...
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ Ventilator High Red flashing button; Operates Audio Pause button to silence Service “Ventilator Service alarm. Or, press Left (Reset) Required Required”...
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ Low Circuit High Red flashing button; Operates Audio Pause button to Leak “Low Circuit Leak” silence alarm. Or, press Left message (Reset) button to reset alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ High Internal High Red flashing button; Continues to operate Audio Pause button to Oxygen “High Internal when internal silence alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ High Vte High Red flashing button; Operates “High Vte” message Audio Pause button to silence alarm. Or, press Left (Reset) button to reset alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ High High Red flashing button; Operates Respiratory “High Respiratory Audio Pause button to Rate Rate” message silence alarm. Or, press Left (Reset) button to reset alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • • • User: Press Alarm Indicator/ Low Inspiratory High Red flashing button; Operates Pressure “Low Inspiratory Audio Pause button to Pressure” message silence alarm. Or, press Left (Reset) button to reset alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • • • User: Press Alarm Indicator/ Low Battery Escalates Medium Priority- Operates Audio Pause button to silence from Yellow flashing (Medium - alarm. Or, press Left button Medium to button.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • User: Press Alarm Indicator/ Battery Info “Batt Discharge Operates Audio Pause button to Discharging Stopped – Temp. ” silence alarm. Or, press Stopped Due to message Left (Reset) button to reset Temperature alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • User: Press Alarm Indicator/ Battery Not Info “Detach Battery Not Operates Audio Pause button to Charging Charging” or “Internal silence alarm. Or, press Battery Not Charging” Left (Reset) button to reset message alarm.
Alarm Priority Audible Visual (Alarm Device User/Clinician Action Indicator Button Action and Display) • User: Check connection External Battery Info “External Batt Switches to of the external battery to Disconnected Disconnected” alternate ventilator. Check the charge message, and a box power source available on external battery appears around...
If condition persists, contact your health care professional. Clinician: Remove SD Card and use another card, if available. Ensure card meets specifications. Check write- protect switch on card. If condition persists, contact an authorized representative of Philips Respironics. Chapter 6 Ventilator Alarms...
Trilogy100 clinical manual 7. Cleaning and Maintenance Cleaning the Ventilator WARNING The ventilator’s exterior surface and the exterior of the detachable To avoid electrical shock, always battery pack (if using) should be cleaned before and after each unplug the power cord from the patient use, and more often if needed.
Replacing the Air Inlet Path Foam Follow your institution’s protocol for how often you replace the air inlet path foam. To replace the foam, complete the steps below. 1. Using a screwdriver, remove the air inlet path cover by unscrewing the four screws as shown below. Removing the Air Inlet Path Cover 2.
Reusable Circuit Cleaning Instructions provided by Philips Respironics with each accessory. Clean the patient circuit twice a week, or follow your institution’s protocol. 1. Disconnect the circuit from the device, and disassemble the circuit for cleaning.
The proximal tubing (if using WARNING the Active PAP Exhalation Device) can remain connected to the ventilator. Philips Respironics recommends that a main line outlet bacteria 2. Remove the used bacteria filter from the ventilator by filter (Part Number 342077) be gently pulling straight out from the connector.
Installing a New Bacteria Filter Preventive Maintenance Your new Philips Respironics Trilogy ventilator includes a PM Service Due label affixed to the bottom of your device. The label indicates when service is due. Service is due every 10,000 hours or 24 months, whichever comes first depending on the usage of the device.
Inspect and clean air inlet filter. • If in use, every 6 months Replace air inlet filter. • Inspect enclosures and external connections for damage and contact Philips Respironics service if necessary. • Inspect power cord for damage and replace if necessary. •...
This powers the system and charges the internal battery. If the device still does not turn on, contact an authorized service representative or Philips Respironics to have the device serviced. Please have the model number and serial number ready when you call.
To silence the alarm, press the Start/Stop key followed by the Right key. Make sure the batteries are fully charged and the device is plugged into AC power. If the device will not turn On after connected to AC power, contact an authorized service center or Philips Respironics to have the device serviced.
Ensure the cooling air vents are not blocked. If the problem continues, contact an authorized service representative or Philips Respironics to have the device serviced. Please have the model number and serial number ready when you call.
Trilogy100 clinical manual 9. Accessories There are several accessories you can use with the ventilator. Use only Philips Respironics approved accessories on Trilogy ventilators. Adding a Humidifier Use of a humidifier may reduce nasal dryness and irritation by adding moisture to the airflow.
Using a Remote Alarm Unit - Annunciated alarms on the ventilator are also annunciated on the remote You can use a Philips Respironics Remote Alarm unit with your device. alarm. Use only a Philips Respironics dedicated adapter cable assembly for - Disconnecting the remote connecting the device to the Remote Alarm unit (REF 1045291).
Ensure that the Nurse Call You can use an institutional Nurse Call system with your device. systems used do not exceed SELV Use only Philips Respironics cables available to connect a nurse call (Safety Extra Low Voltage) levels as described in IEC 60601-1.
The card will be slightly ejected from the device. Using the Philips Respironics DirectView Software You can use the Philips Respironics DirectView 1.3 and above software to download the prescription data from the SD card to a computer. DirectView can be used by clinicians to receive and report stored data from the SD card.
Using an Oximetry Module (When Available) There is a dedicated oximetry interface kit for connecting the Trilogy device to an oximetry module. Refer to the instructions included with the oximetry interface kit if you have questions on how to connect it to your device.
Trilogy100 clinical manual 10. System Checkout Procedures This chapter details the test procedures that should be performed by the clinician prior to connecting the device to the patient. Test both the active and passive circuits if you want to do a complete checkout Note: The actual circuit configuration to be used on on the device.
3. Verify that the rubber feet are on the bottom of the device. Initial Setup 1. Connect the power cord to the device and then to an AC outlet. 2. Attach the test lung to the patient connection end of the desired circuit (Active PAP or Passive).
Setting Value Rise Time Ramp Length All other alarms B. Options Menu Modify the settings in the Options menu to match those shown below in Table 2. Setting Value Menu Access Full Detailed View Table 2 - Ventilator Settings All other settings Discretionary in the Options Menu C.
Note: Do not use the “Reset” B. Verify the Alarm button to manually reset the Wait up to 40 seconds and verify the following alarm signals: alarm. Instead, use the “Modify” button to change ventilator • The High Priority audible indicator sounds settings.
A. Change Alarm Ventilator Setting Modify the Low Tidal Volume alarm setting to match the one shown below in Table 6. Setting Value Table 6 - Low Vte/Low Vti Low Vte/Low Vti 500 ml Alarm Setting B. Verify the Alarm Wait up to 40 seconds and verify the following alarm signals: •...
4. Verify Circuit Disconnect Alarm This procedure verifies that the Circuit Disconnect alarm is working properly. It assumes that you have attached the test lung, verified ventilator settings, and turned on ventilator power as described in the Initial Setup section. A.
Restore Ventilator Settings Modify the ventilator settings and change the following values shown below in Table 10. Setting Value Circuit Disconnect Table 10 - Restore Ventilator Settings 5. Verify the High Inspiratory Pressure Alarm This procedure verifies that the High Inspiratory Pressure alarm is working properly.
B. Verify the Alarm Wait up to 40 seconds and verify the following alarm signals: • The Medium Priority audible indicator sounds • A yellow light flashes on the Alarm Indicator/Audio Pause button • The High Inspiratory Pressure alarm condition appears on the screen, highlighted in yellow C.
Setting Value Flow Pattern Ramp PEEP 4 cm H Sigh Circuit Disconnect Low Inspiratory Pressure 40 cm H High Inspiratory Pressure 60 cm H Apnea All other alarms B. Verify the Alarm Wait up to 40 seconds and verify the following alarm signals: •...
Battery Function Verification Make sure the batteries are functioning properly and fully charged before patient use. 1. Verify the Detachable and Internal (Lithium-Ion) Batteries Function A. Connect AC Power to the device and verify that the green AC LED on the front panel is lit. B.
2. Verify the External Battery Function (Optional) A. Connect AC Power to the device and verify that the green AC LED is lit. B. Connect the external battery cable to the external battery and to the ventilator. C. Verify that the external battery symbol is shown on the display and some level of charge is present.
If any of the tests fail to complete as indicated, if possible, correct the error, clear the alarm and resume testing. If correction of the failed portion is not possible, return the device to Philips Respironics or an authorized service center for service and repair. Trilogy100 clinical manual...
Trilogy100 clinical manual 11. Technical Specifications Environmental Operating Storage Temperature 41° F to 104° F (5° C to 40° C) -4° F to 140° F (-20° C to 60° C) Relative Humidity 15 to 95% (non-condensing) 15 to 95% (non-condensing) Atmospheric Pressure 110 kPa to 60 kPa The operating range for the charging of the internal and detachable batteries is 10°...
4 to 50 cm H SD Card and SD Card Reader Use only SD cards and SD card readers available from Philips Respironics or the following: Use only Philips Respironics approved SD cards 1 GB or greater SanDisk ® Card Reader/Writer - SanDisk ImageMate - REF SDDR-99-A15...
Control Accuracy Parameter Range Accuracy IPAP 4 to 50 cm H Greater of 2 cm H O or 8% of setting EPAP 0 to 25 cm H O for Active Circuits Greater of 2 cm H O or 8% of setting 4 to 25 cm H O for Passive Circuits CPAP...
Measured Patient Parameters Parameter Range Accuracy Vte/Vti 0 to 2000 ml Greater of 15ml or 15% of reading Minute Ventilation 0 to 99 l/min Calculation based on measured Vte or Vti and Respiratory Rate Estimated Leak Rate 0 to 200 l/min Respiratory Rate 0 to 80 BPM Greater of 1 BPM or 10% of reading...
Trilogy100 clinical manual 12. Glossary The following terms and acronyms appear throughout this manual. Term/Acronym Definition AC Power Alternating Current power Assist Control therapy mode; AC mode delivers Assisted and Mandatory breaths with a user-defined inspired tidal volume. This is a Volume Control mode. Apnea A condition marked by the temporary cessation of spontaneous breathing.
Term/Acronym Definition BTPS Body Temperature and Pressure Saturated; A standardization for lung volumes and flows to barometric pressure at sea level, body temperature, and saturated with water vapor reflecting the condition of air in the lung. CPAP Continuous Positive Airway Pressure Control Ventilation therapy mode;...
Term/Acronym Definition Mandatory Breath A Mandatory Breath is completely controlled by the ventilator. Breaths are initiated by the ventilator according to the breath Rate (BPM) setting. Breaths are cycled according to the Inspiratory time setting. Mean Airway Pressure. This is the average airway pressure over a full breath cycle.
Term/Acronym Definition PEEP Positive End Expiratory Pressure Pressure Control Ventilation in which breaths are controlled by operator-defined Ventilation (PCV) Pressure, Inspiratory Time, and Rise Time. Pressure Support Ramp A feature that may increase patient comfort when therapy is started. The ramp feature reduces pressure and then gradually increases the pressure to the prescription setting so patients can fall asleep more comfortably.
Term/Acronym Definition Spontaneous (S) Therapy mode in which all breaths are spontaneous. The Mode ventilator supports breathing with user-defined Pressure Support (PS) and Rise Time values. Spontaneous/Timed Therapy mode that is similar to S mode, except that it can also (S/T) Mode deliver a mandatory breath if the patient does not spontaneously breathe within a set time.
Trilogy100 clinical manual 13. EMC Information Guidance and Manufacturer’s Declaration - Electromagnetic Emissions This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Emissions Test Compliance Electromagnetic Environment -...
Guidance and Manufacturer’s Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 Test Compliance Level Electromagnetic Level Environment -...
Guidance and Manufacturer’s Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 Test Compliance Electromagnetic Environment - Level Level...
Recommended Separation Distances between Portable and Mobile RF Communications Equipment and This Device The device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this device as recommended below, according to the maximum output power of the communications equipment.
Trilogy100 clinical manual Index Power Alarms 101 External Battery Disconnected 44 AC Power 47 System Alarms AC Power Inlet 17 High Expiratory Pressure 38 Active Exhalation Device 54 Low Circuit Leak 38 Air Filter Low Expiratory Pressure 38 Installation 46 Ventilator Service Required 37 Air Inlet 18 Alarm Volume Setting 80...
Flow Pattern 78 Ramp 33 Cautions 8, 15, 129 Square 33 Circuit Type Setting 70 Flow Trigger Sensitivity 75 Contraindications 11 Front Panel Control Ventilation Mode 27, 78 AC Power LED 16 Cord Retainer 18 Audio Pause Button 15 CPAP Mode 22 Keypad Backlight LEDs 16 Left/Right Buttons 16 Red Alarm LED 16...
Main Menu Screen 87 Screen Saver 80 Menu Access 79, i Secondary Prescription Setting 88 Full Menu i Secure Digital (SD) Card 17, 129 Limited Menu i Sensitivity 36 Monitor Screen 60 Digital Auto-Trak Sensitivity Indicators 62 Leak Tolerance 36 My Settings Menu 89 Flow Trigger 36 Flex 90...
Trilogy100 clinical manual Limited Warranty Respironics, Inc. warrants that the Trilogy100 system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of two (2) years from the date of sale by Respironics, Inc. to the dealer. If the product fails to perform in accordance with the product specifications, Respironics, Inc.will repair or replace –...
To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contact Respironics, Inc. at: 1001 Murry Ridge Lane Murrysville, Pennsylvania 15668-8550 1-724-387-4000 Trilogy100 clinical manual...