Download  Print this page

Philips Respironics CoughAssist T70 User Manual

Hide thumbs

Advertisement

REF 1091945
1091777 R03
CoughAssist T70
AEM 09/24/2018
USER MANUAL

Advertisement

Table of Contents

   Also See for Philips Respironics CoughAssist T70

   Related Manuals for Philips Respironics CoughAssist T70

   Summary of Contents for Philips Respironics CoughAssist T70

  • Page 1 REF 1091945 1091777 R03 CoughAssist T70 AEM 09/24/2018 USER MANUAL...
  • Page 2: Setup Screen

    FOR HOME CARE PROVIDER USE ONLY Accessing Prescription Setting Screens WARNING The information on this page is ONLY for home care providers. Remove this page from the manual before giving the manual to the patient. Full and Limited Menu Access Modes The device has two levels of menu access, Full and Limited.
  • Page 3 Setup Screen activation, and the screen turns off. Note: Philips Respironics recommends that you set the device back to Limited Menu Access mode before returning it to the patient so patients cannot change their prescription settings.
  • Page 4: Table Of Contents

    2.2.3 Pre-Therapy Breaths .........................17 2.2.4 Post-Therapy Breath .........................17 2.2.5 Manual Override ........................18 Chapter 3. Device Setup ............................19 3.1 Install the Air Filter ..........................19 3.2 Position the Device Properly ......................19 © 2018 Koninklijke Philips N.V. All rights reserved. Table of Contents...
  • Page 5 3.3 Assemble the Patient circuit ......................20 3.4 Supply Power to the Device ......................20 3.4.1 Using AC Power ..........................20 3.4.2 Using DC Power .........................21 3.4.3 Device Power Source Indicators ...................22 3.5 Daily Use ..............................22 3.5.1 Manual Mode ..........................22 3.5.2 Auto Mode ............................23 3.5.3 Advanced Auto Mode: ......................23 3.5.4 Preset Settings ..........................24 Chapter 4.
  • Page 6 6.2 Oximetry Cable ............................44 6.3 Foot Pedal ..............................44 6.4 Carrying Case ............................44 6.5 Roll Stand ..............................44 6.6 Supplemental Oxygen ........................44 Chapter 7. Troubleshooting ..........................45 7.1 Informational Messages ........................45 7.2 Troubleshooting ............................46 Chapter 8. Technical Specifications .......................49 Chapter 9. EMC Information ..........................53 Limited Warranty ..............................57 Table of Contents...
  • Page 7 CoughAssist T70 user manual...
  • Page 8: Chapter 1. Introduction

    CoughAssist T70 user manual 1. Introduction 1.1 Package Contents The CoughAssist T70 system may include the following components. Some components are optional accessories that may not be packaged with the device. aCkage • CoughAssist T70 Device • Patient Circuit, including bacteria filter, 6 ft (1.83 m) flexible tubing, and Adult Large Mask •...
  • Page 9: Intended Use

    1.2 Intended Use The Philips Respironics CoughAssist T70 is intended for use on adult or pediatric patients unable to cough or clear secretions effectively. It may be used either with a facemask or mouthpiece, or with an adapter to a patient’s endotracheal or tracheostomy tube. The device is intended to be used in...
  • Page 10 Do not remove the cover; there are no serviceable parts inside the device. Have the device serviced by authorized personnel only. • Use only power cords supplied by Philips Respironics for this device. Use of power cords not supplied by Philips Respironics may cause overheating or damage to the device. •...
  • Page 11: Cautions

    Cautions A caution indicates the possibility of damage to the device. • Condensation may damage the device. If this device has been exposed to either very hot or very cold temperatures, allow it to adjust to room temperature (operating temperature) before starting therapy.
  • Page 12: System Overview

    1.5 System Overview The CoughAssist T70 removes secretions in patients with an ineffective ability to do so on their own. The device clears secretions by providing high frequency oscillatory vibrations while gradually applying a positive pressure to the airway, then rapidly shifting to a negative pressure. The rapid shift in pressure produces a high expiratory flow rate from the lungs, simulating a natural cough.
  • Page 13 Item Description This button allows you to select display options or perform certain Left Button actions specified on-screen. This button allows you to navigate the display menu and edit Up/Down Button device settings. This button allows you to select display options or perform certain Right Button actions specified on-screen.
  • Page 14 USB Connector Connect a USB cable to this connector for service only. If you are using the optional oximetry cable, connect the oximetry cable Connector to this connector. Connect an external battery here using the Philips Respironics DC DC Power Inlet Power Cord. Airpath Outlet Location where air exits the device.
  • Page 15 1.5.3 Side Panel Features The items numbered in the illustration below are described in the table that follow Item Description You can insert the optional SD card into this slot if you are recording SD Card Slot patient data from the device. Patient circuit You can connect your circuit tubing to this connector on the device.
  • Page 16: Symbols

    1.6 Symbols The following symbols appear on the device or packaging. Symbol Title and meaning Reference IEC 60878 Operator’s manual; operating instructions ISO 7000-1641 Consult instructions for use. Symbol 5.4.3, ISO 15223-1 DC power (Direct current) IEC 60417-5031 Indicate on the rating plate that the equipment is suitable for direct current only;...
  • Page 17 Protective earth; protective ground; Located next to IEC 60417-5019 a terminal inside the device to identify the protective earth connection. Prescription device Caution: U. S. federal law restricts this device to sale by or on the order of a physician. RTCA/DO-160F section 21, For airline use.
  • Page 18: Traveling With The System

    1.8 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. Chapter 1 Introduction...
  • Page 19 CoughAssist T70 user manual...
  • Page 20: Chapter 2. Therapy Modes And Features

    CoughAssist T70 user manual 2. Therapy Modes and Features 2.1 Inhalation/Exhalation Therapy Modes Therapy Mode Description Manual Manual mode delivers therapy based on the Inhale Pressure and Exhale Pressure prescription settings. The device delivers the set inhalation pressure for the amount of time that the Manual switch is held in the inhalation position.
  • Page 21 Advanced Auto Advanced Auto mode delivers therapy based on the following prescription settings: Pre-Therapy Breaths, Pre-Therapy Pressure, Pre-Therapy Flow, Pre-Therapy Time, Pre-Therapy Pause, Number of Coughs, Inhale Pressure, Exhale Pressure, Inhale Time, Exhale Time, Pause Time, Number of Cycles, and Post-Therapy Breath. Advanced Auto mode delivers pressure in the following sequence, repeating the sequence until the user exits the therapy or the number of cycles are complete: 1.
  • Page 22 Advanced Auto 1. If Pre-Therapy Breaths are enabled, the following sequence is repeated (continued) until the user exits therapy or the number of pre-therapy breaths requested is complete: a. Positive pressure at the Pre-Therapy Pressure setting when the device detects the patient’s effort to inhale for the duration of the Pre-Therapy Time setting.
  • Page 23 CoughAssist T70 user manual...
  • Page 24: Therapy Features

    2.2 Therapy Features If prescribed, the device provides the following therapy features. 2.2.1 Cough-Trak An important characteristic of the device is its ability to trigger on the patient’s inspiration to help synchronize the therapy with the patient. This feature is known as Cough-Trak. The Cough-Trak feature is available when the device is in Auto mode or Advanced Auto mode.
  • Page 25: Manual Override

    2.2.5 Manual Override In the event of a transient airway obstruction caused by the mobilization of secretions during the use of Auto or Advanced Auto Mode, the Manual Override offers the clinician quick access to the Manual Mode to manually control the CoughAssist therapy to achieve the desired outcome. CoughAssist T70 user manual...
  • Page 26: Chapter 3. Device Setup

    3.1 Install the Air Filter If the air filter is not already installed, insert it into the filter area on the back of the device as shown. Only use the Philips Respironics air filter supplied with the device. 3.2 Position the Device Properly Position the device on a firm, flat surface within easy reach of the patient or device operator.
  • Page 27: Assemble The Patient Circuit

    3.3 Assemble the Patient circuit 1. Attach the appropriate patient interface to one end of the flexible tubing. Patient interface options include an adapter and face mask, mouthpiece, endotracheal tube, or tracheostomy tube. 2. Connect the other end of the flexible tubing to the bacteria filter. 3.
  • Page 28: Using Dc Power

    If you are using a 12 VDC deep cycle marine-type (lead acid) external battery, connect it to the DC power inlet on the back of the device using the Philips Respironics External Battery Cable. This cable is pre-wired and properly terminated to ensure safe connection of an external battery to the device.
  • Page 29: Device Power Source Indicators

    3.4.3 Device Power Source Indicators Power source indicators are presented on the device and the display screen. These indicators are described in detail below. 3.4.3.1 AC Power Indicators When AC power is applied to the device and the airflow is off, the green AC LED indicator on the Power On/Power Off button lights.
  • Page 30: Auto Mode

    9. Go through as many cough cycles as determined by the clinician, until the patient is comfortable. 10. After the cycles are completed, disconnect the patient from the device, and clear secretions that may have become visible in the mouth, throat, tracheostomy tube, or endotracheal tube. 11.
  • Page 31: Preset Settings

    6. The device will automatically cycle between any pre-therapy breaths and the number of coughs [Inhale (positive) to Exhale (negative) to Pause (atmospheric pressure)] for the desired number of cycles, and end with a final post-therapy breath, if enabled. 7. After the therapy is complete, disconnect the patient from the device and clear secretions that may have become visible in the mouth, throat, tracheostomy tube, or endotracheal tube.
  • Page 32: Chapter 4. Viewing And Changing Settings

    CoughAssist T70 user manual 4. Viewing and Changing Settings 4.1 Navigating the Menu Screens To navigate through all of the menu screens and settings: • Use the Up/Down button to scroll through the menu. • Use the Left and Right buttons to perform the actions specified on the on-screen buttons. 4.1.1 Screen Timeout Periods The following timeout periods occur due to device inactivity: •...
  • Page 33: Accessing The Standby Screen

    4.2 Accessing the Standby Screen 1. Press the button, and the Startup screen appears momentarily, indicating the software version. 2. The Standby screen then appears, shown here. It displays the date and time, therapy mode, a patient accessory panel (if a patient accessory is attached), a status panel, and the soft key panel.
  • Page 34: Monitor Screen Content

    Advanced Auto Mode, Detailed View Off Advanced Auto Mode, Detailed View On 4.3.1 Monitor Screen Content The Monitor screen is divided into several sections, the Status panel, Manometer panel, Parameters panel, and the Soft buttons panel. The following information is shown on the Monitor screen: Item/Description Detailed View Detailed View...
  • Page 35 Item/Description Detailed View Detailed View √ √ Detachable Battery ( ) Symbol: Displays if the detachable battery is connected. If no detachable battery is connected, this space is left blank. When the detachable battery is partially charged, some of the bars in the battery symbol will appear in green while others will be clear.
  • Page 36 Item/Description Detailed View Detailed View √ √ Charging Indicator ( ): This indicator is placed over the detachable battery when it is being charged. Number of Cycles Indication: Displays an indication √ √ of the total number of cycles defined for the cough treatment and the number of cycles remaining.
  • Page 37 Item/Description Detailed View Detailed View Heart Rate (HR): Displayed only when the Pulse Oximiter √ accessory is connected to the device and the device is in Standby. Displays the current Heart Rate reading being received from the oximeter. If questionable or bad data is being received from the oximeter, displays dashes.
  • Page 38 Item/Description Detailed View Detailed View Inhale Pressure Setting: Displays the current inhale √ √ pressure setting for the active prescription. It is located in the Inhale data area. Inhale Time Setting: Displays the current inhale time √ setting for the active prescription when the mode is set to Auto or Advanced Auto.
  • Page 39: Modifying Patient Therapy Settings

    4.4 Modifying Patient Therapy Settings 1. From the Standby or Monitor screen, select the Left key (Settings). Note: The Settings key will not be available on the Monitor Screen when the device is set to Limited Access. Note: Any setting changes that are made during therapy will automatically take effect at the beginning of that phase in the next cycle.
  • Page 40 Pre-Therapy Time Allows you to set the time of the inhale phase during the initial Pre-Therapy Breaths from 0.0 to 5.0 seconds in increments of 0.1. This is only available in Advanced Auto mode when 1 or more Pre-Therapy Breaths are requested. Pre-Therapy Pause Allows you to set the pause time between initial Pre-Therapy Breaths from 0.0 to 5.0 seconds in increments of 0.1.
  • Page 41 Exhale Time Allows you to set the Exhale Time from 0.0 to 5.0 seconds in increments of 0.1. Exhale Time indicates how long the patient spends in the Exhale phase when in Auto mode. This setting is not available when the mode is set to Manual. Pause Time Allows you to set the Pause Time from 0.0 to 5.0 seconds in increments of 0.1.
  • Page 42 An example of the effect of the Oscillation setting is shown in the graph below. In this example, the Oscillation setting is both, the Amplitude setting is 10 cmH O, and the Frequency setting is 10 Hz. The red line is the pressure with no oscillations applied. The blue line is the pressure waveform with the oscillations applied.
  • Page 43: Changing Device Settings

    4.5 Changing Device Settings 1. Press the Up key to enter the Main Menu screen from the Standby or Monitor screens. 2. Choose from the following selections on the Main Menu screen: Options: View and change device settings, such as Full or Limited Access mode, Detailed View, Language, etc.
  • Page 44: Changing Options Menu Settings

    4.5.1 Changing Options Menu Settings 1. From the Standby or Therapy screen, press the Menu key to enter the Main Menu. 2. Highlight Options on the Main Menu screen and press the Right soft key (Select). 3. The following settings appear on the Options screen when the device is in Full Access mode: Setting Description Menu Access...
  • Page 45: Viewing Device Data

    Year The year defaults to the current year. The adjustable range is from 2000- 2069. Hour The hour defaults to the current hour. The adjustable range is from 12 AM to 12 PM or 0-23, depending on the selected Time Format. Minute The minute defaults to the current minute.
  • Page 46: Viewing The Information Log

    • Therapy Hours • Calibration Date • Detach Battery Serial Number • Detach Battery Cycles 4.5.3 Viewing the Information Log Whenever an informational message occurs while the device is running, the icon will display at the top of the screen. This indicates that an informational message is available and the user should check the Information Log as soon as possible.
  • Page 47 CoughAssist T70 user manual...
  • Page 48: Chapter 5. Cleaning And Maintenance

    CoughAssist T70 user manual 5. Cleaning and Maintenance 5.1 Cleaning the Device The device’s exterior surface should be cleaned before and after each patient use and more often if needed. 1. Unplug the device and clean the front panel and exterior of the enclosure as needed using one of the following cleaning agents: a.
  • Page 49: Cleaning The Patient Circuit

    5. Allow the filter to air dry completely before reinstalling it. If the filter is torn or damaged, replace it. Only Philips Respironics-supplied filters should be used as replacement filters. 6. Reinstall the filter. 5.3 Cleaning the Patient Circuit WARNING: Do not attempt to sterilize the patient circuit.
  • Page 50: Chapter 6. Accessories

    “Writing Successful” appears. If the write could not happen, the message “Writing Failed” appears. Note: The SD Card does not need to be installed for the device to work properly. Note: Use only SD Cards available from Philips Respironics. Chapter 6 Accessories...
  • Page 51: Oximetry Cable

    There is a roll stand available for use with your CoughAssist T70 device. See the instructions included with the roll stand for more information. 6.6 Supplemental Oxygen The Philips Respironics CoughAssist 70 Series device is compatible with supplemental oxygen at flow rates not to exceed 30 liter per minute (lpm). CoughAssist T70 user manual...
  • Page 52: Chapter 7. Troubleshooting

    CoughAssist T70 user manual 7. Troubleshooting This chapter describes the informational messages that may appear on-screen and troubleshoots some of the problems you may experience with your device and possible solutions to those problems. 7.1 Informational Messages The following informational messages may appear on-screen. Message Description Battery Not Charging –...
  • Page 53: Troubleshooting

    7.2 Troubleshooting Question: Why isn’t my device turning on? The backlight on the buttons does not light. Answer: If you are using AC power: Check the outlet and verify that the device is properly plugged in. Make sure there is power available at the outlet and that the AC power cord is connected correctly to the power supply and the power supply cord is securely connected to the device’s power inlet.
  • Page 54 Make sure the device is not too close to a heat source. Ensure the cooling air vents are not blocked. Bring the device to ambient room temperature. Use the optional Philips Respironics Detachable Battery Charger to charge your battery. If the problem continues, contact your home care provider for assistance. Question: Why doesn’t my manual switch or my foot pedal work?
  • Page 55 CoughAssist T70 user manual...
  • Page 56: Chapter 8. Technical Specifications

    CoughAssist T70 user manual 8. Technical Specifications Environmental Operating Storage Temperature 41° F to 95° F (5° C to 35° 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 101 kPa to 77 kPa (approximately 0-2286 meters)
  • Page 57 Exposure Protection, IP22 Mode of Operation: Continuous SD Card and SD Card Reader Use only SD Cards and SD Card readers available from Philips Respironics, including the following: SanDisk ® Card Reader/Writer - SanDisk ImageMate - REF SDDR-99-A15 Displayed Parameter Accuracy Parameter...
  • Page 58: Control Accuracy

    Control Accuracy Parameter Range Accuracy Pressure -70 to 70 cmH ± 5 cmH Inhale Time 0-5 seconds ± (10% of setting + 0.1 second) Exhale Time 0-5 seconds ± (10% of setting + 0.1 second) Pause Time 0-5 seconds ± (10% of setting + 0.1 second) Pre-Therapy Breath 0 –...
  • Page 59 CoughAssist T70 user manual...
  • Page 60: Chapter 9. Emc Information

    CoughAssist T70 user manual 9. EMC Information Note: The Essential Performance of the CoughAssist T70 Series Device is defined as follows to provide the therapy function as described in the “Intended Use” section and the following specifications: -Inhale Pressure not to exceed 85 cmH O for 1 minute -Exhale Pressure not to exceed -75 cmH -Duration of inhale phase in Auto Mode within ±(10% of the setting + 0.1 seconds)
  • Page 61 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 -...
  • Page 62 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 Level Compliance Electromagnetic Environment - Level...
  • Page 63 CoughAssist T70 user manual...
  • Page 64: Limited Warranty

    CoughAssist T70 user manual Limited Warranty Respironics, Inc. warrants that the CoughAssist T70 system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of one (1) year 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.
  • Page 65 CoughAssist T70 user manual...

Comments to this Manuals

Symbols: 0
Latest comments: