ZOLL 731 Series Operator's Manual
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ZOLL 731 Series Operator's Manual

Portable critical care ventilator
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Portable Critical Care Ventilator
Operator's Guide
Models: EMV+, AEV, Eagle II
731 Series
906-0731-01 Rev. J

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Summary of Contents for ZOLL 731 Series

  • Page 1 Portable Critical Care Ventilator Operator’s Guide Models: EMV+, AEV, Eagle II 731 Series 906-0731-01 Rev. J...
  • Page 2 The issue date for the ZOLL Portable Critical Care Ventilator Operator’s Guide (REF 906-0731-01 Rev. J) is June, 2017. Copyright © 2015 ZOLL Medical Corporation. All rights reserved. ZOLL, AEV, EMV+, Eagle II and Smart Help are registered trademarks or trademarks of ZOLL Medical Corporation in the United States and/or other countries.

  • Page 3: Table Of Contents

    Software License ......................1-13 Limited Warranty ....................... 1-14 Service..........................1-15 Chapter 2 Product Overview ZOLL Ventilator Models ...................... 2-1 Common Features ...................... 2-1 EMV+ .......................... 2-2 AEV ..........................2-2 Eagle II ........................2-3 MRI Variants (Eagle II MRI and EMV+ MRI) .............. 2-3 Ventilator Controls and Indicators ..................
  • Page 4 Use of Low Flow Oxygen ....................3-15 Use In an MRI Environment ....................3-18 Chapter 4 Alarms Smart Help Messages......................4-2 Alarm Priorities ......................4-3 Ventilator Alarm Categories ....................4-4 731 Series Ventilator Alarms....................4-9 Patient Alarms ......................4-9 Device Alarms ......................4-11 Environmental Alarms ....................4-22 www.zoll.com 906-0731-01 Rev. J...
  • Page 5 Recharging Guidelines ..................... 5-10 Troubleshooting ........................ 5-11 Operator Correctable Problems ..................5-11 Operating Problems Requiring Service ................5-11 Storage ..........................5-11 Appendix A Specifications General ..........................A-1 Pulse Oximeter ........................A-3 IEC 60601-1........................A-4 Appendix B Accessories Index 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 6 Hazardous Environment Filters ....................3-11 Check Valve Connection To Breathing Circuit ................ 3-12 Oxygen Reservoir Bag Assembly ................... 3-17 ZOLL Ventilator Mounted On MRI Rolling Stand With IV Support Arm ........3-19 MR Labels on ZOLL Ventilator ....................3-20 Smart Help Example ......................... 4-1 Smart Help Display ........................

  • Page 7: General Information

    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 8: Unpacking

    U.S.A. customers should call ZOLL Medical Corporation (1-973-882-1212). Customers outside of the U.S.A. should contact the nearest ZOLL authorized representative. If the shipping container is damaged, also notify the carrier. If there is no apparent sign of mechanical damage, read instructions contained within this manual before attempting operation.
  • Page 9 External Power: Indicates the unit is operating using an external power source. No External Power: Indicates the unit is operating without an external power source. Internal Battery: Provides indication of battery capacity and charging. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 10 Power Input Orientation: Locates the DC input identifying its point of insertion. Manufacturer: This symbol shall be adjacent to the name and address of the manufacturer. Manufacturer Date: Manufacturer Date Symbol identifies the device’s date of manufacture. www.zoll.com 906-0731-01 Rev. J...

  • Page 11: Conventions

    Warning statements alert you to conditions or actions that can result in personal injury or death. Caution Caution statements alert you to conditions or actions that can result in damage to the unit. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 12: 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 www.zoll.com 906-0731-01 Rev. J...

  • Page 13: Indications Of Use

    Indications of Use The devices in the ZOLL ventilator are indicated for use in the management of infant through ≥ adult patients weighing 5 kg with acute or chronic respiratory failure or during resuscitation by providing continuous positive-pressure ventilation. They are appropriate for use in hospitals, outside the hospital, during transport and in severe environments where they may be exposed to rain, dust, rough handling, and extremes in temperature and humidity.

  • Page 14: Warnings

    The use of accessories and cables other than those specified, with the exception of • accessories and cables sold by ZOLL as replacement parts for internal components, may result in increased emissions or decreased immunity of this device. Note:...
  • Page 15 The unit must be connected to a grounded AC power supply when connected to AC power. • The unit and its ZOLL-supplied integrated pulse oximeter are referred to as an IEC 601/F device in the summary situation table contained in IEC-601-1-1.

  • Page 16: Pulse Oximeter

    Do not immerse the sensor in water, solvents, or cleaning solutions (The sensors and connectors are not waterproof). Do not sterilize by irradiation, steam, or ethylene oxide. See the cleaning instructions in the directions for reusable ® Masimo LNCS sensors. 1-10 www.zoll.com 906-0731-01 Rev. J...

  • Page 17: Cautions

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

  • Page 18: Fda Tracking Requirements

    • donated, resold, or otherwise distributed to a different organization • If any such event occurs, contact ZOLL Medical Corporation in writing with the following information: 1. Originator's organization – Company name, address, contact name, and contact phone number...

  • Page 19: Notification Of Adverse Events

    Notification of Adverse Events As a health care provider, you may have responsibilities under the Safe Medical Devices Act (SMDA), for reporting to ZOLL Medical Corporation, and possibly to the FDA, the occurrence of certain events. These events, described in 21 CFR Part 803, include device-related death and serious injury or illness.

  • Page 20: Limited Warranty

    NFORMATION Limited Warranty ZOLL warrants the device to be free from all defects in material and workmanship for a period of one (1) year from the date of delivery to the original purchaser. During the warranty period, ZOLL will repair or replace the device or any part which upon examination is shown to be defective.

  • Page 21: Service

    • Returning a unit for service Before sending a unit to the ZOLL Technical Service Department for repair, obtain a service request (SR) number from the service representative. The Lithium ion battery should remain inside the unit. Follow directions provided on the RGA.
  • Page 22 ENERAL NFORMATION For customers Return the unit to In other locations The nearest authorized ZOLL Medical Corporation representative. To locate an authorized service center, contact the International Sales Department at ZOLL Medical Corporation 269 Mill Road Chelmsford, MA 01824-4105 Telephone: 1-978-421-9655 1-16 www.zoll.com...

  • Page 23: Product Overview

    Chapter 2 Product Overview ZOLL Ventilator Models The ZOLL Critical Care ventilator is designed to manage infant through adult patients with acute or chronic respiratory failure or during resuscitation by providing continuous positive-pressure ventilation. (See “Indications of Use”) The ventilator comes in five models: EMV+ •...

  • Page 24: Emv

    The AEV ventilator is built for managing ventilator support patients during ambulance transport. It’s ventilation modes (AC, CPAP with PS and NPPV) are specifically chosen to be consistent with pre-hospital care provider’s operating procedures. AEV Ventilator www.zoll.com 906-0731-01 Rev. J...

  • Page 25: Eagle Ii

    12 ft. MRI patient circuits and can be mounted on an available MRI conditional roll stand. Eagle II MRI Ventilator Note: The Pulse Oximeter cannot be used in an MRI environment. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 26: Ventilator Controls And Indicators

    RODUCT VERVIEW Ventilator Controls and Indicators The following illustration shows the ZOLL ventilator’s main features: ZOLL Ventilator Features www.zoll.com 906-0731-01 Rev. J...

  • Page 27: Zoll Ventilator Features

    Displays the unit’s settings, patient data, and alarm information Alarm Message Center Displays active alarms and mitigation information Control Panel Access to the unit settings Battery Compartment Contains the unit’s rechargable lithium ion battery 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 28: Pneumatic Diagram

    RODUCT VERVIEW Pneumatic Diagram The following image is a diagram of the ZOLL ventilator’s pneumatic design. Pneumatic Diagram www.zoll.com 906-0731-01 Rev. J...

  • Page 29: Connector Panel

    AIR INTAKE Connector Panel The connector panel for the ZOLL ventilator unit has the following components: Oxygen Input -- connects the unit to the output of an appropriate oxygen regulator attached to a medical-grade (USP) oxygen cylinder. The OXYGEN IN fitting has a male oxygen Diameter Index Safety System (D.I.S.S.) thread.

  • Page 30: Controls And Indicators

    Parameters in Outlined text cannot be adjusted. For example, during volume targeted ventilation the PIP value is displayed as outlined text because it is dependent on the patient’s resistance and compliance. In pressure targeted ventilation the tidal volume is outlined text. Example: Outlined/Normal Text www.zoll.com 906-0731-01 Rev. J...

  • Page 31: Controls

    Both limits are adjustable by 1 b/min. The default value at start up for the high alarm limit is 120 b/min; the low alarm 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 32 O Reservoir.) 1. O Use = ((FIO -0.21)/0.79)*Minute Volume where FIO is represented as a fraction and minute volume is the actual minute volume (controlled and spontaneous breaths * tidal volume). 2-10 www.zoll.com 906-0731-01 Rev. J...
  • Page 33 When the unit is turned on, either the default Rise Time or a User Rise Time will be used. Using the Pressure-Time waveform as reference will assist the operator in setting the Rise Time. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-11...
  • Page 34 Pressure targeting ventilation provides a constant airway pressure for the duration of the inspiratory time using a decelerating flow pattern. See “Additional Modes of Operation” for a 2-12 www.zoll.com 906-0731-01 Rev. J...
  • Page 35 CONFIRM/SELECT button to access the menu control. Pressing CONFIRM/SELECT then accesses the parameter variable which is changed by turning the ROTARY ENCODER to the desired value. To accept the new parameter value, press the CONFIRM/SELECT 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-13...
  • Page 36 ZOLL also strives to provide user-friendly options to our customers and allow them to set up certain USER Start-up selected modes after their acquisition of the equipment as they know best what their patient base and needs for mechanical ventilatory support are within their respective region or facilities.
  • Page 37 B. Cal date: displays the date of the last calibration. C. Hours of Op: displays the hours of operation since the last calibration. D. EMV Soft Rev: displays the ZOLL ventilator software revision that is in use with the device.
  • Page 38 RODUCT VERVIEW I. SPM Model: displays the model number of the SPM portion of the ZOLL ventilator. Contrast -- allows the operator to adjust the contrast of the LCD to optimize visibility in the current lighting environment. The default is 213; increasing the value increases the contrast while decreasing the value decreases the contrast.

  • Page 39: Display Screen

    When a Low priority alarm is muted, the pleth is returned to the screen. For all priority alarms, the LED indication lights remain active even if the alarm information is not shown on the screen. B. SpO2 -- Displays the SpO and Low/High SpO alarm limits. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-17...
  • Page 40 L. External Power Icon/Indicator -- Indicates the presence of external power. When no external power is sensed, the icon/indicator presents with a diagonal line. If an External Power Low or External Power Fail/Disconnect alarm occurs, the icon flashes off/on. 2-18 www.zoll.com 906-0731-01 Rev. J...
  • Page 41 0, 50, and 100 cm H O. Above the bar graph, measured values for delivered minute volume, mean airway pressure (MAP), and actual breathing rate (set plus spontaneous) are displayed. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-19...

  • Page 42: Pop Up Messages

    In addition, Pop Up messages can call for the operator to CONFIRM/SELECT that they are entering configurations where certain alarms are being suppressed, turned “off”, and/or cancelled. Pop Up Message Example 2-20 www.zoll.com 906-0731-01 Rev. J...
  • Page 43 Cannot adjust low limit higher than high limit PIP SETTING CONFLICT Cannot adjust PIP target higher than PIP High Limit PIP SETTING CONFLICT Cannot adjust PIP target to less than 5 more than PEEP 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-21...
  • Page 44 Cannot adjust low limit higher than high limit LIMIT CONFLICT Cannot adjust low limit higher than V Setting LIMIT CONFLICT Cannot adjust V Setting above V High Limit LIMIT CONFLICT Cannot adjust V Setting above V Low Limit 2-22 www.zoll.com 906-0731-01 Rev. J...

  • Page 45: Set-Up

    Warning! This unit’s USB connection does not provide any signal output or input to the operator. It is for the use of ZOLL-trained personnel only. The operator should not connect anything to the USB connection. 906-0731-01 Rev. J...

  • Page 46: External Gas Sources

    RODUCT VERVIEW External Gas Sources The unit can operate using high-pressure oxygen from either oxygen cylinders or piped oxygen sources, as illustrated below: External Gas Sources 2-24 www.zoll.com 906-0731-01 Rev. J...

  • Page 47: Fresh Gas/Emergency Air Intake

    The Fresh Gas/Emergency Air Intake also acts as an anti-asphyxia port in the event of a ventilator failure. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-25...

  • Page 48: Ventilator Circuits: Connections

    Ventilator Circuit Device Connections Caution Always dispose of the circuit after single patient use following the institutional guidelines for biologically contaminated material. Reusing the circuit can result in cross contamination between patients. 2-26 www.zoll.com 906-0731-01 Rev. J...

  • Page 49: Ventilator Circuits: Patient Connections

    Infant/Pediatric (Part #820-0107-00) and Pediatric/Adult (Part #820-0106-00). Similar circuits (differing only in hose length) are available for use in an MRI environment: Infant/Pediatric (Part #820-0131-00) and Pediatric/Adult (Part #820-0130-00). The circuits are illustrated below: Ventilator Circuit, Patient Connections 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-27...

  • Page 50: Ventilator Circuits: Resistance, Compliance, And Deadspace

    Resistance measured at Flow (l/min) ≥ Adult Pediatric 12-50 Infant 5-12 ZOLL provides four ventilator circuits depending on patient size and longer length required for MRI operation, as indicated in the following table: Ventilation Circuit ZOLL Part Number Warning! Dead Space (ml) Pediatric/Adult #820-0106-00 Do not use on Infant patients.

  • Page 51: Operating Power Selection And Stopping

    10 hours of operation at factory default settings with pulse oximeter operating at 25C). External AC/DC Power Supply (110-240 VAC 50/60 and 400 Hz--ZOLL verified testing, and 110-240 VAC 50/60--SGS listed) with IEC 320 style AC input connector (supplied). The AC/DC Power Supply provides a DC output of 24V at 4.2A.

  • Page 52: Power Supply Connections

    Failure to do so may damage the power connection plug and prevent it from functioning. 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 power supply assembly. Power Supply Latching 2-30 www.zoll.com 906-0731-01 Rev. J...

  • Page 53: Self-Check

    (zeroing). The AUTO CAL is performed during self-check, and then every 5 minutes ° thereafter. However, if a temperature change exceeding +/- 1.5 C is sensed, the AUTO CAL time interval is reduced automatically to assure a stable pressure measurement baseline. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-31...

  • Page 54: Pulse Oximeter Principles

    R-values. The S(660) and S(905) signals are processed with each possible N’ noise reference through an adaptive correlation canceler (ACC), which yields an output power for each possible value of R (i.e., each possible SpO from 1% to 100%). The result is a Discrete 2-32 www.zoll.com 906-0731-01 Rev. J...

  • Page 55: Pulse Oximeter Discrete Saturation Transformation

    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. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 2-33...
  • Page 56 RODUCT VERVIEW 2-34 www.zoll.com 906-0731-01 Rev. J...

  • Page 57: Chapter 3 Operation

    Overview Introduction The ZOLL ventilator is a volume and pressure targeted, time or flow cycled ventilator designed to use either oxygen from a 55 psig source or fresh air using its internal compressor to deliver a positive pressure breath. The user interface allows the operator to initiate the unit at default setting values.

  • Page 58: Pulse Oximeter

    A blood pressure cuff is inflated on the same extremity as the one with a SpO sensor attached. The patient has hypotension, severe vascoconstriction, severe anemia, or hypothermia. There is an arterial occlusion proximal to the sensor. The patient is in cardiac arrest or is in shock. www.zoll.com 906-0731-01 Rev. J...

  • Page 59: Operation

    PS and PEEP are zero, which would ≥ violate (PEEP + PS) 3 cm H Note: Negative pressure is not available in the expiratory phase. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 60: Additional Adjuncts Of Operation

    Insufficient Flow (Alarm #2095) ® ™ To start NPPV in either EMV+ and/or Eagle II 1. Press MODE button to highlight mode. Select CPAP and press Accept. Press MODE button until the PPV field is selected. Adjust to NPPV. www.zoll.com 906-0731-01 Rev. J...
  • Page 61 NPPV into CPAP Default Value NPPV to P Default Value High BPM Alarm Low BPM Alarm Low Airway Pressure Alarm (PIP Target = -3) (PIP Target = -3) PEEP No change No change High Limit 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 62: Spontaneous/Assisted Breath Trigger

    PATIENT DISCONNECT alarm should activate. Partially close the patient port to reset the PATIENT DISCONNECT alarm. With no other alarms occurring, remove external power from the ventilator. The EXTERNAL POWER LOW/DISCONNECT alarms should activate. Reconnect external power to reset alarms. www.zoll.com 906-0731-01 Rev. J...

  • Page 63: To Begin Ventilating

    2. Other airways can include: laryngeal mask airway, esophageal obturator airway, and combination esophageal-tracheal tubes though their use should be under the direction of the attending physician. See AARC Clinical Practice Guideline, Management of Airway Emergencies Respiratory Care 1995;40(7): 749-760 Section 10.2.2. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 64: To Change Settings

    Press the CONFIRM/SELECT button switch “√” to complete the value change. 3. If the accuracy of any measurements does not seem reasonable, first check the patient’s vital signs by alternate means and then check the pulse oximeter for proper functioning. www.zoll.com 906-0731-01 Rev. J...

  • Page 65: Back Up Ventilator

    HMEs or HMEFs attach between the disposable ventilator circuit and patient’s endotracheal tube. Be sure to follow all instructions provided by the manufacturer. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 66 4 (infant/ ped) 10 ml ZOLL does not offer a heated humidifier option for the unit. Users are cautioned to carefully consider the ramifications of such use and the effect it may have upon device performance and the patient’s comfort. Such humidifiers have been shown to increase the work of breathing in portable ventilators .

  • Page 67: Hazardous Environment Filters

    22 mm conical fitting into the Fresh Gas/Emergency Air Intake. Caution If filters have been exposed to biological matter, dispose of them following the Universal Precaution procedures for your facility. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 3-11...

  • Page 68: Chemical/Biological Filter Use

    Use of the 3M canister does not constitute endorsement or recommendation of the 3M device. Use and selection of the appropriate filter should always be under the direction of the Incident Commander. 3-12 www.zoll.com 906-0731-01 Rev. J...

  • Page 69: Harsh Environment Operation

    49 C (-13 to 120 F). In addition, the device has been validated by ZOLL to be capable of operating over the entire range using ° ° external power. When the internal battery temperature drops below 0 or goes above 45 C, a Low Priority alarm activates, alerting the operator that the battery is no longer charging.

  • Page 70: Altitude

    In cases of driving rain, where water could possibly enter the unit’s compressor, a bacterial/viral filter can be used to protect the compressor inlet. 3-14 www.zoll.com 906-0731-01 Rev. J...

  • Page 71: Use Of Low Flow Oxygen

    Gas/Emergency Air Intake when the unit’s internal compressor cycles to deliver a breath. In order to assure efficient oxygen delivery, ZOLL recommends that the operator use the Oxygen Reservoir Bag Assembly (Part #704-0004-00). The assembly performs a number of functions.
  • Page 72 500, PEEP 5, I:E 1:2.5 Flow l/min (set) (actual) % Chg -0.8 -2.6 -4.2 -5.0 -6.8 -8.2 AC 18, V 300, PEEP 5, I:E 1:2.5 Flow l/min (set) (actual) % Chg -1.7 -3.0 -4.3 -4.7 -7.0 -8.3 3-16 www.zoll.com 906-0731-01 Rev. J...

  • Page 73: Oxygen Reservoir Bag Assembly

    Oxygen Reservoir Bag Assembly 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 3-17...

  • Page 74: Use In An Mri Environment

    Ventilator-Final Report” by Joseph C. McGowan, PhD PE (8-13-2010). As recommended by the MRI standard guidance, the details of this MRI/ventilator test are being reported in the ZOLL Ventilator Operator’s Guide for use by the operator in comparing the test conditions with their use conditions.

  • Page 75: Zoll Ventilator Mounted On Mri Rolling Stand With Iv Support Arm

    Table 2: MRI scan parameters for image artifact testing of the ZOLL ventilator and ZOLL roll stand, and functionality of the ventilators. Parameter 3.0 T Sequence Type Spin-Echo Gradient-Echo Repetition Time, TR 500 ms 250 ms Echo Time, TE 20 ms...

  • Page 76: Mr Labels On Zoll Ventilator

    Only ZOLL ventilators marked with an “MRI conditional” label should be used in the MRI environment. MR Labels on ZOLL Ventilator The four main MRI hazard concerns regarding the use of the ZOLL ventilator in an MRI environment and their remediation are as follows: Hazard...
  • Page 77 MRI/Ventilator Warnings To address the above potential hazards, the following Warnings apply when using the ZOLL ventilator unit in an MRI environment: Only ZOLL ventilators marked with an “MRI conditional” label should be used in the MRI • environment. The operator shall follow all safety procedures that are in effect for the MRI environment.
  • Page 78 The longer breathing circuits may affect the required settings of the vent from the settings used with the shorter breathing circuits in a non-MRI environments. Caution The use of longer breathing circuits may increase the risk of self-triggering of ventilator breaths. Reducing the pressure trigger sensitivity may solve this problem. 3-22 www.zoll.com 906-0731-01 Rev. J...

  • Page 79: Chapter 4 Alarms

    Chapter 4 Alarms ™ The ZOLL Portable Critical Care Ventilator uses Smart Help messages that provide a comprehensive suite of alarms to alert operators and guide their actions to resolve alarm conditions and assure patient safety. At the onset of an alarm, the screen displays the alarm name and then a series of context-sensitive Smart Help messages.

  • Page 80: Smart Help Messages

    Alarms are prioritized based on the risk to the patient. The alarm with the greatest risk to the patient is always presented first. All messages are context-based and suggest what is causing the condition and/or how it can be resolved. Smart Help Display www.zoll.com 906-0731-01 Rev. J...

  • Page 81: Alarm Priorities

    Pressing the MUTE/CANCEL button cancels the audible signal. If the alarm is not resolved, the yellow LED remains illuminated to remind the operator of the fault or failure. Some Low Priority alarms may be canceled to avoid nuisance alarms. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 82: Ventilator Alarm Categories

    >80 psig, the unit automatically shuts down to prevent harm to the patient and/or ≥ ≤ damage to the unit. When the pressure is 75 and 80 psig, a Low Priority alarm sounds, warning the operator of the potential shutdown should pressure increase beyond the current level. www.zoll.com 906-0731-01 Rev. J...
  • Page 83 Resolution of this fault is typically associated with problems causing restrictions to the exhalation valve. Pressing the MUTE/CANCEL button mutes the audible alarm for 30 seconds. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 84 Pressing the MUTE/CANCEL button mutes the audible alarm, but the persistent message and yellow LED remain. www.zoll.com 906-0731-01 Rev. J...
  • Page 85 Pressing the MUTE/CANCEL button cancels the alarm. To clear the alarm, reposition the sensor to a better site or suspend SpO monitoring by placing it in standby (stby). 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 86 Pressing the MUTE/CANCEL button cancels the alarm. To clear the alarm, use an appropriate sensor or suspend SpO monitoring by placing it in standby (stby). www.zoll.com 906-0731-01 Rev. J...

  • Page 87: 731 Series Ventilator Alarms

    731 Series Ventilator Alarms The ZOLL 731 Series Ventilator displays alarms that indicate the following types of alarm conditions: Patient Alarms -- triggered by the actions or condition of the patient • Device Alarms -- triggered by a malfunction or internal fault with the device •...
  • Page 88 The pulse oximeter determines the quality of the input signal is low due to excessive motion or artifact. Mitigation/Info: Signal Artifact, Minimize Patient Movement, Check Sensor Placement, Check Sensor Operation **Turn Off Pulse Ox Monitoring** 4-10 www.zoll.com 906-0731-01 Rev. J...

  • Page 89: Device Alarms

    40 psig. Mitigation/Info: Manually Ventilate Patient, Connect 55 psig O2 then Restart, Check O2 Supply for Leaks,Replace Regulator **Replace/Service Ventilator** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-11...
  • Page 90 1174 Off Set Self Check Failure The device is not able to calibrate the one or more transducers and is no longer able to operate safely. Mitigation/Info: Manually Ventilate Patient, Ventilator Not Functioning **Replace/Service Ventilator** 4-12 www.zoll.com 906-0731-01 Rev. J...
  • Page 91 LCD is not visible. When this occurs, ventilation continues at the current settings or the backup mode settings and the High Priority alarm sounds. Mitigation/Info: Manually Ventilate Patient, Backup Ventilator Enabled **Replace/Service Ventilator** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-13...
  • Page 92 SpO2 by adjusting the oxygen supply up or down to increase or decrease the amount of oxygen delivered to the patient. Mitigation/Info: Operation Switched to Compressor, Check O2 Supply Pressure, Check/Replace Regulator, Set FIO to 21%, Connect Low Flow O2, Monitor SpO2 **Replace/Service Ventilator** 4-14 www.zoll.com 906-0731-01 Rev. J...
  • Page 93 (provided it is set properly as well). Mitigation/Info: Check Circuit for Kinked Hose/Tube, Check For Airway Obstruction, Suction Airway If Necessary, If Low Limit Set Correctly? **Manually Ventilate Patient** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-15...
  • Page 94 Mitigation/Info: Internal Failure, SpO2/HR Not Available, Turn Off Pulse Ox **Replace/Service Ventilator** 2301 Internal Communication Failed The communication between the pulse oximeter and the unit fails. Mitigation/Info: Pulse Ox Module Failure, SpO2/HR Not Available, Turn Off Pulse Ox **Replace/Service Ventilator** 4-16 www.zoll.com 906-0731-01 Rev. J...
  • Page 95 Communication between the compressor controller and SPM is lost, HP O is available to provide ventilation, and the operator has set the FIO to 100%. Mitigation/Info: Assure 55 psig O2, O2 Operation Only! **Replace/Service Ventilator** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-17...
  • Page 96 Mitigation/Info: Barometric Pressure Sensor, Altitude Compensation Disable, Maintain Airway Pressure, Check Patient Chest Rise, Avoid Use At Varying Altitude **Replace/Service Ventilator** 4-18 www.zoll.com 906-0731-01 Rev. J...
  • Page 97 The pulse oximeter does not recognize the connected sensor. The alarm can also occur when there is a broken sensor cable, inoperative LEDs, a fault is detected, and/or the sensor has failed. Mitigation/Info: Invalid Pulse Ox Sensor, Replace Sensor **Turn Off Pulse Ox Monitoring** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-19...
  • Page 98 External Power Failed (Insufficient Current) The external power supply has insufficient current. When this occurs, the unit automatically switches to operation using the internal battery. Mitigation/Info: Internal Battery Operation, Check/Replace Power Supply, Change Power Source **Remove DC Connection** 4-20 www.zoll.com 906-0731-01 Rev. J...
  • Page 99 The unit software detects that it has not been calibrated with the SPM that is inside the unit. This fault occurs when the biomedical technician fails to recalibrate the unit following an SPM change or service. Mitigation/Info: Hardware Compatibility Failure, Update Calibration Records **Replace/Service Ventilator** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-21...

  • Page 100: Environmental Alarms

    The ambient pressure transducer detects an altitude >25,000 feet (7620 meters). Beyond this altitude, compensation remains fixed at the 25,000 ft compensation level. Mitigation/Info: Excessive Altitude Detected, Beyond Altitude Compensation Limit, Maintain Airway Pressure, Check Patient Chest Rise, Monitor Ventilator/Patient **Reduce Altitude** 4-22 www.zoll.com 906-0731-01 Rev. J...
  • Page 101 Mitigation/Info: Battery Too Hot to Discharge, DO NOT Remove External Power!, Remove Padded Case, Assure Ability to Manually Ventilate Patient, Shade Patient and Ventilator **Move to Cooler Location** 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-23...
  • Page 102 This failure may be caused by a significant blockage of the exhalation valve or an occlusion/kink in the exhalation valve tube. Mitigation/Info: Manually Ventilate Patient, Replace Circuit and Restart **Replace/Service Ventilator** 4-24 www.zoll.com 906-0731-01 Rev. J...

  • Page 103: Alarm Turn Off And Cancellation

    Spontaneous Breath-PIP Low 2172 Spontaneous Breath-V High 2173 Spontaneous Breath-V 2300 Pulse Ox Module Failed 2301 Internal Communication Failed 2314 SpO2 Sensor Off Patient 2401 SpO2 Low 2410 Heart Rate High 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-25...

  • Page 104: Alarm Turn Off At Extreme Range Limits

    High Breath High Heart Low Heart High PIP Low Low SpO2 Rate Rate Rate 99 BPM 3 cm H 2000 ml 0 ml 240 BPM 30 BPM 4-26 www.zoll.com 906-0731-01 Rev. J...

  • Page 105: Alarm Cancellation In Alarm Configuration Menu

    Self Check Fault, calibration due (Alarm #3120) RTC Battery Fault (Battery Low) (Alarm #3110) Incomplete Exhalation (Alarm #3110) PEEP Leak (Alarm #2090) Fresh Gas Intake Fault (Alarm #3031) Patient Inspiratory Demand Not Met (Alarm #3092) 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator 4-27...
  • Page 106 LARMS 4-28 www.zoll.com 906-0731-01 Rev. J...

  • Page 107: Chapter 5 Maintenance

    Chapter 5 Maintenance The ZOLL ventilator must be maintained to be ready for immediate use. The device should be incorporated into a regular preventative maintenance program to insure compliance with operating specifications. Calibration Checks Calibration checks should be done every 12 months or 1500 service hours, unless significant usage warrants a shorter period between preventative maintenance inspections.

  • Page 108: General Cleaning

    To insure compliance with operating specifications, it is the user’s responsibility to insure that periodic preventative maintenance is performed. It is recommended that the In-Field Calibration Check be performed by ZOLL or a certified ZOLL service facility.

  • Page 109: Fresh Gas/Emergency Air Intake Disk Filter Replacement

    If filters have been exposed to biological matter, dispose of them following Universal Precaution procedures for your facility. Note: Do not attempt to clean this filter and do not operate internal compressor without a filter in place. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 110: Internal Filter Change/Insertion

    Compressor Inlet Fitting Assembly to the SPM Chassis. Lift the two (2) segments of the Compressor Inlet Fitting Assembly away from the unit. If the two segments come apart, do not lose the gasket that seats between the parts. Alignment Pins www.zoll.com 906-0731-01 Rev. J...
  • Page 111 (4) 8-32 x 3 Phillips Flat Head screws. Momentarily turn the unit’s POWER switch to its “ON” position to confirm operating power. A DISCONNECT alarm will sound. Turn the unit’s POWER switch to its “OFF” position. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 112: Post-Contaminated Environment Cleaning

    ZOLL suggests that each facility have in place a procedure for the cleaning and disinfection of its medical equipment and that these procedures to consulted for further guidance.

  • Page 113: Battery Maintenance

    2 hours. Following these simple guidelines will prevent premature charge depletion and reduction of battery life. Caution Only use the Power Supply provided with the unit (ZOLL PN 703-0731-01). Use of any other power supply could cause damage or create a fire and/or destroy the battery and unit. Caution...
  • Page 114 “disappears” as battery capacity is reduced by a 5% increment. The Battery icon will flash off/on when a BATTERY POWER LOW alarm occurs. The icon will flash off/on and present a diagonal line when no battery is connected. www.zoll.com 906-0731-01 Rev. J...

  • Page 115: Internal Battery Change/Insertion

    Phillips Head Screwdriver Warning! Before attempting to replace the battery pack (ZOLL PN 703-0731-01), make sure that external power is disconnected and the unit’s Power Switch is set to “OFF”. Procedure: Remove the four (4) 6-32 x 5/16 Phillips Pan Head screws located at the bottom of the unit.

  • Page 116: Recharging Guidelines

    F even though the unit is still connected to external power. ° ° Under these conditions, battery temperature can get as high as 10 C/50 F above the ambient temperature. Charging will automatically start when the ambient temperature drops. ZOLL Ventilator Storage Case 5-10 www.zoll.com 906-0731-01 Rev. J...

  • Page 117: Troubleshooting

    Troubleshooting Authorization to service this instrument by other than factory-trained and certified personnel will not be given, nor does ZOLL assume any responsibility and/or liability resulting from such unauthorized servicing. Operator Correctable Problems Common problems may be quickly rectified by the operator following the alarm mitigation instructions.
  • Page 118 Following 6 months of continuous storage/non-use, or longer, the device should be examined, operationally tested, and its batteries recharged before patient use is attempted. Service may be required. Servicing should be performed by only qualified personnel. 5-12 www.zoll.com 906-0731-01 Rev. J...

  • Page 119: Appendix A Specifications

    O (294 to 3432 Pa) Limit Breath Trigger -6.0 to -0.5 cm H O (-588 to -49 Pa) below baseline/PEEP PIP Bar Graph -10 to 100 cm H O (-980 to 9806 Pa) ZOLL Portable Critical Care Ventilator 906-0731-01 Rev. J...
  • Page 120 ~60 dBA when measured at 1 meter (operating at default settings using the compressor only) Operating Voltages 100 to 240 VAC (50/60 and 400 Hz) or 12.5 to 28.0 VDC, verified by ZOLL 100 to 240 VAC (50/60 Hz) or 12.5 to 28.0 VDC, SGS listed Operating Time...

  • Page 121: Pulse Oximeter

    Carboxyhemoglobin may erroneously increase readings. The level of increase is approximately equal to the amount of carboxyhemoglobin present. Dyes, or any substance containing dyes, that change usual arterial pigmentation may cause erroneous readings. 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...

  • Page 122: Iec 60601-1

    Anesthetic Mixture with Air or with or Nitrous Oxide Oxygen or Nitrous Oxide Mode of Operation Continuous Operation 7.9.2.5 Applied Parts Ventilator circuit is Type BF applied part. Pulse Oximeter is Type BF Defibrillation Proof Applied Part. www.zoll.com 906-0731-01 Rev. J...
  • Page 123 IEC 60601-1-2 clause 5.2.2.1 c Guidance and manufacturer’s declaration-electromagnetic emissions The ZOLL ventilators are intended for use in the electromagnetic environment specified below. The customer or user of the ventilator should ensure that they are used in such an environment...
  • Page 124 IEC 60601-1-2 clause 5.2.2.2: life support equipment Guidance and manufacturer’s declaration-electromagnetic emissions The ZOLL ventilators are intended for use in the electromagnetic environment specified below. The customer or user of the ventilator should ensure that they are used in such an environment...
  • Page 125 Recommended separation distances between portable and mobile RF communications equipment and the ZOLL ventilators. The ZOLL ventilators are intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ZOLL ventilators can help prevent electromagnetic interference by...
  • Page 126 ± Pressure Target Accuracy 5 cm H O for setting < 30, else 10 cm H ± ± PEEP Accuracy 1.5 cm H 10 of setting ± ± Accuracy 3% of full scale 10 of setting www.zoll.com 906-0731-01 Rev. J...

  • Page 127: Appendix B Accessories

    Appendix B Accessories The following accessories are comparable for use with the ZOLL ventilator. To order any of these items, contact ZOLL or your local distributor. Part Number Part Description 024-0012-00 AC/DC Power Supply, 100-240 VAC, 100 W, 24 V, 4.2 A, IEC 320 Plug 708-0042-00 AC Power line cord, 6’...
  • Page 128 708-0036-00 Cable, 3ft, Masimo SET Oximeter, LNCS Type DC-1, Adult Digit Sensor to DB9 Male Note: All LNCS Masimo cables are approved for use with the ZOLL ventilators 708-0037-00 Cable, 4ft, Masimo LNCS Patient Cable Type LNC-4, DB9 Female to Male...
  • Page 129 Breathing Circuit support arm for Rolling Cart (ferrous, not for MRI use) 800-0904-01 CCLAW (Critical Care Litter Attachment Widget) Mounting Bracket 703-0731-03 Carry-all Case with Foam Inserts, without AC Receptacle 703-0EMV-03 Carry-all Case with AC Receptacle 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator...
  • Page 130 Mask, CPAP, #6, Large Adult with Harness (Case of 20) 712-0003-50 Mask, CPAP, #6, Large Adult with Harness (Case of 50) 334-0125-00 Harness, Mask, Universal 334-0125-00 Harness, Mask, Universal (Case of 10) 820-0132-00 600 ml ZOLL Test Lung, plastic/silicone www.zoll.com 906-0731-01 Rev. J...

  • Page 131: Index

    Transducer (Patient Airway Pressure) .................. 2-7 USB Connector ........................2-7 Controls ..........................2-8–2-16 BPM (Breathing Rate) ....................2-11–2-12 Confirm/Select ........................2-13 FIO2 ............................ 2-10 HR ..........................2-9–2-10 Manual Breath ........................2-13 Menu ..........................2-13–2-16 Mode ..........................2-12–2-13 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator Index-1...
  • Page 132 Rain and Snow ........................3-14 Hazardous Environment Filters ..................3-11–3-12 Bacterial/Viral ........................3-11 Change/Insertion ......................5-4–5-5 Check Valve on Breathing Circuit ..................3-12 Chemical/Biological ......................3-12 Foam Filter ..........................5-2 Fresh Gas/Emergency Air Intake Disk Filter ............... 5-3 Index-2 www.zoll.com 906-0731-01 Rev. J...
  • Page 133 Principles ........................2-32–2-33 Specifications ........................A-3 Self-Check ..........................2-31 Service ..........................1-15–1-16 Set-up ............................2-23 Smart Help Messages ......................4-2–4-3 Software License ........................1-13 Specifications Accuracy/Precision ......................A-8 General ......................... A-1–A-2 906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator Index-3...
  • Page 134 Resistance, Compliance, and Deadspace ..............2-28–2-29 Ventilator Models AEV ............................2-2 Common Features ......................... 2-1 Eagle II ..........................2-3 EMV+ ........................... 2-2 MRI Variants ........................2-3 Warnings ..........................1-8–1-11 General ........................... 1-8–1-9 Pulse Oximeter ......................1-10–1-11 Index-4 www.zoll.com 906-0731-01 Rev. J...

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