No, the sigh breath on the Ventec Life Systems V+Pro cannot be adjusted. When the Sigh control is set to On, a sigh breath is automatically delivered at 150% of the set Tidal Volume every 100th mandatory or assist breath. This setting is fixed and only available in volume ventilation modes (Assist/Control-Volume and SIMV-Volume).

This answer is automatically generated

Summary of Contents for Ventec Life Systems Vocsn V+Pro

Page 1 Clinical and Technical Manual V+Pro Emergency Configuration, Software Versions 4.08 to 4.13...
Page 2 Copyright: © 2020, Ventec Life Systems 22002 26th Ave SE Bothell, WA 98021 USA Part Number: LBL-00176-000, Rev C CAUTION: Federal law restricts this device to sale and use by or on the order of a physician. VentecLife.com...
Page 3: Table Of Contents
Table of Contents Table of Contents Introduction Therapy Overview VOCSN Configuration Leak+ Performance Ventilation Portability Indications for Use VOCSN Training Suggested Environments of Use Home Environments Hospital Environments Institutional Environments Transport Environments Getting Started Package Contents Contraindications System Overview VentecLife.com...
Page 4 Table of Contents Setup VOCSN Placement Power Setup The Power Supply The Optional 24 Volt Wheelchair Power Cable The Removable, Rechargeable Batteries Ventec One-Circuit Setup Using a Trach, ET Tube, or Non-Vented Mask Using a Vented Mask Using a High Flow Nasal Cannula Connecting an Active, Passive, or Valveless Ventec One-Circuit Ventec One-Circuit Component Connection Order Connecting an External Bacterial Filter...
Page 5 Table of Contents Breath Types and Therapy Modes Breath Types Pressure Breaths Volume Breaths Spontaneous Breaths VOCSN Ventilation Modes Bi-Level Mode Assist/Control-Pressure with an Active, Passive, or Valveless Ventec One-Circuit Assist/Control-Pressure with a Mouthpiece Patient Circuit SIMV-Pressure Mode CPAP Function High Flow Therapy Assist/Control-Volume Mode Assist/Control-Volume with an Active, Passive, or Valveless Ventec One-Circuit...
Page 6 Table of Contents The Touchscreen Locking the Touchscreen The Status Bar The Home Screen Night Mode and Day Mode The Therapy Screen The Monitors Screen The Customization Button The Waveforms Button The Menu Screen The Pre-Use Test Button The Settings & Alarms Button The Device Settings Button The Logs Button The Clinician Access Button...
Page 7 Table of Contents Alarms Alarm Silence Button Changing Alarm Settings Alarm Conditions and Settings The Alarm Log The Event Log Clearing an Alarm Remote Alarms and Nurse Call Systems (Optional) Monitors Ventilation Monitors Waveform Monitors Monitor Screen Customization Oxygen Therapy Monitor Nebulizer Compensation Monitor System Monitors Multi-View...
Page 8 Table of Contents Checkout Procedure Visual Inspections Inop Alarm Test Power Testing Procedures Ventilation and Oxygen Testing Procedures Ventilation And Oxygen Tests Ventilation Alarm Verification Remote Alarm Test (Optional) Decannulation Alarm Verification Patient Circuit Disconnect Alarm Verification Configure and Verify Control and Alarm Settings Checkout Worksheet Operating Instructions Powering On VOCSN...
Page 9: Input Flow 100% Oxygen, Flow Trigger Set To
Removable, Rechargeable Batteries Internal Rechargeable Battery Expected Service Life and Intervals Audible Volume FiO2 Monitor Control Accuracy Monitor Resolution and Accuracy Classifications Standards Applied Ventec One-Circuit Compliance Pressure During Inop Biocompatibility Accessories Available from Ventec Life Systems Available from Other Manufacturers VentecLife.com...
Page 10 Table of Contents EMC Information Electromagnetic Emissions Electromagnetic Immunity Recommended Separation Distance Between Portable and Mobile RF Communications Equipment and VOCSN Technical Description Theory of Operation Ventilation Therapy and FiO2 Oxygen Therapy Leak Compensation Leak Compensation with an Active Ventec One-Circuit Leak Compensation with a Passive or Valveless Ventec One-Circuit Leak Compensation with a Mouthpiece Circuit Nebulization...
Page 11: Introduction
Therapy Overview Using the Ventec One-Circuit , clinicians, home caregivers, and patients can use the VOCSN V+Pro to ventilate, and provide air enriched with oxygen to the patient, minimizing the need to connect additional medical equipment or reconfigure the patient circuit.
Page 12: Vocsn Configuration
Introduction VOCSN Configuration This manual provides intructions for use for the VOCSN V+Pro Emergency configuration, enabling it to provide Ventilation and Oxygen therapy from a high- or low-pressure oxygen source. High-Pressure Low-Pressure External Oxygen Configuration External Ventilation Concentration Cough Suction...
Page 13: Ventilation
Using the power supply, VOCSN can be connected to a wall outlet or other AC power source. Ventec Life Systems also offers an optional 24 Volt Wheelchair Power Cable, which can be used to power VOCSN from wheelchair outlets. VOCSN batteries charge whenever an external power source is applied.
Page 14: Indications For Use
Introduction Indications for Use VOCSN Unified Respiratory System is intended to provide continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. It may be used in invasive and non-invasive applications. VOCSN is intended for pediatric through adult patients weighing at least 5 kg. It is intended for use in home, hospital, institutional, and transport settings, including portable applications.
Page 15: Suggested Environments Of Use
Introduction Suggested Environments of Use VOCSN is suitable for use in the following environments: Home Environments • Home care • Home-based transport Hospital Environments • Emergency departments • Step-down units • Military hospitals WARNING: Do not use VOCSN within magnetic resonance (MR) environments. Using VOCSN within MR environments may affect VOCSN or MR device performance, damage the devices, or harm individuals.
Page 16: Getting Started
• One Ventec One-Circuit • Bacterial filters • One Quick Start Guide NOTE: Contact Ventec Life Systems at 1-844-MY-VOCSN for assistance with setup, maintenance, or to report unexpected device operation. “Accessories” on page 172 for a list of VOCSN components and accessories available from Ventec Life Systems.
Page 17: System Overview
Introduction System Overview Description Description Touchscreen Handle (back view) Speaker T-Slot mount Alarm Silence button Cooling air outlet External Power / Charge Status indicator light High-pressure O2 Inlet (+Pro configurations only) On/Off button and indicator light Low-pressure O2 Inlet Removable, rechargeable battery (right side) Remote alarm port Active exhalation valve connection port USB port for use by trained personnel only.
Page 18: Setup
VOCSN manufacturer may result in fire and burns to the patient or caregiver. WARNING: Only use carrying cases approved by Ventec Life Systems. Use of unauthorized carrying cases may result in damage to VOCSN, impaired device performance, and risk to the patient.
Page 19: Vocsn Placement
Setup VOCSN Placement Place VOCSN in a well-ventilated area, ensuring air flows freely around its inlets and vents. WARNING: Incorrect placement of VOCSN may affect device performance. Do not cover VOCSN, place it in an area in which the vents may become obstructed (such as on its back or on top of compliant bedding), or use it in hazardous environments (such as atmospheres containing pollutants).
Page 20: Power Setup
Use the internal (non-removable) battery in case of power failure or power transition only. NOTE: Use only the power supply approved by Ventec Life Systems to connect VOCSN to external sources of power. Ensure the external source of power is rated for use with VOCSN. See “External Power Requirements”...
Page 21: The Power Supply
Setup The Power Supply The power supply included with VOCSN is part of the ventilation system, and powers the device from AC wall outlets. Before and during use, periodically inspect the power supply for damage or frays, and to ensure the power supply cords are firmly connected. Do not use damaged power supplies.
Page 22: The Optional 24 Volt Wheelchair Power Cable
Setup The Optional 24 Volt Wheelchair Power Cable An optional 24 Volt Wheelchair Power Cable is available from Ventec Life Systems. The 24 Volt Wheelchair Power Cable can be used to connect VOCSN to external sources of DC power, such as wheelchair power outlets.
Page 23: Ventec One-Circuit Setup
Ventec Life Systems offers single-patient use adult and pediatric Ventec One-Circuits for use with VOCSN, which incorporate an optional active or passive exhalation valve, and an optional heated wire (for connection to a humidifier).
Page 24: Using A Trach, Et Tube, Or Non-Vented Mask
Setup Using a Trach, ET Tube, or Non-Vented Mask VOCSN may be connected to a non-vented mask, trach or ET tube to provide Ventilation therapy using an Active or Passive Ventec One-Circuit. These circuit types include an exhalation valve designed to expel exhaled gases. See the following pages for detailed setup instructions.
Page 25: Connecting An Active, Passive, Or Valveless Ventec One-Circuit
Setup Connecting an Active, Passive, or Valveless Ventec One-Circuit The Ventec One-Circuit comes with an optional active or passive exhalation valve, and an optional heated wire (for connection to a humidifier). The setup procedure will depend on the type of Ventec One-Circuit and the accessories used.
Page 26: Ventec One-Circuit Component Connection Order
Setup Ventec One-Circuit Component Connection Order PATIENT INTERFACE BACTERIAL PATIENT FILTER CIRCUIT No Alarms SIMV-VOL PRESSURE (cmH20) (optional Home Therapy Monitors Menu heated wire) EXTERNAL HUMIDIFIER OXYGEN BYPASS HUMIDIFIER (choose one) VOCSN Item Name Required? Additional Information VOCSN Bacterial Required “Connecting an External Bacterial Filter”...
Page 27: Connecting An External Bacterial Filter
Setup Connecting an External Bacterial Filter Connect an external bacterial filter to reduce the risk of cross-contamination. Attach a bacterial filter to the Ventec One- Circuit connection port before connecting a Ventec One-Circuit. Fit the bacterial filter against VOCSN, aligning the icons on the filter and VOCSN, then twist the filter to lock it into place. VOCSN contains a secondary, internal bacterial filter to help protect against cross-contamination in case of external bacterial filter failure.
Page 28: Connecting A Ventec One-Circuit Without A Humidifier
NOTE: Using humidifiers or other accessories not specified for use with this system may impair VOCSN performance. Ventec Life Systems recommends use of the Fisher & Paykel HC550, the Fisher & Paykel MR850, or equivalent. Humidifiers connected to the VOCSN Ventec One-Circuit should comply with ISO 8185.
Page 29: Connecting A Ventec One-Circuit, Humidifier, And Ventec Humidifier Bypass
Setup Connect a heated wire Ventec One-Circuit to the humidifier. Follow instructions from the humidifier manufacturer to connect heated wire and temperature sensor lines from the humidifier to the Ventec One-Circuit. Connecting a Ventec One-Circuit, Humidifier, and Ventec Humidifier Bypass The Ventec Humidifier Bypass is designed to remain connected to the Ventec One-Circuit.
Page 30: Connecting An Active Ventec One-Circuit
Setup Connecting an Active Ventec One-Circuit If you are using an active Ventec One-Circuit, the flow sense and drive lines at the exhalation valve (the multilumen tube) must be connected to VOCSN before use. Fit the oval connector tube into place in the Active connection port. Then, fit the connecting screw cap over the port and twist it clockwise until it is firmly secured.
Page 31: Connecting A Valve Bacterial Filter
Setup Connecting an Exhalation Bacterial Filter Some patient circuit configurations include an Exhalation Filter Cuff around the exhalation valve so that a bacterial filter can be connected to prevent cross-contamination from exhaled gasses. If your patient circuit configuration includes a Exhalation Filter Cuff, connect a bacterial filter by following these instructions: Rotate the Exhalation Filter Cuff if needed so that it is pointing down.
Page 32: Connecting Ventec One-Circuit Components
• “Connecting an External Nebulizer Cup to the Patient Circuit” on page 33 NOTE: Ventec Life Systems recommends including a humidifier or heat-moisture exchanger (HME) as part of active, passive, and valveless Ventec One-Circuit configurations. Connecting an HME (Heat-Moisture Exchanger) If you’re not using a humidifier, connect an HME to the Ventec One-Circuit between the exhalation valve and the patient.
Page 33: Setting Up Ventilation Therapy With A Speaking Valve
Setup Setting up Ventilation therapy with a Speaking Valve VOCSN may be used with an active Ventec One-Circuit and/or a pressure ventilation mode and a connected speaking valve. Because gas delivered from VOCSN exits the mouth rather than the Ventec One-Circuit, volume delivery may be affected when a passive Ventec One-Circuit is used.
Page 34: Mouthpiece Patient Circuit Setup
Setup Mouthpiece Patient Circuit Setup Mouthpiece patient circuits are recommended for use with patients who can place their mouths on the circuit to initiate breaths on their own. WARNING: Using a mouthpiece for Ventilation therapy is not recommended for patients <5 years of age, due to the requirements for physiological and neurological development, as well as neuromuscular coordination necessary for the application of effective therapy.
Page 35: Oxygen Therapy Setup
Setup Oxygen Therapy Setup Oxygen therapy can be delivered to the patient from different sources: • Using an external source of high-pressure oxygen (FiO2 mode) • Using an external low-pressure oxygen source, which can be used alone or in as an additive in combination with another source.
Page 36: Connecting External High-Pressure Oxygen
Setup Connecting External High-Pressure Oxygen External high-pressure oxygen sources can be connected to VOCSN to provide Oxygen therapy in FiO2 mode. NOTE: Whenever the FiO2 control is set above 21%, use the FiO2 monitor and set the High FiO2 and Low FiO2 alarms appropriately for the patient condition.
Page 37: Connecting External Low-Pressure Oxygen
To connect an external low-pressure oxygen source (e.g., oxygen concentrator or liquid oxygen): Connect an O2 Low Pressure Inlet Adapter (available from Ventec Life Systems) to the low-pressure O2 port on the back of VOCSN. Connect the oxygen source to the adapter.
Page 38: Connecting A Nurse Call System Or Remote Alarm
1/4” phono jack. Only use the remote alarm port with Ventec Nurse Call cables or other cables approved by Ventec Life Systems. Follow all setup instructions provided by the remote alarm or nurse call system manufacturer.
Page 39: Running The Pre-Use Test
Setup Running the Pre-Use Test The VOCSN Pre-Use Test calculates the resistance and leak of the Ventec One-Circuit. Based on these calculations, VOCSN verifies the integrity of the Ventec One-Circuit, and also improves the accuracy of therapy delivered during ventilation. If used, the Pre-Use Test will also verify the connection status of the Ventec One-Circuit O2 tube. To ensure therapy is delivered accurately, you must perform a Pre-Use Test whenever prompted, the patient circuit is changed, or the device is powered on.
Page 40: Breath Types And Therapy Modes
Breath Types and Therapy Modes Breath Types and Therapy Modes Breath Types Breaths can be initiated (started) and cycled (ended) by either VOCSN or the patient. Depending on the Ventilation Mode and breath control settings chosen, VOCSN may provide the patient with mandatory, assist, or spontaneous breaths.
Page 41: Pressure Breaths
Breath Types and Therapy Modes Pressure Breaths Mandatory and assist breaths are delivered as pressure breaths in pressure ventilation modes. VOCSN delivers pressure breaths by elevating the pressure of the Ventec One-Circuit to the set Pressure Control limit for the set Inspiratory Time. NOTE: The maximum pressure delivered is limited to the High Pressure alarm setting minus 5 cmH2O.
Page 42: Volume Breaths
Breath Types and Therapy Modes Volume Breaths Mandatory and assist breaths are delivered as volume breaths in volume ventilation modes. Volume breaths deliver the set Tidal Volume over the set Inspiratory Time. Airway pressure is a function of patient lung resistance and compliance. NOTE: Delivery of volume breaths to patients with extremely high airway resistance (e.g., 200 cmH2O/L/s) and lung compliance requires high circuit pressure, which may cause the High Pressure alarm to activate before the target tidal volume is reached.
Page 43: Vocsn Ventilation Modes
Breath Types and Therapy Modes VOCSN Ventilation Modes VOCSN offers nine configurable Ventilation Mode settings: Bi-Level, Spontaneous, Assist/Control-Pressure, Assist/ Control-Volume, SIMV-Pressure, SIMV-Volume, Vol. Targeted-PS, Vol. Targeted-PC, and Vol. Targeted-SIMV. A breath period is the window of time used by VOCSN to determine when mandatory breaths will be delivered to the patient.
Page 44: Assist/Control-Pressure With An Active, Passive, Or Valveless Ventec One-Circuit
Breath Types and Therapy Modes Assist/Control-Pressure Mode Assist/Control-Pressure works one way with active, passive, and valveless circuits, and differently when VOCSN is connected to and configured to use a mouthpiece Ventec One-Circuit. Assist/Control-Pressure with an Active, Passive, or Valveless Ventec One-Circuit When used with an active, passive, or valveless Ventec One-Circuit, Assist/Control-Pressure mode provides mandatory and assist pressure breaths, depending on the timing of detected patient effort.
Page 45: Simv-Pressure Mode
Breath Types and Therapy Modes SIMV-Pressure Mode SIMV-Pressure mode delivers pressure and spontaneous breaths through an active, passive, or valveless circuit. When patient effort is detected during a breath period, one assist breath will be delivered. Subsequent patient triggers within a breath period will result in spontaneous breaths.
Page 46: Assist/Control-Volume Mode
Breath Types and Therapy Modes Assist/Control-Volume Mode Assist/Control-Volume works one way with active, passive, and valveless circuits, and differently when VOCSN is connected to and configured to use a mouthpiece Ventec One-Circuit. Assist/Control-Volume with an Active, Passive, or Valveless Ventec One-Circuit When used with an active, passive, or valveless Ventec One-Circuit, Assist/Control-Volume mode provides mandatory and/or assist volume breaths.
Page 47: Simv-Volume Mode
Breath Types and Therapy Modes SIMV-Volume Mode SIMV-Volume mode delivers volume and spontaneous breaths through an active, passive, or valveless Ventec One- Circuit. When patient effort is detected during a breath period, one assist breath will be delivered. Subsequent patient triggers within a breath period will result in spontaneous breaths.
Page 48: Volume Targeted Ventilation Overview
NOTE: In some cases, the High Pressure limit may prevent VOCSN from delivering the entirety of the set Tidal Volume to the patient. Ventec Life Systems recommends using the Low Minute Volume alarm as a way to detect this condition.
Page 49: Vol. Targeted-Ps Mode
Breath Types and Therapy Modes Vol. Targeted-PS Mode Vol. Targeted-PS is a Volume Targeted mode of ventilation. The patient may initiate a spontaneous breath at any time. It provides the patient with two configurable levels of pressure: the set PEEP, and the pressure required to maintain the set Tidal Volume target.
Page 50: Vol. Targeted-Pc Mode
Breath Types and Therapy Modes Vol. Targeted-PC Mode Vol. Targeted-PC with an Active, Passive, or Valveless Ventec One-Circuit When used with an active, passive, or valveless Ventec One-Circuit, Vol. Targeted-PC mode provides mandatory and assist pressure breaths, depending on the timing of detected patient effort. Patient effort will trigger an assist pressure breath.
Page 51: Vol. Targeted-Simv Mode
Breath Types and Therapy Modes Vol. Targeted-SIMV Mode Vol. Targeted-SIMV mode delivers volume targeted breaths through an active, passive, or valveless circuit. When patient effort is detected during a breath period, one assist breath will be delivered. Subsequent patient triggers within a breath period will result in spontaneous breaths.
Page 52: Comparable Volume Ventilation Modes
Breath Types and Therapy Modes Comparable Ventilation Modes The VOCSN critical care ventilator provides a comprehensive set of ventilation modes to meet patient needs during invasive, non-invasive and mouthpiece ventilation. The reference list below illustrates how to set your preferred ventilation mode.
Page 53: Comparable Pressure Ventilation Modes (Including Volume-Targeted Ventilation)
Breath Types and Therapy Modes Comparable Pressure Ventilation Modes (Including Volume- Targeted Ventilation) Ventilation Mode or Feature Equivalent VOCSN Mode Settings Additional VOCSN Controls AC-Pressure • Set Mode to AC-Pressure • Inspiratory Time (Assist/Control) • Set Breath Rate • PEEP •...
Page 54: Comparable Non-Invasive Ventilation Modes
Breath Types and Therapy Modes Comparable Non-Invasive Ventilation Modes Ventilation Mode or Feature Equivalent VOCSN Mode Settings Additional VOCSN Controls • Set Mode to Bi-Level • Inspiratory Time (Spontaneous/Timed) • Set Breath Rate • EPAP • Set Flow Trigger • IPAP (measured from a baseline of 0 cmH2O) •...
Page 55: The Touchscreen
The Touchscreen The Touchscreen Use the VOCSN touchscreen to configure and operate the device, as well as monitor the patient. This chapter provides an overview of the information and controls available on each of the four main tabbed navigation screens. NOTE: If VOCSN controls become difficult to select, use the Calibrate Touchscreen control to recalibrate the touchscreen sensor.
Page 56: The Status Bar
The Touchscreen The Status Bar No Alarms SIMV-VOL PRESSURE (cmH20) The status bar remains at the top of the screen during VOCSN use. The status bar includes the following indicators: Description Alarm indicator. If an alarm condition occurs, the name of the alarm will display, along with a visual (color) indicator of alarm severity.
Page 57: The Home Screen
The Touchscreen The Home Screen The Home screen displays three configurable monitors (for example, Breath Rate, Tidal Volume, and the active Ventilation therapy Preset). The three monitors configured to display on the top row of the Monitors tab will appear on the Home screen. Night Mode and Day Mode Use the Home screen to change between Night Mode and Day Mode.
Page 58: The Therapy Screen
The Touchscreen The Therapy Screen Use the Therapy screen to configure and start Ventilation and Oxygen therapies. Your therapy screen will show the therapies available, depending on your product configuration. The Monitors Screen The Monitors screen displays measured or calculated information about delivered Ventilation and Oxygen therapy. Use CUSTOMIZATION button to choose which display on the screen.
Page 59: The Customization Button
The Touchscreen The Customization Button The monitors and controls displayed on this screen are configurable. Press the CUSTOMIZATION button on each page to configure the layout and content of the Monitors screen. The three monitors configured to display on the top row of the Monitors tab will appear on the Home screen.
Page 60: The Menu Screen
The Touchscreen The Menu Screen The Menu screen provides access to additional system settings and features. This section includes a description of the information and controls accessible through each button on the Menu screen. No Alarms SIMV-VOL PRESSURE (cmH20) Therapy Monitors Menu Home...
Page 61: The Settings & Alarms Button
The Touchscreen The Settings & Alarms Button Press the SETTINGS & ALARMS button to modify Ventilation control settings and alarms for any of the three configured Ventilation therapy Presets. This button will open the Ventilation Presets configuration screen. SETTINGS & ALARMS “Changing Ventilation Therapy Settings”...
Page 62: The Enable Prescribed Therapies Button
The Touchscreen The Enable Prescribed Therapies Button Press the ENABLE PRESCRIBED THERAPIES button to enable or disable the FiO2 Monitor. “Enabling and Disabling Prescribed Therapies” on page 77 for more information. COUGH COUGH NEBULIZE NOTE: The Enable Prescribed Therapies menu button is only available when VOCSN is in ENABLE PRESCRIBED Clinician Access mode.
Page 63: Controls And Settings
Controls and Settings Controls and Settings VOCSN controls are used to configure how the device behaves and delivers therapy. This chapter describes each of the VOCSN controls, lists the available settings, and provides configuration instructions. After configuring a control, press ACCEPT to confirm and activate your selection.
Page 64: Ventilation Therapy Controls
Controls and Settings Ventilation Therapy Controls VOCSN stores up to three pre-configured No Alarms SIMV-VOL Ventilation therapy Presets. These Presets can be enabled and configured using SETTINGS & ALARMS button on the PRESSURE (cmH20) Press here Prepare patient circuit for ventilation, Ventilation screen or Menu screen.
Page 65: Available Ventilation Therapy Settings
Controls and Settings Available Ventilation Therapy Settings The following table lists the configurable Ventilation therapy controls available on VOCSN. These controls are available separately for each of the three configurable Ventilation therapy Presets. NOTE: Controls that cannot be edited will appear in gray. Controls may be locked because of the Permissions and Clinician Unlock feature.
Page 66 Controls and Settings Ventilator Settings Description Control Circuit Type Active, Set the Circuit Type control to correspond with the type of patient circuit used Passive, during Ventilation therapy. Mouthpiece, Valveless NOTE: The Circuit Type control cannot be modified for the running Ventilation therapy Preset.
Page 67 Controls and Settings Ventilator Settings Description Control Flow Trigger Active or Passive circuit: The set Flow Trigger will determine the flow differential necessary to initiate 0.5 to 9.0 L/min, Off patient-triggered assist and spontaneous breaths. Mouthpiece circuit: NOTE: The Flow Trigger control is adjustable in increments of 0.5. 0.5 to 3.0 L/min 2.0 L/min High Flow...
Page 68 Controls and Settings Ventilator Settings Description Control Insp Hold Off, On Use the Insp Hold button on the Ventilation therapy screen to perform an inspiratoy hold, and obtain information about Plateau Pressure, Static Compliance, and the breath’s pressure waveform. These monitors will display on the screen during and after the maneuver.
Page 69 Controls and Settings Ventilator Settings Description Control Mode Bi-Level, The set ventilation Mode determines how breaths are delivered to the patient. See Spontaneous, “Breath Types and Therapy Modes” on page 40 for a description of how breaths Assist/Control-Pressure, are delivered in each available mode. SIMV-Pressure, Assist/Control-Volume, NOTE: The Mode control cannot be modified for the active Ventilation therapy...
Page 70 “Volume Targeted Ventilation Overview” on page NOTE: The Pres. Minimum setting may cause VOCSN to deliver more volume than intended by the Tidal Volume setting. Ventec Life Systems recommends using the High Minute Volume alarm to detect this condition. Pressure...
Page 71 Controls and Settings Ventilator Settings Description Control Tidal Volume 50 to 1500 mL The Tidal Volume control adjusts the volume delivered to the patient during the inspiratory phase of volume breaths, or of pressure breaths when in Volume 500 mL Targeted ventilation modes.
Page 72: Control Limiting
Controls and Settings Control Limiting VOCSN restricts the availability of some control settings when the set value of another interdependent control creates a limit. For example, available PEEP and Pressure Control settings are interdependent and control limited. If the PEEP control is set to 25 cmH2O, the available Pressure Control settings are automatically limited to 25 cmH2O or less to prevent VOCSN from delivering a total maximum pressure exceeding 50 cmH2O.
Page 73: Controls Available In Each Ventilation Mode
Controls and Settings Controls Available in Each Ventilation Mode The table below lists the controls available for configuration depending on the set Ventilation Mode. Unavailable controls will not be visible when setting Ventilation therapy controls. NOTE: Controls available regardless of the set Ventilation Mode are not listed in the following table. Assist/ Assist/ Control-...
Page 74 Controls and Settings Assist/ Assist/ Control- SIMV- Control- SIMV- Vol, Targeted- Vol-Targeted- Vol. Targeted- Control Bi-Level Spontaneous Pressure Pressure Volume Volume SIMV High Flow Yes, if device Yes,if device Yes, if device Yes, if device has Leak+ High has Leak+ has Leak+ has Leak+ hardware, or...
Page 75 Controls and Settings Assist/ Assist/ Control- SIMV- Control- SIMV- Vol, Targeted- Vol-Targeted- Vol. Targeted- Control Bi-Level Spontaneous Pressure Pressure Volume Volume SIMV High Flow Rise Time Sigh Tidal Volume Time Cycle VentecLife.com...
Page 76: Setting Vocsn Controls For Mouthpiece Ventilation
Controls and Settings Setting VOCSN Controls for Mouthpiece Ventilation Mouthpiece patient circuits are intended for use with patients at least 5 years of age, who can place their mouths on the circuit to initiate breaths on their own. NOTE: Because of the circuit size, set the Patient Type control to Pediatric during mouthpiece ventilation, even when VOCSN is used with an adult patient.
Page 77: Enabling And Disabling Prescribed Therapies
Controls and Settings Enabling and Disabling Prescribed Therapies To use the FiO2 Monitor, ensure the relevant system control is Enabled. This feature cannot be configured or activated unless it is are enabled. To enable or disable the FiO2 Monitor: Press the Menu tab.
Page 78 Controls and Settings The following controls and settings are available from the ENABLE PRESCRIBED THERAPIES Menu button. NOTE: Bold black text indicates the default setting. Therapy Settings Description Cough Not Available Cough therapy is not available on the V+Pro Emergency configuration. Nebulizer Not Available Internal Nebulizer therapy is not available on the V+Pro Emergency configuration.
Page 79: Oxygen Controls
Controls and Settings Oxygen Controls Oxygen may be delivered from an external source of high-pressure oxygen. Oxygen may also be provided using the VOCSN low-pressure oxygen port. See “Oxygen Therapy Setup” on page 35 for oxygen source setup instructions. No Alarms SIMV-VOL NOTE: The flow of oxygen O2 Flush...
Page 80: Available Oxygen Settings
Controls and Settings Available Oxygen Settings The following Oxygen therapy settings are available on VOCSN devices with the oxygen option enabled. Controls listed in this section are ordered as they appear in the VOCSN user interface. NOTE: The O2 FLUSH button may be used during Oxygen therapy to deliver either 100% FiO2, or 6 L/min O2 Flow Equivalent (depending on the selected O2 Delivery Mode) for 3 minutes.
Page 81: Changing Nebulizer Compensation Settings
Controls and Settings Changing Nebulizer Compensation Settings Nebulizer therapy can be configured to compensate for the flow added to the patient circuit from an external nebulizer. The Nebulizer Duration control may be set for a period of time between 5 and 60 minutes. To run Nebulizer compensation, first set the Nebulizer Duration control: Press the Therapy...
Page 82: Clinician Access Mode
Controls and Settings Clinician Access Mode When the Unlock Required? device setting is set to Yes, pressing the CLINICIAN ACCESS button locks and unlocks VOCSN. Using the Permissions feature, VOCSN can be configured to restrict which controls are configurable by all users, and which control settings can only be changed by first entering a Clinician Access Passcode to unlock VOCSN.
Page 83: Configuring Permissions
Controls and Settings Configuring Permissions The Permissions feature allows clinicians to configure which VOCSN controls are locked (cannot be changed) until the device is unlocked using the Clinician Access Passcode. Control permissions set to User and Clinician are configurable at all times; they can be changed by anyone interacting with VOCSN.
Page 84: Device Settings
Controls and Settings Device Settings VOCSN device settings are modifiable, and include controls such as Alarm Volume, whether Clinician Access mode is enabled on the device, and the displayed date and time. Changing Device Settings To change a device setting: Press the Menu tab.
Page 85: Available Device Settings
Controls and Settings Available Device Settings The following table lists the configurable device settings available on VOCSN. NOTE: If the internal battery depletes fully, VOCSN Date and Time settings will reset to their default values. To ensure the Alarm and Event logs record information accurately, verify the VOCSN Date and Time settings before use, and set them to the correct values if necessary.
Page 86: Alarms
Low Minute Ventilation 10/23/2013 6:02 AM distance away from VOCSN the caregiver may travel. Ventec Life Systems recommends ensuring the Alarm Volume control is set appropriately by simulating these conditions and verifying the alarm can be heard. See “Device Settings”...
Page 87: Alarm Silence Button
Alarms Alarm Silence Button VOCSN will emit an audible series of tones whenever a high- or medium-priority alarm activates. Press the Alarm Silence button on the front of VOCSN to silence the active alarm tones for 60 seconds. Press the Alarm Silence button again (or wait 60 seconds) to reactivate the alarm tones.
Page 88: Alarm Conditions And Settings
Alarms Alarm Conditions and Settings Possible alarm conditions and recommended actions are listed below. The following table also includes a description of each alarm and the range of alarm settings available. All possible alarm conditions are listed in alphabetical order. NOTE: Bold black text indicates the default setting.
Page 89 Alarms Alarm Settings Priority Description Recommended Action Check Patient High The Check Patient Circuit alarm activates when Check the Ventec One- Circuit VOCSN detects an inadequate leak in a passive or Circuit to ensure the flow valveless circuit, or an error in the flow sensor of an sensor tubing is connected active circuit.
Page 90 Alarms Alarm Settings Priority Description Recommended Action High FiO2 Medium The High FiO2 alarm activates when the monitored Monitor the patient closely. , 24 to FiO2 percentage is higher than the set High FiO2 If the problem persists, alarm limit. contact your local Ventec Set the High FiO2 alarm appropriately for the Life Systems representative...
Page 91 VOCSN unable to safely again to restart VOCSN. deliver therapy and/or monitor the patient. If the device remains inoperative, contact your local Ventec Life Systems representative for service. Internal High The Internal Battery Critically low alarm activates...
Page 92 Alarms Alarm Settings Priority Description Recommended Action Internal Medium The Internal Battery Low alarm activates when Promptly connect VOCSN Battery Low VOCSN internal battery charge status falls below to a continuous source of 50%. external power. Clear the alarm by NOTE: The Internal Battery Low alarm may be selecting CLEAR LIST...
Page 93 Low Inspiratory Pressure alarm limit. disconnection. 10 cmH2O Monitor the patient closely NOTE: Ventec Life Systems recommends using to ensure adequate the Low Inspiratory Pressure and Low Minute ventilation therapy is delivered. Volume alarms to detect hypoventilation.
Page 94 Alarms Alarm Settings Priority Description Recommended Action Low PEEP Medium The Low PEEP alarm activates when the monitored Check the Ventec One- Low EPAP PEEP falls 5 cmH2O below the set PEEP control for Circuit for leaks. 3 consecutive breaths. Bi-Level Mode) Monitor the patient closely.
Page 95 Mean Airway Pressures (MAPs): NOTE: The Patient Circuit Disconnect alarm may not activate with every disconnect condition. Ventec Life Systems recommends using the Low Minute Volume, Low Inspiratory Pressure, and Apnea alarms in addition to the Patient Circuit Disconnect alarm to ensure Ventec One-Circuit disconnections are detected.
Page 96 Alarms Alarm Settings Priority Description Recommended Action Patient Circuit Off, Low High During High Flow therapy, the Patient Circuit Ensure the high flow nasal Disconnect Sensitivity, Disconnect alarm will activate when no patient cannula (or other interface) Medium breathing is detected for 20 seconds. is properly fitted to the (during High Sensitivity,...
Page 97: The Alarm Log
Alarms The Alarm Log The VOCSN Alarm Log lists all active alarms, and all other alarms activated since the last time the log was cleared. To view the VOCSN Alarm Log at any time, press the alarm banner in the status bar, or: Press the Menu tab.
Page 98: The Event Log
Alarms The Event Log The Event Log stores the date and time of unit power on and off, alarm activation, the alarm name, and information about user interactions with the VOCSN alarm system and controls. The most recent 7,300 events, including alarms and changes to control settings will be accessible through the Event Log.
Page 99: Clearing An Alarm
Alarms Clearing an Alarm Visual indicators of an alarm condition remain on the screen as a count in the status bar and a list in the Alarm Log until the alarm condition is resolved and the list is cleared. To clear an activated alarm: Press the Alarm Silence button on the front of VOCSN to silence the alarm tones, if desired.
Page 100: Monitors
Monitors Monitors VOCSN monitors multiple parameters. View monitored VOCSN Ventilation therapy data by pressing the Monitors tab. NOTE: Monitored data depends on the set Circuit Type, Mode, and the number of breaths delivered. Monitors will display “--” if they are not available for the set Circuit Type or Mode. VOCSN will display a spinning circle graphic while it is calculating a monitored value.
Page 101: Ventilation Monitors
Monitors Ventilation Monitors Monitored Ventilation therapy parameters and active control settings can be viewed using the Monitors tab on the VOCSN touchscreen. The displayed monitors and controls are customizable. To change which monitors and control settings display on the Monitors tab, see “Monitor Screen Customization”...
Page 102 The patient effort icon appears on the left side of the airway pressure manometer in the status bar when VOCSN delivers a patient-triggered breath. NOTE: Ventec Life Systems recommends periodically verifying that the Patient Effort indicator in the status bar appears in synchrony with actual patient effort to breathe.
Page 103: Waveform Monitors
Monitors Monitor Range Description Pressure 0 to 80 Airway Pressure is monitored using a manometer in the status bar. The dark blue bar (during Ventilation cmH2O represents the pressure of the current breath. The light blue bar represents the peak pressure delivered during the previous breath.
Page 104: Monitor Screen Customization
Monitors Monitor Screen Customization Press the CUSTOMIZATION button from the Monitors tab to choose which monitors and control settings display on each page of the VOCSN Monitor screen. The first page shows a customizable set of nine monitors. The second page shows a customizable set of nine control, alarm, and oxygen settings.
Page 105: Oxygen Therapy Monitor
Monitors Oxygen Therapy Monitor Use the FiO2 monitor to provide information about the percentage of oxygen inhaled by the patient. FiO2 Monitor Fraction of inspired oxygen. The FiO2 monitor measures the percentage of oxygen delivered in the inspiratory phase of each breath when using the FiO2 control with an external source of high-pressure oxygen.
Page 106: Nebulizer Compensation Monitor
Monitors Nebulizer Compensation Monitor Once Nebulizer compensation is initiated, the Nebulizer screen will display a Nebulizer Minutes Remaining monitor. This monitor begins at the configured Nebulizer Duration and counts down until Nebulizer compensation is complete. NOTE: The range of the Nebulizer Minutes Remaining monitor is 0 to 60 minutes. No Alarms SIMV-VOL PRESSURE (cmH20)
Page 107: System Monitors
A negative number indicates how many hours the maintenance is past due. Resetting this monitor requires service-level access to the system. Contact your local Ventec Life Systems representative for service. System Usage 0 to 99,999 The System Usage monitor displays the total duration of VOCSN operation over its life.
Page 108: Multi-View
Multi-View Multi-View VOCSN Multi-View is the first comprehensive reporting solution for ventilator-dependent patients. It is the first and only system to provide complete patient trending and monitoring for ventilator-dependent patients across multiple respiratory therapies . Building on the integrated multi-therapy delivery of VOCSN, Multi-View is designed to summarize patient data and create trend reports to facilitate the delivery of seamless care across providers from hospital to home.
Page 109: Exporting Multi-View Data To A Usb Drive
Multi-View Exporting Multi-View Data to a USB Drive Using software versions 4.06 and later, VOCSN data can be exported to USB, then uploaded to the cloud to create Multi- View trending reports, which provide insight into the use of all 5 therapies over time including the frequency of alarms, settings changes, and monitored parameter trends.
Page 110: Generating Multi-View Reports
Multi-View Generating Multi-View Reports To generate Multi-View usage reports, have your VOCSN Multi-View exports at the ready on a USB or folder on your computer, and then: Use the “Click to open Multi-View.html” link or use a web browser to navigate to VentecLife.com/Multi-View.
Page 111: Reading Multi-View Reports
Multi-View Reading Multi-View Reports This section provides detailed information on using and reading VOCSN Multi-View reports. Each section of the report provides insight into aspects of VOCSN therapy use and monitored trends. Report Information The first page of VOCSN Multi-View reports contain information about the VOCSN device, as well as the report itself.
Page 112: Trend Summary
Multi-View Trend Summary The Multi-View Trend Summary section provides information on all available VOCSN therapies (Ventilation and Oxygen, for V+Pro configurations), including daily usage information, monitor averages, and trends. Each box shows a different monitored parameter. The displayed average is calculated over the selected report duration. 7-day reports will include a 7-day average, 60-day reports will include a 60-day average, and so on.
Page 113: Therapy Use
Multi-View Therapy Use Graphed therapy use provides instant insight into multi-therapy use and trends over time. These charts also show the time and duration of alarm activations during the reported period. Therapy use charts appear at the tops of pages to provide insight into settings changes and monitor values in the context of the frequency of all therapy uses over the reported period.
Page 114: Monitor Details
Multi-View Monitor Details Use the Monitor Details section to view detailed information about changes in delivered therapies over time, in the context of multi-therapy use. The boxes on the right-hand side of the page identify the monitor (including which therapy it’s applicable to: Ventilation and Oxygen).
Page 115: Logs
Multi-View Logs At the end of the report, you may choose to include detailed logs that include information about every user interaction with the VOCSN device over the report period. Multi-View provides four different optional Logs selections when generating a report: Therapy Log •...
Page 116: Checkout Procedure
Checkout Procedure Checkout Procedure Ventec Life Systems recommends a series of checks and tests to ensure VOCSN is ready to use safely. Perform these tests before using VOCSN for the first time, and periodically during use. See “Recommended Maintenance Schedule” on page 10-7 for the maintenance schedule recommended by Ventec Life Systems.
Page 117: Power Testing Procedures
NOTE: VOCSN battery icons on the touchscreen show the charge status of the batteries relative to when they were new. As the batteries age, their capacity will diminish. Ventec Life Systems recommends replacing batteries when they will no longer charge above 50%.
Page 118: Ventilation And Oxygen Testing Procedures
Checkout Procedure Ventilation and Oxygen Testing Procedures Connect an active Ventec One-Circuit, flex tube, and a test lung to VOCSN to test Ventilation therapy. See Chapter 2, “Setup” for configuration instructions. To test VOCSN Ventilation therapy, first change the VOCSN control settings to those listed in the table below.
Page 119: Ventilation And Oxygen Tests
Checkout Procedure Ventilation And Oxygen Tests After configuring Ventilation therapy using the settings described in “Ventilation and Oxygen Testing Procedures” on page 118, verify the complete the following steps while Ventilation therapy (and Oxygen therapy, if prescribed) is running: NOTE: For mouthpiece patient circuit setups, these verification steps are not applicable. NOTE: These ranges represent the combined tolerances of the delivered therapy and their independent monitor.
Page 120: Ventilation Alarm Verification
Checkout Procedure Ventilation Alarm Verification To ensure alarms are functioning correctly, maintain the control settings configured as part of “Ventilation and Oxygen Testing Procedures” on page 118. NOTE: When performed as a maintenance step during patient use, the VOCSN alarm system may be performed using existing VOCSN control settings.
Page 121: Decannulation Alarm Verification
Checkout Procedure Decannulation Alarm Verification If using a Ventec One-Circuit with a tracheostomy tube, you may choose to verify that alarms activate with decannulation before use or periodically during use. Other patient circuit interfaces may also benefit from decannulation alarm verification.
Page 122: Configure And Verify Control And Alarm Settings
Checkout Procedure Configure and Verify Control and Alarm Settings Before providing therapy to the patient, set the VOCSN control and alarm settings appropriately for the patient condition, and verify they are correct. See “Controls and Settings” on page 63 “Alarms” on page 86 configuration instructions and a description of available settings.
Page 123: Operating Instructions
Operating Instructions Operating Instructions This chapter describes how to start and use VOCSN therapies. See for therapy “Controls and Settings” on page 63 configuration instructions. WARNING: When in use for a prolonged period at its maximum environmental operating temperature, VOCSN may reach a temperature at the patient connection port of 43°C.
Page 124: Powering On Vocsn
Operating Instructions Powering On VOCSN VOCSN will run on external power (such as a wall outlet), or on its internal and removable batteries. Ventec Life Systems recommends powering VOCSN with an external, continuous source of power whenever possible. See “Power Setup” on page 20 for instructions on connecting VOCSN to external power.
Page 125: Starting Vocsn Therapies
VOCSN has not been validated for safe use with helium, nitric oxide, or for use in a hyperbaric chamber. NOTE: If VOCSN performs unexpectedly, prepare an alternate means of ventilation, monitor the patient, and contact your local Ventec Life Systems representative for service. VentecLife.com...
Page 126: Starting Ventilation Therapy
START screen NOTE: If a speaking valve is used, Ventec Life Systems recommends use of an active Ventec One-Circuit and/or pressure mode of ventilation. See “Setting up Ventilation therapy with a Speaking Valve” on page 33 for more information.
Page 127: Changing Between Configured Ventilation Presets
Operating Instructions Changing Between Configured Ventilation Presets VOCSN can be configured with up to three different Ventilation therapy Presets. To begin Ventilation therapy using a different Preset: Press the Therapy tab, and then press the Ventilation therapy icon. Press the name of the Preset you want to activate. Press START on the bottom of the screen to begin Ventilation therapy using the selected Preset control and...
Page 128: Starting Oxygen Therapy
Operating Instructions Starting Oxygen Therapy The VOCSN configuration can be configured to provide Oxygen therapy from an external source of high-pressure oxygen to provide a set FiO2. Low-pressure oxygen sources can also be used, and are additive. See “Oxygen Therapy Setup”...
Page 129: Using O2 Flush
Operating Instructions Using O2 Flush O2 FLUSH button on the Oxygen screen delivers 100% FiO2 for 3 minutes. A blue fill around the button indicates the approximate time remaining. After 3 minutes, the O2 Flush will stop, and oxygen will resume delivery at the activated preset setting. During delivery, use the STOP O2 FLUSH button under the timer to cancel the O2 Flush...
Page 130: Using External High-Pressure Oxygen
Operating Instructions Using External High-Pressure Oxygen External sources of high-pressure oxygen can be used with VOCSN to provide FiO2. To provide Oxygen therapy from an external source of high-pressure oxygen: Verify an external source of high- pressure oxygen is connected to VOCSN.
Page 131: Starting Nebulizer Compensation
Operating Instructions Starting Nebulizer Compensation VOCSN can be configured to compensate for the flow added to the patient circuit from an external 6 L/min nebulizer. NOTE: If Oxygen therapy is critical No Alarms SIMV-VOL to patient care, it is important to understand the effect of PRESSURE (cmH20) External Nebulizer Compensation...
Page 132: Responding To Alarms
Operating Instructions Responding to Alarms The VOCSN operator must be capable of responding to alarm conditions and promptly performing the necessary corrective actions. See “Alarms” on page 86 for information on each alarm condition. In case of VOCSN malfunction, the operator must be able to promptly provide an alternative means of ventilation. Powering Off VOCSN To power off VOCSN, press and hold the On/Off button for at least three seconds.
Page 133: Cleaning And Maintenance
Cleaning and Maintenance Cleaning and Maintenance The organization responsible for the use and maintenance of VOCSN should perform all adjustments, cleaning, and disinfection of VOCSN. Follow all instructions provided in this Clinical and Technical manual to prevent damage to VOCSN during cleaning and maintenance procedures. NOTE: All VOCSN single-patient use components and Ventec One-Circuits are not intended for cleaning, sterilization, or re-use.
Page 134: Cleaning Vocsn Exterior
Cleaning and Maintenance Cleaning VOCSN Exterior Clean the exterior of VOCSN every three months during use, between patient uses, or as needed if exposed to contaminants. Unplug VOCSN from any connected external power sources. Abrasive cleaners and materials may damage the casing or display.
Page 135: Cleaning The Air And Fan Filters
Inspect the filters for signs of damage or contamination. Replace the filters if they appear damaged. Repeat the cleaning steps described above until the filters pass a visual inspection for cleanliness. NOTE: Replacement air filters are available from Ventec Life Systems. Reinstall the air and fan filters.
Page 136: Replacing Components
Replacing the Power Supply For a replacement power supply, contact Ventec Life Systems service representative. To replace the VOCSN AC adapter, unplug the AC adapter from the outlet and the VOCSN, and dispose of it in accordance with local regulations.
Page 137: Replacing Ventec One-Circuit Components
HME, external bacterial filter, and any other accessories for signs of damage. Discontinue use and replace any damaged Ventec One-Circuit accessories immediately. NOTE: Ventec Life Systems recommends running a Pre-Use Test each time the Ventec One-Circuit configuration is modified. See “Running the Pre-Use Test”...
Page 138: Replacing The Internal Bacterial Filter
Cleaning and Maintenance Replacing the Internal Bacterial Filter Replace the VOCSN internal bacterial filter whenever it may have become contaminated or the external bacterial filter is compromised. NOTE: It may be necessary to replace the internal bacterial filter more often in some environments, such as those with cigarette smoke.
Page 139: Recommended Maintenance Schedule
Perform VOCSN maintenance tasks in the following table at the recommended intervals. NOTE: A service manual containing detailed technical information required by authorized service technicians to repair and replace serviceable parts of VOCSN is available from Ventec Life Systems on request. Only authorized service technicians should repair VOCSN.
Page 140: Battery Care, Maintenance, And Replacement
Charge status on the My VOCSN screen shows 50% or less. This means the battery has half (or less) of the charge capacity it did when new. Removable battery replacements are available from Ventec Life Systems. The internal battery must be replaced by Ventec Life Systems service personnel.
Page 141: Battery Storage Mode
Cleaning and Maintenance Battery Storage Mode VOCSN is shipped in Battery Storage Mode to preserve the charge of its three batteries. With software versions 4.11R and later, users can select the Activate Battery Storage Mode control in the Device Settings and place the fully charged internal battery and both removable, rechargeable batteries back into this power-saving storage mode.
Page 142: Software Updates
Ventec Life Systems periodically releases VOCSN software updates, which may include new features and extended functionality. Software updates occur in the field as needed, or when VOCSN is serviced. Contact Ventec Life Systems for additional information about software releases and upgrades.
Page 143: Environmental Considerations
Shipping Considerations To ensure the device is not damaged during shipment, and that the shipment meets all applicable regulations, always use packaging approved by Ventec Life Systems when shipping VOCSN. Contact Ventec Life Systems with questions, and to obtain packaging materials.
Page 144: Glossary
Glossary Glossary Glossary of Symbols The following symbols appear on the exterior of VOCSN. Symbol Description Title and Reference Consult accompanying product instructions Refer to Instruction Manual/Booklet ISO 7010 Symbol M002 Do not operate near open flame No Open Flame ISO 7010 Symbol P003 Do not smoke near equipment No Smoking...
Page 145 Glossary Symbol Description Title and Reference Indicates the device serial number Serial Number ISO 7000 Symbol 2498 Device identifier Catalogue Number ISO 7000 Symbol 2493 Authorized European Representative Authorized European Representative ISO15223-1 Clause 5.1.2 Environmental requirements for storage and shipping Temperature Limitation ISO 7000 Symbol 0632 Dispose of equipment in accordance with requirements...
Page 146 Glossary Symbol Description Title and Reference Remote alarm port Bell IEC 60417 Symbol 5013 Date of manufacture Date of Manufacture ISO 7000 Symbol 2497 YYYY-MM-DD Date of Expiry (Expiration). Do not use device after this Use by Date date. ISO 7000 Symbol 2497 Name and address of device manufacturer Manufacturer ISO 7000 Symbol 3082...
Page 147 Glossary Symbol Description Title and Reference The IP32 rating indicates that the VOCSN enclosure Degree of Ingress Protection Provided protects it against ingress from wires and tools >2.5mm, by Enclosure and dripping water IEC 60601-1, Table D.3, Symbol 2 Federal law restricts this device to sale by or on the order Prescription Only of a physician 21 CFR 801.15(c)(1)(i)F...
Page 148: Glossary Of Indicators
Glossary Glossary of Indicators The following icons and indicators may appear on the VOCSN touchscreen: Indicator Description Indicator Description External battery is fully External battery is more than charged half depleted External battery is charging External battery is empty or not installed in VOCSN External battery is not External battery status is...
Page 149 Glossary Indicator Description Indicator Description VOCSN is locked; Clinician VOCSN is unlocked; Clinician Access Passcode is required Access Passcode has been to access locked VOCSN entered or is not required, controls and all VOCSN controls are configurable Alarm indicator. This icon will Alarm is silenced.
Page 150: Glossary Of Terms
Glossary Glossary of Terms Term Definition Alternating Current. VOCSN can be connected to external, continuous sources of AC power, such as a wall outlet. Apnea The temporary cessation of a patient’s ability to initiate breaths on their own. Assist breath A breath that is initiated by patient effort and cycled by VOCSN.
Page 151: Troubleshooting
Some issues with VOCSN can be resolved quickly by following the steps described in this chapter. Others may require service from an authorized Ventec Life Systems service technician. In case of VOCSN malfunction, the clinician or caregiver must be able to provide an alternative means of ventilation promptly when necessary.
Page 152 Troubleshooting Alarm Recommended Troubleshooting Actions When using battery power, battery alarms are normal. • Monitor battery charge status, and connect an external source of power when available. • To clear the Battery Use alarm while using removable, rechargeable battery Battery Use activates whenever power, navigate to the Alarm Log and select “Clear List”...
Page 153 Troubleshooting Alarm Recommended Troubleshooting Actions Device Expired - Maximum Hours activates when the Sys. PM Due In monitor is at or below 0, • Dispose of the V+Pro Emergency in accordance with local regulations. indicating that VOCSN has reached the end of its useful life. This alarm can be reset for up to 8 hours by clearing the alarm.
Page 154 Press the On/Off button again to restart VOCSN. only available source of power, or when a software or hardware failure • If the device remains inoperative, contact your local Ventec Life Systems renders VOCSN unable to safely representative for service. deliver therapy and/or monitor the patient.
Page 155 Troubleshooting Alarm Recommended Troubleshooting Actions • Ensure the Low Inspiratory Pressure alarm is set below the patient peak inspiratory pressure, taking into account changes in airway resistance and/or Low Inspiratory Pressure lung recruitment. activates when the monitored Peak Inspiratory Pressure falls below the •...
Page 156 If the Very Low FiO2 alarm resolves, troubleshoot problems with the monitored FiO2 is less than 18%. oxygen source. • If the Very Low FiO2 persists there may be a problem with the VOCSN oxygen sensor. Contact your local Ventec Life Systems representative for service. VentecLife.com...
Page 157: Device Troubleshooting
VOCSN requires service Contact Ventec Life Systems for service VOCSN will not power off Touchscreen is not responsive Press and hold the power button for more than 10 seconds...
Page 158: Ventilation Troubleshooting
VOCSN is too close to a heat source away from any other sources of heat VOCSN requires service Contact Ventec Life Systems for service. Patient tubing and flow sensor lines Use of a humidifier requires water Use a Ventec One-Circuit with heated wire...
Page 159: Oxygen Troubleshooting
VOCSN connector oxygen port The VOCSN has an internal leak Contact Ventec Life Systems for service Oxygen is seeping from the O2 Low Disconnect the O2 Low Pressure Inlet Pressure Inlet Adapter. Adapter.
Page 160: Multi-View Troubleshooting
Troubleshooting Multi-View Troubleshooting Problem Cause Solution Export stalls while writing to USB drive USB drive is corrupt Use a new USB 2.0 drive formatted to FAT32. Patient Circuit Troubleshooting Problem Cause Solution Patient circuit performance Obstructions in the patient circuit Ensure connected patient circuit accessories (such as an HME or humidifier) are clean and not obstructed.
Page 161: Recalibrating Batteries
Troubleshooting Recalibrating Batteries Over time, the VOCSN batteries (the removable, rechargeable batteries and/or the internal battery) may require recalibration to report their charge status correctly in the VOCSN status bar. If the three relative state of charge icons in the VOCSN status bar do not report that the batteries are fully charged even after VOCSN has been plugged in for 24 hours or more, disconnect VOCSN from the patient and recalibrate the batteries by following these steps: VOCSN is...
Page 162: Technical Specifications
Technical Specifications Technical Specifications This chapter provides VOCSN technical specifications, including environmental requirements and the accuracy specifications of all controls and monitors. NOTE: VOCSN will continue to meet its stated performance specifications when operating on battery power. Physical Physical Category Specification VOCSN Dimensions: 10.25”...
Page 163: Environmental
Technical Specifications Environmental NOTE: Unless otherwise specified, the following environmental specifications apply to all VOCSN components, controls, alarms, and monitors. Environmental Category Specification Temperature and Operating: +5 °C to +40 °C; 15% to 90% relative humidity, non-condensing Relative Humidity Storage and transport: -25 °C at any humidity to +70 °C at up to 90% relative humidity, non-condensing Atmospheric Pressure Operating: 700 to 1060 hPa Storage: 500 to 1100 hPa...
Page 164: External Power Requirements
Technical Specifications External Power Requirements Category Specification Sine AC mains waveform AC power Rated Voltage: 100 to 240 VAC, 50 to 60 Hz Power for V+O+C+S+N(+Pro) configurations: ≤288 VA average, 420 VA peak Power for V+C(+Pro) configurations: ≤180 VA average, 240 VA peak DC power 20.0 to 30.3 VDC, as measured at the connection to the device, through 0 to 350 W instantaneous loads...
Page 165: Expected Service Life And Intervals
Technical Specifications Expected Service Life and Intervals Category Expected service life V+Pro Emergency 2 years or 10,000 hours of use (whichever is less) Removable, 2 years or 500 complete charge/discharge cycles (whichever is less) rechargeable batteries Audible Volume Category Volume Ventilator ≤48 dBA at 1 meter Inop alarm...
Page 166: Control Accuracy
Technical Specifications Control Accuracy NOTE: Negative (subatmospheric) pressure is not available during the expiratory phase of ventilation therapy breaths delivered by VOCSN. NOTE: When used with active, passive, or valveless Ventec One-Circuits, VOCSN was designed for use with a humidifier or HME.
Page 167 Technical Specifications Control Accuracy Pressure Control ±(8% of setting or 2 cmH2O, whichever is greater) Pressure Support ±(8% of setting or 2 cmH2O, whichever is greater) Rise Time Sigh Tidal Volume Measured at the patient connection port Accuracy: ±(10% of setting + 5 mL) for active and mouthpiece circuits; ±(15% of setting + 7.5 mL) for passive and valveless circuits Stability: ±(10% of setting + 5 mL) Time Cycle...
Page 168: Monitor Resolution And Accuracy
NOTE: Monitors incorporating pressure measurements are calculated using a pressure sensor inside VOCSN, which calculates the pressure at the Ventec One-Circuit connection port. NOTE: Unless otherwise stated, monitor accuracy specifications are met when VOCSN is used as recommended by Ventec Life Systems. Monitor Resolution...
Page 169 Technical Specifications Monitor Resolution Accuracy Plateau Pressure 1 cmH2O ±(2 + 4% of reading) cmH2O (during Inspiratory Hold) Sys. PM Due In 1 hour Pump Usage 1 hour Removable Battery 1 Capacity Removable Battery 2 Capacity Static Compliance 1 mL/ ±(2 + 20% of actual value) mL/cmH2O for 1 to 100 mL/cmH2O (during Inspiratory Hold) cmH2O...
Page 170: Classifications
Technical Specifications Classifications Category Classification Electrical Safety Class II Continuous Portable Internally Powered Transit Operable Type BF Applied Parts Applied Parts Ventec One-Circuit Standards Applied Category Standard Critical care ventilators ISO 80601-2-12 Home care ventilators ASTM F1246 Breathing sets and connectors ISO 5367 Respiratory gas monitors ISO 80601-2-55...
Page 171: Ventec One-Circuit Compliance
Technical Specifications Ventec One-Circuit Compliance NOTE: Based on the set Patient Type and Humidification Type, VOCSN automatically adjusts delivered therapy to compensate for differences in the compliance and volume of the Ventec One-Circuit. NOTE: The maximum working pressure of Ventec One-Circuits is 70 cmH2O. Ventec One-Circuit Compliance Adult Ventec One-Circuits...
Page 172: Accessories
Accessories Accessories Available from Ventec Life Systems The following parts and accessories are available for use with VOCSN. Contact your local Ventec Life Systems representative for more information about available components and accessories, or to place an order: Photo Item name...
Page 173 Accessories Photo Item name Description External Bacterial The Ventec Bacterial Filter helps to protect both the patient and VOCSN from Filter contamination from airborne microorganisms. The bacterial and viral filtration efficiency (BFE and VFE) is >99.99%. Fan Filter The washable and reusable foam fan filter cleans air entering the cooling fan intake.
Page 174 Accessories Photo Item name Description Nurse Call Cable Connects VOCSN to normally closed remote alarm, nurse call, or other alarm (Normally Closed systems that sense contact closure through a 1/4 in. (.6 cm) phono jack. - White) Nurse Call Cable Connects VOCSN to normally open remote alarm, nurse call, or other alarm (Normally Open - systems that sense contact closure through a 1/4 in.
Page 175 Accessories Photo Item name Description Removable 60W desktop charger for two VOCSN detachable batteries. Indicator lights Battery Quick display battery charge status. Each battery charges fully in three hours. The Charger charger is powered by a standard two-prong AC cord. (Batteries not included) Roll Stand The Ventec Roll Stand is a mobile, wheeled mount for VOCSN, and includes a mounting bracket, utility bracket, straps, and a cable hook for cord...
Page 176 Accessories Photo Item name Description Ventec One- Passive Ventec One-Circuits are single-limb circuits with a fixed-leak passive Circuit, Passive: exhalation port. adult or pediatric, Adult and pediatric passive Ventec One-Circuits can be purchased with or single-patient use without the following optional features: •...
Page 177: Available From Other Manufacturers
Heat-Moisture Exchanger (HME) Compliant with ISO 9360-1 or ISO 9360-2. Humidifier Compliant with ISO 8185. Ventec Life Systems recommends use of the Fisher & Paykel HC550, the Fisher & Paykel MR850, or equivalent. Mouthpiece Circuit Kit, The Mouthpiece Circuit Kit is a third-party accessory available through Ventec Life Systems. It...
Page 178: Emc Information
EMC Information EMC Information The EMC information provided in this chapter applies to VOCSN and its accessories, including the AC Adapter, 24 Volt Wheelchair Power Cable, and Nurse Call Cable. WARNING: To protect against EMI (electromagnetic interference) affecting device performance: •...
Page 179: Electromagnetic Emissions
EMC Information Electromagnetic Emissions VOCSN 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 Guidance: Electromagnetic Environment RF emissions Group 1 VOCSN uses RF energy only for its internal function.
Page 180: Electromagnetic Immunity
EMC Information Electromagnetic Immunity VOCSN 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 Level Guidance: Electromagnetic Environment Electrostatic ±6 kV contact ±8 kV contact...
Page 181 EMC Information IEC 60601 Test Immunity Test Level Compliance Level Guidance: Electromagnetic Environment Portable and mobile RF communications equipment should be used no closer to any part of the device, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Page 182: Recommended Separation Distance Between Portable And Mobile Rf Communications Equipment And Vocsn
EMC Information Recommended Separation Distance Between Portable and Mobile RF Communications Equipment and VOCSN VOCSN 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.
Page 183: Technical Description
Technical Description Technical Description Theory of Operation The sections that follow detail the theory of operation of each of the five VOCSN therapies. A pneumatic schematic of each therapy is also provided. Ventilation Therapy and FiO2 Oxygen Therapy Gas is drawn from the air intake, filtered for dust and particles, and flows into the accumulator. The air is mixed with oxygen if VOCSN is configured to deliver a set FiO2.
Page 184: Leak Compensation
Technical Description Leak Compensation With Leak+ hardware configurations, the powerful VOCSN leak compensation algorithm can compensate for leaks up to 175 L/min at 20 cmH2O. Leak compensation works differently depending on the type of patient circuit and the ventilation mode used. The following table illustrates when VOCSN leak compensation is active. The sections that follow include a detailed description of how leak compensation works with each circuit type.
Page 185: Leak Compensation With A Passive Or Valveless Ventec One-Circuit
Technical Description Leak Compensation with a Passive or Valveless Ventec One-Circuit Because passive circuits (and valveless circuits connected to a vented mask) have a fixed and constant leak, VOCSN runs its leak compensation continuously in the background to calculate and compensate for leaks. VOCSN devices with the Leak+ feature can compensate for large leaks up to 175 L/min at 20 cmH2O.
Page 186: Nebulization
(which will provide a higher total delivered FiO2 than the displayed Calculated FiO2 monitor). If the patient is oxygen dependent, Ventec Life Systems recommends use of patient oxygen monitoring (e.g., an SpO2 monitor), especially during nebulization.
Page 187: Vocsn Measurements
VOCSN calculates and delivers the flow required to reach and maintain the set PEEP. In addition, Ventec Life Systems recommends the use of appropriate alarms to ensure the accuracy of delivered breath pressure. For example, the High Pressure and Low Inspiratory Pressure alarms, as well as the Low Minute Volume alarm can be set to ensure breaths are accurately delivered during pressure-control ventilation.
Page 188: Alarm Detection Criteria
Technical Description Alarm Detection Criteria Alarm Detection Criteria • When the average O2 accumulator pressure is less than 4 PSI O2 Concentration Patient Circuit Disconnect When High Flow is Off and the Circuit Type control is set to Active, Passive, or Valveless: •...
Page 189: System Fault Detection Criteria And Recommended Action
Try starting Oxygen therapy selection fails internal integrity suspended again. tests. If the problem persists, contact Ventec Life Systems for service. When the Ventilation therapy fan No action. System Fault 9 Provide the patient with backup does not turn. Ventilation (and other therapies if necessary).
Page 190: Low-Pressure Oxygen Blending
Technical Description Low-Pressure Oxygen Blending When using the a low-pressure oxygen source to bleed oxygen into a passive or valveless Ventec One-Circuit, oxygen delivered to the patient may fluctuate based on the following settings and conditions: • Oxygen flow rate •...
Page 191: Input Flow 100% Oxygen, Flow Trigger Set To
Technical Description Input Flow 100% Oxygen, Flow Trigger Set to 1-3 Input Flow 100% Oxygen, Flow Trigger Set to 9 VentecLife.com...
Page 192: Input Flow 93% Oxygen, Flow Trigger Set To
Technical Description Input Flow 93% Oxygen, Flow Trigger Set to 1-3 Input Flow 93% Oxygen, Flow Trigger Set to 9 VentecLife.com...
Page 193: Input Flow 100% Oxygen, High Flow Therapy
Technical Description Input Flow 100% Oxygen, High Flow Therapy Input Flow 93% Oxygen, High Flow Therapy VentecLife.com...
Page 194 About Ventec Life Systems Ventec Life Systems is defining integrated respiratory care to improve patient outcomes and reduce caregiver challenges in the hospital and home. Ventec’s leading product, VOCSN, seamlessly integrates five separate devices including a ventilator, oxygen concentrator, cough assist, suction, and nebulizer into one unified respiratory system. The team’s history of patient-centric design brings care changing innovations to life for patients, medical professionals, and caregivers.

Ventec Life Systems Vocsn V+Pro Clinical And Technical Manual

Introduction

Setup

Breath Types and Therapy Modes

The Touchscreen

Controls and Settings

Alarms

Monitors

Multi-View

Checkout Procedure

Operating Instructions

Cleaning and Maintenance

Glossary

Troubleshooting

Technical Specifications

Accessories

EMC Information

Technical Description

Quick Links

Troubleshooting

Need help?

Questions and answers

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Summary of Contents for Ventec Life Systems Vocsn V+Pro