PHILIPS Respironics Trilogy 202 User Manual
  1. Manuals
  2. Brands
  3. PHILIPS Respironics Manuals
  4. Respiratory Product
  5. Trilogy 202
  6. User manual

PHILIPS Respironics Trilogy 202 User Manual

Ventilator
Hide thumbs
Table of Contents

Advertisement

Quick Links

User Manual
REF 1067236
1067235
JH 12/3/09

Advertisement

Table of Contents
loading

Related Manuals for PHILIPS Respironics Trilogy 202

Summary of Contents for PHILIPS Respironics Trilogy 202

  • Page 1 User Manual REF 1067236 1067235 JH 12/3/09...
  • Page 2 This work is protected under Title 17 of the United States copyright code and is the sole property of Philips Respironics. No part of this document may be copied or otherwise reproduced, or stored in any electronic information retrieval system, except as specifically permitted under United States...

  • Page 4: Table Of Contents

    Trilogy 202 user manual Table of Contents Chapter 1. Introduction............................1 Package Contents .........................1 Intended Use ..........................2 Warnings and Cautions ......................3 Warnings .........................3 Cautions ..........................8 Notes ..........................10 Contraindications .......................11 System Overview ........................11 Symbols ..........................12 Front Panel ........................12 Rear and Side Panels ....................12 Chapter 2.
  • Page 5 Low Oxygen Flow ......................43 High Oxygen Inlet Pressure ..................43 Low Oxygen Inlet Pressure ..................43 Circuit Disconnect Alarm ..................43 Apnea Alarm .......................44 High Vte Alarm ......................44 Low Vte Alarm ......................44 High Vti Alarm ......................44 Low Vti Alarm ......................45 Trilogy 202 user manual...
  • Page 6 High Respiratory Rate Alarm .................45 Low Respiratory Rate Alarm ..................45 High Inspiratory Pressure Alarm ................45 Low Inspiratory Pressure Alarm ................46 High Minute Ventilation Alarm ................46 Low Minute Ventilation Alarm ................46 Low Battery Alarm .....................46 High Temperature Alarm ..................47 Replace Detachable Battery Alarm ..............47 Ventilator Service Recommended Alarm ............47 AC Power Disconnected Alarm ................48 Keypad Stuck Alarm ....................48...
  • Page 7 Connecting the Ventilator to the Patient ..............108 Chapter 6. Ventilator Alarms ..........................109 Audible and Visual Alarm Indicators ................. 110 Alarm LED Indicators ..................... 110 Audible Indicators ....................111 Alarm Messages ...................... 112 Remote Alarm ......................114 Trilogy 202 user manual...
  • Page 8 Using a Remote Alarm Unit..................133 Using a Nurse Call System .................... 134 Using a Secure Digital (SD) Card ................134 Using the Philips Respironics DirectView Software ..........135 Chapter 10. System Checkout Procedures ....................137 Tools Required ........................137 Visual Inspection ......................138 Initial Setup ........................
  • Page 9 Chapter 11. Technical Specifications ......................151 Chapter 12. Glossary ............................155 Chapter 13. EMC Information ........................161 Index ..................................165 Limited Warranty ..............................169 Trilogy 202 user manual...

  • Page 10: Chapter 1. Introduction

    Trilogy 202 user manual 1. Introduction This chapter provides an overview of the Trilogy 202 device. Package Contents The Trilogy 202 system may include the following components. Some components are optional accessories that may not be packaged with the device.

  • Page 11: Intended Use

    Trilogy 202 is intended for pediatric through adult patients weighing at least 5 kg (11 lbs.). The device is intended to be used in hospitals and institutions, and for portable applications such as wheelchairs and gurneys only when in an institutional setting.

  • Page 12: Warnings And Cautions

    Warnings and Cautions Warnings A warning indicates the possibility of injury to the user or operator. Patient Monitoring Prior to placing a patient on the ventilator, a clinical assessment should be performed to determine: • The device alarm settings • Needed alternative ventilation equipment •...
  • Page 13 SD Card When you change the device prescription, alarms, and other settings Prescription using the SD card, Trilogy 202 requires that the caregiver review and Changes verify the changes prior to the changes being used by the device. The caregiver or health care professional is responsible to ensure that the prescription settings are correct and compatible with the patient after using this feature.
  • Page 14 Philips Respironics. Proper operation of the device, including alarms, with other circuits has not been verified by Philips Respironics and is the responsibility of the health care professional. When adding any components to the breathing system, the flow...
  • Page 15 When the device is not in operation and the oxygen flow is left on, oxygen delivered into the tubing may accumulate within the device’s enclosure. Fire or Explosion The ventilator should not be operated in the presence of flammable gasses. This could cause a fire or explosion. Trilogy 202 user manual...
  • Page 16 Respiratory Rate, and Apnea alarms should be used in conjunction with the Circuit Disconnect alarm. Make sure the alarm volume is set loud enough to be heard by the caregiver. Consider the use of a remote alarm. Trilogy 202 offers the following circuit type selections: • Passive •...

  • Page 17: Cautions

    Discontinue use and replace if damaged. Repairs and adjustments must be performed by Philips Respironics- authorized service personnel only. Unauthorized service could cause death or injury, invalidate the warranty, or result in costly device damage.
  • Page 18 (hours or full charge-discharge cycles). The battery capacity and life are also reduced by operation at higher temperatures. Detachable Battery Only use the Philips Respironics Trilogy Detachable Battery with the ventilator. Cleaning Do not steam autoclave the ventilator. Doing so will destroy the ventilator.

  • Page 19: Notes

    An external battery should only be connected to the ventilator using the Philips Respironics Trilogy External Battery Cable. This cable is fused, pre-wired, and properly terminated to ensure safe connection to a standard deep-cycle, lead acid battery. Use of any other adapter or cable may cause improper operation of the ventilator.

  • Page 20: Contraindications

    Contraindications If the patient has any of the following conditions, consult their health care professional before using the device in a non-invasive mode: • Inability to maintain a patent airway or adequately clear secretions • At risk for aspiration of gastric contents •...

  • Page 21: Symbols

    Rear and Side Panels Symbol Description AC Power Connector Secure Digital (SD) Card Slot Serial Port Connector Remote Alarm Connector Ethernet Connector DC Power Connector Oxygen Inlet Consult accompanying instructions for use. Type BF Applied Part Trilogy 202 user manual...
  • Page 22 Separate collection for electrical and electronic equipment per EC Directive 2002/96/EC. Class II (Double Insulated) Drip Proof Equipment Chapter 1 Introduction...
  • Page 23 Trilogy 202 user manual...

  • Page 24: Chapter 2. System Description

    Trilogy 202 user manual 2. System Description This chapter describes the front and rear panel device controls and features. Front Panel Features The front panel contains the control buttons, visual indicators, and display screen. Buttons Front Panel Controls and The following buttons are included on the front panel of the device.

  • Page 25: Visual Indicators

    The display screen allows you to view settings, system status information, real-time patient data, alarms, and logs. You can also modify certain settings on the display screen. See Chapter 5 for more information on viewing and modifying device settings. Sample Display Screen Trilogy 202 user manual...

  • Page 26: Side And Rear Panel Features

    Side and Rear Panel Features The ventilator’s side and rear panels contain the following connectors and features, shown at right. 1. AC Power Inlet You can plug the AC power cord into this connector, located on the right side of the ventilator. 2.
  • Page 27 7. Remote Alarm/Nurse Call Connector If you are using an optional remote alarm or nurse call system Rear Panel with the ventilator, you can connect the Philips Respironics remote alarm adapter cable or nurse call adapter cable to this connector.

  • Page 28: Chapter 3. Modes, Features, And Alarms

    Trilogy 202 user manual 3. Modes, Features, and Alarms Therapy Modes The device provides Pressure Control Ventilation (PCV) and Volume Control Ventilation (VCV) for non-invasive and invasive patients. Pressure Control ventilation delivers a prescribed pressure to the patient according to set breath rate and set inspiration time parameters.

  • Page 29: Breath Types

    A Sigh breath is a breath where 150% of the prescribed volume is delivered. The device will deliver this breath once every 100 Mandatory or Assist breaths when the Sigh setting is enabled. Sigh breaths are only available in volume modes of ventilation. Trilogy 202 user manual...

  • Page 30: Therapy Mode Table

    Therapy Mode Table The following table summarizes all of the therapy modes and the settings available in each mode. Some settings in the table are dependent upon other settings. For instance, if the circuit type is set to Active with Flow, then the Flow Trigger Sensitivity, Leak Compensation, and Flow Cycle settings will display.
  • Page 31 = Pressure Supported IPAP = 26 cm H Spontaneous Breath EPAP = 6 cm H PS = IPAP-EPAP = 20 cm H PRESSURE 5 seconds 4 seconds 8 seconds S Mode Enter S mode TIME Trilogy 202 user manual...
  • Page 32 Spontaneous/Timed (S/T) Mode In Spontaneous/Timed (S/T) mode, the device delivers bi-level pressure support. This mode provides Spontaneous and Mandatory breaths. A Mandatory breath is delivered if the patient does not spontaneously breathe within the prescribed Breath Rate (BPM) setting. This ensures that the patient receives a minimum number of breaths per minute.
  • Page 33 IPAP = 26 cm H = Mandatory Breath EPAP = 6 cm H Rate = 10 BPM PS = IPAP- EPAP = 20 cm H PRESSURE seconds seconds seconds seconds T Mode Enter T mode TIME Trilogy 202 user manual...
  • Page 34 Pressure Control (PC) Mode In Pressure Control (PC) mode, the device delivers bi-level pressure support. This mode delivers Assist and Mandatory breaths. This mode is identical to S/T mode, except that all breaths have a fixed inspiratory time. IPAP = 26 cm H = Mandatory Breath EPAP = 6 cm H = Assist Breath...
  • Page 35 = Spontaneous Window PEEP = 6 cm H = Mandatory Breath Rate = 5 BPM = Assist Breath PRESSURE 12 seconds 12 seconds 12 seconds 12 seconds Sample Breath Patterns in PC-SIMV Mode Enter PC-SIMV mode TIME Trilogy 202 user manual...

  • Page 36: Volume Control Ventilation Therapy Modes

    Volume Control Ventilation Therapy Modes Volume Control ventilation modes deliver a prescribed inspired tidal volume according to a set Breath Rate and a set Inspiratory Time. Control Ventilation (CV) Mode In Control Ventilation (CV) mode, the device delivers volume control therapy.
  • Page 37 Mandatory Volume breath when the time expires and then begin the process again. Mandatory breaths deliver the Tidal Volume setting during inhalation and provide a lower Peak End Expiratory Pressure (PEEP) during exhalation. Trilogy 202 user manual...
  • Page 38 During the time window, if patient effort is detected, either a Spontaneous or an Assist breath is delivered for the first effort. If the last breath delivered was Mandatory, then a Spontaneous breath is delivered for the first patient effort of the window. If the last breath delivered was an Assist or Spontaneous breath, then an Assist breath is delivered for the first patient effort of the window.

  • Page 39: Therapy Mode Features

    Traditional CPAP Therapy TIME C-Flex pressure relief is determined by the C-Flex setting and the amount of patient flow. C-Flex returns to the set pressure by the end of exhalation, when the airway is most vulnerable to closure. Trilogy 202 user manual...

  • Page 40: Ramp

    Bi-Flex Note: Bi-Flex is only available In S mode, the Bi-Flex attribute adjusts therapy by inserting a small up to 25 cmH O in S mode. amount of pressure relief during the latter stages of inspiration and during the beginning part of exhalation. In the following diagram, the bold lines represent Bi-Flex in comparison to the dashed line representing normal BiPAP therapy.

  • Page 41: Rise Time

    (IPAP Max) settings. AVAPS averages V and changes the PS value gradually. This occurs over several minutes. The rate of change is slow, so that the patient is not aware of breath-to-breath pressure changes. Trilogy 202 user manual...
  • Page 42 As patient effort decreases, AVAPS automatically increases PS to maintain the target tidal volume. The IPAP level will not rise above IPAP Max, even if the target tidal volume is not reached. Conversely, as patient effort increases, AVAPS will reduce PS. IPAP will not fall below IPAP Min, even if the target tidal volume is exceeded.

  • Page 43: Flow Pattern Types

    With a square wave pattern, airflow is generally constant throughout inspiration of the breath. FLOW Square Flow Pattern TIME Ramp With a ramp flow pattern, the airflow starts high and decreases throughout inspiration of the breath. FLOW 50% of Peak Flow Ramp Waveform Pattern TIME Trilogy 202 user manual...

  • Page 44: Sigh Feature

    For the active circuit in volume modes, peak flow is required to be a minimum of 20 l/min. The wave form may be flattened when the combination of Inspiratory Time and Tidal Volume set points would result in a flow of less than 20 l/min. Therefore, for some settings, a Ramp flow pattern may provide a pattern that more closely resembles a Square flow pattern.

  • Page 45: Dual Prescription Feature

    Parabolic leak is proportional to the square of the patient pressure; therefore, the leak estimate is correlated to the changing patient pressure. Both algorithms include unintentional circuit leak and are averaged over several breaths. Trilogy 202 user manual...
  • Page 46 B. Patient Flow The total circuit flow is comprised of the circuit leak and the patient flow. The calculated patient flow is the total flow minus the circuit leak. Patient flow is a primary input into the triggering and cycling mechanisms.
  • Page 47 A sudden change in patient flow will cross the shape signal, causing the pressure level to change. IPAP Pressure EPAP Cycle to EPAP Shape Shape Signal Crossover Signal Point Estimated Flow Patient Flow Trigger to IPAP Crossover Point Trilogy 202 user manual...
  • Page 48 Tracking the patient’s flow pattern with the Shape Signal provides a sensitive mechanism to trigger to inspiration or cycle to expiration in response to changing breathing patterns and circuit leaks. Spontaneous Expiratory Threshold (Inspiration to Expiration): A second method used to cycle to expiration during spontaneous breathing in all modes except T, CV, AC, and SIMV, is called Spontaneous Expiratory Threshold (SET).
  • Page 49 For example: if the flow cycle sensitivity setting is set to 25%, when the flow has decreased by 25% of the peak flow, the device will cycle to the EPAP/PEEP level. Trilogy 202 user manual...

  • Page 50: Btps Compensation

    BTPS Compensation All flows and volumes used in Trilogy are expressed in BTPS - Body Temperature atmospheric Pressure Saturated with H All pressures are expressed relative to atmospheric pressure. Ventilator Alarms This section describes all of the ventilator alarms and informational messages in order of priority, from high priority alarms to low priority alarms and finally informational messages.

  • Page 51: Check Circuit Alarm

    This is a high priority alarm. It occurs when there is a leak in the internal air delivery system that allows oxygen to build up inside the device. The alarm is generated when the internal oxygen concentration reaches 5% above ambient levels. Trilogy 202 user manual...

  • Page 52: High Oxygen Flow

    High Oxygen Flow This is a high priority alarm. It occurs when the concentration of oxygen from the device is 10% above the FiO set point for more than 30 seconds. This could be caused by a problem with the output of the oxygen source.

  • Page 53: Apnea Alarm

    High Vti alarm setting for three consecutive breaths. The device continues to operate. The alarm will automatically terminate when a breath occurs in which the delivered tidal volume does not reach the High Vti alarm setting. Trilogy 202 user manual...

  • Page 54: Low Vti Alarm

    Low Vti Alarm This is a high priority alarm. It occurs when the delivered tidal volume is less than the Low Vti alarm setting for three consecutive breaths. The device continues to operate. The alarm will automatically terminate when a breath occurs in which the delivered tidal volume exceeds the Low Vti alarm setting.

  • Page 55: Low Inspiratory Pressure Alarm

    10 minutes of battery run time remains. Trilogy 202 user manual...

  • Page 56: High Temperature Alarm

    High Temperature Alarm This alarm occurs when the estimated patient airstream temperature or the ventilator internal temperature is too high. The alarm occurs in several stages. The ventilator continues to operate. Internal fans are started when the medium priority alarm is generated. If the condition causing the high temperature is not corrected and the temperature continues to rise, the alarm will escalate to the high priority alarm.

  • Page 57: Ac Power Disconnected Alarm

    Battery Not Charging Info Message This info message occurs when the device has detected an error condition with the battery that prevents it from accepting a charge. The device continues to operate. Battery charging stops. Trilogy 202 user manual...

  • Page 58: Check External Battery Info Message

    Check External Battery Info Message This info message occurs when a bad connection exists to the external battery or the external battery failed. The device continues to operate using power from the detachable battery, if available, or the internal battery. Battery Depleted Info Message This info message occurs when the affected battery is fully depleted.
  • Page 59 Trilogy 202 user manual...

  • Page 60: Chapter 4. Ventilator Setup

    Trilogy 202 user manual 4. Ventilator Setup This chapter provides instructions on how to assemble the ventilator. WARNING It includes the following setup information: Ventilator dependant patients should be continuously • Properly positioning the device monitored by qualified • personnel. These personnel...

  • Page 61: Position The Device

    To prevent accidental removal of the AC power cord from the device, secure the AC power cord to the device using the AC power cord retainer located on the back of the device. Trilogy 202 user manual...
  • Page 62 2. Plug the pronged end of the cord into a wall outlet not CAUTION connected to a wall switch. The device may only be operated 3. Ensure that all connections are secure. If AC power is connected at temperatures between 5˚ C correctly and the device is operating properly, the green AC and 40˚...

  • Page 63: Using Dc Power

    Refer to the instructions supplied with the Philips Respironics Trilogy deep cycle lead acid battery. Use External Battery Cable for detailed information on how to operate of any other adapter or cable the device using an external battery.
  • Page 64 Detachable Battery Pack CAUTION Philips Respironics offers a detachable Lithium-Ion battery pack. To The detachable and internal batteries wear out based on use the detachable battery pack, remove the protective cover and the amount of use (hours or full snap the battery into place on the back of the ventilator.
  • Page 65 Attaching the Detachable Battery CAUTION Prolonged operation or storage at elevated temperatures may Insert Properly Installed Detachable Detachable reduce the service life of the Battery Battery detachable or internal battery and other internal components of the ventilator. Trilogy 202 user manual...
  • Page 66 One side of the detachable battery has a set of LEDs that indicate the amount of charge left on the battery. You can press the button below the LEDs to view how much charge remains: Battery Capacity All 5 LEDs are lit 80-100% capacity 4 LEDs are lit 60-79% capacity...

  • Page 67: Device Power Source Indicators

    Monitoring screen. If the symbol appears as an empty red Battery Symbol battery on your screen, contact Internal Battery Respironics or an authorized service representative to have Detachable Battery your device serviced. External Battery Trilogy 202 user manual...
  • Page 68 There are several DC power indicators that will display on the Monitoring screen to indicate which battery is in use (if applicable), if the batteries are low, charging, or discharged, etc. The following table explains all of the DC power indicators. DC Power Indicator Description Battery In Use Indicator A black box will appear around the battery that is in use.

  • Page 69: Battery Disposal

    Exhalation Device: to the instructions included with 1. Connect the flexible tubing to the 22mm O.D. end of the the disposable circuit. passive exhalation device. Trilogy 202 user manual...
  • Page 70 2. Connect the other end of the Passive Exhalation Device to the patient interface (e.g., the mask). Passive Exhalation Device Connecting the Passive Exhalation Device Flexible Bacteria Filter Tubing Note: The device does not provide circuit compliance compensation in volume modes. Refer to the instructions included with the Passive Exhalation Device for more detailed setup information.
  • Page 71 If your circuit type is Active Flow: Note: Only use the Respironics- 1. Connect the Flow Sensor to an active exhalation device as approved Flow Sensor with this shown below. device. Connecting the Flow Sensor Flow Sensor Trilogy 202 user manual...
  • Page 72 Note: If the active exhalation 2. Connect the other end of the flexible tubing to the active device has the proximal pressure exhalation device. line connected when you are A. Connect the active exhalation device to the flexible setting up an active flow circuit type, remove the proximal tubing that attaches to the ventilator.

  • Page 73: Connect A Water Trap

    (The sample illustration The oxygen input to the device must be: below shows the NIST connector being installed.) Pressure: 40 psi to 87 psi Flow: 175 SLPM Installing an O Inlet Connector Trilogy 202 user manual...

  • Page 74: Connect The Remote Alarm (Optional)

    To attach the ventilator to a high pressure oxygen supply: 1. Connect the oxygen source to the oxygen connector on the back of the Trilogy 202 device using the supplied Philips Respironics 2.5 meter O hose. • Connect one end of the O hose to the Trilogy 202 device.
  • Page 75 Trilogy 202 user manual...

  • Page 76: Chapter 5. Viewing And Changing Settings

    Trilogy 202 clinical manual 5. Viewing and Changing Settings This chapter explains how to scroll through the ventilation screens Note: There is a keypad lock inactivity time-out period. After and change ventilation settings. It also describes how to connect the you have unlocked the keypad ventilator to the patient once the settings are complete.

  • Page 77: Accessing The Setting Screens

    Main Menu screen appears and an audible indicator sounds indicating you are now in Full Menu Access mode. An example Main Menu screen is shown below. Main Menu Screen (with Menu panel and Detailed View displayed) Trilogy 202 clinical manual...
  • Page 78 When you perform this key sequence when the airflow is off, the Setup screen appears and an audible indicator sounds. An example Setup screen is shown below. Setup Screen (with Setup panel and Menu panel displayed) You can go into the Options menu and permanently change the Menu Access setting to Full Menu Access.

  • Page 79: Accessing The Startup And Monitor Screens

    The center section of the screen displays the current date and time. – The bottom section, called the Status panel, displays certain symbols that indicate features being used, such as Ramp, as well as battery status. Trilogy 202 clinical manual...
  • Page 80 If Detailed View is turned on in the Options menu, the Monitor screen will look like the screen shown below. Monitor Panel Measured Settings Panel Monitor Screen – Detailed View On Status Panel This screen contains more detailed information about the therapy.

  • Page 81: Monitor Screen Indicators

    The current therapy mode displays at the top of the panel (for example, CPAP, S, S/T, etc.). If a special feature such as Flex, AVAPS, or Sigh is active, this feature will appear next to the therapy mode. Trilogy 202 clinical manual...
  • Page 82 Indicator Description Date and Time If you are in Detailed view, the current date and time appear in the top right corner of the panel. (In Detailed View Off, they appear in the center panel.) Patient Breath This symbol displays during a patient-triggered breath. Airway Pressure The manometer (bar graph) displays the airway pressure in the Manometer and...
  • Page 83 Displays the Mean Airway Pressure, which is the weighted average of pressure in the patient’s airway over 6 breaths. Displays the FiO setpoint. MinVent Minute ventilation displays the amount of air delivered to the patient over the last minute in l/min BTPS. Trilogy 202 clinical manual...
  • Page 84 Status Panel Indicators All of the indicators that may appear on the Status Panel are described in the following table. Status Panel Indicator Description Indicates that the device is in Full Menu Access mode, which means you can adjust all prescription settings. Displays when a Secure Digital (SD) memory card is inserted in the ventilator.
  • Page 85 (less than 10 minutes remaining), the inside of the box surrounding the battery symbol will change to red, and all of the bar indicators in the battery will be empty. These color changes only occur for the last available battery source. Trilogy 202 clinical manual...

  • Page 86: On-Screen Button Panel

    On-Screen Button Panel The illustration below shows the on-screen button panel on the Main Menu screen, in relation to the buttons on the front of the device. On-Screen Button Panel Example On-Screen Button Panel Note: The on-screen buttons will vary depending on which At the very bottom of the display screen is the on-screen button screen is displayed and what panel.

  • Page 87: Changing And Viewing Settings In Full Menu Access Mode

    Event Log: View a list of all events that have occurred, such as ventilator setting changes, ventilator inoperative conditions, alarms, etc. • Information: View detailed information about the device, such as the device’s software version and serial number. Trilogy 202 clinical manual...

  • Page 88: Changing The Device Settings And Alarms

    Changing the Device Settings and Alarms Note: In the Options menu described later in this chapter, From the Main Menu screen, use the Up/Down button to highlight you can specify the Pressure the Settings and Alarms menu, and press the Right button to select Units displayed by the device, choosing either cm H O, hPa, or...
  • Page 89 • • Note: This chapter describes how to enable all of the device • PC-SIMV settings, including device • alarms. For detailed information • about each alarm, please refer to Chapter 6. • SIMV Trilogy 202 clinical manual...
  • Page 90 Circuit Type Note: To change the circuit type, you must be in the There are three circuit types you can select: Setup screen with the airflow turned off. See the Full Menu • Passive Access Mode section for more • Active PAP information.
  • Page 91 You can choose Off to disable the alarm. Or, you can increase or decrease the setting from 5 to 60 seconds in 5 second increments. For example, a setting of 10 means that the alarm will sound after the circuit has been disconnected for 10 seconds. Trilogy 202 clinical manual...
  • Page 92 Apnea This setting enables or disables the apnea alarm. If enabled, an audible alarm will sound when an apnea is detected. You can choose Off to disable the alarm. Or, you can increase or decrease the setting from 10 to 60 seconds in 5 second increments. For example, a setting of 10 means that the alarm will sound if the time between spontaneous breaths exceeds 10 seconds.
  • Page 93 You can choose Off to disable this alarm, or you can increase or decrease the setting from 4 BPM to 80 BPM in 1 BPM increments. It cannot be set lower than the Low Respiratory Rate except to be turned off. Trilogy 202 clinical manual...
  • Page 94 Low Inspiratory Pressure This setting configures the Low Inspiratory Pressure alarm. It is only user-settable in CV, AC, and SIMV modes. It cannot be set lower than PEEP + 2 cmH O or higher than the High Inspiratory Pressure. For passive circuits, you can increase or decrease the Low Inspiratory Pressure from 6 to 40 cmH O in increments of 1 cmH...
  • Page 95 6. Ramp Length The Ramp Length allows you to set the ramp time. You can disable Ramp by selecting Off, or you can increase or decrease the Ramp Length setting from 5 to 45 minutes in 5-minute increments. Trilogy 202 clinical manual...
  • Page 96 Note: The Ramp Start Pressure 7. Ramp Start Pressure setting will not display if the You can increase or decrease the ramp start pressure in Ramp Length is set to Off or if increments of 1 from 4 cmH O to the CPAP pressure setting. The the CPAP pressure is set to 4 cmH patient also has access to this setting, unless the ramp length is...
  • Page 97 Inspiratory increments. Use this setting to establish the target volume of Time, to maintain the system’s gas which the ventilator will produce and deliver during each minimum and maximum peak flows. Spontaneous breath. Trilogy 202 clinical manual...
  • Page 98 Note: The Rise Time setting only 7. Rise Time displays if Flex is disabled. If Flex You can adjust the rise time to find the most comfortable setting is enabled, the device will use a rise time of 3. for the patient. Increase or decrease the setting from 1 to 6 until you find the right setting.
  • Page 99 You can increase or decrease the Pressure Support setting from 0 to 30 cmH O in increments of 1. This is the pressure support the ventilator will deliver during the inspiratory phase of a Spontaneous breath. Trilogy 202 clinical manual...
  • Page 100 3. PEEP The Positive End Expiratory Pressure (PEEP) setting can be increased from 0 to 25 cmH O in active circuits and 4 to 25 O in passive circuits, in increments of 1. PEEP is the positive pressure maintained in the patient circuit during exhalation. The PEEP must be less than or equal to the pressure setting.
  • Page 101 • Tidal Volume • Breath Rate • Inspiratory Time • Pressure Support • Flow Pattern • PEEP • Trigger Type • Sigh • Rise Time • High Inspiratory Pressure • Low Inspiratory Pressure Trilogy 202 clinical manual...

  • Page 102: Viewing And Changing Options Menu Items

    Viewing and Changing Options Menu Items From the Main Menu screen, select the Options item, as shown below. Main Menu Screen with Options Selected The Options menu appears, shown in the screen below. Options Menu The following settings are available on the Options menu. •...
  • Page 103 Language – The next item on the Options menu allows you to select the Language that the software will appear in (English, French, German, etc.). The information on the screens will display in the language selected here. Trilogy 202 clinical manual...
  • Page 104 • Pressure Units – The next item allows you to select the pressure units that will display on the screens. You can choose either: cm H mBar All pressure units on the screens will display in the unit of measure selected here. WARNING •...
  • Page 105 – The year defaults to the current year. The adjustable range is from 2000 – 2099. • Hour – The hour defaults to the current hour. The adjustable range is from 12 AM – 12 PM or 0-23, depending on the selected Time Format. Trilogy 202 clinical manual...

  • Page 106: Viewing The Alarm Log

    • Minute – The minute defaults to the current minute. The adjustable range is from 0 – 59. • IP Address Mode – You can change the IP address mode to either DHCP or Static, depending on the type of network you are using (if applicable).

  • Page 107: Viewing The Event Log

    If the entry is an alarm, the first column shows the value that triggered the alarm and the last column shows the number of seconds that the alarm was active. Trilogy 202 clinical manual...

  • Page 108: Viewing Device Information

    Viewing Device Information From the Main Menu screen, you can select Information to access the Information screen. You can also view the Information screen by holding the Down key for 5 seconds. This causes the detailed view of the Monitor Screen and the Information Menu to be displayed temporarily.

  • Page 109: Updating Prescriptions Using The Sd Card

    Updating Prescriptions Using the SD Card WARNING With the Trilogy 202, you can update the patient’s prescription When you change the device prescription, alarms and other using the SD Card. This feature lets you update a single prescription settings using the SD card, or both prescriptions if the dual prescription feature is enabled.
  • Page 110 2. Select No to cancel the prescription update process and return to the previous display (the black screen if the airflow was off or the Monitor/Standby screen if the airflow was on). Select Yes to start the prescription update process. Once the prescription is read in and validated, one of the following screens appears on the display to allow you to ensure the prescription is correct: Ventilator Off Prescription...
  • Page 111 A confirmation screen will appear if errors occur during this process. The following table summarizes the prescription errors, their possible causes, and the actions to take. Trilogy 202 clinical manual...
  • Page 112 Message Cause Action Prescription Change Failed Displayed when an error Remove the card and have the occurs during the prescription prescription replaced with a update. This is caused by an valid prescription. attempt to set a value for a prescription parameter that is not valid for the therapy mode or an attempt to set a prescription parameter to an...

  • Page 113: Changing And Viewing Settings In Limited Menu Access Mode

    • My Settings : View and change certain prescription settings, such as rise time or ramp starting pressure, if these settings were enabled. Trilogy 202 clinical manual...

  • Page 114: Activating A Primary Or Secondary Prescription

    • Options Note: The Options, Alarm Log, : View and change certain device settings, and Information items are such as your alarm volume, keypad lock, or keypad discussed in detail earlier in this backlighting. chapter, in the “Changing and • Alarm Log : View a list of the 20 most recent alarms that Viewing Settings in Full Menu...

  • Page 115: Viewing And Changing My Settings Menu Items

    My Settings screen. For Settings menu by pressing the Left (Finish) button to return to instance, if Ramp is not enabled, the Main Menu. the Ramp Start Pressure setting does not appear on the screen. Trilogy 202 clinical manual...
  • Page 116 The screen below shows an example My Settings screen in which the Ramp Start Pressure is being changed. Sample My Settings Screen (with Ramp Start Pressure Selected) Note: If the Flex feature is You can change the following settings in the My Settings menu, if enabled, the Rise Time setting will not appear on your My they are enabled.

  • Page 117: Connecting The Ventilator To The Patient

    Connecting the Ventilator to the Patient Note: Trilogy 202 provides features to control access to the device (prescription) settings After you have finished adjusting your ventilator settings, perform and to transfer new device the following steps to connect the ventilator to the patient.

  • Page 118: Chapter 6. Ventilator Alarms

    Trilogy 202 clinical manual 6. Ventilator Alarms This chapter describes the ventilator alarms and what you should do if an alarm occurs. There are three types of alarms: Note: If multiple alarms occur • High Priority – Require immediate response by the...

  • Page 119: Audible And Visual Alarm Indicators

    Yellow Solid Indicator – When the device detects a low priority alarm, a solid yellow light appears on the Alarm Indicator/Audio Pause button. The Alarm Indicator/Audio Pause button does not light up when informational messages or confirmation alerts display. Trilogy 202 clinical manual...

  • Page 120: Audible Indicators

    Audible Indicators An audible indicator sounds whenever a power failure or a high, medium, or low priority alarm is detected. Additionally, an audible indicator sounds for informational messages and to confirm that certain actions have occurred (for example, when an SD card is inserted or removed from the device).

  • Page 121: Alarm Messages

    This is done so that the modification to the current parameter can be completed before addressing the alarm condition in case the modification affects the alarm condition. The screen below is an example of an alarm message displayed in the menu banner. Trilogy 202 clinical manual...
  • Page 122 Alarm in Menu Banner Screen The Alarms and Messages Screen will automatically display in place of the Monitor screen when exiting from the menu system using the Exit soft key when an alarm is displayed in the menu banner. If an alarm is manually reset by the user or self-cancels, the menu banner on-screen before the alarm occurred will reappear.

  • Page 123: Remote Alarm

    Remote Alarm When the ventilator detects an alarm condition, if you are using a remote alarm system, a signal is sent from the ventilator to activate the remote alarm. The Remote Alarm is discussed in Chapter 4. Trilogy 202 clinical manual...

  • Page 124: Audio Pause And Alarm Reset Features

    Audio Pause and Alarm Reset Features This section describes the Audio Pause and Alarm Reset features. Audio Pause When an alarm occurs, you can temporarily silence the audible indicator by pressing the Alarm Indicator/Audio Pause button. The alarm is silenced for two minutes and then will sound again if the cause of the alarm has not been corrected.

  • Page 125: Alarm Volume Control

    ), or an “Audio Pause” message appears in the menu banner on the Alarm Display screen. 5. Look up the alarm in the alarm descriptions later in this chapter to determine the source of the alarm and the appropriate action. Trilogy 202 clinical manual...

  • Page 126: Alarm Summary Table

    Alarm Summary Table The following table summarizes all of the high, medium, and low priority alarms and informational messages. Alarm Priority Audible Visual (Alarm Device Clinician Action Indicator Button Action and Display) • • Loss of Power High Red flashing button; Shuts down Restore AC power.
  • Page 127 “High Oxygen Inlet operate oxygen input must be Pressure” message 40-87 psi. If problem continues, contact Philips Respironics or an authorized service representative. Please have the the device model number and serial number information when you call. Trilogy 202 clinical manual...
  • Page 128 Check Pressure” message oxygen source. The oxygen input must be 40-87 psi. If problem continues, contact Philips Respironics or an authorized service representative. Please have the the device model number and serial number information when you call.
  • Page 129 “High Temperature” If the ventilator is running off message appears. of the internal or detachable battery, move to a cooler location and/or power the device with AC power or a lead-acid battery. Trilogy 202 clinical manual...
  • Page 130 Alarm Priority Audible Visual (Alarm Device Clinician Action Indicator Button Action and Display) • • Replace Low or “Replace Detachable Continues to Switch to an alternate for Low • • • • • battery or AC power source Detachable High, Battery”...
  • Page 131 A “Card Error” Continues to Remove SD Card and use another card, if available. message appears. operate Ensure card meets specifications. Check write- protect switch on card. If condition persists, contact an authorized representative of Philips Respironics. Trilogy 202 clinical manual...

  • Page 132: Chapter 7. Cleaning And Maintenance

    Trilogy 202 clinical manual 7. Cleaning and Maintenance Cleaning the Ventilator WARNING The ventilator’s exterior surface and the exterior of the detachable To avoid electrical shock, always battery pack (if using) should be cleaned before and after each unplug the power cord from the patient use, and more often if needed.

  • Page 133: Cleaning And Replacing The Air Inlet Filter

    Rinse thoroughly to remove all detergent residue. Allow the filter to air dry completely before reinstalling it. If the foam filter is torn or damaged, replace it. Only Philips Respironics-supplied filters should be used as replacement filters. Trilogy 202 clinical manual...

  • Page 134: Cleaning The Patient Circuit

    Reusable Circuit Cleaning Instructions and conform to guidelines provided by Philips Respironics Clean the patient circuit per your institution’s protocol. with each accessory. Inspect components for deterioration prior to use. Note: For more information,...

  • Page 135: Preventive Maintenance

    Preventive Maintenance Label The device’s blower hours are listed in the device software, in the Information menu. Refer to the Trilogy Service Manual for recommended periodic maintenance. Recommended periodic maintenance may be based on blower hours. Trilogy 202 clinical manual...

  • Page 136: Chapter 8. Troubleshooting

    Philips Respironics to have the device serviced. Please have the model number and serial number ready when you call. Chapter 8 Troubleshooting...
  • Page 137 Refer to Chapter 13. If the problem still occurs, contact an authorized service representative or Philips Respironics to have the device serviced. Please have the model number and serial number ready when you call. Trilogy 202 clinical manual...
  • Page 138 Issue Why It Happened What To Do Excessive Warm Air Out of The air filter may be dirty. Or, Clean or replace the air filter as Mask the device may be operating described in Chapter 7. The air out of the mask is in direct sunlight or near a The temperature of the air much warmer than usual.
  • Page 139 If there is patient breath. water built up in the exhalation diaphragm, disassemble the exhalation valve and clean/dry the assembly. Clear the flow tubes of water droplets using a low flow air source and re- assemble the circuit. Trilogy 202 clinical manual...

  • Page 140: Chapter 9. Accessories

    Trilogy 202 clinical manual 9. Accessories There are several accessories you can use with the ventilator. Adding a Humidifier Use of a humidifier may reduce nasal dryness and irritation by adding moisture to the airflow. If you are using a humidifier with the ventilator, refer to the instructions provided with the humidifier for complete setup information.

  • Page 141: Oxygen Blending Module Warnings

    • The ventilator should not be operated in the presence of flammable gasses. This could cause a fire or explosion. Trilogy 202 clinical manual...

  • Page 142: Using A Remote Alarm Unit

    Using a Remote Alarm Unit WARNING The remote alarm should be You can use a Philips Respironics Remote Alarm unit with your tested daily. When using a device. There is a dedicated adapter cable assembly for connecting remote alarm, make sure you the device to the Remote Alarm unit (REF 1045291).

  • Page 143: Using A Nurse Call System

    Do not rely solely on the Nurse Call feature. Inserting the SD Card Note: Use only SD cards available from Philips Respironics or the type listed in the specifications section of this manual. Trilogy 202 clinical manual...

  • Page 144: Using The Philips Respironics Directview Software

    The card will be slightly ejected from the device. Using the Philips Respironics DirectView Software You can use the Philips Respironics DirectView software to download the prescription data from the SD card to a computer. DirectView can be used by clinicians to receive and report stored data from the SD card.
  • Page 145 Trilogy 202 clinical manual...

  • Page 146: Chapter 10. System Checkout Procedures

    Trilogy 202 clinical manual 10. System Checkout Procedures This chapter details the test procedures that should be performed by the clinician prior to connecting the device to the patient. Test the Active PAP, Active Flow, and Passive circuit types if you want to do a...

  • Page 147: Visual Inspection

    Table 1. If necessary, refer to Chapter 5 for instructions on modifying ventilator settings. Setting Value Dual Prescription Table 1 - Ventilator Settings in the Settings and Alarms Circuit Type Active PAP, Active Flow or Menu Passive Trilogy 202 clinical manual...
  • Page 148 Setting Value Therapy Mode AVAPS (passive circuit only) IPAP 20 cmH EPAP 4 cmH Breath Rate 12 BPM Inspiratory Time 1.6 seconds Trigger Type (passive circuit Auto-Trak type) Flow Trigger Sensitivity 6.0 l/min (Active PAP or Active Flow circuit type) Leak Compensation (Active Flow circuit type) Flow Cycle Sensitivity...
  • Page 149 Alarm Setting D. Verify Reset Wait 40 seconds and verify the following auto-reset conditions: • The High Priority audible indicator has stopped sounding • The red light on the Alarm Indicator/Audio Pause button has stopped flashing Trilogy 202 clinical manual...
  • Page 150 E. Restore Ventilator Settings Modify the ventilator settings and change the following value shown in Table 5. Setting Value High Vte/High Vti Table 5 - Restore Ventilator Settings 3. Verify the Low Tidal Volume Alarm This procedure verifies that the Low Tidal Volume alarm is working properly.
  • Page 151 C. Verify the Alarm Wait approximately 10 seconds and verify the following alarm signals: • The High Priority Audible Indicator sounds • A red light flashes on the Alarm Indicator/Audio Pause button Trilogy 202 clinical manual...
  • Page 152 • The Circuit Disconnect alarm condition appears on the screen, highlighted in red D. Reconnect Test Lung Reconnect the test lung to the circuit. E. Verify Reset Wait at least 40 seconds and verify the following auto-reset conditions: • The High Priority audible indicator has stopped sounding •...
  • Page 153 Inspiratory Pressure Alarm D. Verify Reset Setting Wait 40 seconds and verify the following auto-reset conditions: • The Medium Priority audible indicator has stopped sounding • The yellow light on the Alarm Indicator/Audio Pause button has stopped flashing Trilogy 202 clinical manual...
  • Page 154 6. Verify the Low Inspiratory Pressure Alarm This procedure verifies that the Low Inspiratory Pressure alarm is working properly. It assumes that you have attached the test lung, verified ventilator settings, and turned on ventilator power as described in the Initial Setup section. A.
  • Page 155 B. Connect the ventilator’s oxygen input port to a source of high pressure O (50 psi nominal). Turn on O flow to the ventilator. Ventilator Settings Set the ventilator FiO setting to 45%. Trilogy 202 clinical manual...
  • Page 156 Verify Blending A. Turn on the ventilator. B. Verify the set level of FiO is satisfied using an external O monitor. Verify alarm A. Shut off or disconnect the source of high pressure O to the ventilator. B. Wait 1 minute and verify the following alarm signals: •...

  • Page 157: Battery Function Verification

    Step C and the device continues to operate. • Verify that the internal battery symbol has a black box around it to indicate that it is in use. Reconnect the Detachable Battery and AC Power source. Trilogy 202 clinical manual...

  • Page 158: Alarm And Event Log Clean-Up

    2. Verify the External Battery Function (If Available) A. Connect AC Power to the device and verify that the green AC LED is lit. B. Connect the external battery cable to the external battery and to the ventilator. C. Verify that the external battery symbol is shown on the display and some level of charge is present.

  • Page 159: Results

    If correction of the failed portion is not possible, return the device to Philips Respironics or an authorized service center for service and repair. Trilogy 202 clinical manual...

  • Page 160: Chapter 11. Technical Specifications

    Trilogy 202 clinical manual 11. Technical Specifications Environmental Operating Storage Temperature 5° C to 40° C -20° C to 60° C Relative Humidity 15 to 95% (non-condensing) 15 to 95% (non-condensing) Atmospheric Pressure 110 kPa to 60 kPa The operating range for the charging of the internal and detachable batteries is 10° C to 30° C. The internal and detachable batteries will power the ventilator for the full operating range of 5°...
  • Page 161 4 to 50 cmH SD Card and SD Card Reader Use only SD cards and SD card readers available from Philips Respironics or the following: SanDisk® Standard SD Card - 1.0 GB - REF SDSDJ-1024 SanDisk ® Card Reader/Writer - SanDisk ImageMate - REF SDDR-99-A15...
  • Page 162 Control Accuracy Parameter Range Accuracy IPAP 4 to 50 Greater of 2 cmH O or 8% of setting EPAP 0 to 25 cmH O for Active Circuits Greater of 2 cmH O or 8% of setting 4 to 25 cmH O for Passive Circuits CPAP 4 to 20 cmH...
  • Page 163 < 2.0 < 1.5 < 9.0 < 10.5 < 5.0 < 3.0 < 4.5 < 4.0 Disposal Separate collection for electrical and electronic equipment per EC Directive 2002/96/EC. Dispose of this device in accordance with local regulations. Trilogy 202 clinical manual...

  • Page 164: Chapter 12. Glossary

    Trilogy 202 clinical manual 12. Glossary The following terms and acronyms appear throughout this manual. Term/Acronym Definition AC Power Alternating Current power Assist Control therapy mode; AC mode delivers Assisted and Mandatory breaths with a user-defined inspired tidal volume. This is a Volume Control mode.
  • Page 165 I:E Ratio The ratio of inspiratory time to expiratory time. IPAP Inspiratory Positive Airway Pressure Light Emitting Diode l/min Liters Per Minute Trilogy 202 clinical manual...
  • Page 166 Term/Acronym Definition Mandatory Breath A Mandatory Breath is completely controlled by the ventilator. Breaths are initiated by the ventilator according to the breath Rate (BPM) setting. Breaths are cycled according to the Inspiratory time setting. Mean Airway Pressure. This is the average airway pressure over a full breath cycle.
  • Page 167 This state preserves battery power. The device is restored by plugging the unit into AC power, inserting an SD card, or by pressing the Start/Stop button. Spontaneous Breath Breath type in which the breath is patient-triggered. Trilogy 202 clinical manual...
  • Page 168 Term/Acronym Definition Spontaneous (S) Therapy mode in which all breaths are spontaneous. The Mode ventilator supports breathing with user-defined Pressure Support (PS) and Rise Time values. Spontaneous/Timed Therapy mode that is similar to S mode, except that it can also (S/T) Mode deliver a mandatory breath if the patient does not spontaneously breathe within a set time.
  • Page 169 Trilogy 202 clinical manual...

  • Page 170: Chapter 13. Emc Information

    Trilogy 202 clinical manual 13. EMC Information Guidance and Manufacturer’s Declaration - Electromagnetic Emissions This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment.
  • Page 171 3 A/m Power frequency magnetic fields Hz) magnetic field should be at levels characteristic of a typical home or hospital IEC 61000-4-8 environment. NOTE: U is the a.c. mains voltage prior to application of the test level. Trilogy 202 clinical manual...
  • Page 172 Guidance and Manufacturer’s Declaration - Electromagnetic Immunity This device is intended for use in the electromagnetic environment specified below. The user of this device should make sure it is used in such an environment. Immunity Test IEC 60601 Test Compliance Electromagnetic Environment - Level Level...
  • Page 173 Note 4: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. Trilogy 202 clinical manual...

  • Page 174: Index

    Trilogy 202 clinical manual Index AC Power 52 Bacteria Filter AC Power Inlet 17 Replacing 126 Air Filter Battery Function Verification 146 Installation 52 Breathing Circuit Air Inlet 17 Connection 21 Air Inlet Filter Breathing Circuit Connection 88 Cleaning 124...
  • Page 175 Options Menu 93 High Minute Ventilation 84 Oxygen Valve Connector 18 High Respiratory Rate 84 High Tidal Volume Alarm 83 Humidifier 131 Patient Circuit Cleaning 125 PC-SIMV Mode 25, 90 Positive End Expiratory Pressure (PEEP) 91 Trilogy 202 clinical manual...
  • Page 176 Pressure Control Mode 24 Pressure Control Ventilation 89 Tidal Volume 88 Pressure Setting 90 Timed Mode 89 Pressure Support 90 Time Format 96 Trigger Type Auto-Trak 86 Ramp Feature 31 Flow Trigger 86 Ramp Length 86 Troubleshooting 127 Ramp Start Pressure 87, 107 Remote Alarm 65, 114 Remote Alarm Connector 18 Volume Control Ventilation 19...
  • Page 177 Trilogy 202 clinical manual...

  • Page 178: Limited Warranty

    Limited Warranty Respironics, Inc. warrants that the Trilogy 202 system shall be free from defects of workmanship and materials and will perform in accordance with the product specifications for a period of two (2) years from the date of sale by Respironics, Inc. to the dealer. If the product fails to perform in accordance with the product specifications, Respironics, Inc.will repair or replace –...
  • Page 179 To exercise your rights under this warranty, contact your local authorized Respironics, Inc. dealer or contact Respironics, Inc. at: 1001 Murry Ridge Lane Murrysville, Pennsylvania 15668-8550 1-724-387-4000 Deutschland Gewerbestrasse 17 82211 Herrsching Germany +49 8152 93060 Trilogy 202 clinical manual...

Table of Contents