Covidien Puritan Bennett 560 User Manual page 20

Ventilator
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Safety Information
To ensure proper performance of the ventilator, use a patient circuit recommended by Covidien
in this manual; refer to chapter
Accessories". The total specified length of the patient circuit tubing as measured from the
ventilator outlet to the ventilator inlet is 1.1 metres (3.6 feet) to 2.0 metres (6.6 feet). The tubing
must conform to all applicable standards and must be fitted with Ø 22 mm terminals that also
conform to all applicable standards. Ensure that both the length and the internal volume of the
patient circuit are appropriate for the tidal volume: a corrugated tube of Ø 22 mm for adult
patients, and a corrugated tube of Ø 15 mm for pediatric patients with a tidal volume lower than
200 ml.
To ensure proper performance of the ventilator, use only accessories (including oxygen
accessories) approved and recommended by Covidien. See
or contact your customer services.
When using non-invasive ventilation (NIV) without an exhalation valve, use a vented nose or
face mask or a non vented combined with a leak accessory. When using non-invasive ventilation
(NIV) with an exhalation valve, use a non-vented mask.
Before using the Nurse Call system, ensure that its connections are secure and it operates
properly. For more information, contact Covidien or your equipment supplier.
To connect the ventilator to a Nurse Call device, contact Covidien or your equipment supplier to
check the ventilator's compatibility with the Nurse Call device and order a suitable connection
cable.
Do not use Nurse Call devices that operate based on the closure of an electrical circuit, because
the devices often do not take into account possible cable disconnection or a total loss of power.
Ensure that the Nurse Call device is always connected to the ventilator.
Warnings Regarding Settings
Before starting ventilation, always verify that all settings are properly set in accordance with the
required prescription.
Before starting ventilation, ensure that the device is properly assembled and that the air inlet,
cooling vents, and alarm sound diffusion holes are not obstructed. Ensure also that the patient
circuit is of the proper configuration (double or single limb), properly connected to the ventilator,
and that the circuit hoses are neither damaged nor compressed and contain no obstructions or
foreign bodies.
The CPAP mode does not provide a set respiratory rate. Do not use this mode for ventilator-
dependent patients.
Do not allow a patient to remain connected to the ventilator when ventilation is stopped,
because a substantial quantity of exhalation gas, primarily carbon dioxide, may be inhaled by
the patient.
Alarm volume should be adjusted with respect to the ventilator's operating environment and so
that the patient's caretakers can hear the alarms. The audible alarm vents located at the front of
the device should never be obstructed. The alarm can be paused with the Alarm Pause function
by pressing the ALARM CONTROL key twice once the alarm has been declared.
Ensure that the I Sens setting is not set to OFF when ventilating patients capable of triggering
spontaneous breaths.
Monitor the patient's state of health in order to ensure that the ventilator's settings are always
suited to the patient's current physiological requirements.
In adult or pediatric use ensure that the adjusted tidal volume is compatible with the needs of
the patient.
When changing the mode during ventilation, significant transitions of pressure, flow or cycling
rate might occur, depending on the difference between the modes. Before setting the new
mode, first ensure that the settings between the different modes are compatible. This reduces
the risk of discomfort and harm to the patient.
1-6
4, "Installation and Assembly"
and
Appendix F, "Parts and
Appendix F, "Parts and Accessories"
User's Manual

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