O-Two e700 User Manual

O-Two e700 User Manual

Automatic transport ventilator

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USER MANUAL
o_two e700
AUTOMATIC TRANSPORT VENTILATOR
01EVE700
e700 User Manual (15PL1009 - Rev.16 Sep 2020)

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Summary of Contents for O-Two e700

  • Page 1 USER MANUAL o_two e700 AUTOMATIC TRANSPORT VENTILATOR 01EVE700 e700 User Manual (15PL1009 - Rev.16 Sep 2020)
  • Page 2: Table Of Contents

    4.1.3. Connecting the gas supply 4.1.4. Connecting patient circuit 4.1.5. Turning Ventilator ON 4.2. Pre-use check 5. Operate Instructions 5.1. Startup & setting the ventilation parameters 5.2. Ventilation modes 5.2.1. A/C V (Assist Control Ventilation) 5.2.2. SIMV (Synchronized Intermittent Mandatory Ventilation) e700 User Manual...
  • Page 3 9.2. Circuit Description 9.3. Battery and Power Supply 9.4. Battery Operating time 9.5. Electromagnetic Compatibility 9.6. Oxygen consumption 9.7. Oxygen Concentration delivered against di erent back pressures 10. Trouble Shooting 11. Abbreviations and Acronyms 12. Accessories 13. Warranty e700 User Manual...
  • Page 4: Safety

    • Only use O-Two specifi ed hoses, patient circuits, batteries and external power supplies to avoid a ecting the output performance of the ventilator. Antistatic or conductive hoses or tubing are not used in the Ventilator Breathing System.
  • Page 5 • Operation of this ventilator outside the electrical power range detailed in this manual may result in reduction or failure in the ventilator’s performance. Component failure, inadequate power of internal components may occur. e700 User Manual...
  • Page 6 . • Spare O-Two patient circuits are recommended at all times. • The design of this Ventilator does not incorporate a negative pressure phase during either automatic or manual ventilation.
  • Page 7: Intended Use

    2. Intended Use The e700 is a time-cycled, volume-constant and pressure-controlled emergency and transport ventilator designed for use in the pre- hospital, intra-hospital, inter-hospital and transport settings. It is...
  • Page 8: Overview

    Warning indicator Pause/Resume key Battery operation indicator Lock key External power indicator Waveform selection key Battery charging indicator Cancel key Manual/Inspiratory Hold key Confi rmation indicator light Screen brightness key Control Selection Knob Alarm Silence key ON/OFF key e700 User Manual...
  • Page 9: Function Keys

    Diagram below illustrates path of cursor when Control Selection Knob is rotated clockwise. Control Selection Knob rotation contour Direction for clockwise knob rotation shown e700 User Manual...
  • Page 10: Lock

    Repetitive use of alarm silence without identifi cation of cause of alarm may pose potential harm to the patient. 3.2.5. Waveform Pressing the Waveform selection key (J) (Figure 01) will switch between the pressure and volume ventilation waveforms. e700 User Manual...
  • Page 11: Screen Brightness

    2. The symbol will fl ash for 10 seconds and then disappear if the Control Selection Knob (M) (Figure 01) is not selected. Users can also press the Cancel key (K) (Figure 01) to quit this selection before the 10 seconds. e700 User Manual...
  • Page 12: Manual/Inspiratory Hold

    The maximum inspiratory hold time is 6 seconds. After that time, the ventilator will switch to exhalation phase by opening airway pressure to ambient. Note: Manual/ Inspiratory Hold function exists in all modes except CPAP and CPR. e700 User Manual...
  • Page 13: External Connectors

    3.3. External Connectors DC Input connector Air Intake fi lter Sensor connector #1 Sensor connector #2 22mm gas output connector Gas supply input Battery door Relieve Flapper Air/O Exhaust Port Figure 02 e700 User Manual...
  • Page 14: Patient Circuit

    Note: To avoid entanglement of the patient circuit tubing and pressure sensing hoses during movement of the patient, the pressure sensing hoses and the 22mm corrugated hose are contained within in a close fi tting, non-woven fabric sheath. e700 User Manual...
  • Page 15: Display

    Confi rmation request/ Patient e ort/ Invalid or Section 7: Confl ict setting Figure 04 Note: By changing the ventilation mode, section 6 of the display will change accordingly to refl ect the default or set up parameters for each mode. e700 User Manual...
  • Page 16 The followings are screen layouts for each ventilation mode: A/C screen layout SIMV screen layout BiLVL screen layout e700 User Manual...
  • Page 17 CPAP screen layout CPR screen layout e700 User Manual...
  • Page 18: Live Monitoring Parameters

    A/CV, SIMV, BiLVL, CPR modes as well as spontaneous inspiratory phase of CPAP mode. This number will be updated at the end of each inspiratory phase. Note: Mve, Rate and Paw are not active during CPR mode and displayed with “--“ e700 User Manual...
  • Page 19: Symbols & Notations

    No smoking around ventilator. Ingress protection rating: Splash-proof. Do not immerse. Class II equipment. Protection against electric doesn’t rely on Basic Insulation only, additional safety precautions such as Double or Reinforced insulation are provided. Type BF applied part e700 User Manual...
  • Page 20: Preparation For Use

    4. Preparation for Use 4.1. Setup 4.1.1. Connecting the electrical power supply The e700 is designed to operate using one of the following power options: • Internal rechargeable battery pack • AC/DC external power supply. CAUTION • A fully charged battery must always be installed for safety...
  • Page 21: Connecting The Gas Supply

    3. Turn cylinder valve slowly and fully. WARNING Extra care must be taken when handling oxygen: • The e700 must only be used with medical oxygen. • Only use approved medical oxygen compressed gas cylinders. • Always begin use with a full oxygen cylinder.
  • Page 22: Connecting Patient Circuit

    4.1.4. Connecting the Patient Circuit Attach the O-Two patient circuit (Figure 03) to the 22mm gas output connector (S) (Figure 02). 2. Connect the sensing hoses (V) (Figure 03) of the patient circuit to their corresponding connectors (Q) & (R) (Figure 02).
  • Page 23 Visually inspect the ventilator for mechanical damage 2. Ensure that battery is fully charged. 3. Ensure the e700 is connected to a gas supply (Cylinder or piping system) capable of delivering fl ow of 120 L/min and maintaining a minimum pressure of 45 PSI (3 Bar) and a maximum 87 PSI (6 Bar) output pressure.
  • Page 24 1. To confi rm correction of the leak. Note: If a leak is still present and no external leak was detected using the above processes, the unit must be returned to the manufacturer or its authorised service center for service or repair. e700 User Manual...
  • Page 25 13. Turn o the oxygen cylinder and check for low pressure and no pressure audible and visual alarms. 14. Turn o the Ventilator by pressing ON/OFF key for 4 seconds. e700 User Manual...
  • Page 26: Operate Instructions

    This will eliminate the need for a potentially lengthy set up procedures prior to starting ventilation. Note: Start-up fi gures are used during start up only and are not active during ventilation. e700 User Manual...
  • Page 27 01:23:48 PM o-two e700 v1.9.15 11/07/20 Figure 06 - Start-up Figures Navigate among the three start-up fi gures by rotating the Control Selection Knob (M) (Figure 01) and a square frame will move around the selected fi gure. Once the desired patient size is selected, the user must confi...
  • Page 28 Rate (BPM) Vt (ml) Mv (L) (calculated values) PEEP (cm H P max (cm H P min (cm H Mv max (L) Mv min (L) Ti (Sec.) 0.66 1.33 100% 100% 100% PCV (cm H F trig. (L/min) e700 User Manual...
  • Page 29 Control Selection Knob (M) (Figure 01). Once confi rmed, the selected area will be highlighted with solid contrast background (Figure 09). Figure 08 - Showing frame around Parameter during selection Figure 09 - Showing selected Parameter with solid contrasting background e700 User Manual...
  • Page 30: Ventilation Modes

    10 seconds, changes will be cancelled and the previous parameter values will remain. 5.2. Ventilation Modes The e700 ventilator is equipped with a number of ventilation modes to enable the healthcare provider to tailor the ventilator settings to the patient’s specifi c respiratory requirements. Ventilation could be delivered invasively (ET tube) or non-invasively (mask).
  • Page 31: A/C V (Assist Control Ventilation)

    (100% or 60% O2) Mv max (2 -40 L) Mv min (0.5 – 35 L) P max. 10 -80 cm H2O 0-20 cm H2O during I P min. time only Refer to Manual and Manual ready ready ready I-Hold section e700 User Manual...
  • Page 32 * Ti may be limited below its range depending on set I:E ratio and rate. Figure 10.a - a A/C V waveform with volume control Figure 10.b - A/C V waveform with pressure control e700 User Manual...
  • Page 33: Simv (Synchronized Intermittent Mandatory Ventilation)

    (1:4 – 3:1) (0.2 - 9 sec) 0.66 1.33 PEEP (OFF, 4-20 cmH O , unless O , unless O , unless (OFF, 4-35 cmH selected selected selected Trig. (1 -15 L/min) 20-80% of Termination maximum set fl ow e700 User Manual...
  • Page 34 I-Hold section * Ti may be limited below its range depending on set I:E ratio and rate. Figure 11.a - SIMV waveform w/o pressure support Figure 11.b - SIMV waveform with pressure support e700 User Manual...
  • Page 35: Bilvl (Biphasic Positive Airway Pressure)

    “Trig.” Control and the inspiratory fl ow rate is tailored to the patient’s demand by the ventilator. Note: When calculating the peak/plateau pressure add the Pressure Support level to the set PEEP level. e700 User Manual...
  • Page 36 (during I time only) Refer to Manual and Manual ready ready ready I-Hold section * Ti may be limited below its range depending on set I:E ratio and rate. Figure 12.a - BiLVL waveform w/o pressure support e700 User Manual...
  • Page 37: Cpap (Continuous Positive Airway Pressure)

    (T APNEA) set by the user. The parameters of back up A/C ventilation are defaulted to volume ventilation based on the initial start up patient size selection unless changes are made by the user. e700 User Manual...
  • Page 38 Will be calculated based on Vt & f I:E ratio (A) (1:4 – 3:1) Mv max (2 -40 L) Mv min (0.5 – 35 L) P max. 10 -80 cmH P min. 0-20 cmH O during I time only e700 User Manual...
  • Page 39: Cpr Mode

    100 compressions per minute plus automatically delivered breath every 6 seconds (10 BPM). The default ventilation in CPR mode is fl ow controlled ventilation. The default tidal volume is set according to the initial start-up e700 User Manual...
  • Page 40 (0.5 – 35 L) P max. (10 -80 cmH (0-20 cmH P min. during I time only) CPR FOR MASKED PATIENTS On screen chest compressing animation On screen ventilation animation Figure 14.a - CPR waveform for masked patient e700 User Manual...
  • Page 41: Turning Ventilator Off

    100 times chest compressions per minute Flow Flow Ventilation frequency: 10 bpm Figure 14.b - CPR waveform for intubated patient 5.3. Turning the Ventilator O Press and hold the ON/OFF key for 4 seconds, the Ventilator will turn OFF. e700 User Manual...
  • Page 42: Post Use

    During “alarm silence”, should a new alarm develop, the Alarm Silence function will continue and only the new visual alarm will be shown fl ashing on the screen. Alarms will be visible in section 4 or section 7 of the display (Figure 04). e700 User Manual...
  • Page 43 In this case the visible and audible alarms will be based on highest priority alarm. All ventilation alarms of e700 are listed in the following Table-7. TABLE 7 - Ventilation Alarms and Symbols Visual Alarm...
  • Page 44 Setting confl ict is when the ventilator detects a confl ict in the setting like reaching the Pmax level. In this case users can make adjustments from and beyond the confl ict point while the symbol will be displayed during the adjustment. e700 User Manual...
  • Page 45: Battery Status Indicator

    Approx. 5% of full capacity. Symbol changes to red fl ashing with associated red colour LED TABLE 8.2 - Battery charging status Full Capacity 95% of full capacity 90% of full capacity 80% of full capacity 65% of full capacity e700 User Manual...
  • Page 46: Leds

    ON and OFF phases. During OFF phase this light will start fl ashing when battery capacity drops to around 90 %. Green color LED - Continuous when unit is operated using internal battery. e700 User Manual...
  • Page 47: Cleaning, Preventive Maintenance & Servicing

    Make sure no liquids enter the ventilator connections or the ventilator. WARNING Do not immerse the e700 Ventilator or patient circuit or supply hoses in disinfectant or other liquids, serious electric shock hazard and damage to the ventilator may occur. If the Ventilator is accidently submerged in any liquid it must be returned to the manufacturer for factory service.
  • Page 48: Ambient Air Entrainment Filter

    5 hours on a single charge. 8.3. Ambient Air Entrainment Filter The e700 entrains ambient air through the internal Venturi system for ventilation when the O concentration is set at 60%. This provides not only decreased oxygen concentration but also increases the ventilator operating time on an oxygen cylinder.
  • Page 49: Preventive Maintenance And Servicing

    The device shall be returned to the manufacturer or a service center authorized by the manufacturer for Level II service every 2 years. Manufacturer full service The device shall be returned to O-Two Medical Technologies for Manufacturer Full Service every 6 years. WARNING...
  • Page 50: Technical Data

    MOUNTING BRACKET Smart Mount multi-confi guration frame DISPLAY 4.3" Color TFT Mve,Vte,Paw(AV),PAW(Peak), Rate (bpm), Battery LIVE MONITORING level REAL TIME WAVEFORM Pressure or Flow DAY/NIGHT DISPLAY MODE Yes PARAMETER SETTINGS Control Selection Knob LOCK KEY FUNCTION Yes e700 User Manual...
  • Page 51 * Volume measurements corrected to BTPS (Body Temperature 37 C, barometric Pressure 101.3Kpa under Saturated 100% humidity) conditions. **Transient Operation: The e700 is capable to keep its specifi cations when operated in normal use for a period not less than 20 minutes under - 20 C and +50 C.
  • Page 52: Circuit Description

    Filter Ventilator When a gas source (medical oxygen) is supplied to the e700 ventilator via the gas input connection, the gas will fl ow into the Flow control valve which is used to control both the fl ow and rate of ventilation.
  • Page 53: Battery Operating Time

    O-Two e700 has been tested and complies with IEC 60601-1-2:2007 requirements. Electromagnetic Emissions O-Two e700 is intended for use in the electromagnetic environment specifi ed below. The user of O-Two e700 should assure that it is not used in environments outside those specifi ed: e700 User Manual...
  • Page 54 30 V/m IEC61000-4-3 80 MHz to 2.5 GHz O-Two e700 is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The user can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications...
  • Page 55: Oxygen Consumption

    9.6. Oxygen Consumption For a “D” size cylinder (capacity of 425 liters), pressurized to 2015 PSI and with the e700 set to the Adult default setting (Vt= 500ml, Rate= 10BPM, 100% Oxygen) the pneumatic operating time is 85 minutes without PEEP (0.2 min/L) and is 39 minutes with maximum PEEP (0.089 min/L).
  • Page 56: Trouble Shooting

    Battery No proper charging/Faulty Charge Battery as per instructions/ discharges battery Replace battery quickly Change Battery/connect power e700 cannot be Battery empty/no power supply supply/ send to O-Two for repair or switched on connected/defective service e700 User Manual...
  • Page 57: Abbreviations And Acronyms

    Minimum airway pressure P max Maximum airway pressure Pressure Support Ventilation SIMV Synchronized Intermittent Mandatory Ventilation Apnea Alarm time APNEA Expiratory time Thin Film Transistor Inspiration time Trig. Triggering fl ow rate Exhaled Tidal volume Tidal volume e700 User Manual...
  • Page 58: Accessories

    13. Warranty O-Two Warrants the e700 ventilator, when used in accordance with the instructions contained within this Manual, for a period of two years from the date of purchase except for the following cases: Using unspecifi...
  • Page 59 Note: O-Two Warrants the battery for a period of one year from the date of purchase. WARNING It is recommended that the routine preventive maintenance shall be carried out at least every 6 months from date of purchase. Repair and general overhaul of the ventilator must be carried out by trained service personnel.
  • Page 60 Your Representative is: O-TWO MEDICAL TECHNOLOGIES INC. For your nearest Authorized O-Two Distributor In North America call Toll Free 1-800-387-3405 MedNet EC-REP GmbH SERIAL N Borkstrasse, 10 48163 Münster, Germany www.otwo.com 45A Armthorpe Road, Brampton, ON, Canada, L6T 5M4 Telephone: +1 905 792-OTWO (6896) N.A. Toll Free: +1 800 387 3405...

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