To check the hours used on the Breas Vivo 45, go to the "Device Information" section. There, you will find "Device Operating Time (hours)" which shows the total hours the device has been in use.

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Margaret Marie Berger

June 10, 2025

How do I unlock the Breas?

Aranda, Mary

January 24, 2025

I HAVE A VIVO 45 LS ON PT AND MODEM IS PLUGGED IN BUT ISNT TRANSMITTING DATA. WHAT CAN I DO? MODEM IS NEW.

Summary of Contents for Breas Vivo 45

Page 1 User manual Vivo 45 DOC. 006149 EN-EU D-3 2020-10-05...
Page 3: Table Of Contents
3.4.1 Additional Symbols ................36 Preparing the Vivo 45 for Use ..................38 Checking the Vivo 45 before First Use ............. 38 Placing the Vivo 45 ................... 38 Connecting the Vivo 45 to Mains ..............40 Connecting the Patient Circuit ................41 Inspecting the Vivo 45 before Use ..............
Page 4 5.4.2 Device Mode ..................61 5.4.3 Patient Mode ..................62 5.4.4 Ventilation and Breath Modes............62 Functions and Parameters in the Vivo 45 ............64 5.5.1 Parameters’ Availability in Different Modes........65 5.5.2 Insp. Pressure .................. 67 5.5.3 PEEP....................67 5.5.4...
Page 5 5.7.9 Using the ventilator with the Remote Start/Stop....... 89 5.7.10 Using the ventilator with the Protective Cover........90 5.7.11 Using the Vivo 45 with the Trolley............. 91 5.7.12 Using the Click-in Humidifier............. 92 5.7.13 Installing the Water Chamber ............92 Table of Contents 5 Doc.
Page 6 6.3.26 High Pulse Rate Alarm..............117 6.3.27 Low Pulse Rate Alarm ..............117 6.3.28 PtcCO Alarm...................118 Technical Alarms ....................119 6.4.1 Power Fail Alarm................119 6.4.2 High Patient Air Temp. (High Patient Air Temperature) ....119 6 Table of Contents Vivo 45 Doc. 006149 D-3...
Page 7 Alarm Test ....................... 131 6.5.1 Alarm Signal Test ................131 6.5.2 Mandatory Alarm Tests ..............131 6.5.3 Optional Alarm Tests............... 134 Cleaning and Maintenance ................... 136 Cleaning the Vivo 45 ..................136 Table of Contents 7 Doc. 006149 D-3 Vivo 45...
Page 8 Power Supply .................. 150 8.2.6 Environmental Conditions............... 150 8.2.7 Other ....................151 Emission and Immunity Declaration ............... 152 8.3.1 Vivo 45 Essential Performance............152 8.3.2 Guidance and Manufacturer's Declaration – Electromagnetic Immunity..................153 8.3.3 Guidance and Manufacturer's Declaration – Electromagnetic Emission..................155 8.3.4...
Page 9: Introduction
Every other use may lead to risk of personal injury! CAUTION! Read this manual thoroughly so that you completely understand how the Vivo 45 is operated and maintained before taking it into use, to ensure correct usage, maximum performance and serviceability. Non-professional caregivers (e.g. family members) should consult the medical equipment provider’s respiratory therapist if they have...
Page 10 • CPAP (Continuous Positive Airway Pressure) Compatible Patient Circuits The Vivo 45 should be used with a leakage circuit and a suitable patient interface or an MPV circuit. See 9 Accessories and Parts, page 160 for detailed information about approved patient circuits.
Page 11: Intended Use
Vivo 45 is intended for spontaneously breathing patients. Contraindications The Vivo 45 is not a life-support ventilator and is contraindicated in patients who are unable to tolerate more than brief interruptions in ventilation. If a patient has any of the following conditions, therapy with positive airway pressure...
Page 12: Intended Environment
Intended Environment The Vivo 45 is intended to be used in clinical settings (e.g. hospitals, sub-acute care insti- tutions), public spaces and home environments as well as during portable applications such as wheelchairs, personal family vehicles, ground ambulances and civil aircraft, excluding helicopters.
Page 13: Service Personnel
Training The lay operator shall be trained to basic knowledge of the Vivo 45 and in the specific operations they are assigned to perform. The training shall be based on the user manual and the responsible clinical personnel shall assess the level of training required for each lay operator.
Page 14: Icons In This Manual
• Care providers, clinical personnel, physicians and others who require a working knowledge of the Vivo 45 will find additional information on settings and func- tions in the Clinician’s Manual. • Service personnel may order the Service Manual that contains detailed technical information for maintenance, service, repair and disposal procedure.
Page 15: Manufacturer Information
Företagsvägen 1 SE-435 33 Mölnlycke Sweden Web Address www.breas.com Email address breas@breas.com Phone +46 31 868800, Order: +46 31 868820, Technical support: +46 31 868860 +46 31 868810 Local Representatives Information www.breas.com/contact-us/ Introduction 15 Doc. 006149 D-3 Vivo 45 User manual...
Page 16: Safety Information
Every other use may lead to risk of personal injury! Risk of Insufficient Ventilation Usage outside the specified operating conditions may cause reduced performance. The Vivo 45 must only be used in accordance with the operating conditions specified in this manual Risk of Reduced Safety and Performance Accessories that have not been tested with the Vivo 45 might affect safety features and performance negatively.
Page 17 The responsible organization should periodically reassess the settings of the therapy for effectiveness. Before starting treatment, always perform the procedure 4.5 Inspecting the Vivo 45 before Use , page 42. The ventilator is not suitable for a ventilator dependent patient.
Page 18 Modifying or using the ventilator with accessories that are not specified or approved by Breas may cause cardiac arrhythmia. The Vivo 45 must only be used in original and unmodified shape and only with acces- sories specified or approved by Breas Medical.
Page 19: Electrical Safety
Risk of Electric Shock High voltage contact may cause cardiac arrhythmia. • Do not operate the Vivo 45 if it has a damaged power cord, power supply or casing. • To avoid electrical shock, only clean the Vivo 45 according to instructions in this manual.
Page 20: Environmental Conditions
Caution should be exercised if the room temperature is greater that 36°C (97°F). Risk of Faulty Treatment If a room humidifier is used, place it at least 2 meters away from the Vivo 45. Risk of faulty Treatment The performance of the Vivo 45 may deteriorate at altitudes or ambient temperatures outside the operation conditions specified in the chapter Technical Specifications.
Page 21: Usage Of Patient Circuit
Do not use or store the Vivo 45 in a magnetic resonance (MR) environment. Use of the Vivo 45 in an MR environment may result in malfunction of the Vivo 45 and pose unacceptable risk to the patient, medical staff or other persons.
Page 22 When present, remove the moisture. Before attempting to dry the circuit, disconnect it from the Vivo 45 to ensure no water flows back into the Vivo 45. The frequency at which these checks must be performed will depend on the patient’s condition and the device used.
Page 23: Usage Of Filters
WARNING! Risk of Cross-Contamination Patient circuits might get contaminated by exhaled gases. To avoid cross-contamina- tion, always use a properly cleaned or a new patient circuit when the Vivo 45 is to be used by a new patient. NOTE For masks and accessories, always follow the manufacturer’s instructions.
Page 24: Humidification
Risk of Insufficient Ventilation Insufficient ventilation may cause transient hypoxia. Do not use high resistance bacteria filter at the air outlet of the Vivo 45. High resist- ance bacteria filters placed between the air outlet and the patient interface may inter- fere with the operation of the patient disconnect function.
Page 25 The use of an HME or an external humidifier may require readjustment of the venti- lator low-pressure alarm. Certain HMEs and HCHs are sufficient to provide humidification when the ventilator is used invasively. Check specific suppliers’ recommended use. Safety Information 25 Doc. 006149 D-3 Vivo 45 User manual...
Page 26: Cleaning And Maintenance
The Vivo 45 should be regularly cleaned and maintained in accordance with this oper- ating manual. WARNING! Risk of Faulty Treatment Service and Maintenance of the Vivo 45 shall not be performed when the Vivo 45 is in use. WARNING! Risk of Electric Shock High voltage contact may cause cardiac arrhythmia.
Page 27 The presence of oxygen can speed up combustion of inflammable materials. Risk of Fire When oxygen is used with the Vivo 45, the oxygen flow must be turned off when the Vivo 45 is not operating. Oxygen delivered into the patient tubing may accumulate within the machine enclosure.
Page 28 • 40% oxygen concentration: -2.5% deviation • 60% oxygen concentration: -5% deviation • 80% oxygen concentration: -7.5% deviation 28 Safety Information Vivo 45 User manual Doc. 006149 D-3...
Page 29: Product Description
This section describes the components of the Vivo 45 medical electric equipment. NOTE • There might be local variations of the main components configuration. • The standard Vivo 45 and its packaging do not contain any natural rubber latex. Carry bag Function: Storage for transportation...
Page 30 Power Supply Function: Deliver power to the ventilator Part No: 006396 Power cord Function: Deliver power to the AC power supply Part No: EU: 003520 Vivo 45 Main Unit Main Unit 30 Product Description Vivo 45 User manual Doc. 006149 D-3...
Page 31: Front View
Power source indication: Click- in battery Internal battery LED Power source indication: Inter- nal battery Information button Show / Hide information texts Functions according to the Navigation /Function buttons display Product Description 31 Doc. 006149 D-3 Vivo 45 User manual...
Page 32: Side Views
Compartment for either of the accessories click-in humidifier or click-in battery. Cover Side panel Carrying handle Handle for lifting the ventilator Cooling air outlet Outlet internal cooling Cooling air inlet Inlet internal cooling 32 Product Description Vivo 45 User manual Doc. 006149 D-3...
Page 33: Detaching And Reattaching The Side Panels
Lift the handle to access the release button (A). 2 Looking from behind, to dismount the filter side panel press the button above the panel (B). The panel is released. 3 Remove the panel. (C) Product Description 33 Doc. 006149 D-3 Vivo 45 User manual...
Page 34 (B) on the lower side of the panel into the holes (C). 3 Press the side panel into the casing until it clicks in place at the button (D). 34 Product Description Vivo 45 User manual Doc. 006149 D-3...
Page 35: Equipment Designation
Remote start/stop, Audio pause, and effort belt interface port Remote alarm and Nurse call interface port Network connection port USB data connection port Mains/External DC 12-24V inlet Product Description 35 Doc. 006149 D-3 Vivo 45 User manual...
Page 36: Additional Symbols
3.4.1 Additional Symbols This section describes symbols and markings that might appear on the parts or packag- ing of the Vivo 45. Symbol Description Internal battery Product number Read user instructions. Attention: Read the intended use in the manual. Read the Safety chapter in the manual.
Page 37 Meets all requirements for CE marking according to relevant European health, safety and environmental protection legislation Do not obstruct air inlets or outlet. Single patient use Hot Surface. Do not touch. (Heating plate in click-in compartment.) Product Description 37 Doc. 006149 D-3 Vivo 45 User manual...
Page 38: Preparing The Vivo 45 For Use
2 Ensure that the equipment is in good condition. 3 If stored more than 1 month, connect the Vivo 45 to the power supply to recharge the internal battery. 4 Check that the grey and white air filters are installed.
Page 39 Place the Vivo 45 on a solid, flat, and clean surface. The Vivo 45 should be placed lower than the patient in order to prevent the device from falling on the patient, as well as preventing condensed water from reaching the patient.
Page 40: Connecting The Vivo 45 To Mains
CAUTION! • Do not place the Vivo 45 on a soft surface that will prevent the air flow under- neath the device. Never cover the device. • Always position the Vivo 45 so the power supply lays on a surface without strain to the power cord.
Page 41: Connecting The Patient Circuit
3 Connect the power supply’s power cord to the mains supply. To isolate the Vivo 45 from the mains supply, disconnect the power supply. Connecting the Patient Circuit WARNING! Read 2.4 Usage of Patient Circuit, page 21 carefully to make sure all conditions are con- sidered and met.
Page 42: Inspecting The Vivo 45 Before Use
• Check that the cables are properly connected. Inspection of Placement • The Vivo 45 shall be placed on solid flat surface below the patient level (see 4.2 Plac- ing the Vivo 45, page 38). • Make sure that nothing can block the air inlet at the side.
Page 43: Adjusting The Vivo 45 Patient Settings
Always perform a new pre-use test if the patient circuit configuration has been changed. NOTE If the pre-use test has not been performed, the Vivo 45 will operate with default patient circuit compensation. Starting the Pre-use Test Manually On the Others menu, Select Pre-use Test and then Start Pre-use Test.
Page 44 The result will be displayed for review. Block the end of the patient circuit with an air tight object. Wait while the Vivo 45 is checking the patient circuit compliance and leakage. Test finished. Review the test result.
Page 45: How To Use The Vivo 45 45
⇒The Vivo 45 now starts up and enters standby mode. 3 Select Yes/No when asked to “Perform Pre-use Test”. (The Vivo 45 may be configured to not ask for pre-use test at start up. See 5.2.9 The Others Section , page 56.
Page 46 Right Arrow button. 3 Confirm to start the ramp. 4 Read and acknowledge the information message regarding reduced alarm functionality during the ramp period. 46 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 47: Using The Menu
Using the Menu 5.2.1 Navigating with the Buttons Use the five navigation buttons and the up and down buttons on the panel in order to navigate the menu. How to Use the Vivo 45 47 Doc. 006149 D-3 Vivo 45 User manual...
Page 48 Use the up and down buttons to navigate up or down in a menu list, or to select differ- ent parameters. Use the left and right buttons to alter parameters, or enter and exit sub sections. 48 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 49: Symbols Used In The Menu
If the heated cir- cuit is connected but not activated, the temperature is replaced by “Off”. Single limb circuit with leakage port selected (Leakage) MPV breath mode selected. How to Use the Vivo 45 49 Doc. 006149 D-3 Vivo 45 User manual...
Page 50 Multiple pages High priority alarm event in history list Medium priority alarm event in history list Size and colour of symbols may vary depending on displayed view. 50 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 51: Menu Overview
5.2.3 Menu Overview In Home Mode, the Vivo 45 menu has the following section layout: Main Icon explanation Guided setup Setup Setup 1-2 Page Alarm Sub menu Alarm Settings 1-2 Alarm/Event History Monitor Others Heat/Humidity Settings Device memory Patient Operating Time...
Page 52: Display Overview
The red lines represent the low and high pressure alarms, the low and high tidal vol- ume alarms. 3. Icons/Alarm Message Information icons are presented here to give a quick overview of the Vivo 45 basic status (see 5.2.2 Symbols Used in the Menu, page 49). 4. Monitoring Field This field is designed to give a brief overview of the key monitor values.
Page 53: The Main Display, Home Mode
6. Bar graph representing the tidal volume 7. PEEP value 8. Bar graph representing the current pressure 9. Red lines in the bar graphs represent alarm limits How to Use the Vivo 45 53 Doc. 006149 D-3 Vivo 45 User manual...
Page 54: The Setup Section, Home Mode
Press the Setup button to display the Setup section. 2 Press the Down or Up arrow button to enter the Profile selection. 54 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 55: The Alarm Section
The Alarms section contains 3 pages: The two first are for viewing alarm settings and the third is for viewing the alarm and message history. Shift between the pages by press- ing the Alarm button. How to Use the Vivo 45 55 Doc. 006149 D-3 Vivo 45 User manual...
Page 56: The Monitor Section
The monitoring page contains bar graphs for pressure and volume, and a field with measurement readings for the monitored values that are applicable for the treatment mode. See 5.3 Monitored Values in the Vivo 45, page 57 for a description on the monitored values.
Page 57: Monitored Values In The Vivo 45
• Battery Health (%) • Serial Number Monitored Values in the Vivo 45 Values monitored by the Vivo 45 stored in the data log and displayed on the screen: 1. The monitoring screen: How to Use the Vivo 45 57 Doc.
Page 58: Ppeak
PEEP displays the pressure at the end of the expiratory phase. 5.3.3 Pmean Pmean displays the calculated mean value of pressure during a complete ventilatory cycle (inspiratory + expiratory phase). 58 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 59: Leakage
The Total Rate displays the actual total breath rate independent of whether the breaths are patient- or ventilator-triggered breaths. 5.3.12 Spont Rate The Spont Rate displays the actual spontaneous breath rate. How to Use the Vivo 45 59 Doc. 006149 D-3 Vivo 45 User manual...
Page 60: Spont
Rise Time displays the duration of the pressure or volume increase, measured from the start of inspiration until the set pressure or volume has been reached. 60 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 61: Etco
5.4.1 Standby and Operating Mode Standby mode is defined as the state of the Vivo 45 when it is powered on but without having treatment or pre-use test started. Operating mode is defined as the state of the Vivo 45 when the blower is operating and producing an air flow.
Page 62: Patient Mode
In Paediatric mode, some ventilator parameters, for example Breath Rate, Inspiratory Time and Target Volume have special setting limits, in order to optimize the treatment for paediatric patients. The settings and alarm limits of the Vivo 45 are reset to default values when the patient mode is altered.
Page 63 5.4.4.3 Pressure Controlled Ventilation (PCV) In the PCV mode the ventilation is controlled by the Vivo 45. This is done at the preset pressure, breath rate, inspiratory time, and rise time settings set by the operator. The patient also has the possibility to start a breath through the Inspiratory Trigger. This patient triggered breath will be delivered with the inspiratory time, rise time and pres- sure setting set by the operator.
Page 64: Functions And Parameters In The Vivo 45
5.4.4.8 CPAP – Continuous Positive Airway Pressure In CPAP mode the Vivo 45 is applying a continuous positive pressure to the airways. The flow will automatically be adjusted to maintain the set CPAP level. Functions and Parameters in the Vivo 45 The parameters used for controlling the breathing by the Vivo 45 are described below.
Page 65: Parameters' Availability In Different Modes
5.5.1 Parameters’ Availability in Different Modes This table offers an overview of the available parameters in each mode. How to Use the Vivo 45 65 Doc. 006149 D-3 Vivo 45 User manual...
Page 66 Modes PSV (TgV) PCV (TgV) PCV (A) PCV (A PCV-MPV CPAP Parameter +TgV) Insp. Pressure PEEP Auto-EPAP: MIN EPAP MAX EPAP Pressure limit EPAP step Relax Time Breath Rate Insp. Time Backup Insp. Time Ramp Rise Time Insp. Trigger Exp. Trigger Min Insp.
Page 67: Insp. Pressure
The cycles will be ventilator-initiated breaths. The combination of the Backup Rate and Inspiratory Time setting is limited by the I:E ratio range 1:9.9 to 2:1. How to Use the Vivo 45 67 Doc. 006149 D-3 Vivo 45 User manual...
Page 68: Insp. Time (Inspiratory Time)
A low setting will give a faster increase and therefore a longer plateau at the set value. A high setting will give a slower increase and therefore a shorter plateau. Unit Default Step 68 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 69: Insp. Trigger (Inspiratory Trigger)
The Minimum Inspiratory Time setting defines a minimum length for each inspiration. If the Minimum Inspiratory Time is set to Off, the length of the inspiration is depend- ent on the set Expiratory Trigger. How to Use the Vivo 45 69 Doc. 006149 D-3 Vivo 45 User manual...
Page 70: Target Volume
Target Volume at Min Pressure, the ventilator will continue to ventilate at this Min Pressure setting. Unit Default Current Max Pressure 5.5.14 CPAP The CPAP setting defines the pressure that will be applied to the airways in CPAP mode. 70 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 71: Ramp Time
The click-in water chamber needs to be connected before the setting can be turned On. Unit Default — 5.5.19 Humidifier Setting The Humidifier Setting defines the level of humidity of the air delivered to the patient. How to Use the Vivo 45 71 Doc. 006149 D-3 Vivo 45 User manual...
Page 72: Heated Circuit Temp
(if attached) or the internal battery and show a message in the display window. 5.6.2 Power Switchover Tests This section describes methods for testing the ventilator’s switch over from one power source to another. 72 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 73 • External DC power source LED is illuminated • Medium priority “Lost Mains Power” alarm is triggered • Information message “Switched to External DC” is posted How to Use the Vivo 45 73 Doc. 006149 D-3 Vivo 45 User manual...
Page 74: Charging The Batteries
5.6.3 Charging the Batteries CAUTION! Do not charge the Vivo 45 while placed in the carry bag or other types of closed or non-ventilated spaces. The internal and click-in batteries are automatically charged when connecting the venti- lator to the mains supply. To ensure that the batteries are fully charged, a maintaining charging cycle will be performed.
Page 75: Internal Battery
The internal battery is intended as a backup power source if the primary power source fails. It can also be used as a temporary power source. For example during transporta- tion between one stationary power source to another. How to Use the Vivo 45 75 Doc. 006149 D-3 Vivo 45 User manual...
Page 76: Click-In Battery
2 Open and remove the side panel. 3 Insert the click-in battery. Make sure the latch at the bottom of the click-in compartment is engaged. 76 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 77: Battery Operating Time (Internal And Click-In)
1.0 s Insp. Time* Insp. Trigger Rise Time Target Volume Display Light* Light Intensity* Other Tidal Volume 800 ml Resistance 5 hPa (l/s) Compliance 50 ml (hPa) How to Use the Vivo 45 77 Doc. 006149 D-3 Vivo 45 User manual...
Page 78: Storing The Internal Battery And The Click-In Battery
5.6.9 External DC WARNING! Do not connect the Vivo 45 to a wheelchair unless the operating manual for the wheelchair permits this as this can affect the Vivo 45 performance and consequently result in patient death. The ventilator can be operated from: •...
Page 79: Using Accessories
The ventilator can be connected to a nurse call system using the nurse call cable. When connected, the ventilator alarms will also be forwarded to the nurse call system. How to Use the Vivo 45 79 Doc. 006149 D-3 Vivo 45 User manual...
Page 80: Using The Ventilator With The Fio
If the sensor is used outside its operating conditions the FiO measurements might deviate. 5.7.3.1 Installing the FiO Sensor Place the ventilator so the bottom is accessible. 80 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 81: Using The Ventilator With The Remote Alarm
Using the ventilator with the Remote Alarm Information about safety, warnings, product description, installation, usage, cleaning, maintenance and technical specifications can be found in the user instruction for Remote Alarm. How to Use the Vivo 45 81 Doc. 006149 D-3 Vivo 45 User manual...
Page 82: Using The Ventilator With The Etco Sensor
5.7.5 Using the ventilator with the EtCO Sensor The EtCO sensor can be connected to the patient breathing circuit and to a Vivo 45 in order to monitor and store CO measurements. The CO measurements will be stored in the ventilator data memory which can be downloaded to a PC and viewed in the ventilator PC software.
Page 83 Incorrect CO zeroing will result in false gas readings. Replace the airway adapter if rain-out/condensation occurs inside the airway adapter. Only use airway adapters distributed by Breas Medical. Do not apply tension to the CO sensor cable. To keep secretions and moisture from pooling on the windows, always position the sensor in a vertical position with the green LED pointing upwards.
Page 84 2 Snap the CO sensor probe on top of the airway adapter. It will click into place when properly sealed. 3 Perform a CO zeroing procedure. 84 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 85 LED Status Description Steady green light System OK Flashing green light Zeroing in progress Sensor error Steady red light Flashing red light Check adapter How to Use the Vivo 45 85 Doc. 006149 D-3 Vivo 45 User manual...
Page 86: Using The Ventilator With The Ptcco
Pressure (PtcCO ) may be connected to the ventilator by an accessory PtcCO cable. For information about available PtcCO cables, see 9 Accessories and Parts, page 160. 86 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 87: Using The Ventilator With The Spo
• Display the monitored values and include them in trend views. • Store monitored values in the internal memory. The PtcCO values will also be included in the data that can be downloaded and analysed with Breas PC software. • Repeat CO alarms from the external PtcCO monitor.
Page 88 1. Connect the black pins of the wire set to the effort belt. 2. Connect the key-shaped connector of the wire set to the communication box. 3. Connect the Effort belt communication box to the ventilator. 88 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 89: Using The Ventilator With The Remote Start/Stop
The effort belt communication box and the Remote Start/Stop use the same port on the ventilator. Only one of the accessories can be connected at a time. How to Use the Vivo 45 89 Doc. 006149 D-3 Vivo 45 User manual...
Page 90: Using The Ventilator With The Protective Cover
1. Transparent window, for accessing front panel and buttons 2. Port for patient circuit 3. Cooling air inlet 4. Port for cables and O inlet 5. Mounting straps 6. Patient air inlet 90 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 91: Using The Vivo 45 With The Trolley
The trolley shall only be used in indoor, hospital environment. The trol- ley system consists of a trolley base and a mounting bracket. This section describes how to use the Vivo 45 and a trolley with mounting bracket. Mount and dismount the Vivo 45 as shown in the picture: The bottom plate is mounted to the trolley using two screws.
Page 92: Using The Click-In Humidifier
The click-in water chamber is for single patient use only. Reusing a water chamber for a new patient might cause a risk of cross-contamination. The Vivo 45 shall not be moved with a filled water chamber installed.
Page 93 CAUTION! Always make sure the water chamber is in correct position before use. Store the airway bypass unit in a clean and dust free environment. How to Use the Vivo 45 93 Doc. 006149 D-3 Vivo 45 User manual...
Page 94: Detaching The Water Chamber
Always stop treatment before detaching or attaching the water chamber. Make sure the Vivo 45 with the attached water chamber is placed lower than the patient and on a flat surface. This is to prevent personal injury from accidental spill- age or from excess water or condensation flowing down the patient tube and into the patient’s interface.
Page 95 Default setting (3): 16 hours and 40 minutes Max setting (5): 8 hours and 40 minutes Detach the water chamber, see 5.7.14 Detaching the Water Chamber, page 94. How to Use the Vivo 45 95 Doc. 006149 D-3 Vivo 45 User manual...
Page 96 The water chamber lid shall be opened when manually emptying or cleaning the water chamber CAUTION! Always make sure the lid of the water chamber is totally sealed. 96 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 97: Using The Patient Circuit With Heated Wire
Read the User Instruction for the Patient Circuit, Heated Wire with Cable Connector before using the patient circuit. 5.7.15.1 Connecting the Patient Circuit Connect the circuit as described in 4.4 Connecting the Patient Circuit, page 41. How to Use the Vivo 45 97 Doc. 006149 D-3 Vivo 45 User manual...
Page 98 3 Select Circuit Heating and set it to On. The circuit heating is now activated and will start to operate when the treatment starts. 98 How to Use the Vivo 45 Vivo 45 User manual Doc. 006149 D-3...
Page 99: Alarms
Never leave a patient unattended during an alarm condition. Setting alarm limits to extreme values could put the patient at risk. Permitted distributed alarm systems are Vivo 45 remote alarm with cable and Vivo 45 nurse call cables provided by Breas Medical only.
Page 100: Audible Signal Pause
Audio Pause button. The audible signal can be reactivated by pressing the Audio Pause button again. If a new alarm condition occurs during the audio pause period, the audible signal will be reactivated. 100 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 101: Audible Signal Presilence
If an alarm condition cannot be corrected, discontinue use and refer the ventilator for service. Operator’s Position To receive the audible part of an alarm, the operator’s position should be within audible range from the ventilator, depending on the set audible alarm level. Alarms 101 Doc. 006149 D-3 Vivo 45 User manual...
Page 102: Physiological Alarms
A full breath is performed with maximum pressure below the alarm limit. Ventilator action The Vivo 45 will continue treatment according to the current settings. The actual breath is however terminated if the High Pressure alarm limit is reached. Setting range •...
Page 103: Low Pressure Alarm
Alarm text Priority High Alarm condition A Low Pressure alarm will be given when the Vivo 45 pres- sure fails to reach the low pressure alarm limit for 15 seconds. The low pressure alarm is disabled during ramp periods. Possible cause •...
Page 104: High Peep Alarm
• Changes in airway resistance and or compliance. Reset criteria PEEP has gone below the alarm limit (lower than 30% above the set value). Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range • On • Off 6.3.4...
Page 105: High Vt I (High Inspired Tidal Volume Alarm)
• Off Setting resolution 10 below 600 ml, 100 above 600 ml Reset criteria A full breath above set alarm limit Ventilator action The ventilator will continue treatment with the same settings. Alarms 105 Doc. 006149 D-3 Vivo 45 User manual...
Page 106: High Mv I Alarm (High Inspired Minute Volume Alarm)
• 1.0 l/min to 30 l/min • Off Setting resolution 0.1 l up to 1.0 l, 0.5 l above 1.0 l. Ventilator action The ventilator will continue treatment with the same settings. 106 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 107: High Vt E Alarm (High Expired Tidal Volume)
• 20 ml to 300 ml (Paediatric mode) • Off Setting resolution 10 below 600 ml, 100 above 600 ml Ventilator action The ventilator will continue treatment with the same settings. Alarms 107 Doc. 006149 D-3 Vivo 45 User manual...
Page 108: High Mv Minute (High Expirminuted Minutminute Volumminute Alarm)
• 0.1 l/min to 20 l/min (Paediatric mode) • Off Setting resolution 0.1 l up to 1.0 l, 0.5 l above 1.0 l. Ventilator action The ventilator will continue treatment with the same settings. 108 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 109: High Breath Rate Alarm
• Too sensitive setting of the inspiratory trigger setting. Reset criteria The breath rate goes below the alarm limit. Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range • 10 bpm to 70 bpm (Adult mode) •...
Page 110: Low Breath Rate Alarm
• Circuit disconnection. Reset criteria The breath rate goes above the alarm limit. Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range • 4 bpm to 30 bpm (Adult mode, non-MPV modes) • 1 bpm to 30 bpm (Adult mode MPV modes) •...
Page 111: Apnea Alarm
• Inspiratory Trigger is set too high. Reset criteria Inspiratory effort detected by the Vivo 45. Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range • 5 to 60 s.(non-MPV mode) • 15 to 900 s. (MPV mode) •...
Page 112: Rebreathing Alarm
• The patient has removed the mask. • Circuit disconnection. • Pilot pressure tube disconnection Reset criteria The leakage is back within limits. Ventilator action The Vivo 45 will continue treatment according to the current settings Setting range • On • Off 6.3.17 Rebreathing Alarm...
Page 113: Obstruction Alarm
• Decreased minute ventilation. Reset criteria goes below the alarm limit Setting range • 21% to 100% • Off Setting resolution Ventilator action The ventilator will continue treatment with the same settings. Alarms 113 Doc. 006149 D-3 Vivo 45 User manual...
Page 114: Low Fio
Too high flow of bleed-in oxygen. Reset criteria The SpO value goes back below the alarm limit. Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range • 90 % to 100 % • Off...
Page 115: Low Spo 2 Alarm
• Leak port occluded. Setting range 1 to 99 mmHg 1 mmHg Setting resolution Ventilator action The ventilator will continue treatment with the same settings. This alarm requires a connected EtCO2 sensor Alarms 115 Doc. 006149 D-3 Vivo 45 User manual...
Page 116: Low Etco 2 Alarm
• Leakage port occluded. Setting range 1 to 99 mmHg Setting resolution 1 mmHg Ventilator action The ventilator will continue treatment with the same settings. This alarm requires a connected EtCO sensor 116 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 117: High Pulse Rate Alarm
• Bad positioning of the finger probe. Reset criteria The pulse rate goes back below the alarm limit. Ventilator action The Vivo 45 will continue treatment according to the current settings. Setting range 30 to 230 bpm (beats per minute)
Page 118: Ptcco Alarm
• Excessive leakage in the Patient circuit/Interface. • Partial obstruction of the airways. • Self triggering of the ventilator. Ventilator action The ventilator will continue treatment with the same settings. This alarm requires a connected PtcCO sensor. 118 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 119: Technical Alarms
Reset criteria External power supply connected to ventilator. Ventilator action The Vivo 45 stops the treatment, and gives the Power Fail alarm for at least 2 minutes. If power is restored within the alarm time, the ventilator will automatically resume treatment with current settings.
Page 120: Low Patient Air Temp. (Low Patient Air Temperature Alarm)
This alarm will be given when the last battery source (internal battery) has 15 minutes of operating time left with current settings. Ventilator action The Vivo 45 will continue treatment according to the current settings. 6.4.5 Crit. Low Last Power Source Alarm...
Page 121: Lost Mains Power Alarm
Ventilator action The ventilator will continue treatment with the same settings. Reset User presses OK or electronics cable is disconnected by the user, or the sensor is reconnected to the finger. Alarms 121 Doc. 006149 D-3 Vivo 45 User manual...
Page 122: Poor Spo2 Signal
Accuracy Error alarm will be given when an accuracy error in the CO measurement has occurred. Priority High Ventilator action The ventilator will continue treatment with the same settings. Reset OK message from sensor or sensor disconnected by user. 122 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 123: Check Co 2 Adapter Alarm
High Possible cause • FiO Sensor disconnected. • Communication with the FiO sensor failed. Ventilator action The ventilator will continue treatment with the same settings. Reset Confirmation by user or reconnected/changed. Alarms 123 Doc. 006149 D-3 Vivo 45 User manual...
Page 124: Ambient Pressure Compensation Lost Alarm
Ventilator action The Vivo 45 will continue treatment according to the current settings. Normal atmospheric pressure at sea level will be used as approximation for the temporary ambient pressure compen- sation.
Page 125: Humidity Comp. Lost (Humidity Compensation Lost Alarm)
The ventilator will continue treatment with the same settings and start charging the alarm batteries. Reset When alarm energy storage level is sufficient to give an alarm for at least 2 minutes. Alarms 125 Doc. 006149 D-3 Vivo 45 User manual...
Page 126: Alarm Battery Error Alarm
Priority Medium Ventilator action The ventilator will continue treatment with the same settings. Priority Medium Reset Heated wire measured temp tolerance is inside limits. 126 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 127: High Humidifier Temp. Alarm
Ventilator action The ventilator will turn off the humidifier and continue treat- ment with the same settings. The humidifier must be restarted manually when the cause of the alarm is resolved. Alarms 127 Doc. 006149 D-3 Vivo 45 User manual...
Page 128: Heated Circuit Fault Alarm
The ventilator will stop the treatment and shut down. Action to take Restart the Vivo 45. If the alarm persists or reoccurs: Take a note of the error code and contact your supplier of the Vivo 45 . 6.4.27 Air Temp. Sensor Fail Alarm Property Description...
Page 129: Internal Error Alarm
The Cooling Fan Error alarm shall be given when the cooling fan runs too slow. Priority High Ventilator action The ventilator will continue treatment with the same settings. Reset When cooling fan speed is above 275 rpm. Alarms 129 Doc. 006149 D-3 Vivo 45 User manual...
Page 130: Clock Failure Alarm
5 secs. Ventilator action The ventilator will continue treatment with the same settings. Reset action Reinsert the air bypass unit/humidifier and make sure the latch closes. 130 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 131: Alarm Test
• The audio pause LED lights yellow. • In about a second, both LEDs are turned off. If the test fails, do not use the Vivo 45. Contact your supplier of the Vivo 45 for a tech- nical check. 6.5.2 Mandatory Alarm Tests This alarm test should be performed when changing patient, if the ventilator’s function...
Page 132 Related Alarm Test This alarm test applies if the EtCO accessory is used. Connect the EtCO sensor with an attached airway adapter to the Vivo 45. 2 Disconnect the airway adapter from the CO sensor. ⇒ The check CO adapter alarm shall be given.
Page 133 • When the Critical low last power source alarm is given, the ventilator shall run for at least five more minutes. • When the Power Fail alarm is given, the treatment stops. The alarm shall continue to sound for about two more minutes. Alarms 133 Doc. 006149 D-3 Vivo 45 User manual...
Page 134: Optional Alarm Tests
3 The Low Pressure Alarm and/or the Disconnection Alarm will be given. 4 Stop treatment. Test completed. 6.5.3.3 Obstruction Alarm Start treatment; block the patient circuit completely to simulate an obstruction. 134 Alarms Vivo 45 User manual Doc. 006149 D-3...
Page 135 2 Wait approximately 10 seconds. 3 The Obstruction Alarm will be given. 4 Stop treatment. Test completed. Alarms 135 Doc. 006149 D-3 Vivo 45 User manual...
Page 136: Cleaning And Maintenance
The Vivo 45 should be subjected to maintenance, service and control and any applica- ble upgrades, in accordance with Breas service instructions. The Vivo 45 shall only be repaired or modified in accordance with Breas service man- uals, technical bulletins, and any special service instructions, by service technicians that have been authorised after Breas Vivo 45 service training.
Page 137: Main Unit
2 Remove the patient circuit. 3 Disconnect all electric cables. 4 Clean the outside of the Vivo 45 using a lint-free cloth with a mild soap solution, and/or ethanol 70% for surface disinfection. 5 If the click-in humidifier is used, clean it as described in 5.7.14.4 Cleaning the Water Chamber, page 97.
Page 138: Cleaning And Replacing The Air Filters
3.3.1 Detaching and Reattaching the Side Panels, page 33. 4 The cooling air inlet filter is located at the bottom left side of the ventilator. 138 Cleaning and Maintenance Vivo 45 User manual Doc. 006149 D-3...
Page 139: Coarse Filter (Grey, Washable)
Service and Repair The service and repair of the ventilator must only be carried out by authorised service personnel in accordance with Breas service instructions. Service inspections must always be carried out following any repairs to the device. Cleaning and Maintenance 139 Doc.
Page 140: Storage
The ventilator, any accessories and all replaced parts must be disposed of and recycled in accordance with the local environmental regulations regarding the disposal of used equipment and waste. Contact your service provider for information regarding the dis- posal procedure. 140 Cleaning and Maintenance Vivo 45 User manual Doc. 006149 D-3...
Page 141 NOTE Batteries used with the ventilator shall be recycled in accordance with the local envi- ronmental regulations. Cleaning and Maintenance 141 Doc. 006149 D-3 Vivo 45 User manual...
Page 142: Technical Specifications
2. Tube 3. Leakage port / Patient interface connection 4. Patient 8.1.1 Pneumatic Diagram for the ventilator Item Description Air inlet with filters Inlet silencer Blower Restriction Flow sensor Pressure sensors 142 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 143: Data
Low pressure/bleed-in oxygen connection Data 8.2.1 Worst Case Accuracy Pressure Control Modes The worst case Vivo 45 configuration is the 15 mm patient circuit with HCH humidifier, bacterial filter and EtCO sensor. 8.2.2 Modes Specifications This section lists the settings that can be made for the ventilator’s modes.
Page 144 All stated tolerances includes measurement uncertainty. The accuracies have been tested with all allowed configurations. Stated tolerances only disclose the maximum tolerance. If a parameter’s tolerance is described with both absolute and relative measures, the greater one applies. 144 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 145 Setting Unit Default Resolution Tolerance Insp. Pressure 0.5 < 10 ±0.5 cmH O or ±5% 1.0 > 10 CPAP 0.5 < 10 ±0.5 cmH O or ±5% 1.0 > 10 PEEP 0.5 < 10 ±0.5 cmH O or ±5% 1.0 > 10 Breath Rate ±2% Backup Rate...
Page 146 Setting Unit Default Resolution Tolerance Rise Time Step Max Pressure Current Min 0.5 < 10 ±0.5 cmH O or ±5% Pressure 1.0 > 10 Current Max Min Pressure 0.5 < 10 ±0.5 cmH O or ±5% Pressure 1.0 > 10 Target Volume 2000 10 <500...
Page 147 Setting Unit Default Resolution Tolerance Relax Time Minute ± (20 ms + 5% of set- ting) or ±0.1 s, Ramp Minute ± (20 ms + 5% of set- ting) or ±0.1 s, Always Start Ramp Current 0.5 < 10 Ramp Start Pressure ±0.5 cmH O or ±5% Insp.
Page 148: Monitored Values Specifications
8.2.4 Monitored Values Specifications This section describes the ranges and tolerances for monitored values on the Vivo 45. All stated tolerances includes measurement uncertainty. The accuracies have been tested with all allowed configurations. Stated tolerances only disclose the maximum tolerance.
Page 149 Resolution: ±3 digits. No motion and flex sensor. Pulse Rate Range/Performance: 25 to 240 bpm. Resolution: ±3 digits. No motion and flex sensor. Range/Performance: 1:10 to 10:1. Resolution: ±0.1 unit for E < 9.9, ±1 unit otherwise. Technical Specifications 149 Doc. 006149 D-3 Vivo 45 User manual...
Page 150: Power Supply
~700 metres(2300 feet) below sea level, at normal atmospheric pressure. As seen in the graph above, the ventila- tor is unable to deliver set max pressure at a very low ambient pressure. 150 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 151: Other
Breathing resistance under single-fault: <6 cmH2O at 30 l/min, <6 cmH2O at 60 l/min Vivo 45 Dimensions W × H × D: 216 × 159 × 152 mm Weight: 2.4 kg Patient air outlet: 22 mm male, conical standard connector Technical Specifications 151 Doc. 006149 D-3 Vivo 45 User manual...
Page 152: Emission And Immunity Declaration
The performance of all functions of the ventilator is considered as essential perform- ance for the purpose of immunity testing. 8.3.1 Vivo 45 Essential Performance The ventilator will deliver ventilation at the patient-connection port within its published accuracy specifications and within the alarm limits set by the operator, or generate an...
Page 153: Guidance And Manufacturer's Declaration - Electromagnetic Immunity
IEC 61000-4-8 in a typical commercial, hospi- tal and residential environment. 0% UT, 0.5 cycle (multiple Voltage dips, short Vivo 45 runs on internal bat- interruptions and phase analysis); tery during voltage dips, short voltage variations 0% UT, 1 cycle;...
Page 154 At 80 MHz and 800 MHz, the higher frequency range applies. These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. 154 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 155: Guidance And Manufacturer's Declaration - Electromagnetic Emission
Harmonic Class A emissions IEC 61000-3-2 Voltage fluctua- Complies tions/flicker emission IEC 61000-3-3 Technical Specifications 155 Doc. 006149 D-3 Vivo 45 User manual...
Page 156: Recommended Separation Distances Between Portable And Mobile Rf Communications Equipment And The Ventilator
8.3.5 Recommended separation distances between external power conductors and the ventilator Rated maximum current in Separation distance (m) conductor (A) 50-60 Hz d= I/2πH= I/188 0.005 156 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 157: Recommended Separation Distances Between External Power
Delivery Settings Delivery settings: modes and functions Ventilation Mode: Pressure Breath Mode: Support Patient Mode: Adult Device Mode: Clinical Home Adjust: Off Profile 1: Active Profile 2: Off Profile 3: Off Technical Specifications 157 Doc. 006149 D-3 Vivo 45 User manual...
Page 158 Alarm: Off High SpO Alarm: Off Low SpO Alarm: Off High EtCO Alarm: 51 mmHg Low EtCO Alarm: Off High InspCO Alarm: Off Low Pulse Rate: Off High Pulse Rate: Off 158 Technical Specifications Vivo 45 User manual Doc. 006149 D-3...
Page 159 Other Patient operating time: 0 h Display light: On Light Intensity: 9 Alarm sound level: 5 Unit: mmHg Auto keypad lock: Off Pre-use Test: On Technical Specifications 159 Doc. 006149 D-3 Vivo 45 User manual...
Page 160: Accessories And Parts
Accessories and Parts WARNING! Only use accessories recommended by Breas Medical. Breas Medical cannot guaran- tee the performance and safety for the use of other accessories with the ventilator. NOTE Accessory equipment connected to the analogue and digital interfaces must be certi- fied according to the respective IEC standards (e.g.
Page 161 Function: Delivers air to the patient, applied part Part No: 004465 Circuit: Single limb heated wire 15 mm, disposable Function: Deliver heated air to the patient, non-invasively Part No: 006193 Accessories and Parts 161 Doc. 006149 D-3 Vivo 45 User manual...
Page 162 Circuit: Single limb 22 mm, with bacterial filter, disposable Function: Deliver air to the patient Part No: 007936 Leakage Port Function: Providing a leakage for clearing exhaled gases. Part No: 004426 162 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 163 • VFE (Viral Filtration Efficiency): 99.999 % Part No: 007963 Low pressure oxygen adapter Function: Oxygen tube adapter with connector for the Vivo 45. Part No: 005032 Circuit: Single limb for Mouthpiece ventilation (MPV) Function: Deliver air to the patient Part No: 006093 Accessories and Parts 163 Doc.
Page 164: Power Accessories
Part No: 006095 Power Accessories Power Supply Function: Deliver power to the ventilator Part No: 006396 Power cord Function: Deliver power to the AC power supply Part No: EU: 003520 164 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 165 Function: Connects the ventilator to both mains and external DC at the same time. If the Mains power source is available, it will have precedence over the DC power source. Part No: 006711 Accessories and Parts 165 Doc. 006149 D-3 Vivo 45 User manual...
Page 166: Monitoring Accessories
Monitoring Accessories Breas PC software Function: Data monitoring software Part No: 006718 USB cable Function: Data cable: PC to Vivo 45 (USB to USB) Part No: 005757 Memory card Function: Storage and transfer of set- tings, patient data and usage data...
Page 167 10 kΩ, NC: 006362 Remote start/stop Function: Start and stop the ventilator remotely. Also, pause audio remotely. Part No: 006649 sensor Function: Measure FiO to the patient. Part No: 006172 Accessories and Parts 167 Doc. 006149 D-3 Vivo 45 User manual...
Page 168 Part No: 006591 EtCO sensor Function: Measure CO in the airflow Part No: 006346 Airway adapter Function: Connects the EtCO sensor to the patient circuit Part No: 005263 (25 pcs) 168 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 169 Effort belt communication box Function: Connects the ventilator to one or two effort belts. Part No: 006182 Effort belt wireset Function: Connects an effort belt to the communication box Part No: 007083 Accessories and Parts 169 Doc. 006149 D-3 Vivo 45 User manual...
Page 170: Ventilator Filters And Detachable Parts
Function: Coarse inlet air filtration Material: Bulpren S 28133 Filter diameter: 1080-1580 Microns Part No: 007104 (5pcs) Cooling air filter Function: Device air inlet filtration, 5 pieces Part No: 007105 170 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 171: Other Accessories
Function: Humidify the patient air Part No: 006490 Side panels Function: Protect the internal ventila- tor components. Part No: Grey: 007065, Blue: 007066 Other Accessories Trolley Function: Mobile use, transportation Part No: 007384 Accessories and Parts 171 Doc. 006149 D-3 Vivo 45 User manual...
Page 172 Function: To support a patient circuit. Part No: 007917 Universal rail clamp Function: Attach a humidifier to a trolley. Part No: 007858 E-cylinder holder Function: Attach an E-cylinder to a trolley. Part No: 005128 172 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 173 Part No: 007859 Mounting bracket Function: Mount the ventilator to a stand / trolley / rail system. Part No: 006761 Protective cover Function: Shock protection Part No: 006067 Accessories and Parts 173 Doc. 006149 D-3 Vivo 45 User manual...
Page 174 Lightweight Mobility Bag Function: Mobile use Part No: 007555 Carry bag Function: Storage for transportation Part No: 006014 174 Accessories and Parts Vivo 45 User manual Doc. 006149 D-3...
Page 175: Patient Settings
Patient Settings This section can be copied and used for noting the patient’s settings. Patient Settings 175 Doc. 006149 D-3 Vivo 45 User manual...
Page 176 Patient Settings - Vivo 45 Patient ....................Date ....................Clinic ....................Set by ....................Ventilation mode:................Patient Circuit Insp. Pressure Inspiratory Trigger PEEP Expiratory Trigger Breath Rate Min Inspiratory Time Inspiratory Time Max Inspiratory Time Backup Rate Backup Inspiratory Time...
Page 177: Faa Compliance
Compatibility (EMC) in accordance with the current version of RTCA/ DO-160, Section 21, Category M. Breas Medical has successfully completed testing for the ventilator System. The ventila- tor System complies with RTCA/DO-160, Section 21, Category M and can be consid- ered FAA compliant.
Page 179 Assisted Pressure Controlled Ventilation with Temperature)........119 Target Volume High PEEP ..........104 definition..........63 High pressure.........102 Audible range High pulse rate........117 operator’s position .........101 High SpO ..........114 Audio pause and reset ........101 High Vte ..........107 High Vti ..........105 Index 179 Doc. 006149 D-3 Vivo 45...
Page 180 ........19 safety information ........82 Enter specifications..........148 standby mode...........45 usage ............82 Environmental conditions Sensor Error alarm......123 safety information ........20 Sensor Failure/Disconnection specifications..........143 Alarm (CO Disconnected) alarm ....122 Equipment designation and safety label..35 CO2 unit............56 180 Index Vivo 45 Doc. 006149 D-3...
Page 181 High pulse rate alarm .........117 High SpO alarm ........114 click-in battery..........31 High Vte alarm ..........107 external DC..........31 High Vti alarm ...........105 front panel ..........31 HME ............24 internal battery .........31 Home Adjust ..........61 LED Failure alarm ........125 Index 181 Doc. 006149 D-3 Vivo 45...
Page 182 Patient air outlet Leakage ............59 position............32 MVe ............59 Patient circuit MVi............59 connect ............41 PEEP............58 safety information ........21 Pmean............58 Patient mode ..........62 Ppeak ............58 Patient operating time ........56 PtcCO2............61 Patient profiles ..........56 Pulse Rate ..........60 182 Index Vivo 45 Doc. 006149 D-3...
Page 183 Service ............139 Product label ..........35 Settings Profile at delivery..........157 select ............54 specification ...........143 Profiles Side panel.............32 delivery settings........157 Single limb circuit Protective cover ...........90 pneumatic diagram.........142 Sound level definition..........62 specification ...........143 PSV(TgV) Specifications definition..........63 Index 183 Doc. 006149 D-3 Vivo 45...
Page 184 Target volume ..........70 in PCV + A, definition......63 in PCV, definition........63 in PSV, definition ........63 Technical alarms.........119 Time set ............56 Time format..........56 Treatment select preset profile ........54 start............45 stop............45 Trends screen..........56 184 Index Vivo 45 Doc. 006149 D-3...

Breas Vivo 45 User Manual

1 Introduction

2 Safety Information

3 Product Description

4 Preparing the Vivo 45 for Use

5 How to Use the Vivo

6 Alarms

7 Cleaning and Maintenance

8 Technical Specifications

9 Accessories and Parts

10 Patient Settings

11 FAA Compliance

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