Page 1 ESPRIT Ventilator ® O P E R A T O R ’ S M A N U A L REF 580-1000-01 Y...
Page 2 All rights reserved. This work is protected under Title 17 of the United States copyright code and is the sole property of 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 copyright law, without the prior written consent of Respironics.
Page 3 Addition of PVC O Sensor Tee, P/N 8-100498-00 (gray in color) Update to include Esprit Options in Chapter 13 Update to Remote Alarm Port. Updates Chapter 2, Chapter 6 and the Front Matter (cover page and pages ii through iv) to Revision W. All else remains at Revision V.
Page 5: Table Of Contents
Emergency Modes of Ventilation ........7-7 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 6 Esprit Overview ........
Page 8 Alarms During Graphics ........13-36 Esprit Communications Option (Com1) ......13-38 Print Screen .
Page 9 NICO-Esprit Interface Option ........13-99...
Page 10 Contents (This page is intentionally blank.) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 11: Introduction And Intended Use
It is intended for use by qualified medical personnel to provide continuous or intermittent ventilatory support for adult, pediatric and neonatal patients as prescribed by a physician. The Esprit Ventilator is intended for use in either invasive or non-invasive applications in institutional environments.
Page 12 Chapter 1 Introduction and Intended Use (This page is intentionally blank.) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 13: Warnings, Cautions And Notes
• To reduce the chance of contamination or infection, always use an inspiratory bacteria filter when the Esprit is in operation. Refer to manufacturer’s instructions and follow institutional infection control guidelines when replacing the inspiratory filter. •...
Page 14 AC power outlet. • The Esprit front panel LEDs will indicate the power source that is being used. If the ventilator is plugged in and the MAINS LED is not lit, either the circuit breaker is off or the wall power outlet is not functioning.
Page 15 Remote Alarm. • Ensure that an alternative means of ventilation (i.e., a resuscitator or similar device) is available while the Esprit Ventilator is in use on a patient. • The Esprit Ventilator complies with the requirements of IEC 601- 1-2 (EMC collateral standard), including the E-field susceptibility requirements at a level of 10 volts per meter.
Page 16 1, 3, 2000, 3000, 5000, 5002, 8003, or 8004. • Use of an Esprit ventilator that has not passed SST or EST is against the strongest recommendation of Respironics. •...
Page 17 • To avoid the possibility of damage to the Esprit Ventilator, do not connect a humidifier whose maximum rating exceeds 3 amps. Ensure that the humidifier power cord is free from defects and any obvious wear, and is properly grounded.
Page 18 O or less in order to prolong the operating life of the blower and to maximize backup battery run time. • The Esprit alarm indicators and the Alerts insert should be monitored closely during the Alarm Silence period to ensure that unexpected alarms are noticed.
Page 19 (P/N 8-100498-00) and Ultem® (P/N 1020380) sensor tees cannot be autoclaved or chemically disinfected. • The Backup Battery is designed to be charged only by the Esprit Ventilator. Under no circumstances should an attempt be made to charge it in any other way.
Page 20 DISS (U.S.A. and Canada), Ohmeda (Germany), NIST (UK), Air Liquide (France), SIS (Australia). • All volumes entered into Esprit are assumed to be BTPS (Body Temperature atmospheric Pressure Saturated (with H O)) volumes unless otherwise noted. All volumes reported by Esprit are reported as BTPS volumes.
Page 21 • Pt. Leak only appears on Patient Data block on Settings screen. • Esprit keeps a distinct set of alarm limits for each ventilation breath type (VCV, PCV and NPPV). • Any of the changes made in the screen shown in Figure 8-15, do not take effect until the operator switches to the new ventilation breath type (in this case Pressure Control).
Page 22 Medical electrical equipment needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in Chapter 12, “Technical Specifications”, of this manual. 2-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 23: Symbols
Chapter 3. Symbols The following symbols appear on the Esprit Ventilator. Additional symbols pertaining to options and accessories are included in the documentation for each option or accessory. Refer to Chapter 13, “Options and Accessories”. Symbols Symbol Reference Meaning IEC 878...
Page 24 EN 980 This symbol indicates DATE OF MANUFACTURE. WEEE/RoHS Compliant with the WEEE/RoHS recycling directives. This symbol indicates TÜV of Brazil standards approval. Table 3-1: Symbols (Sheet 2 of 3) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 25 This symbol indicates SEALED, NON-SPILLABLE LEAD-ACID BATTERY warning. Must be re-cycled or disposed of properly. This symbol indicates DISPOSE OF PROPERLY. Consult with local authorities for proper disposal. Table 3-1: Symbols (Sheet 3 of 3) REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 26 Chapter 3 Symbols (This page is intentionally blank.) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 27: Getting Started
Chapter 4. Getting Started Unpacking The Esprit Ventilator has been carefully packaged to assure safe shipping. In addition, the packing container has been designed for easy unpacking. Do not discard packing materials until ventilator installation is complete and proper machine function has been verified.
Page 28: Inspection
In case of discrepancies, Accessories immediately contact Respironics Customer Service at 1-800-345-6443. The Esprit Service Manual (P/N 580-1000-02) is available for qualified personnel. It includes block diagrams, components parts lists, descriptions, calibration instructions, and other information which will assist the user’s appropriately qualified personnel to repair those parts of the equipment which are designated by the manufacturer as repairable.
Page 29 Chapter 4 Getting Started NOTE: Respironics recommends that, before using the ventilator for the first time, the user should wipe the exterior clean and disinfect or sterilize its components according to the instructions in Chapter 10, “Care and Maintenance” or the component manufacturer’s instructions.
Page 30: Repacking
Chapter 4 Getting Started Repacking Should the Esprit Ventilator need to be returned to Respironics for servicing, or shipped elsewhere for any reason, instructions for repacking are listed below. The following instructions should be followed closely to avoid damage to the ventilator.
Page 31: Inspiratory Bacteria Filter Installation
Getting Started Inspiratory Bacteria The inspiratory bacteria filter (4) in Figure 4-2, mounts on the gas outlet port (1) located in the lower right corner on the front of the Esprit Ventilator. If the Filter Installation optional O sensor (2) will be used then it will be connected to the gas outlet port (1) before the inspiratory bacteria filter is connected.
Page 32: Heated Expiratory Bacteria Filter Installation
Getting Started Inspiratory Bacteria Filter Installation Instructions Refer to Figure 4-2. 1. Locate the gas outlet port (1) on the Esprit Ventilator front panel. 2. If the optional O sensor (2) will be used then connect it to the gas outlet port (1).
Page 33 Heated Expiratory Bacteria Filter Installation Instructions Refer to Figure 4-3. 1. Locate the heated expiratory bacteria filter (1) and receiving compartment (6) in the lower center of the Esprit Ventilator front panel. 2. Turn knob (2) counterclockwise to unlatch retaining bracket (3).
Page 34: Oxygen Source Connection
CAUTION: The Esprit Ventilator oxygen filter should be replaced annually as a part of preventive maintenance. NOTE: The Esprit Ventilator should only be connected to an appropriate...
Page 35 Esprit rear panel. 2. Ensure that the O filter and water trap (1) are properly attached to the Esprit Ventilator. Inspect the bowl (1) for cracks or potential leaks. Ensure all connections are tight. 3. Inspect the O hose (2), hose connector (3) and the hose connector mate (4) on the Esprit Ventilator.
Page 36: Patient Circuit Flex Arm Installation
Patient Circuit Flex Arm Installation Instructions Refer to Figure 4-5. 1. Slide flex arm bracket (1) on to Esprit side rail (2) (one per side). 2. Tighten black screw knob (3) on flex arm bracket (1). 3. Insert base of flex arm (4) into flex arm bracket and tighten.
Page 37: Ventilator Positioning
Chapter 4 Getting Started Ventilator Positioning The Esprit Ventilator may be mounted on a table top or on an optional Respironics approved cart. CAUTION: Table top must be capable of bearing 66 pounds (30 kg) of weight – 86 pounds (39 kg) with Backup Battery – and must be at least 24 inches (60 cm) deep by 14 inches (35 cm) wide in dimension in order to accommodate the ventilator.
Page 38 Chapter 4 Getting Started (This page is intentionally blank.) 4-12 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 39: Setup
Parallel Printer Port: For use with the Communications Option. Refer to Chapter 13, “Options and Accessories”. PCMCIA Card Slot: (PC Card) For use with the Trending Option. Refer to Chapter 13, “Options and Accessories”. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 40 Humidifier AC Circuit Breaker: Circuit breaker for AC power applied to a humidifier. WARNING: AC power is applied to the humidifier from the Esprit humidifier outlet (only available on 100-120 VAC ventilators). Under no circumstances does the Esprit Ventilator provide control for the humidifier. To ensure patient safety,...
Page 41: Connecting Ac Power Cord
CAUTION: The Esprit Ventilator is shipped with a power cord that complies with electrical safety standards. Do not use substitute power cords unless specifically instructed to do so by an authorized distributor or qualified personnel.
Page 42 Refer to Figure 5-2. • Tools Required: Small phillips screwdriver 1. Ensure that the Esprit Ventilator is properly positioned on a secure table top, wall mount, or pedestal. 2. Connect the AC Power Cord (1) to the AC inlet (3) located on the Esprit rear panel.
Page 43: Power On/Off
ON ( ) position. A humidifier connection is only available on 100-120VAC ventilators. 3. Press the Power ON/OFF Switch to the ON ( ) position (left side up). REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 44: Entering Diagnostic Mode
Setup WARNING: The Esprit front panel LEDs will indicate the power source that is being used. If the ventilator is plugged in and the MAINS LED is not lit, either the circuit breaker is off or the wall power outlet is not functioning.
Page 45: User Configuration Screen
Mode functions. To set up the machine for the first time for operation as a Screen ventilator, USER CONFIG should be selected. When this button is pressed the following screen appears. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 46 The real time clock and calendar of Esprit will last for approximately 2.5 years. When the Esprit is received, the clocks time will have to be changed to that of the existing time zone. The date should be checked and changed if necessary.
Page 47 4. After the date and time values have been set, the changes will be shown on the screen. 5. Press the APPLY DATE and APPLY TIME buttons to activate the change. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 48 3. When the window insert appears, select either feet or meters. Press the INCREASE or DECREASE button, or rotate the control knob, to change the value. The longer the increase and decrease are touched, the faster the value will change. 5-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 49 User Configuration screen. To enter Diagnostic Mode, follow the instructions for “Entering Diagnostic Mode” on page 5-6. At Figure 5-5, select USER CONFIG and the screen in Figure 5-6 appears. Figure 5-11: Compliance Activated 5-11 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 50: Backup Battery
Backup Battery If the backup battery is installed, the operator can have the Esprit confirm the backup battery is connected each time that the machine powers on. Pressing the BKUP BATTERY button (Figure 5-12) allows this confirmation feature, identified by an active button with a white background.
Page 51: Extended Self Test (Est)
11 for instructions on running EST. If EST was run successfully and all configuration information has been entered, Esprit is ready to be used. Follow the recommended “Preoperational Procedure” on page 8-30 once a patient has been selected. To exit the Diagnostics Mode you must turn the Power On/Off switch OFF (...
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Page 53: Connecting Additional Equipment
Interface CAUTION: To prevent the risk of excessive leakage due to external equipment being connected to Esprit via the communication ports, a means for external separation of the conductive earth paths must be provided. CAUTION: All equipment used and connected to the Esprit communications ports (analog, parallel and serial) must comply with the medical electrical equipment (IEC601-1) or other applicable standards.
Page 54: Connecting Serial Communications Devices
Chapter 6 Connecting Additional Equipment Connecting Serial The serial port on Esprit is designed to transmit data on a one device to one device serial communications channel. In the connection between the two Communications devices, Esprit assumes the “slave” role and responds to commands Devices transmitted to it via the serial port by the external “master”.
Page 55: Connecting Humidifier
Additionally, unless specifically contraindicated by these manufacturers’ recommendations, Respironics recommends the use of a drop-down tube and water collection vial (water trap) placed between the expiratory filter and the expiratory limb of the patient circuit. This is necessary to prevent damage to the expiratory filter.
Page 56 When connecting a humidifier to the patient circuit, the operator should follow the set-up procedure supplied by the humidifier manufacturer. The following steps should be followed to electrically connect the humidifier to Esprit (for 100-120 VAC ventilators). For ventilators using voltage other than 100-120 VAC, the humidifier must be connected to another AC outlet.
Page 57: Connecting The Patient Circuit
WARNING: AC power is applied to the humidifier from the Esprit humidifier outlet (only available on 100-120 VAC ventilators). Under no circumstances does the Esprit Ventilator provide control for the humidifier. To ensure patient safety,...
Page 58 Connecting Additional Equipment Figure 6-6: Humidifier Outlet to Patient Wye Connection Figure 6-7: Expiratory Limb of Patient Circuit to Water Trap Connection (Shows Down Tube between Ventilator and Water Trap) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 59 Connecting Additional Equipment When connecting a patient circuit without a humidifier (i.e.: when using a heat and moisture exchanger), refer to Figure 6-8. Figure 6-8: Patient Circuit Connections Without Humidifier REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 60: Connecting The Analog Port
1.5 VDC = no alarm or silenced alarm The Communications option provides additional signals on this port. Refer to Chapter 13, “Options and Accessories”. Analog Port (Circuit breaker cover not shown) Figure 6-9: Analog Port Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 61: Operating Theory
Chapter 7. Operating Theory Introduction This chapter describes the Esprit Ventilator’s breath delivery capabilities. It includes a system overview and descriptions of the ventilation modes and available breath types. For descriptions of button settings and general operating instructions, refer to Chapter 8, “Operating Instructions”.
Page 62: Ventilation Modes Common To Vcv And Pcv
Figure 7-2: Pressure Control Ventilation (PCV) Waveform Ventilation Modes In Volume Control Ventilation and Pressure Control Ventilation, the operator can select between ventilation modes of Assist/Control, SIMV and CPAP. Common to VCV and Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 63 (or inspiratory pressure) are set by the operator. The patient can trigger the ventilator at a more rapid rate, but the operator set tidal volume (or inspiratory pressure) is delivered during each breath. Esprit delivers only mandatory breaths. Assisted breaths may be either pressure or flow triggered.
Page 64 The PEEP pressure is the operator set baseline pressure maintained during exhalation. All breaths are referenced to this baseline pressure and the resulting pressure is in addition to the baseline pressure. Refer to Figure 7-5. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 65 Estimated patient leak (Pt Leak) is displayed in LPM and updated at each breath. Pt Leak is the average leak rate during a breath (delivered volume minus exhaled volume divided by the breath time). REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 66: Ventilation Modes Common To Nppv
If the breath period elapses without a patient trigger, the ventilator delivers a ventilator initiated mandatory breath at the set IPAP level. Patient initiated, time cycled breaths are not delivered in Spont/T mode. Refer to Figure 7-7. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 67: Emergency Modes Of Ventilation
10 and 60 seconds. Upon entering this mode of ventilation, Esprit will alarm and immediately start using the Apnea Rate setting specified by the operator. In PCV and VCV, Esprit will begin delivering breaths in Assist/Control (A/C), but with the operator set Apnea Rate. In NPPV, Esprit will deliver only machine controlled breaths either at the operator set Apnea Rate or in response to patient effort.
Page 68 3. The air and oxygen valves remain closed, 4. A high priority alarm is activated, 5. The Safety Valve Open indicator is illuminated, 6. The Normal indicator is turned off. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 69: Operating Instructions
Esprit is easy to use because all mode settings and alarm limits are selected using the same three step process: 1. Select the parameter to be changed by pressing the associated button.
Page 70 Press the CANCEL button to leave the value unchanged. NOTE: All volumes entered into Esprit are assumed to be BTPS (Body Temperature atmospheric Pressure Saturated (with H O)) volumes unless otherwise noted. All volumes reported by Esprit are reported as BTPS volumes.
Page 71: The Front Panel
Chapter 8 Operating Instructions The Front Panel The Esprit Ventilator’s front panel includes the indicators and controls shown in Figure 8-2. Indicators Touch Display Controls Figure 8-2: Esprit Front Panel REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 72 Vent Inop: illuminated red when active. Indicates that the Esprit Ventilator is not capable of supporting mechanical ventilation and requires service. During Vent Inop, the ventilator opens the safety valve to allow the patient to breathe room air spontaneously.
Page 73 Mains: illuminated green whenever the ventilator is connected to AC power source and the rear panel Mains circuit breaker is on ( I ). NOTE: The Esprit Ventilator selects its power source based on the following prioritization: AC power (if present), external battery, then backup battery.
Page 74 Urgency Alarm alert in the Alert Message Insert to inform the operator that an alarm condition existed. When this situation occurs, use ALARM RESET to clear the visual alarm indicator. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 75 Manual breaths are not permitted during the inspiratory phase of a breath (whether manual or spontaneous). Pressing the MANUAL BREATH key during these times will not result in the delivery of a manual breath. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 76 When the switch is in off ) position, the ventilator does not provide mechanical ventilation, although AC power is active and the green Mains indicator is illuminated. OPTIONS: Reserved for future use. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 77: Ventilator Screens
(that is, non-diagnostic) screens: the top bar, bottom bar, and manometer. Top Bar Manometer Bottom Bar Figure 8-6: Elements common to all operational screens (VCV settings shown) REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 78 (Refer to “Selecting a New Ventilation Breath Type (VCV, PCV, or NPPV)” on page 8-21.) 8-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 79 Patient triggered spontaneous breath with PSV>0 or IPAP>EPAP. Spont Patient triggered spontaneous breath, PSV=0 or IPAP = EPAP. Exhale Indicates exhalation phase of any breath. Table 8-1: Breath Indicator 8-11 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 80: Settings Screens
Inactive settings are not currently being used by Esprit to control ventilation or as an alarm limit. In both states the button can be pressed and an insert window will appear that will allow the operator to change the value of the setting (Figure 8-1).
Page 81 4. Press the screen ACCEPT button or the front panel ACCEPT button to activate the new setting or CANCEL to leave the setting unchanged. 8-13 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 82 Figure 8-11: Changing a setting When a value is entered, as shown in Figure 8-11, Esprit checks to assure that the value has been accepted by the operator, is within limits and will not cause other settings to be out of limits. If the new value causes these limits to be exceeded a diagnostic message will be displayed.
Page 83 1. Depending on the alarm limits you wish to review, push VCV SETTINGS, PCV SETTINGS, or NPPV SETTINGS button that has a gray background and black letters (not active). 8-15 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 84 Figure 8-13. The ventilator displays a prompt insert (Figure 8-14). Figure 8-14: Change breath type insert window for PCV 3. Select the REVIEW ALARMS button and Esprit will display the alarm settings for PCV (Figure 8-15). 4. Notice that all the alarm buttons (Figure 8-15) are grayed out, indicating that the alarm limits are not currently active.
Page 85 (in this case Pressure Control). Selecting Waveforms (VCV only) Esprit offers a choice of two inspiratory flow waveforms for mandatory VCV breaths: descending ramp and square wave (Figure 8-16). The selected waveform is highlighted and defines the inspiratory flow for all mandatory VCV breaths, whether they are initiated by the patient, the ventilator, or the operator.
Page 86 Chapter 8 Operating Instructions Selecting Adult/Pediatric Buttons You can configure Esprit to ventilate adult or pediatric patients (Figure 8-17) from the active ventilation type screen. Selecting adult or pediatric, tailors the ventilator’s breath delivery algorithms to the selected adult/pediatric patient type.
Page 87 Ventilation in VCV is shown. When the setting window insert for PCV Apnea Rate is displayed, the I:E Ratio shown is the I:E Ratio that will exist if the ventilator goes into Apnea Ventilation in PCV. 8-19 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 88 Figure 8-19: Settings window inserts with calculated results Rate and Apnea Rate Settings Relationship For all breath types, VCV, PCV and NPPV, the Esprit ventilator ensures the Apnea Rate setting is equal to or greater than the set Rate up to 20 BPM.
Page 89: Selecting A New Ventilation Breath Type (Vcv, Pcv, Or Nppv)
For example, if you press PCV SETTINGS when the current breath type is NPPV, all the PCV settings are grayed out (Figure 8-22) because NPPV is currently active. 8-21 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 90 • Change nothing and return to the PCV settings screen by pressing the CANCEL button. If the OK button is pressed, Esprit immediately begins operations in PCV, the PCV settings become active and screen in Figure 8-24(a) appears. Press the OK button and go to this screen.
Page 91 If the REVIEW ALARMS button is pressed Esprit immediately displays the screen shown in Figure 8-24(b) appears. If the CANCEL button is pressed, Esprit returns to the settings screen for the selected breath type as shown in Figure 8-24(c). 5. If the operator elects to review alarm settings, the alarm settings screen for the destination mode is shown (Figure 8-25).
Page 92: Selecting The Mode (A/C-Simv-Cpap Or Spont-Spont/T)
Chapter 8 Operating Instructions 6. If the operator reviews alarm settings and then activates the new breath type, Esprit uses the new breath type and displays the alarm settings of the new breath type (Figure 8-26). Active mode and breath type...
Page 93: Apnea Ventilation
10 and 60 seconds. Upon entering this mode of ventilation, Esprit will immediately start using the Apnea Rate setting specified by the operator. In PCV and VCV, Esprit will begin delivering breaths in Assist/Control (A/C), but with the operator set Apnea Rate. In NPPV, Esprit will deliver only machine controlled breaths either at the operator set Apnea Rate or in response to patient effort.
Page 94: Patient Data Screen
The spontaneous ventilation (BTPS) 0.1 for 10.0 to 99.9 normalized to one minute. Compliance compensated (if enabled). Table 8-3: Patient Data Definitions: Range, Units & Resolution (Sheet 1 of 2) 8-26 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 95: Monitor Screen
MONITOR button. The screen is shown in Figure 8-31. The patient data and settings displayed on this screen depend on the active breath type (Refer to Table 8-4: “Monitor Screen Settings Displayed” and Figure 8-31.) 8-27 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 96 Rate, Peak Flow, Tidal Volume, PEEP, %O , Pressure Support Rate, Inspiration Time, Pressure, PEEP, %O , Pressure Support NPPV Rate, IPAP, EPAP, %O Table 8-4: Monitor Screen Settings Displayed 8-28 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 97: Special Procedures
During this period there is no flow of gas into or out of the patient circuit from Esprit. The operator can monitor the airway pressure by watching the EXPIRATORY PAUSE PRESSURE digital display, and by watching the pressure versus time waveform.
Page 98: Preoperational Procedure
Procedure WARNING: Ensure that an alternative means of ventilation (i.e., a resuscitator or similar device) is available while the Esprit Ventilator is in use on a patient. WARNING: DO NOT perform the preoperational procedure when the ventilator is on a patient.
Page 99 If time is found to be incorrect more than once in the preoperational procedure, an internal battery may have to be replaced. Contact qualified service personnel or call Respironics Customer Service at 1-800-345-6443. 8. Press START SST to begin Short Self Test, and follow the screen prompts.
Page 100: Alarm Testing Procedure
Respironics recommends following the preoperational procedure. (Refer to C, Procedure “Alarm Testing Procedure”.) Where To Go For Help For clinical or technical support, contact Respironics Customer Service at 1-800-345-6443. 8-32 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 101: Alarms
Introduction The Esprit ventilator provides an easy-to-use hierarchical alarm system that includes both visual and audible alarms. When the Esprit ventilator detects an operating condition that requires attention, it generates an alarm. The alarm system communicates three levels of urgency and priority: •...
Page 102: Audible Alarms
Alarms Figure 9-2: Alarm Alerts Audible Alarms When an alarm condition exists, the Esprit Ventilator will generate a sequence of audible tones to alert the operator. The sequence varies according to the urgency and priority level of the alarm: •...
Page 103: Alarm Reset
CAUTION: The Esprit alarm indicators and the Alerts insert should be monitored closely during the Alarm Silence period to ensure that unexpected alarms are noticed. Alarm Reset...
Page 104: Alert Messages
It is elevated to high urgency after one minute of Apnea Ventilation. Table 9-1: Alarm Alert Messages (Sheet 1 of 4) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 105 This alarm is available in Volume Control and Pressure Control modes. It is elevated to high urgency after one minute. Note: For Esprit Ventilators with software earlier than version 7.10, the High Minute Volume alarm is available in Pressure Control only. High O...
Page 106 Low Insp Pressure If the peak airway pressure during any mandatory inhalation is less than the Low Insp Pressure limit, Esprit will immediately signal a high priority alarm. Note: If an inspiration is triggered immediately after the mandatory minimum exhalation time of 200 msec., this alarm will not be activated unless this condition occurs for three consecutive breaths.
Page 107 Ventilator is using default altitude. Using Default Compliance Ventilator is using default compliance. Using Default Settings Ventilator is using default settings. Table 9-1: Alarm Alert Messages (Sheet 4 of 4) REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 108: Alarm Indicators
Vent Inop is a serious condition, which is indicated by both visual and audible alarms. If the ventilator is attached to a patient when Vent Inop occurs, the patient must be supported with another means of life support ventilation. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 109 Visually monitor the patient and ventilator during the Alarm Silence period to ensure that alarms do not go undetected. Allowing alarm conditions to continue without intervention may result in harm to the patient and/or ventilator. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
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Page 111: Care And Maintenance
Respironics recognizes that cleaning, sterilization, sanitation and disinfecting practices vary widely among health care institutions. It is not possible for Respironics to specify or require specific practices that will meet all needs, or to be responsible for the effectiveness of cleaning, sterilization, and other practices carried out in the patient care setting.
Page 112: Sterilization
Sensor Tee (P/N 1001736) and the O Sensor coupling (P/N 1002505) may be chemically disinfected.The PVC O Sensor Tee, P/N 8-100498-00 (gray in color), cannot be chemically disinfected. For chemically disinfected parts, reassemble after disinfecting. 10-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 113 Gas Supply Filter/Water Trap with a mild solution of soap and water. Rinse and dry parts. Do not steam-autoclave, chemically disinfect, or expose to ETO gas. Do not allow liquid to migrate into the inlet port. 10-3 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 114: Bacteria Filters
Reusable Patient Circuit Tubing, Couplings and Connectors Disassemble and clean manually followed by steam-autoclave. Follow all institutional guidelines for autoclaving. Visually inspect tubing for nicks, cuts and holes prior to use with the Esprit Ventilator. Reusable In-line Water Traps Disassemble and clean water traps as per the manufacturers instructions.
Page 115 (4) and filter (3). 3. Insert new filter onto Esprit gas outlet (4) with flow direction indicator (on the filter) pointing away from the ventilator. 4. Reconnect circuit tubing (1) to new filter outlet (2).
Page 116 7. Tap filter input port (6) if filter (4) cannot be easily removed from housing (5). 8. Insert new filter into housing (5). 9. Reinstall housing (5) and new filter and close retaining bracket (2). 10. Connect circuit. 10-6 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 117: Periodic Maintenance
CAUTION: Do not operate the Esprit Ventilator without a properly functioning expiratory filter and heater. Doing so may cause damage to delicate ventilator components, such as the expiratory flow sensor, which may lead to inaccurate spirometry or a Vent Inop condition.
Page 118 • Backup Battery • If you have the backup battery option, refer to section 13 of the Operator’s Manual for charging and maintenance instructions Table 10-1: Schedule for Periodic Maintenance 10-8 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 119 Do not remove any screws from the cooling fan area. Removing screws from this area will result in damage to internal components. Removing and Replacing O Input Filter Element Figure 10-5: Removing & Replacing O Input Filter Element 10-9 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 120 3. Wash internal air source filter (1) with mild soap and water. 4. Rinse thoroughly then pat dry. 5. Reinstall internal air source filter (1) from underneath the duct (2) in the same fashion it was removed. 10-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 121: Storage
Relative Humidity: 10 to 100% noncondensing • Maximum Altitude: 6,560 m (20,000 ft.) Repairs For technical service or repairs not included in this chapter, refer to the Esprit Ventilator Service Manual, P/N 580-1000-02 (English language), or contact Respironics Customer Service at 1-800-345-6443. WEEE/RoHS...
Page 122 Chapter 10 Care and Maintenance (This page is intentionally blank.) 10-12 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 123: Diagnostics
Troubleshooting and repair should be performed only by a qualified service technician. NOTE: The “Hardware” function and EST in the Diagnostics Mode should only be run by qualified personnel. 11-1 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 124: Entering Diagnostic Mode
Chapter 11 Diagnostics Entering Diagnostic To enter Esprit’s Diagnostic Mode, hold down the ALARM RESET and 100% keys for approximately 5 seconds while you turn on the ventilator. A Mode message appears on the ventilator asking the user to confirm that the patient is disconnected before entering Diagnostic Mode (Figure 11-1).
Page 125: Diagnostic Functions
5. When prompted, plug the patient wye and press the OK button. 6. When SST completes successfully, press the OK button. When SST is completed the calculated circuit compliance is displayed on the screen. 11-3 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 126: Extended Self Test (Est)
The Hardware function allows a trained service technician to operate critical components separately to help identify a faulty component in the event that the ventilator fails SST, EST, or performance verification testing. For more information on the Hardware function, see the Esprit Ventilator Service Manual (P/N 580-1000-02). Software...
Page 127 Corrupted: The microprocessor cross checks the data in memory prior to display. If it determines that the memory contents have been corrupted it logs a YES indicating that the memory contents validity is suspect. 11-5 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 128 1, 3, 2000, 3000, 5000, 5002, 8003, or 8004. WARNING: Use of an Esprit ventilator that has not passed SST or EST is against the strongest recommendation of Respironics. Diagnostic Codes and Descriptions...
Page 129 Pressure Relief Valve Cracking Pressure Too High 3121 Pressure Relief Valve Cracking Flow Not Stable 3122 Pressure Relief Valve Cracking Pressure Too Low Table 11-1: Diagnostic Codes and Descriptions (Sheet 2 of 4) 11-7 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 130 3154 LED Indicator Failure 3155 Remote Alarm Not Sounding 3156 Inh. Transducer Autozero Failure 3157 Exh. Transducer Autozero Failure Table 11-1: Diagnostic Codes and Descriptions (Sheet 3 of 4) 11-8 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 131 Insufficient Blower Current Table 11-1: Diagnostic Codes and Descriptions (Sheet 4 of 4) WARNING: Please contact Respironics Customer Service at 1-800-345-6443 or consult your service manual if any diagnostic codes are encountered. Information The Information function is reserved for future expansion.
Page 132: Self Test
Power On Self Test (POST) POST is the test that Esprit does when the machine power is turned on or if there has been a potential fault detected by the watchdog timer or the bus activity monitor.
Page 133 Diagnostics Built-In Test When Esprit is operating as a ventilator it is constantly making reasonableness checks on the operation of the hardware to ensure that failures have not occurred and that the hardware appears to be operating normally. Also while the microprocessor is operating there is execution time available that is not required for ventilator operation.
Page 134 Chapter 11 Diagnostics (This page is intentionally blank.) 11-12 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 135: Technical Specifications
3 to 140 Lpm (Compliance compensated, actual to 200 Lpm) PEEP 0 to 35 cmH O (hPa) PSV Pressure 0 to 100 cmH O (hPa) Table 12-3: Volume Ventilation Settings, Ranges & Resolution (Sheet 1 of 2) 12-1 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 136: Pressure Control Ventilation Settings, Ranges & Resolution
0.5 to 20 LPM from base flow of 3 LPM above sensitivity (Resolution is 0.1 LPM) Expiratory Trigger (E-Cycle) % Peak Flow 10 to 80% of inspiratory peak flow Table 12-4: Pressure Control Ventilation Settings, Ranges & Resolution (Sheet 1 of 2) 12-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 137: Non-Invasive Positive Pressure Ventilation Settings, Ranges & Resolution
Considered equivalent to Assist Control with Apnea Rate in VCV and PCV. In NPPV only mandatory breaths are delivered, triggered either at the Apnea Rate or by the patient. 12-3 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 138: Value Entry Message
Technical Specifications Value Entry Message If the operator enters a value that is outside the operational limits of the Esprit Ventilator, the operator will be shown a message window on the screen. Once the operator acknowledges the message, the Esprit Ventilator returns to the value modification display without changing the value.
Page 139: Patient Data Screen
0.01 for 0.00-9.99; ±10% Volume 0.1 for 10.0-99.9 Rapid Shallow Breathing 0 to 500 Bpm/L ±10% Index Table 12-10: Patient Data Range, Resolution, Units & Accuracy (Sheet 1 of 2) 12-5 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 140: Front Panel Keys
Due to the variable nature of patient leaks, this parameter is an estimate only. Front Panel Keys Front Panel Keys Alarm Silence Screen Lock Alarm Reset Exp. Hold 100% O Options Manual breath Accept Table 12-11: Front Panel Keys 12-6 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 141: Level Controls
10 to 100% R.H. (non-condensing) Atmospheric Pressure Operating 700 to 1060 cmH O (hPa) Storage 500 to 1060 cmH O (hPa) Table 12-15: Environmental Specifications (Sheet 1 of 2) 12-7 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 142: Environmental Protection
Low Exhaled Minute Volume 0 to 60 Lpm High Exhaled Minute Volume 0 to 60 Lpm High Leak (NPPV mode only) 0 to 60 Lpm Table 12-17: Alarms (Sheet 1 of 2) 12-8 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 143: Connectors
Viral Filtration Efficiency: 99.99+% Expiratory See filter instruction sheets for complete specification. Typical efficiency: 99.97% for nominal particle size of 0.3 micro meter (micron) at 100L/min flow. Table 12-19: Filters 12-9 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 144: Measuring And Display Devices
100 to 240VAC; 100µA maximum Table 12-22: Leakage Current WARNING: When connecting a humidifier to the humidifier outlet (available only on 100-120 VAC ventilators) allowable leakage current values may be exceeded. 12-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 145: Compliance And Approvals
Chapter 12 Technical Specifications Compliance and Approvals Compliance and Approvals The Esprit Ventilator system complies with the requirements of the European Directive 93/42/EEC concerning medical devices and the requirements of Directive 89/336/EEC relating to electromagnetic compatibility. IEC 601-1 Classification Protection class 1, type B applied part, drip proof, continuous operation.
Page 146: Electromagnetic Compatibility Declaration
Guidance and Manufacturer's Declaration - Electromagnetic Emissions Declaration The Esprit Ventilator is intended for use in the electromagnetic environment specified below. The user of the Esprit Ventilator should assure that it is used in such an environment. Emissions Test Compliance...
Page 147 Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Esprit ventilator is intended for use in the electromagnetic environment specified below. The user of the Esprit ventilator should assure that it is used in such an environment. IEC 60601 Test Compliance...
Page 148 Guidance and Manufacturer's Declaration - Electromagnetic Immunity The Esprit ventilator is intended for use in the electromagnetic environment specified below. The user of the Esprit ventilator should assure that it is used in such an electromagnetic environment. Immunity IEC 60601...
Page 149 RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the Esprit ventilator is used exceeds the applicable RF compliance level above, the Esprit ventilator should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the Esprit ventilator.
Page 150 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Esprit Ventilator The Esprit ventilator is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The user of the Esprit ventilator can help prevent electromagnetic...
Page 151: Pneumatic System
Module w/SV and PRV Oxygen Assembly Inlet Heated Exhalation Valve Exhalation From Patient Assembly Expiratory Gas Filter Assy to Atmosphere System Electromechanical Controls User Interface Figure 12-1: Pneumatic System 12-17 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 152: Labels
Call, parallel printer port Label Keep Covered Label Analog port Potential Equalization Connector DC Battery Connection Label AC Power Labels Humidifier Outlet Label Power Switch on Front Label Circuit Breakers Label 12-18 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 153 Chapter 12 Technical Specifications Ventilator Labels (Continued) Oxygen Inlet Label Emergency Air Intake Label Cooling Inlet Label Date of Manufacture Label Manufacturer’s Label Warning Label 12-19 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 154 Chapter 12 Technical Specifications (This page is intentionally blank.) 12-20 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 155: Options And Accessories
Introduction This section of the manual is for inserting information associated with operating and assembly instructions for Esprit options and accessories. When you order an option or accessory, the instructions for that item are shipped with the item. Insert those instructions into this section of the manual.
Page 156 Respironics Customer Service (1-800-345-6443) for the part number for your country. b. The part delivered is for 10.4 inch displays. Call Respironics Customer Service (1-800- 345-6443) for the part number to upgrade a 9.5 inch to a 10.4 inch display.
Page 157: Oxygen Sensor Option
Oxygen Sensor Option The optional Oxygen sensor (O sensor) may be installed to allow monitoring of delivered O to the inspiratory limb of the patient circuit. The Esprit Ventilator ® will accept the MSA MiniOX and Analytical Industries Inc. sensors, P/N 1001454.
Page 158: Attaching The Sensor To The Ventilator
CAUTION: To prevent contamination of the O sensor, always locate it between the ventilator gas output port and the inspiratory bacteria filter. 13-4 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 159: Warranty
Sensor Tees. The PVC adapter is gray, the Ultem® is clear with an amber tint, and both are compatible with the MSA and Analytical Industries External Oxygen Sensors. Both tees are compatible with all Esprit Ventilators. Both tees have 22mm female/male connections; therefore the 22mm male- male adapter (P/N 1002505) is not needed when using this adapter.
Page 160 Chapter 13 Oxygen Sensor Option (This page is intentionally blank.) 13-6 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 161: Battery Option
The batteries in the battery compartment contain sealed-lead. Recycle or dispose of batteries properly. WARNING: Do not connect the DC power cord from the Backup Battery while Esprit is functioning as a ventilator. Always turn the Power On/Off switch to off ( WARNING: Battery operating life may be affected by battery age and the number of times it has been discharged and recharged.
Page 162 Remove the Backup Battery from the internal packaging material and shipping bag. Do not discard packing materials until the backup battery has been installed on the Esprit Ventilator of your choice and its operation has been confirmed. Figure 13-6 illustrates the Backup Battery assembly.
Page 163 Wall Mount Assembly. 7. Locate the Battery Connector on the back of the Esprit Ventilator. Twist and remove the cap on the connector. 8. Place the Mains Circuit Breaker in the OFF position (O).
Page 164 Figure 13-8: Backup Battery Connector 10. Connect the Backup Battery cable to the Esprit Battery Connector as shown in Figure 13-9. Figure 13-9: Backup Battery Cable Connection 11. Attach the strain relief using the screw provided as shown in Figure 13-10.
Page 165 SST (refer to Chapter 11: Diagnostics) 16. After SST has been successfully completed, power up again as a ventilator. 17. While Esprit is cycling as a ventilator, unplug the AC power from the wall. 18. Esprit should continue ventilation without interruption of any kind.
Page 166 Chapter 13 Battery Option Figure 13-11: Backup Battery with Tabletop Mounting Figure 13-12: Backup Battery with Ventilator Cart Mounting 13-12 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 167 Backup Battery. Battery Charging When Esprit is plugged into a viable AC supply it will charge the Backup Battery if the Mains Circuit Breaker is on and the machine is operating as a...
Page 168: Warranty
When the Backup Battery is fully charged the yellow front panel indicator will go out. CAUTION: The Backup Battery is designed to be charged only by the Esprit Ventilator. Under no circumstances should an attempt be made to charge it in any other way.
Page 169 The batteries in the battery compartment contain sealed-lead. Recycle or dispose of batteries properly. WARNING: Do not connect the DC power cord from the Backup Battery while Esprit is functioning as a ventilator. Always turn the Power On/Off switch to off ( WARNING: Battery operating life may be affected by battery age and the number of times it has been discharged and recharged.
Page 170 Chapter 13 Battery Option (This page is intentionally blank.) 13-16 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 171: External Battery Option
Figure 14: External battery Introduction The Esprit external battery is designed for use with an Esprit ventilator equipped with a backup battery and mounted on the LX200 cart. The external battery is compatible with Esprit software version 5.1 and later.
Page 172: Installation
External Battery Option Installation Contact Respironics Customer Service at 1-800-345-6443 to arrange installation or refer to the installation section of Esprit Ventilator External Battery Service Instructions (PN 1013569). WARNING: Do not lift the External Battery. If the battery needs to be removed from the cart, contact Respironics Customer Service at 1-800-345-6443.
Page 173 AlarmHigh indicators flash. WARNING: When the ventilator Battery Low indicator flashes red, less than five minutes of battery power remains. Immediately connect AC power or provide an alternate source of ventilation. 13-19 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 174: Battery Capacity
Battery Capacity The external battery is used with the backup battery. Under optimal running conditions, both batteries together can operate the Esprit ventilator for up to four hours. However, ventilator power consumption varies according to environmental conditions and ventilator settings. Battery capacity varies with the age and charge level of the battery.
Page 175: Testing
External Battery. CAUTION: If the Esprit ventilator is expected to be stored for more than 2 weeks, the external battery ON/OFF switch should be set to the OFF (O) position to avoid discharging the external battery. This switch must be placed in the ON (I) position when the ventilator is removed from storage and returned to use.
Page 176: Warranty
External Battery Option Warranty Respironics warrants the Esprit External Battery to be free from defects in material and workmanship for a period of ten months from the date of installation, provided that the unit is operated under conditions of normal use as described in this operator’s instruction manual.
Page 177: Oxygen Manifold Option
The oxygen manifold allows two O cylinders and one wall oxygen supply line to be used as inputs to the Esprit Ventilator. Each of the three inlets has a check-valve that prevents pressure loss when disconnecting from the wall or cylinders.
Page 178: Assembly Instructions
Keep all hoses within the limits of the ventilator footprint to prevent a tripping or snag hazard. CAUTION: Use this kit with the Esprit ventilator only. CAUTION: Do not use the oxygen manifold or oxygen hoses to move the ventilator NOTE: Compatible with Esprit-Software version 3.1 or higher only...
Page 179 5. Cord storage bracket Figure 13-4: Esprit Ventilator with Cord Storage Bracket 5. Remove the cord storage bracket by removing the two screws that secure the bracket to the cart base, as shown in Figure 13-5. Set these parts aside but do not lose them.
Page 180 Manifold Support Bracket Spacer Cord Storage Bracket 2¼” Screws Figure 13-6: Attaching Manifold Support and Cord Storage Brackets 13-26 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 181 O cylinders to the left and right inlets of the oxygen manifold assembly. These inlets are marked "O Cylinder". Figure 13-8: Completed Manifold Assembly 13-27 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 182: Replacement Parts
9. When using oxygen from a wall supply, attach a wall oxygen hose (not included) to the center inlet of the oxygen manifold assembly. Replacement Parts: The following replacement parts can be ordered from Respironics: • Check Valve Assembly (PN 1007190) •...
Page 183 (This page is intentionally blank.) 13-29 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 184: Graphics
Chapter 13 Graphics Graphics The Esprit Ventilator Graphics software enhances the display screens with graphical data of the patient’s flow, pressure, and volume. The Graphics software offers a choice of screens: • The Waveform screen displays two windows displaying pressure, flow, or volume within a specified time scale.
Page 185: Replotting And Scrolling
Rescaling is available for waveforms and loops, in normal and during Freeze operation. For optimum viewing, press RESCALE at the end of exhalation. Rescale button Figure 13-11: Rescale button 13-31 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 186 2. Press the INCREASE or DECREASE bar or turn the knob to adjust the scale range. 3. Press ACCEPT (onscreen button or offscreen key). Figure 13-13 shows an example of how to adjust an upper scale limit. 13-32 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 187: Freeze Feature
Press the CONTINUE button to unfreeze graphics. Figure 13-15 shows a frozen Loops display. 13-33 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 188: Save And Overlay Features
(the Overlay feature works on frozen or unfrozen displays). 6. Press the SINGLE VIEW button to view current graphics without the saved loops. Figure 13-16 illustrates the Overlay feature 13-34 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 189: Inspiratory Area
“0.000”. If the Insp Area window shows dashes (“– – – –”), the ventilator is not calculating inspiratory area because the loops are not frozen. Dashes indicate Inspiratory are not calculated (loop not frozen) Figure 13-17: Loops screen with inspiratory area window 13-35 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 190: Alarms During Graphics
Chapter 13 Graphics Alarms During If an alarm occurs during Graphics, an Alerts window (Figure 13-18) lists the active alarms. Graphics Figure 13-18: Graphics screen with Alerts window 13-36 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 191 (This page is intentionally blank.) 13-37 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 192: Esprit Communications Option (Com1)
PCL3 or PCL5 printer language. Connecting to a Printer Figure 13-20 shows how to connect an Esprit Ventilator to a printer. Use a standard 25-pin parallel printer cable to connect the ventilator to the printer.
Page 193 Cable Esprit Ventilator (Back Panel) Figure 13-20: Connecting the Esprit Ventilator to a Printer Printing a Screen To print a screen, touch the printer icon in the lower right corner of the screen. While the ventilator processes the print screen request, the screen freezes (typical freeze time of 30-60 seconds, depends on ventilator settings) and the printer icon turns gray.
Page 194: Vuelink Compatibility
(called an inop on the CMS) at a time. Alarms are listed in order of priority as defined by the Esprit. Data displayed on the VueLink system is for reference purposes only. Decisions for patient care should not be based solely on the data displayed on the VueLink system.
Page 195: Configuring The Vuelink Module
Changing modes The CMS must be in Configuration Mode to preselect devices. To do this, follow the steps below. 1. Turn on the Esprit Ventilator in ventilation mode and connect it to a VueLink Module as shown in Figure 13-19. 13-41 REF 580-1000-01 Y Esprit®...
Page 196 If "Monitor" was selected in step 5, the VueLink system will begin to display data. Make sure that the LED next to "Open Device" is lit while in Monitoring mode to display Esprit data. If it is not lit, press the button on the VueLink Module, select "Open Interface"...
Page 197 Handbook. Information Sent to the VueLink System Once the CMS detects that the Esprit Ventilator is connected to the module, the CMS automatically displays Esprit parameters. The active type of ventilation determines what data the CMS displays. Table Figure 13-20 defines CMS displays and equivalent Esprit information.
Page 198 Measured (airway) respiratory rate. F/TV F/Vt Ratio of frequency to tidal volume (rapid shallow breathing index). Noninvasive positive pressure ventilation (NPPV) parameters Mode and type of ventilation will always be displayed. 13-44 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 199 Low measured oxygen concentration. Yellow Alarm. LOW EXH Low Minute Low exhaled minute volume. Yellow Alarm. Volume HIGH High Leak High leak alarm limit violation. Yellow Alarm. LEAK Rate RATE 13-45 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 200 Defective exhalation valve. VALVE Stuck Open STUCK HIGH INT High Temperature within ventilator enclosure exceeds TEMP Temperature maximum limit. HIGH INT High Internal Oxygen concentration within ventilator enclosure exceeds maximum limit. 13-46 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 201: Analog Output (Chart Recorder)
Battery Using Default Settings Charging Analog Output (Chart The Communications-Print option enables the Esprit Ventilator to send ventilator data to a chart recorder or similar device using the analog output Recorder) port. Data displayed via the chart recorder is for reference purposes only. Decisions for patient care should not be based solely on the data displayed via the chart recorder.
Page 202 9 = 0 LPM, 2.5 V on pin 11 = 70 NOTE: The resolution of the analog output is 0 to 5 V in 256 increments. Table 13-3: Esprit Ventilator Analog Output Port Pinout 13-48 Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 203 (This page is intentionally blank.) 13-49 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 204: Communications Option 2 (Com2)
RS-232 Communications Option 2 (Com2) RS-232 Communications Option 2 (Com2) The Esprit ventilator allows the transmission of data from the Esprit ventilator to the RS-232 communications interface. The Com2 option allows the Esprit ventilator to communicate with data systems.The Esprit ventilator has two communications options, Com1 and Com2, which work exclusively of one another.
Page 205: Commands Transmitted To The Ventilator
ASCII Start Transmission Character (STX) Time of request 13:45 24 hour clock, hh:mm Not used 18 character field. Outputs example value. Table L-14: Ventilation Report (Sheet 1 of 10) 13-51 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 206 VCV Apnea Tidal 0.50 0.01 0.05 – 2.50 Outputs VCV Tidal Volume setting (same Volume setting as Tidal Volume setting) Table L-14: Ventilation Report (Sheet 2 of 10) 13-52 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 207 VCV Apnea Tidal 0.50 0.01 0.05 – 2.50 Outputs VCV Tidal Volume setting (same Volume setting as Tidal Volume setting) Table L-14: Ventilation Report (Sheet 2 of 10) 13-53 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 208 Outputs spontaneous minute 10.0 – 99.9 when ventilation volume mode is A/C. For values out of range output set to 99.9. Table L-14: Ventilation Report (Sheet 3 of 10) 13-54 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 209 0 – 35 Outputs Low PEEP EPAP Alarm setting from active type (VCV or PCV). When active type is NPPV uses Low EPAP. Table L-14: Ventilation Report (Sheet 4 of 10) 13-55 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 210 Low PEEP or Low ALARM NORMAL, Outputs Low PEEP EPAP Alarm status RESET in VCV and PCV, ALARM Low EPAP in NPPV Table L-14: Ventilation Report (Sheet 5 of 10) 13-56 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 211 Not used Outputs example value. Time 12:45 24 hour clock, hh:mm same as field 5 Not used Outputs example value. Table L-14: Ventilation Report (Sheet 6 of 10) 13-57 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 212 Bias Flow 0 – 23 Outputs 0 when pressure trigger is active, otherwise outputs Flow trigger plus three (3). Table L-14: Ventilation Report (Sheet 7 of 10) 13-58 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 213 PCV Pressure Setting 5 – 100 Output 0 when VCV is active, PCV Pressure when PCV is active, when NPPV is active Table L-14: Ventilation Report (Sheet 8 of 10) 13-59 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 214 VCV or PCV Inhalation Pressure active, IPAP + 10 Setting when NPPV active Alarm Silence Status Apnea Alarm Status NORMAL NORMAL, RESET ALARM Table L-14: Ventilation Report (Sheet 9 of 10) 13-60 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 215 9.9:1 - 1:99 N/A measured I:E ratio, expressed as 1:X.X, 1:XX, X.X:1, or XX:1. Stop Code 0x03 ASCII End Transmission Character (ETX) Table L-14: Ventilation Report (Sheet 10 of 10) 13-61 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 216 Chapter 13 RS-232 Communications Option 2 (Com2) (This page is intentionally blank.) 13-62 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 217: Respiratory Mechanics Option
Chapter 13 Respiratory Mechanics Option Respiratory Mechanics Option The Respiratory Mechanics option allows the Esprit Ventilator to perform respiratory mechanics maneuvers, including: • Vital Capacity (VC): The VC maneuver measures the patient’s lung capacity. It is available only in Volume Control Ventilation (VCV) and Pressure Control ventilation (PCV).
Page 218: Vital Capacity Maneuver
Vital Capacity button. 2. Touch the Start button. Instruct the patient to inhale to maximum capacity at the next inspiration, then exhale completely, followed by a normal inspiration. 13-64 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 219 Flow-Volume and Volume-Time buttons Flow-Volume and Volume-Time buttons Scale button Rescale button Start Start button button Time Vital Vital Stamp Capacity Capacity window window Figure 13-3: Vital Capacity Screen 13-65 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 220: Mip/P0.1 Maneuver
4. At the end of a successful maneuver, a pop-up screen displays the result of the maneuver and asks you to accept or reject the results by touching the Accept or Reject button. 13-66 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 221 MIP maneuver, close clinical supervision is recommended. Scale button window Start MIP Press & Rescale Hold button button Start P0.1 button P0.1 window Figure 13-4: MIP/P0.1 Screen 13-67 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 222: Static C And R Maneuver
Once touched, the Start button changes to Stop. The Stop button allows you to cancel the maneuver at any time. A high-priority alarm automatically cancels the maneuver. 13-68 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 223 Displays the most recently accepted maneuver results. The date and windows time of the maneuver appear below each window. Table 13-3: Summary of Static C and R Screen Information 13-69 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 224: Alarms And Error Messages
Table 13-4: “Respiratory Mechanics Error Messages and Alarms” summarizes error messages and changes that can occur during Respiratory Mechanics. 13-70 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 225 MIP unavailable due to alarm condition Alarm condition exists when maneuver requested. Maneuver timed out MIP button held down for 30 seconds since starting maneuver. Table 13-4: Respiratory Mechanics Error Messages and Alarms 13-71 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 226 Maneuver cancelled by alarm condition Alarm condition occurs after maneuver begins. Maneuver timed out One minute elapses with no P0.1 maneuver breaths performed. Table 13-4: Respiratory Mechanics Error Messages and Alarms 13-72 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 227 No machine or operator initiated inspiration within 20 seconds of starting maneuver. Maneuver cancelled by alarm condition Alarm condition occurs after maneuver begins. Table 13-4: Respiratory Mechanics Error Messages and Alarms 13-73 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 228 (no data) is displayed. Range: -100 to +200 cmH Resolution: 1 cmH Accuracy: ± 10% of true value Table 13-5: Respiratory Mechanics Maneuver Summary and Data Specifications 13-74 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 229 (no data) is displayed. Range: -100 to +200 cmH Resolution: 1 cmH Accuracy: ± (0.5 cmH O) ± (10%) of true value Table 13-5: Respiratory Mechanics Maneuver Summary and Data Specifications 13-75 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 230: Static Compliance
Applicable to spontaneous and pressure-supported breaths only. If there were no spontaneous or pressure-supported breaths within the last one minute, - - - - is displayed. Table 13-5: Respiratory Mechanics Maneuver Summary and Data Specifications 13-76 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 231: Compliance (C) And Resistance (R) Computations
Static C and R Resistance (R) Computations Dynamic Compliance Dynamic compliance is calculated using these equations: ∗ ∑ ∑ ∑ – ----------------------------------------------------------------------------------------------- - ∑ ∑ ∑ ∑ ∗ ∗ – 13-77 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 232 = Pressure sensor measurement for the / sample number Static C and R Static C and R are calculated using these equations: ------------------------------- - – eplat ⁄ – – eplat plat ------------------------------------------------------------------------ Lend Where: 13-78 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 233 = Patient flow at the end of the delivery phase (beginning of plateau Lend phase) = Pressure at the start of inspiration = Pressure at the end of inspiration 13-79 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 234 Chapter 13 Respiratory Mechanics Option (This page is intentionally blank.) 13-80 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 235: Trending Option
Chapter 13 Trending Option Trending Option The Trending option allows the Esprit Ventilator to store and display ventilator information for intervals from 2 to 72 hours. Trended data includes: • Patient data. • Ventilator settings. • Lung mechanics data (most of the data in this category is available only if the Respiratory Mechanics option is installed).
Page 236 Parameter select button Manual rescale button Begin trending time Cursor time and date End Trending Time View 1, View 2 buttons Figure 13-8: Trending Screen 13-82 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 237: Selecting Parameters For Display
To choose a for Display different parameter for display, press the button above the waveform: a Trended Data pop-up window allows you to select another parameter. 13-83 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 238 ® • The NICO category includes data collected from the NICO Monitor. This category is available only if the NICO-Esprit option is installed. NOTE: If any button is grayed out then that particular feature may not be enabled. Contact Respironics Technical Service: 1-800-345-6443.
Page 239: Using The Manual Rescale Function
Press the Cancel button to exit the pop- up window without making changes, or press Accept to select the new value and exit the pop-up window. 13-85 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 240: Changing The Cursor Position
They appear in order of priority. Maneuvers display the value obtained when the maneuver was performed. No data is displayed for times when the maneuver was not performed. 13-86 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 241: Selecting The Time Scale
Accept to select the new value and exit the pop-up window. The new value will appear on the time scale button. NOTE: If there is not enough recorded data to display a time scale, then its respective button is grayed out. 13-87 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 242: Using The +2 Hrs/-2 Hrs Buttons
The Rescale button automatically adjusts the vertical axis for all three waveforms. The software determines a scale based on Button the minimum and maximum values of the data to display an optimal view. 13-88 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 243: Using The View 1/View 2 Buttons
Settings window. PCMCIA Card The Trending option with the Esprit Ventilator requires the use of a Respironics approved 16 MB flash memory card. The card must be used in conjunction with an adaptor for the PCMCIA slot at the back of the ventilator. The order number for the card and adaptor is P/N 1014293.
Page 244: Trending Not Available
20 seconds. As the scale is increased, each data point represents a longer interval. Data is periodically refreshed if there is no user interaction. Table 13-8: Trending Data Specifications (Sheet 1 of 4) 13-90 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 245 (measured spontaneous and total rate displayed on the same waveform) Pe End (measured end expiratory pressure) I:E Ratio (inspiratory to expiratory ratio) Table 13-8: Trending Data Specifications (Sheet 2 of 4) 13-91 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 246 (set expiratory positive airway pressure level, only available in NPPV mode) Set I-Time (set inhalation time, only available in PCV or NPPV mode) Table 13-8: Trending Data Specifications (Sheet 3 of 4) 13-92 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 247 Auto PEEP (expiratory hold) Trended data: CO-a NICO (Cardiac Output Average, only available if Nico-Esprit Interface option is installed) Saturation, only available if Nico-Esprit Interface option is installed) ETCO (End Tidal CO , only available if Nico-Esprit Interface option is installed)
Page 248 (This page is intentionally blank.) 13-94 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 249: Flow-Trak ® Option
That is, if Flow-Trak is OFF when the ventilator is shut down then it will be OFF the next time the ventilator is started. NOTE: The Flow-Trak ON/OFF is available in Esprit software versions 8.20 as well as software versions 31.30 and later. 13-95 REF 580-1000-01 Y Esprit®...
Page 250: On The Screen
When a patient initiates a Flow-Trak breath the ventilator screen shows the Breath Indicator bubble change from mandatory (Mand) or Assist to spontaneous (Spont). Figure 17: Breath Indicator during Flow-Trak breath 13-96 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 251: Breath Delivery
Inspiratory hold is only allowed if the actual I-Time is less than or equal to the calculated I-Time. Respiratory The Flow-Trak option affects the following Respiratory Mechanics features. Mechanics 13-97 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 252: Alarms
Not available for the Flow-Trak triggered breath only. Table 13-11: Flow-Trak Affected Alarms NOTE: The I-Time too long alarm and/or the Low Inspiratory Pressure alarm will sound if a circuit disconnect were to occur. 13-98 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 253: Nico-Esprit Interface Option
Chapter 13 NICO-Esprit Interface Option NICO-Esprit Interface Option The NICO-Esprit Interface software was developed to allow the Esprit Ventilator and the NICO Monitor to exchange information via a bidirectional RS-232 serial link. Through this bidirectional link, the Esprit ventilator supplies the...
Page 254: Setup
The NICO-Esprit Interface option and the RS-232 Communications Option 2 cannot be installed on the same ventilator. Setup Once the software is loaded on the Esprit ventilator the necessary hardware can be attached. 1. Attach the NICO monitor to the NICO bracket, then attach the assembly to the ventilator.
Page 255 Esprit ventilator. See Figure 13-2. 4. Secure RS-232 serial communications cable to bracket. Figure 13-2: RS-232 Communication ports for the NICO monitor and the Esprit ventilator 5. Connect the patient circuit to the ventilator.
Page 256 ® according to the Respiratory Monitoring section of the NICO Monitor User’s Manual. 8. Select the NICO-Esprit interface on the NICO monitor. • Press the MENU key to activate the SELECT A SCREEN menu. Figure 13-3: Select A Screen Menu screen •...
Page 257: Communications
NICO monitor and responds. Information Transferred from NICO Monitor to Esprit Ventilator The NICO monitor provides the Esprit ventilator with the data listed in the following table. The monitor sends the average value for each parameter for the previous 60 seconds.
Page 258: Trended Nico Data
The Esprit ventilator captures the data sent from the NICO monitor and stores it on the Esprit PCMCIA card (PC Card). The Trending screen makes it possible to display ventilator and monitor information for intervals from 2 to 72 hours.
Page 259 Patient Data button Figure 13-6: VCV Settings Screen 2. Touch the Trending button to display the Trending screen (Figure 13- Trending button Figure 13-7: Patient Data Screen 13-105 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 260 3. Press the NICO button on the Trended Data pop-up window to view the available NICO parameters. See Figure 13-9. 4. Select a parameter button then press Accept or Cancel to return to the Trending Data screen. 13-106 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 261: Troubleshooting
What to Do: Contact Respironics Technical Service: 1-800-345-6443. NICO button on the Esprit Probable Cause: NICO-Esprit Interface option is loaded but not Trended Data screen is enabled on the Esprit ventilator. grayed out What to Do: Contact Respironics Technical Service: 1-800-345-6443.
Page 262 Check cable connections. Preform the steps listed on page 13-102 and page 13-103 for setting up the NICO monitor with the RS-232 input/output for the Esprit ventilator. Cycle the power on the NICO monitor. If there is no improvement, Contact Respironics Technical Service: 1-800-345-6443.
Page 263 What to Do: If the NICO button on Trended Data screen is grayed out then the NICO-Esprit Interface option is loaded but not enabled on the Esprit ventilator. Contact Respironics Technical Service: 1-800-345-6443. If the NICO button on Trended Data screen does NOT appear then the Esprit ventilator does not have software version 8.0 or later.
Page 264 Chapter 13 NICO-Esprit Interface Option (This page is intentionally blank.) 13-110 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 265: Neonatal Option
Neonatal Option Neonatal Option The Neonatal software option was developed to allow the Esprit Ventilator to ventilate intubated neonatal patients with an ideal body weight range of 0.5 - 6.5 kg (1.10 - 14.33 lb.) and an endotracheal tube I.D. range from 2.5 - 4.0 mm.
Page 266: Changing Patient Types
For optimum performance use a Neonatal patient circuit (10 mm I.D.) with compliance compensation enabled. These same steps apply when changing to Adult or Pediatric patient type from Neonatal. 13-112 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 267 The heated filter test in EST for adult and pediatric patient types automatically tests for pressure drop of the exhalation filter. This portion of EST is not possible with neonatal circuits. Respironics recommends running this test according to the filter manufacturers recommendations. The following steps can be run in diagnostics mode: 1.
Page 268 0.3 L 0.00 - 5.0 L Apnea 20 Sec 10 - 60 Sec I-Time Too Long sounds after 1.5 Sec of spont breath Table 13-17: Initial Neonatal Patient Settings 13-114 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 269: Percent Leak
Patient Leak Values Patient Leak values (as seen in the Patient Data window, Figure 13-14) between 0 and 1 LPM are rounded values. Refer to Chapter 7, of the Esprit Ventilator Operator’s Manual for more information about Patient Leak Display.
Page 270 Chapter 13 Neonatal Option Patient Leak Figure 13-14: Patient Data Window 13-116 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 271: Communications Protocol
Appendix A. RS-232 Communications Protocol The Esprit ventilator will allow for the transmission of data from Esprit via the RS-232 communications interface. The ventilator receives commands from the remote device and responds with fixed format records. RS-232 Configuration The RS-232 communications port will be configured in the following manner for all communications functions: •...
Page 272 VCV I-Trigger Type PRESS PRESS FLOW AUTO VCV Pressure I-Trigger 0.1 - 20.0 Setting (hPa) VCV Flow I-Trigger 0.5 - 20.0 Setting Table A-1: Ventilation Report (Sheet 1 of 10) Appendix A-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 273 CPAP PCV Patient Type ADULT ADULT PCV Respiratory Rate 1 - 150 Setting PCV Pressure Setting 5 - 100 (hPa) Table A-1: Ventilation Report (Sheet 2 of 10) Appendix A-3 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 274 PCV Low Spontaneous 0 - 2500 Tidal Volume Alarm Limit Setting PCV High Respiratory 0 - 150 Rate Alarm Limit Setting Table A-1: Ventilation Report (Sheet 3 of 10) Appendix A-4 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 275 NPPV Low EPAP 0 - 25 Alarm Limit Setting (hPa) NPPV Low Tidal 0 - 2500 Volume Alarm Limit Setting Table A-1: Ventilation Report (Sheet 4 of 10) Appendix A-5 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 276 Patient Data screen. Measured Rapid 0 - 500 BPM/L The F/Vt value from Shallow Breathing the Patient Data Index screen. Table A-1: Ventilation Report (Sheet 5 of 10) Appendix A-6 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 277 Status Screen to -300 1 for 100 to 300 Vital Capacity 0 - 9999 Vital Capacity display from Vital Capacity Screen Table A-1: Ventilation Report (Sheet 6 of 10) Appendix A-7 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 278 0:00 to of Last Maneuver display from Static 01-19-38 C & R Screen.15 3:14 character field, 24 hour clock: MM- DD-YYwwHH:MM Table A-1: Ventilation Report (Sheet 7 of 10) Appendix A-8 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 279 ALARM RESET Air Source Fault NORMAL NORMAL Alarm Status ALARM RESET Valve Stuck Closed NORMAL NORMAL Alarm Status ALARM RESET Table A-1: Ventilation Report (Sheet 8 of 10) Appendix A-9 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 280 Status RESET High Internal Oxygen NORMAL NORMAL Concentration Alarm ALARM Status RESET Low PEEP Alarm NORMAL NORMAL Status ALARM RESET Table A-1: Ventilation Report (Sheet 9 of 10) Appendix A-10 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 281: Volume Control Ventilation Settings Report (Vcvs
The last character transmitted is a stop code indicating the end of the message. The second field indicates the number of characters between the start and stop codes. The third field indicates the number of Appendix A-11 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 282 (hPa) VCV I-Trigger Type PRESS PRESS FLOW AUTO VCV Pressure I- 0.1 - 20.0 Trigger Setting (hPa) Table A-2: Volume Control Ventilation Settings Report (Sheet 1 of 2) Appendix A-12 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 283 Volume Alarm Limit 0.1 for 10.0 Setting to 60.0 Stop Code 0x03 ASCII End Transmission Character (ETX) Table A-2: Volume Control Ventilation Settings Report (Sheet 2 of 2) Appendix A-13 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 284: Pressure Control Ventilation Settings Report (Pcvs
0.1 - 9.9 Setting PCV PEEP Setting 0 - 35 (hPa) PCV Pressure Support 0 - 100 Setting (hPa) Table A-3: Pressure Control Ventilation Settings Report (Sheet 1 of 3) Appendix A-14 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 285 0.01 for 0.00 - 60.0 L Volume Alarm Limit 0.00 to Setting 9.99 0.1 for 10.0 to 60.0 Table A-3: Pressure Control Ventilation Settings Report (Sheet 2 of 3) Appendix A-15 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 286: Non-Invasive Positive Pressure Ventilation Settings Report (Npvs
MMM DD YYYY Current Ventilation The ventilation Type type currently being used by the NPPV ventilator. Table A-4: Non-Invasive Positive Pressure Ventilation Settings Report (Sheet 1 of 3) Appendix A-16 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 287 Volume Alarm Limit 0.1 for 10.0 Setting to 60.0 NPPV Apnea Interval 10 - 60 Alarm Limit Setting Table A-4: Non-Invasive Positive Pressure Ventilation Settings Report (Sheet 2 of 3) Appendix A-17 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 288: Patient Data Report (Ptdt
0.1 for -20.0 to 99.9 -20.0 -120 The MAP value Airway Pressure (hPa) from the Patient 1 for 100 to 120 Data screen. Table A-5: Patient Data Report (Sheet 1 of 4) Appendix A-18 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 289 Patient Data Screen. Ti/Ttot 0.23 0.01 0.00 - 1.00 N/A The Ti/Ttot display from the Mechanics Patient Status Screen Table A-5: Patient Data Report (Sheet 2 of 4) Appendix A-19 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 290 Static Resistance 9.990.1 for 10.0 to 0/L/ display from the 99.91 for 100 to Static C & R screen Table A-5: Patient Data Report (Sheet 3 of 4) Appendix A-20 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 291 The third field indicates the number of fields between the start and stop codes. The fourth field is the start code, 0x02. The last field in the string is the stop code, 0x03. Appendix A-21 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 292: Alarm Status Report (Alrm
RESET Air Source Fault Alarm Status NORMAL NORMAL ALARM RESET Valve Stuck Closed Alarm Status NORMAL NORMAL ALARM RESET Table A-6: Alarm Status Report (Sheet 1 of 3) Appendix A-22 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 293 RESET High Internal Oxygen Concentration NORMAL NORMAL Alarm Status ALARM RESET Low PEEP Alarm Status NORMAL NORMAL ALARM RESET Table A-6: Alarm Status Report (Sheet 2 of 3) Appendix A-23 REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 294: Unrecognized Commands
Up to the first five characters [VRPY] Example for VRPT being sent as VRPY. Non- received set off in brackets printable characters are returned as ^. Table A-7: Unrecognized Commands Appendix A-24 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 295: Customer Service & Warranty
Warranty Two Year Warranty Respironics warrants the Esprit Ventilator to be free from defects in material and workmanship for a period of two years from the date of purchase, provided that the unit is operated under conditions of normal use as described in this Operator’s Manual.
Page 296: Options And Accessories
Customer Service & Warranty Options and Warranties are available for various options and accessories. See the specific option or accessory in Chapter 13 for complete warranty information. Accessories Appendix B-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 297 Appendix C. Alarm Testing Procedure The following procedure is available if the operator wants to test the operation of the following alarms. Respironics recommends following “Preoperational Procedure” on page 8-30 before performing the Alarm Testing procedure. It is assumed that the preoperational procedure has been run before the Alarm Testing Procedure is followed.
Page 298: Alarm Testing Procedure
1. While the system is ventilating normally, pull the AC plug from the wall. 2. If the backup battery is attached, Esprit should continue ventilating, and an alarm should sound every 60 seconds. If no backup battery is attached, the ventilator will stop operating and sound a continuous audible alarm.
Page 299 Apnea Alarm Test 1. Set the rate to 1 breath per minute. 2. Wait for 20 seconds. 3. Esprit should begin ventilating at a rate of 20 BPM while activating the Apnea alarm. 4. Reset the rate to 10 BPM.
Page 300 Appendix C Alarm Testing Procedure (This page is intentionally blank.) Appendix C-4 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 301: Glossary
DISS Diameter Index Safety System E-Cycle Expiratory Cycle End Exp end expiratory pressure EPAP expiratory positive airway pressure ethylene oxide. Gas used for sterilization. respiratory frequency REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 302 NPPV noninvasive positive pressure ventilation nitric oxide 2 molecular oxygen operator initiated mandatory airway pressure pressure-controlled ventilation Pe End airway pressure at end exhalation Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 303 Tidal Vol tidal volume Total RR total respiratory rate Total VE total volume exhaled/minute volume • flow volts of alternating current (power) • expired minute ventilation Vent ventilator T tidal volume REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 304: Definitions
(same as CAP) E-Cycle The E-Cycle setting on the Esprit determines when the ventilator will transition from inspiration to expiration in PSV and NPPV modes. E-Cycle defines the percent of peak inspiratory flow that end inspiratory flow needs to drop to in order for inspiration to end.
Page 305 Pressure Support Ventilation (PSV) pressure-limited assisted ventilation designed to augment a spontaneously generated breath; the patient has REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 306 Total Respiratory Rate (Total RR) the total breaths taken, spontaneous breath rate + mandatory breath rate, from the last eight breaths and projecting what that rate would be if it continued for one minute. Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 307 Trigger normally a patient effort to begin inhalation. Volume space occupied by matter measured in milliliters or liters. Window either a period of time or a portion of a screen depending on the context. REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 308 Glossary (This page is intentionally blank.) Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 309 Compliance , 9-4 Alert Messages , 5-6, 11-4 Circuit , 5-6, 5-10 Altitude, Setting , 8-31, 11-1 Compensation , 5-2, 6-7 Analog Port , 5-11 Tubing , 9-4 Apnea Alarm REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 310 I-Time Too Long Alarm , 8-27 F/Vt , 4-10 Flex Arm Knob , 8-3 Front Panel , 8-8 Adjust Control , 8-4 Indicators , 8-6 Keys , 8-9 Touch Display Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...
Page 311 , 7-1 non-invasive ventilation , 13-1 Communications , 12-9 Normal Indicator , 13-1 Flow-Trak , 2-7 Notes , 13-1 Graphics , 7-6, 8-20 NPPV , 13-1 Neonatal , 13-1 NICO-Esprit Interface REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc.
Page 312 , 12-9 Ventilator Inoperative , 11-10 Restart , 2-1 Warnings , 9-7 Alarm , 13-5, B-1 Warranty , 7-5 Rise Time Setting WEEE/RoHS , 3-2 symbol Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y...

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