Resvent iHope RV Series User Manual
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Resvent iHope RV Series User Manual

Resvent iHope RV Series User Manual

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iHope Ventilator User Manual
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Summary of Contents for Resvent iHope RV Series

  • Page 1 iHope Ventilator User Manual RV Series...
  • Page 3 Resvent. This manual may be revised or replaced by Resvent at any time and without notice. Ensure that you have the most current applicable version of this manual. If in doubt, contact Resvent Marketing Department.
  • Page 4 Applicable Model Description This manual is based on the RV200. The RV100 is the cut-off model of RV200, without some ventilation modes and special functions. The RV NEO provides a full ventilation platform with target volumes for extremely low birthweight patients, from 2mL tidal volume.
  • Page 5 Xingdong Community, Bao'an, 518100 Shenzhen, PEOPLE'S REPUBLIC OF CHINA Tel:+86-755-23027370 Fax: +86-755-23027370 http://www.resvent.com EC-Representative:Shanghai International Holding Corp. GmbH (Europe) Address: Eiffestrasse 80, 20537 Hamburg, Germany. Tel: +49-40-2513175 Fax: +49-40-255726 Issue date: Aug., 2019 H-40101-000004-00 V4.0 ©Resvent Medical Technology Co., Ltd. All rights reserved...
  • Page 6 PURPOSE. HOWEVER,IMPLIED WARRANTIES ARE NOT DISCLAIMED DURING THE PERIOD OF THIS LIMITED WARRANTY. Resvent guarantees its products to be shipped free from defects in material and workmanship.The warranty does not include disposable items. Disposable items and consumable products are considered to be of...
  • Page 7 Product. Except as stated above, Resvent shall not be liable for any damages, claims or liabilities including, but not limited to, personal bodily injury, or incidental, consequential, or special...

  • Page 9: Table Of Contents

    Contents 1. Safety Information ...........1-1 1.1 Safety Information ............1-1 1.1.1 WARNING ............1-1 1.1.2 CAUTION ............1-8 1.1.3 NOTE ..............1-9 1.2 Symbols ............... 1-10 2. General Information ..........2-1 2.1 Intended Use ............... 2-1 2.2 Contraindications ............2-1 2.3 Potential Side Effects ..........2-2 2.4 Physical Description ............
  • Page 10 4.6 Freeze ................. 4-9 4.6.1 Enter or Exit Freeze Status ........ 4-9 4.6.2 View Frozen Waveforms or Loop ....... 4-9 4.7 Screen Capture ............4-10 4.8 Lock Screen ..............4-11 5. System Settings ............5-1 5.1 Date and Time Settings ..........5-1 5.2 Screen Settings ............
  • Page 11 6.5.5 PCV ..............6-12 6.5.6 PRVC..............6-13 6.5.7 VSIMV ..............6-13 6.5.8 PSIMV ............... 6-15 6.5.9 V+SIMV .............. 6-16 6.5.10 CPAP/PSV ............6-17 6.5.11 BPAP ..............6-18 6.5.12 APRV ..............6-19 6.6 Tube Resistance Compensation ........6-19 6.7 Leak Compensation ............. 6-21 6.8 Start Ventilation ............
  • Page 12 7.12.9 High Tidal Volume ..........7-18 7.12.10 Low Tidal Volume ........... 7-19 7.12.11 Low Minute Volume ........7-19 7.12.12 Alarm Troubleshooting Table ......7-19 7.13 Alarm Parameter ............7-31 8. Special Functions ...........8-1 8.1 O ↑ (O Enrichment) ............ 8-1 8.2 Suctioning Tool ............
  • Page 13 10.2.5 Patient Tubing ..........10-9 10.2.6 Humidifier ............10-11 10.2.7 Nebulizer ............10-12 11.Specifications ............11-1 11.1 Physical Characteristic ..........11-1 11.2 Environmental Requirements ........11-2 11.3 Electrical Specifications ..........11-4 11.4 Pneumatic Specifications ..........11-5 11.5 Control Settings ............11-6 11.6 Monitored Parameters ..........
  • Page 15 Chapter 1 1. Safety Information ...........1-1 1.1 Safety Information ............1-1 1.1.1 WARNING ............1-1 1.1.2 CAUTION ............1-8 1.1.3 NOTE ..............1-9 1.2 Symbols ............... 1-10...

  • Page 17: Safety Information

    1. Safety Information 1. Safety Information Before using the ventilator on a patient, familiarize yourself with this user manual, particularly the safety considerations listed. Be aware, however, that this manual is a reference only. It is not intended to supersede your institution’s protocol regarding the safe use of assisted ventilation devices.
  • Page 18 1. Safety Information • An alternative means of ventilation shall be available whenever the ventilator is in use. If a fault is detected in the ventilator, disconnect the patient from it and immediately start ventilation with such a device. For example, using a manual respirator. •...
  • Page 19 1. Safety Information and please check whether gas supply pressure meets hose requirements before usage. • Hose connectors adopt standardized gas terminal connector with gas nature. • Different types of gas and gas with different pressures shall not be exchanged with each other. •...
  • Page 20 1. Safety Information • System leakage, such as leakage caused by an uncuffed endotracheal tube, may influence airflow readings, including airflow parameters, pressure, dead space, and CO production. • Do not open the equipment housings. All servicing and future upgrades must be carried out by qualified service providers only.
  • Page 21 1. Safety Information • The physiological parameters and alarm messages displayed on the screen of the ventilator are for doctor’s reference only and cannot be directly used as the basis for clinical treatment. • To reduce the risk of fire, use only patient circuits intended for use in oxygen-enriched environments.
  • Page 22 1. Safety Information • The battery is intended for backup or transport use only. Battery operation time can be affected by discharge and recharge cycles, time, and ambient temperature. Using the battery as primary power source increases patient risk resulting from a ventilator shutdown due to total power loss.
  • Page 23 1. Safety Information • To prevent possible device damage, avoid tipping over the ventilator when crossing thresholds. • To prevent possible device damage, step down the brake when parking the ventilator. • A turbofan can cause gas to be heated. To reduce the temperature of gas inside the tube and prevent patient injury accordingly, make sure that the length of patient tube from the humidifier to Y...

  • Page 24: Caution

    1. Safety Information • A potential hazard can exist if different alarm presets are used for the same or similar equipment in any single area. • Ensure that all breathing system parts are dry every time when the breathing system is cleaned and disinfected.

  • Page 25: Note

    1. Safety Information always secure it to its stand or securely place it on a flat, stable surface that is free of dirt and debris. Do not use the ventilator adjacent to, or stack it with, other equipment. • Magnetic and electrical fields are capable of interfering with the proper performance of the equipment.

  • Page 26: Symbols

    1. Safety Information properly to ensure patient safety. • In addition, all breathing tubing is treated as the applied part. • Position of the operator is on the front of the ventilator. • Dispose of all parts removed from the device according to your institution’s protocol.
  • Page 27 1. Safety Information Symbol Definition Temperature limitations at transport and storage. Humidity limitations at transport and storage. Atmospheric pressure at transport and storage. Follow instruction for use. This label on the device points the user to the operator’s manual for complete information. In the operator’s manual, this symbol cross- references the label.
  • Page 28 1. Safety Information Symbol Definition Do not roll. Stacking limitations Recyclable materials Attention, consult accompanying section in the operator's manual. Equipotentiality Fuse Power switch Battery Oxygen sensor connector Oxygen supply connector RS-232 connector HDMI connector USB connector Inspiration connector Expiration connector Lock Unlock 1-12...
  • Page 29 1. Safety Information Symbol Definition Nebulizer connector Proximal pressure port Alarm audio pause AC power indicator light Battery LED There is certain danger to block the air intake. 1-13...
  • Page 30 1. Safety Information (For your note.) 1-14...
  • Page 31 Chapter 2 2. General Information ..........2-1 2.1 Intended Use ............... 2-1 2.2 Contraindications ............2-1 2.3 Potential Side Effects ..........2-2 2.4 Physical Description ............ 2-2 2.4.1 Front View with Circuit ........2-2 2.4.2 Main Unit ............2-4...

  • Page 33: General Information

    2. General Information 2. General Information 2.1 Intended Use The ventilator is a mechanical ventilator designed to provide invasive and non-invasive, continuous or intermittent, respiratory support for neonate, pediatric and adult patients. Intended areas of use: ◆ In the intensive care ward or in the recovery room. ◆...

  • Page 34: Potential Side Effects

    2. General Information 2.3 Potential Side Effects Noninvasive ventilation may be accompanied by some side effects. Advise the patient to immediately report any unusual chest discomfort, shortness of breath, or severe headache. Other potential side effects of noninvasive positive pressure ventilation include: ear discomfort, conjunctivitis, skin abrasions due to mask/patient interface, and gastric distention (aerophagia).
  • Page 35 2. General Information Part Description Expiratory bacteria filter Expiratory bacteria filter listed in Appendix B. Humidifier Humidifier listed in Appendix B. Heat and Moisture HME, commonly known as artificial nose, Exchangers (HME) listed in Appendix B. Oxygen sensor Oxygen sensor listed in Appendix B. Nebulizer VADI M-0801-EN Display screen...

  • Page 36: Main Unit

    2. General Information 2.4.2 Main Unit Figure 2-2 through Figure 2-4 show the controls, indicators, and other important parts of the ventilator unit. Figure 2-2.Front view of main unit Table 2-2.Description of front view of main unit Description Alarm indicator light The alarm indicator light indicates the priority of an active alarm by flashing different colors at different frequencies.
  • Page 37 2. General Information Description External power indicator light : when the ventilator is connected to an external power supply. Not lit : when the ventilator is not connected to an external power supply. Inspiration patient connector Oxygen sensor Expiratory valve Nebulizer connector Flow sensor connectors Leak test plug...
  • Page 38 2. General Information Figure 2-3.Rear view Table 2-3.Description of rear view Description USB connector RS-232 connector Reserved for future use Reserved for future use Low-pressure oxygen inlet connector High-pressure oxygen inlet connector High Efficiency Particle Air (HEPA) filter Power cord retainer Power switch Fresh air intake and cooling fan filter Equipotentiality...
  • Page 39 2. General Information Figure 2-4.Side view Table 2-4.Description of side view Description Exhaust port Speaker...
  • Page 40 2. General Information (For your note.)
  • Page 41 Chapter 3 3. Installations and Connections .........3-1 3.1 Installing the Support Arm ........... 3-1 3.2 Installing the Patient Tubing ........3-3 3.3 Installing the Humidifier ..........3-6 3.4 Installing the Nebulizer ..........3-8 3.5 Connecting the Oxygen Supply ........3-9 3.6 Installing the Gas Cylinder ...........

  • Page 43: Installations And Connections

    3. Installations and Connections Installations and Connections WARNING Do not cover or position the ventilator so as to • adversely affect its operation or performance. To reduce the risk of the device overheating and • possible burn injury, do not block the fan intake at the rear of the ventilator.
  • Page 44 3. Installations and Connections Fixing block knob Fixing block Tube hook Support arm joint Support bar Support arm joint Support arm joint Figure 3-1.Installing the patient tubing support arm 1. Loosen the fixing block knob. Place the fixing block onto the handle on the side of the ventilator. 2.

  • Page 45: Installing The Patient Tubing

    3. Installations and Connections 3. Adjust the support arm. ◆ Support arm joint 6 or 7: to adjust the upward- bending angle of the support arm, only lift up the support bar to the desired position without the need to push the white unlocking key. To adjust the downward-bending angle of the support arm, lift up the support bar, and then push and hold the white unlocking key on support arm joint with...
  • Page 46 3. Installations and Connections and the inspiratory limb of the patient breathing circuit. The use of an expiratory filter may lead to a • significant increase in expiratory resistance. Excessive expiratory resistance may compromise ventilation and increase patient work of breathing and intrinsic PEEP.
  • Page 47 3. Installations and Connections piece via the tubing. 4. Connect the flow sensor tubing to the ventilator. Connect the small end of the flow sensor to the Y piece, and the large end to the test lung. 5. Place the patient tubing onto the support arm hook.

  • Page 48: Installing The Humidifier

    3. Installations and Connections 3.3 Installing the Humidifier WARNING To prevent possible patient injury and equipment • damage, do not turn the humidifier on until the gas flow has started and is regulated. Starting the heater or leaving it on without gas flow for prolonged periods may result in heat build-up, causing a bolus of hot air to be delivered to the patient.
  • Page 49 3. Installations and Connections 7. Place the patient tubing onto the support arm hook. Humidifier Humidifier mounting plate Screw Humidifier bracket slot Humidifier outlet Humidifier inlet Figure 3-3.Installing the humidifier The range of the ventilator breathing system (VBS): Inspiratory and expiratory gas pathway resistance: 0 to 6 cmH O/ (L/s) at 60 L/min.

  • Page 50: Installing The Nebulizer

    3. Installations and Connections 3.4 Installing the Nebulizer NOTE • Install the specified nebulizer. The nebulizer assembly and its installation steps described in this section are only for reference. Refer to the nebulizer user manual for use to install and use the nebulizer. •...

  • Page 51: Connecting The Oxygen Supply

    3. Installations and Connections Nebulizer connector Nebulizer Nebulizer tube Figure 3-4.A pneumatic nebulizer 3.5 Connecting the Oxygen Supply WARNING Connect the ventilator only to an appropriate • medical-grade oxygen source. Inspect the O supply connector carefully and • make sure there is no leakage. If gas leakage is significant, O concentration in the ambient environment will exceed normal atmosphere,...
  • Page 52 3. Installations and Connections to the high-pressure connector at the rear of the ventilator. To avoid oxygen leakage, the device cannot be • connected to both high and low pressure oxygen supply sources. CAUTION To prevent possible damage to the ventilator, •...
  • Page 53 3. Installations and Connections if the sealing ring at the gas supply connection is in good condition. If the sealing ring is damaged, do not use the hose and replace the sealing ring to prevent leakage. 2. Align and connect the fitting to the inlet of the high-pressure oxygen supply at the back of the ventilator.

  • Page 54: Installing The Gas Cylinder

    3. Installations and Connections 3.6 Installing the Gas Cylinder CAUTION Ensure that the gas cylinder is equipped with • pressure-reducing valve. Hook & Loop tapes Gas cylinder Figure 3-6.Installing the gas cylinder 1. Place the gas cylinder onto the trolley base. 2.

  • Page 55: Installing The Oxygen Sensor

    3. Installations and Connections 3.7 Installing the Oxygen Sensor This ventilator could be equipped with O cell. O cell is a consumable product and the service life is around 1 year and thus needs to be replace periodically. The O sensors need to be calibrated reguarlly.

  • Page 56: Connecting The Power Supply

    3. Installations and Connections on operating environment. Operation at higher temperatures or higher O % shortens the life. 3.8 Connecting the Power Supply WARNING To reduce the risk of electric shock, connect the • ventilator to an AC supply mains with protective earth only.

  • Page 57: Inspecting The Batteries

    3. Installations and Connections 1. Remove the anti-unplugging hook of power. 2. Insert the AC power cord into the AC power receptacle. 3. Install anti-unplugging hook of power to clamp the power cord in place. 3.9 Inspecting the Batteries WARNING To reduce the risk of power failure, pay close •...
  • Page 58 3. Installations and Connections own icon. The power source symbols in the top right- hand corner of the screen show the available power sources. A frame around a symbol indicates the current ventilator power source. A green symbol indicates a fully charged battery.
  • Page 59 Chapter 4 4. User Interface ............4-1 4.1 Screen Display ............4-1 4.2 Waveform Window ............4-3 4.3 Loops Window ............. 4-4 4.4 Values Window ............4-4 4.5 Trend ................4-5 4.5.1 Graphic Trend ............. 4-5 4.5.2 Tabular Trend............4-7 4.5.3 Event Logbook ........... 4-7 4.6 Freeze .................

  • Page 61: User Interface

    4. User Interface 4. User Interface 4.1 Screen Display XXXXXXXXXX XXXXX XXXXX 30.0 15.0 XXXXX XXXXX -6.0 120.0 60.0 XXXXX XXXXX -60.0 -120.0 500.0 250.0 XXXXX XXXXX -100.0 Figure 4-1.Screen display 1. Ventilation mode fi eld Displays Standby or active ventilation mode and ventilation assist indication.
  • Page 62 4. User Interface Displays icon when the ventilation type is Non- invasive. Displays icon when the ventilation type is invasive. 4. Alarm message bar Displays the active alarm messages. When there are multiple alarm messages, the number of alarms is displayed.

  • Page 63: Waveform Window

    4. User Interface 12. Patient data field Displays Waveforms, Loop, Values or Big Numeric Screen. 13. Ventilation mode setup field Displays the keys for setting up ventilation modes. 14. Parameter setup quick key field Displays ventilation setting parameters corresponding to the active ventilation mode. 15.

  • Page 64: Loops Window

    4. User Interface 4.3 Loops Window Select the [ Loops ] key to access the screen as shown below. The ventilator displays the two real-time loops in the loops window. To view the different type of loop: Pressure-Volume, Pressure-Flow or Flow-Volume, Click the drop-down menu and select the loop type you desired.

  • Page 65: Trend

    4. User Interface 30.0 15.0 -6.0 2720 1:4.0 0.55 Figure 4-4.Values window 4.5 Trend The system can display a rolling 72 hours of continuous trend data. Select the [ Trend&Log ] key on the screen to view trend graphic, trend table and logbook in the opened window.
  • Page 66 4. User Interface at one-minute intervals by default unless the zoom is selected. Graphic Trend highlights the parameter data in the corresponding alarm color if an alarm condition existed for the parameter at the time of trend record storage. XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX...

  • Page 67: Tabular Trend

    4. User Interface 4.5.2 Tabular Trend You can view the patient’s monitored parameter data and events under the Tabular Trend tab. Trend data displays at one-minute intervals by default. XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX Figure 4-7.Tabular trends window 1. Interval: You can set the display interval to [ 5 Minutes ], [ 10 Minutes ], [ 15 Minutes ], [ 30 Minutes ], [ 1 Hour ] and [ 2 Hours ].
  • Page 68 4. User Interface system is powered down, and can capture the time of powering on, but the time of powering down cannot be captured. The contents of the log after the alarm system has experienced a total loss of power (supply mains and internal electrical source) of a finite duration can maintain the same as that before the loss of power.

  • Page 69: Freeze

    4. User Interface 4.6 Freeze The freeze function’s feature is that it can pause the real-time refreshing of waveforms and spirometry loops on the screen, so that you can have a close examination of the patient’s status within this time period. The reviewed data are waveforms and spirometry loops in the 60 seconds before entering freeze state.

  • Page 70: Screen Capture

    4. User Interface 30.0 15.0 -6.0 -100 -100 XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX Figure 4-9.Freeze waveforms and loops 4.7 Screen Capture By pressing the key on the main screen, the system will capture and save the screen automatically. The screen capture is saved in “bmp”...

  • Page 71: Lock Screen

    4. User Interface XXXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX Figure 4-10.View captured pictures 4.8 Lock Screen By pressing the [ Screen Lock ] key to enter locked status. During the period of screen locked, all keys on the main screen are disabled.
  • Page 72 4. User Interface (For your note.) 4-12...
  • Page 73 Chapter 5 5. System Settings ............5-1 5.1 Date and Time Settings ..........5-1 5.2 Screen Settings ............5-2 5.2.1 Screen Brightness ..........5-2 5.2.2 Screen Layout ............ 5-2 5.3 Export Settings ............5-3 5.3.1 Screen Capture ..........5-3 5.3.2 Patient and Setting Data ........5-4 5.3.3 Transfer Settings ..........

  • Page 75: System Settings

    5.System Settings 5. System Settings 5.1 Date and Time Settings 1. Select the system time field on the main screen to pop up time setup menu. 2. Set [ Date ] and [ Time ]. 3. Set [ Date Format ] to [ YYYY-MM-DD ], [ MM-DD-YYYY ] or [ DD-MM-YYYY ].

  • Page 76: Screen Settings

    5.System Settings 5.2 Screen Settings 5.2.1 Screen Brightness 1. Select [ Setup ] → [ System ] → [ Screen ]. 2. If the current screen brightness is not satisfactory, set day or night in [ Screen Brightness ] filed directly: 10% to 100%.

  • Page 77: Export Settings

    5.System Settings waveform or measured value in the main screen and set the name or color in the interface that is displayed. 4. Select [ Default ] when necessary to restore the settings to default. XXXXXXXXXX XXXXXXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXXXXXX XXXXXX...

  • Page 78: Patient And Setting Data

    5.System Settings XXXXXXXXXXXXXXXXXX XXXXXXXX XXXXXXXX XXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX XXXXXXXXX Figure 5-4.Media window To export screen capture, 1. Insert the USB device into the USB connector of the ventilator. The USB symbol key is highlighted on the main screen.
  • Page 79 5.System Settings XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Figure 5-5.Export window To export data, 1. Insert the USB device into the USB connector of the ventilator. The USB symbol key is highlighted on the main screen. 2. By selecting the symbol key, the system will open the Export interface.

  • Page 80: Transfer Settings

    5.System Settings 5.3.3 Transfer Settings You can export or import settings, while unit is in standby. XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Figure 5-6.Export and import window To export settings, 1. Make sure that the machine is in Standby status. 2.

  • Page 81: Basic Settings

    5.System Settings Device ] to remove the USB device. To import settings, 1. Make sure that the machine is in Standby status. 2. Insert the USB device into the USB connector of the ventilator. The USB symbol key is highlighted on the main screen .

  • Page 82: Set Iv Apnea Mode

    5.System Settings [ Height ]. When the ventilator is in the standby mode, set the ideal body weight or height. The system calculates default values of VT, f, and fapnea in the ventilation mode automatically based on the set IBW or height and gender. XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX...

  • Page 83: Set Oxygen Sensor Monitoring

    5.System Settings in accordance with different patient types. After initiation of oxygen enrichment, the system will compare “current oxygen concentration + oxygen enrichment” with “100vol.%” and start ventilation according to the lower of the two values. 5.4.6 Set Oxygen Sensor Monitoring 1.

  • Page 84: Set Oxygen Supply

    5.System Settings NOTE • The system total response time for oxygen concentration monitoring is 15s. • The time from powering on the ventilator to reaching the oxygen concentration monitoring performance specified in this manual is approximately 30s. The data sample rate of oxygen concentration is 100Hz. CAUTION •...

  • Page 85: Set Language

    5.System Settings 5.4.8 Set Language 1. Select [ Setup ] → [ System ]. 2. Select [ Language ] and select the desired language. 3. Restart the ventilator to activate the selected language. XXXXXXXXXX XXXXXXXXXX Figure 5-10.Language settings windows 5-11...

  • Page 86: Set Unit

    5.System Settings 5.4.9 Set Unit Set Paw Unit 1. Select [ Setup ] → [ Maintain ] → Enter password → [ System ]. 2. Set [ Pressure Unit ]: [ cmH O ], [ hPa ] or [ mbar ]. Set Weight Unit 1.

  • Page 87: System Information

    5.System Settings 5.4.10 System Information Version Information Select [ Setup ] → [ Info ] to check the system software version. Configuration Information Select [ Setup ] → [ Maintain ] → Enter system password → [ Configuration ] to view the configuration information of the ventilator such as ventilation mode.
  • Page 88 5.System Settings (For your note.) 5-14...
  • Page 89 Chapter 6 6. Start ventilation ............6-1 6.1 Turning on the Ventilator ..........6-1 6.2 System Check ............. 6-1 6.3 Select Patient .............. 6-4 6.4 Ventilation Type ............6-5 6.4.1 Invasive Ventilation ..........6-6 6.4.2 Non-Invasive Ventilation (NIV)......6-7 6.4.3 Set Ventilation Type ........... 6-7 6.5 Ventilation Mode ............
  • Page 90 6.9 Standby Status ............6-24 6.10 Turn the Ventilator Off ..........6-24...

  • Page 91: Start Ventilation

    6. Start ventilation 6. Start ventilation 6.1 Turning on the Ventilator NOTE • When the ventilator is started, the system detects whether audible alarm tones and alarm lamp function normally. If yes, the alarm lamp flashes red and yellow successively, and the speaker and the buzzer give check tones.
  • Page 92 6. Start ventilation NOTE • To ensure optimum performance of the ventilator, re-do system check each time when accessories or components like tubes, humidifiers, or filters are replaced. • If the O cell is installed for the first time, or a newly replaced one, please calibrate the oxygen concentration first before running system check, otherwise the O...
  • Page 93 6. Start ventilation ◆ Exhalation Branch Test: test the expiratory valve. ◆ Pressure Sensor Test: test the pressure sensor. ◆ Leakage. ◆ Compliance. ◆ Circuit Resistance. ◆ Pressure Release Valve Test. XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX Figure 6-1.Dual-limb system check prepareation & system check items System Check result can be: Pass : indicates that check of this item is completed and...

  • Page 94: Select Patient

    6. Start ventilation Total selftest results are listed as follows after all selftest items have been completed: Pass : all selftest items successfully pass the seftest; Partially Pass : some selftest items fail, but the mechanical ventilation is allowed; Fail : some selftest items fail, but the mechanical ventilation is not allowed;...

  • Page 95: Ventilation Type

    6. Start ventilation NOTE • To prevent the possible patient injury, make sure the ventilator is set up for the appropriate patient type with the appropriate breathing circuit parts. After the System Check pass, the ventilator configuration is displayed on the Standby Windows. You can set up the patient type, patient circuit, and components of the breathing system for new and resuming patients.

  • Page 96: Invasive Ventilation

    6. Start ventilation WARNING Check the alarm limit settings after switching over • from NIV to Invasive. 6.4.1 Invasive Ventilation Invasive ventilation means to ventilate the patient through manual airway (ET tube or Trach tube). In dual-limb invasive ventilation, the enabled ventilation modes include: •...

  • Page 97: Non-Invasive Ventilation (Niv)

    6. Start ventilation 6.4.2 Non-Invasive Ventilation (NIV) NIV means to ventilate the patient by using a nasal mask or facial mask instead of ET tube or Trach tube. In dual-limb NIV, the enabled ventilation modes include: ◆ PCV (Pressure Control Ventilation). ◆...

  • Page 98: Ventilation Mode

    6. Start ventilation 6.5 Ventilation Mode NOTE • At the inspiratory phase, the ventilator will not automatically generate negative pressure. However, it may cause negative pressure because patients inhale air. • The user can set high-pressure alarm limit. If the pressure reaches the high pressure alarm limit in the inspiratory phase, the [ High Pressure ] high- level alarm is triggered.
  • Page 99 6. Start ventilation Displays ventilation parameter value adjustment. XXXXXXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX 1.70 XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXX XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXX XXXX XXXX Figure 6-4.Ventilation mode and parameters To set ventilation mode, 1. In the ventilation mode area, select the required ventilation mode key, and the ventilation parameters can be set in this ventilation mode will be displayed in the opened menu.

  • Page 100: Apnea Ventilation

    6. Start ventilation 6.5.2 Apnea Ventilation Apnea ventilation is a backup vent mode initiated when the ventilator detects patient apnea in CPAP/PSV, VSIMV, PSIMV, V+SIMV, BPAP and APRV modes. If no spontaneous breathing time beyond apnea time, mandatory breaths are triggered with apnea ventilation. Apnea ventilation mode includes volume-controlled and pressure-controlled Ventilation.

  • Page 101: Vcv

    6. Start ventilation Table 6-2.Sigh support modes Mode Sigh CPAP/PSV,BPAP,APRV Not available VCV,PCV,PRVC,PSIMV,VSIMV,V+SIMV Increase in PEEP Table 6-3.Sigh settings Parameter Description Sigh Switch for turning on sigh function Interval Time interval between two groups of sigh Cycles Sigh Number of sigh cycles △...

  • Page 102: Pcv

    6. Start ventilation PEEP Positive end-expiratory pressure Controlled breaths per minute Assist Assistant trigger T-pause(%) Percent of inspiratory pause time F-trigger /P-trigger Inspiration trigger level 6.5.5 PCV (Pressure Controlled Ventilation Mode ） Pressure-controlled mandatory breaths are administered at a set rate. Spontaneous respiratory efforts only trigger controlled breaths in the case of PCV.

  • Page 103: Prvc

    6. Start ventilation 6.5.6 PRVC (Pressure Regulated Volume Controlled Ventilation Mode) Volume-controlled mandatory breaths(PRVC) are administered at a set rate. Spontaneous respiratory efforts only trigger controlled breaths in the case of PRVC. Pressure adjustment increase of the ventilator cannot exceed 10cmH O for the first 3 cycles and cannot exceed 3cmH O for each of the following cycles.
  • Page 104 6. Start ventilation Mandatory Ventilation Mode) Volume-controlled mandatory breaths(VCV) are delivered at the set rate. Intermittently the patient can trigger pressure- supported breaths. The controlled breaths are preceded by a trigger window, which allows comfortable patient-triggered delivery without compromising the set rate. PSIMV + PSV SIMV cycle SIMV cycle...

  • Page 105: Psimv

    6. Start ventilation 6.5.8 PSIMV (Pressure Controlled Synchronized Intermittent Mandatory Ventilation Mode) Pressure-controlled mandatory breaths are delivered at the set rate. After mandatory breath, the patient is free to take any number of spontaneous breaths which are supported by corresponding pressure in set in the rest time of IMV cycle.

  • Page 106: Simv

    6. Start ventilation △ P-supp. Pressure support (relative above PEEP) 6.5.9 V+SIMV (Pressure Regulated Volume Controlled Synchronized Intermittent Mandatory Ventilation Mode) Pressure-controlled mandatory breaths, which are volume targeted(PRVC), are delivered at the set rate. After mandatory breath, the patient is free to take any number of spontaneous breaths which are supported by corresponding pressure in set in the rest time of IMV cycle.

  • Page 107: Cpap/Psv

    6. Start ventilation T-slope Rise time of inspiratory pressure F-trigger /P-trigger Inspiration trigger level Exp% Expiration trigger level △ P-supp. Pressure support (relative above PEEP) 6.5.10 CPAP/PSV (Continuous Positive Airway Pressure/Pressure Support Ventilation Mode) Pressure-supported breaths are triggered on a synchronised basis.

  • Page 108: Bpap

    6. Start ventilation 6.5.11 BPAP (Bilevel Positive Airway Pressure Mode) Airway pressure switches between two pressure levels, P-low and P-high. The patient can breathe spontaneously at both pressure levels. Pressure support can only be set for P-low. If a spontaneous breathing is detected in trigger window, the transition from P-high to P-low will be activated, if not, mechine-trigger will activate the trainsition instead.

  • Page 109: Aprv

    6. Start ventilation 6.5.12 APRV (Airway Pressure Release Ventilation Mode) The patient can breathe spontaneously at both pressure levels. If a spontaneous breathing is detected in trigger window,the transition from P-high to P-low will be activated, if not, mechine-trigger will activate the trainsition instead.
  • Page 110 6. Start ventilation XXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXX 1.70 XXXXXXXXXXX XXXXXXXXXXX Figure 6-15.STRC settings 1. Select [ Setup ] → [ Vent ] → [ STRC ]. 2. Set the items below on the accessed screen: [ Tube Compensation ]: disable, ET Tube or Trach ◆...

  • Page 111: Leak Compensation

    6. Start ventilation NOTE • Incorrect tube type or ID setting can endanger the patient. Make sure to set them properly. 6.7 Leak Compensation The leakage from the breathing circuit and mask may cause that the gas volume delivered to the patient’s lung is lower than the setting value.
  • Page 112 6. Start ventilation reach the maximum leakage compensation, you can set the TV high limit to off). Automatic leakage compensation The ventilator determines the difference between the delivered flow on the inspiration side and the measured flow on the expiration side. This difference provides a measure of the amount of leakage and is displayed by the ventilator as the leakage minute volume MVleak.

  • Page 113: Start Ventilation

    6. Start ventilation The volume of 500 mL measured on the expiration side is displayed without compensation, even when leakage compensation is activated. The minute volume measured on the expiration side is 5.0 L/min and is also uncompensated. If this were not so, the alarm for a low minute volume could be inhibited by the expiratory leakage compensation.

  • Page 114: Standby Status

    6. Start ventilation that the oxygen concentration in the delivered gas is consistent with the setting value. Adopt manual ventilation immediately if the • ventilator malfunctions and cannot continue ventilating the patient. Select [ Start Ventilation ] key in Standby status, and the system begins to ventilate the patient according to your settings.
  • Page 115 6. Start ventilation shut down the system.] Select [ OK ], and the system will remain in non-standby status. Then select the [ Standby ] key to enter the standby interface after confirmation. Then select the power switch in Standby to turn the system off.
  • Page 116 6. Start ventilation (For your note.) 6-26...
  • Page 117 Chapter 7 7. Alarms ...............7-1 7.1 Introduction ..............7-2 7.2 Alarm Categories ............7-3 7.3 Alarm Priority Levels ............ 7-4 7.4 Alarm Signals ............... 7-4 7.4.1 Alarm Lamp ............7-5 7.4.2 Audible Alarm ............. 7-5 7.4.3 Alarm Messages ..........7-5 7.4.4 Flashing Alarm Numeric ........
  • Page 118 7.12.7 High Pressure ........... 7-18 7.12.8 Low Pressure ........... 7-18 7.12.9 High Tidal Volume ..........7-18 7.12.10 Low Tidal Volume ........... 7-19 7.12.11 Low Minute Volume ........7-19 7.12.12 Alarm Troubleshooting Table ......7-19 7.13 Alarm Parameter ............7-31...

  • Page 119: Alarms

    7. Alarms 7. Alarms NOTE • The delay time from the onset of an alarm condition to the point that the alarm signal leaves the ventilator input/output port is typically 500ms. The time it takes the message to appear on an external device such as a remote alarm depends on the characteristics of the device.

  • Page 120: Introduction

    7. Alarms Table 7-1.Alarm indications Alarm Alarm Alarm Alarm Type Type Lamp Message Alarm Audio Action Require Symbol Color The patient’s A sequence safety is of 5 beeps, Red, with compromised. High- repeated alarm The problem priority until the message needs alarm is immediate...

  • Page 121: Alarm Categories

    7. Alarms red and yellow successively, and the speaker and the buzzer give check tones. If not, do not use the equipment and contact servive providers immediately. • When multiple alarms of different priorities occur simultaneously, the ventilator selects the alarm of the highest priority and gives visual and audible alarm indications accordingly.

  • Page 122: Alarm Priority Levels

    7. Alarms 7.3 Alarm Priority Levels By severity, the ventilator’s alarms fall into three categories: high priority alarms, medium priority alarms and low priority alarms. The priorities for all alarms are preset before the ventilator leaves the factory and are not user adjustable. Table 7-2.The alarm priority and action required Alarm Priority Action Required...

  • Page 123: Alarm Lamp

    7. Alarms 7.4.1 Alarm Lamp If a technical alarm or physiological alarm occurs, the alarm lamp will flash. The flashing color and frequency match the alarm priority as follows: ◆ High priority alarms: the lamp quickly flashes red. ◆ Medium priority alarms: the lamp slowly flashes yellow.

  • Page 124: Flashing Alarm Numeric

    7. Alarms to match the alarm priority: ◆ High priority alarms: red ◆ Medium priority alarms: yellow ◆ Low priority alarms: cyan The exclamatory marks (!) before the alarm message match the alarm priority as follows: ◆ High priority alarms: ！！！ ◆...

  • Page 125: Alarm Volume Settings

    7. Alarms : indicates that there is inactivated alarms for which the alarm triggercondition has disappeared. Press this icon to view the most recent inactivated alarms in the Alarm list window. You can also clear the most recent alarms with the [Reset] key. : indicates that the alarm of a parameter is closed and the alarm signal is in the ALARM OFF mode.

  • Page 126: Alarm List

    7. Alarms 2. Set [ Minimum Alarm Volume ] to an appropriate value. WARNING Do not rely exclusively on the audible alarm • system when using the ventilator. Adjustment of alarm volume to a low level may • result in a hazard to the patient. Always keep the patient under close surveillance.

  • Page 127: Alarm Limits

    7. Alarms 7.7 Alarm Limits WARNING To prevent possible patient injury, avoid setting • alarm limits to extreme values, which can render the alarm system useless. To reduce patient risk from inappropriate • ventilatory support, avoid turning off the alarms. CAUTION In the case that high pressure alarm limit of 60 •...

  • Page 128: Nurse Call

    7. Alarms XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXXXXXX XXXXXX XXXXXX XXXXXX Figure 7-3.Adjusting the control settings Select a parameter and adjust the value. Repeat for any other desired parameters. Select Accept to apply. The ventilator alarms when a monitored value goes out of the range bounded by the alarm limits.
  • Page 129 7. Alarms nurse call system when an alarm meeting the user set requirements occurs. The nurse call function is activated only when: 1. The nurse call function is switched on; 2. An alarm which meets the user set requirements occurs; 3.

  • Page 130: Responding To Alarms

    7. Alarms one pulse signal is outputted. If a new alarm occurs when the ongoing alarm is not cleared yet, a new pulse signal will be outputted. [ Continuous ]: indicates that the nurse call signal lasts until the alarm ends, i.e. the duration of a nurse call signal equals to that of the alarm.
  • Page 131 7. Alarms To ensure the alarm will be heard, make sure the • alarm loudness is adequate and avoid blocking the alarm speakers. Avoid blocking the LED indicators on the front • panel of the ventilator. A potential hazard can exist if different ALARM •...

  • Page 132: Audio Paused

    7. Alarms • If an alarm persists for no apparent reason, discontinue ventilator use and contact your servive providers. When an alarm occurs, do as follows: 1. Check the patient’s condition. Secure sufficient and effective ventilation for the patient if required. 2.

  • Page 133: Alarm Off

    7. Alarms Figure 7-6.Alarm AUDIO PAUSED key When alarm audio is paused, press the [ AUDIO PAUSED ] key again to recover the alarm audio. 7.11 ALARM OFF When the alarm limit is set as [ OFF ] or alarm is disabled, the system will display an ALARM OFF icon showing the parameter alarm limits, and corresponding physiological alarms will be closed.

  • Page 134: Alarm Test

    7. Alarms 7.12 Alarm Test The Ventilator performs a self-check during start-up and continuously during operation. You may want to run alarm tests to demonstrate the alarm’s operation. Position of the operator: 1-meter distance and 1.5-meter high from the front of the ventilator. The sum of the mean alarm condition delay plus the mean alarm signal generation delay is less than 5s.

  • Page 135: Low Oxygen

    7. Alarms 60%, and start ventilation. 3. Verify that the [ High Oxygen ] alarm is activated. 7.12.4 Low Oxygen 1. Connect the ventilator to high-pressure oxygen supply. Set the oxygen supply type to HPO. 2. Make sure a demonstration lung is connected to the ventilator and start ventilation normally.

  • Page 136: High Pressure

    7. Alarms with two batteries. When the battery power is depleted, the [ Battery low, System will be shutdown. ] alarm is activated. 5. Reconnect the external power supply. 6. Verify that the alarm resets and the ventilator is again powered by external power supply. 7.12.7 High Pressure 1.

  • Page 137: Low Tidal Volume

    7. Alarms 7.12.10 Low Tidal Volume 1. After the ventilator system starts up normally, connect a test lung to the ventilator and start ventilation in VCV mode normally. 2. Set the VT low alarm limit to be greater than the current VTe.
  • Page 138 7. Alarms Table 7-3.Physiological alarm messages Item Alarm Priority Definition Action needed Check the patient. Adjust the pressure alarm limit. The measured Check the breathing airway pressure circuit and flow sensor High High exceeds the set tubes for kinks and Pressure pressure alarm occlusions.
  • Page 139 7. Alarms Item Alarm Priority Definition Action needed The measured tidal volume is Check the patient. less than the set Check and adjust the Low Tidal high alarm limit ventilator settings, Medium Volume for continuous including alarm limits. 3 mechanical Check for leaks and ventilation disconnects.
  • Page 140 7. Alarms Item Alarm Priority Definition Action needed "The time of failure to detect respiration Apnea Check apnea ventilation High exceeds Tapnea. Ventilation parameter setup. Start apnea ventilation mode." This alarm Apnea is given There is no need to ventilation when apnea process this alarm.
  • Page 141 7. Alarms Item Alarm Priority Definition Action needed Disconnect the The cooling fan is ventilator from the Fan Failure Medium malfunctioning. patient. Have the ventilator serviced. The air inlet HEPA HEPA filter Replace the HEPA Replacement shows increased filter. Suggested resistance.
  • Page 142 7. Alarms Item Alarm Priority Definition Action needed Oxygen cell calibration data Cell is not within Calibrate the oxygen Calibration Medium expected range, cell. Needed or cell is new and requires calibration. O2 Cell The oxygen cell is Install a new oxygen Medium Defective depleted.
  • Page 143 7. Alarms Item Alarm Priority Definition Action needed The flow sensor does not have correct Check the flow Please calibration data sensor. Calibrate Flow High or automatic Try to calibrate the Sensor recalibration of flow sensor. the flow sensor is impossible.
  • Page 144 7. Alarms Item Alarm Priority Definition Action needed Blower Power Technical Contact your service Medium Supply Voltage Error (2077): providers. Error. Atmospheric Technical Contact your service Medium Pressure Sensor Fault (1042) providers. Failure. Inspiratory Technical Contact your service Medium pressure zero Fault (1044) providers.
  • Page 145 7. Alarms Item Alarm Priority Definition Action needed Protecting Technical Contact your service High module Comm Fault (3005) providers. Stop. Technical Power Board Contact your service High Fault (3006) Comm Stop. providers. Technical Key Board Comm Contact your service High Fault (3007) Stop.
  • Page 146 7. Alarms Item Alarm Priority Definition Action needed Check the patient. Check the expiratory limb for occlusion. Check the expiratory valve membrane and Patient circuit Exp. limb airway cover. partially High obstructed Check the Flow occluded Sensor tubes for occlusion. Adjust breath timing controls to increase the expiratory time.
  • Page 147 7. Alarms Item Alarm Priority Definition Action needed Check parameter Pressure reaches settings, including Pressure Limit pressure pressure high Exceeded high alarm alarm limit-5cmH limit setting. After sigh function is Check parameter activated, the Pressure settings, including pressure in sigh Limited in pressure cycle reaches...
  • Page 148 7. Alarms Item Alarm Priority Definition Action needed Technical PEEP pressure Contact your service High Fault (1054) sensor failure personnel. Blower The ventilation will Technical High temperature be stopped. Contact Fault (1059) too high service personnel. Technical 3-way valve Contact your service Medium Fault (1074) failure...

  • Page 149: Alarm Parameter

    7. Alarms 7.13 Alarm Parameter Table 7-5.Alarms for dual-limb ventilation Factory Parameter Range Resolution default Paw High Limit 10 ~ 85 cmH 1cmH 50cmH Paw Low Limit Off，10 ~ 63 cmH 1cmH Adult: 0.2 ~ 100.0 L/ MV High Limit min;Pediatric: 0.2 ~ 60.0 L/ 0.1 L/min VT*f*1.5...
  • Page 150 7. Alarms (For your note.) 7-32...
  • Page 151 Chapter 8 8. Special Functions ...........8-1 8.1 O ↑ (O Enrichment) ............ 8-1 8.2 Suctioning Tool ............8-2 8.3 Manual Breath ............8-2 8.4 Inspiratory Hold ............8-3 8.5 Expiratory Hold ............8-3 8.6 Nebulizer ..............8-4 8.7 P0.1 ................8-4 8.8 NIF ................

  • Page 153: Special Functions

    8. Special Functions 8. Special Functions 8.1 O ↑ (O Enrichment) NOTE • Oxygen alarms are suppressed while the O ↑ function is active. • ↑ is not available with low pressure oxygen mode. • The system cannot start O ↑...

  • Page 154: Suctioning Tool

    8. Special Functions 8.2 Suctioning Tool NOTE • P0.1, PEEPi and NIF are disabled after suction is activated. • The system cannot start O ↑ Suction in the Standby modes or O therapy modes. During suctioning, the patient’s secretion can escape of the tubing.

  • Page 155: Inspiratory Hold

    8. Special Functions stage of inspiration or the early stage of exhalation, the breath will not be delivered. 8.4 Inspiratory Hold NOTE • There is at least one expiratory phase between two inspiration holds. • Inspiration Hold function is disabled in CPAP mode and is supported when apnea ventilation occurs.

  • Page 156: Nebulizer

    8. Special Functions to 30s additional. 8.6 Nebulizer CAUTION Remove the nebulizer after nebulization,otherwise • the ventilation may be affected. The remaining nebulizer drug will affect the • surrouding air. NOTE • For adults or pediatric patients, the nebulization flow of ventilator is zero when the inspiratory flow is less than 15 L/min.

  • Page 157: Nif

    8. Special Functions 1. Select the [ Function ] ->[ Diagnostics ] ->[ P0.1 ]. 2. Press the [ Start ] key to start the measurement, and the result will be displayed after the measurement is completed. 8.8 NIF The Negative Inspiratory Force (NIF) maneuver is used to determine the patient’s ability to pull a negative inspiratory pressure against an occluded airway.

  • Page 158: Pv Tool

    8. Special Functions 8.10 PV Tool NOTE • The PV tool function is disabled in the following cases: patient type of pediatric, CPAP/PSV, NIV or apnea vent mode, oxygen enrichment, during P0.1 measurement, during nebulization or suction, within one minute after nebulization or suction, within one minute after last PV loop test.
  • Page 159 8. Special Functions the calculation formula and displays it on the window. 3. Press the [ Start ] key to start PV tool measurement. Press the [ Stop ] key during measurement, the system aborts measurement immediately. 4. After the measurement is completed, you can set the desired positions of [ Cursor 1 ] and [ Cursor 2 ].

  • Page 160: Therapy

    8. Special Functions 8.11 O Therapy therapy is a method to increase O concentration in the airway at normal pressure through simple tube connections. O therapy is a way for hypoxia prevention or treatment, providing O concentration higher than that in the air. Therapy, Select the [ Standby ]->[ Start O To start O Therapy ].->[ O...
  • Page 161 Chapter 9 9. Maintenance .............9-1 9.1 Instructions ..............9-1 9.2 Preventive Maintenance ..........9-2 9.3 Battery Maintenance ........... 9-6 9.3.1 Battery Use Guidance ........9-7 9.3.2 Battery Performance Checking......9-8 9.3.3 Battery Performance Conditioning ...... 9-8 9.3.4 Battery Storage ..........9-9 9.3.5 Battery Recycling ..........

  • Page 163: Maintenance

    9. Maintenance 9. Maintenance WARNING To reduce the risk of electric shock, power down • the ventilator and disconnect it from AC power before cleaning or servicing it. Movable parts and removable components may • present a pinch or a crush hazard. Use care when moving or replacing system parts and components.

  • Page 164: Preventive Maintenance

    9. Maintenance Used equipment may contain blood and body fluids. Movable parts and removable components may • present a pinch or a crush hazard. Take care to move or replace system parts and components. Do not use lubricants that contain oil or grease, •...
  • Page 165 9. Maintenance between patients and at regular intervals (or as stated by the manufacturer). To prevent possible patient injury, inspect and • verify the proper operation of the exhalation port regularly during use. CAUTION Because some environments cause a quicker •...
  • Page 166 9. Maintenance Interval Part/accessory Procedure Check the patient tubing and water traps for water Several times a day or build-up. Empty water Patient Tubing as necessary build-up if there is.Inspect the parts for damage. Replace as necessary Inspect the parts for During cleaning and Ventilator damage.
  • Page 167 9. Maintenance Interval Part/accessory Procedure Replace the battery of the Every 6 years or as Battery of the clock module. Contact necessary clock module servive providers for replacement. Replace the O cell if it is damaged. [Note] If ICU work normally, the service life of chemical O Sensor is one year.

  • Page 168: Battery Maintenance

    9. Maintenance 9.3 Battery Maintenance CAUTION The batteries can only be charged by this • ventilator. NOTE • Use batteries at least once every month to extend their life. Charge the batteries before they are depleted. • Inspect and replace batteries regularly. Battery life depends on how frequent and how long it is used.

  • Page 169: Battery Use Guidance

    9. Maintenance or not the ventilator is currently on. In case of power failure, the ventilator will automatically be powered by the internal batteries. When external power source is restored within the specified time, power supply is switched from battery to external power supply automatically to ensure continuous system use.

  • Page 170: Battery Performance Checking

    9. Maintenance 9.3.2 Battery Performance Checking NOTE • If the running time of the battery is too short after fully charged, the battery may be damaged already or defective. • If obvious signs of damage are detected on the battery or the battery recharging is failed, replace the battery and recycle it properly.

  • Page 171: Battery Storage

    9. Maintenance battery capacity will decrease. For an old battery, the battery full icon does not indicate that the battery capacity or battery running time still meets the requirement specified. When conditioning batteries, replace the battery when its running time becomes noticeably shorter.

  • Page 172: Battery Recycling

    9. Maintenance environment and keep battery power at 40-60%. Placing batteries in a cool environment can delay battery aging. Ideally, batteries should be stored in a cool environment of -20℃ (-4 ℉ ) to +25℃ (77 ℉ ). Do not store batteries outside the environmental range of -20℃...
  • Page 173 9. Maintenance • Do not perform flow calibration when low-pressure oxygen source is used. • During calibration, do not operate the pneumatic parts. Do not move or press the breathing tubes especially. • Make sure that the system is Standby mode. •...

  • Page 174: Oxygen Concentration Calibration

    9. Maintenance Figure 9-1.Turn the direction of fl ow sensor 6. After the calibration completed, the message indicating calibration failure is displayed if the calibration is failed. In this case, you need to do the calibration again. XXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXX...
  • Page 175 9. Maintenance • Do not perform oxygen concentration calibration when low-pressure oxygen source is used. • Make sure that the system is Standby mode. • Handle and dispose of the O sensor according to your biohazard policies. Do not incinerate. •...

  • Page 176: Electrical Safety Inspection

    9. Maintenance calibration again. Influence of humidity: -0.03 % rel. per % RH at 25 ℃ . Influence of pressure: proportional to change in oxygen partial pressure. Influence of mechanical shock: < 1 % relative after a fall from 1 m. Warm-up time <...
  • Page 177 9. Maintenance be performed once a year. 1. Perform protective earth resistance test: ◆ a.Plug the probes of the analyzer into the protective earth terminal of the AC power cord and the screw. ◆ b.Test the earth resistance with a current of 25 A. ◆...
  • Page 178 9. Maintenance polarity Verify that the maximum leakage current in the first two tests is not higher than 10 μA（0.01 mA）on the CF type applied parts and not higher than 100 uA（0.1 mA）on the BF type applied parts; that the maximum leakage current in the middle four tests is not higher than 50 μA（0.05 mA）on the CF type applied parts and not higher than 500 uA（0.5 mA）on the BF type applied parts;...
  • Page 179 Chapter 10 10.Cleaning and Disinfection ........10-1 10.1 Methods ..............10-2 10.2 Part Disassemble ............10-6 10.2.1 Expiration Valve Assembly and Membrane ..10-6 10.2.2 Inspiratory Valve Assembly ....... 10-7 10.2.3 HEPA Filter and Air Intake Dust Filter ....10-8 10.2.4 Cooling Fan Dust Filter ........10-9 10.2.5 Patient Tubing ..........

  • Page 181: Cleaning And Disinfection

    10. Cleaning and Disinfection 10. Cleaning and Disinfection WARNING Read the material safety data sheet for each • cleaning agent. Reuse of undisinfected reusable accessories or • components may cause cross-contamination. Wear gloves and safety glasses. A damaged • sensor can leak and cause burns(contains potassium hydroxide).

  • Page 182: Methods

    10. Cleaning and Disinfection through the ventilator can become contaminated with body fluids and expired gases during both NORMAL CONDITION and SINGLE FAULT CONDITION. • Do not use organic, halogenated, or petroleum based solvents, anesthetic agents,glass cleaners, acetone, or other harsh cleaning agents. •...
  • Page 183 10. Cleaning and Disinfection Methods for Disinfection: Wipe: wipe with a damp cloth immersed in medium- or high-efficiency disinfectant and then wipe off the remaining detergent with a dry lint free cloth. Immersion: immerse it in medium- or high-efficiency disinfectant (alcohol or isopropyl alcohol, etc.) for more than 30 minutes (recommended time).
  • Page 184 10. Cleaning and Disinfection Every four Air intake dust weeks/ √ √ filter asnecessary Inspiration valve √ √ √ assembly necessary Inspiration valve assembly dust √ √ necessary filter Expiration valve Each patient assembly (except √ √ √ /weekly membrane) Expiration valve Each assembly (except...
  • Page 185 10. Cleaning and Disinfection Immersion : immerse it in medium- or high-efficiency disinfectant (alcohol or isopropyl alcohol, etc.) for more than 30 minutes (recommended time). Then clean with water and dry completely. Steam autoclave at 134ºC for 10 to 20 minutes (recommended time).

  • Page 186: Part Disassemble

    10. Cleaning and Disinfection 10.2 Part Disassemble 10.2.1 Expiration Valve Assembly and Membrane Expiration valve handwheel Expiration valve membrane Figure 10-1.Disassemble expiration valve and membrane To disassemble: 1. Rotate the expiration valve handwheel until the indicating arrow on the handwheel is aligned with the unlock position.

  • Page 187: Inspiratory Valve Assembly

    10. Cleaning and Disinfection until it is fully inserted. Then rotate the expiratory valve handwheel (and press the handwheel in the direction the expiratory valve is installed) until the indicating arrow on the handwheel is aligned with the lock position. 10.2.2 Inspiratory Valve Assembly Silicone plug Inspiratory valve...

  • Page 188: Hepa Filter And Air Intake Dust Filter

    10. Cleaning and Disinfection 10.2.3 HEPA Filter and Air Intake Dust Filter HEPA filter Air intake dust filter Cover Figure 10-3. Disassemble filters To disassemble: 1. Open the cover at the air intake. 2. Pull the latch over the HEPA filter to remove. If it is necessary to remove the air intake dust filter, pinch the dust filter with two fingers and take it out.

  • Page 189: Cooling Fan Dust Filter

    10. Cleaning and Disinfection 10.2.4 Cooling Fan Dust Filter the fan cover dust filter Figure 10-4.Disassemble cooling fan dust filter To disassemble: 1. Open the cover at the fan. 2. Pinch the backup air supply cooling fan dust filter with two fingers and remove. To install: 1.
  • Page 190 10. Cleaning and Disinfection CAUTION When removing the reusable patient tubing, • disconnect the tubes from the ventilator connectors instead of pulling the tubes. Inspiratory filter Expiratory filter Humidifier Inspiratory water trap Expiratory water trap Support arm hook Figure 10-5.Disassemble patient tube To disassemble: Pull out the patient tubing one by one.

  • Page 191: Humidifier

    10. Cleaning and Disinfection 10.2.6 Humidifier NOTE • The humidifier shall comply with the requirements of ISO 8185. The humidifier assembly, its installation and disassembling steps described in this section are only for reference. Humidifier Humidifier mounting plate Screw Humidifier bracket slot Humidifier outlet Humidifier inlet Figure 10-6.Disassemble humidifier...

  • Page 192: Nebulizer

    10. Cleaning and Disinfection 3. Lift up the humidifier to remove it from the humidifier bracket fixed seat. To install: Refer to 3.3 Installing the humidifi er. 10.2.7 Nebulizer NOTE • Install the specified nebulizer. The nebulizer assembly, its installation and disassembling steps described in this section are only for reference.
  • Page 193 10. Cleaning and Disinfection 2. Pull out the nebulizer tube from the nebulizer and remove the nebulizer. 3.4 Installing the nebulizer. To install: Refer to 10-13...
  • Page 194 10. Cleaning and Disinfection (For your note.) 10-14...
  • Page 195 Chapter 11 11.Specifications ............11-1 11.1 Physical Characteristic ..........11-1 11.2 Environmental Requirements ........11-2 11.3 Electrical Specifications ..........11-4 11.4 Pneumatic Specifications ..........11-5 11.5 Control Settings ............11-6 11.6 Monitored Parameters ..........11-9 11.7 Configuration Specifications ........11-13 11.8 Factory Default Settings ..........11-15 11.9 Residual Risk ..............

  • Page 197: Specifications

    11. Specifications 11. Specifications 11.1 Physical Characteristic 11-1...

  • Page 198: Environmental Requirements

    11. Specifications Table 11-1.Physical characteristic Parameter Specification 371 mm * 335 mm * 345 mm 664 mm * 600 mm * 1309 mm (with Dimensions (L*W*H) trolley) Note: The tolerance of all dimensions is ±5 mm. Approximately 9.8 kg Weight Approximately 30.5 kg (with trolley) Size: 12.1 TFT color touch screen Screen...
  • Page 199 11. Specifications 1000 2000 3000 4000 5000 Altitude(m) Figure 11-1.Altitude/Pressure changes NOTE • The environment required for oxygen sensor is listed as follows table. Relative Barometric Item Temperature humidity (non- pressure condensing) Operating 0 to 50 ℃ 0 to 99 %RH 0.6 to 2 bar -20 to 50 ℃...

  • Page 200: Electrical Specifications

    11. Specifications 11.3 Electrical Specifications Table 11-1.Electrical specification Parameter Specification AC voltage: 100 to 240 V AC frequency: 50 to 60 Hz Input power AC current:2.5 to 1.1 A Fuse: T3.15AH/250V Class I / Internally powered equipment; Type BF applied part; IP21;...

  • Page 201: Pneumatic Specifications

    11. Specifications 11.4 Pneumatic Specifications Table 11-2.Pneumatic specification Parameter Specification Pressure: 280 to 600 kPa/41 to 87 psi/ 2.8 to 6.0 bar; High-pressure oxygen inlet Flow: 40 to 120 L/min STPD Connector: NIST or DISS Pressure: ＜ 100kPa/1bar/14.5psi Low-pressure oxygen Flow: ≤...

  • Page 202: Control Settings

    11. Specifications Resistance: < 2 cmH O at 60 L/min Particle size: Captures particles of 0.3 mm Bacteria filter (micron) with > 99.97% efficiencyDead space： < 80 mL Adult disposable circuit (including inspiratory valve, adult disposable breathing tubes, water trap, expiration valve): ≤ 4 mL/cmH Adult reusable circuit ((including inspiratory valve, adult reusable breathing tubes, water trap, expiration valve, Y piece): ≤...
  • Page 203 11. Specifications Parameter Range Resolution Accuracy ±3 vol.% or ± 10% of set value, whichever is 21 to 100 vol.% 1 vol.% greater Relation expanded uncertainty: k=2,U=2.60 ±1 /min Relation expanded 1 to 80 /min 1 /min uncertainty: k=2,U=2.22% f-SIMV 1 to 80 /min 1 /min ±1 /min...
  • Page 204 11. Specifications Parameter Range Resolution Accuracy ±0.2s or ± 10% of set value, T-high 0.2 to 30 s 0.1 s whichever is greater ±0.2s or ± 10% of set value, T-low 0.2 to 30 s 0.1 s whichever is greater T-slope 0 to 2 s 0.05 s...

  • Page 205: Monitored Parameters

    11. Specifications Parameter Range Resolution Accuracy ±0.1s or ±10% of set value, T-pause off, 5% to 60% 0.01 whichever is greater ±(2 L/min+ 10% Flow 2 to 60 L/min 1 L/min of set value) ±3 vol.% or ± 10% of set value, 21 to 100 vol.% 1 vol.% whichever is...
  • Page 206 11. Specifications Parameter Range Resolution Accuracy -99.9 to 99.9L/ min: 0.1L/min Flow -200~200 L/min -200 to -100/100 to 200L/min: 1L/ Volume 0~4000 mL ± (2 cmH O + 4 % P-peak -10 ~100 cmH O 1 cmH of actual reading ) ≥10: 1 cmH ±...
  • Page 207 11. Specifications Parameter Range Resolution Accuracy ±(2 mL + 3% of the 0~20 mL actual reading) ≥10: 1cmH ±(10 mL + 3% of 20~100 mL <10: 0.1 cmH the actual reading) ±(3 mL + 10% of 100~4000 mL the actual reading) ±(2 mL + 3% of the 0~20 mL actual reading)
  • Page 208 11. Specifications Parameter Range Resolution Accuracy 0~50 cmH O/(L/s): ±10 cmH O/(L/s) 0~600 cmH 1 cmH O/L/s Other range: 50% of the actual reading 0~50 cmH O/(L/s): ±10 cmH O/(L/s) 0~600 cmH 1 cmH2O/L/s Other range: 50% of the actual reading ±(3 mL/cmH ≥10: 1 cmH...

  • Page 209: Configuration Specifications

    11. Specifications Parameter Range Resolution Accuracy < 1 L/min:0.01 L/ MVtalv 0 to 20 L/min ≥1 L/min:0.1 L/ 0 to 75 mmHg/L 1 mmHg/L slopeCO 0 to 9.99 kPa/L 0.01 kPa/L 0 to 9.99 %/L 0.01 kPa/L 0 to 9999 mL/ V'CO 1 mL/min VeCO...
  • Page 210 11. Specifications Model Features RV200 RV100 PSIMV (Pressure Synchronized Intermittent Mandatory √ √ Ventilation) CPAP/PSV (Continuous Positive Airway Pressure/Pressure Support √ √ Ventilation) BPAP (Bilevel Positive Airway √ Pressure) APRV (Airway Pressure Release √ √ Ventilation） NIV（Non Invasive Ventilation） √ √...

  • Page 211: Factory Default Settings

    11. Specifications T-insp./I:E T-insp. , I:E Height/IBW Height , IBW IV Apnea Mode Pressure Control 6mL/kg , 7mL/kg , 8mL/kg , 9mL/kg , 10mL/kg , VT/IBW 11mL/kg , 12mL/kg Monitoring ON / OFF System Date System Time Date Format YYYY-MM-DD, MM-DD-YYYY, DD-MM-YYYY Time Format 12h, 24h 11.8 Factory Default Settings...
  • Page 212 11. Specifications Mode Parameter Factory Default Settings T-pause % (HPO) Adult: 10 /min Pediatric: 20 /min PEEP 3 cmH △ P-insp. 15 cmH Adult: 2.00 s T-insp. Pediatric: 1.00 s PCV (INV) T-slope 0.2 s Adult: 2.0 L/min F-trigger Pediatric: 1.0 L/min Assist Sigh Sigh Interval...
  • Page 213 11. Specifications Mode Parameter Factory Default Settings Adult: max(7*mL/kg*IBW, 100) VT-apnea Pediatric: 7*mL/kg*IBW % (HPO) f-SIMV Adult: 5 /min PEEP 3 cmH △ P-insp. 15 cmH △ P-supp. 0 cmH T-insp. Adult: 2.00 s T-slope. 0.2 s Adult: 2.0 L/min F-trigger Pediatric: 1.0 L/min Exp%...
  • Page 214 11. Specifications Mode Parameter Factory Default Settings Adult: 2.00 s T-insp. Pediatric: 1.00 s T-slope 0.2 s Adult: 2.0 L/min F-trigger Pediatric: 1.0 L/min Exp% Auto Δ P-apnea 15 cmH f-apnea 1 /min Adult: 2.00 s Apnea T-insp. Pediatric: 1.00 s VT-apnea Adult: max(7*mL/kg*IBW, 100) Pediatric: 7*mL/kg*IBW...
  • Page 215 11. Specifications Mode Parameter Factory Default Settings Adult: 2.00 s Apnea T-insp. Pediatric: 1.00 s Adult: max(7*mL/kg*IBW, 100) VT-apnea Pediatric: 7*mL/kg*IBW Apnea Vent Sigh Sigh Interval 1 min Sigh Cycles Δ int.PEEP 5 cmH % (HPO) △ P-supp. 0 cmH T-slope 0.2 s P-high...
  • Page 216 11. Specifications Mode Parameter Factory Default Settings Adult: 10 /min Pediatric: 20 /min PEEP 3 cmH Adult: 2.00 s T-insp. Pediatric: 1.00 s T-slope 0.2 s Adult: 2.0 L/min F-trigger Pediatric: 1.0 L/min Assist Sigh Sigh Interval 1 min Sigh Cycles Δ...
  • Page 217 11. Specifications Table 11-8.O Therapy settings Parameter Factory Default Settings Flow 25 L/min Table 11-9.System configuration Items Factory Default Setting Screen brightness T-insp./I:E T-insp. Height/IBW Height IV Apnea Mode Pressure Control VT/IBW 7 mL/kg Monitoring System Date 2017.01.01 System Time 00:00:00 Date Format YYYY-MM-DD...

  • Page 218: Residual Risk

    11. Specifications 11.9 Residual Risk Table 11-10.Residual risk Number Risk item Residual Risk The battery is charging and the charging voltage is over than the manufacturer specified. The battery is charging It will lead to overcharging and the charging current is and cause fire or safety risk.
  • Page 219 11. Specifications Parameter Specification ≤ 6.0 cmH O at 2.5 L/min, using a 10 mm circuit Inspiratory and expiratory ≤ 6.0 cmH O at 15 L/min, using a 15 mm pressure drop following circuit equipment failure ≤ 6.0 cmH O at 30 L/min, using a 22 mm circuit 45 to 85 dB(A) (primary alarm) Audio alarm loudness...
  • Page 220 11. Specifications (For your note.) 11-24...
  • Page 221 Appendix A. Pneumatic Diagram ............A-1 B. Parts and Accessories ............. B-1 C. Communications Interface ..........C-1 D. EMC Declarations ............D-1 E. Compliance ............... E-1 F. Neonatal Ventilation ............F-1 Glossary ................. 1...

  • Page 223: Pneumatic Diagram

    A. Pneumatic Diagram A. Pneumatic Diagram Figure A-1.Pneumatic diagram...
  • Page 224 A. Pneumatic Diagram Table A-1.Description of pneumatic diagram Symbol Name Symbol Name Low-pressure Air Flow sensor of the inlet mixed gas (Low) Low-pressure O Insp. hold Inspiratory hold valve inlet valve (High) High-pressure O Check valve inlet Filter Pressure release valve Dust filter Rinse valve Switch valve...

  • Page 225: Parts And Accessories

    B. Parts and Accessories B. Parts and Accessories WARNING Use only accessories specified in this chapter. • Using other accessories may cause incorrect measured values or equipment malfunction. Check the accessories and their packages for • damage. Do not use them if any sign of damage is detected.
  • Page 226 Face mask, size medium 5000-000014-00 Face mask, size large 5000-000022-00 Test lung 50105-000004-00 VADI Clipped test lung 50105-000002-00 VADI HEPA filter 11006-000002-00 Resvent Oxygen supply hose assembly-NIST connector, 11003-000004-00 GENTEC European standard Nebulizer(M-0801-EN) 50199-000018-00 VADI Oxygen supply hose assembly-DISS connector,...
  • Page 227 B. Parts and Accessories Item Description Part No. Manufacturer Power cord with continental European plug, 0100-000004-00 JINHE 3-pin Flow sensor, adult 60201-000068-00 RESVETN Flow sensor, adult 60201-000071-00 RESVETN Power cord （Brazil） 05601-000004-00 JINHE Power cord （ India） 05601-000003-00 JINHE Power cord （UK) 05601-000002-00 JINHE Power cord （Korea）...
  • Page 228 B. Parts and Accessories Item Description Part No. Manufacturer Support arm 10199-000001-00 RESVETN Inspiratory valve assembly, 60201-000009-00 Resvent reusable Expiratory valve assembly, 60201-000007-00 Resvent reusable Air inet dust filter 10006-000016-00 Resvent Fan dust filter 10006-000017-00 Resvent...

  • Page 229: Communications Interface

    C. Communications Interface C. Communications Interface WARNING Connect to the ventilator only items that • are specified as part of or compatible with the ventilator system. Additional equipment connected to medical electrical equipment must comply with the respective IEC or ISO standards. Furthermore, all configurations shall comply with the requirements for medical electrical systems (see IEC 60601-1-1 or clause 16 of edition 3 of IEC...
  • Page 230 C. Communications Interface (For your note.)

  • Page 231: Emc Declarations

    D. EMC Declarations D. EMC Declarations NOTE • Using accessories other than those specified may result in increased electromagnetic emission or decreased electromagnetic immunity of the equipment. • The ventilator or its components should not be used adjacent to or stacked with other equipment. If adjacent or stacked use is necessary, the ventilator or its components should be observed to verify normal operation in the configuration in which it...

  • Page 232: Compliance

    D. EMC Declarations Table D-1.Guidance and manufacturer's declaration- electromagnetic emissions Electromagnetic environment - Emissions test Compliance guidance The ventilator uses RF energy only for its internal function. Therefore, its RF emissions are RF emissions CISPR 11 Group 1 very low and are not likely to cause any interference in nearby electronic equipment.

  • Page 233: Compliance

    D. EMC Declarations IEC 60601-1-2 test Compliance Electromagnetic Immunity test level level environment - guidance ±1 kV Mains power quality ±1 kV line(s) to line(s) to Surge IEC should be that of a typical line(s) ±2 kV line(s) line(s) ±2 61000-4-5 commercial or hospital to earth...
  • Page 234 D. EMC Declarations IEC 60601-1-2 test Compliance Electromagnetic Immunity test level level environment - guidance Portable and mobile RF communications equipment should be used no closer to any part of the ventilator, including cables, than the 3 Vrms 150 recommended separation kHz to 80 MHz distance calculated from (for RGM, SpO...
  • Page 235 D. EMC Declarations IEC 60601-1-2 test Compliance Electromagnetic Immunity test level level environment - guidance Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
  • Page 236 D. EMC Declarations Table D-3.Recommended separation distances between portable and mobile RF communications equipment and the ventilator Rated maximum Separation distance in meters (m) according to output power of frequency of the transmitter transmitter(W) 150 kHz to 80 80 kHz to 800 800 MHz to 2.5 0.01 0.12...
  • Page 237 E. Compliance E. Compliance IEC Standard EN Standard Designation General requirements for IEC 60601-1 EN 60601-1 basic safety and essencial performance Electromagnetic IEC 60601-1-2 EN 60601-1-2 compatibility IEC 60601-1-6 EN 60601-1-6 Usability IEC 62366-1 EN 62366-1 Usability IEC 60601-1-8 EN 60601-1-8 Alarm systems ISO 80601-2-55 EN ISO 80601-2-55 Repiratory gas monitors...
  • Page 238 E. Compliance (For your note.)

  • Page 239: Neonatal Ventilation

    F. Neonatal Ventilation F. Neonatal Ventilation WARNING Check the neonatal flow sensor before use. DO • NOT use the neonatal flow sensor if the sensor’s main body, tubing or connector is damaged or occluded. DO NOT use the neonatal flow sensor if the •...
  • Page 240 F. Neonatal Ventilation position where the tubing or cables may become easily entangled, knotted or detached. Otherwise, this may result in hypercarbia or hypoxemia. Please DO NOT apply pressure to the neonatal flow • sensor by pulling the neonatal flow sensor tubing, or rotate the neonatal flow sensor.
  • Page 241 F. Neonatal Ventilation confirmation of the expiration valve assembly must be done before connecting the tube. If it is not a neonatal expiration valve assembly, please replace it. 1-Neonatal expiration valve assembly 2-Adult/pediatric expiration valve assembly To disassemble: 1. Rotate the expiration valve handwheel until the indicating arrow on the handwheel is aligned with the unlock position.
  • Page 242 F. Neonatal Ventilation F.2 Installing Neonatal Tubing 3.2 Installing the Patient Tubing Refer to .The use of a humidifier is recommended when installing neonatal tubing. 1. Mount the filters onto the inspiratory and expiratory ports. 2. Connect the inspiratory filter to the humidifier inlet via the neonatal tube.
  • Page 243 F. Neonatal Ventilation F.3 System check 6.3 System check Refer to . Please make sure that the system check is completed before initiation of neonatal ventilation. F.4 Start Ventilation WARNING Before using the ventilator on the patient, check • that the oxygen concentration in the delivered gas is consistent with the setting value.
  • Page 244 F. Neonatal Ventilation When the neonatal flow sensor returns to normal, the ventilator will switch back to the original ventilation mode automatically. F.6 Neonatal Flow Sensor calibration Please perform calibration of the neonatal flow sensor when the measured value has a great deviation. Refer 9.5 Flow sensor calibration NOTE •...
  • Page 245 F. Neonatal Ventilation Table F-1.Control settings Parameter Range Resolution Accuracy 20 to 2000mL: ±(10mL+10% of setting) 2 to 300 mL 1 mL 2 to 20mL: ±(2mL+10% of setting) 1 to 150 /min 1 /min ±1 /min f-SIMV 1 to 150 /min 1 /min ±1 /min ±0.1s or ±10% of...
  • Page 246 F. Neonatal Ventilation F.8 Monitored Parameters For all measured and computed variables that are displayed or used for control, the low pass filtering and moving average smoothing techniques is used. NOTE • The unlisted parameters are the same as the corresponding parameters of adult.

  • Page 247: Glossary

    Glossary Glossary Apnea Inspiration time set in apnea ventilation mode. T-insp. Apnea Vent Apnea ventilation. Assist Assisted trigger function. APRV Airway Pressure Release Ventilation. ATPD Ambient Temperature and Pressure Dry. BPAP Bilevel Positive Airway Pressure. BTPS Body Temperature and Pressure Saturated C-dyn.
  • Page 248 Glossary Inspiratory positive airway pressure. A control setting. The application and maintenance of pressure above IPAP atmospheric at the airway throughout the inspiration phase of positive-pressure mechanical ventilation. I-trigger Inspiratory trigger sensitivity The accumulated expired tidal volume in one minute. The accumulated leakage (inspiratory volume minus MV-leak expiratory volume) in one minute.
  • Page 249 Glossary PRVC Pressure Regulated Volume Control. Pressure Synchronized Intermittent Mandatory PSIMV Ventilation. Patient leak, the leak resulting from leaks around the mask or from unintentional leaks in the circuit. A Pt.-leak monitored parameter shown when the intentional leak is known. Patient trigger, Percentage of patient-triggered breaths.
  • Page 250 Glossary T-exp Time of Expiration T-high Time of High Pressure Inspiratory duty cycle. Inspiratory time divided by Ti/Ttot. total cycle time, averaged over 8 breaths, a monitored parameter. Time of Inspiration. The duration of inspiration in one T-insp. breathing cycle. T-low is the time that the ventilator will hold the low T-low pressure level.
  • Page 251 Glossary Vtrap Volume of Trap Gas Work of Breath Intermittent Positive End-Expiratory Pressure. It is a Δ int.PEEP relative value relative to PEEP. Δ P-insp. It is a relative value relative to PEEP. Pressure Support Level. It is a relative value relative to Δ...

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