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Weinmann MEDUVENT Standard Instructions For Use Manual

Weinmann MEDUVENT Standard Instructions For Use Manual

Ventilator
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MEDUVENT Standard
Ventilator
Instructions for use for devices from software version 3.1
Read these instructions for use before using the product.
Ignoring the instructions for use may lead to serious injury or death.

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Summary of Contents for Weinmann MEDUVENT Standard

  • Page 1 MEDUVENT Standard Ventilator Instructions for use for devices from software version 3.1 Read these instructions for use before using the product. Ignoring the instructions for use may lead to serious injury or death.
  • Page 2: Table Of Contents

    Accessories and other parts ............37 3.4.1 Power supply ..................37 3.4.2 Breathing circuit ..................38 3.4.3 Miscellaneous ..................40 3.4.4 Reusable breathing circuit ..............42 3.4.5 Disposable breathing circuit ..............44 Rechargeable battery and battery status indicator ......46 MEDUVENT Standard...
  • Page 3 Changing ventilation parameters ..........87 Changing patient group .............. 89 Changing alarm limits ..............90 6.8.1 Changing the alarm limit of a measured value directly ......91 6.8.2 Accessing the alarm limits with the alarm mute button ......93 MEDUVENT Standard...
  • Page 4 Assembling the reusable breathing circuit ..........122 7.7.2 Fitting the adapter for disposable breathing circuit ........ 125 Cleaning and disinfection plan ........... 125 7.8.1 Definition of the levels of disinfection ........... 125 7.8.2 Device and accessories ................. 126 7.8.3 Breathing circuits .................. 127 MEDUVENT Standard...
  • Page 5 Device information ..............154 9.10 Battery information ..............155 Ventilation modes 10.1 Classification of ventilation modes ..........156 10.2 Trigger options ................157 10.3 Ventilation parameters and measured values ......158 10.3.1 Ventilation parameters ................158 10.3.2 Measured values ................... 159 MEDUVENT Standard...
  • Page 6 Removing the hygiene filter ..............196 12.4.2 Inserting the hygiene filter ..............196 12.5 Replacing the rechargeable battery ..........197 12.5.1 Removing the rechargeable battery ............197 12.5.2 Installing the rechargeable battery ............200 12.6 Sending in parts ................ 202 MEDUVENT Standard...
  • Page 7 Structure and content of service data ............ 230 16.10.2 Recorded function checks (fcheck file) ........... 230 16.10.3 Recorded session data ................231 16.11 Alarms ..................232 16.11.1 Alarm delay times ................. 232 16.11.2 Recording of the alarm system .............. 232 Warranty EU declaration of conformity MEDUVENT Standard...
  • Page 8: Introduction

    Caution! CAUTION indicates a dangerous situation which may result in minor injury if not prevented. Notice! NOTICE indicates risks which might possibly cause material or environmental damage. Designates useful tips relating to a particular sequence of actions. MEDUVENT Standard...
  • Page 9: Safety

    2.1.1 Indications and medical purpose MEDUVENT Standard MEDUVENT Standard is an emergency and transport ventilator with functions for the monitoring of respiratory values. The device can be used for invasive and non-invasive ventilation via the nose, mouth and trachea.
  • Page 10: Patient Target Group(S)

    2.1.2 Patient target group(s) MEDUVENT Standard is used in the treatment of infants, children, and adults with a body weight of 7 kg and more. In the case of volume-controlled ventilation, tidal volumes of 50 ml or more are possible.
  • Page 11: Undesirable Side Effects And Complications

    VENTcirc-MVS, HF-MVS, MEDUtrigger There are no known side effects or complications related to the use of the accessory. When used in combination with MEDUVENT Standard, undesirable side effects and complications may occur. FlowCheck sensor The use of the FlowCheck sensor increases the dead space of the breathing circuit.
  • Page 12: Clinical Benefit Of The Product

    Operation in conjunction with magnetic resonance imaging machines • Long-term ventilation of over 24 hours VENTcirc-MVS, HF-MVS, MEDUtrigger, FlowCheck sensor, MEDUtrigger with FlowLine-FlowCheck connection line The accessories are subject to the same exclusions and limitations of the intended purpose as MEDUVENT Standard. MEDUVENT Standard...
  • Page 13: Requirements On The User

    2.3 Requirements on the operator The operator must ensure that accessories and other parts connected to MEDUVENT Standard are compatible with the device. The compatibility of the accessories is indicated by the symbol and the name of the device.
  • Page 14 Risk of asphyxia as a result of aspiration! Mask ventilation at excessive ventilation pressures may lead to gastric insufflation and aspiration of stomach contents. This may cause serious or life-threatening injury to the patient.  Avoid high pressures during mask ventilation. MEDUVENT Standard...
  • Page 15 This may cause serious or life- threatening injury to the patient, and damage the device.  Only operate the device with a hygiene filter.  Replace the hygiene filter after operating the device in a very dusty atmosphere. MEDUVENT Standard...
  • Page 16  Use the device only in the following positions: • Display facing upward (when the device is lying on a table for example). • Display facing forward (when the device is mounted on a wall by a portable unit for example). MEDUVENT Standard...
  • Page 17 Risk of explosion if the device is used in hyperbaric chambers! If the device is used in a hyperbaric chamber, this may lead to explosions.  Never use the device in hyperbaric chambers. MEDUVENT Standard...
  • Page 18 Modifications to the design of the device may result in disruption or failure of therapy. This may cause serious or life-threatening injury to the patient.  Do not make any modifications to the design of the device or accessories. MEDUVENT Standard...
  • Page 19  Do not short-circuit the rechargeable battery.  Protect the rechargeable battery from moisture.  Protect the rechargeable battery from high temperatures.  Do not subject the rechargeable battery to high pressure.  Have the rechargeable battery replaced only by trained personnel. MEDUVENT Standard...
  • Page 20  Do not stack the device with other medical electrical devices.  Do not operate the device in the direct vicinity of other medical electrical devices (exception: WEINMANN Emergency devices which have been tested to ensure that they can be operated alongside the device without problems.
  • Page 21  Before using accessories and other parts, check that they are compatible with the device.  Follow the instructions for use of the accessories.  Do not connect any accessories to the disposable patient valve’s Luer-Lock connection.  Do not use a closed suction system during ventilation. MEDUVENT Standard...
  • Page 22 This may cause serious or life- threatening injury to the patient.  Only use the recommended cleaning agents and disinfectants.  Replace illegible labels. MEDUVENT Standard...
  • Page 23  Note that all applied parts can warm up to ambient temperature.  Note that the applied respiratory gas can reach a temperature > 41 °C.  Shorten the application time at ambient temperatures > 41 °C. MEDUVENT Standard...
  • Page 24: Description

    Covers the battery compartment. Indicates whether the device has been opened Security seal without authorization. SD card slot with SD card cover For inserting an SD card. Connects the device to the measuring circuit of the Measuring circuit connection breathing circuit. MEDUVENT Standard...
  • Page 25 Connects the device to the ventilation hose of the Ventilation hose connection breathing circuit. Protective cap for ventilation hose Protects the ventilation hose connection when it is connection not in use. Navigation knob Permits navigation in the menus. Loudspeaker (not seen) Emits audio alarms. MEDUVENT Standard...
  • Page 26: Control Panel And Connections

    In the start menu: • Briefly press the menu button: Activate quick settings. • Press and hold the menu button for 2 s: Activate Menu button the operator menu. During ventilation: Briefly press the menu button: Activate the user menu. MEDUVENT Standard...
  • Page 27 LED showing green: Indicates that the device is connected to line power. Line power indicator • LED not on: The device is being operated by the rechargeable battery and not by line power. Alarm light Displays high-priority alarms visually. MEDUVENT Standard...
  • Page 28: Display

    Displays current time. Indicates the charge level of the battery (see “3.5 Battery status Rechargeable battery and battery status indicator”, page 46). Indicates the calculated inspiratory time. Inspiratory time Ti If an alarm is displayed, this display is omitted. MEDUVENT Standard...
  • Page 29 Indicates the ventilation pressure achieved at the end Maximum value indicator of inspiration. Pressure limit Indicates the value set for pressure limit pMax. Indicates the calculated minute volume. Minute volume MV If an alarm is displayed, this display is omitted. MEDUVENT Standard...
  • Page 30: Ventilation Mode With Curve View (Example)

    Indicates the value set for pressure limit pMax. Displays the set lower and upper alarm limit for the Alarm limits measured value. Indicates the calculated minute volume. Minute volume MV If an alarm is displayed, this display is omitted. MEDUVENT Standard...
  • Page 31: Measured Values View (Example)

    Plateau pressure: Displays the pressure during the pPlat plateau time. pPeak Peak pressure: Indicates the maximum pressure. A description of all the measured values can be found in the chapter entitled Ventilation modes (see 10.3.2, p. 159). MEDUVENT Standard...
  • Page 32: Parameter View (Example)

    Speed of pressure rise Ratio of inspiration to expiration ExTr Expiratory trigger InTr Inspiratory trigger ΔpASB Pressure support A description of all the ventilation parameters can be found in the chapter entitled Ventilation modes (see 10.3.1, p. 158). MEDUVENT Standard...
  • Page 33: Ventilation Mode With Extended Curve View (Example)

    3-7 Ventilation mode with curve (example) Designation Description Pressure limit Indicates the value set for pMax. Pressure curve Displays the ventilation pressure curve. Flow curve Displays the flow curve. Reduce curve view and return to ventilation mode Back view. MEDUVENT Standard...
  • Page 34: Night Colors

    3 Description 3.3.6 Night colors 3-8 Night colors display (example) The night colors can be set in the user menu during ventilation: User menu | Display settings | Night colors. MEDUVENT Standard...
  • Page 35: Symbols In The Display

    12 years old) Emergency mode Adult (from about 13 years old) Set ventilation mode and parameters for a new New patient symbol patient individually Function check symbol Start function check Start ventilation symbol Start ventilation in the selected ventilation mode MEDUVENT Standard...
  • Page 36 For CPAP + PS and PRVC + PS ventilation modes (only available in selected countries): Setting in 3 levels There is an overview of the symbols and labels on the device and its packaging in the Labels subchapter (see 3.7, p. 48). MEDUVENT Standard...
  • Page 37: Accessories And Other Parts

    12 V on- board power supply/circular connector. Connects the device together with Adapter cable for 12 V on-board the charging adapter to the 12 V power supply/circular connector on-board power supply of a vehicle. MEDUVENT Standard...
  • Page 38: Breathing Circuit

    MEDUtrigger Enables manual triggering of a (with connection line) mechanical breath. Measures the flow toward the FlowCheck sensor patient and toward the device. MEDUtrigger with FlowLine- Connects MEDUtrigger and the FlowCheck connection line FlowCheck sensor to the device. MEDUVENT Standard...
  • Page 39 Hook and loop strap with clip the patient’s clothing. For filtering and humidifying Breathing system filter respiratory air. Connects the breathing circuit to Ventilation mask the patient. Adapter for disposable breathing Allows the device to be operated circuit with a disposable breathing circuit. MEDUVENT Standard...
  • Page 40: Miscellaneous

    Protects the device from viral and Hygiene filter bacterial contamination. For reading out session data and SD card service data, and for performing software updates. Used to transport the device Portable unit (example) (see “3.6 Transport options”, page 47). MEDUVENT Standard...
  • Page 41 3 Description Designation Description Simulates a ventilated patient in Testing bag for function check the function check. Simulates a ventilated patient for EasyLung test lung for function presentation purposes and in the check function check. MEDUVENT Standard...
  • Page 42: Reusable Breathing Circuit

    FlowCurve Pro option) device. FlowCheck sensor (only with FlowCurve Measures the flow toward the patient and toward the Pro option) device. Connects the reusable breathing circuit to the mask or Elbow tracheal tube. MEDUtrigger Used to trigger mechanical breaths manually. MEDUVENT Standard...
  • Page 43 Connects the measuring circuit to the measuring Adapter for reusable breathing circuit circuit connection on the device. MEDUtrigger with FlowLine-FlowCheck Connects MEDUtrigger and the FlowCheck sensor to connection line (only with FlowCurve Pro the device. Alternatively, you can use the MEDUtrigger option) connection line. MEDUVENT Standard...
  • Page 44: Disposable Breathing Circuit

    FlowCurve Pro option) device. Connects the breathing circuit to the mask or tracheal Elbow tube. MEDUtrigger Manually triggers mechanical breaths. Luer-Lock connection Not used in combination with MEDUVENT Standard. Implements device commands relating to inspiration and Patient valve expiration. MEDUVENT Standard...
  • Page 45 Connects the device to the measuring circuit of the Adapter for disposable breathing disposable breathing circuit. The adapter for disposable circuit breathing circuit remains permanently on the device. The respiratory gas flows through the ventilation hose Ventilation hose from the device to the patient valve. MEDUVENT Standard...
  • Page 46: Rechargeable Battery And Battery Status Indicator

    Battery almost empty. Battery empty appears in the display. The device can be used for at least another 5 min. • Battery is defective. • No battery. • Battery not at suitable temperature. Green arrow: Battery is charging. MEDUVENT Standard...
  • Page 47: Transport Options

    3-11 Transport options (examples) Designation LIFE-BASE 3 NG LIFE-BASE 1 NG XS LIFE-BASE light XS LIFE-BASE 1 NG XL Protective transport bag (MOLLE-compatible) MEDUVENT Standard...
  • Page 48: Labels

    Attention: Observe the warnings and precautions in the instructions for use Safety check label (STK, only applies to Germany): Indicates when the next Technical Safety Check (“Sicherheitstechnische Kontrolle” in accordance with § 11 of the German regulation MPBetreibV) is required. MEDUVENT Standard...
  • Page 49 Type of protection against electric shock: Protection class II device • Complete protection against solid objects IP54 • Protected from ingress of dust • Protected from splashes from any angle Input voltage (12 V to 15 V) Input for energy and signals: MEDUtrigger connection MEDUVENT Standard...
  • Page 50 Indicates the correct installation position of the PEEP control diaphragm. Date of manufacture Indicates the date of the next maintenance (position: on service label). Indicates the correct flow direction during inspiration. >PC< Material designation: Polycarbonate >PP< Material designation: Polypropylene MEDUVENT Standard...
  • Page 51: Preparation

    Failure of therapy or loss of power resulting from use of an incorrect power supply unit and charger! If you are using a portable unit with the MEDUVENT Standard and MEDUCORE Standard or MEDUCORE Standard² device combination, the devices might lose power when using the 50 W power supply unit and charger, and therapy might fail prematurely.
  • Page 52 Connect the device to the vehicle’s on-board power supply with the charging adapter and the adapter cable for 12 V on-board power supply/circular connector. Result The device has been connected to the power supply. The device automatically starts charging the battery. MEDUVENT Standard...
  • Page 53: Connecting The Breathing Circuit

     Use only approved accessories.  Pay attention to increased dead space volume when ventilating at low tidal volumes. 4.3.1 Connecting the reusable breathing circuit 1. Connect the ventilation hose to the ventilation hose connection. MEDUVENT Standard...
  • Page 54 FlowLine-FlowCheck connection line (optional) to the accessories connection. 3. Fit the adapter for reusable breathing circuit on the measuring circuit connector. 4. In the case of invasive ventilation: Connect the patient valve of the breathing circuit to the tracheal tube following intubation: MEDUVENT Standard...
  • Page 55 6. If necessary: Fix the breathing circuit to the patient’s clothing using the hook and loop strap with clip. Result The reusable breathing circuit has been connected to the device and is ready for use. MEDUVENT Standard...
  • Page 56: Connecting The Disposable Breathing Circuit

    Disrupted or failed therapy due to non-approved accessories! The Luer-Lock connection on the disposable patient valve is not used in combination with MEDUVENT Standard. Defective or non- approved accessories may cause malfunctions, incorrect output values, and improper ventilation performance. This may cause serious or life-threatening injury to the patient.
  • Page 57: In The Case Of Invasive Ventilation: Connect The Patient Valve Of The Breathing Circuit To The Tracheal Tube Following Intubation

    • With/without elbow • With breathing system filter For mask ventilation: Connect the ventilation mask to the patient valve of the breathing circuit: • With/without elbow • With breathing system filter MEDUVENT Standard...
  • Page 58: Connecting The Flowcheck Sensor

     Do not touch the pins on the FlowCheck sensor connector and the patient at the same time. The FlowCheck sensor enables flow measurement (only with FlowCurve Pro option). 1. Connect the plug of the FlowLine-FlowCheck connection line with MEDUtrigger to the accessories connection on the device. MEDUVENT Standard...
  • Page 59 4. For the reusable breathing circuit: Guide the connection line with the measuring circuit and ventilation hose into the protective sleeve of the breathing circuit. 5. If necessary: Activate FlowCurve Pro option (see “9.6.1 Enabling options”, page 148). MEDUVENT Standard...
  • Page 60: Connecting The Oxygen Supply

    The oxygen cylinder has been filled. • The outlet flow of the inhalation source for the oxygen supply is ≤ 15 l/min. 1. Briefly open the oxygen cylinder valve and then close it again to blow off dirt particles. MEDUVENT Standard...
  • Page 61 4. Connect the oxygen inlet tube to the device’s oxygen inlet. 5. Set the type of supply gas (O 100 % or O 93 %) in the operator menu (see “9.3 Device settings”, page 142). Result The device has been connected to the oxygen supply. MEDUVENT Standard...
  • Page 62: Using The Sd Card

     Only remove the SD card when no service data are being exported and the device software is not being updated. 4.5.1 Inserting the SD card 1. Open the SD card cover. MEDUVENT Standard...
  • Page 63: Removing The Sd Card

    1. Open the SD card cover. 2. Briefly push the SD card into the device. The SD card is ejected slightly. 3. Remove the SD card. 4. Close the SD card cover to protect the device from ingress of moisture. MEDUVENT Standard...
  • Page 64: Converting The Device

    4. Fit the protective cap for connection terminal in the adapter for disposable breathing circuit to cover the screw. Result The device has been converted for use with a disposable breathing circuit. The adapter for disposable breathing circuit remains on the device. MEDUVENT Standard...
  • Page 65: Converting The Device To A Reusable Breathing Circuit

    3. Remove the adapter for disposable breathing circuit from the device. 4. Fit the protective cap for connection terminal on the open bore on the measuring circuit connection. Result The device has been converted for use with a reusable breathing circuit. MEDUVENT Standard...
  • Page 66: Function Check

    Before each use Breathing circuit (reusable • After each hygienic reprocessing breathing circuit) • After each disassembly 5.2 Preparing for the function check 1. Check battery status: The rechargeable battery must be fully charged. If necessary: Charge battery. MEDUVENT Standard...
  • Page 67: Performing The Function Check

    Prerequisite • The device is disconnected from the patient. • The rechargeable battery is fully charged. • The SD card is in the SD card slot. • The hygiene filter is inserted in the filter compartment. MEDUVENT Standard...
  • Page 68 66). • The device is switched on (see “6.2 Switching on the device”, page 78). 1. Select the Function check menu item. 2. Prepare the device: • Connect the breathing circuit to the device. MEDUVENT Standard...
  • Page 69 4. If you want to test the oxygen supply: Select Yes. If you do not want to test the oxygen supply: Select No. The device skips the oxygen test. 5. Set oxygen supply (5 l/min - 15 l/min) (see “6.10 Supplying oxygen”, page 98). 6. Select Start. MEDUVENT Standard...
  • Page 70 5 Function check 7. Stop the oxygen supply and close the oxygen cylinder (see “6.10 Supplying oxygen”, page 98). 8. Select Next. 9. If an alarm tone is emitted: Select Yes. MEDUVENT Standard...
  • Page 71 ) one after the other until all the fields go green. 12. If MEDUtrigger is connected but is not displayed in the function check: Activate the Manual option in the operator menu (see “9.6.1 Enabling options”, page 148). Repeat the function check. MEDUVENT Standard...
  • Page 72 Yellow Order hygiene filter. Replace hygiene filter (see 12.4, p. 195). Gray Indicates the filter life used. 14. If the hygiene filter has been replaced: Select Reset. 15. Enter the filter reset code specified in the operator menu. MEDUVENT Standard...
  • Page 73 5 Function check On delivery, the filter reset code is 0000. WEINMANN Emergency recommends changing this code as soon as the device is put into operation. 16. Select Next. The status report appears (example: Device ready for use). MEDUVENT Standard...
  • Page 74 For precise details on the individual tests in the function check, refer to the fcheck file on the SD card (see “16.10.2 Recorded function checks (fcheck file)”, page 230). 18. Select Finish. 19. Switch off the device. MEDUVENT Standard...
  • Page 75: Checking The Reusable Patient Valve

    If a diaphragm is torn, corrugated, distorted or sticky: Replace the diaphragm. 3. Assemble the reusable breathing circuit (see “7.3 Reprocessing parts mechanically”, page 110). 4. Check the system for leaks with a new function check. Result The reusable patient valve has been checked. MEDUVENT Standard...
  • Page 76: Operation

    Increased breathing effort for the patient due to covered patient valve! Covering the patient valve may impair its function and put therapy at risk. This may injure the patient.  Do not cover/seal the expiration opening of the patient valve. MEDUVENT Standard...
  • Page 77: Intended Operating Position

    6 Operation 6.1 Intended operating position The operating position must be selected so that the user can observe, identify and, if necessary, adjust the monitored ventilation parameters, alarm transmitters and alarm statuses at all times. MEDUVENT Standard...
  • Page 78: Switching On The Device

    The self-test is successful when all of the steps have been completed. After the self-test, the device displays the start menu: 2. If one or more conditions are not met: Do not operate the device. Result The device is switched on and on standby. MEDUVENT Standard...
  • Page 79: Navigating In The Device

    Mute alarm for Briefly press the 120 s. alarm mute – – Press the alarm button: Mute • Press and hold the mute button alarm for 120 s. alarm mute button for 2 s: Set alarm limits. MEDUVENT Standard...
  • Page 80: Starting Ventilation

    If the device is used without a hygiene filter in a contaminated environment, it may draw in contaminated or infected ambient air. This may cause the patient and the user serious or life- threatening injury.  Only operate the device with a hygiene filter. MEDUVENT Standard...
  • Page 81  Before using accessories and other parts, check that they are compatible with the device.  Follow the instructions for use of the accessories.  Do not connect any accessories to the disposable patient valve’s Luer-Lock connection.  Do not use a closed suction system during ventilation. MEDUVENT Standard...
  • Page 82: Starting Ventilation For A Patient Group

    3. If the patient group was initially set incorrectly: First change the patient group (see “6.7 Changing patient group”, page 89), then adapt the parameters. Result Ventilation for a specific patient group has been started. MEDUVENT Standard...
  • Page 83: Starting Ventilation For A New Patient

    Function check has been carried out and passed (see “5 Function check”, page 66). • The device is switched on and, after the self-test, displays the start menu. 1. Select New patient. 2. Select the following parameters: • • Height • Ventilation mode MEDUVENT Standard...
  • Page 84 4. If necessary: Select More and adjust additional ventilation parameters. 5. Connect the patient to the device via a ventilation mask or tracheal tube. 6. Select Start. The device starts ventilation. MEDUVENT Standard...
  • Page 85: Changing Ventilation Mode

    1. Briefly press the menu button The user menu opens. 2. Select the Ventilation mode menu item. 3. Select the desired ventilation mode. The parameters of the new ventilation mode are displayed. 4. If necessary: Change the ventilation mode parameters. MEDUVENT Standard...
  • Page 86 6 Operation 5. Select Start. The change of ventilation mode is displayed briefly. Result The ventilation mode has been changed. MEDUVENT Standard...
  • Page 87: Changing Ventilation Parameters

    (see “6.4 Starting ventilation”, page 80). 1. Select the ventilation parameter you want to change using the navigation knob. 2. Change the ventilation parameter. 3. Confirm the value. 4. If necessary: Switch level of the parameter view to set additional parameters. MEDUVENT Standard...
  • Page 88 1.5 l/min or above 20 l/min (BTPS) cannot be set. 1.5 l/min ≤ Freq. × Vt ≤ 20 l/min • I:E = Ti/Te Ti ≥ 500 ms (parameter Freq. and I:E) Te ≥ 500 ms (parameter Freq. and I:E) MEDUVENT Standard...
  • Page 89: Changing Patient Group

    The device is switched on (see “6.2 Switching on the device”, page 78). • Ventilation has been started (see “6.4 Starting ventilation”, page 80). 1. Briefly press the menu button The user menu opens. 2. Select Emergency mode. MEDUVENT Standard...
  • Page 90: Changing Alarm Limits

    • Access the Alarm limits submenu with the alarm mute button (see 6.8.2, p. 93) • Change alarm limits in the user menu (see 8.3.2, p. 133) Prerequisite Ventilation has been started (see “6.4 Starting ventilation”, page 80). MEDUVENT Standard...
  • Page 91: Changing The Alarm Limit Of A Measured Value Directly

    6 Operation 6.8.1 Changing the alarm limit of a measured value directly 1. Select measured value using the navigation knob. 2. Press the navigation knob. 3. Turn the navigation knob to select the lower or upper alarm limit. MEDUVENT Standard...
  • Page 92 6 Operation 4. Change alarm limit. 5. Confirm the value. Result The changed alarm limit is active immediately. MEDUVENT Standard...
  • Page 93: Accessing The Alarm Limits With The Alarm Mute Button

    1. Press and hold the alarm mute button for 2 s. The Alarm limits submenu opens. 2. Select Apply automatic alarm limits. Select and change an individual alarm limit. 3. Confirm the value. Result The changed alarm limits are active immediately. MEDUVENT Standard...
  • Page 94: Activating Apnea Ventilation

    BiLevel + ASB are (optionally) available as apnea ventilation modes. 6.9.1 Presetting the ventilation mode for apnea ventilation in the operator menu Prerequisite The operator menu is activated (see “9.1 Activating operator menu”, page 140). 1. Select the Ventilation presets menu item. 2. Activate Apnea ventilation. MEDUVENT Standard...
  • Page 95: Activating Or Deactivating Apnea Ventilation During Ventilation

    Prerequisite Ventilation in CPAP, CPAP + ASB or CPAP + PS mode has been started. 1. Briefly press the menu button The user menu opens. 2. Select the Ventilation parameters menu item. 3. Activate or deactivate apnea ventilation. MEDUVENT Standard...
  • Page 96: Setting The Alarm Limit For The Apnea Alarm

    Ventilation in CPAP, CPAP + ASB or CPAP + PS mode has been started. 1. Briefly press the menu button The user menu opens. 2. Select the Alarm limits menu item. Select the Ventilation parameters menu item. 3. Set apnea alarm. MEDUVENT Standard...
  • Page 97: Ending Apnea Ventilation

    The alarm message Apnea ventilation active is displayed when apnea ventilation is active. You have the following options: • Continue ventilation in apnea ventilation mode. The alarm stops if settings are changed. • Select the button and return to the ventilation mode displayed. MEDUVENT Standard...
  • Page 98: Supplying Oxygen

    The device is switched on (see “6.2 Switching on the device”, page 78). • Ventilation has been started (see “6.4 Starting ventilation”, page 80). If you want an oxygen concentration of 100 %, use the minute volume administered as a guide. MEDUVENT Standard...
  • Page 99 1. Set the flow at the oxygen supply. The device indicates the measured oxygen concentration in the display. 2. Read off the oxygen concentration from the display. 3. If necessary: Adjust the oxygen concentration. Result The oxygen concentration has been set. MEDUVENT Standard...
  • Page 100: Calculating Operating Time

    Operating time of oxygen cylinder Set oxygen flow (hh:mm) (l/min) 2 l volume 10 l volume 13:20 66:40 06:40 33:20 04:26 22:13 03:20 16:40 02:13 11:06 01:20 08:20 01:06 06:40 00:44 05:33 00:33 03:42 00:26 02:13 Result Operating time has been calculated. MEDUVENT Standard...
  • Page 101: Switching Off The Device

    5. If necessary: Replace the ventilation mask or tracheal tube. 6. If necessary: Replace the disposable breathing circuit. 7. If necessary: Stow the accessories on the portable unit. 8. If necessary: Place the device and accessories in storage (see “13 Storage”, page 203). MEDUVENT Standard...
  • Page 102: Hygienic Reprocessing

    Read this chapter in full before starting hygienic reprocessing. If you have any questions about hygienic reprocessing, please contact the manufacturer WEINMANN Emergency. It is preferable to perform mechanical cleaning and disinfection instead of manual cleaning and disinfection for parts which can be cleaned and disinfected mechanically.
  • Page 103 (see “7.8 Cleaning and disinfection plan”, page 125).  Only use recommended cleaning agents and disinfectants.  Subject the device and accessories to a visual inspection for external damage following every hygienic reprocessing opera- tion. MEDUVENT Standard...
  • Page 104  Allow the device and its accessories to dry completely following any reprocessing step.  Only use disinfection by immersion on parts suitable for this process.  When cleaning and disinfecting the filter compartment, only moisten it, do not wet it. MEDUVENT Standard...
  • Page 105 Material damage as a result of mechanical reprocessing! Mechanical reprocessing in a washer-disinfector may damage or destroy parts not approved for these methods.  Subject only approved parts to mechanical reprocessing (see “7.8 Cleaning and disinfection plan”, page 125). MEDUVENT Standard...
  • Page 106: Hygienic Reprocessing Intervals

    6. If present: Remove the adapter for disposable breathing circuit from the device (see “7.2.2 Disassembling the adapter for disposable breathing circuit”, page 109). 7. If necessary: Remove potentially contaminated hygiene filter using suitable personal protective equipment and dispose of it properly. MEDUVENT Standard...
  • Page 107: Disassembling The Reusable Breathing Circuit

    6. If present: Disconnect FlowLine-FlowCheck with MEDUtrigger connection line from the FlowCheck sensor. 7. Disconnect the patient valve from the ventilation hose. 8. If present: Remove the FlowCheck sensor from the patient valve. 9. Loosen the elbow. MEDUVENT Standard...
  • Page 108 7 Hygienic reprocessing 10. Detach all tubes from the patient valve: • PEEP control tube (1) • Pressure measuring tube (2) • Flexible oxygen tube (3) 11. Remove the patient valve. MEDUVENT Standard...
  • Page 109: Disassembling The Adapter For Disposable Breathing Circuit

    1. Remove the protective cap for connection terminal from the adapter for disposable breathing circuit. 2. Loosen the screw on the adapter for disposable breathing circuit. 3. Remove the adapter for disposable breathing circuit from the device. Result The adapter for disposable breathing circuit has been disassembled. MEDUVENT Standard...
  • Page 110: Reprocessing Parts Mechanically

    • The water must be able to drain off. 4. Add cleaning agent in accordance with the instructions for use of the washer-disinfector. 5. If necessary: Add neutralizer in accordance with the instructions for use of the washer-disinfector. MEDUVENT Standard...
  • Page 111: Mechanically Reprocessing The Protective Sleeve And Hook And Loop Strap With Clip

    4. Wash the protective sleeve according to EN 16616 at 60 °C in a washing machine or industrial washer. Please note: The manufacturer’s instructions must be followed. 5. Subject parts to a visual inspection for soiling, residues and residual moisture. MEDUVENT Standard...
  • Page 112: Cleaning Parts Manually

    Keep uneven surfaces and grooves (e.g. top and bottom of the MEDUtrigger, navigation knob, ventilation hose connection) moist throughout exposure time, and brush off particularly thoroughly. 5. Moisten disposable cloths with cleaning solution in line with the manufacturer’s specification. MEDUVENT Standard...
  • Page 113 9. If visible soiling is still present: Repeat manual cleaning. 10. Remove any cleaning agent residues with a damp cloth. 11. Wipe the MEDUtrigger dry with a dry cloth. 12. Allow all parts to dry completely. Result Parts have been cleaned manually. MEDUVENT Standard...
  • Page 114: Cleaning The Reusable Measuring Circuit Manually

    There must be no air bubbles. • All surfaces must be wetted completely. • Swirl parts around in the cleaning solution so as to wet all surfaces and cavities completely. 9. Observe the exposure time specified in the cleaning and disinfection plan. MEDUVENT Standard...
  • Page 115: Cleaning The Reusable Breathing Circuit Manually

    (see “7.8 Cleaning and disinfection plan”, page 125). 2. For the cleaning agents, dosage and exposure time, refer to the cleaning and disinfection plan (see “7.8 Cleaning and disinfection plan”, page 125). 3. Prepare the cleaning solution. MEDUVENT Standard...
  • Page 116 13. If visible soiling is still present: Repeat manual cleaning. 14. Allow the parts to dry completely. If necessary: Dry the tubes with medical compressed air or medical oxygen. Result The reusable breathing circuit has been cleaned manually. MEDUVENT Standard...
  • Page 117: Disinfecting Parts By Wiping

    When replacing the filter: Disinfect the filter compartment by wiping. 4. Check the parts for residues and residual soiling. 5. If visible soiling remains: Repeat disinfection by wiping. 6. Allow the parts to dry completely. Result The parts have been disinfected by wiping. MEDUVENT Standard...
  • Page 118: Disinfecting Parts By Immersion

    All cavities must be filled. • There must be no air bubbles. • All surfaces must be wetted completely. • Swirl parts around in the solution for disinfection by immersion so as to wet all surfaces and cavities completely. MEDUVENT Standard...
  • Page 119: Disinfecting The Reusable Breathing Circuit By Immersion

    (see “7.8 Cleaning and disinfection plan”, page 125). 3. Prepare the solution for disinfection by immersion. 4. Brush the inside and outside of the parts for at least 1 min with a special lumen brush wetted with solution for disinfection by immersion. MEDUVENT Standard...
  • Page 120 12. Check the parts for residues. 13. If residues remain: Repeat cleaning and disinfection. 14. Allow the parts to dry completely. If necessary: Dry the tubes with medical compressed air or medical oxygen. Result The reusable breathing circuit has been disinfected by immersion. MEDUVENT Standard...
  • Page 121: Preparing Parts For Reuse

    51). 6. Perform a function check (see “5 Function check”, page 66). 7. Place parts in storage in accordance with the storage conditions (see “16 Technical data”, page 211). Result The parts are ready for use again. MEDUVENT Standard...
  • Page 122: Assembling The Reusable Breathing Circuit

    2. Fit the patient valve. Please note: • The side of the PEEP control diaphragm marked “TOP” must be facing up toward the control cover. • The arrow on the control cover must be pointing toward the patient. MEDUVENT Standard...
  • Page 123 Flexible oxygen tube 3 (thickest tube) Please note: The tubes must be firmly attached to the patient valve. 4. Connect the patient valve to the ventilation hose. 5. If present: Connect the FlowCheck sensor to the patient valve. 6. Connect the elbow. MEDUVENT Standard...
  • Page 124 . 11. Close the zip fastener of the protective sleeve. 12. Close off the patient end of the reusable breathing circuit with the protective cap. Result The reusable breathing circuit has been assembled. MEDUVENT Standard...
  • Page 125: Fitting The Adapter For Disposable Breathing Circuit

    A germicidal process using a disinfectant which Intermediate-level destroys viruses, mycobacteria, molds and disinfection vegetative bacteria, but not bacterial spores. A germicidal process using a disinfectant which Low-level disinfection destroys some molds, vegetative forms of bacteria and lipid viruses. MEDUVENT Standard...
  • Page 126: Device And Accessories

    Power supply unit and charger 100 W Hygiene filter Do not reprocess, dispose of properly (see 14, p. 204) Oxygen inlet tube Pressure reducer Portable unit Ventilation mask Follow the manufacturer’s instructions for use Tracheal tube Breathing system filter MEDUVENT Standard...
  • Page 127: Breathing Circuits

    50 ml/l Thermal Flexible oxygen Duration: At Exposure time: disinfection: tube least 10 min 15 min 90 °C, 5 min PEEP control tube until all surfaces (corresponds to Adapter for look clean. A0 value 3000) reusable breathing circuit MEDUVENT Standard...
  • Page 128 Dosage: Not permitted Dosage: disinfection breathing circuit 10 ml/l 50 ml/l Thermal disin- Duration: At Exposure time: fection: 90 °C, least 10 min 15 min 5 min until all surfaces (corresponds to look clean. A0 value 3000) MEDUVENT Standard...
  • Page 129 Protective cap Protective sleeve FlowCheck sensor (reusable) Reusable measuring circuit Pressure measuring tube Flexible oxygen tube PEEP control tube Adapter for reusable breathing circuit Adapter for disposable breathing circuit Connection lines MEDUtrigger connection line MEDUtrigger with FlowLine-FlowCheck connection line MEDUVENT Standard...
  • Page 130: User Menu

    3. Change the setting with the navigation knob and confirm. 4. To exit the menu: Select Back or press the menu button The user menu closes automatically after 5 s with no input. Result Settings are made and apply to the current session. MEDUVENT Standard...
  • Page 131: User Menu Structure

    Inspiratory trigger (InTr) Night colors Ni ht Display settings Expiratory trigger (ExTr) Expiratory trigger (ExTr) Curve view Curve view Trigger window Date/Time Device settings Supply gas O Supply gas O * only available in selected countries 8-1 User menu MEDUVENT Standard...
  • Page 132: Settings In The User Menu

    In the Emergency mode submenu, you can change the patient group during ventilation. 1. Briefly press the menu button . The user menu opens. 2. Select Emergency mode with the navigation knob and confirm. 3. Select patient group: MEDUVENT Standard...
  • Page 133: Alarm Limits

    30 %. Automatic alarm 10 %, 20 %, 30 % limits 4 s to 60 s Apnea (only with ventilation modes CPAP, CPAP + ASB, CPAP + PS (only available in selected countries)) MEDUVENT Standard...
  • Page 134: Ventilation Mode

    The ventilation modes available depend on which options have been enabled and activated. Not all ventilation modes are available in all countries. You can adjust the ventilation parameters before you start the new ventilation mode. 1. Select ventilation mode. MEDUVENT Standard...
  • Page 135: Ventilation Parameters

    Start. Result The ventilation mode has been changed. 8.3.4 Ventilation parameters In the Ventilation parameters submenu, you can change the ventilation parameters of the selected ventilation mode (see “10.3.1 Ventilation parameters”, page 158). MEDUVENT Standard...
  • Page 136: Display Settings

    Display settings submenu Setting Setting range Brightness 10 % to 100 % Checkbox activated: Night colors Display appears in night color mode Checkbox activated: Curve view Curve view Checkbox deactivated: Bar graph view MEDUVENT Standard...
  • Page 137: Device Settings

    8 User menu 8.3.6 Device settings Device settings submenu Setting Setting range Year 2017 to 2037 Month 1 to 12 Date/Time 1 to 31 Hour 0 to 23 Minute 0 to 59 100 % Supply gas O₂ 93 % MEDUVENT Standard...
  • Page 138: Accessing Quick Settings From The Start Menu

    The context menu Quick settings opens. 2. Navigate to the desired menu item and activate it using the navigation knob. 3. To exit the menu: Select Back or press the menu button The menu closes automatically after 5 s with no input. MEDUVENT Standard...
  • Page 139 1 to 12 Date/Time 1 to 31 Hour 0 to 23 Minute 0 to 59 Brightness 10 % to 100 % 100 % Supply gas O₂ 93 % Checkbox activated: Night colors Display appears in night color mode MEDUVENT Standard...
  • Page 140: Operator Menu

    2. Enter the access code with the navigation knob and confirm. The operator menu is protected by an access code. On delivery, this code is 0000. WEINMANN Emergency recommends changing this access code as soon as the device is put into operation.
  • Page 141: Operator Menu Structure

    Export configuration PRVC + ASB Software update Import configuration Import configuration SIMV + ASB Export session data Device information aPCV Battery information BiLevel + ASB CBRN * only available in selected countries Enable option Enable option 9-1 Operator menu MEDUVENT Standard...
  • Page 142: Device Settings

    – counter filter counter. Here you can change the Change filter reset code required to reset the 0000 code filter counter. 100 % Here you can set the Supply gas O₂ 100 % 93 % supply gas type. MEDUVENT Standard...
  • Page 143 Even if the reminder is suppressed, maintenance is required (see 12.1, p. 192). The languages Here you can set the available in the Language language of the display – device are displayed texts. here. MEDUVENT Standard...
  • Page 144: Ventilation Presets

    The setting op- I:E ratio tions for I:E depend on the 1:1.7 combination of ventilation frequency and tidal volume. Reset to facto- Here you can reset the settings for this – – ry settings patient group to their factory settings. MEDUVENT Standard...
  • Page 145 Here you can reset the tidal volume Reset to facto- – per kilogram body weight to the – ry settings factory setting. Here you can preset the PEEP at which PEEP warning 1 mbar - 21 mbar 11 mbar the device generates a warning. MEDUVENT Standard...
  • Page 146 If the BiLevel + ASB mode is enabled and activated in the operator menu, IPPV Apnea ventilation mode you can choose between the IPPV and IPPV BiLevel + ASB BiLevel + ASB modes as apnea ventilation mode. MEDUVENT Standard...
  • Page 147: Changing The Access Code

    2. Enter the new access code with the navigation knob and confirm with OK. 3. Click OK to confirm that you really want to change the access code. Result The access code for activating the operator menu has been changed. MEDUVENT Standard...
  • Page 148: Options

    The operator menu is activated (see “9.1 Activating operator menu”, page 140). • The latest software version has been installed on the device (see “9.8 Software update”, page 152). 1. Select the Options menu item. 2. Select the Enable option menu item. MEDUVENT Standard...
  • Page 149 4. Confirm the enable code with OK. The display shows the enabled option in the Options menu item of the operator menu. 5. If necessary: Activate or deactivate the option. 6. To exit the operator menu, select Back. MEDUVENT Standard...
  • Page 150: Description Of Options

    Enabled with the pressure-controlled ventilation aPCV modes option. Allows the pressure-controlled aPCV ventilation mode. Enabled with the pressure-controlled ventilation BiLevel + ASB modes option. Allows the pressure-controlled BiLevel + ASB ventilation mode. CBRN Enables the use of a CBRN filter. MEDUVENT Standard...
  • Page 151: Importing/Exporting Data

    SD card (see “16.10 Service data”, page 230). • Export configuration The device saves the current configuration to the SD card. • Import configuration The device imports a configuration from the SD card and applies the configuration. MEDUVENT Standard...
  • Page 152: Software Update

    Please note: The software update file must not be in a folder. 3. Insert the SD card (see “4.5.1 Inserting the SD card”, page 62). 4. Select the menu item Software update in the operator menu. The files on the SD card are displayed. MEDUVENT Standard...
  • Page 153 7. Press the navigation knob to restart the device. The device restarts. The start menu appears on the display. 8. Perform a function check (see “5 Function check”, page 66). Result The software update has been carried out. MEDUVENT Standard...
  • Page 154: Device Information

    Last passed function Here you can find out the last time a function check was check passed. Here you can find out which software version is currently Version number Software version installed on the device. MEDUVENT Standard...
  • Page 155: Battery Information

    Here different states of the rechargeable battery are Status word displayed in encoded form. Battery voltage Here the battery voltage measured by the device is displayed. Device data Line voltage Here the line voltage measured by the device is displayed. MEDUVENT Standard...
  • Page 156: Ventilation Modes

    Pressure BiLevel + ASB CPAP + ASB PRVC + ASB S-IPPV Volume IPPV SIMV Manual SIMV + ASB Depending on the enabled options, different ventilation modes are available in the device (see “9.6.2 Description of options”, page 150). MEDUVENT Standard...
  • Page 157: Trigger Options

    SIMV + ASB 20 % of Te S-IPPV (Adjustable with 100 % of Te FlowCurve Pro option) CPAP SIMV 20 % of Te Only available in selected countries: CPAP + PS PRVC + PS 20 % of Te MEDUVENT Standard...
  • Page 158: Ventilation Parameters And Measured Values

    If the set PEEP value is > 0 mbar, the patient must generate a negative pressure of at least -1.2 mbar below the set PEEP value through their spontaneous breathing effort in order to initiate an inspiratory trigger of the device. MEDUVENT Standard...
  • Page 159: Measured Values

    Peak pressure: Displays the maximum pPeak mbar pressure during a ventilation cycle. Plateau pressure: Displays the pressure pPlat mbar during the plateau time of the ventilation cycle. MEDUVENT Standard...
  • Page 160 Vleak % Vti Cause: The measurement of the device is calibrated to air with BTPS values. The leakage values displayed are caused by the dry air in the test lung. Indicates the expiratory tidal volume. MEDUVENT Standard...
  • Page 161: Description Of The Ventilation Modes

    None Ventilation Measured values parameters • pMax • O₂i • Freq. • • • f(fsp) • PEEP • pMean • With FlowCurve Pro option: • O₂i • • f(fsp) • • pPeak • pPlat • pMean • Vleak MEDUVENT Standard...
  • Page 162 This mode is used on patients who have no spontaneous breathing. However, a spontaneously breathing patient can breathe deeply and freely during expiration. The set maximum pressure limit (pMax) ensures the safety of the patient. MEDUVENT Standard...
  • Page 163: Bilevel + Asb (Optional)

    • O₂i • Freq. • • pInsp • f(fsp) • PEEP • • ΔpASB • pPeak • InTr • pPlat • ExTr • pMean • • Vleak • Press. ramp Pressure pInsp Pressure PEEP Time TI=T 1/Freq. insp MEDUVENT Standard...
  • Page 164: Cpap

     Use CPAP mode only on patients with adequate spontaneous breathing.  Continuously monitor the patient and device during ventilation. Description Abbreviation CPAP Long form Continuous Positive Airway Pressure Type Pressure-controlled Prerequisite None Ventilation Measured values parameters • O₂i • PEEP • f(fsp) • pMean MEDUVENT Standard...
  • Page 165 Pressure is generally set at the end of expiration (PEEP). If ventilation is started via New patient with the CPAP ventilation mode, pMax is automatically reduced to 20 mbar. MEDUVENT Standard...
  • Page 166: Cpap + Asb (Optional)

     Avoid high pressures during mask ventilation. Risk of injury from autotriggering! Automatic triggering of the inspiratory trigger by artifacts (autotriggers) can lead to the patient hyperventilating.  Reduce the sensitivity of the inspiratory trigger in the event of autotriggers. MEDUVENT Standard...
  • Page 167 CPAP + ASB mode can be separated into its individual elements: • The CPAP/PEEP set value is used to increase the pressure level of breathing in order to raise the functional residual capacity (FRC) of spontaneously breathing patients. MEDUVENT Standard...
  • Page 168 This allows the administered volume and inspiration time to be set indirectly. The set maximum pressure limit (pMax) ensures the safety of the patient. *Corresponds to a permanently set value of 35 % of maximum inspiratory flow. MEDUVENT Standard...
  • Page 169: Apcv (Optional)

    Ventilation parameter Measured values • pMax • O₂i • Freq. • • pInsp • f(fsp) • PEEP • • InTr • pPeak • Trigger window • pPlat • • pMean • Press. ramp • Vleak MEDUVENT Standard...
  • Page 170 The time window or trigger window can be set in % of Te before the next anticipated mandatory mechanical breath. If the patient displays a spontaneous respiratory effort outside of the set trigger time window, no mandatory mechanical breath is triggered. MEDUVENT Standard...
  • Page 171: Pcv (Optional)

    Ventilation parameter Measured values • pMax • O₂i • Freq. • • pInsp • f(fsp) • PEEP • • Press. ramp • pPeak • • pPlat • pMean • Vleak Pressure pMax pInsp Pressure ramp PEEP Time 1/Freq. (set) 1/Freq. (set) MEDUVENT Standard...
  • Page 172: Prvc + Asb (Optional)

    Ventilation parameter Measured values • pMax • O₂i • Freq. • • • f(fsp) • PEEP • • ΔpASB • pPeak • InTr • pPlat • ExTr • pMean • • Vleak • Press. ramp MEDUVENT Standard...
  • Page 173 The set maximum pressure limit (pMax) ensures the safety of the patient. For safety reasons, the maximum inspiratory pressure (pInsp) is at the level of the pressure limit (pMax). MEDUVENT Standard...
  • Page 174: Simv (Optional)

    • pMax • O₂i • Freq. • • • f(fsp) • PEEP • pMean • InTr • Pressure SIMV pMax Synchronized mechanical Mechanical ventilation ventilation Spontaneous breathing Patient trigger PEEP Time 1/freq. (current) 1/freq. (set) Trigger window MEDUVENT Standard...
  • Page 175: Simv + Asb (Optional)

    FlowCurve Pro option has been activated. Ventilation Measured values parameters • pMax • O₂i • Freq. • • • f(fsp) • PEEP • • ΔpASB • pPeak • InTr • pPlat • ExTr • pMean • • Vleak MEDUVENT Standard...
  • Page 176 20 % of expiratory time Te. For the rest of the time, the patient can breathe spontaneously or spontaneously with the aid of pressure support (see “10.4.4 CPAP + ASB (optional)”, page 166). MEDUVENT Standard...
  • Page 177: S-Ippv (Optional)

    If the expiration phase is too short, pressure might rise slowly at the end of it. This may cause serious or life-threatening injury to the patient.  Continuously monitor airway pressure and respiratory volume.  Set the pressure limit correctly.  Monitor the patient continuously. MEDUVENT Standard...
  • Page 178 • InTr With FlowCurve Pro option: • • O₂i • • f(fsp) • • pPeak • pPlat • pMean • Vleak Pressure S-IPPV Mechanical ventilation Synchronized mechanical ventilation pMax Plateau PEEP Time 1/freq. (current) 1/freq. (set) Trigger window MEDUVENT Standard...
  • Page 179: Manual

    Supply value for 100 % oxygen • • O₂i • • MVe (with FlowCurve Pro option) The setting loaded when you change to Manual mode is specified in the presets for the patient group in the operator menu. MEDUVENT Standard...
  • Page 180 In order to achieve the shortest-possible hands-off time during resuscitation, during CPR 30:2, keep the MEDUtrigger depressed during the ventilation pause until two inspirations have been delivered. Press the trigger button again to trigger up to another 2 mechanical breaths. MEDUVENT Standard...
  • Page 181: Cpap + Ps (Optional)

    Continuous Positive Airway Pressure Long form + Pressure Support Type Pressure-controlled Prerequisite CPAP + PS option has been activated. Ventilation Measured values parameters • pMax • O₂i • ΔpPS • • PEEP • f(fsp) • InTr • pMean MEDUVENT Standard...
  • Page 182 This allows the administered volume and inspiration time to be set indirectly. The set maximum pressure limit (pMax) ensures the safety of the patient. *Corresponds to a permanently set value of 35 % of maximum inspiratory flow. MEDUVENT Standard...
  • Page 183: Prvc + Ps (Optional)

    Long form Ventilation + Pressure Support Type Pressure-controlled Prerequisite PRVC + PS option has been activated. Ventilation Measured values parameters • pMax • O₂i • Freq. • • • f(fsp) • InTr • pMean • ΔpPS • PEEP • MEDUVENT Standard...
  • Page 184 For safety reasons, the maximum inspiratory pressure (pInsp) is at the level of the pressure limit (pMax). If the volume achieved deviates from the set tidal volume, the device triggers the medium-priority alarm Vt not achievable. MEDUVENT Standard...
  • Page 185: Equivalence Table

    10 Ventilation modes 10.5 Equivalence table The following table is used to match the ventilation modes of MEDUVENT Standard with the systematic codes for ventilation modes in EN ISO 19223:2021 Systematic code in Ventilation mode accordance with Comments MEDUVENT Standard...
  • Page 186: Alarms And Faults

    • Multiple alarms of identical priority: The device displays the alarms in rotation. • Technical alarms predominate. They cannot be muted. Technical alarms are generated if no ventilation by the device is possible. MEDUVENT Standard...
  • Page 187: Alarm Messages

    Run device on rechargeable battery without line power until it Battery defective switches off. Fully recharge (device on battery power without Battery defective battery. If the device continues to connection to line power) display the alarm: Replace rechargeable battery. MEDUVENT Standard...
  • Page 188 Position tracheal tube correctly. positioned Vt low ↓ / Stenosis Route tubes so that they are not Tubes kinked or trapped kinked or trapped. Patient valve defective Replace patient valve. Hygiene filter blocked Check and replace hygiene filter. MEDUVENT Standard...
  • Page 189: Medium-Priority Alarms (Yellow)

    Flow setting higher than necessary of thumb for 100 % oxygen: Flow necessary = MVi. Seal oxygen inlet with protective Oxygen inlet is not sealed and no Oxygen inlet leakage cap for oxygen inlet or supply oxygen is being supplied. oxygen. MEDUVENT Standard...
  • Page 190: Low-Priority Alarms (Turquoise)

    11.2 Faults If you are not able to clear faults at once with the aid of the table, you should contact the manufacturer, WEINMANN Emergency, or your specialist dealer to have the device repaired. To avoid more serious damage, do not continue using the device.
  • Page 191 66). Temporary device malfunction Press the menu button to call up Device malfunction (yellow screen) the operator menu directly and export the service data (see 9.7, p. 151). Switch the device off and have it Device defective repaired. MEDUVENT Standard...
  • Page 192: Maintenance

     If battery life has expired, replace the rechargeable battery. 12.1 Intervals Item Interval Maintenance by Maintenance every 4 years WEINMANN Emergency or other Device authorized technicians Safety check every 2 years If the rechargeable battery is stored inside the device, charge every 6 months.
  • Page 193 User/operator der German law, we as the manu- facturer recommend that all parts for use of MEDUVENT Standard that are connected with the same likewise be subject to a Technical Safety Check at the same interval as the device.
  • Page 194: Maintenance Reminder

    Suppression of the maintenance reminder cannot be canceled within the maintenance cycle. Once the 180 days have elapsed, the maintenance reminder is active until the next service, and cannot be deactivated again. Maintenance intervals must be observed even if the maintenance reminder has been suppressed. MEDUVENT Standard...
  • Page 195: Maintaining The Reusable Breathing Circuit

     Check the hygiene filter and filter fleece for external signs of damage and do not use if damaged.  Replace damaged hygiene filter.  Replace hygiene filter after every infection transport. MEDUVENT Standard...
  • Page 196: Removing The Hygiene Filter

    As a result, the system will not be leak-tight, and contamination or infection might occur which might cause the patient or user serious or life-threatening injury.  Check the filter compartment and the hygiene filter for soiling, foreign bodies and damage. MEDUVENT Standard...
  • Page 197: Replacing The Rechargeable Battery

    Phillips screwdriver, size PH1 12.5.1 Removing the rechargeable battery Prerequisite • The device has been disconnected from the power supply. • The device has been removed from the portable unit in accordance with the instructions for use of the portable unit. MEDUVENT Standard...
  • Page 198 1. Loosen the 6 screws of the battery compartment cover on the back of the device. 2. Remove the 6 screws. 3. Remove the battery compartment cover. 4. Tilt the battery at one end and carefully pull it up and out of the housing. MEDUVENT Standard...
  • Page 199 12 Maintenance 5. Remove the battery from the device. 6. Unplug the battery’s electrical connector. Result The rechargeable battery has been removed. MEDUVENT Standard...
  • Page 200: Installing The Rechargeable Battery

    1. Attach the battery’s electrical connector. To do so, plug the battery connector into the socket. The connector engages. 2. Position the battery so that the cable is facing the socket. 3. Make the battery cable into a loop. MEDUVENT Standard...
  • Page 201 6. Fit the battery compartment cover. 7. Tighten the 6 screws on the battery compartment cover. 8. Reset the date and time in the operator menu (see “9 Operator menu”, page 140). Result The rechargeable battery has been installed. MEDUVENT Standard...
  • Page 202: Sending In Parts

     Do not send in parts which are potentially contaminated. 1. Dismantle parts. 2. Clean and disinfect parts (see “7 Hygienic reprocessing”, page 102). 3. Send parts to WEINMANN Emergency, or to a technician specifically authorized by WEINMANN Emergency. MEDUVENT Standard...
  • Page 203: Storage

    2. If necessary: Disconnect the device from line power. 3. Hygienically reprocess the device and accessories (see “7 Hygienic reprocessing”, page 102). 4. Store the device and accessories in a dry location. Result The device and accessories are stored in a dry location. MEDUVENT Standard...
  • Page 204: Disposal

    Power supply unit and charger 14.2 Rechargeable battery Do not dispose of used rechargeable batteries in domestic waste. Contact WEINMANN Emergency or a public waste disposal authority. 14.3 Plastics Dispose of plastics in a proper manner applicable to plastics at the end of their useful lives.
  • Page 205: Contaminated Parts

    14 Disposal 14.5 Contaminated parts Do not dispose of contaminated parts in domestic waste. Use a licensed, certified specialist waste management contractor to dispose of contaminated parts properly. MEDUVENT Standard...
  • Page 206: Scope Of Supply

    Supplementary Designation UDI-DI Article no. information • With battery MEDUVENT Standard, basic device • For reuse on multiple 04054685276522 WM 35720 patients VENTcirc-MVS breathing circuit, 2 m For reuse on multiple patients 04054685270827 WM 35850 MEDUtrigger, 2 m For reuse on multiple patients...
  • Page 207: Supplementary Information

    – WM 35865 patients Adapter for reusable breathing For reuse on multiple – WM 35867 circuit patients Adapter for disposable breathing For reuse on multiple – WM 17916 circuit patients Breathing system filter Third-party product – WM 22162 MEDUVENT Standard...
  • Page 208: Protective Caps

    FlowCurve Pro option CBRN option – – WM 35888 Power supply Accu-Pack rechargeable battery For MEDUVENT Standard – WM 35775 Power supply unit and charger Third-party product WM 28937 100 W Charging adapter for power supply unit and charger or adapter cable for –...
  • Page 209 Set of 10, Premium CPAP/NIV For single use WM 17944 ventilation mask, size L Set of 40, Premium CPAP/NIV For single use WM 17945 ventilation mask, size L CPAP/NIV ventilation mask with air For single use WM 20703 cushion, size S MEDUVENT Standard...
  • Page 210 For reuse on multiple WM 20715 size L patients Kit, CPAP/NIV silicone ventilation For reuse on multiple WM 15808 masks patients Head strap – silicone – WM 20702 Retaining ring for silicone CPAP/NIV – WM 20701 ventilation masks MEDUVENT Standard...
  • Page 211: Technical Data

    Warm-up time from minimum storage temperature to standby at 20 °C Cooling-down time from maximum storage temperature to standby at 20 °C • Rated voltage: 12 V Electrical rating • Permitted input voltage range: 10 V to 16 V MEDUVENT Standard...
  • Page 212 EN 61000-4 (Parts 2-6, 8, 11, 39) interference suppression, radio interference immunity in accordance • RTCA DO-160G (EUROCAE ED-14G) with EN 60601-1-2 and EN 301489 • ISO 7637-2 • UNECE R10 Test parameters and limit values can be obtained from the manufacturer if required. MEDUVENT Standard...
  • Page 213 MEDUtrigger and connection line to FlowCheck sensor Dispensing of ventilation within the set alarm limits or initiating an Essential performance features alarm state • IPPV • Manual Optional: Volume-controlled ventilation modes • S-IPPV • SIMV • SIMV + ASB MEDUVENT Standard...
  • Page 214 Means of limiting pressure Pressure control Means of safeguarding the minimum Pressure control value Maximum outlet flow 150 l/min (in BTPS) Mechanical pressure relief/emergency Pressure limitation to < 100 hPa air valve Adjustable from 1:4.0 to 4.0:1 Manual mode: 1:1 MEDUVENT Standard...
  • Page 215 (from 2000 m altitude linearly down to max. 35 mbar at 5000 m altitude). PEEP end-expiratory pressure 0 mbar to 20 mbar (±3 mbar or ±15 %) Proximal flow measurement -200 l/min to 200 l/min (±(0,3 l/min + 15 %)) MEDUVENT Standard...
  • Page 216 70 % rule: Physiologically, the alveolar area of a lung is crucial for gas exchange. Literature research shows that 60 % to 70 % of tidal volume reaches the alveolar area, with the remaining 40 % to 30 % remaining in the dead space volume of the lung. MEDUVENT Standard...
  • Page 217 Accuracy of measurement of tidal ±20 % or ±40 ml (BTPS, whichever value is higher) volume (Vti, Vte) Mixture of air, oxygen, CO . Oxygen fraction 21 % to 100 %, CO Gas composition fraction 0 % to 10 % MEDUVENT Standard...
  • Page 218: Rechargeable Battery

    Mode: IPPV, f=12/min, Vt= 600 ml, lung parameters Operating hours of a healthy adult, PEEP=0 hPa, compliance=50 ml/ without options hPa, resistance=5 hPa/l/s, display brightness=80 %, new fully-charged rechargeable battery, ambient temperature 23 °C ± 3 °C MEDUVENT Standard...
  • Page 219: Power Supply Unit And Charger

    Input voltage (external power supply unit and 100 V to 240 V~/50 Hz to 60 Hz charger) Rated output voltage 15 V Taking out the power plug disconnects the device Disconnection from line power from line power on all poles. Type PMP120F-13-K24 MEDUVENT Standard...
  • Page 220: Breathing Circuits

    Approx. 24 ml FlowCheck sensor Article no. Volume Reusable FlowCheck sensor WM 28835 Approx. 9 ml Disposable FlowCheck sensor WM 29154 Approx. 9 ml Breathing system filter Article no. Volume Breathing system filter WM 22162 Approx. 35 ml MEDUVENT Standard...
  • Page 221 BTPS (Body Temperature and Pressure, saturated): Volume/flow at current ambient pressure and 37 °C at 100 % saturated moist gas Pressure drop at different flows Part Article no. Flow Pressure drop 30 l/min 1.5 hPa (cmH Breathing system filter WM 22162 60 l/min 3.5 hPa (cmH MEDUVENT Standard...
  • Page 222: Connection Lines

    -40 °C to +70 °C longer than 48 h -20 °C to +40 °C Relative humidity 15 % to 95 %, no condensation Air pressure 540 hPa to 1100 hPa 50 reprocessing cycles or Service life – 4 years MEDUVENT Standard...
  • Page 223: Block Diagram

     Do not stack the device with other medical electrical devices.  Do not operate the device in the immediate vicinity of other medical electrical devices (exception: Other WEINMANN Emergency devices which have been tested to ensure that they can be operated alongside the device without problems.).
  • Page 224 Guidelines and manufacturer’s declaration - emission of electromagnetic interference MEDUVENT Standard is designed for operation in the electromagnetic environment described below. The customer or user of the MEDUVENT Standard device should ensure that it is operated in such an environment.
  • Page 225: Guidelines And Manufacturer's Declaration - Electromagnetic Immunity

    Guidelines and manufacturer’s declaration - electromagnetic immunity MEDUVENT Standard is designed for operation in the electromagnetic environment described below. The customer or user of the MEDUVENT Standard device should ensure that it is used in such an environment. Interference IEC 60601 test...
  • Page 226 Guidelines and manufacturer’s declaration - electromagnetic immunity MEDUVENT Standard is designed for operation in the electromagnetic environment described below. The customer or user of the MEDUVENT Standard device should ensure that it is used in such an environment. Interference IEC 60601 test...
  • Page 227 If the field strength measured at the site where MEDUVENT Standard is used exceeds the above compliance levels, MEDUVENT Standard should be monitored to provide evidence of function in accordance with its intended purpose.
  • Page 228 The carrier must be modulated with a square wave with a 50 % signal ratio. As an alternative to frequency modulation (FM), pulse-width modulation with a 50 % 18 Hz signal ratio can be used, as this would represent the worst-case scenario even if it is not the actual modulation. MEDUVENT Standard...
  • Page 229: Calculating Tidal Volume On The Basis Of Height

    Source: TRAUB, S. L.; JOHNSON, C. E.: Comparison of methods of estimating creatinine clearance in children. In: American Journal of Hospital Pharmacy 37, 1980, No. 2, p. 195–201 Source: DEVINE, B. J. Gentamicin therapy. The Annals of Pharmacotherapy, 1974, 8th year, No. 11, p. 650-655 MEDUVENT Standard...
  • Page 230: Service Data

    When you have exported the service data to an SD card (see “9.7 Importing/exporting data”, page 151), there is a folder named MEDUVENT Standard SNXXXX on the SD card. The following files are located in this folder: File name Description Supports communication in the event MVS_SNXXXX_debug.wm...
  • Page 231: Recorded Session Data

    16.10.3 Recorded session data The device saves detailed session data of up to 20 session hours. The maximum saved duration per session is 2 h. Depending on the frequency of the sessions, the time required to export the data may vary. MEDUVENT Standard...
  • Page 232: Alarms

    Structure and content of service data”, page 230). The amount of data saved is limited to a maximum of 2 × 1.5 MB. When the limit of 2 × 1.5 MB is reached, the oldest 1.5 MB are deleted. MEDUVENT Standard...
  • Page 233: Warranty

    The warranty terms and conditions are available at www.weinmann-emergency.com. 18 EU declaration of conformity WEINMANN Emergency Medical Technology GmbH + Co. KG hereby declares that the product complies fully with the relevant provisions of Regulation (EU) 2017/745 for medical devices.
  • Page 236 Manufacturer Center for Production, Logistics, Service WEINMANN Emergency WEINMANN Emergency Medical Technology GmbH + Co. KG Medical Technology GmbH + Co. KG Frohbösestraße 12 Siebenstücken 14 22525 Hamburg 24558 Henstedt-Ulzburg GERMANY GERMANY T: +49 40 88 18 96-120 E: customerservice@weinmann-emt.de...