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Puritan Bennett KnightStar 330 User Manual

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®
KnightStar
330
User's Manual
®
B i - L e v e l
V e n t i l a t o r
Part No. Y-500009-00
Rev. J
June 2006
Y-103008-0Rev. B (04/04)
KnightStar User's Manual

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Summary of Contents for Puritan Bennett KnightStar 330

  • Page 1 ® KnightStar User’s Manual ® B i - L e v e l V e n t i l a t o r Part No. Y-500009-00 Rev. J June 2006 Y-103008-0Rev. B (04/04) KnightStar User’s Manual...
  • Page 3 ® KnightStar User’s Manual ® B i - L e v e l V e n t i l a t o r This space for Home Care Provider’s Business Card Part No. Y-500009-00 Rev. J June 2006 Y-103008-0Rev. B (04/04) KnightStar User’s Manual...
  • Page 4 Bennett’s right to revise or otherwise change or modify the equipment (including its software) described herein, without notice. In the absence of an express, written agreement to the contrary, Puritan Bennett has no obligation to furnish any such revisions, changes, or modifications to the owner or user of the equipment (including its software) described herein.

  • Page 5: Table Of Contents

    1.3 KnightStar 330 connectors ....1-12 1.4 KnightStar 330 symbols ..... 1-15 1.4.1 Bottom panel label symbols .
  • Page 6 4 How to solve device problems 5 Patient and caregiver information 6 EMC information 6.1 Manufacturer’s Declaration ....6-1 KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)

  • Page 7: Introduction

    It is also used to treat respiratory failure in the hospital setting. The KnightStar 330 is designed to prevent the upper airway from being obstructed by delivering air pressure through an interface (mask or nasal pillows) using one of three different modes;...

  • Page 8: Warnings, Cautions, And Notes

    There is no audible alarm built into the KnightStar 330 to indicate that the patient has stopped breathing. Under certain conditions, some alarms may not occur. For example: (1) the leak alarm...
  • Page 9 Section 3.5, on page 3-11, or follow the cleaning instructions that came with your interface and breathing circuit. Set up the KnightStar 330 system as shown in this manual for safe and effective operation. Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...
  • Page 10 The KnightStar 330 should never be operated where gases from external sources, gas stoves, engine exhaust, or anesthesia machines could be combined with air at the inlet.
  • Page 11 • If you suspect that water has entered the KnightStar 330, unplug the power cord and let device dry before using Never drop or insert any object into the air outlet or any other opening on the unit or breathing circuit.
  • Page 12 Introduction Always place the KnightStar 330 upright on a firm, flat surface, and use only approved accessories. Placing the device on uneven surfaces, using it in an improper orientation, or using unapproved accessories could result in the device tipping over, causing damage or possible patient injury.
  • Page 13 Introduction Do not set the KnightStar 330 on or within 3 feet (1 m) of electric or electronic appliances, such as space heaters, electric blankets, or televisions. Do not operate cordless phones near the device. Doing so may result in device malfunction.

  • Page 14: System Controls And Indicators

    KnightStar 330 control panel and indicators, and describe the various symbols displayed on the device’s labels and LCD screen. The KnightStar 330 control panel keys and indicators are shown in Figure 1-1 and described in Table 1-1. URITAN ENNETT â...
  • Page 15 Introduction Table 1-1: KnightStar 330 control panel keys and indicators Key or indicator Labeling Function (Figure 1-1) Access mode indicator Indicates the KnightStar 330 is in Patient access mode. Indicates the KnightStar 330 is in Clinician access mode. Patient access mode prevents accidental...
  • Page 16 Introduction Table 1-1: KnightStar 330 control panel keys and indicators (continued) Key or indicator Labeling Function (Figure 1-1) Down Arrow & Delay/Ramp key Use the Down Arrow key to decrease a selected setting value when setting the delay time, ramp duration, or start pressure.

  • Page 17: How To Solve Device Problems

    Introduction Table 1-1: KnightStar 330 control panel keys and indicators (continued) Key or indicator Labeling Function (Figure 1-1) Yellow LED When steadily lit and accompanied by symbol displayed in the lower left corner of the LCD panel, indicates a LOW PRIORITY alarm condition.

  • Page 18: Knightstar 330 Connectors

    Figures 1-2 and 1-3 and Tables 1-2 and 1-3 identify and describe the connectors and their identifying symbols found on the KnightStar 330. Figure 1-2. KnightStar 330 rear view Table 1-2: KnightStar 330 rear panel connectors Index Symbol Description (Figure 1-2)
  • Page 19 Introduction Table 1-2: KnightStar 330 rear panel connectors (continued) Index Symbol Description (Figure 1-2) RS-232 (serial) port This connector is used for communications with other devices such as a personal computer (PC). External battery connector Used to connect an optional external 12 V...
  • Page 20 Introduction Figure 1-3. KnightStar 330 front and side view Table 1-3: KnightStar 330 front panel connectors and labeling Index Labeling Description (Figure 1-3) Troubleshooting Contains information on how to respond label to some alarms. Refer to manual for information on using See Operator’s...

  • Page 21: Knightstar 330 Symbols

    Introduction Table 1-3: KnightStar 330 front panel connectors and labeling (continued) Index Labeling Description (Figure 1-3) Notifies user to refer to the manual (page Note 1-6) regarding increased outlet gas flow The patient outlet gas flow can be as much as 7˚...
  • Page 22 Introduction Table 1-4: KnightStar 330 bottom panel label symbols Index Labeling Description (Figure 1-4) Class II equipment A regulatory standard classification for protection against electric shock. Class II equipment relies on DOUBLE INSULATION rather than protective earthing. Type BF equipment...

  • Page 23: Onscreen Symbols

    Introduction 1.4.2 Onscreen symbols Table 1-5 describes the symbols that appear on the LCD panel during device set-up and when the KnightStar 330 is operating. Table 1-5: KnightStar 330 LCD panel symbols Symbol or Definition abbreviation START-UP DISPLAY SYMBOLS ON TIME...
  • Page 24 Introduction Table 1-5: KnightStar 330 LCD panel symbols (continued) Symbol or Definition abbreviation Peak inhalation flow Ratio of inspiration time to expiration time SETTINGS IPAP Inspiratory pressure EPAP Expiratory pressure BACKUP f Backup respiration rate (in A/C mode) I:E ratio...
  • Page 25 Introduction Table 1-5: KnightStar 330 LCD panel symbols (continued) Symbol or Definition abbreviation ALARMS High pressure alarm condition Low pressure alarm condition Leak alarm condition Backup respiratory rate active (apnea) Malfunction (one or two digit error code, ##, denotes error type)
  • Page 26 Introduction This page is intentionally blank. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06) 1-20...

  • Page 27: Getting Started

    • an interface (either nasal pillows or a mask) • a breathing circuit to deliver air flow to your nose The KnightStar 330 is designed to be used with standard 6-ft (1.8 m), or optional 8-ft (2.4 m) breathing circuits and Puritan Bennett non-invasive interfaces.

  • Page 28: Knightstar 330 System And Components

    Getting started 2.1 KnightStar 330 system and components Figure 2-1 shows the KnightStar 330 system and its included accessories. The interface (mask or nasal pillows) is supplied separately. KnightStar 330 Bi-Level Ventilator Power cord Breathing circuit and patient pressure line...
  • Page 29 I:E ratio. • Power cord — Connects the KnightStar 330 to AC power only. To connect the KnightStar 330 to DC (battery) power, special cables are required (see Section 3.4 on page 3-10 for information on using the...

  • Page 30: System Setup

    2. Attach one end of the power cord to the AC receptacle at the back of the KnightStar 330 and the other end of the cord to an electrical outlet. The green LED should appear, letting you know that the device is now in Stand-by mode.

  • Page 31: How To Connect The Breathing Circuit, Outlet Filter, And Mask

    2.2.3 How to connect the breathing circuit, outlet filter, and mask To connect the breathing circuit, outlet filter, and mask or nasal interface to the KnightStar 330 (refer to Figure 2-2): Attach patient pressure tube to pressure connector Attach filter to air...
  • Page 32 Getting started 4. Attach the other end of the breathing circuit to the connector on the mask or nasal interface. The system is now ready to operate. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)

  • Page 33: How To Operate The Knightstar 330

    CHAPTER How to operate the KnightStar 330 This section tells you how to operate the KnightStar 330. It includes: • How to operate the ventilator • How to use supplemental oxygen • How to use the optional humidifier • How to run on external battery •...

  • Page 34: How To Set The Delay/Ramp

    4. Relax and take slow deep breaths through your nose. The KnightStar 330 will provide ventilatory support continuously until you turn it off. To turn the KnightStar 330 off, press and hold the On/Off key for three seconds. 3.1.1 How to set the Delay/Ramp...
  • Page 35 If, however, you want to change the settings to improve your comfort level, follow these steps: 1. Turn the KnightStar 330 on by pressing and releasing the On/Off key. 2. Enter Settings mode by pressing the Settings key until you see the arrow on the LCD panel point to DELAY.

  • Page 36: How To De-Activate And Activate The Delay/Ramp Feature

    Mode symbol in the lower left corner, indicating that the delay is active, and the KnightStar 330 delivers air flow at the ramp start pressure. When the delay time has elapsed, the KnightStar 330 gradually increases the pressure over the ramp duration until the prescribed pressure is reached.

  • Page 37: How To Use The Knightstar 330 With Supplemental Oxygen

    1. Connect the oxygen supply tubing to the oxygen port on the interface. 2. Turn the KnightStar 330 on before turning on the oxygen supply. 3. Turn on the oxygen flow at the desired setting.
  • Page 38 15 L/min. Doing so could increase the oxygen concentration inside the device and increase the risk of fire. 5. When turning off the KnightStar 330, turn off the oxygen supply first, then turn off the KnightStar 330. To prevent oxygen from accumulating in the device and tubing, turn on the device before turning on the oxygen supply;...

  • Page 39: How To Use The Optional Humidifier

    KnightStar 330 How to operate the 3.3 How to use the optional humidifier A humidifier may be used with the KnightStar 330 if you are experiencing nasal discomfort due to low moisture content in the input air. Do not allow water to spill onto the KnightStar 330 or other electrical apparatus.
  • Page 40 How to operate the KnightStar 330 To use the humidifier, follow these steps: 1. Place the KnightStar 330 on top of the humidifier housing and its reservoir (Figure 3-2). Reservoir inlet Humidifier housing Figure 3-2. How to place the KnightStar 330 onto the humidifier housing 2.
  • Page 41 Fill line Figure 3-3. Humidifier reservoir 3. Gently slide the reservoir back into the housing. 4. Connect the short humidifier tubing (Figure 3-4) between the KnightStar 330’s filter outlet and the inlet of the reservoir. Humidifier tubing connected to reservoir inlet and outlet filter Figure 3-4.

  • Page 42: How To Use The Knightstar 330 With An External Battery

    3.4 How to use the KnightStar 330 with an external battery When power from a wall outlet is unavailable, the KnightStar 330 can run on DC power from a 12 V external battery, or can be powered using the cigarette lighter/ power port in your car or truck.

  • Page 43: How To Clean The Knightstar 330

    2. Connect one end of the appropriate cable to the battery or automobile cigarette lighter/power port and the other end to the external battery connector at the back of the KnightStar 330 (refer to Figure 1-2 and Table 1-2 on page 1-12). 3. Turn the KnightStar 330 on.

  • Page 44: How To Clean The Exterior Surfaces

    Clean the surfaces of the KnightStar 330 by wiping with a cloth dampened with warm, soapy water, then wiping dry. To disinfect the exterior surfaces, you may wipe them with a cloth dampened with: •...

  • Page 45: Outlet Filter Replacement

    (replace more frequently in dusty environments). For optimal performance with the KnightStar 330, use only Puritan Bennett-approved filters. Contact your home care provider for replacement filters. Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...

  • Page 46: Periodic Maintenance

    How to operate the KnightStar 330 3.6 Periodic maintenance The KnightStar 330 requires maintenance at regular intervals to ensure that it operates at peak performance. Refer to Table 3-1 for the required maintenance activities and intervals. Table 3-1: Periodic maintenance schedule...

  • Page 47: How To Solve Device Problems

    In many cases, the alarm condition can be remedied by patient or caregiver intervention. There is no audible alarm built into the KnightStar 330 to indicate that the patient has stopped breathing. Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...
  • Page 48 Alarm and Internal electronic Disconnect power for at flashing problem. least 30 seconds; then red LED. reconnect to power Displayed source. If condition symbol is persists, contact your home care provider for repair. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)
  • Page 49 Check red LED. disconnected. breathing circuit Displayed connections at device symbol is outlet filter and patient interface. If breathing circuit is punctured or disconnected, replace it or reconnect it, as applicable. Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...
  • Page 50 Displayed contact your home care symbol is provider for repair. with ## being a 1- or 2-digit error code. Consult your clinician to change any of the breathing parameters or alarm settings. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)

  • Page 51: Patient And Caregiver Information

    How to perform a user self-test of the bi-level ventilator, and how to respond if the self-test fails. The ventilator alarm settings, and the purpose and function of each. How to respond to ventilator alarms. Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...
  • Page 52 What to note about the patient’s skin, mucous membranes, and secretions, and their significance. How to recognize the signs of infection, and how to respond. The importance of routine medical appointments and medical testing. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)
  • Page 53 Techniques to prevent aspiration of vomit. The importance of coordinating care for the patient. Resources for respite care. Choices about future care. The purpose of advanced directives. Replacement interval for outlet filters (per the filter manufacturer’s instructions). Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual...
  • Page 54 Patient and caregiver information This page is intentionally blank. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)

  • Page 55: Emc Information

    1-6. Table 6-1: Electromagnetic emissions The KnightStar 330 is intended for use in the electromagnetic environment specified below. The customer or user of the KnightStar 330 should assure that it is used in such an environment. Electromagnetic environment...
  • Page 56 EMC information Table 6-2: Electromagnetic immunity The KnightStar 330 is intended for use in the electromagnetic environment specified below. The customer or the user of the KnightStar 330 should assure that it is used in such an environment. Electromagnetic Immunity...
  • Page 57 EMC information Table 6-2: Electromagnetic immunity (continued) The KnightStar 330 is intended for use in the electromagnetic environment specified below. The customer or the user of the KnightStar 330 should assure that it is used in such an environment. Electromagnetic...
  • Page 58 Table 6-3: Electromagnetic immunity – conducted and radiated RF The KnightStar 330 is intended for use in the electromagnetic environment specified below. The customer or the user of the KnightStar 330 should assure that it is used in such an environment. Electromagnetic...
  • Page 59 Table 6-3: Electromagnetic immunity – conducted and radiated RF (continued) The KnightStar 330 is intended for use in the electromagnetic environment specified below. The customer or the user of the KnightStar 330 should assure that it is used in such an environment. Electromagnetic...
  • Page 60 KnightStar 330 The KnightStar 330 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the KnightStar 330 can help prevent electromagnetic interference by maintaining a minimum distance...
  • Page 61 Cable, cigarette lighter adapter, Y-102913-00 74 in (188 cm) KnightStar 330 Service Communications Cable, 72 in (183 cm) Y-103086-00A KnightStar 330 Power cord, NEMA 1-15, 80 in (203 cm) Y-500012-00 KnightStar 330 Power cord, CEE 7/16, 80 in (203 cm)
  • Page 62 EMC information This page is intentionally blank. KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06)
  • Page 63 1-8 keys 1-9 CPAP mode 1-1 delay time 3-2 delay/ramp feature 3-2 delay/ramp feature, how to activate and deactivate 3-4 delay/ramp key. See down arrow & delay/ramp key Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual Index-1...
  • Page 64 KnightStar 330 with 3-10 getting started 2-1 to 2-6 green LED 1-10, 2-4 how to operate the KnightStar 330 3-1 to 3-14 how to solve device problems 4-1 to 4-4 humidifier 3-7 I/E PAP mode 1-1...
  • Page 65 2-3 patient weight, minimum requirement for 1-1 POST (Power On Self Test) 3-1 power cord 2-3 ramp duration 3-2 ramp start pressure 3-3 red LED 1-11 RS-232 port 1-13 Y-500009-00 Rev. J (6/06) KnightStar 330 User’s Manual Index-3...
  • Page 66 1-12 system controls and indicators 1-8 to 1-11 system setup 2-4 troubleshooting 4-1 to 4-4 up arrow & alarm silence key 1-10 warning, definition of 1-2 yellow LED 1-11 KnightStar 330 User’s Manual Y-500009-00 Rev. J (6/06) Index-4...
  • Page 68 Puritan-Bennett Corporation 4280 Hacienda Drive Pleasanton, CA 94588 USA Toll Free: 1.800.635.5267 Rx ONLY © 2006 Nellcor Puritan Bennett Incorporated. All rights reserved. Y-500009-00 Rev. J (6/06)

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