CareFusion AVEA Manuals

Manuals and User Guides for CareFusion AVEA. We have 2 CareFusion AVEA manuals available for free PDF download: Operating Instructions Manual, Quick Tips

CareFusion AVEA Operating Instructions Manual (263 pages)

Brand: CareFusion | Category: Fan | Size: 11.21 MB

Table of Contents
5
EMC Notice
7
Intended Use Notice
7
MRI Notice
7
Regulatory Notice
7
Classification
8
Safety Information
9
Terms
9
Warnings
9
Cautions
10
Equipment Symbols
11
Chapter 1: Introduction

15
- Functions & Accessories
  15
- Artificial Airway Compensation
  16
- Features
  16
- Circuit Compliance Compensation
  17
- Full Range of Patient Size
  17
- Leak Compensation
  17
- Non-Invasive Ventilation
  17
- Heliox Delivery (Comprehensive Only, Option on Standard)
  18
- Humidification
  18
- Air or Heliox Supply
  21
Chapter 2: Unpacking & Setup

21
- Ventilator Assembly & Physical Setup
  21
- Assembling the Ventilator
  22
- Setting up the Front of the Ventilator
  23
- Front Panel Connections
  31
  - Attaching Flow Sensors
    32
  - Hot Wire Flow Sensor
    32
  - Hot Wire Flow Sensor Zero Procedure
    33
  - Variable Orifice Flow Sensor
    34
  - Attaching a Nebulizer
    35
  - Attaching a Proximal Pressure Sensor
    36
  - Esophageal Balloon
    37
  - Tracheal Catheter
    37
- Setting up the Rear of the Ventilator
  38
  - Connecting the Oxygen Sensor
    39
  - Connecting Gas Fittings
    39
  - The “Smart” Air Fitting
    39
  - The “Smart” Heliox Fitting
    40
  - Attaching the Gas Hoses
    40
  - Oxygen Connection
    40
  - Heliox Connection
    40
  - Attaching the Air Hose
    41
  - Utilities Screens
    42
  - Configuration Tab
    42
  - Alarm Loudness
    42
  - Enable / Disable O2 Alarm
    42
  - Flow Correction
    43
  - ILV Mode
    43
  - Setting up Independent Lung Ventilation (ILV)
    43
  - ILV Connector Pin Configuration
    44
  - Analog Ground Pins View
    44
  - Selecting Language
    45
  - Low Vte Alarm Sensitivity
    45
  - Increase F IO2
    45
  - Input/Output Tab
    46
  - Analog Input Configuration
    47
  - Analog Input Connections
    47
  - Analog Outputs
    48
  - Set Analog Output Type
    48
  - Analog Outputs Pin Configuration
    48
  - RS 232 Output
    49
  - ILV and Analog I/O Pin Configuration
    49
  - Vuelink
    50
  - Nurse Call Connection
    51
  - Date/Time Tab
    51
  - Setting the Date
    51
  - Setting the Time
    51
  - Powering up the AVEA
    52
- User Verification Test
  53
  - The Power on Self Test (POST)
    53
  - The Extended Systems Test (EST)
    54
  - The Alarms Test
    55
  - Default Settings for Adult, Pediatric and Neonate
    57
  - Ventilation Setup
    57
  - Primary Controls
    57
  - Advanced Settings
    57
  - Alarm Settings
    58
  - Auxiliary Controls
    58
- AVEA User Verification Test Checklist
  59
- AVEA Troubleshooting
  60
- Membrane Buttons and Leds
  65
Chapter 3: Ventilator Operation

65
- Alarm Reset
  66
- Alarm Silence (LED)
  66
- User Interface Module (English) Showing Button Labels
  66
- Alarm Limits
  67
- Increase O2
  67
- Manual Breath
  67
- Suction (LED)
  67
- Accept
  68
- Cancel
  68
- Data Dial
  68
- Expiratory Hold
  69
- Inspiratory Hold (Manual)
  69
- Nebulizer
  69
- Patient Size
  69
- Advanced Settings (Led)/Mode/Event
  70
- Panel Lock (LED)
  70
- Print
  70
- Set-Up
  70
- Flow/Volume Loop in Freeze Mode
  71
- T. Freeze
  71
- Alarm Status Leds
  72
- Main
  72
- Screens
  72
- Screens Selection Box View
  72
- Patient Select Screen
  73
- Patient Setup
  73
  - Patient Size Select Screen
    74
  - Artificial Airway Compensation (AAC)
    75
  - Ventilation Setup Screen View
    75
  - Circuit Compliance
    76
  - Leak Compensation (LEAK COMP)
    76
  - Humidifier
    77
  - Identification
    77
  - Patient Weight
    77
  - EST (Extended Systems Test)
    78
  - Adult and Pediatric Mode Select Screen
    80
  - Infant Mode Select Screen
    80
- Setting the Ventilation Breath Type and Mode
  80
  - Breath Types
    81
  - Flow Cycle/Volume Limit
    81
  - Specific Controls
    81
- Volume Guarantee (VG)
  81
  - Delivered Pressure
    82
  - Inspiratory Pressure
    82
  - Machine Volume
    82
  - Volume Target
    82
  - Alarms and Safety Systems
    83
  - High Ppeak
    83
  - Low Ppeak
    83
  - Wye Sensor Disconnect
    83
  - Alarm Activation
    84
  - Limit Volume
    84
  - Low Expired Volume
    84
  - Initiating Volume Guarantee
    85
  - Messages
    86
  - Troubleshooting
    87
  - Mandatory Breaths
    88
  - The Intra-Breath Demand System in Volume Ventilation
    88
  - Volume Breaths
    88
  - Pressure Breaths
    89
  - Pressure Regulated Volume Control (PRVC)
    89
  - Time Cycled Pressure Limited (TCPL)
    89
  - Demand Breaths
    90
  - PSV (Pressure Support Ventilation)
    90
  - Spontaneous Breath
    91
  - Assist Control Ventilation (A/C)
    92
  - Ventilation Modes
    92
  - SIMV Waveform
    93
  - Synchronized Intermittent Mandatory Ventilation (SIMV)
    93
  - Adjustable PSV in APRV / Biphasic
    94
  - Airway Pressure Release Ventilation (APRV / BIPHASIC)
    94
  - Apnea Ventilation in APRV / Biphasic
    95
  - APRV / BIPHASIC Mode
    95
  - CPAP Waveform
    96
  - Apnea Backup in Assist Control or SIMV
    97
  - Apnea Backup Ventilation
    97
  - PSV Waveform
    97
  - Apnea Backup in CPAP/PSV or APRV / BIPHASIC
    98
  - Pressure Apnea Backup Settings for APRV / BIPHASIC Mode
    99
  - Volume Apnea Backup Settings for CPAP Mode
    99
  - Pressure Apnea Backup Settings for CPAP Mode
    100
  - Screen Select
    101
  - Standby
    101
  - Standby Message
    101
  - Standby Screen
    102
  - Adult and Pediatric Ventilation Modes
    103
  - Available Breath Types & Modes by Patient Size
    103
  - Neonatal Ventilation Modes
    103
- Primary Breath Controls
  104
  - Breath Rate (Rate)
    106
  - Descriptions of Primary Breath Controls
    106
  - Inspiratory Pressure (Insp Pres)
    106
  - Tidal Volume (Volume)
    106
  - Inspiratory Pause (Insp Pause)
    107
  - Inspiratory Time (I-Time)
    107
  - Peak Flow
    107
  - PSV (Pressure Support)
    107
  - Positive End Expiratory Pressure (PEEP)
    108
  - Inspiratory Flow Trigger (Flow Trig)
    109
  - Pressure High (Pres High)
    109
  - Time High
    109
  - Accessing the Advanced Settings
    110
  - Advanced Settings Indicator View
    110
  - Pressure Low
    110
  - Time Low
    110
  - Controls and Advanced Settings Associated with Breath Type & Mode
    111
  - Advanced Settings Characteristics and Ranges
    112
  - Volume Limit (Vol Limit)
    112
  - Machine Volume (Mach Vol)
    113
  - Demand Flow
    114
  - Flow Cycle
    114
  - Insp Rise
    114
  - Waveform
    114
  - Bias Flow
    115
  - Pres Trig
    115
  - Sigh
    115
  - Vsync
    115
  - PSV Rise
    116
  - Vsync Rise
    116
  - PSV Cycle
    117
  - PSV Tmax
    117
  - T High PSV/T Low Sync
    117
  - T High Sync
    117
- Independent Lung Ventilation (ILV)
  118
- Graphic Displays
  119
  - Graphics Colors
    119
  - Waveforms
    119
Chapter 4: Monitors, Displays and Maneuvers

119
- Waveform Selection
  120
- Axis Ranges
  121
- Time Ranges
  121
- Waveform Choices
  121
- Accessing the Loops Screen
  122
- Choice of Loops
  122
- Loops
  122
- Creating a Reference Loop
  123
- Saving a Loop
  123
- Using the Freeze Button to Compare Loops
  123
- Maneuvers
  124
- Controls
  125
- Esophageal Maneuver Screen
  125
- Balloon Fill Start / Stop
  126
- Balloon Leak / Size Test
  126
- Selecting Balloon Size and Type
  126
- Alarms
  127
- Chest Wall Compliance (C Cw)
  127
- To Perform Esophageal Maneuvers
  127
- Duration
  129
- MIP / 100 Pmaneuver Screen
  129
- MIP Maneuver Settings
  129
- Sensitivity
  130
- Start / Stop
  130
- Inflection Point (Pflex) Maneuver Screen
  131
- Pflex Maneuver Settings
  131
- Maneuver PEEP (PEEP)
  132
- PEEP Equilibration Time (PEEP Teq)
  132
- Upper Pflex and Lower Pflex Determination
  133
- Autopeep Maneuver Screen
  135
- To Perform an Autopeep Maneuver
  136
- Capnometry Screen
  137
- Tracheal Catheter Placement
  137
- Digital Displays
  138
  - The Monitor Screen
    138
  - Monitored Values Menu Choices
    139
  - Events
    142
  - Trends
    143
  - Calculated I:E Ratio
    144
  - Calculated Minute Volume (Calc Ve)
    144
  - Calculated Time High & Time Low Min / Max
    144
- Main Screen Displays
  144
  - Calculated Time High: Time Low Ratio
    145
  - Main Screen Monitors
    146
Chapter 5: Volumetric Capnography

147
- Theory of Operation
  147
- Settings and Monitored Values
  151
  - Capnography – Enable / Disable
    151
  - Etco2 Averaging
    151
  - Vco2 Averaging
    151
  - Monitored Values
    152
  - Zero Co2/Calibration Check
    152
  - End Tidal CO2 (Etco2)
    152
  - CO2 Elimination (VCO2)
    152
  - CO2 (Vtco2)
    153
  - Anatomical Dead Space (VD Ana)
    153
  - Anatomical Dead Space / Tidal Volume Ratio (VD / Vt Ana)
    153
  - Alveolar Ventilation (Va)/Physiologic Dead Space (VD Phy)
    153
  - Physiologic Dead Space / Tidal Volume Ratio (VD / Vt Phy)
    154
  - Alveolar Dead Space (VD Alv)/Oxygenation Index (OI)
    154
  - Waveforms and Loops
    154
  - PCO2 Wave (Capnogram)/Pco2/ Vte Loop
    154
  - Capnometry Alarms
    155
  - High Etco2
    155
  - Low Etco2
    155
  - Maneuvers (Volumetric Capnography)
    156
  - Event Softkey
    156
  - Capnometry in Maneuver Screen View
    157
- Zeroing the CAPNOSTAT 5
  158
  - Bottom of AVEA UIM View
    158
  - Zero CO2 Sensor Message
    159
- Checking the Accuracy of the CAPNOSTAT 5
  160
  - Bottom of UIM View
    160
  - Configuration Tab in Utility Screen View
    161
  - CO2 Calibration Message
    161
- Nasal CPAP (Ncpap)
  163
  - Circuit Compatibility
    163
  - General Specifications (Ncpap)
    163
Chapter 6: Infant Non-Invasive Ventilation

163
- High Ncpap Pressure
  164
- Initiating Nasal CPAP
  164
- Low Ncpap Pressure
  164
- Ncpap Pressure Limit
  164
- Calibration Required Message
  165
- Disconnect Point for Calibration
  165
- Mode Selection
  165
- Calibration Progress Message
  166
- Calibration Successfully Completed Screen
  166
- Caution Message Display (Ncap)
  167
- Monitors
  167
- Ncpap Primary Controls and Alarm Threshold Indicators
  167
- Displayed Waves
  168
- Graphics
  168
- Circuit Compatibility (Nimv)
  169
- General Specifications (Nimv)
  169
- Nasal Intermittent Mandatory Ventilation (Nimv)
  169
  - Insp Press/Insp Rise
    170
  - Insp Time
    170
  - Ncpap Flow
    170
  - Rate
    170
  - Alarms Suspended During Ncpap with Rate Set to off
    171
  - Ncpap/IMV Disconnect Sensitivity
    172
  - Initiating Nasal CPAP / NIMV
    174
  - Monitors (Nasal CPAP)
    177
  - Displayed Waveforms (Nasal CPAP)
    178
  - Graphics (Nasal CPAP)
    178
  - Messages (Nasal CPAP)
    179
  - Troubleshooting (Nasal CPAP)
    179
  - Compressor Active/Heliox Source Connected
    181
  - Mains/Battery Indicators
    181
- Status Indicators
  181
Chapter 7: Alarms and Indicators

181
- Battery Status Indicators
  182
- Internal Battery Power Indicator
  182
- The Message Bar
  183
- “Popup” Alert Messages
  183
- Alarm Categories
  184
- High Priority (Warning)
  184
- Low Priority (Advisory)/Backup Alarm (Advisory)
  184
- Medium Priority (Caution)
  184
- Alarm Controls
  185
  - Setting an Alarm Limit
    185
  - Alarm Silence/Alarm Reset
    186
- Alarm Types
  186
  - Machine Alarms
    186
  - Safety Valve Open/Ventilator Inoperative/Not Ventilating
    186
  - Fan Failure Alarm/Circuit Disconnect Alarm
    187
  - Gas Supply Indicators and Alarms
    187
  - Loss of Air Alarm
    187
  - Loss of O 2 Alarm/Loss of Gas Supply Alarm
    187
  - High Peak Pressure Alarm
    188
  - Loss of Heliox Alarm
    188
  - Low Peak Pressure Alarm
    188
  - Pressure Alarms
    188
  - Circuit Occlusion Alarm
    189
  - Extended High Peak Pressure Alarm
    189
  - Low PEEP Alarm
    189
  - High Exhaled Minute Volume (High Ve)
    190
  - Low Exhaled Minute Volume (Low Ve)
    190
  - Low Exhaled Tidal Volume (Low Vt)
    190
  - Volume Alarms
    190
  - Apnea Interval/High Rate/I:e Ratio Limit (I:E Limit) Alarm
    191
  - High Tidal Volume (High Vt)
    191
  - Maximum Inspiratory Time Limit (Max I-Time) Alarm
    191
  - Rate/Time Alarms
    191
  - O2 Alarms
    192
- Nasal CPAP / Nasal IMV Alarms
  195
- Volume Guarantee Alarms
  198
- Cleaning and Sterilization
  201
  - Limitations on Reprocessing
    201
  - Manual Cleaning
    201
Chapter 8: Maintenance and Cleaning

201
- Capnometry Airway Adapters
  202
- Cleaning the Outside of the Capnometry Sensor and Cable
  202
- Sterilization
  202
- Additional Information on Cleaning
  203
- Recommended Periodic Maintenance
  204
- Battery Care
  205
  - Internal Battery Pack View
    205
  - Precedence of Power Use
    206
  - Battery Status
    207
  - Failure to Charge the Battery
    207
  - Battery Fuses
    208
  - External Battery Connector & Fuse View
    208
Operator's Manual

208
- Mains Fuses
  209
- Replacing a Mains Electrical Fuse
  209
Appendix A: Contact & Ordering Information

211
- How to Call for Service
  211
- Ordering Parts
  212
Appendix B: Specifications

215
- Data Input / Output Specifications
  216
- DC Power Supply Specifications
  216
- Independent Lung Ventilation (ILV) Specifications
  216
- Analog Inputs Data
  217
- Analog Outputs Data
  217
- Breath Phase Data
  218
- Volume Data
  218
- Digital Communication
  219
- VOXP (Ventilator Open XML Protocol)
  221
- Atmospheric & Environmental Specifications
  222
  - Remote Nurse Call
    222
  - Temperature and Humidity Data
    222
  - VOXP Communications Requirements
    222
- Accessories
  223
  - Barometric Pressure
    223
  - Pall Microbial Filter Data/Water Trap Data
    223
- Physical Dimensions
  223
  - AVEA Disposable Expiratory Filter / Water Trap Specifications
    224
  - Gas Delivery Engine
    225
Appendix C: Pneumatic Diagram

225
Appendix D: Monitor Ranges and Accuracies

227
Appendix E: Sensor Specifications & Circuit Resistance

231
Appendix F: AVEA Message Bar Text

235
Appendix G: Advanced Pulmonary Mechanics Monitored Parameters

237
- Chest Wall Compliance (Ccw)
  237
- Lung Compliance (Clung)
  237
- Rapid Shallow Breathing Index (F / Vt)
  237
- Compliance Ratio (C20/C)
  238
- Peak Expiratory Resistance (Rpeak)
  238
- Respiratory System Resistance (Rrs)
  238
- Imposed Resistance (Rimp)
  239
- Lung Resistance (Rlung)
  239
- Peak Expiratory Flow Rate (PEFR)
  239
- Peak Inspiratory Flow Rate (PIFR)
  239
- Autopeepaw
  240
- Delta Airway Pressure (Dpaw)
  240
- Delta Esophageal Pressure (Dpes)
  240
- Autopeepes
  241
- Delta Autopeepaw (Dautopeepaw)
  241
- Transpulmonary Pressure, Plateau (Ptp Plat)
  241
- Maximum Inspiratory Pressure (MIP)
  242
- Respiratory Drive (P100)
  242
- Transpulmonary Pressure, Autopeep (Ptp PEEP)
  242
- Patient Work of Breathing (Wobp)
  243
- Ventilator Work of Breathing (Wobv)
  243
- Imposed Work of Breathing (Wobi)
  244
Appendix H: Capnometry Troubleshooting

245
Appendix I: Volumetric CO 2 Calculations

247
- Volumetric CO2 Calculations
  247
- Anatomic Dead Space (VD Ana)
  249
- Alveolar Dead Space
  250
- Alveolar Ventilation (Va)
  250
- Anatomic Dead Space / Tidal Volume Ratio (VD Ana / Vt)
  250
- Oxygenation Index (OI)
  250
Appendix I: Volumetric Cocalculations

251
Appendix J: Electromagnetic Declarations

251
- Guidance and Manufacturer’s Declaration - Electromagnetic Immunity
  252
- Distance between RF Communications Equipment and AVEA Ventilator
  254
Appendix K: Glossary

255
- Index
  257

CareFusion AVEA Quick Tips (8 pages)

Brand: CareFusion | Category: Fan | Size: 0.59 MB

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CareFusion AVEA Manuals

CareFusion AVEA Operating Instructions Manual (263 pages)

Table of Contents

Chapter 1: Introduction

Chapter 2: Unpacking & Setup

Chapter 3: Ventilator Operation

Chapter 4: Monitors, Displays and Maneuvers

Chapter 5: Volumetric Capnography

Chapter 6: Infant Non-Invasive Ventilation

Chapter 7: Alarms and Indicators

Chapter 8: Maintenance and Cleaning

Operator's Manual

Appendix A: Contact & Ordering Information

Appendix B: Specifications

Appendix C: Pneumatic Diagram

Appendix D: Monitor Ranges and Accuracies

Appendix E: Sensor Specifications & Circuit Resistance

Appendix F: AVEA Message Bar Text

Appendix G: Advanced Pulmonary Mechanics Monitored Parameters

Appendix H: Capnometry Troubleshooting

Appendix I: Volumetric CO 2 Calculations

Appendix I: Volumetric Cocalculations

Appendix J: Electromagnetic Declarations

Appendix K: Glossary

CareFusion AVEA Quick Tips (8 pages)

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