Professional Documents
Culture Documents
Ventilators
Operations
Manual
MODIFICATIONS LABEL
0120
December 2007
700/900 Series Ventilators Operations Manual 1
IMPORTANT
List of Figures
Figure 1 700/900 Series Ventilator ............................................................................. 11
Figure 2 Pneumatic System ....................................................................................... 19
Figure 3 Front Panel ................................................................................................... 23
Figure 4 Airway Sensor placement with Absorber with Sensor at Patient and with Sensor
at Absorber (two diagrams) ........................................................................................ 45
Figure 5 Exchanging Bellows Units ........................................................................... 76
Figure 6 Exchanging Fuses........................................................................................ 81
Figure 7 Removing the Pop-off Valve ........................................................................ 83
Canister
Turning the control in the direction of the
thickening line, an increase in that parameter is produced Canister seal
Canister
Power off
Dangerous voltage
Exhaust.
l/m lpm Liters per minute
ML Milliliters
O2 Oxygen
L Liters
E of C End of Case
Volume Control
Pressure Control
SIMV + PSV
Pressure Support
Vent monitoring
Oxygen
Exhaled volume
monitoring
Airway Pressure
Pressure waveform
Flow waveform
Spirometry Loops
Data Output
1. Introduction
1.1 Overview
The 700/900 series ventilator is an advanced, microprocessor-controlled,
pneumatically driven ventilator which has been designed specifically for the
mechanical ventilation of adult and pediatric patients under general
anesthesia.
The control unit houses the electronic and pneumatic control systems. It sets
the desired ventilatory parameters and generates alarm, warning and status
messages. The control unit also calculates and implements the functions
necessary to drive the bellows pneumatically.
The bellows assembly comprises a base and a bellows housing.
The 700/900 series ventilator is designed for use with a circle-type absorber
and is ideally suited to both low-flow and high-flow applications. The
ventilator may also be used with either a Bain-type coaxial circuit or a
Jackson-Rees/Ayres T-piece type pediatric circuit by using an adaptor.
There are variations based on the drive gas used (MED AIR or oxygen) and
the drive gas connector type (depending on the eventual country of use).
See 6.2 Associated Equipment and Accessories for ordering information for
the various types.
1.2 Features
The mains and battery alarms also have light emitting diode (LED) indication.
1.2.7 Spirometry
The 700/900 series ventilator offers a simple, accurate and user-selectable
display of set and monitored tidal volumes.
The user also has a choice of one of the following on-screen waveforms:
1) Airway Pressure
2) Pressure/Volume
3) Flow/Volume
4) Airway Flow
Insp
Flow
Exp
1.3.5 Sigh
When Sigh is activated, the delivered tidal volume in Volume Control Mode is
increased by the set percentage of the duration of one breath at the set
frequency. The default percentage is 10% and default frequency is once
every tenth breath.
PS + PEEP
PEEP
Trigger
Pressure
Peak Flow (up to 100 LPM)
Exp. Theshold (25%)
Flow
Volume
Insp. Exp.
PEEP
VALVE INSP
SOCKET CONTROL
BOARD
75cmH2O
EXHAUST
RELIEF
PORT
VALVE EXPIRATORY
SOLENOID
VALVE
34.5 psi
FLOW CONTROL VALVE
PNEUMOTACHOGRAPH
DRIVE
GAS GAS
SUPPLY OUTLET
INLET PORT
36-101 psi
FILTER
2.5-7 BAR MAIN AIRWAY FLOW FRESH GAS
REG ULATOR SENSOR INLET SENSOR INLET
LOW
SUPPLY
19
Section 1 - 700/900 Series Ventilators
1.5 Parameters
The following parameters can be set and/or monitored when the ventilator is
in operation.
PEEP
P(cmH2O)
1.5.1 PEEP
The 700/900 series ventilator
continuously monitors and displays the PEEP OFF
(Resident PEEP
O
Positive End Expiratory Pressure 2-4cmH2O)
When the user changes a value such that it does not comply with the
required difference the box surrounding the feature being adjusted and the
value of the feature causing limiting to be enforced is highlighted red. The
value being adjusted could either be the PEEP level or the relevant pressure
control.
1.5.2 Trigger
The level of negative flow caused by the patient's attempt to breathe before
the ventilator initiates flow to assist the patient with the spontaneous breath.
Range 5 to 15 L/min all modes (SIMV + PSV and Pressure Support).
1.5.3 Support Pressure
Breathing circuit pressure level for assistance with patient's spontaneous
breath.
Range 5 cm H2O to 30 cm H2O SIMV + PSV and Pressure Support (PEEP
referenced).
1.5.4 Fresh Gas Compensation
0 l/m to 30 l/m of fresh gas can be compensated for and displayed on screen.
1.5.5 Oxygen
A fuel cell sensor can be connected to allow monitoring of 0% to 100% O2,
with alarms of 18% to 110%. The sensor can be calibrated
1.5.6 Tidal Volume
Volume to be delivered by the ventilator in each breath.
Range 20 ml to 1500 ml all modes.
1.5.7 Minute Volume
Measured volume delivered by the ventilator per minute.
Range 0.3 l/m to 25 l/m all modes.
1.5.8 Expired Tidal volume
Expired tidal volume is measured by the sensor in the breathing circuit, in
either mechanical ventilator spontaneous breathing mode. The measured
value is displayed in the tidal volume window.
1.5.9 BPM (Frequency Control)
The mechanical frequency of the ventilator in breaths per minute (BPM).
Range 2 bpm to 99 bpm all modes.
1.5.14 Compliance
System compliance in ml/ cm H2O
Patient compliance in ml/ cm H2O
Alarms
Activity
Parameters
Status Line
Graphical
Display
Peak
Marker
Parameter
Monitored
Value
Pre-set
Level
Editing a Parameter
1. When a parameter is selected, turn the Trak Wheel clockwise to increase
the numerical value or anticlockwise to decrease the value.
2. Press the Trak Wheel when the required value is displayed to confirm
selection.
Selecting a Menu Item
1. Within a menu, turn the Trak Wheel clockwise to descend the menu or
anticlockwise to ascend the menu. If a menu item is displayed in white, it
is not selectable at this time.
2. Press the Trak Wheel to confirm selection.
User adjustable parameters can be set from the normal screen:
1. Turn the Trak Wheel until the desired parameter is highlighted. When the
cursor reaches the end of one row it will move to the other.
2. Press the Trak Wheel. The parameter is highlighted, indicating that it can
be edited.
3. Rotate the Trak Wheel until the required value is indicated.
4. Press the Trak Wheel again to confirm the new value.
1.6.6.2 Touchscreen
Setting Parameter
Be sure to use your fingertip to activate the touchscreen, do not use
pens or pencils or any other sharp instruments as these will damage
the touchscreen.
To change settings.
• Menu keys on the right of the screen
• Select parameter
SETUP
1.8 Menu Tree
MEASUREMENTS
WAVEFORM SELECT
SYSTEM INFORMATION
MODE
DATE/TIME SETUP
SERVICE MODE
CONFIGURATION
DEFAULT MODE
ALARM LIMITS
ALARM SETUP
1.8.3 Alarm Setup
MUTE TIME
APNEA TIME
WARNING: Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should not be used
for any other purpose, such as creation of micro-breaths or emulation of
specialized high frequency/low volume ventilation systems, otherwise injury to
the patient may result.
Integrated
Following YES this is the start screen for the pre-use tests. Follow all on
screen instructions.
At this stage 1 of 2 screens may appear depending on how the gas analyzer
is set-up. The left screen is if the analyzer is scavenged or the right screen if
the analyzer exhaust is returned to the circle.
The instructions given are the preparation for performing 3 ventilator tests.
1. PEEP Valve calibration, 2. Calculation of system dead space (compliance), 3. Leak
Test.
Having calibrated the PEEP valve and measured the dead space the leak
test starts on the left and concludes with the right hand screen after 20
seconds.
NB. This is just a set of instructions it is not an active test. Set the controls as instructed
and carry out the manual test as instructed making the necessary observations that all is
working as correctly.
Having proved that the manual system works the ventilator can be tested at
nominal settings of TV 500 mL, 12 BPM, I:E 1:2.0 Set up the system as
described Press the track wheel when ready and set the Bag/Vent switch to
Vent. Ensure that the Bag and Bellows are full. Observe the displayed wave
form and expired volume are consistent with the expected result. Other tests
can be carried out at the users discretion.
When this test is completed satisfactorily the system is ready for use.
If the optional external PEEP valve is tested during the Pre-Use test. If the
valve is replaced or fitted during use the Pre-Use test must be carried out to
ensure continued accurate operation.
This screen suggests that the patient pressure is too high (>4cmH2O) to
begin the test.
If the absorber is not set to Vent when starting the test the system will give a
reminder.
Failure to fill the bellows at the If the system has a leak that is
start of the tests will be too large or if the circuit is not
detected. occluded correctly the test will
fail at this point.
If a leak is detected the above causes are the possible places to look. It
should be noted that these are not the only leak possibilities, small holes in
the sensor tubing, Cracks in Breathing circuits are sometimes possibilities
too.
Below are the screens that set-up the conditions affecting the opening Pre-
use screens regarding gas analyzer exhaust positioning.
The gas analyzer exhaust gas can be dealt with in two ways a) it can be
simply exhausted to atmosphere (scavenged) or b) it may be returned to the
circle. These choices need to made by the hospital and the selection made
at the time of commissioning the system. The selection can have marked
effects on he leak tests carried out during the pre-use testing.
If the sample line is disconnected but the exhaust is returned to the circle
then it may mask leaks by providing an additional gas input. If the reverse
situation i.e. the sample line is connected but the exhaust is not then it would
constitute a leak.
2.11 Standby/Bag/Run
By turning the absorber to
VENT the ventilator will
automatically run.
If the tidal volumes are low, the allowable fresh gas flow will be low, and
where the suggested calculated fresh gas flow would be less than 2 LPM, the
ventilator would say “Reduce Fresh Gas”.
In some cases, at high fresh gas flow, the calculated I:E would be outside the
range of I:E settable on the ventilator. The maximum I:E settable on the
ventilator is 1:5.0. i.e. if calculated I:E should be 1:7 which is not possible.
Then the only option is to reduce the fresh gas flow. Thus the I:E will NOT
be forced red, and will be left at it’s set value.
Now rotate to It. It IMMEDIATELY shows the correct value, just CLICK and
accept.
If nothing happens during the first 12 seconds of the alarm the suggested I:E
will be forced. The alarm will continue to sound.
4. Turn the Trak Wheel to highlight a feature on the menu, for example
Fresh Gas.
5. Press the Trak Wheel. The left-hand button on the second row of
displayed parameters is highlighted.
6. Turn the Trak Wheel to highlight each button in turn until a new one is
selected.
7. Press the Trak Wheel again to assign Fresh Gas to the highlighted button
and return to the Features Selection menu. Follow the same process to
un-assign a button.
8. Select Return to close Measurements Selection Menu.
9. Select Return to close the Main menu and go back to the normal screen.
P P
Patient Airway
Flow
Patient Sensor
Airway
Flow Sensor
Connector
Connector
O2 O2
% %
Spirometry
Spirometry
Sensor Head
Sensor head
Y Circuit
Y Circuit
Y Circuit
Y Circuit
Patient
Patient Airway
Airway
Flow Sensor
Flow Sensor
Connector
Connector
Spirometry
Spirometry
Sensor Head
Sensor Head
At Patient At Absorber
Previous Peak
2.18 Spirometry
Once either of the spirometry waveforms has been selected from the
waveform menu, an extra box (’Store Loop’) becomes available on screen for
selection.
Any one of the stored loops can be recalled by highlighting the stored loop
button, then use the trakwheel up/down arrows to select the required loop,
then confirm.
By using the highlighted button, you can select which loop defined by time to
recall and display or turn the saved function off. As shown below.
Recall a
Loop
(by saved
time) Turn
saved
Loop OFF
Save a
Loop
(Time of
saving is
displayed
next to
button)
2.18.2 Pressure/Volume
2.18.3 Flow/Volume
Case Evolution
I. Intra-abdominal CO2 Insufflation
- Compliance drops
- Pplat increases
Zero Graticule
Inspired to patient
This waveform represents the airway flow. The Trace autoscales so that the
amplitude is 80% of the available height. The scale to the side still shows
airway pressure. The zero graticule is shown as a black dotted line.
The flow to the patient is shown as green and the expired flow is shown as
blue.
This selection represents the same standby function as End Case, except the
case timer does not stop and measurement of flow in the patient circuit does
not bring the ventilator back out of standby.
To exit Cardiac Bypass turn the ventilator ON by activating the bag to vent
switch or end the selection of Cardiac Bypass in the ventilator control menu.
2.21 Alarms
The 700/900 series ventilator contains a number of pre-set and user-defined
alarms for patient monitoring and monitoring of the ventilator itself.
The active alarm is displayed on the list in the alarm zone for a minimum Of
30 seconds. If the alarm condition is removed during this time, the alarm is
automatically cleared from the list. If more than one alarm is activated, each
new alarm is added to the top of the list.
• The ventilator settings (BPM, I:E, TV) require a flow greater than 100
Ipm or less than 1.5 Ipm.
When mains power is restored, the Battery Low indicator may remain lit for a
few minutes as the battery recharges.
If the Battery Low indicator illuminates without a mains failure, there may be a
battery or charging fault. The ventilator will then have no battery backup and
must not be used until the fault has been repaired.
2.21.4 No Charge
Mains supply ON, battery not charging.
In pressure control mode the high pressure alarm is 25% above set pressure.
In Volume Control mode, SIMV and Pressure Support modes the pressure
high alarm limit is set via pressure limit setting on main screen. It will be
activated if one of the following occurs:
The set values are ± 25% of the current monitored value. Except AUTO SET
in the following cases:- OFF
If the user goes into the Set Alarms Menu whilst the auto alarms
are set the previous values set will be restored without warning.
The user can restore the previous set of alarm limits at any
time by either selecting Off in the auto box, or going into the
Alarm Limits Menu and making no changes.
High and low alarms are linked intelligently so that a low alarm
value greater than a high alarm value cannot be set.
4. Alarm levels can be set by turning the Trak Wheel clockwise (increase) or
anti-clockwise (decrease).
5. When the required value is displayed, press the Trak Wheel to set the
parameter.
6. Select Return to close the screen and return to the alarm options.
3. Select one of the names displayed using the Trak Wheel. The first
character of the name is displayed in Red when the Track wheel is
pressed.
4. Turn the Trak Wheel clockwise to move through the alphabet from A to Z
and then through the numbers 1 to 0. To insert a space, use the under-
score character ( _ ).
5. Press the Trak Wheel when the desired character is displayed to enter the
character and move the cursor on to the next letter.
6. Repeat steps 3 and 4 until the name is complete. A total of 10 characters
must be entered - even if there are spaces. Pressing the Trak wheel at the
10th character will cause the name to be saved.
7. Press Default Menu again to save the name and exit the menu.
4. Press the Trak Wheel to store the ventilator's current settings as the start
up settings.
2.25.7 Configuration
By selecting the Configuration option, the following menu is displayed:
2.25.8 Set Up
The Set up menu allows the user to:
Notes
3. Installation
Cautions
Cautions Cont.
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the ventilator in close proximity
to heat sources of any kind.
The driving gas is discharged through the port on the rear panel
of the ventilator. This port must be completely free of any
obstruction and should have nothing connected to it. The
exhaust gas is oxygen or MED AIR and does not contaminate the
environment.
60
2. Disconnect the mains supply and check that the MAINS FAIL alarm
activates.
3. Reconnect the mains electrical power and check that the alarm resets.
5. Disconnect the O2 and MED AIR hose and turn off the O2 cylinder. The
SUPP GAS LOW alarm should activate.
Figures 6 Exchanging
fuses
If the valve seat is damaged, the pop-off valve will leak and may
cause serious malfunction. Take care not to damage the
precision-molded surface of the valve seat while cleaning.
Never use a hard object or abrasive detergent. Use only a soft,
lint-free cloth.
G
D
4.5.4 Bellows
Only the bellows base and the parts inside the bellows require
sterilization.
3. Remove the pop-off valve and pediatric bellows adapter (if fitted) and
clean and sterilize them separately.
ITEM METHOD
Notes:
1. Ethylene oxide, 54°C max.
2. Eg. Cidex, Sporicidin, Sonacide.
3. Steam autoclave, 134°C max.
Notes
5. Troubleshooting
The table below describes faults, their probable causes and recommended
corrective actions. If a fault persists, do not use the ventilator. Contact your
Blease service representative.
Exchange hose if
damaged.
Unwanted PEEP Defective or poorly Adjust or exchange
and overfull regulated scavenging scavenging system.
bellows. system.
6. Appendices
6.1 Performance Data
CONTROL/PARAMETER RANGE/VALUE
Input power 90 – 265 VAC
Frequency 50/60 Hz
Power consumption 50 VA
6.1.1 .1 Dimensions
Weight 10kg/22.0lbs
LO/HI
GAS
VOLUME
CONTROL
Set Meas/set Set Pressure
Limit
PRESSUR
E
ALWAYS ALWAYS Meas Meas Meas Pressure
Limit
SUPPORT
SIMV +
PSV
ALWAYS ALWAYS Meas
/set
Meas/set Meas/
set
Pressure
Limit
PRESSUR
E
Set IFLOW Set Set
CONTROL Pressure
6.3.2 Protocol
• All messages will be standard ASCII
• All messages from the ventilator will be prefixed with [.
• All messages will be delimited by a ‘\r’
• All messages will be continuously re-transmitted.
• There will be 4 basic message types as listed below. These messages will
be prefixed with the leading character to aid parsing.
Message Function
Set User set value
Measured Monitored measured value
Event Monitor events
Alarm Alarm status and message
[MPPxxx ’\r’ Measured breath pressure peak xxx=3 digit value in cmH2O*10
ACGO Pre-Set
23 104 E_PARAM_CHKSU
E_ADC_TEST0 Internal i/o test line 0 failed
M
24 E_ADC_TEST1 Internal i/o test line 1 failed
105 E_PROG_CHKSUM N/A
25 E_ADC_TEST2 Internal i/o test line 2 failed
106 E_RAM_READ_WRI N/A
26 E_ADC_TEST3 Internal i/o test line 3 failed TE
7.4 Disclaimer
Opening of the control unit by unauthorized personnel automatically voids all
warranties and specifications. The prevention of tampering is solely the
user's responsibility; the manufacturer assumes no liability for any
malfunction or failure of the ventilator if the control unit is opened.
In communication with AMS Limited, quote the model and serial number
of the equipment, with the approximate date of purchase.
If the equipment is being returned for repair, indicate the nature of the fault or
the work you require to be carried out.
Contact your local dealer:
A MS Limited
Kazim Karabekir Cad. 95/95 iskitler
Ankara-TURKEY
Tel: +90 (0)384 0520
Fax: +90 (0)342 3307
e-mail : ams@ams.com.tr
www.ams.com.tr
7.7 Copyright
©2007, AMS Limited.
All rights reserved. The information contained in this publication may not be
used for any other purpose than that for which it was originally supplied.
This publication may not be reproduced in part or in whole without the written
consent of AMS Limited.
Warning Notices
Caution Notices
Relevant or helpful
NB
In particular electronic assemblies in the AMS range of
machines are easily damaged by ESD and require special
handling.
Warnings
1. USE OF EQUIPMENT
Incorrect use of the equipment described herein may result in
injury to the patient. Read this manual before operating the
machine. You must be familiar with the machine and its functions
before using it on a patient.
3. PRESSURE LIMITING
Pressure limiting is a safety feature and is also used in adult and
pediatric mode to provide ventilation (Pressure Control). It should
not be used for any other purpose, such as creation of micro-
breaths or emulation of specialized high frequency/low volume
ventilation systems, otherwise injury to the patient may result.
5. AUDIBLE ALARM
An audible alarm indicates an anomalous condition that may result
in damage to the equipment or injury to the patient. The cause of
each alarm should be investigated and any necessary measures
taken to remove the alarm condition.
8. EXPLOSION HAZARD
9. DRIVING GAS
Use of a driving gas other than oxygen or MED AIR may damage the
ventilator and will cause inaccurate operation, resulting in potential
injury to the patient. Do not use any other driving gas.
3. BATTERY LIFE
To preserve battery life, never store the ventilator with its battery
discharged. Do not store or use the ventilator in close proximity to
heat sources of any kind.
4. POWER FAILURE
In the event of a mains electrical power failure when the ventilator
is running from its internal battery, do not remove the mains plug
from the mains supply as this would prevent the immediate
resumption of normal operation when the mains power is restored.
5. ELECTROMAGNETIC INTERFERENCE
Excessive electronic noise caused by poorly regulated devices
may interfere with the proper functioning of the ventilator. To
avoid this, do not connect the ventilator to the same mains supply
outlet into which an electrocautery unit is connected.
6. EXHAUST GAS
The driving gas is discharged through the port on the rear panel
of the ventilator. This port must be completely free of any
obstruction and should have nothing connected to it. The exhaust
gas is oxygen or MED AIR and does not contaminate the
environment.
7. BELLOWS EXHAUST
9. CLEANING AGENTS
If the bellows valve seat is damaged, the pop-off valve will leak and
may cause serious malfunction. Take care not to damage the
precision-molded surface of the valve seat while cleaning. Never
use a hard object or abrasive detergent. Use only a soft, lint-free
cloth.
Cautions continued.
Notes
8. Glossary
I:E Ratio The ratio of the inspiratory time to the expiratory time.
A Sustained Pressure...............56
Abbreviations...................................9 Under Pressure.....................57
Absorber Setting ..............................69 User Defined.........................58
A.C.G.O...........................................43 Associated Equipment Accessories .94
Activity Display Area ........................24 Appendices......................................89
Adult/Pediatric .................................43
Airway Flow .....................................50
Airway Pressure ..............................50
Alarms .............................................53
Activating & Monitoring .........31
Apnea ....................................55
Auto Alarms ...........................60
Battery Low............................56
Comms Fail ...........................57
Display Area ..........................25
Fresh Gas Too High ..............59
High BPM Alarm ....................59
High Oxygen Alarm ................59
Low BPM Alarm .....................59
Low Oxygen Alarm ................59
Low Supply Gas Pressure......55
Messages ..............................99
Mute ......................................62
Mute time Setting ...................62
MV High Alarm ......................58
MV Low Alarm .......................58
No Charge .............................57
PAW ......................................57
PEEP .....................................57
Power Fail..............................56
Pressure High Alarm ..............58
Pressure Limit ........................59
Pressure Low Alarm...............58
Pre-set ...................................55
Sensor Error ..........................57
Sensor Not Detected..............57
Setting ...................................61
Setting Apnea ........................63
Setting Error ..........................56
Setup .....................................30
Setup Menu ...........................61
Summary ...............................54
D E
Data Output ..................................13 End of Case .................................... 31
Data Transmission Settings ..........16 Error Codes..................................... 100
Defaults at Startup ........................
ESD ................................................ 106
Volume Control ............91
Event Message ............................... 98
Pressure Control ..........91
Exchanging Fuses........................... 81
SIMV+PSV...................92
Defaults Menu ..............................30,64 Expired Tidal Volume ...................... 21
Dimensions...................................90 External Comms Spec..................... 96
Disclaimer ....................................102
Dual Mode Ventilation...................12
F H
Factory Default Settings .................. 91 Hazard Notices ............................... 105
Features .......................................... 12 Hospital Defaults ............................. 66
Flow/Volume ................................... 48
Fresh Gas ....................................... 37
Calibration ...................... 68
Compensation ................ 21
Pre-Use Test .................. 78
Front Panel ..................................... 23
Fixed Features ................................ 92
I L
Identify your Ventilator .....................10 Laparoscopy ................................ 49
I:E Ratio ..........................................22 Loops recalling ............................. 47
I:E Setting........................................40
Inspiratory Pause.............................16
Installation .......................................71
Introduction......................................11
M N
Maintenance ....................................80 Normal Screen ............................. 24
Mean Pressure ................................22 Notes on Performance Data ......... 90
Measurements Menu ......................42 Notices ......................................... 101
Measured Value Messages .............98
Menu Tree .......................................29
Microprocessor Control....................12
Minute Volume ................................21
Mode Dependant Features ..............93
Mode Selection Menu ......................51
O P
Operating Modes .............................14 Parameters ..................................... 20,53
Oxygen Calibration ..........................41 Parameter Display Area .................. 25
Oxygen Measurement .....................22 Password Changing/entering New .. 67
Overview .........................................11 Patient Airway Flow Sensor ............ 84
PEEP .............................................. 20
Performance Data ........................... 89
Pin Connections .............................. 96
Pneumatic Assembly ..................... 19
Pneumothorax ................................ 49
Pressure Control ............................. 15
Pressure Limit ................................. 22
Pressure Limit Control..................... 12
Pressure Support ............................ 17
Pressure/Volume ............................ 48
Pre-Use Checks .............................. 73
Pre-use Test—error messages ....... 35
Pre-use—Testing ............................ 32
Pre-use Test– Vents ....................... 78
Principles of Operation .................... 18
Product Improvement ...................... 101
Protocol .......................................... 96
R S
Recalling Loops ...............................47 Saving Settings ............................ 66
Recalling Settings ............................66 Sensor Placement........................ 44
Removing Pop-off Valve ..................83 Service Personnel ........................ 102
Responsibilities of the Manufacturer 101 Set Messages .............................. 97
Responsibilities of the User .............101 Setup ........................................... 68
Run .................................................38 Setup Menu ................................. 29
Sigh ............................................. 17
Sigh Setting ................................. 69
SIMV + PSV ................................ 16
Six Monthly Checks ..................... 80
Spirometry ................................... 13,46
Sterilization .................................. 82
Sterilization Methods .................... 85
Support Pressure ......................... 21
Symbols ....................................... 9
System Information ...................... 69
T U
Tidal Volume 21 User Checking Policy ................... 61
Trademarks .....................................104 User Interface .............................. 23
Trakwheel ........................................26 User Maintenance ........................ 80
Trigger .............................................21
Troubleshooting...............................87
Touchscreen....................................27
V W
Ventilator ....................................... Warnings ......................................107
Powering Up .................... 31 Waveform Select Menu ................46
Powering Down ................ 31 Weekly Checks .............................80
Starting ............................ 31
Stopping ........................... 31
Using .............................. 31
Volume Control ............................... 15
Volume Measurement ..................... 22