Aeonmed VG70 PDF
Aeonmed VG70 PDF
Aeonmed VG70 PDF
1. Product Picture
2. Data Sheet
3. User Manual
4. EC Certificate
5. EC Declaration
Product Picture
VG70
TECHNICAL DATA
PCV(A/C)
PRVC(optional)
SIMV(VCV)+PSV
SIMV(PCV)+PSV
SIMV(PRVC)+PSV
SPONT/CPAP+PSV
BIVENT/APRV+PSV(optional)
NIV/CPAP
NIV-T
NIV-S/T
Enhancements:
Apnea ventilation
Lung mechanic
Smart suction
Manual breath
Insp/Exp hold
Waveform freeze
Nebulization
etCO2 measurement
Parameter settings
2-80/min (pediatric)
0.2-5 s (pediatric)
20-300ml (pediatric)
0-2.5 s (pediatric)
BIVENT
Thigh: 0.2-30 s
Tlow: 0.2-30 s
2.5-8mm(pediatric)
Degree of compensation:0-100%
Flow measurement:
O2 measurement:
CO2 measurement
Compliance (C)
Resistance (R)
leakNIV
RSBI
WOB
Tispont
I:E
Vdaw
PEEPi
Tc
Elastance
Curve displays: Airway pressure (t) (Paw) -20 to 100 cmH2O
Pressure-Volume loop
Pressure-Flow loop
Flow-Volume loop
Alarms
(automatic)
AC failure Yes
Low battery Yes
Occlusion Yes
Performance data
Control principle:
Nebulization: 30min
Operating data
Power consumption:
110-120VAC:2A,200VAC(Ventilator only)
Gas supply:
Language:
Physical Specifications
Dimensions(W*D*H):VG70 350mm*460mm*415mm
Cart 547mm*675mm*950mm
Cart 25kg
1 RJ 45 Ethernet connectors
Nurse call
CO2 port
Attention
Beijing Aeonmed Co., Ltd. (hereinafter referred to as "our company") holds the copyrights to
this non-public published manual, and reserves the rights to keep it as a secure document.
Refer to this manual when operating, maintaining and repairing products only. Only our
company may provide permission for the use of or copies of this document to others.
Proprietary materials protected by the copyright law are included in this manual. No section of
it may be duplicated, copied, or translated into other languages without prior written approval
from our company who reserves the copyright.
Everything written within this manual is considered to be correct, but it is not a substitute for
the exercise of professional judgment. Our company is not legally responsible for any mistakes
printed within and/or any damages caused by incorrect installation and operation of equipment.
Our company does not supply privileges endowed by the patent law to any other parties. Our
company is not legally responsible for the results caused by patent law breaking or any rights
of the third party violating.
Any user must read this article before using the products of our company. This article exposes
the operating steps that must be read carefully. Improper use might endanger equipment or
persons. The company will not undertake the responsibility for the safety, reliability and
performance if equipment is used improperly. The company will not offer complimentary
service for misused equipment.
Our company has the right to revise any content in this manual without notice; and has no
obligation to update either hardware or software of the equipment described herein to the user
or owner.
i
Warning for use
Welcome to use our products!
In order to use this product correctly and effectively, please read these operating instructions
carefully and completely before using the product for the first time.
When using the product, always proceed in accordance with the information provided in
these operating instructions on the basis of fully understanding the information in this
manual.
This product is only for intended use as described in these operating instructions.
Only specially trained service professionals are authorized to perform the installation and
service of this product.
For any situation in the use process, please contact with us. We will provide you with warm
service.
ii
Table of Contents
iii
4 Setup................................................................................................................................. 4-1
4.1 Connect Power Supply ................................................................................................ 4-1
4.2 Connect Gas Source.................................................................................................... 4-1
4.3 Connect Accessories ................................................................................................... 4-2
4.3.1 Install Patient circuit ............................................................................................. 4-2
4.3.2 Install Humidifier (optional).................................................................................. 4-3
4.3.3 Install Patient Circuit Positioning Arm (optional) .............................................. 4-3
4.3.4 Install User Interface Screen .............................................................................. 4-4
4.3.5 Install Cylinder Kit (optional) ............................................................................... 4-4
5 Pre-use Test ..................................................................................................................... 5-1
5.1 When to carry out pre-use test ................................................................................... 5-1
5.2 Pre-use Test Procedure ............................................................................................... 5-1
6 Ventilator Operation ........................................................................................................ 6-1
6.1 Starting Up ..................................................................................................................... 6-1
6.2 Interface Layout ............................................................................................................ 6-4
6.2.1 Standby Interface Layout .................................................................................... 6-4
6.2.2 Ventilator Interface Layout .................................................................................. 6-8
6.3 Operation of Main Manu ............................................................................................ 6-14
6.3.1 Ventilation Mode ................................................................................................. 6-14
6.3.2 Alarm Limits ......................................................................................................... 6-21
6.3.3 Monitoring Data................................................................................................... 6-25
6.3.4 Lung Mechanics.................................................................................................. 6-25
6.3.5 Log ........................................................................................................................ 6-27
6.3.6 System ................................................................................................................. 6-30
6.4 Operation of Other Shortcut Keys ............................................................................ 6-47
6.4.1 Inspiratory Hold ................................................................................................... 6-48
6.4.2 Expiratory Hold ................................................................................................... 6-49
6.4.3 Nebulizer .............................................................................................................. 6-49
6.4.4 Manual.................................................................................................................. 6-50
6.4.5 Suction ................................................................................................................. 6-51
6.4.6 Print Screen ......................................................................................................... 6-52
6.4.7 Freeze .................................................................................................................. 6-52
6.4.8 Screen Lock......................................................................................................... 6-53
6.4.9 Alarm Limits ......................................................................................................... 6-55
6.5 Ventilation Parameter Set-up .................................................................................... 6-56
6.6 Turn off the Ventilator ................................................................................................. 6-58
7 Alarms and Troubleshooting ......................................................................................... 7-1
7.1 Alarms ............................................................................................................................ 7-1
7.2 Alarm Message Table .................................................................................................. 7-1
8 User Maintenance ........................................................................................................... 8-1
8.1 Cleaning and Disinfection ........................................................................................... 8-2
8.1.1 Cleaning and Disinfecting Agents/ Autoclaving ................................................ 8-2
8.1.2 Cleaning and Disinfection Methods ................................................................... 8-3
8.1.3 Cleaning and Disinfection of Components ....................................................... 8-3
8.2 Regular Maintenance ................................................................................................... 8-5
iv
8.2.1 Maintenance Principles ....................................................................................... 8-5
8.2.2 Periodic Maintenance Schedule ...................................................................... 8-5
8.2.3 Service Life of Product/Accessories .................................................................. 8-6
8.3 Maintenance in Operation and Transportation ......................................................... 8-7
8.3.1 Transportation ....................................................................................................... 8-7
8.3.2 Storage ................................................................................................................... 8-8
8.4 Consumables Replacement ........................................................................................ 8-8
8.4.1 Fuse Replacement ............................................................................................... 8-8
8.4.2 Battery Maintenance ............................................................................................ 8-9
8.4.3 Oxygen Sensor ................................................................................................... 8-11
8.4.4 Paramagnetic Oxygen Sensor (optional) ........................................................ 8-13
8.4.5 Diaphragm Replacement................................................................................... 8-15
8.4.6 One-way Diaphragm Replacement.................................................................. 8-16
8.4.7 Fan Filter Cotton Replacement ........................................................................ 8-17
8.4.8 Filter Element of Gas Inlet Replacement ........................................................ 8-18
8.4.9 Filter Replacement(Part No.:130003930) ....................................................... 8-19
8.5 Disposal ....................................................................................................................... 8-19
9 Warranty ........................................................................................................................... 9-1
9.1 Return............................................................................................................................. 9-1
10 Theory of Operation ...................................................................................................... 10-1
10.1 Ventilation Modes ....................................................................................................... 10-1
10.1.1 Assist/Control Ventilation .................................................................................. 10-1
10.1.2 Synchronized Intermittent Mandatory Ventilation .......................................... 10-4
10.1.3 Back-up Ventilation (Apnea Ventilation) ......................................................... 10-5
10.1.4 Spontaneous/CPAP Ventilation........................................................................ 10-6
10.1.5 BiLevel Ventilation (BIVENT) ............................................................................ 10-7
10.1.6 Non Invasive/Continuous Positive Airway Pressure ..................................... 10-8
10.1.7 NIV-T .................................................................................................................. 10-10
10.1.8 NIV-S/T .............................................................................................................. 10-10
11 VG70 Ventilator System Specifications .......................................................................11-1
11.1 System ......................................................................................................................... 11-1
11.1.1 General ................................................................................................................ 11-1
11.1.2 Operating Conditions ......................................................................................... 11-2
11.1.3 Non-operating Conditions.................................................................................. 11-2
11.1.4 Power Supply ...................................................................................................... 11-2
11.2 Ventilator ...................................................................................................................... 11-3
11.2.1 General ................................................................................................................ 11-3
11.2.2 Gas Supply .......................................................................................................... 11-4
11.2.3 Patient System Connectors .............................................................................. 11-4
11.2.4 User Interface...................................................................................................... 11-4
11.2.5 Acoustic Energy .................................................................................................. 11-4
11.3 Standard Conditions Specifications ......................................................................... 11-4
11.4 Inspiratory Channel .................................................................................................... 11-5
11.5 Expiratory Channel ..................................................................................................... 11-5
11.6 Monitoring .................................................................................................................... 11-6
v
11.7 Alarms .......................................................................................................................... 11-7
11.7.1 Allowed Alarm Settings ...................................................................................... 11-7
11.7.2 Alarms Miscellaneous ........................................................................................ 11-7
11.8 Ventilation Modes ....................................................................................................... 11-8
11.8.1 Controlled Ventilation ......................................................................................... 11-8
11.8.2 Supported Ventilation......................................................................................... 11-8
11.8.3 Combined Ventilation ......................................................................................... 11-8
11.9 Trend Function ............................................................................................................ 11-9
11.10 Log Function.............................................................................................................. 11-10
11.11 Shortcut Key Functions ........................................................................................... 11-10
11.12 Communication/Interface ........................................................................................ 11-11
11.12.1 Nurse Call Port.................................................................................................. 11-11
11.12.2 Ethernet Port ..................................................................................................... 11-11
11.12.3 RS-232 Port ....................................................................................................... 11-12
11.12.4 Nebulizer Output Port ...................................................................................... 11-12
11.13 Accessories ............................................................................................................... 11-12
11.14 Ventilating Parameters: Default Values and Allowed Settings (Standard
Configuration) ........................................................................................................................... 11-13
11.15 Delivery Accuracy ..................................................................................................... 11-16
12 Pneumatic Diagram....................................................................................................... 12-1
13 EMC................................................................................................................................. 13-1
vi
1 Introduction
1 Introduction
Review all information in this manual thoroughly before attempting to use the equipment.
Our company is responsible for the security; reliability and functions of the equipment, only
when the following requirements are strictly adhered to:
Only individuals authorized by our company may perform installation, adjustments and
repairs.
Necessary electrical equipment and the working environment must be in accordance with
the national standards, professional standards and the requirements listed in this manual.
Equipment must be used as instructed in this manual.
Our company will supply service information to help the customer, under the guidance of
qualified technicians, to repair the equipment.
The operator of this ventilator must recognize their full responsibility for choosing appropriate
ventilation settings to ensure proper ventilation and patient safety. The responsibility for the
selection of the appropriate level of patient monitoring depends solely on the equipment
operator.
All the monitoring information is for reference only; it should not be used as the sole basis for
therapeutic or diagnostic decisions.
The company will provide functional block diagram at the user's request for charge,
accompanied by explanation on calibration method and other information, so as to help users
let appropriate technical staff repair the equipment part that is allowed to be maintained by
user as stipulated.
1-1
1.3 Definitions
This manual uses three special indicators to convey information of a specific nature. They
include:
WARNING: Indicates a condition that can endanger the patient or the ventilator operator.
1.4.1 Warnings
WARNING: Do not use the system until you have read and understood this manual
including:
WARNING: The Ventilator System is intended for use by authorized and trained medical
personnel only.
WARNING: The users must familiarize themselves with the operation and use of this
WARNING: To ensure proper servicing and avoid the possibility of physical injury, only
WARNING: An authorized service engineer must first install the ventilator and run our
1-2
1 Introduction
WARNING: If a fault is detected in the ventilator so that its life support functions are no
longer assured: start ventilation using an independent ventilation device (resuscitation bag)
without delay, if necessary with PEEP and/or increased inspiratory O2 concentration.
WARNING: Before activating any part of the ventilator, be sure to check the equipment for
proper operation and, if appropriate, run PUT (pre-use test) as described in this manual, see
section 5.
does not activate alarms for all types of dangerous conditions for patients on life-support
equipment.
WARNING: Ensure that inspiratory and expiratory circuits are connected to the correct port
WARNING: The expiratory gas pathway may become contaminated with body fluids or
expired gases during normal use, and the inspiratory gas pathway may become contaminated
during fault condition, such as occlusion, breath hoses disconnection.
WARNING: Disposable breathing hoses shall not be reused. Reuse of the single use
WARNING: Assure that hoses used have the appropriate resistance and compliance to
WARNING: Do not disconnect the cable between the Main Control Unit and the GUI
breathing system can change the pressure gradient across the ventilator breathing system and
that such changes to the ventilation breathing system can affect the ventilator performance.
WARNING: Do not place containers of liquids (such as humidifier water reservoirs) on top
of or above ventilator. Liquids getting into the ventilator can cause equipment malfunction with
the risk of patient injury.
WARNING: To avoid risk of electric shock, this equipment must only be connected to a
1.4.2 Cautions
CAUTION: The breathing circuit must not be installed whenever the powers up and
CAUTION: If the system test fails, do not use the system. Attempt to troubleshoot and fix
the failure. If you are unable to fix the device, ask an authorized service representative to
repair the device.
CAUTION: Check the ventilator periodically as outlined in this manual; do not use if
defective. Immediately replace parts that are broken, missing, obviously worn, distorted, or
contaminated.
CAUTION: Do not put ventilator into service until the patient setup is complete.
CAUTION: Do not use oxygen hoses that are worn, frayed, or contaminated by
combustible materials such as grease or oils. Textiles, oils, and other combustibles are easily
ignited and burn with great intensity in air enriched with oxygen.
1-4
1 Introduction
CAUTION: Follow your hospital infection control guidelines for handling infectious material.
Our company recognizes that cleaning, sterilization, sanitation, and disinfection practices vary
widely among health care institutions. It is not possible for our company to specify or require
specific practices that will meet all needs, or to be responsible for the effectiveness of cleaning,
sterilization, and other practices carried out in the patient care setting.
CAUTION: Equipment not suitable for use in the presence of a Flammable Anesthetic
CAUTION: To avoid an electrical shock hazard while servicing the ventilator, be sure to
remove all power to the ventilator by disconnecting the power source and turning off all
ventilator power switches.
CAUTION: To avoid a fire hazard, keep matches, lighted cigarettes, and all other sources
of ignition (e.g., flammable anesthetics and/or heaters) away from the ventilator and oxygen
hoses.
CAUTION: In case of fire or a burning odor, immediately disconnect the ventilator from the
CAUTION: During operation, do not block: Speaker Holes, Exhaust Port, Air Inlet or
Cooling Fan.
CAUTION: The ventilator shall not be used with helium or mixtures with helium.
CAUTION: Tip over hazard; use care when moving ventilator mounted to cart as device
CAUTION: Do not use sharp objects to make selections on the LCD touch screen or panel.
CAUTION: Do not connect a VGA or USB interface while the system is in service
1-5
CAUTION: Batteries should be removed if equipment will not be in service for more than 6
CAUTION: Do not immerse the oxygen sensor or the connector in any type of liquid.
CAUTION: Do not connect items that are not specified as part of the system.
CAUTION: The auxiliary outlet is only for the recommended humidifier; do not connect to
CAUTION: When using a humidifier, user should frequently check the water trap and look
for water in the hose. If water is found in the hose, this water should be removed. Also, it is
important the water trap is positioned in a way such that it is lower than the patient tubes.
a medical equipment system, and can result in a reduced level of safety, make sure the ME
SYSTEM comply with requirements of IEC 60601-1:2005. The user who connects is
responsible for the standard for the requirements applicable to the medical equipment system.
1.4.3 Notes
NOTE: The user of this product shall have sole responsibility for any ventilator malfunction
NOTE: Usage of a filter on the expiratory side will increase the resistance of the patient
circuit.
NOTE: In non-invasive (NIV) ventilation, the exhaled volume of the patient can differ from
1-6
1 Introduction
NOTE: Do not sterilize or immerse the Mainstream CO2 Adapter in any fluids. See Section
NOTE: All parts of the ventilator system are suitable for use within the patient environment.
NOTE: All gas volume, flow, and leakage specifications in this manual are expressed at
STPD (standard temperature and pressure dry), except when specified with another condition.
The VG70 Ventilator System is intended to provide continuous ventilation treatment to patients
and monitoring of patients with respiratory failure or respiratory insufficiency, requiring
respiratory support.
The Critical Care Ventilator is applicable for the patient weighing at least 3 kg (7 lbs.), who
require the following types of ventilatory support: Positive Pressure Ventilation, delivered
invasively (by ET or Tracheotomy tube) or non-invasively (by mask) via Assist/Control, SIMV,
CPAP and other modes of ventilation.
The Critical Care Ventilator is intended for use in hospital and hospital-type facilities. It may be
used during intra-hospital transport provided that electrical power is supplied.
1.7 Contraindication
WARNING: The Ventilator is not intended for use in areas with risk of explosion. Do not
1-7
WARNING: The Ventilator is not designed for use in an MRI environment. Do not use the
WARNING: To avoid risk of electric shock, this equipment must only be connected to a
mains supply with protective earth. A “hospital grade” cord must be used and connected to a
“hospital grade” electrical outlet.
NOTE: See Section 1.4 (Warnings, Cautions and Notes) for all enviromental warnings.
f Breath rate (frequency) in bpm, i.e. ventilation times per minute (S)
ftotal Total breath rate, i.e. the sum of breath rate f and spontaneous breath rate
fspont (M)
Pmean Mean airway pressure. This value is updated at the end of the last respiratory
cycle, hence, is a continuous average (M)
1-8
1 Introduction
Ppeak Airway pressure peak value during one ventilatory cycle (M)
Tpause Inspiratory Pause Time, to increase the inspiratory time to improve the
patient‟s oxygenation (S)
1-9
1.9 Frequently Used functions
1.10 Symbols
Instead of illustrations, symbols may be utilized. Not all of these symbols may necessarily
appear on the equipment or in this User manual. The symbols include:
Lock Manufacturer
1-10
1 Introduction
Review all information in the Operator‟s Manual before attempting to use this equipment.
3. Power on Ventilator
4. Technical Test
5. Pre-use Test
1-12
1 Introduction
1-13
10. Set Appropriate Ventilation Settings
1-14
2 System Overview
2 System Overview
The Critical Care Ventilator System consists of two required Components: a Main Control Unit
and a Graphical User Interface (GUI). Optional Components available for the Critical Care
Ventilator system are: Cart, Battery Backup Assembly, Patient Circuit Positioning Arm, Patient
Circuit Assemblies and CO2 module, etc.
Patient Circuit
10 Nebulizer Connector 11
Positioning Arm
The GUI controls ventilator settings: Settings can be selected and adjusted by using a finger
on the screen and/or the encoder knob. The GUI verifies that all combinations of settings are
obtainable and will notify the user of any setting limitations.
2-1
Breathing parameters are continuously measured by transducers and controlled by a feedback
system in the Breathing Delivery Unit. The ventilator responds to a difference between the
actual measured value of a parameter and the preset or calculated value by adjusting gas
delivery to achieve the target value.
1. Alarm Lamp
2. Touch Screen
3. Encoder Knob
The Alarm silence hard key enables the user to silence alarms for 2 minutes. Pressing a
location on the GUI screen will either bring up a sub-menu or will highlight a ventilator
parameter or shortcut key. Rotating the encoder knob when the ventilator parameter is
selected allows the user to scroll through the available range.
2-2
2 System Overview
1. Main cable: This cable connects the GUI screen and the main control unit.
2. VGA interface: For connection of a VGA display which will display the same information as
the GUI screen. Display resolution of 1024*768, 60Hz is suggested.
CAUTION: Do not connect VGA interface when the system is in use on a patient.
3. USB interface: Only external storage devices of low power consumption are permissible for
this USB interface.
CAUTION: Do not connect to the USB interface when the system is in service.
4. Network Interface: For connection to external equipment such as electronic health record.
Refer to section 11.12, Communication/interface for additional information..
CAUTION: Do not connect Network Interface; only the qualified personnel can use it.
2-3
2.3 Main Control Unit
The main control unit is responsible for control of the ventilator. It has interfaces on the front
and rear panels including pneumatic and electronic interfaces.
1. Expiratory module: To remove the Expiratory module: Press the latch (5) on the right part
of front cover (i.e. unlock it) and then take out the Expiratory module. After cleaning or high
level disinfection, insert the module in the proper position until the locking latch returns to the
locked state.
NOTE: Use caution when inserting the expiratory module to avoid leakage. A system leak
test must be done before the machine is put into patient use.
CAUTION: Expiratory module is heated to prevent water condensation, use caution due to
high temperature.
2. Exhaust port: Patient expiratory gas is released through this port to room air.
2-4
2 System Overview
3. Expiratory port
4. Water trap cup: Collect condensed water to prevent it from going into expiratory valve.
5. Expiratory module latch: A latch that is used to lock or unlock the expiratory module.
WARNING: Do not operate this latch or remove the Expiratory module while the Ventilator
is in use on a patient.
8. Inspiratory port: Delivers gas from the ventilator to the patient inspiratory limb hose.
CAUTION: The Equipotential Terminal is used to connect various parts of the equipment or
of a medical equipment system to the same potential. When connected, it shall comply with the
IEC 60601-1.
WARNING: Never block the ports of the exhaust cooling fan and the air inlet! Clean the
filter regularly! Ventilator should not be covered or positioned in such a way that that the
operation or performance of the Ventilator is adversely affected (e.g. positioned next to a
curtain that blocks the flow of cooling air, thereby causing the ventilator to overheat).
WARNING: Use caution when handling flammable and/or damageable components. Call
CAUTION: CO2 Module Connector is only for the specified CO2 Module, and cannot be
2.4 Cart
An optional cart may be used to mount the Ventilator. It applies to placing and moving the
Ventilator. The cart includes an auxiliary AC panel.
2.5 Humidifier
An optional Humidifier, like the Fisher & Paykel MR850, or similar product, should be used with
the Ventilator. Our company may supply humidifiers in your area – talk with our company‟s
Sales Representative if you need more information.
An optional Gas Cylinder Mounting Kit is available that holds 2 US E cylinders (O2).
2-6
3 CO2 Module
3 CO2 Module
The mainstream CO2 module is intended to be connected to the Ventilator for display of real
time and derived monitoring data of CO2.
The mainstream CO2 module is intended to be connected to a patient breathing circuit for
monitoring of inspired/expired gases during recovery and respiratory care. It may be used in
the operating room, the intensive care unit, patient room and emergency medicine settings for
adult and pediatric patients.
The CO2 module is not intended to be used as the only means of monitoring a patient. It must
always be used in combination with alternate monitoring systems.
3.2.1 General
3-1
according to EN1789:2007 (clause 6.4) and
requirements for shock and vibration according to
EN ISO 80601-2-55 (clause 201.15.3.5.101).
Disposable adult/pediatric:
Adds less than 6 ml dead space;
Pressure drop less than 0.3 cmH2O @ 30 LPM.
Airway adapters
Disposable infant:
Adds less than 1 ml dead space;
Pressure drop less than 1.3 cmH2O @ 10 LPM.
NOTE 1: After being in a condensing atmosphere, the unit shall be stored for more than 24
hours in an environment equivalent to the operating humidity. The humidity range 50 ~ 100%
is valid within the temperature range of -40 to 40°C only.
Gas analyzer
Range 1)
3-2
3 CO2 Module
Gas Accuracy
NOTE 1: The accuracy specification is valid for the operating temperature and humidity
conditions specified, except for interference specified in the table “Interfering gas and vapor
effects” below.
N2O 3) 60 vol% – 1)
HAL 3) 4 vol% – 1)
O2 4) 100 vol% – 1)
conditions” above.
NOTE 2: Interference at indicated gas level. For example, 50 vol% Helium typically
decreases the CO2 readings by 6%. This means that if measuring on a mixture containing 5.0
3-3
vol% CO2 and 50 vol%. Helium, the measured CO2 concentration will typically be (1-0.06) * 5.0
vol% = 4.7 vol % CO2.
CAUTION: The presence of oxygen can cause some interference in the CO2 measurement.
This is known as spectral broadening, and must be compensated. The Ventilator performs the
O2 compensation automatically for IRMA CO2. Use valid O2 sensor, mount O2 sensor and
connect cable to ventilator correctly, maintain regularly. Otherwise etCO2 accuracy may be
affected.
CAUTION: The presence of nitrous oxide can cause some interference in the CO2
measurement. This is known as spectral broadening. The ventilator is not intended for use with
nitrous oxide gas, and there is no compensation performed. Therefore, if nitrous oxide gas is
used with the ventilator, the etCO2 accuracy will be affected.
3.2.2 EMC
The IRMA probe is intended for use in the electromagnetic environment specified below. The
customer or the user of the IRMA probe should assure that it is used in such an environment.
3-4
3 CO2 Module
The IRMA probe is intended for use in the electromagnetic environment specified below. The
customer or the user of the IRMA probe should assure that it is used in such an environment.
±2 kV for power
Electrical fast Mains power quality should be that
supply lines
transient/burst IEC Not applicable of a typical commercial or hospital
±1 kV for
61000-4-4 environment.
input/output lines
±1 kV line(s) to
Mains power quality should be that
line(s)
Surge IEC 61000-4-5 Not applicable of a typical commercial or hospital
±2 kV line(s) to
environment.
earth
<5 % UT (>95 %
Mains power quality should be that
dip in UT) for 0.5
of a typical commercial or hospital
cycle
Voltage dips, short environment. If the user of the
interruptions and 40 % UT (60 % dip IRMA probe requires continued
voltage variations on in UT) for 5 cycles Not applicable operation during power mains
power supply input 70 % UT (30 % dip interruptions, it is recommended
lines IEC 61000-4-11 in UT) for 25 cycles that the IRMA probe is powered
from an uninterruptible power
<5 % UT (>95 %
supply or a battery.
dip in UT) for 5 sec
NOTE: UT is the a.c. mains voltage prior to application of the test level.
3-5
Guidance and PHASEIN’s declaration – electromagnetic immunity – for IRMA probe
The IRMA probe is intended for use in the electromagnetic environment specified below. The
customer or the user of the IRMA probe should assure that it is used in such an environment.
3-6
3 CO2 Module
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the IRMA probe is used
exceeds the applicable RF compliance level above, the IRMA probe should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the IRMA probe.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 10 V/m.
The IRMA probe is intended for use in an electromagnetic environment in which radiated RF
disturbances are controlled. The customer or the user of the IRMA probe can help prevent
electromagnetic interference by maintaining a minimum distance between portable and mobile
RF communications equipment (transmitters) and the IRMA probe as recommended below,
according to the maximum output power of the communications equipment.
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in meters (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
3-7
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
It should be assured that the IRMA probe is used in the electromagnetic environment specified
in this manual.
3.3.1 Set-up
1. Plug the IRMA connector into the CO2 module connector on Ventilator rear panel and switch
the power on.
2. Snap the IRMA probe on top of the IRMA airway adapter. It will click into place when
properly seated.
3. A green LED indicates that the IRMA probe is ready for use.
3-8
3 CO2 Module
Alternatively, connect a HME (Heat Moisture Exchanger) between the patient‟s endotracheal
tube and the IRMA probe. Placing a HME in front of the IRMA probe protects the airway
adapter from secretions and effects of water vapor and eliminates the need of changing the
adapter. It allows free positioning of the IRMA probe as well.
3-9
6. Unless the IRMA probe is protected with a HME always position the IRMA probe with the
status LED pointing upwards.
When connecting IRMA probe to an infant patient circuit it is important to avoid a direct contact
between the IRMA probe and the infant‟s body.
If, for whatever the reason, the IRMA probe is in direct contact with any parts of the infant‟s
body an insulation material shall be placed between the IRMA probe and the body.
Always verify gas readings and waveforms on the monitor before connecting the airway
adapter to the patient circuit. Perform the tightness check of the patient circuit with the IRMA
probe snapped on the IRMA airway adapter.
In order to secure high precision of the IRMA probe measurements the following zeroing
recommendations should be followed.
Zeroing is performed by snapping a new IRMA airway adapter onto the IRMA probe without
connecting the airway adapter to the patient circuit, and then using the host instrument to
transmit a Zero reference command to the IRMA probe.
Special care should be taken to avoid breathing near the airway adapter before or during the
Zeroing procedure. The presence of ambient air (21% O2 and 0% CO2) in the IRMA airway
3-10
3 CO2 Module
Always wait at least 10 seconds after changing the IRMA adapter before running the Pre-use
test to allow the CO2 sensor to warm up.
Zeroing needs to be performed only when an offset in gas values is observed, or when an
unspecified accuracy message is displayed.
3.5 Alarms
Refer to Section 8, Alarms and Troubleshooting, for EtCO2 low and high signal alarms.
3.6 Cleaning
The IRMA probe can be cleaned using a cloth moistened with maximum 70% ethanol or
maximum 70% isopropyl alcohol.
Remove the disposable IRMA Airway Adapter prior to cleaning the IRMA probe.
CAUTION: The airway adapters are non-sterile devices. Do not autoclave the devices as
3.7 Warnings
WARNING: The IRMA probe is intended for use by authorized and trained medical
personnel only.
WARNING: The IRMA probe must not be used with flammable anesthetic agents.
3-11
WARNING: Disposable IRMA airway adapters shall not be reused. Reuse of the single use
WARNING: Used airway adapters shall be disposed of in accordance with local regulations
WARNING: Do not use the IRMA Adult/Pediatric airway adapter with infants as the adapter
WARNING: Do not use the IRMA Infant airway adapter with adults as this may cause
Assure that the IRMA probe is used in the electromagnetic environment specified in this
manual.
WARNING: Do not place the IRMA airway adapter between the endotracheal tube and an
elbow as this may allow patient secretions to block the adapter windows and result in incorrect
operation.
WARNING: To keep secretions and moisture from pooling on the windows sensor port,
always position the IRMA probe in a vertical position with the LED pointing upwards.
3-12
3 CO2 Module
WARNING: Do not use the IRMA airway adapter with metered dose inhalers or nebulized
medications as this may affect the light transmission of the airway adapter windows.
WARNING: The IRMA probe is intended only as an adjunct in patient assessment. It must
WARNING: Replace the adapter if rainout/condensation occurs inside the airway adapter
3.8 Cautions
CAUTION: The IRMA airway adapters are non-sterile devices. Do not autoclave the
CAUTION: Do not operate the IRMA probe outside the specified operating temperature
environment.
The IRMA probe is permanently calibrated at the factory and requires verification in regular
intervals using a service reference instrument.
WARNING: Never put ventilator into service until patient setup is completed.
Clinical safety has been a major consideration in design of the machine, but operator should
still be very cautious when operating the machine.
3-13
CAUTION: In case any measured value seems suspect, operator should first examine the
patient‟s vital signs using other means, and then check the ventilator.
3-14
4 Setup
4 Setup
The machine can work with one of 2 power supply sources: internal battery and AC power
supply. An icon on the right upper part of screen displays the supply being used. When
operating on battery, all functions except the expiratory port heater, the cooling fan and the
nebulizer are the same as under AC operation. The expiratory port heater, the cooling fan and
the nebulizer are disabled in battery operation to improve battery run time. If “low battery” is
displayed when the internal or extended battery is in use, the AC power supply must be
connected to charge the battery, otherwise the Ventilator may lose power.
After connecting the AC power supply, the AC power supply indicator will be shown indicating
the battery is being charged. A typical charge period is 3.5 hours. The power supply indicator
is lit yellow during periods of charging, and the light goes out when the battery is fully charged.
Remove AC Power supply cord from wall connection to disconnect ventilator from AC Mains.
Hyperbaric Oxygen Inlet of the ventilator can be connected to multiple gas sources: bottled
oxygen and central supply O2. The gas source pressure must be between 280 ~ 600 kPa (41 ~
87 psi). Low pneumatic pressure will impair some functions of the ventilator.
4-1
For Low-flow Oxygen Inlet of the ventilator, the gas source pressure must be less than 600kPa,
and the flow is less than 15L/min.
Oxygen connected to the high pressure input ports of the ventilator will be used as Fresh Gas
and will be supplied to the patient.
Figure 4-2
This figure shows the connection of patient circuit, including inspiratory port, water trap,
Inspiratory tube, Y-piece, breathing hoses and expiratory filter.
CAUTION: Assure patient hoses used have the appropriate resistance so that patient
NOTE: When adding attachments or other components to the breathing system, the
breathing resistance may increase, or the monitoring pressure of the patient connect port is
higher than the actual pressure.
4-2
4 Setup
Figure 4-3
Figure 4-4
4-3
4.3.4 Install User Interface Screen
Figure 4-5
Figure 4-6
Install O2 cylinder (2) into the right side of holder (1). Secure cylinder using strap (3). Repeat
for the other O2 cylinder on the left side.
NOTE: The kit includes only the mounting brackets and attachments. User must supply the
Gas Cylinders with Gas Regulators and hoses compatible with the VG70 Gas Inlet
Connections and at the proper Pressure per VG70 Specifications.
4-4
5 Pre-use Test
5 Pre-use Test
WARNING: Do not use the system until you have read and understood all the operation
WARNING: If the system test fails, do not use the system. Attempt to troubleshoot and fix
the failure. If you are unable to fix the device, ask an authorized service representative to
repair the device.
CAUTION: The following measures should be taken to minimize risks in the ventilator
system.
After power on and technical test, the machine will enter the pre-use test following display of
the power-on page. Items included: Gas supply test, Leak test, Flow sensor test, Pressure
sensor test and Safety valve test in the power-on self-test: For details on testing, please refer
to Section 6.1.
There is also a “Pre-Use Test” key on Standby screen. There are more test items in the
“Pre-Use Test” page. Items included:
Technical Test After each system has completed its initialization technical tests will
be performed, including: voltage checks at critical points in the
circuitry; data collection necessary for system operation; test of
communication between sub-systems; tests of measurement circuits
and valve control circuits.
AC/Battery test This test will verify whether the batteries can supply enough power to
operate the ventilator normally. Please follow instructions as
5-1
Test Items Remarks
displayed.
Gas supply test Test will proceed when hyperbaric oxygen is functional.
Oxygen sensor test. This test requires that oxygen supply is available. If oxygen source is
not available then a message “oxygen source is inadequate” and the
test cannot be carried out.
CO2 Sensor test Performed if a CO2 module is detected. An Alert will be posted if the
test fails.
Below is a method for testing the function of the alarm system for conditions specified by
IEC60601-2-12. Alarm system tests are to be performed at the user‟s discretion.
Perform the following procedure to verify operation of the Low MVe and High Airway pressure
alarms:
5-2
6 Ventilator Operation
6 Ventilator Operation
WARNING: Never put ventilator into service until patient setup is completed.
Clinical safety has been a major consideration in design of the machine, but operator should
still be very cautious when operating the machine.
CAUTION: In case any measured value seems suspect, operator should first examine the
patient‟s vital signs using other means, and then check the ventilator.
6.1 Starting Up
Connect power supply cable to power supply socket on the wall, and the AC power supply
indicator will be lit green.
Step 2: Switching on
To switch ventilator on, actuate the power switch of ventilator from “ ” to “ ”. The
machine will then be turned on; initialization of the GUI Display, Main Control unit and other
systems will start, the power-on interface and then the company logo will be displayed.
6-1
Figure 6-2 Switching on
After each system has completed its initialization, technical test will be performed, including
voltages tests, data tests, communications tests, AD and DA converter tests, and valve control
tests. The ventilator is not operational during this period.
The technical test should be performed for 10 seconds then wait for all results to be sent to
GUI. If all tests pass, the technical test finished and continue to the pre-use test. If some test
fail or waiting timed out, the failure information shall be displayed on screen, the “Test” and
“Skip” button‟s state will change to enable. User can choose “Test” to do technical test again,
or choose “Skip” to skip technical test.
6-2
6 Ventilator Operation
After the unit has finished the technical test, it shall enter into the pre-use test routine.
Test Items include: Gas supply test, Leak test, Flow sensor test, Pressure sensor test and
Safety valve test. The pre-use test is an interactive test requiring the user to read and follow
screen prompts. See Figure 6-4 for sample screen. Along the bottom of the screen shall be 2
buttons: Test and Skip.
Test Items shall be performed one by one. If all tests pass, it shall enter Standby screen. If
some tests fail, the failed information shall be displayed on screen, the “Test” button‟s state
change to enable. Choose “Test” to do the test again, or choose “Skip” to enter Standby
screen.
6-3
Figure 6-4 Pre-use Screen
NOTE: The ventilator does not support patient ventilation during the pre-use, since the
After the Power-on self-check is finished or the “Skip” key has been clicked. Press the blue key
with the text “Start ventilation” ( ) to enter the currently selected ventilation mode and
the blue key will change to orange with text “standby” on it ( ). After pressing and
holding the standby key for 4 seconds, it will go back to “Start Ventilation” again.
In the standby interface (see Figure 6-5), the user can set the information of the new patient,
see the information of the previous patient, and do the pre-use test.
6-4
6 Ventilator Operation
Figure 6-5
a) Patient Settings
Step 2: Ventilation type (Invasive or NIV, default is Invasive), Patient height (default is 150cm)
and Ventilation mode. See example in Figure 6-6.
NOTE: In the Ventilation Mode area, there is an “enter” key. Pressing the “Enter” key will
6-5
Figure 6-6
b) Patient Information
Click the Patient Information key to enter patient information for a new patient. In this page, the
user can enter the patient‟s name, Medical Record Number, Admission Date, Birth Date and
Height (cm). There is a small keyboard on the right side of the Patient Information. The format
of the admission date and birth date is YYYY/MM/DD, and the default date is the computer
date. In the lower right corner, there is “Clear” key to clear all the information. See the example
in Figure 6-7.
Figure 6-7
For the Previous Patient key, the same content displays as for a new patient, except the
Patient Type and Vent Type appear on the Patient Settings page and the Patient information
cannot be changed, as shown in Figure 6-8.
6-6
6 Ventilator Operation
Figure 6-8
Click the Pre-Use test key to enter the pre-use test page. There are ten tests that must be
done before the ventilator is connected to a patient: Technical test, AC/Battery Test, Gas
Supply Test, Oxygen Test, Leak Test, Flow Sensor Test, Pressure Sensor Test, Safety Valve
Test, Patient Circuit Test, and etCO2 Sensor Test. as shown in Figure 6-9.
There is a label with “√” at the front of each test item. Touch the test item can change the
selected state of it. At the bottom of items there is a label with “√” and text “Select All”, touch it
can select all test items.
NOTE: Before the ventilator is connected to a patient, we suggest that the user do all tests.
Figure 6-9
6-7
6.2.1.4Calibration
Click the calibration key to enter the calibration page, as shown in Figure 6-10. In this page,
the user can calibrate O2 sensor and flow sensor.
Figure 6-10
The ventilator interface can be divided into six parts: Parameter setup area, Short Cut keys
area, Patient Measured Parameters area, Patient Waveforms area, Information area and User
Message Prompts area, as shown in Figure 6-11.
6-8
6 Ventilator Operation
Figure 6-11
Figure 6-12
6-9
6.2.2.1 Information Area
The Information area includes seven sections: Ventilation Mode, Alarm Messages, Network
and USB connection, Trigger, Patient Type and weight, AC and Battery indicators, and Time.
Figure 6-13
Alarm Messages area: When there is no alarm message, this area is same background color
as other screen areas; when a technical or functional alarm occurs, the background color will
change to either red or yellow and text information will be displayed.
Network and USB connection indicator area: Displays the Network and USB connection
status.
AC and Battery indicators area: Displays the AC, internal battery and extended battery
connection status.
Trigger area: Displays the current ventilator trigger type. There are three trigger types:
Pressure Trigger, Flow Trigger, and Manual Trigger. If there is currently no trigger in use, the
trigger symbol will disappear.
condition may be reached. Triggering will then be initiated by the system and not by the patient.
This should always be avoided by decreasing the trigger sensitivity. This is also important
during transport as the movement of the body and the breathing system may lead to false
triggering.
Patient Type and weight area: Displays the current patient‟s type ( or )
and current patient‟s weight.
Time area: Displays the current time. There are two formats, 12-hour or 24-hour.
6-10
6 Ventilator Operation
If no prompt message is displayed, this area will have the same background color as other
parts of the screen. If a prompt message is available, it will have a flashing bulb icon in front of
the relevant prompt message.
Figure 6-14
At center of the screen, the Patient Waveforms area is the main display area. In the default
state, this area will display three waveforms: Pressure waveform, Flow waveform and Volume
waveform. See the example in Figure 6-15.
Figure 6-15
6-11
6.2.2.4 Patient Measured Parameters Area
This area displays parts of the monitored patient parameters which are very important. When
in Standby mode, the monitoring values of all parameters will be displayed as “---”. The
background color for Parameters with alarm limits will change between black and red when a
high-level alarm occurs. The flash rate will be at 2 Hz ± 10 % and it will be synchronized with
the high-level alarm displayed in the Alarm Message Area. All the parameters can be changed
to other parameters by a sub menu which on the monitor. The parameters were separated into
3 groups, each group contain 2 parameters.
The parameters shall be divided into 3 groups: Group 1, 2 and 3. See example in Figure 6-16.
Figure 6-16
The ventilation parameter setup area is at the bottom of the screen. The breathing parameters
settings necessary for the current ventilation mode are displayed in this area. See the example
as shown in Figure 6-17. If the ventilation parameter setup items for the selected Ventilation
mode do not fit in this space, the “More Settings” key will allow the user to access and change
the other setup items.
6-12
6 Ventilator Operation
Figure 6-17
The ventilator has shortcut keys to access many ventilator operations, including Inspiratory
Hold, Expiratory Hold, Nebulizer, Manual breath delivery, Suction, Print screen, Freeze,
Screen Lock, Alarm Limits, Main Menu and Standby/Start Ventilation.
6-13
Figure 6-18
Click “Main Manu” of the shortcut key on the right side of the screen, the user can set Mode,
Alarm Limits, Monitoring Data, Lung Mechanic, Log, System. Specific operation is as follows.
6.3.1Ventilation Mode
Step 1: Click in the shortcut keys area to enter the Main Menu, then click
6-14
6 Ventilator Operation
Figure 6-19
Click [VCV] to enter the [VCV] mode setup page. The [VCV] key will become yellow as shown
in Figure 6-20. The user can then set every parameter of VCV mode.
Figure 6-20
Step 3: Click [Accept], now VCV mode is set as the ventilation mode. See Figure 6-21.
6-15
Figure 6-21
NOTE: The setup procedures of other modes are similar to the one above.
WARNING: If “Accept” is not clicked, the screen will return to the main menu, and the last
Backup ventilation mode is included for: SPONT/CPAP+PSV, SIMV (VCV) +PSV, SIMV (PCV)
+PSV, SIMV (PRVC) +PSV, and BIVENT+PSV. To setup the PSV mode, the user must set
Psupp setting to a value not equal to 0, then “+PSV” will be added to the bottom of the mode
name, as shown in Figure 6-22. Remember that mode changes are only in effect after Accept
is pressed, as shown in Figure 6-23.
Figure 6-22
6-16
6 Ventilator Operation
Figure 6-23
The spontaneous ventilation modes include: SPONT/CPAP+PSV, SIMV (VCV) + PSV, SIMV
(PCV) + PSV, SIMV (PRVC) + PSV, and BIVENT + PSV. The backup ventilation mode will be
PCV.
There are two measures for recovery from apnea: patient triggering and operator resetting.
When setting the above ventilation modes, the operator should set the backup ventilation
mode. The default values and the range of the parameters are shown in the Table 6-1.
Table 6-1
Factory default
Setup range Adjustment
Parameter setup
step
Adult Child Adult Child
5mL for
under
100mL(incl.),
VT(mL) 400 80 50-2000 20-300 10mL for
over 100mL,
50mL over
1000mL
6-17
Factory default
Setup range Adjustment
Parameter setup
step
Adult Child Adult Child
PEEP/Plow(cmH2
5 5 0-35 0-35 1
O)
Pinsp(cmH2O) in
20 10 5-(70-PEEP) 5-(70-PEEP) 1
invasive modes
Pinsp(cmH2O) in
20 10 5-(50-PEEP) 5-(50-PEEP) 1
NIV-T
Trigger mode , , --
Psupp (cmH2O) in
0 0 0-(70-PEEP) 0-(70-PEEP) 1
invasive modes
Psupp (cmH2O) in
0 0 0-(50-PEEP) 0-(50-PEEP) 1
NIV-S/T
6-18
6 Ventilator Operation
Factory default
Setup range Adjustment
Parameter setup
step
Adult Child Adult Child
Compliance
ON ON ON, OFF ON, OFF --
compensation
Pipe diameter
7.5 5.0 5-12 2.5-8 0.5
(mm)
All modes in the mode menu include trigger type selection: pressure or flow. User can also set
the value for Psens or Vsens after choosing the trigger type. See Figure 6-24.
Figure 6-24
Tube compensation (TC) will be available only in pressure modes (PCV, SIMV (PCV),
SPONT/CPAP and BIVENT). Select tube compensation “On” and the “On” key will become
yellow as an acknowledgement, as shown in Figure 6-25.
6-19
Figure 6-25
Select the tube type in this interface: ET (Endotracheal Tube) or TT (Tracheotomy Tube), and
the selected one will become yellow as shown in Figure 6-25.
Tube inside diameter (mm) and Tube compensation amount (%) may be modified after being
clicked. Click “Accept” to store the new value.
When tube compensation is enabled, a message will be presented on the bottom of screen:
TC ON, as shown in Figure 6-26. Also a tube icon will display in the information area, see
Figure 6-27.
Figure 6 -26
Figure 6-27
Tube inside diameter ranges are: 5 to 12mm for adult, 2 to 5-8mm for child; increment: 0.5mm
for both adult and child.
6-20
6 Ventilator Operation
Since the flow trigger is the default trigger mode, “pressure” is displayed on the trigger type
menu. SIMV‟s input interface is different from that of the other modes. The SIMV setup
interface is shown in Figure 6-28, and the other modes in Figure 6-29.
Figure 6-28
Figure 6-29
After the “pressure” trigger mode is selected, the Psens key can be adjusted and the Vsens key
will become gray.
6.3.2Alarm Limits
Click “Alarm Limits” in the “main menu” to enter the “Alarm Limits” menu interface, as shown in
Figure 6-30.
6-21
Figure 6-30
Paw: high and low limits of patient airway pressure (unit: cmH2O)
PEEP: high and low limits of positive pressure at expiratory end (unit: cmH2O)
fspont: high limits of rate of spontaneous breaths (unit: breath per minute)
etCO2: high and low limits of CO2 concentration at the end of Expiration (unit: mmHg)
High limit of flow volume per minute 1 to 60L, OFF, 0.1step, default 30Lo
OFF, 0.1 to 40L, 0.1 step, default 1L for adult and 0.5L
Low limit of flow volume per minute
for child.
Low limit of airway pressure OFF, 1 to 60 cmH2O, step 1 cmH2O, default 5 cmH2O.
Low limit of PEEP in Invasive OFF, 1 to 35 cmH2O, step 1 cmH2O, default OFF.
6-22
6 Ventilator Operation
Ventilation
high limit of PEEP in NIV 1 to 20 cmH2O, OFF, step 1 cmH2O, default OFF.
Low limit of PEEP in NIV OFF, 1 to 20 cmH2O, step 1 cmH2O, default OFF.
High limit of apnea duration 10 to 60s, OFF, step 1s, default 20s.
CAUTION: Do not set alarm limit parameter to extreme values that can render the alarm
system useless.
alarm presets can be made different from the manufacturer-configured alarm presets in
[Configurations] menu.
WARNING: A potential hazard can exist if different ALARM PRESETS are used for the
same or similar equipment in any single area, e.g. an intensive care unit or cardiac operating
theatre.
WARNING: When selecting “New patient”, confirm all alarm limits parameters are
NOTE: To set alarm parameter to “OFF”, set the data display to the lowest or highest value.
Press the encoder knob, turn encoder knob one more click and confirm by pressing encoder
knob once more.
NOTE: All alarm limit setting parameters are retained during power interruption and can be
NOTE: If [Alarm volume] requires adjustment, the procedure is as follows (the same
Step 1: Click “Alarm volume” when the key‟s background color becomes yellow, then you can
adjust the level of alarm volume, as shown in Figure 6-31.
6-23
Figure 6-31
Step 2: Turn the encoder knob left or right to adjust the alarm volume, press the encoder knob
to confirm when proper value is reached. Background color will return to its original color, as
shown in Figure 6-32.
Figure 6-32
CAUTION: If the encoder knob is not pressed at the end, the system will go back to the
original value after 10 seconds, i.e. the new setting will have no effect.
CAUTION: In the case of an alarm during operation, the following cases may have
occurred:
2) Leakage in patient circuit; turn off the machine first and then check. In case of no
resolution, contact service representative.
In case there is not sufficient gas volume given to the patient, disconnect the ventilator from
the patient, use artificial respiration or other emergency devices for the patient. Check the
machine thoroughly.
6-24
6 Ventilator Operation
6.3.3Monitoring Data
Click “Monitoring data” on main menu to enter “Monitoring data” interface. The parameters are
listed in four columns in this interface, as shown in Figure 6-33. All parameters will be also
shown in the main interface.
Figure 6-33
6.3.4Lung Mechanics
Click “Lung Mechanics” on “main menu” to enter “Lung Mechanics” page. On this page, you
can select the test items on the left (from the top down): Rinsp, C static and PEEPi. The results
of last test for the six parameters are listed on the right, as shown in Figure 6-34.
6-25
Figure 6-34
Step 1:
Click “Rinsp” to enter the test menu. The basic information is displayed in the middle of the
screen, which includes the result of last and current inspiratory Resistance measurement. The
result with date and time of last measurement is on the left, and the result of current
measurement with time and date is on the right, as shown in Figure 6-35. If the measurement
is not started, the results are “--”.
Figure 6-35
6-26
6 Ventilator Operation
Step 2:
When the measurement is completed, current measured values with date and time will be
present. “Start” key appears again for another measurement.
NOTE: The test procedures of parameter C static and PEEPi are similar to “Rinsp”.
6.3.5Log
Click “Log” on “main menu” to enter log menu. There are two keys on the left of the page:
Event/Alarm and trend, as shown in Figure 6-36.
Figure 6-36
Step 1:
Click “Event/Alarm” on log menu to enter the submenu, as shown in Figure 6-37.
Figure 6-37
6-27
The middle area of this page is the message area. It can store up to 1000 messages, including
event messages and alarm messages. All messages will be listed in time sequence. The top is
the latest event or alarm message, and the bottom is the oldest. Use the scroll bar to check all
the messages. An asterisk (*) in front of an alarm message indicates that alarm message was
not displayed in the alarm message area. As shown in Figure 6-38. The event/alarm log
records all alarms and most actions.
Figure 6-38
Below is the message area of the Settings area resulting from highlighting an alarm. All
settings will be given here, as shown in Figure 6-39.
Figure 6-39
NOTE: Alarm/Event Log data is retained during a power interruption and can be viewed
when power returns.
Step 2:
Click “Trend” to enter trend interface. There are two trend types: graphical trend and tabular
trend, See Figure 6-40 & Figure 6-41.The default is graphical trend. Choose the tabular trend
to get more information.
In “Graphical Trend”, the first page displayed is trend map of pressure-related parameters,
including Ppeak, Pplat, PEEP, with timeline within 72h. See Figure 6-40.
6-28
6 Ventilator Operation
Figure 6-40
Each graph shall have parameter as a title, the units of the parameter and range scale. Six
time bases shall be 1, 3, 6, 12, 24, and 72.The displayed parameter for each Trend graph shall
be selected from a pop-up menu that will give the user 8 parameters to choose from. The 8
parameter choices in the pop-up menu shall be configured in the Systems tab. “Zoom In” and
“Zoom Out” keys shall be available so that there is better resolution of the Graphs. “Left Arrow”
and “Right Arrow” keys shall be available to move a measuring line to the left or right. The
measured value shall be displayed to the right of the parameter label on the right side of each
graph. “Zoom In” shall decrease the time base. “Zoom Out” shall increase the time base. A
Tabular trend key shall be available for the user to select.
Figure 6-41
NOTE: The X-axis is timeline for all trend maps and Y-axis is the corresponding parameter
units.
The waveform on trend map is refreshed from left to right, with latest data on the very left.
Y-axis is set for full scale range display.
6-29
6.3.6System
Click “System” key to enter the System interface, as shown in Figure 6-42.
Figure 6-42
There are four keys on the left of the page: Settings, configurations, machine information and
service.
6.3.6.1 Settings
Figure 6-43
6-30
6 Ventilator Operation
You can set the Gas standard, time and date, unit setting, and compliance compensation in
this page,
There are two Gas Standard options available to the user: BTPS (Body Temperature and
Pressure Saturated) and ATP (Ambient Temperature and Pressure). When selected, the key
background color shall be yellow. The default is BTPS and it is chosen with a dot.
Pressure unit: Two options: cmH2O and hPa. When a unit is selected, all pressure units are
converted to this unit, such as pressure unit in parameter setting area and parameter monitor
area. Default: cmH2O.
Weight unit: Two options: kg and lb. When a unit is selected, all body weight units are
converted to this unit. Default: kg
CO2 unit: Three options: mmHg, kPa and %. When a unit is selected, all CO2 units are
converted to this unit. Default: mmHg.
When the date/time format is modified, all date/time areas on the screen will be modified
simultaneously. Modify date by clicking directly the numerical value at electronic calendar.
6.3.6.2Configurations
Click “Configurations” key to enter the configuration interface, as shown in Figure 6-44.
There are three choices in this page: Graphic Trend, Screen Brightness and Site configuration.
6-31
Figure 6-44
Click “Graphic Trend” to the “Graphic Trend” interface, as shown in Figure 6-45.
Figure 6-45
On this page, the Patient Measured Parameters can be set. All graphic trends recorded are
chosen from this screen. Trend 1-4 are the maps on the first page, and trend 5-8 are the maps
on the second page. Below the 8 parameter, there is a monitoring parameter list, including 18
parameters. The Trend 1-8 can be changed according to the need from the parameter list.
When a new parameter is chosen, the parameter on the main screen will be replaced at the
same time.
6-32
6 Ventilator Operation
Click “Screen Brightness” to enter this page, and click the screen to choose day or night. As
shown in Figure 6-46. Day is the default.
Figure 6-46
Step 1
Click “Site Configuration” to enter this page. Set a 4 digit numeric password in the dialog box to
have protected access to set Configuration. As shown in Figure 6-47.
Figure 6-47
6-33
Step 2
After entering the password correctly, configure the sub menu: As shown in Figure 6-48.
1) Ventilation;
2) Alarms;
3) TC;
4) Monitoring;
5) Others;
6) Network;
7) Load/Save.
Figure 6-48
(1) Ventilation
a. Settings
Click “Ventilation” key, the background color will change to yellow and the default page
“settings” will be displayed, as shown in Figure 6-48. User can configure this page for 1) Vent
Type, 2) Ventilation Mode, 3) Patient Type, 4) Start-Up value for Vt based on weight?, and 5)
Inspiratory time. Touching the key to choose the relative setting will remove the previously
selected configuration. Only one choice shall be selected per setting. A selection shall also be
provided to enable the user to restore the initial settings to factory defaults. Pressing the
“Restore” key shall immediately restore all displayed choices to their factory default.
II. Ventilation Mode: VCV, PCV, PRVC, SIMV (VCV), SIMV (PCV), SIMV (PRVC), BIVENT,
and SPONT/CPAP for invasive mode, and for NIV are NIV/CPAP, NIV-T and NIV-S/T.
The factory default is PCV for Invasive mode and NIV/CPAP for NIV mode.
IV. Start-up value for Vt based on weight? : Yes or No. The factory default is No.
6-34
6 Ventilator Operation
V. Height: Adult or Child. The default for adult is 150cm and for child is 100cm.
After setting all the values needed, press the “Save” key, otherwise all the settings are lost.
Another key “Restore” is under the “Save” key, pressing it restores all displayed choices to
their factory default.
b. Parameters
Selecting “Parameters” key, will display a parameters configuration page. This includes the
adult and child initial parameter settings. The user can configure for 1)Vt, 2) f, 3) Tinsp, 4)
Pinsp, 5) Tslope, 6) PEEP, and 7) Psupp 8) O2. As shown in Figure 6-49.
Figure 6-49
Each setting key represents a location that the user can select. Touching the key will change
the background color of the key, indicating that it has been chosen and can be changed by
rotating the encoder knob left or right to adjust the value. When the selection reaches its
maximum or minimum allowable setting, further rotation shall result in the minimum or
maximum value displayed continuously. Pressing the key or the encoder knob again confirms
the change.
NOTE: Touching any other keys (or touchable area), will deselect the change and the
parameter will be restored to the original setting. The background color will return to normal if
the encoder knob is not pressed within 10 seconds
After setting all the values needed, the user will press the “Save” key. Pressing the “Restore”
key restores all displayed settings to their factory default.
About the range of the parameters setting, please refer to Table 6-1.
(2) Alarms
6-35
Click the Alarms key to enter the alarms configuration page. There are two pages and six
configurable alarms on this screen: 1) Paw, 2) etCO2, 3) f spont, 4) PEEP, 5) Tapnea, 6) MVe.
See Figure 6-50.
Figure 6-50
Each setting key represents a location that the user can select. Touching the key to choose or
change the value, enter the upper and lower limits needed for each alarm, then press the Save
key to confirm. There are three configurable alarms available for the user in the second page:
1) MVe, 2) Vte. You can change the alarm limits based on whether the patient is an adult or
child, then press the Save key to save the new alarm limits.
Also there is a Restore key under the Save key. Pressing the Restore key restores all
displayed settings to their factory default. As shown in Figure 6-51.
Figure 6-51
6-36
6 Ventilator Operation
(3) TC
Click the TC (Tube Compensation) key to enter the TC configuration page. In this page, you
can configure for 1) Tube Compensation, 2) Tube Type, 3) Compensation %,4) Diameter Adult
and 5) Diameter Child, as shown in Figure 6-52.
Figure 6-52
3) Compensation %, including Diameter Adult or Diameter Child. The range for Compensation
is 0 to 100 in 1% increments and the factory default is 0. Diameter Adult range is 5.0 to 12.0
mm and the default is 7.5 mm. Diameter Child range is 2.5 to 8.0 mm and the default is 5.0
mm.
After finishing all the settings, the user shall press the Save key. Pressing the Restore key
restores all displayed settings to their factory default.
(4) Monitoring
Click the Monitoring key to enter the Monitoring configuration page. On this page, you can
configure whether the monitoring is ON or OFF, as shown in Figure 6-53.
6-37
Figure 6-53
(5) Others
Click the “Other” key to enter the others configuration page. On this page, you can choose the
oxygen supply type, either HPO or LPO. The factory default shall be HPO. As shown in Figure
6-54.
Cancel the O2 high/low concentration alarm and low Oxygen Supply Pressure alarm.•
O2 parameter adjustment shall be disabled.
The nebulizer, suction, O2 sensor calibration functions shall be invalid.
No Oxygen Supply Pressure monitor and calibration.
When performing Pre Use Test, skip Gas supply test and Oxygen sensor test.
Figure 6-54
6-38
6 Ventilator Operation
(6) Network
Figure 6-55
(7) Load/Save
Click the “Load/Save” key to enter the Load/Save configuration page. On this page, the load
button shall be load the user configuration to the machine, and the save button shall be save
the current configuration to the file which you saved.•As shown in Figure 6-56.
Figure 6-56
6-39
6.3.6.3 Service
Click “Service” to enter the “Service” page. On this page, the user needs to enter the password,
as shown in Figure 6-57.
Figure 6-57
Input the correct password to enter, There are six choices on this page: Calibration,
Event/alarm log, Machine Information, Language, Test Page, Update and Optional. The
default page is Calibration. See Figure 6-58.
Figure 6-58
6-40
6 Ventilator Operation
6.3.6.3.1 Calibration
The calibration choices include: Pressure Sensor Calibration, Flow Sensor Calibration, O2
Sensor Calibration, CO2 Sensor Calibration, Inspiratory valve Calibration, Expiratory Valve
Calibration, Atmospheric Sensor Calibration, Touch Screen Calibration, Leak Test and Breath
Circuit test, as shown in Figure 6-59.
(1) Pressure Sensor Calibration: Click “Pressure Sensor” to enter the calibration interface.
A message is displayed: “This step is to zero the pressure sensor. Please remove the
breathing circuit from the ventilator before calibration.” A legend is displayed as well, as shown
in Figure 6-59.
Figure 6-59
Click “Start” to start pressure sensor calibration. A progress bar and a message “Calibration in
progress, please wait” will be displayed as shown in Figure 6-60. After calibration, the result
will appear: Calibration succeeded or Calibration failed. If failed, restart the calibration.
NOTE: During this period no other operation can be performed. Clicking other areas will
have no response.
6-41
Figure 6-60
(2) Flow Sensor Calibration: Click “Flow Sensor” to enter the interface. A message is
displayed: “This step is to calibrate the flow sensor. Please connect the insp. Port and Exp.
Port directly with a tube” as shown in Figure 6-61.
Figure 6-61
Click the “Start” button to start flow sensor calibration, the remaining procedure is the same as
the pressure sensor calibration.
(3) O2 Sensor Calibration: Click “O2 Sensor” to enter the interface. A message displayed:
“Please verify that the oxygen source are connected correctly. Verify that the gas inlet
pressure is within specification.” A legend will also be shown. There are two keys below the
legend: “Start 21%” and “Start 100%”. Choose the needed one and click, as shown in Figure
6-62. The remaining procedure is the same as described above.
6-42
6 Ventilator Operation
Figure 6-62
(4) CO2 sensor Calibration: Click “CO2 Sensor” to enter the interface, as shown in Figure
6-63. A message displayed: “Disconnect the CO2 sensor with the adapter from breathing
circuit and ensure it is in ambient air. Wait 1 minute for warm up after the unit is powered on or
after installing an airway adapter. Press “Zero” when the State-Area turns green”. Please
follow the prompt message to calibrate.
Figure 6-63
(5) Inspiratory Valve Calibration: Click “Inspiratory Valve” to enter the interface. A message
displayed: “This step is to calibrate the inspiratory valve. Please connect the Insp. Port and
Exp. Port directly with a tube”, as shown in Figure 6-64.
Click the “Start” button to start inspiratory valve calibration, the remaining procedure is the
same as the pressure sensor calibration.
6-43
Figure 6-64
(6) Expiratory Valve Calibration: Click “Expiratory Valve” to enter the interface. A message
displayed: “This step is to calibrate the expiratory valve. Please connect patient circut and test
lung before calibration”, as shown in Figure 6-65.
Click the “Start” button to start expiratory valve calibration, the remaining procedure is the
same as the pressure sensor calibration.
Figure 6-65
(7) Touch Screen Calibration: Click “Touch screen” to enter the calibration interface. A
message is displayed: “This step is to calibrate the touch screen. The ventilator‟s screen will
disappear during the calibration. Please follow the instruction in the calibration program.” as
shown in Figure 6-66.
CAUTION: Please calibrate the touch screen periodically or when it works abnormally.
6-44
6 Ventilator Operation
Figure 6-66
Click the “Start” key to start, the remaining procedure is as described in steps above.
(8) Leakage Test Calibration: Click “Leakage Test” to enter the test interface. A message is
displayed: “This step is to test the internal leakage of ventilator. Please connect the Insp. Port
and Exp. Port directly with a tube”, as shown in Figure 6-67.
Figure 6-67
Click “Start” to start the leakage test. A progress bar and a message “Test in progress, please
wait” will be displayed as shown in Figure 6-68. After test, the result will appear: Test
succeeded or Test failed. If failed, restart the test.
6-45
Figure 6-68
(9) Breath Circuit Test Calibration: Click “Breath Circuit Test” to enter the test interface. A
message is displayed: “This step is to test the compliance and leakage of breathing circuit.
Please connect the patient circuit to the T-piece, and plug up the patient end of the T-piece”,
as shown in Figure 6-69.
Before starting the test, ensure the patient circuit has been connected to the T-piece and the
patient end of the T-piece has been plugged up. Click the “Start” button to start the breath
circuit test, the remaining procedure is the same as the leakage test.
Figure 6-69
6-46
6 Ventilator Operation
Click the “Machine information” key to enter the Machine information page, this area includes
the following information, as shown in Figure 6-70.
1. Software Version:
a. UI
b. BDU
c. Power Supply
2. Runtime Hours
3. O2 Source Pressure
4. Atmospheric Pressure
Figure 6-70
6.3.6.3.4 Language
Click the Language button to enter the language screen. English and other languages are
available for the user to choose.
The ventilator has 11 shortcut keys: Inspiratory Hold, Expiratory Hold, Nebulizer, Manual,
Suction, Print Screen, Freeze, Screen Lock, Alarm limits, Main Menu and Start
6-47
Ventilation/Standby. The shortcut keys are located on the right side of the screen, see Figure
6-71.
Inspiratory hold is available within the period of mandatory ventilation and in all modes except
full spontaneous breath modes as SPONT/CPAP+PSV, NIV/CPAP.
Press the Inspiratory Hold key during the Inspiratory phase. The operation becomes active
when a message stating “Inspiratory Hold” appears with a countdown timer. Keep pressing the
Inspiratory Hold key. The expiratory phase will not start until the key is released or after 30
seconds, whichever comes first. If the button is not released after 30 seconds, the system will
go to Expiratory state automatically and display a message “Inspiratory hold interrupted!”, as
shown in Figure 6-72.
Figure 6-71
6-48
6 Ventilator Operation
Figure 6-72
Expiratory hold is available in all modes. In Expiratory phase, press the Expiratory hold button
and the expiratory operation will become active when a message “Expiratory Hold” appears
with a countdown timer. The ventilator will stay in the expiratory phase and not transition to the
inspiratory phase until either 1) the key is released or 2) 30 seconds have elapsed.
When selected during the expiratory phase, the ventilator will stay in the expiratory phase and
not transfer to the inspiratory phase until either 1) the key is released and the current
expiratory phase is completed or 2) 30 seconds have elapsed.
Pressing the Expiratory Hold key for more than 30 seconds will cause a message to be
displayed. See example in Figure 6-73. Only one expiratory hold will be produced per key
press. When Inspiratory hold key is released or if the key is not released after 30 seconds, the
key background will revert to normal.
Figure 6-73
6.4.3 Nebulizer
The nebulizer function is available in all ventilation modes. Press the Nebulizer key turning the
key background color to yellow. Meanwhile, a low level alarm “Nebulizer On” is displayed and
the message “Nebulizer On, MM min SS s” with countdown timer is displayed in the message
area, as shown in Figure 6-74.
Figure 6-74
Nebulizer flow may be provided by high-pressure O2, and the flow rate is 6L/min±1L/min. To
ensure the delivery of tidal volume, the nebulizer is switched off when inspiratory flow rate is
less than 15L/min.
The nebulizer will start as inspiratory starts, and the nebulizer will last for the whole inspiratory
cycle. When Ventilation mode changes or if the flow is less than 15 L/min, the nebulizer
6-49
operation will be interrupted and a medium level alarm “Nebulizer Interrupted” will replace
“Nebulizer On” alarm and the countdown timer will stop.
CAUTION: During nebulization, please install the filter in front of the expiration valve to
prevent the nebulization drug from damaging the expiration flow sensor; inspect, clean and
replace the filter regularly.
The nebulizer operation will be cancelled by touching the nebulizer key for longer than 3
seconds in all ventilation modes. The user has two options to clear the “Nebulizer Interrupted”
alarm:
1) Remove the source of the shutdown and press the Nebulizer key to restart the Nebulizer
operation. Low level alarm “Nebulizer On” will replace “Nebulizer Interrupted” alarm and the
message countdown timer will continue or;
2) Acknowledge the alarm by pressing the Alarm Silence key. Nebulizer operation is cancelled
and the “Nebulizer Interrupt” alarm is cleared. Pressing the Nebulizer key during a “Nebulizer
Interrupted” condition without removing the source of the shutdown will result in the Nebulizer
not restarting.
CAUTION: The ventilator accuracy can be affected by the gas added by use of a nebulizer.
NOTE: Nebulizer function is not suggested when breath rate is less than 12, to ensure tidal
volume delivery.
NOTE: To ensure the flow volume accuracy, the nebulizer function is disabled if the flow
6.4.4 Manual
Manual Trigger is available in all ventilation modes. Press the manual trigger key to initiate a
manual breath control as follows, as shown in Figure 6-75.
For VCV, PRVC, SIMV (VCV): set Vt and Tinsp, to control ventilation.
For modes or breath phase with PSV, set P supp, to control ventilation.
Manual trigger is also available during backup ventilation period. When initiated during backup
mode, the ventilator will remain in backup mode.
6-50
6 Ventilator Operation
6.4.5 Suction
Suction support is available in ventilation modes. Pressing Suction button will turn the button
color to yellow signifying the start of Suction support as shown in Figure 6-76.
If the system detects that the circuit is disconnected, ventilation will be interrupted. During
sputum aspiration, all physiological alarms will be off and audio alarms will be suspended.
The Ventilator will provide a low flow rate when the circuit is disconnected in order to detect
reconnection of circuit. When pressing the suction support key, a message will be displayed in
the message prompt area, as shown in Figure 6-77.
Figure 6-77
Print Screen shortcut soft key is between the Suction and the Freeze shortcut soft keys, as
shown in Figure 6-78. Print Screen is available after machine boot up is finished.
Figure 6-78
The Print Screen function is intended to be used with a USB Memory device attached to the
back of the monitor. With a memory device attached when the Print Screen shortcut softkey is
pressed, the system saves a copy of the screen into a JPG file and stores it on the USB device.
Each subsequent press of the Print Screen shortcut softkey will create a new JPG file with a
unique filename. If the memory stick is full, a message will be displayed stating this.
If the Print Screen shortcut soft key is pressed without a USB memory device connected, the
JPG file is saved until a USB memory device is inserted. One and only one screen capture is
saved when there is no memory device attached to the monitor.
6.4.7Freeze
Press “Freeze” key and the current real-time waveforms and loops freeze simultaneously in
the main screen when waveform drawing is completed. See example in Figure 6-79. Turing
6-52
6 Ventilator Operation
the encoder knob moves the cursor over each point of the waveform and the corresponding
measured value is displayed. Pressing Freeze again will restart the waveform and any
information displayed during waveform freeze will disappear, and the Freeze key color returns
to normal. Waveform Freeze will automatically end 3 minutes after touching the freeze key.
Figure 6-79
Press the “Screen Lock” button, displaying a message in the message prompt area. Press and
hold Screen Lock for 3 seconds to lock the screen, as shown in Figure 6-80. 3 seconds later,
the background color of Screen lock key will turn to yellow and all keys on the touch screen are
locked. Instead of the pre-message, a new message is displayed in the message prompt area
“Screen Locked. Press Screen Lock for 3 seconds to unlock the screen as shown in Figure
6-81.
6-53
Figure 6-80
Figure 6-81
6-54
6 Ventilator Operation
Holding for 3 seconds, the screen lock is cleared, the background color of Screen Lock key
turns to normal and a message ”Screen Unlocked” is displayed in message prompt area as
shown in Figure 6-82.
Figure 6-82
Press the “Alarm limits” button to enter the alarm limits page in the main menu, as shown in
Figure 6-83. For detail information and operation refer to Section 6.3.2.
Figure 6-83
6-55
6.5 Ventilation Parameter Set-up
NOTE: If ventilation parameter setup keys are not visible along bottom of screen, close the
main menu by pressing Main Menu key. See ventilation parameter setup in the main screen as
shown in Figure 6-84.
Figure 6-84
Press the parameter key, turning it yellow. Rotate the encoder knob left or right to modify the
parameter value. Press the parameter key again or press the encoder knob to confirm the
modified value. If any other area on the screen is touched before confirmation, the new
parameter selection is canceled and the previous value will be displayed. As shown in Figure
6-85.
6-56
6 Ventilator Operation
Figure 6-85
When ventilation mode is changed, the values of the parameter keys displayed will change to
correspond to the new ventilation mode.
CAUTION: If the encoder knob is not pressed for confirmation, the previous value will be
displayed.
a) In order to make parameter setting more safe and reasonable, interlock mode is used for
tidal volume VTI, ventilator rate and inspiratory time TI setting. In case any one of the three
parameters cannot be adjusted to required value within limits, modify the other two first.
6-57
6.6 Turn off the Ventilator
(2) Return back to Standby by pressing the Standby key for more than 3 seconds.
NOTE: Detachable power cord is a means to isolate circuits electrically from AC supply on
6-58
7 Alarms and Troubleshooting
7.1 Alarms
CAUTION: In case of alarm, monitor and support the patient first, then carry out
troubleshooting later.
An alarm message will appear in alarm information area and alarm indicator will light up. The
different colors of alarm in alarm area indicate different priority levels: red is high level (!!!, red
indicator flash), yellow is medium (!!, yellow indicator flash) or low level (!, yellow indicator
constantly lit).
The operator may be positioned anywhere around the unit to view the alarm light. The alarm
light is visible from a distance of 3 meters. To observe the alarm messages the operator
position must be in front of the display and within a distance of 1 meter.
CAUTION: Monitor and support the patient first in case of alarm and perform
troubleshooting later.
CAUTION: Except for the normal alarm settings, other default alarm settings are changed
only by changing the control program and restricted access to changing or to the storage of
changes.
CAUTION: If alarm occurs, protect patient safety first, and then go to diagnose fault or
service it necessarily.
7-1
NOTE: In the table below, L means low level, M means medium level, and H means high
lever; for the same level, the bigger the alarm number, the higher the alarm level, such as L2
level is higher than L1 level.
Alarm
Priority Type Cause Remedy
Message
Alarm
Priority Type Cause Remedy
Message
Nebulizer
operation is
Nebulizer On L5 Physiological Start Nebulizer operation
completed or
Interrupted.
Expiratory hold
Expiratory Hold
L7 Physiological Start Expiratory holding operation is
Interrupted
completed.
Inspiratory holding
Inspiratory Hold
L8 Physiological Start the inspiratory holding operation is
Interrupted
completed.
When “Limited
Under the battery operation, the Battery Capacity”
Low Battery M1 Technical remaining battery run time is less alarm appears or
than 30min. AC power supply
starts.
7-3
Alarm
Priority Type Cause Remedy
Message
Respiration Rate
Respiration Rate has exceeded
High is less than the
the set limit for four consecutive
Respiration M2 Physiological set limit for four
ventilation cycles or continuously
Rate consecutive
for 20sec.
ventilation cycles.
Measure signals
of the sensor
Oxygen Sensor Checked during pre-inspection
M3 Physiological through
Failure before use.
equipment
inspection.
Oxygen
concentration is
Oxygen concentration exceeds lower than the
High Oxygen
M4 Physiological the preset oxygen concentration preset oxygen
Concentration
+6% continuously for 30sec. concentration+
6% for 30sec
continuously.
Oxygen
concentration is
Oxygen concentration is lower higher than the
Low Oxygen than the preset oxygen preset oxygen
M5 Physiological
Concentration concentration -6% or lower than concentration- 6%
18% continuously for 30sec. or higher than
18% for 30sec
continuously.
Minute Volume
High Expiratory Minute Volume exceeds the set
M6 Physiological lower than the set
Minute Volume limit, after 1min of ventilation
limit for 15sec.
Minute Volume
Low Expiratory Minute Volume is lower than the
M7 Physiological higher than the
Minute Volume set limit within 1min.
set limit for 15sec.
7-4
7 Alarms and Troubleshooting
Alarm
Priority Type Cause Remedy
Message
Inspiratory period
NIV – inspiration duration is normal under
exceeds Tispont setting for three NIV mode.
times in succession
Maximum Within the
Inspiratory M8 Physiological Invasive - inspiration duration specified
Time exceeds 5 seconds for adult and condition for two
2 seconds for child for three consecutive PSV
times in succession ventilation under
invasive mode.
Nebulizer
operation
continued or
Nebulizer Nebulizer operation has been
M13 Physiological alarm is
Interrupted interrupted by mode changes.
acknowledged by
pressing Alarm
Silence key.
Inspiratory Tidal
Inspiratory Tidal Volume Volume is lower
Low Inspiratory
M14 Physiological exceeds the upper limit for one than the alarm
Tidal Volume
ventilation. limit for one
ventilation.
Cycle AC Power-if
alarm occurs
again stop using
Internal Error H2.1 Technical Internal computing error Ventilator, note
code displayed
and call for
Service.
Cycle power. If
Communication Failure detected in BDU the alarm occurs
H2.2 Technical
Error BDU communications. multiple times, call
for Service.
7-5
Alarm
Priority Type Cause Remedy
Message
Cycle power. If
Communication Failure detected in PS the alarm occurs
H2.3 Technical
Error PS communications. multiple times, call
for Service.
Remove any
obstructions.
System detects cooling fan Cycle Power. If
Fan Blocked H2.6 Technical
failure the alarm occurs
again, call
Service.
Check to make
sure inspiratory
and expiratory
circuits have no
Internal hardware failure
BDU Failure H2.7 Technical obstruction. Retry
detected.
power-up tests.
If this alarm
persists, Call
Service.
Airway pressure is
Airway pressure has exceeded
Continuous lower than
PEEP+15cmH2O continuously
Airway H3 Physiological PEEP+15cmH2O
for 15sec. Expiratory valve is
Pressure continuously for
opened for gas release.
5sec.
Airway pressure
exceeds the alarm
Airway Pressure is lower than
High Airway limit for three
H4 Physiological the set limit within three
Pressure consecutive
consecutive ventilation cycles.
cycles or at most
15sec.
7-6
7 Alarms and Troubleshooting
Alarm
Priority Type Cause Remedy
Message
Refer to Chapter
No ventilation cycles within the
Apnea H5 Physiological 11.1.3 for Apnea
apnea period.
resetting details.
Expiratory Tidal
Volume is higher
Expiratory Tidal Volume is lower than the setting
Low Expiratory than the setting value for three value for three
H6 Physiological
Tidal Volume consecutive ventilation cycles or consecutive
continuously for 30s. ventilation cycles
or continuously for
30s.
PEEP is lower
than the alarm
PEEP measurement is higher
limit for three
High PEEP H7 Physiological than the alarm limit for three
consecutive
consecutive ventilation cycles.
cycles or at most
15sec.
Occlusion is
Occlusion H9 Physiological Ventilating circuit is occluded.
removed.
Leak is within
NIV Mode only- Leak exceeds 75% of the
Leakage out of
H10 Physiological 75% of the maximum volume maximum volume
range
compensation capacity. compensation
capacity.
Airway pressure is
Airway pressure is lower than higher than the
Low Airway the set limit for three consecutive alarm limit for
H11 Physiological
Pressure ventilation cycles. three consecutive
ventilation cycles
or at most 15 sec.
7-7
Alarm
Priority Type Cause Remedy
Message
PEEP is higher
than the alarm
PEEP measurement is lower
limit for three
Low PEEP H13 Physiological than the alarm limit for three
consecutive
consecutive ventilation cycles.
cycles or at most
15sec.
Reconnect the
CO2 Adapter. If
CO2 Adapter
H15 Physiological Detected by CO2 Sensor. alarm occurs
Failure
again, replace the
CO2 Adapter.
Reconnect the
CO2 sensor. If
CO2 Sensor
H17 Physiological Detected by CO2 Sensor. alarm occurs
Error
again, replace the
CO2 sensor.
Increase EtCO2 or
EtCO2 is lower than the setting
Low EtCO2 H18 Physiological reduce the setting
value.
value.
Reduce EtCO2 or
EtCO2 is higher than the setting
High EtCO2 H19 Physiological increase the
value.
setting value.
7-8
8 User Maintenance
8 User Maintenance
WARNING: Our company recognizes that cleaning, disinfection, and sterilization practices
vary widely among medical institutions. It is not possible to specify or require specific practices
that will meet all needs, or to be responsible for the effectiveness of cleaning, sterilization, and
other practices carried out in the patient care setting.
WARNING: Use a cleaning and disinfection schedule that conforms to your institution‟s
WARNING: Movable and removable parts may clamp or even crush your hand. Use
CAUTION: The disposal of environmentally harmful devices (such as batteries and LCD
WARNING: Do not use talc, zinc stearate, calcuim carbonate, corn starch or similar
material to prevent sticking of the bellows, as these materials may enter the patient‟s lungs or
airway, causing irritation or injury.
8-1
CAUTION: Never immerse the oxygen sensor or its connector in any type of liquid.
CAUTION: Prior to use after cleaning or disinfecting, power up the system as described in
section 6 and follow the on-screen Pre-Use test prompts to perform the Leak Test and Circuit
Compliance Test.
CAUTION: Before the first use clean, disinfect, and sterilize the ventilator.
Disposable components must be disposed in accordance with local regulations. Don‟t use
hard brushes or other sharp tools in cleaning to avoid damage to parts
Agent Classification
Detergent
• Mild dishwashing detergent
Detergent
• Soapy water with detergent ph between 7.0
and 10.5
8-2
8 User Maintenance
Different parts of the ventilator have their respective cleaning and disinfection methods. The
following categories are defined for the parts noted in Table 8-1. The parts need to be cleaned,
disinfected and thoroughly dried before reassembly.
A: Wipe: If there is a potentially infectious substance on the breathing system, such as blood or
secretion, wipe away the substance with disposable cloth using proper disinfectant. Use a soft
cloth with a water-soluble detergent or disinfectant wipes.
B: Machine washing: Automatic washing with washer and disinfecting with disinfection
machine.
D: High temperature and pressure disinfection: At 121℃ for 20 minutes minimum, or at 134℃
for 8 minutes minimum. Follow the manufacturer‟s instructions for high level disinfection.
High-temperature disinfection does not have any cleaning effect. It should only be used on
components that have already been cleaned by hand or machine and then thoroughly dried.
Table 8-1
8.1.3.1External Surfaces
Using a soft cloth with a water-soluble detergent or disinfectant wipes, clean the housing, gas
supply hoses and power cord.
(1) Disassembly
8-3
Figure 8-1 Figure 8-2
Figure 8-3
b. Pull out the expiratory valve core component (2 in Figure 8-1, Figure 8-2);
c. Remove the end cover(1 in Figure 8-3) and the gasket (2 in Figure 8-3);
d. Remove the scale board(3 in Figure 8-3)and the diaphragm(4 in Figure 8-3);
f. Pull out one-way valve core(6 in Figure 8-3), rubber o-sealing ring(7 in Figure 8-3)
and one-way diaphragm(8 in Figure 8-3);
(2) Cleaning
8-4
8 User Maintenance
(3) Disinfection
NOTE: Ensure that all the components have been cleaned before disinfecting.
Using the Gluteraldehyde disinfection solution, follow the manufacturer‟s instructions for high
level disinfection and rinsing of all components while adhering to facility policies and
procedures.
All the components can also be high temperature and pressure disinfected. Using an
autoclave, follow the manufacturer‟s instruction for high level disinfection of all the components
while adhering to facility procedures.
(4) Assembly
After installation, please perform a pre-use test and verify all tests passed.
Do not use a faulty machine. Ask an authorized agent of our company to carry out all
necessary maintenance tasks. Test the machine after maintenance for normal operation.
Every parameter should meet requirement in specification.
In order to ensure the reliability of the machine, all maintenance and repair work should be
carried out by an authorized agent of our company.
Use products of our company to replace damaged ones and test, ensuring all specifications
met.
Contact local service agent of our company in case support is needed. In all cases,
maintenance fee is the current component price plus reasonable labor cost, except for those
within guarantee period.
The schedule is designed based on the typical condition, that is to say, the least maintenance
times vs 2000h operating per year. In case the actual operating time is longer than 2000h per
year, the maintenance times should be more.
8-5
If necessary, our company can provide circuit diagram, service part list, calibration instructions
to assist authorized service personnel.
1-3 month(s) Clean air filter Clean cooling fan filter on rear of machine.
Every 6 months Charge and discharge the batteries once (Charge time: at
least 3.5h).
Every year or after a failed Replace the O2 sensor (actual life depends on temperature
calibration and O2 concentration)
After cleaning and installing Check components and replace or repair when necessary.
WARNING: If the Ventilator will not be in use for a period of more than 6 months, the
WARNING: The ventilator must not use, nor be connected to, any anti-static or electrically
Service Life is defined as the time that the manufactured device can be expected to be
'serviceable' or supported by our company and the maximum time the device can be used
safely. Some items within the device may require maintenance, repair or replacement within
this time. Such items will be available from our company for the service life of the product. The
calculation of the service life begins at the installation of the product at the customer site. Our
company recommends for safe use that each device is replaced after its service life is
completed.
CAUTION: The service life of the following items is based on specified operating
conditions.
8-6
8 User Maintenance
Machine 8 years
The location of machine should be proper so that it cannot obstruct or be disturbed by medical
care personnel. Fix power supply cable well to avoid failure. Use caution not to touch
accidental keys on the panel, which may make tidal volume setting wrong.
During transportation of the ventilator, with or without a patient connected, make sure that the
following conditions are fulfilled:
Gas cylinders are connected with a sufficient amount of gas and the Battery module is
functioning. Follow the hospital guidelines.
Use the handles on the Mobile Cart. Transport the bed and the ventilator slowly, and
watch the patient connection carefully to see that no pulling or other movement occurs.
Be careful not to tip the Mobile Cart when crossing an obstacle such as a doorstep.
8.3.1 Transportation
WARNING: Tip over hazard – use care when moving Ventilator mounted to Cart as device
could tip over leading to injury or damage to the equipment and possible subsequent patient
injury.
User can carry packaged machine while riding in vehicle, plane and train. Impact, severe
shock and moisture should be avoided during transportation, with ambient temperature
-20°C~+60°C and relative humidity not more than 95%. In case transportation conditions do
not meet this requirement, put the machine in specified operating environment for at least 24h
before using.
8-7
8.3.2 Storage
The machine should be stored in a room with temperature -20°C to + 60°C and relative
humidity not more than 95% non-condensing, with ventilation and no corrosive gases.
WARNING: If the storage environment conditions don‟t agree, put the machine in specified
CAUTION: The device should be stored at the room that is ventilated and in which no
CAUTION: When the storage conditions are beyond the requirements of operational
environment, and the storage state is transferred into operation state, the product only can be
used after being stored in environment for over 24 hours.
8.4.1Fuse Replacement
WARNING:Before replacing fuse, first disconnect AC power. Otherwise, it will cause injury
or even death.
WARNING:When replacing fuse, make sure the new fuse is the same type and size as the
CAUTION: Fuse is a damageable part, which shall be replaced with moderate force and
speed.
1. AC Circuit Fuse
Fuse replacement steps:
• Insert screwdriver into the trench (2) of end of fuse box, see Figure 8-4.
• Pull out fuse holder (1).
• Remove the fuse (3).
• Load new fuse.
• Push the new fuse into the original position gently.
• Connect AC power, and then start the ventilator to test.
8-8
8 User Maintenance
Figure 8-4
2. DC Power Fuse
Fuse replacement steps:
• Insert screwdriver into the trench (1) of end of fuse box, see Figure 8-2.
• Pull out fuse holder (2).
• Remove the fuse (3).
• Load new fuse.
• Push the new fuse into the original position gently.
Figure 8-5
8.4.2Battery Maintenance
NOTE: Before the machine is put into patient use, the battery must be fully charged. If the
battery must not be fully charged and AC power supply fails, be careful about the battery
power.
8-9
• Battery specification
Battery module:
When the main power supply voltage is too low or the main power supply fails, two backup
batteries (one is necessary, and one is optional) can protect the ventilator. When having a
power failure, the ventilator can switch to battery supply automatically, and can normally work
without pneumatic power supply failure. The two batteries are usually available for the
ventilator working for 4 hours.
• Precautions
Charge: When operating with AC power supply on, the system will maintain the battery
automatically. Charge time is less than 3.5 hours.
In case of low battery condition, an alarm message “Low battery” will appear, notifying the user
to restore AC power supply to charge, otherwise the batteries will be depleted and another
alarm “Limited Battery Capacity” will be displayed, and eventually the system will shut down
(for safety reason, manual power-on is required to start the machines again after an automatic
shutdown).
Before the machine is put into patient use, or disconnect AC power for the transport or other
purposes, check the battery power. If the battery is not fully charged, connect the ventilator to
AC power for at least 3.5h and recharge the battery until the power reaches 80%~100%.
• Battery storage
In case the battery is to be stored for a long time, charge it fully prior to storage.
To keep the battery power and prolong the battery life, please ensure that the ventilator is
connected to the main power. Charge the battery every six months, while the actual time
depends on the storage environment.
High humidity and high temperature environments should be avoided for storage.
• Battery replacement
Open the battery cover (See Figure 2-5), then remove the battery from its housing.
Same model battery with CE certification is suggested. Make sure AC power supply is
disconnected before replacing.
8-10
8 User Maintenance
CAUTION: An authorized service representative can replace the battery. If the battery is
not to be used for a long-time, please contact the service representative to disconnect the
battery. The waste battery should be disposed of in accordance with the local policies.
Use the battery charger supplied by our company to charge or calibrate the battery. After
calibrating the battery, the ventilator can read the residual battery capacity accurately.
Please charge or calibrate the battery according to the instructions of the battery charger.
CAUTION: When „low battery‟ alarm occurs, charging should be done immediately.
Otherwise the Ventilator System could shut off automatically in several minutes.
8.4.3Oxygen Sensor
The oxygen sensor can be used to measure the local oxygen concentration when it is
connected to the ventilator or other equipments. The oxygen sensor is suitable for adult and
child.
Disassembly
Figure 8-6
Step 2: Turn the oxygen sensor (3) anticlockwise, and then remove it.
8-11
Figure 8-7
Assembly
Inspect the oxygen sensor for damage and replace as necessary. Then reassemble the
oxygen sensor.
NOTE: After being in a condensing atmosphere, the oxygen sensor shall be stored for
more than 24 hours in an environment equivalent to operating humidity.
The oxygen sensor should be regularly calibrated. For the calibration interval, refer to section
8.2.2.
To improve the life time of the oxygen sensor, when the ventilator is not in use the oxygen
sensor should be avoided contact with the high-concentration oxygen.
The oxygen sensor is consumptive, and the period of valid is ordinarily 12 months. So the user
should pay attention to the valid of the oxygen sensor. When the oxygen sensor fails, please
contact the manufacturer.
WARNING: Do not immerse oxygen sensor in liquid. Do not conduct autoclave or high
8-13
8.4.4.1Paramagnetic Oxygen Sensor Calibration
Performance
Technology Paramagnetic
Range 0-100% O2 (with over range -15% O2 to 200% O2)
Accuracy (Intrinsic Error) <± 0.2% O2
Linearity <± 0.2% O2
Repeatability <± 0.2% O2
Zero Drift <± 0.4% O2 in first 24 hours, then <± 0.2% O2 /week, then <±
0.2% O2 /month
Response Time (T10 8 to 20 seconds dependent on application and filter selection
–T90) (biological filter on request)
Outputs/Controls
Signal Output Digital UART or linear mV output (0.5mV or 10mV per % O2)
Physical
Weight 70g (2.47oz)
Dimensions Molex low profile connector: 33.5×30.0×46.1mm (1.32×1.18×1.81”)
Diffusion Port Aperture diameter: 15.5mm (0.61”)
Sample condition
Sample Gas Condition Clean dry gas, free of entrained oil, particulates <3μm,
non-condensing
Gas Exchange Diffusion
Ambient conditions
Operation Temperature 5℃ to 50℃ (41℉ to 122℉)
Storage Temperature -30℃ to 70℃ (-22℉ to 158℉)
Temperature Within a range of 0℃ to 50℃: Zero <± 0.5% O2 /10℃, Span: <
Coefficient ±0.5% O2 /10℃
Operating Pressure ±33kPag (±5psig)
Range
Ambient Humidity 0 to 95% non-condensing
External Power Supply 5V dc, 70mA nominal
Power Consumption 350mW
8-14
8 User Maintenance
j. Remove the safety valve cover (1 in Figure 8-9) and the gasket (2 in Figure 8-9);
k. Remove the scale board (3 in Figure 8-9) and the diaphragm (4 in Figure 8-9);
calibrated.; Also, perform a pre-use test and verify all test pass.
8-15
8.4.6 One-way Diaphragm Replacement
Figure 8-10
Test: When the one-way diaphragm has been replaced, the inspiratory valve must be
calibrated.
8-16
8 User Maintenance
Figure 8-11
8-17
8.4.8 Filter Element of Gas Inlet Replacement
Figure 8-12
Filter element of gas inlet replacement method:
8-18
8 User Maintenance
Figure 8-13
a. Remove the two screws (1) (Hexagon socket head cap screws M4×10);
8.5 Disposal
This product must not be disposed of with your other waste. Instead, it is your responsibility to
dispose of your waste equipment by handing it over to a designated collection point for the
recycling of waste electrical and electronic equipment, or by returning it to our company for
reprocessing. The separate collection and recycling of your waste equipment at the time of
disposal will help to conserve natural resources and ensure that it is recycled in a manner that
protects human health and the environment. For more information about where you can drop
off your waste equipment for recycling, please contact your local city office, your waste
disposal service, or your product distributor or retailer.
8-19
Correct Disposal of Batteries and O2 Sensors
Follow all local regulations with respect to environmental protection when disposing of
batteries and O2 sensor. These products contain toxic compounds irrespective of physical
condition. They should be disposed of according to local waste management requirements
and environmental legislation. They should not be burned since they may give off toxic fumes.
Do not throw into fire! Risk of explosion.
Do not force open! Danger of bodily injury.
8-20
9 Warranty
9 Warranty
For a period of one year from the date of original delivery to the customer, the components and
assemblies of this product are warranted to be free from defects caused by manufacturing
techniques and materials, provided that the equipment is properly operated under conditions
of normal use and that the equipment is regularly maintained per requirements specified by
our company. The warranty period for other parts is three months. Consumable parts are not
included in this warranty. Our company‟s obligation under the above warranty is limited to
repairing the equipment free of charge.
Our company‟s obligation under the above warranties does not include freight and other
fees;
Our company is not responsible for any direct or indirect product damage or delays which
result from improper use; alteration by using assemblies in an unapproved configuration;
and maintenance by anyone other than our company or our company‟s appointed
representatives;
This warranty does not apply to the following situations:
• Improper use;
• Machines used without the proper maintenance or damaged;
• Our company original serial number label or mark is removed or replaced.
Our company is not responsible for the security; reliability and operating condition of this
product in cases where:
The assemblies are disassembled, extended and readjusted
The product is not operated correctly in accordance with these User manual instructions.
The AC power used or the operating environment does not follow the requirements in this
manual.
9.1 Return
Follow these steps in case the product must be returned to our company:
9-1
the product packaging. Enclose a statement of the product number, product type and also the
reason for return.
2. Transportation charges
Transportation and insurance charges must be prepaid by the user for transporting the product
to our company for repair.
9-2
10 Theory of Operation
10 Theory of Operation
There are Invasive and non-invasive (NIV) ventilation modes in the ventilator. All the modes
are suitable for children and adults.
• Assist/Control ventilation (A/C) modes. These modes allow mandatory ventilation and
include VCV, PCV and PRVC.
• Synchronous Intermittent Mandatory Ventilation (SIMV) modes. These modes allow both
mandatory ventilation (including VCV, PCV and PRVC) and spontaneous ventilation (including
spontaneous ventilation and pressure support ventilation - PSV).
• Spontaneous/ Continuous Positive Airway Pressure ventilation (SPONT/CPAP) mode.
This mode only allows spontaneous ventilation.
• Bi Level ventilation (BIVENT) mode. This mode allows both mandatory ventilation
(switching between high level CPAP and low level CPAP) and spontaneous ventilation.
10-1
In VCV, VIM breaths deliver the set volume (Tidal Volume - Vt).
Figure 10-1
Figure 10-2
10-2
10 Theory of Operation
In PCV, VIM breaths deliver the set Pressure (Pinsp) using a decelerating flow pattern.
Figure 10-3
PRVC breaths will be delivered at a set rate and set volume (VT). The flow pattern resembles
PCV. Inspiratory pressure will be regulated in PRVC to achieve the operator set volume (Tidal
Volume). The first ventilation in PRVC will have a square flow waveform and each successive
ventilation will have a ramp flow (decelerating) waveform.
10-3
Figure 10-4
When PRVC is selected, a volume controlled test breath, to the set tidal volume, will be
delivered to the patient. The ventilator will set the target pressure for the first pressure control
breath to the end inspiratory pressure of the test breath.
The next ventilation and all subsequent breaths will be delivered as pressure control breaths.
The inspiratory pressure will be based on the dynamic compliance of the previous ventilation
and the set tidal volume. Inspiratory pressure will be adjusted automatically by the ventilator to
maintain the target tidal volume. The maximum step change between two consecutive breaths
shall be 3 centimeters of water pressure. The maximum tidal volume delivered in a single
ventilation shall be 1.5 times the Vt setting.
The test ventilation sequence shall be initiated when any of the following events occur:
Entering the Mode (PRVC) mode; Changing the set tidal volume while in PRVC; Delivered
tidal volume >= 1.5 times the set volume; Flow termination of the test ventilation; activation of
any of the following alarms - High Peak Pressure Alarm; Low Peak Pressure Alarm; Low PEEP
alarm; Patient Circuit Disconnect Alarm; I-Time Limit; I:E Limit.
SIMV is a ventilation mode where the patient is allowed to breathe spontaneously and the
machine delivers VC mandatory breaths in synchrony with the patient‟s effort at the operator
set rate and volume (or pressure). This is accomplished by a combination of spontaneous and
mandatory windows that open and close. The type of ventilation delivered depends upon
10-4
10 Theory of Operation
whether the event during the window is patient initiated, operator initiated or time initiated.
Spontaneous breaths occurring between mandatory breaths can be pressure supported.
Synchronized breaths shall be either pressure or flow triggered. Back-up (Apnea) ventilation
shall be provided when there is no patient trigger, mandatory ventilation or manual ventilation
for a period that exceeds the apnea alarm setting. Backup Ventilation shall be available in
SIMV - See section on Backup Ventilation for details on these modes and settings.
Figure 10-5
1. SIMV (VCV)
In SIMV (VCV), mandatory ventilator breaths are volume controlled. Between the mandatory
breaths the patient can breathe spontaneously. These spontaneous breaths can be pressure
supported. Backup ventilation will be PCV.
2. SIMV (PCV)
In SIMV (PCV),mandatory ventilator breaths are pressure controlled. Between the mandatory
breaths the patient can breathe spontaneously. These spontaneous breaths can be pressure
supported. Backup ventilation will be PCV.
3. SIMV (PRVC)
The current Ventilation mode shall transition to Back-up Ventilation - PCV when an apnea
occurs in SPONT/CPAP mode.
10-5
The current Ventilation mode shall transition to Back-up Ventilation - PCV when an apnea
occurs in BIVENT mode.
The current Ventilation mode shall transition to Back-up Ventilation - PCV when an apnea
occurs in NIV-S/T mode.
The current Ventilation mode shall transition to Back-up Ventilation - PCV when an apnea
occurs in an SIMV mode.
Two methods to exit Back-up Ventilation shall be supported: trigger by patient or reset by
operator.
When in Back-up Ventilation and the patient triggers two consecutive breaths and also the
Expiratory Vt >= 0.5 x Inspiratory Vt for those two breaths, then the ventilator shall return to the
Ventilation mode and settings prior to the Apnea event.
When in Back-up Ventilation and the operator resets the Apnea Alarm and confirms the reset
by pressing the Encoder Knob, then the ventilator will return to the Ventilation mode and
settings prior to the Apnea event.
Mode transitions when exiting Back-up Ventilation shall occur only when an Expiratory has
been completed.
10-6
10 Theory of Operation
Figure 10-9
Illustration shows NIV/CPAP. Pressure shall rise according to the selected rise time, with
target pressure 1.5 cmH2O above PEEP to improve work of ventilating.
10-8
10 Theory of Operation
Figure 10-10
Figure 10-11
10-9
• Inspiratory flow returns to zero during phase 1 of inspiration, (i.e. when the patient exhales
or fights the ventilator),
• Inspiratory flow in phase 2 of inspiration phase falls below a certain ratio (Esens) of the
maximum value previously supplied when compared to the peak inspiratory flow supplied
or
• Based on high Spont Inspiratory Time setting is exceeded
10.1.7 NIV-T
In NIV-T, breaths shall be controlled by the ventilator (mandatory) or shall be triggered by the
patient (spontaneous) or shall be triggered by the operator. When controlled by the ventilator,
breaths shall be pressure limited and time cycled, resulting in an operator set pressure (Pinsp)
being delivered for an operator set period (Tinsp). Extra breaths shall be possible if the patient
overcomes the pre-set trigger level or if the operator selects a manual ventilation. Patient
triggered breaths shall be flow triggered.
10.1.8 NIV-S/T
NIV-S/T is a spontaneous mode of operation and no ventilator controlled breaths are provided.
Throughout the ventilation cycle, spontaneouse ventilation may also be assisted by the
ventilator at an operator set of inspiratory pressure (Pressure Support). If the trigger time of the
patient exceeds the setting value of the apnea time, the mode will enter into back-up
ventilation.
10-10
11 VG70 Ventilator System Specifications
WARNING: Do not operate the Ventilator outside specified operating ranges or patient
NOTE: To add a measure of safety, an electronic hardware watchdog timer monitors the
system operation at all times. In cases where the system software does not respond in a safe
time period, the watchdog timer will reset the system. This enables the system software to be
in control at all times.
11.1 System
11.1.1 General
Standards
IEC 60601-1: The device classification is: Class I, Type B applied part (ventilator breathing
tube and mask), type BF applied part (CO2 module), ordinary enclosed equipment without
protection against ingress of liquids, continuous operation
ISO 80601-2-12
WARNING: Equipment not suitable for use in the presence of a Flammable Anesthetic
Adult: 60 – 260
Child: 30 – 140
11-1
NOTE:Leakage from VBS COMPLIANCE:
Ventilator
11-2
11 VG70 Ventilator System Specifications
Cart
115V 2A 60Hz
Socket 220V 1A 50Hz
Humidifier
230V 1A 50/60Hz
Output Fuse 250V H3.5A
115V 5A 60Hz
Ventilator 220V 5A 50Hz
230V 5A 50/60Hz
115V 8A 60Hz
Input 220V 8A 50Hz
230V 8A 50/60Hz
WARNING: Connecting any equipment that has not been supplied as a part of the
ventilator system to the socket of the cart may generate the risk.
11.2 Ventilator
11.2.1 General
Total: 40 kg
User Interface: 2.5 kg
Weight (Approximate)
Ventilation Delivery Unit: 12.5 kg
Cart: 25 kg
Maximum working
80cmH2O
pressure
11-3
11.2.2 Gas Supply
DISS, NIST
The maximum 10 s average input flow required by ventilator for O2 is 60.69 LPM at a pressure
of 280 kPa. For a 3 second average and at a pressure of 280kPa, the maximum averaged
transient input flow required by the Ventilator is 64.44 LPM for O2.
CAUTION: The ventilator is a high flow device and should only be connected to a pipeline
installation designed using a diversity factor that allows for the indicated high flow at a
specified number of terminal outlets, in order to avoid exceeding the pipeline design flow,
thereby minimizing the risk that the ventilator interferes with the operation of adjacent
equipment.
Attach to the ventilation delivery unit, the head mast, or other mounting system.
The A-weighted sound pressure level of the ventilator is 45 dB; the A-weighted sound power
level is 52 dB.
11-4
11 VG70 Ventilator System Specifications
Pressure Drop
Compliance
Maximum 2 mL/cmH2O (With Fisher & Paykel MR 810 Humidifier and Patient Circuit of
reusable silica gel).
Flow Range:
Adult: 1 to 180 liters/min
Child: 0 to 60 liters/min
Adult: 60 lpm
Child: 30 lpm
Compliance
Maximum 2 mL/cmH2O (With Fisher & Paykel MR 810 Humidifier and Patient Circuit of
reusable silica gel).
PEEP Regulation
11-5
PEEP Setting Range
0 ~ 35 cmH2O
Because of power failure or partial loss power, the ventilatory capacity is unnormal. When the
ventilator supplies 60L/min volume, for the expiratory valve the pressure drop is 0.18kPa in
inspiration, the pressure drop is 0.11kPa in expiration.
11.6 Monitoring
Range: 0 ~ 60 lpm.
Accuracy: +/- 1 LPM or +/- 15% of measured value (whichever is greater)
Resolution: 0.1 lpm > 1 lpm, 0.001 lpm < 1 lpm
Range: 0 ~ 4000 mL
Adult Accuracy: +/- 25 ml or ±15% of the measured value (whichever is greater)
Child Accuracy: +/- 10 ml or ±10% of the measured value (whichever is greater)
Resolution: 1 mL
O2 Concentration
Range: 18 ~100%
Accuracy: +/- 3 vol. %
Resolution: 1%
Airway Pressure
Measurement uncertainty
Volume: +/- 2% of reading or +/- 20 mL (whichever is greater)
O2: +/- 1%
11-6
11 VG70 Ventilator System Specifications
11.7 Alarms
5 to 80 cmH2O
O2 Concentration
1 ~ 60 liters/min; OFF
Apnea Time
10 ~ 60 sec; OFF
Respiratory Frequency
10 ~ 80 bpm; OFF
1 ~ 35 cmH2O; OFF
Or 1 ~ 20 cmH2O; OFF (NIV modes only)
OFF, 0.1% to 13.2% or OFF, 1 mmHg to 99 mmHg or OFF, 0.1 kPa to13.2 kPa
Gas Supply
11-7
Alarm Silence/reset
Press this key to silence alarms for two minutes. This key also resets latched alarms.
The alarm sound pressure is above 60 dB at lowest volume setting at a distance of 1 meter
from the front of the ventilator.
SPONT/CPAP+PSV
NIV-S/T
11-8
11 VG70 Ventilator System Specifications
BIVENT
Pressure controlled ventilation that allows the patient the opportunity of unrestricted
spontaneous ventilating with pressure support at high and low pressure levels
Oxygen Concentration O2
11-9
11.10 Log Function
Alarm/Event Log
Alarms
Ventilator Settings
Shortcut key functions
Service Page
Technical alarms
Test results
Calibration results
Configuration log
Insp. Hold
Inspiratory Hold
Exp. Hold
Expiratory Hold
Nebulizer
Manual
Suction
Freeze
Freeze the current waveforms and loops, or unfreeze the Waveform display
Screen Lock
11-10
11 VG70 Ventilator System Specifications
Main Menu
11.12 Communication/Interface
The Ventilator has a modular jack configured to interface with external systems and is wired for
normally open (N.O., close on alarm) signals. Contacts close on High priority alarms, loss of
AC power and Speaker failure.
Floating DC contact
Voltage: Max. 50V
Current: Max. 200mA
Pin assignment:
Ethernet Port per IEE 802.3 to enable the VG70 to connect to external equipment such as a
electronic health record.
CAUTION:
• connection of the VG70 to an equipment could result in previously unidentified risks to
patients, operators or third parties;
• the facility should identify, analyze, evaluate and control these risks
• subsequent changes to the Ethernet port could introduce new risks and require additional
analysis; and
• changes to the Ethernet Port include:
changes in Ethernet Port configuration;
connection of additional items to the Ethernet Port;
disconnecting items from the Ethernet Port;
update of equipment connected to the Ethernet Port;
update of equipment connected to the Ethernet Port.
11-11
11.12.3 RS-232 Port
Laptop-ready connection for user and service use in future software release.
Output port for connection to nebulizer locates in the front of the ventilator. The whole
nebulizer lasts for 30 minutes.
11.13 Accessories
Mobile Cart
Weight: 25Kg
Humidifier
Breath circuit
11-12
11 VG70 Ventilator System Specifications
CO2 Module
ATC Tube
OFF OFF ON/OFF ON/OFF
Compensation
ATC Tube
80 80 0 – 100 0 – 100
Compensation (%)
Backup Ventilation
Pressure above PEEP 10 20 5 – (70-PEEP) 5 – (70-PEEP)
(cmH2O)
Backup Ventilation
0.6 1.0 0.2 – 5 0.2 - 9
Tinsp (s)
Compliance
ON ON ON/OFF ON/OFF
Compensation
Expiratory Trigger
25 25 5 – 80 5 – 80
Sensitivity - Esens(%)
11-13
Factory Set Default Setting Range
Parameter
Child Adult Child Adult
Maximum inspiratory
60 180 --- ---
flow (liters/min)
Maximum permitted
pressure – safety valve 110 110 --- ---
(cmH2O)
Mode(in Invasive
PCV PCV --- ---
Ventilation)
Nebulizer Time
30 30 --- ---
(minutes)
PEEP (cmH2O) 5 5 0 – 35 0 – 35
Phigh(cmH2O) 15 15 5 – 60 5 – 60
Plow (cmH2O) 5 5 0 – 35 0 – 35
PS above PEEP
0 0 0 – (70-PEEP) 0 – (70-PEEP)
(cmH2O)
11-14
11 VG70 Ventilator System Specifications
11-15
Factory Set Default Setting Range
Alarm Limits
Child Adult Child Adult
Occlusion detection occurs in every ventilation mode. In the case that the Patient Airway
Pressure is positive for more than 15 seconds at an unexpected level, the system will treat this
continuing pressure event as an occlusion and behave accordingly.
The nebulizer function is disabled when the Ventilator is powered by either the internal or
external battery.
Airway Pressure
Tidal Volume
O2 Concentration
PEEP
+/- 10% of settings or +/- 2 cmH2O (whichever is greater) for all modes
Measurement uncertainty
O2: +/- 1%
11-16
12 Pneumatic Diagram
12 Pneumatic Diagram
12-1
13 EMC
13 EMC
Electromagnetic Compatibility
Changing or reassembling this equipment without our company‟s authorization may cause
electromagnetic compatibility problems. Contact our company for assistance. Designing and
testing this equipment is in accordance with the following stipulations.
WARNING: Using cell phone or other radio radiant equipment near this product may cause
malfunction. Closely monitor the working condition of this equipment if there is any radio
radiant supply nearby.
Using other electrical equipment in this system or nearby may cause interference. Check if the
equipment works normally in these conditions before using on a patient.
Do not put any object which is not in accordance with EN 60601-1 in the 1.5M range of
patients.
A complete system current leaking test (according to EN 60601-1) must be performed after
any equipment is connected to these outlets.
Do not connect the non-medical equipment directly to the alternating current outlet on the wall.
Only the alternating current supply of the isolated transformer can be used. Otherwise, the
surface leaking current may exceed the range permitted by EN 60601-1 under the normal
conditions, and misoperation may cause injury to patients or operators.
WARNING: Do not use other power cords and if it is necessary, the selected cable must be
WARNING: The equipment should not be used adjacent to or stacked with other
equipment and if adjacent or stacked use is necessary, the equipment should be observed to
verify normal operation in configuration in which it will be used.
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Guidance and manufacture’s declaration – electromagnetic emission for the Ventilator
The Ventilator is intended for use in the electromagnetic environment specified below. The
customer of the user of the Ventilator should assure that it is used in such an environment.
The Ventilator is intended for use in the electromagnetic environment specified below. The
customer or the user of the Ventilator should assure that it is used in such an environment.
Electromagnetic
Immunity test IEC 60601 test level Compliance level
environment- guidance
Voltage dips, short <5% UT (>95% dip in <5% UT (>95% dip Mains power quality should
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13 EMC
interruptions and UT) for 0.5 cycle in UT) for 0.5 cycle
be that of a typical
voltage variations 40% UT (60% dip in 40% UT (60% dip in commercial or hospital
on power supply UT) for 5 cycles UT) for 5 cycles environment. If the user of
input lines 70% UT (30% dip in 70% UT (30% dip in the Ventilator requires
IEC 61000-4-11 UT) for 25 cycles UT) for 25 cycles continued operation during
power mains interruptions, it
<5% UT (>95% dip in <5% UT (>95% dip
is recommended that the
UT) for 5 sec in UT) for 5 sec
Ventilator be powered from
an uninterruptible power
supply or a battery.
NOTE: UT is the a.c. mains voltage prior to application of the test level.
The Ventilator is intended for use in the electromagnetic environment specified below. The
customer or the user of the Ventilator should assure that it is used in such an environment.
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Radiated RF to √ 800 MHz to 2.5 GHz
IEC 61000-4-3 80MHz in ISM 10 V/m Where P is the maximum output
banda power rating of the transmitter in
3 V/m 80 MHz watts (W) according to the
to 2.5 GHz transmitter manufacturer and d is
the recommended separation
distance in metres (m). b
Field strengths from fixed RF
transmitters, as determined by an
electromagnetic site survey ,c
should be less than the compliance
level in each frequency range .d
Interference may occur in the
vicinity of equipment marked with
the following symbol:
NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
a. The ISM (industrial, scientific and medical) bands between 150kHz and 80MHz are 6.765
MHz to 6.795 MHz; 13.553MHz to 13.567MHz; 26.957 MHz to 27.283 MHz; and 40.66
MHz to 40.70.
b. The compliance levels in the ISM frequency bands between 150 kHz and 80MHz and in the
frequency range 80MHz to 2.5GHz are intended to decrease the likelihood that
mobile/portable communications equipment could cause interference if it is inadvertently
brought into patient areas. For this reason, an additional factor of 10/3 is used in
calculating the recommended separation distance for transmitters in these frequency
ranges.
c. Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV
broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic
environment due to fixed RF transmitters, an electromagnetic site survey should be
considered. If the measured field strength in the location in which the Ventilator is used
exceeds the applicable RF compliance level above, the Ventilator should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the Ventilator.
d. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
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13 EMC
100 11.7 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in metres (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2: The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz
are 6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and
40.66MHz to 40.70MHz.
distance for transmitters in the ISM frequency bands between 150 kHz and 80 MHz and in the
frequency range 80 MHz to 2.5 GHz to decrease the likelihood that mobile/portable
communications equipment could cause interference if it is inadvertently brought into patient
areas.
NOTE 4: These guidelines may not apply in all situations. Electromagnetic propagation is
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This manual No.: 130013843
Directive 93/42/EEC
concerning Medical Devices
Edition 01.01
Jan. 2017