Manual de Usuario LP6 Plus Puritan Bennett

LP6 Plus Volume Ventilator
-AndLP10 Volume Ventilator

With Pressure Limit
Users Manual
Important Note: Read all of this manual before you

use your ventilator. Keep this manual for future
reference. Call your doctor or home care dealer if you
have any problems using the ventilator.
Y-004129-03A Rev B
Copyright 1999, Nellcor Puritan Bennett Inc., Minneapolis, Minnesota U.S.A. All rights
reserved. No portion of this manual may be copied, reproduced, or stored in any form without the
express written permission of Nellcor Puritan Bennett, Inc.
For more
information:
Contact your Nellcor Puritan Bennett representative for information on our full line of medical
equipment and related services. Or, you may contact Nellcor Puritan Bennett directly. Phone:
(800) 497-4979
In Europe contact:
Nellcor Puritan Bennett Europe BV
Hambakenwetering 1
5231 DD s-Hertogenbosch
The Netherlands
Telephone: +31.73.648.5200
Fax:
+31.73.641.0915
page ii
June 1999
Contents
LP6 Plus and LP10 Users Manual
Contents
Purpose of this Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
Symbols and definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4
Electrical Interference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Introduction and Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Patient Ventilator Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Rear Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Mounting or Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Emergency Vehicle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
Wheelchair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Power Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
AC Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20
External Battery 12 Volt DC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Using a Car Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Battery Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Testing the Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Special Precautions for External Battery . . . . . . . . . . . . . . . . . . . . . .24
Internal Battery 12 Volt DC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Operating Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .26
Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Assist/Control . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Assist/Control with Pressure Limit (LP10 Only) . . . . . . . . . . . . . . . .28
SIMV (Synchronized Intermittent Mandatory Ventilation) . . . . . . .28
SIMV with Pressure Limit (LP10 Only) . . . . . . . . . . . . . . . . . . . . . .29
Pressure Cycle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Pressure Limit (LP10 Only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
Routine Safety Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Monthly Safety Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
Responding To Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
Cleaning and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Patient Circuit and Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
Inlet Air Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Ventilator Surface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Storage of the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
Scheduled Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48
Keyword Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
June 1999
Page 1
Purpose of this Manual


This manual contains valuable information. Remember, your ventilator is
an electrical device. It will provide years of useful service with the proper
care. This manual tells you how to give it that care.
As you read this manual, youll notice Cautions and Warnings in boxes
on many pages. Pay very special attention to these boxes. They will tell
you what to do and what to avoid as you use your ventilator.
The difference between Warnings and Cautions is:
A Warning contains information about possible hazards to the patient,
the care provider, or the service technician.
A Caution includes information about how to avoid equipment damage.
Warnings Always follow the physicians prescription when using the ventilator.
Always operate and store the ventilator according to the specifications and instructions set forth in this manual.
Use only Nellcor Puritan Bennett-approved accessories and products with the ventilator. The use of other accessories may damage
the unit and endanger the patient.
Perform daily and monthly verification of the ventilators operation as identified in this manual.Always stabilize and verify ventilator performance before connecting the patient to the unit.
All alarms indicate a potential risk to patient safety. When an
alarm sounds, provide immediate attention, care, and support to
the patient as dictated by the situation.
Do not use in direct sunlight.
June 1999
Page 2

Caution Refer any adjustments or procedures exceeding the scope of this manual
to your physician, homecare provider, or a Nellcor Puritan Bennett Service Representative. Refer to the Nellcor Puritan Bennett Service Policy
found on page 47.
CAUTION: Federal Law (U.S.A.) restricts this device to sale or use by
or on the order of a licensed physician.
Warnings The LP6 Plus and LP10 ventilators shall not be used with flammable anesthetic agents.
June 1999
Page 3
Symbols and definitions


The following symbols appear on the LP6 Plus and LP10 ventilators.
I
O
Power switch ON position, connection to mains power
Attention, consult accompanying manual.
Power switch OFF position, disconnection from mains power
Alternating current
Direct current
V
A
Volts
Amperes
Standby mode of operation
Canadian Standards Association
Battery test switch
Alarm silence switch
Alarm
Power
Underwriters Laboratories, Inc.
Patient pressure
External battery connection
Remote alarm
Battery test level
Manual reset
June 1999
Page 4

Electrical Interference
Caution Your ventilator is an electronic instrument. Any electronic instrument
is subject to electrical interference. Electrical interference in excess of
10 V/m may keep your ventilator from working properly.
Television sets, cordless or cellular telephones, microwave ovens, air conditioners, food processors, and other appliances can be sources of electrical
interference. To avoid electrical interference between your ventilator and
these appliances, you must follow these instructions:
Never place your ventilator near these appliances.
Never plug the ventilator into the same A.C. electrical outlet as these
appliances, nor into electrical outlets on the same circuit as these
appliances.
Never place the cables from ventilator accessories near these appliances.
Warning Electrical interference may keep your ventilator from working

properly, which may create a hazard to the patient.
Note The ventilator is exempt under Section 15.801 (c)(5) of the no interference
regulations adopted by the FCC. If television interference does occur, contact Technical Services at Nellcor Puritan Bennett, Inc. or a television
repair technician for suggestions. Or, move the television to an A.C. electrical outlet that does not allow interference.
June 1999
Page 5
Introduction and Overview

The Nellcor Puritan Bennett Model LP6 Plus and LP10 Volume Ventilators are intended for use in a non-acute ventilator care environment for
pediatrics and adults. They are to be operated in accordance with the product labeling contained in the instruction manuals.
The ventilator is a microprocessor-controlled volume ventilator. It provides continuous respiratory support for patients with respiratory insufficiencies in a home or hospital, or during transport. Because of its compact
design and light weight, the unit is highly portable.
The ventilator offers a wide range of delivery volumes, inspiratory times,
and breathing rates. The physician or the respiratory therapist can set the
appropriate ventilation parameters via the controls located in the recessed
front panel. The magnetically latched door panel and the control knobs are
designed to help prevent tampering and accidental resetting.
June 1999
Page 6

Your doctor has prescribed a ventilator. A ventilators main purpose is to

help you breathe. You need this help because of your medical condition.
Before getting into the ventilators operation, lets look at how breathing
happens. People dont give much thought to breathing, because its something most of us take for granted.
Air contains oxygen. A person cannot live without oxygen. Its one of the
fuels that keeps our bodies going. Oxygen transfers to the blood in the
lungs. The blood goes to the heart which then pumps it to all parts of the
body. As the blood delivers oxygen to the bodys cells, it picks up and
returns carbon dioxide to the lungs. Carbon dioxide transfers to the air in
the lungs and leaves the body when a person exhales.
People inhale (breathe in) when their diaphragm drops (contracts) and
their ribs move out. This motion expands the lungs which then have a
negative pressure compared to the surrounding air. As a result, air rushes
into the lungs. We call this inspiration.
People exhale (breathe out) when they relax their muscles. Their diaphragms move up (relax) and their ribs squeeze in. This motion compresses the lungs and forces out the used air. We call this expiration.
We call this whole process RESPIRATION. Every step of the process is
important. RESPIRATORY INSUFFICIENCY or FAILURE occurs when
a person cannot complete one or more of these steps.
A person with respiratory insufficiency or failure may need a ventilator. It
makes up for a missing step or steps in the respiration process. Your LP6
Plus or LP10 Volume Ventilator helps you breathe by gently moving air
into your lungs. It does this in one of two ways. If you are strong enough
to start a breath, the ventilator times its action to your efforts. These are
assisted breaths. Depending on its settings, the ventilator may assist some
or all of your breaths. But, if you cannot start the breathing process, the
ventilator will deliver controlled breaths. Your doctor has prescribed how
many times a minute you will receive these controlled breaths.
Thats the way the ventilator helps you get the oxygen your body needs. As
you exhale after every assisted or controlled breath, you rid your body of
carbon dioxide.
The pages that follow describe the ventilator in detail. Read all the information carefully. If you dont understand something, ask your doctor, your
caregiver, or a service technician to explain it.
June 1999
Page 7

Patient Ventilator Circuit
June 1999
Page 8
General Description
General Description
Patient Ventilator Circuit The Patient Ventilator Circuit has a long flexible hose and several other
parts shown in the diagram. It attaches to the ventilator and is your link to
the breaths you need. Inspect it every day to:
Make sure there are no cracks in the hose.

Be certain all the connections fit securely to prevent leaks.
Clean the Exhalation Manifold daily.
Replace parts regularly before they wear out. Regular replacement is
essential for successful ventilation. See the instructions that came
with your patient ventilator circuit.
A. Flex Tube: Use this tube to connect the Patient Ventilator Circuit to
a tube adaptor on your trach tube. The tubes flexibility makes the
circuit more comfortable.
B. Exhalation Manifold: The Exhalation Manifold directs the flow of
gases to and from the patient. Broadly speaking, this assembly consists of a manifold body, a mushroom valve, and a cap. Refer to the
manufacturers instructions. Before using it with the patient, secure
all connections and ensure the seating of the mushroom valve.
During inhalation, the white mushroom inflates and allows air to
enter your lung. During exhalation, the mushroom deflates and
allows you to expel air from your lungs.
Make sure this valve prevents the escape of any gases during inspiration and that it releases properly during exhalation.
Note For your safety, upon start-up, the ventilator dumps the first breath
through the exhalation manifold. The units microprocessor requires one
cycle to establish its reference point; that is, the operating mode and settings to use. This operation prevents delivery of incorrect volumes that
could result in excessive pressure build-up.
June 1999
Page 9
General Description
Warning Ensure the proper connection and operation of the patient venti-
lator circuit daily. The patient could be at risk if the manifold

does not function as intended. Connecting patient pressure and
exhalation tubes to the incorrect port prevents proper patient
ventilation.
C. Patient Air Hose: This is the large hose between the Bacteria Filter
and the Exhalation Manifold.
D. Patient Pressure Tube (included with patient air hose): This small
tube connects the Patient Pressure port on the ventilator to the Exhalation Manifold.
E. Exhalation Tube (included with patient air hose): This small tube
connects the Exhalation Valve port to the Exhalation Manifold.
F.
Bacteria Filter: This filter cleans the incoming air before you inhale
it.
Other accessories are available. When using any accessory, always follow
the manufacturers recommendations and instructions.
Caution Adding attachments or other components to the breathing system will

increase the inspiratory and expiratory resistance.
June 1999
Page 10
General Description
Warnings Some active humidifiers do not have temperature monitoring or
alarm capabilities. Failure to monitor air temperature may allow

inspired air to become too hot. Thermal injury to the patients airway may result. Always follow the recommendation of the humidifier manufacturer.
To ensure the prescribed oxygen concentrations are delivered to
the patient, measure the oxygen with a calibrated analyzer.
A ventilator patient is highly susceptible to respiratory infections.
Dirty or infected equipment may be a source of infection. Clean
equipment and proper use of bacteria filters are essential to
reduce the chance of infection.
Always use a Bacteria Filter to minimize the risk of respiratory
infection.
Antistatic or electrically conductive hoses or tubing should not be
used.
June 1999
Page 11
General Description
Front Panel The Front Panel of the ventilator has three sections:
The upper section has small lights, two touch button pads, and a
meter.
The lower left section has the operating controls. Your doctor prescribes their setting. To prevent accidental resetting, they are behind a
closed panel.
The lower right section has the pressure limit controls (LP10 only) and
the connections for the Patient Circuit.
Upper Section
6
1
1. Alarm Lights: When flashing or continuously lit, they identify a condition that demands immediate attention. There is also an audible
tone when these lights begin flashing.
2. Alarm Silence/Reset Button: This has five uses.
Push to test the alarms.

Push to silence alarms for 60 seconds.
Push to reset the alarm after correcting the problem.
Push simultaneously with the Battery Test Button for operating hours.
(See the Scheduled Maintenance portion of the manual, page 43.)
Use this button with other controls to start the self-test (see page 35).
3. Power Source Lights:
The top light is green when the ventilator is AC powered.

The middle light is amber when an external battery powers the ventilator.
The bottom light flashes amber when the ventilators internal battery
is in use. A single tone also beeps every five minutes.
June 1999
Page 12
General Description
4. Battery Test Button: It has four uses.

When pressed, the Pressure Meter displays the charge status of the
battery in use (internal or optional external battery) when the ventilator is disconnected from AC power.
Push simultaneously with the Alarm Silence/Reset button for an indication of operating hours. (See the Scheduled Maintenance portion of
this manual, page 43.)
Press the button to print a report from an attached printer.
Use this button with other controls to start the self-test (see page 35).
5. Breathing Effort Light: This light turns green whenever the ventilator senses your effort to breathe. The Breathing Effort control sets the
sensitivity.
6. Patient Pressure Meter: The meter displays three pieces of information:
Pressure at the Exhalation Manifold.
The number of hours of ventilator operation.
The charge status of the internal or attached external battery.
Lower Left Section
1
3
1. Control Panel Door: This door is latched magnetically to protect the
controls from accidental resetting.
2. Alarm Reference Guide: Consult this guide for a summary of alarms
and the action you should take. You will find the Guide on the inside
of the Control Panel Door.
3. Control Knobs: They are behind the closed Control Panel Door. Your
doctor prescribes the settings for these controls. See page 26 for
details.
June 1999
Page 13
General Description
Lower Right Section
1. Patient Air Tube: The Patient air hose connects to this tube. The
ventilator delivers air through this tube.
2. Exhalation Valve Port: The Exhalation Pressure Tube of the Patient
Circuit connects to this port.
3. Patient Pressure Port: The Patient Pressure Tube of the Patient Circuit connects to this port.
4. Pressure Limit Control (LP10 Only): This control sets the air pressure limit during a breath. For use in Assist/Control or SIMV modes
only; use in other modes may not allow effective ventilation.
June 1999
Page 14
General Description
Rear Panel
Vent
10
External
12 Volt DC
Battery
Carrying
AC Plug Handle
Mounting
Rails
Remote Alarm
Connector
DC Circuit
Breaker
12
14
Communication
Port
4
Inlet
Filter
Serial Number
Plate
11
Pressure
Relief
13
Cord Wrap
Rear Feet
Voltage
Select
3
AC Power
Switch
June 1999
Page 15
General Description
1. Inlet Filter: The ventilator draws in air through this filter.
Warning Do not block the inlet filter port. (Keep away from curtains.)
Note
2. Cord Wrap and Rear Feet: There is a foot at each corner.

3. AC Power Switch/Circuit Breaker: This is the ON/OFF switch for
AC power. It also has a built-in circuit breaker. 1 is power connected
to mains and 0 is power disconnected from mains.
4. Communications Port: A special cable fits here and leads to an
optional printer.
The ventilator and printer should be turned off before connection or disconnection of the printer.
5. Serial Number Plate: This has Nellcor Puritan Bennetts identification number for the ventilator. It also lists the units power requirements.
6. External 12 Volt DC Battery Connector: This is where you plug in
an external battery cable.
7. Remote Alarm Connection: A remote alarm (optional) can summon
the caregiver when an alarm sounds.
8. Rear Carrying Handle Recess
9. AC Plug Holder
10. Vent: Warm air from the units circuitry leaves the ventilator and cool
air enters through this vent. This cools the ventilator.
Warning Do not block rear panel vent

11. Pressure Relief: This prevents the air pressure from exceeding
approximately 100 cmH2O/hPa.
Warning Do not block the pressure relief valve.

12. DC Circuit Breaker: This circuit breaker protects the ventilator when
it is powered by an external battery.
June 1999
Page 16
Installation
13. Voltage Select Switch: This switch selects 110 or 220 volts when it is
powered by an external battery
Caution An incorrect switch setting may damage your ventilator.

14. Mounting Rails: These are used to mount and connect accessories to
the ventilator.
Installation
Mounting or Positioning Position the ventilator on a table or nightstand within six feet of an electrical outlet.
Keep the rear panel free of draperies or other items that could impede the
air flow to the Inlet Filter port.
Protect the ventilator from accidental liquid spills. Never place food or
liquids on top of the ventilator. When used in a humid environment,
and when cleaning:
Take precautions to protect the setting switches.
Keep the front panel door closed.
Avoid spilling or allowing liquid to enter the unit.
Allow for the space requirements of additional equipment, e.g., humidification and supplemental oxygen. When in use, keep active humidifiers or
the patient circuit at an elevation lower than the patients trachea. Moreover, keep the humidifier and the circuit lower than the ventilators
Patient Air tube to prevent moisture from entering the ventilator.
Warning Never allow liquids to contact internal ventilator components

under any circumstances. Moisture will damage the ventilator.
June 1999
Page 17
Installation
During transport in cars and vans, securely position the ventilator and
strap it down to avoid inadvertent jarring or damage.
You may connect the ventilator to the cars battery power with an accessory power cable equipped with a cigarette lighter plug. Connect the ventilator to the cigarette lighter cable/plug only after the cars motor is
running.
Warning Do not block the alarm port.
Emergency Vehicle In an emergency vehicle, employ a deck or mounting bracket to secure the
ventilator. Maintain at least four inches between the rear panel Inlet Filter
and the vehicles wall. Position the ventilator to easily view all indicators
with ready access to all operating controls.
Warning AC power sources in ambulances and aircraft are frequently
unregulated. As a result, the ventilator may be exposed to high

voltage levels that can damage it. Operation of the ventilator on
improper power sources voids the warranty and could seriously
damage the unit.
Before plugging the ventilator into an unknown power source, check the
voltage. If the power source exceeds the proper range at any time, or if the
voltage cannot be verified, use a 12 VDC battery, rather than risk damage
to the ventilator.
Warnings Do not use a power converter as a power source for the ventilator.
Stabilize and verify proper ventilator performance before connecting the patient to the ventilator.
June 1999
Page 18
Installation
Wheelchair Mounting instructions vary from chair to chair. Consult the wheelchair
manufacturer for standard wheelchair adaptations.
Here are some general guidelines to consider when using the ventilator in
a wheelchair.
When using a tray, place a partition between the battery and ventilator.
Insert a partition in the tray mount between the ventilator and battery.
Locate this partition as far as possible from the ventilators Inlet Filter.
If the ventilator and battery are in the same tray, cut drain holes in the
tray to prevent any leaking battery fluid from reaching the ventilator.
Place the battery in a plastic container to help insulate the ventilator
from battery fluid.
Always provide an external battery as the power source.
Never use the same battery to power a motorized wheelchair and the
ventilator at the same time.
Protect the ventilator from spills and water seepage during bad
weather or other conditions when using the unit on a wheelchair.
Check the Air Inlet Filter frequently when using the ventilator outdoors, especially when the Air Inlet is pointed toward the ground.
To maintain a full charge on the internal battery, you must routinely
connect any ventilator mounted on a wheelchair to AC power while
the wheelchair is not in use. You must connect the ventilator to AC
power as soon as possible after internal battery operation, no matter
how short a time the ventilator operated on internal battery.
Warnings Always place the external battery as far away from the ventilator
as possible. The distance will help prevent battery gases from

drifting toward the ventilators air inlet.
Never place an external battery above the ventilator. Use separate
batteries to simultaneously power an electric wheelchair and the
ventilator.
June 1999
Page 19
Power Sources
Power Sources
Any one of three power sources can power the ventilator.
External AC,
External 12 VDC battery, or
Internal 12 VDC battery.
When plugged into a functioning wall outlet with the AC power switch
ON, the ventilator automatically selects the AC power source. It will operate indefinitely on AC. All three sources may be connected to the ventilator at the same time. If the AC power fails, the ventilator automatically
switches to the next best power source.
When used at home or in the hospital, plug the ventilator into a convenient wall socket. If you use the ventilator in a wheelchair or in a car, connect it to an external 12 Volt DC battery. Your ventilator has an internal
battery. Use the internal battery for short-term emergencies only, for
example, when moving from one power source to another. Make sure you
recharge the internal battery immediately after each use.
Warning The batteries contain toxic chemicals and no attempt to remove
or replace the batteries should be made by any one other than the
home care dealer or an authorized service center.
AC Power Plug the ventilator into the appropriate AC grounded wall outlet.
Warning The ventilator must be set to the proper AC line voltage before
plugging it into the AC outlet.
The ventilator automatically operates from AC power when you plug it in.
Make sure that you plug the cord into a properly grounded outlet.
Warning
The ventilator must be protectively earthed when operating from

an AC power source. If you have any doubts about the outlets
ground connection, have a qualified electrician examine the outlet.
June 1999
Page 20
Power Sources
The ventilator requires 0.5 amps (typical) at 110 VAC. If the voltage
select switch is set to 110 V, the supplied voltage must be between 100
and 127 VAC.
The ventilator requires 0.3 amps (typical) at 220 VAC. If the voltage
select switch is set to 220 V, the supplied voltage must be between 220
and 240 VAC.
Your ventilator automatically recharges its internal battery whenever it is:
plugged into an AC outlet, and

the AC Power Switch is ON (1)
You can also recharge an external battery that is properly connected to

your ventilator. (See pages 21 through 23.)
When traveling to another country (or to a region with a different power system), you may encounter two problems. First, the nominal voltage may be
different. Note the ranges given above for 110 and 220 VAC respectively.
The second problem you may encounter is the plug itself. It may not fit
into the outlet. There are two solutions. First, have a qualified electrician
remove and replace the ventilators plug with one designed for the local
outlets. Second, you may use an adaptor. Make certain that the adaptor has
no active electronic components and that it is not a power converter.
Caution If you have any questions about the power system or how the ventilator
will operate, contact a qualified electrician and/or Nellcor Puritan Bennett.
External Battery If you are away from an AC power outlet, you can operate your ventilator
a 12 Volt DC battery. Nellcor Puritan Bennett recommends the use
12 Volt DC from
of a deep-cycle, gel-cell battery.
Carefully connect the 12 Volt DC battery to the ventilator. Use only
Nellcor Puritan Bennett battery cables. Follow the instructions included
with the battery cable to ensure proper connection.
Caution Do not use the ventilator with a 24 VDC external battery.

A Power Switchover alarm sounds whenever the ventilator starts using
power from an attached external battery.
Check to see if the ventilators External Battery light is lit. This light signals that your ventilator is properly connected and is using the external
battery.
June 1999
Page 21
Power Sources
Note Do not reverse the positive and negative cables when connecting a battery
to your ventilator. If you accidentally reverse the connections, a protective
fuse in the battery cable or the ventilators DC circuit breaker opens. The
cable will not provide power to the ventilator. You must first correct the
connections and install a correct replacement fuse in the cable. Reset the
DC circuit breaker on the ventilator. Only then will the external battery
power the ventilator.
You may order batteries and connecting cables from Nellcor Puritan Bennett. These accessories come with specific instructions for connection and
use. The battery and case provided by Nellcor Puritan Bennett have a cable
with a 3-pin connector. When properly used, this cable/connector ensures
against reversing the connections between the battery and ventilator. Use
of other cables may damage the ventilator or make it inoperable when the
cable connections are accidentally reversed.
Warning Always place the external battery as far away from the ventilator
as possible. The distance will help prevent battery gases from

drifting toward the ventilators air inlet.
Using a Car Battery The ventilator will operate from a car battery. Connect the ventilator to
the car with a cigarette plug cable from Nellcor Puritan Bennett. Make
sure the vehicle is running when the ventilator is drawing power. Otherwise, the ventilator may run down the cars battery.
Caution Always start the vehicle before connecting the ventilator to the car battery. Starting a vehicle when the ventilator is connected may damage
the ventilator and void the warranty.
June 1999
Page 22
Power Sources
Battery Performance As they age and due to their chemical make-up, batteries lose their capacity to retain an electrical charge. Typically lead-acid batteries lose 7% of
their capacity each year. For best performance, follow the manufacturers
instructions.
The following affect the life of the battery:
Ambient temperature,
Charge level,
Storage conditions,
Time, and
The number of deep cycles.
For maximum efficiency, operate or store the battery at room temperatures. It will charge and discharge most efficiently in such an environment.
To ensure maximum running time of the ventilator on any external battery, keep the battery fully charged. Some batteries need to be discharged
and recharged monthly. Recharge any external battery immediately after
use. Refer to the battery manufacturers instructions. The time required to
recharge a battery varies. Generally, with a 10 amp standard charger, there
is a 1:1 ratio (one hour of recharge for each hour of use).
Cautions Recharge an external battery immediately after use. You must use a
standard battery charger to recharge external batteries used for extended

periods of time. Do not use the ventilators internal charger to recharge
deeply discharged batteries.
First connect the battery to the standard charger. Then connect the
charger to AC power.
NEVER connect a battery charger to an external battery while the battery is connected to the ventilator.
A 30 to 40 amp hour battery, in good condition can power the ventilator

for about 10 hours without recharging. A 75 to 80 amp hour battery provides power for about 20 hours between charges.
June 1999
Page 23
Power Sources
Testing the Batteries Make sure that the external or internal battery is powering the ventilator
before testing the battery condition. To run the test, press and hold the
Battery Test button. The needle on Patient Pressure Meter registers the
battery status in the window below. A fully charged battery in good condition will register in the Normal/High range.
Note The Battery Test meter is only a relative indicator of the remaining battery
charge. An older battery may register a high charge level, but discharge
more rapidly. Carefully monitor battery power sources. Always have a
back-up power source available.
1400
The total life expectancy of any battery is affected by the number of times
it is deep cycled, i.e., nearly 100% discharged.
Number of Cycles
1200
1000
800
600
400
200
0
20
40
60
80
100
Depth of Discharge (%)
120
The percentage of discharge relates directly to the number of cycles the

battery can deliver. As a battery ages, its ability to power the ventilator
decreases. Take this into account in all applications, but especially in portable applications where another power source may not be readily available.
The graph displays the relative impact of deep discharge on battery life.
Special Precautions for Place the battery as far away as possible from the ventilators Inlet Filter
External Battery (located on the rear panel).
Warning NEVER place the battery above or on top of the ventilator.

Using an external battery has nothing to do with the emergency internal
battery. An external battery neither recharges nor maintains the charge of
the internal battery.
You may use some gel-cell, spill-proof batteries aboard commercial aircraft. Follow these regulations:
F.A.A.: Title 49 C.F.R., parts 100 - 199, paragraphs 173.250A and

170.260D.
C.A.B.: Air Transport of Restricted Articles, Circular No. 6D, page

57, Article # 1924.
I.A.T.A.: Restricted Articles Regulations, Article # 1924, Packaging

Note 802, Section VI p. 149 and Section X p. 207.
June 1999
Page 24
Power Sources
Internal Battery The ventilator has an internal 12 volt DC battery. The ventilator automatswitches to the internal battery when the AC power and an attached
12 Volt DC ically
external battery fail.
A fully charged internal battery will power the ventilator approximately
30 to 60 minutes. An audible tone sounds every five minutes. When about
five minutes of power remains, a Low Power alarm sounds. Immediately
switch to another power source.
If the internal battery has not been used, exercise it every four to six weeks.
That is, run the ventilator on its internal battery until the low power alarm
sounds. Immediately switch to AC power and recharge the internal battery
for at least three hours.
Note An external battery cannot recharge the internal battery.

Use the Internal 12 VDC battery for emergency use only. It requires no
special connections. The ventilator switches to the internal battery when
other power sources fail or drop below adequate levels. The Power
Switchover alarm signals whenever the ventilator switches from AC or an
external DC battery to its internal emergency battery.
Warning If your health or safety would be jeopardized by a long-term
power failure, a reliable backup power source is mandatory. Do

not regard the internal battery as a long-term backup power
source.
To prevent shortened longevity, recharge the internal battery for at least

three hours after each use. Always recharge the internal battery before
turning off AC power to the ventilator.
Keep the internal battery fully charged at all times. The ventilator charges
the internal battery when it is connected to an AC power source and is in
any operating mode including Standby.
After using the ventilator on external battery for a long period, you must
connect the ventilator to AC power. This will maintain the charge of the
internal battery.
June 1999
Page 25
Operating Controls
Operating Controls
7
5
8
4
These controls determine how your ventilator supports your breathing.
They match the ventilators operation to your individual needs.
Your doctor prescribes the settings for these controls. Keep a record of
these settings. Verify all settings before connecting and using the ventilator.
Warning Periodically check the control settings to be sure they are at the
prescribed settings. Always verify that the controls are set correctly before connecting and using the ventilator. Do not change
them without your doctors orders.
1. Mode: This control selects the operating mode for the ventilator.
2. Volume: This sets the amount of air you receive for each breath. To
change the setting, push in the control and then turn it to the selected
setting. Any change made during operation results in a maximum
change of 100 milliliters from breath to breath until the new volume
is reached.
Note For more precise accuracy in setting the volume control (indicator), the use
of an external volume measuring device is recommended.
3. Breath Rate: This setting controls the minimum number of breaths
per minute (BPM) delivered by the ventilator.
4. Inspiratory Time: This sets the time it takes for the ventilator to
deliver a breath.
June 1999
Page 26
Operating Controls
5. Breathing Effort: This adjusts the ventilators sensitivity to your

breathing effort. When your effort reaches the setting, the Breathing
Effort light turns on and the ventilator delivers a breath. You must
push in the control knob to change the setting.
6. High Alarm/Limit: This sets the highest allowable pressure for a
delivered breath. If a breath exceeds this limit, the High Pressure
alarm sounds (except in the Pressure Cycle mode). Delivery of this
breath stops after the pressure reaches this limit. The audible alarm is
automatically silenced if the following breath does not exceed the setting.
7. Low Alarm: This establishes the minimum acceptable pressure for
each controlled or assisted breath. The alarm turns on only when two
consecutive breaths do not reach the selected limit, or if the limit is
reached but the pressure fails to return to a level below the limit. Normally, the setting is just below the pressure you need for proper ventilation.
Note Some circuit components will prevent a Low Pressure alarm by keeping
the pressure in the circuit above the alarm limit. Examples of these components include hydrated heat and moisture exchangers (HMEs) and tracheostomy tubes. If the patient circuit is disconnected from the patient, but
still connected to these components, a Low Pressure alarm may not sound.
Where such disconnections from a ventilator-dependent patient are possible, you must set the Low Pressure alarm to a level that permits an alarm
to sound. To do this, simulate the disconnection; if a Low Pressure/Apnea
alarm does not sound after two breath cycles, increase the alarm limit until
an alarm sounds.
8. Pressure Limit (LP10 only): This limits the maximum pressure
developed for each breath. For use with Assist/Control or SIMV modes
only. See Operating Modes section for details.
June 1999
Page 27
Operating Modes
Operating Modes
The Mode control determines how your ventilator will deliver breaths.
Your doctor prescribes the delivery mode (Assist/Control, SIMV, or Pressure Cycle) and tailors it to your special needs via the Operating Controls.
Standby The ventilator will not deliver breaths in this mode. It will, however,
charge the internal or connected external battery, but only when the AC
Power Switch is ON. You may breathe through the patient circuit in this
mode.
Assist/Control In this mode, if your breathing effort is strong enough to trigger the
Breathing Effort light, the ventilator assists your breathing. The ventilator
delivers the selected volume of air. If you make no effort to breathe and,
thus, fail to activate the Breathing Effort light, the ventilator takes control. It delivers breaths at the selected rate.
Breath Rate set at 1 - 5 BPM
If you do not start a breath on your own for 10 seconds, the Apnea alarm
sounds and alerts your caregiver. Meanwhile, the ventilator delivers
breaths at 10 BPM at the selected volume.
Breath Rate set at 6 BPM or more
No alarms sound if you fail to start a breath. Your ventilator continues to
deliver breaths at the selected rate and volume.
Assist/Control with
Pressure Limit (LP10
Only)
The ventilator functions as described under the Assist/Control mode. The

only difference is that the ventilator will limit the pressure during a delivered breath. Since the pressure limit function bleeds off air to limit pressure, the volume of air delivered will be less than the set value.
SIMV (Synchronized In this mode, you can breathe unassisted and on your own between ventilaIntermittent Mandatory tor delivered breaths. The ventilator monitors these spontaneous breaths.
Ventilation) The ability to breathe unassisted and on your own is the hallmark of the
SIMV mode. When you make an effort to breathe faster than the selected
rate, you may do so.
June 1999
Page 28
Operating Modes
If your effort is not strong enough to turn on the Breathing Effort light or
you make no effort, the ventilator delivers a controlled breath. All this
depends on the breath rate setting:
SIMV with Pressure Limit The ventilator functions as described under the SIMV mode. The only difis that the ventilator will limit the pressure during a delivered
(LP10 Only) ference
breath.
Pressure Cycle In this mode, the ventilator assists or controls your breathing as it does in
the Assist/Control mode. But, theres a difference. If the air pressure
exceeds the level set on the High Alarm/Limit, the high pressure alarm
does not sound. The high pressure alarm sounds only if the air pressure
happens to exceed the High Alarm/Limit by 10 cmH2O/hPa. Expiration
begins if and when the High Alarm/Limit is reached.
June 1999
Page 29
Operating Modes
Pressure Limit The pressure limit valve is a mechanical pressure valve located behind the
Air tube. The ventilators microprocessor does not control this
(LP10 Only) Patient
valve.
Note Pressure limit control ventilation is intended for use with uncuffed
tracheostomy tubes, or in other circuit configurations which ensure
an intentional airway leak.
The Pressure Limit control limits the pressure in the airway during inspiration. Inspiration continues after reaching the preset high pressure level
and lasts until the Inspiratory Time expires.
Use the following instructions to activate and adjust the Pressure Limit
Control.
To set the Pressure Limit level on the LP10:
1. Disconnect the patient from the ventilator. Provide another means of
ventilation.
2. Turn the Pressure Limit Control counterclockwise until it stops.
Note The outside ring of the knob must be pushed in before the center adjustment knob can be moved.
3. Set all controls to the prescribed settings.
4. Block the Exhalation manifold at the port that connects to the patient.
Warning Wash hands thoroughly. Do not introduce germs or contaminants

into the patient circuit while performing this task.
5. Watch the needle on the Patient Pressure Meter. Note the highest
pressure achieved during a machine-delivered breath. This should be a
very low pressure reading.
6. Turn the Pressure Limit Control clockwise in small increments until
the meter needle reaches, but does not exceed, the pressure value prescribed by the physician.
June 1999
Page 30
Operating Modes
7. When the prescribed Pressure Limit is reached, allow the machine to

cycle for several breaths to verify stable operation.
8. Reconnect the patient to the ventilator.
9. When you first connect the patient to the ventilator, the value of the
limited pressure may drop slightly. Watch the needle on the Patient
Pressure Meter. Slight increases in the Pressure Limit setting may be
required to increase the maximum pressure to the prescribed limit.
Allow the machine to cycle for several breaths to verify stable operation.
10. Check to ensure that all settings are in agreement with the physicians
prescription.
11. Monitor the patient and the ventilator closely.
Note Reset any alarms and monitor the ventilator and patient for a few minutes.
If no pressure alarm sounds and if the needle continues to attain the prescribed Pressure Limit, then the Pressure Limit control is set correctly.
Note Use a printer during setup and routine safety checks to confirm precise
opening pressure of the Pressure Limit Control.
Warning The normal operation of the Pressure Limit Control may not
allow a High Pressure alarm to occur, even when the tracheostomy tube or the patient circuit is blocked.
June 1999
Page 31
Routine Safety Check


Note Use this information along with instructions from the patients physician.
The procedure takes about ten minutes to complete and can be performed
by a trained caregiver.
Warnings Disconnect the patient from the ventilator and provide another
means of ventilation before starting these tests.
ALWAYS complete a routine safety check BEFORE connecting the

patient to the ventilator.
1. Check the Low Pressure Alarm.
If the patient is not connected to the ventilator, connect a patient circuit and test lung to the ventilator. Then turn the ventilator on and
switch it to an operating mode.
Disconnect the patient pressure tube from its port near the bacteria filter. Wait for two or three breaths.
The Low Pressure/Apnea light should start flashing and the audible
alarm should sound.
Push the Alarm Silence/Reset button to silence the alarm.
Reconnect the pressure tube to the ventilator. The Low Pressure/Apnea
light should stop flashing after a breath or two.
2. Check all the settings.
Compare the current settings to your written record of the prescribed
settings. Your equipment supplier may give you a checklist with these
settings.
Make sure that all seven controls (located behind the front panel door)
are set to the doctors prescription.
3. Check the patient circuit.
Check every connection in the circuit you are using or plan to use.
Make sure that the tubing is routed correctly, that all connections are
tight, and that there are no leaks.
Check every part of the circuit for cracks and water. Each part must be
in good condition. There should be no water in any part of the circuit.
4.
Check all the alarm signals.

Turn the Mode switch to Standby.
Wait one second and turn the Mode switch to Assist/Control.
All nine lights (on the top section of the front panel) should turn on
and the audible alarm should sound for two seconds.
June 1999
Page 32

Note If the ventilator is not plugged in or if the AC power switch is off, only
eight lights will turn on. (The AC Power/Battery Charge light will not
turn on.)
Any connected accessories that signal an alarm (such as a remote

alarm) will also test their alarms.
If the Power Switchover alarm is on, push the Alarm Silence/Reset
button to turn it off.
Push the Alarm Silence/Reset button.
All nine (or eight) lights should turn on and the alarms should sound
for one second. The accessories also signal their alarms for one second.
5. Perform a battery test.
Note If you do not have an external battery connected to the ventilator, ignore
the part of this test printed in italics.
Make sure the ventilator is operating on AC power and the green AC

Power/Battery Charge light is on.
Turn off the AC power by pushing the 0 on the AC power switch
located on the back panel.
Make sure that the Power Switchover light starts flashing and the
alarm begins to sound. Push the Alarm Silence/Reset button to turn it
off.
The External Battery light should be on.
Press and hold the Battery Test button. The needle on the Patient Pressure
Meter will point to low, medium, or high (within the lower window). If the
needle points to low, recharge your external battery. See pages 23 through 24 for
directions.
Disconnect the external battery.
Ensure the Power Switchover light starts flashing and the alarm sounds. Push
the Alarm Silence/Reset button to turn them off.
The Internal Battery light should be flashing.
Press and hold the Battery Test button. The needle in the Patient Pressure Meter will point to low, medium, or high (within the lower window). If the needle points to low, recharge the internal battery
immediately after completing the daily safety check. See page 24.
Perform battery test after 3 hours of recharging.
Connect a fully charged external battery to the ventilator. Verify that the
External Battery light on the front panel turns on.
Turn the AC power on. Make sure that the green AC Power/Battery
Charge light (located on the front panel) turns on.
Warning If the ventilator does not pass the daily safety check or you cannot
complete this check, call your homecare dealer or an Nellcor Puritan Bennett Service Representative immediately.
June 1999
Page 33
Monthly Safety Check


Note Use this information along with instructions from the patients physician.
The tests take about ten minutes to complete.
Warning Disconnect the patient from the ventilator and provide another
means of ventilation before starting these tests.
1. With the ventilator turned off, confirm that the pressure meter is resting at -10 (1.0) cmH2O/hPa.
2. Unplug the AC power cord. Visually inspect the plug and cord for
damage or exposed wires which could cause a shock hazard.
3.
Check the High Pressure and Low Pressure alarms.

Plug the ventilator into AC power.
Connect the patient circuit to the ventilator.
Use your thumb to block the part of the Exhalation Manifold that connects to the patient. Make sure no air comes out.
Warning Wash hands thoroughly. Do not introduce germs or contaminants

into the circuit while performing this test
Note If you are using the LP6 Plus, ignore the steps marked with an asterisk.
Turn the ventilator on and set the mode to Assist/Control.
*Observe the Patient Pressure Meter. The maximum pressure dis-
played should be only a few cmH2O/hPa above the pressure limit prescribed by your doctor.
*Change the High Alarm/Limit setting to 15 cmH2O/hPa.
At the next attempt to deliver a breath, the High Pressure light should
flash and the alarm should sound.
The Exhalation Manifold should make a soft popping noise. Air should
also come out of the large opening at the top of the Exhalation Manifold.
*Change the High Alarm/Limit control back to the setting prescribed
by your doctor.
June 1999
Page 34

Remove your thumb from the opening in the Exhalation Manifold.

Make sure the Low Pressure/Apnea light starts flashing after two or
three breaths and that the alarm sounds.
Push the Alarm Silence/Reset button to silence the audible alarm.
Connect a test lung to the Exhalation Manifold. The Low Pressure/
Apnea light should stop flashing after a breath or two.
4. Use the built in Self Test.
Note Self Test will not function properly with pressure limit in use.
Turn the Mode switch to Standby.

Connect a patient circuit to the ventilator.
Block the end of the circuit completely. Allow no air to escape.
Press and hold the Alarm Silence/Reset and Battery Test buttons
simultaneously. While holding these buttons, switch to the Assist/
Control mode. Release the two buttons.
The ventilator will test itself. Some lights will turn ON and OFF and
the needle on the Patient Pressure Meter will move back and forth.
If the self test is satisfactory, no red alarm lights will be lit. To use the
ventilator, turn the mode switch to Standby. Then, perform the Routine Safety Check.
If the ventilator fails the self test, one of the alarm lights will flash and
an audible alarm will sound. Call your homecare dealer or an Nellcor
Puritan Bennett Service Representative immediately.
Warnings If the ventilator fails the monthly safety check or if you cannot
complete this monthly check, refer to your Troubleshooting
Guide on page 38 or page 39, and/or call your homecare dealer or
an Nellcor Puritan Bennett Service Representative immediately.
With the AC power cord unplugged, visually check the AC power
cord for damage or exposed wires that could cause a shock hazard.
June 1999
Page 35
Responding To Alarms
The ventilator has visual and audible alarms. The audible alarm is usually
a pulsating tone. Both the ventilator and the remote alarm emit these
tones. Flashing or steady light(s) on the ventilator indicate the source of
the problem. These alarms alert you or your caregiver that the ventilator
requires attention. These are the types of alarms.
A Pulsating Audible Alarm and Flashing Light(s)
The Low Pressure/Apnea, Low Power, High Pressure, Setting Error, and
Power Switchover alarms all use this type of alert signal.
A Steady Audible Alarm and Steady Lights
This combination indicates a detected microprocessor error in the ventilator.
Single Reminder Tone
A single tone sounds every five minutes when the internal battery powers
the ventilator.
Warnings All alarms indicate a potential risk to patient safety. When an
alarm sounds, provide immediate attention and support to the

patient as dictated by the situation.
Any device is subject to unpredictable failures. To ensure patient
safety, an appropriately trained caregiver should monitor ventilation. If the patients condition warrants the use of a secondary,
remote alarm, or another external monitoring device the physician should prescribe it. The physician should also determine to
what level the patient may require an alternate means of ventilation.
When any alarm sounds:

First, attend to the patient immediately. Then, check the flashing or
steady light(s) on the ventilator to identify the source of the problem.
You may press the Alarm Silence/Reset button to silence the alarm. This
silences the audible signal for one minute. If the alarm condition is corrected during that minute, the alarm light will turn off.
A microprocessor error cannot be silenced. You cannot silence an alarm
before it occurs.
June 1999
Page 36
Note If a High Pressure or Setting Error alarm condition is corrected before you
press Alarm Silence/Reset, the audible alarm will stop but the light will
continue to flash. Press Alarm Silence/Reset to turn off the light.
If a Low Pressure/Apnea, Low Power, or Power Switchover alarm condition
is corrected before you press Alarm Silence/Reset, both the audible and
visual alarms will continue. You must press Alarm Silence/Reset to turn
off the audible alarm and the light.
Warning If alarms continue to sound, provide another means of ventilation

and contact your homecare dealer.
June 1999
Page 37
Troubleshooting Guide
Conditions
Probable Cause
All lights turn on and Normal condition. Alarms test

audible alarm sounds when unit is turned on.
Normal; manual alarm test.
Microprocessor error.
Low Pressure/Apnea The patient is not breathing.

Alarm: Pulsating audible tone with flashing
light
Water in small-bore tubing.
Patient speech or other activities
lower patient airway pressure.
Solution
Alarms will stop in two seconds.

Alarms will stop in one second.
Turn vent off and set mode to Standby. Wait a few
seconds. Return switches to prescribed settings. If
alarm persists, provide another means of ventilation.
Check the patient for breathing effort and stimulate if necessary.
Inspect and remove water from small-bore tubing.

Low pressure alarm sounds whenever low pressure limit is not reached for two consecutive
breaths. Review the section on alarms.
Crimped small-bore tubing.
Uncrimp the small-bore tubing.
PEEP pressure set higher than the Set Low Alarm control setting higher than the PEEP
Low Alarm control setting.
pressure.
Leaks or loose connections in the Check connection of the patient circuit to the ventipatient circuit.
lator; check all connections for leaks and tightness, especially at the humidifier, trach tube, and
exhalation valve.
The patients breathing effort is
Set Breathing Effort so the patients breathing
less than the Breathing Effort con- effort turns on the Breathing Effort light.
trol setting.
Low alarm setting is higher than Correct to the prescribed value.
Pressure limit setting (LP10 only).
Volume set below patients tidal
Reset the Volume to the prescribed value.
volume.
Pressure Limit level is set too low Correct to the prescribed value.
(LP10 only)
Incorrect control settings.
Reset all controls to the prescribed values.
Leaks or obstructions in the
Check for leaks or crimped tubing.
patient circuit.
Other causes.
Notify your physician and your homecare dealer
June 1999
Page 38
Conditions
Probable Cause
Low Power Alarm:

Failure to recharge the Internal
Pulsating audible tone battery.
with flashing light
High Pressure Alarm: Water in the tubing.
Solution
Operate the ventilator on AC power for at least

three hours.
(or)
Place ventilator in Standby Mode while on AC
power
Remove water from tubing.
Pulsating audible tone

with flashing light
Crimped tubing.
Coughing or other high-flow expiratory efforts.
Patient inspiratory resistance or
compliance changes.
A sticky Pressure Limit control.
Airway obstruction
Setting Error Alarm
Internal Battery light

flashes.
Malfunction in the exhalation

manifold.
Pressure Limit setting is higher
than the High Alarm setting (LP10
only).
Inappropriate setting or settings
beyond the capabilities of the
machine.
Unit has not switched to external
battery.
DC circuit breaker is open.
Single tone
Straighten crimped tubing.

Treat patients cough. The alarm is appropriate for
these conditions.
Have physician determine new ventilator settings.
Occlude the end of the patient circuit to free the
valve.
Check for trach obstruction or for a condition in
which the patient requires suctioning.
See the manifold manufacturers instructions.
Reset both to the prescribed values.
Readjust settings to the physicians prescription.
Check for unconnected or misconnected battery

cable. Check for blown fuse in the battery cable.
Use another external battery.
Reset by pushing in protruding rod. Use another
external battery.
Check for unconnected or misconnected battery
cable. Check for blown fuse in the battery cable.
Turn it back ON.
Unit is operating on internal battery.

Green AC Power light AC circuit breaker is open.
does not glow
AC power cord is not connected. Plug in the cord.
No power at the wall outlet., Use Use an active outlet.
an active outlet.
Warning If the problems continue, provide another means of ventilation

and contact your homecare dealers.
June 1999
Page 39
Cleaning and Maintenance


This section contains instructions for maintaining and cleaning your ventilator. You must also consult such instructions for the various accessories
used with the ventilator.
Note Use the information in this and the accessories sections, as well as established procedure and your homecare dealers instructions, to clean your
ventilator.
Warnings A ventilator patient is highly susceptible to respiratory infections.
Dirty or infected equipment may be a source of infection. Clean

equipment is essential for successful ventilation. Be sure to wash
your hands thoroughly before and after cleaning the ventilator or
accessories.
Do not sterilize the ventilator with ethylene oxide (ETO) or steam.
Caution Do not use MEK, trichloroethylene, or alcohol to clean the ventilator.

Their use may damage the units surface.
Patient Circuit Follow the cleaning instructions recommended by the humidifier manuand Humidifier facturer.
Warnings After reassembling the patient circuit, check to see if the exhala-
tion manifold is operating properly. Always follow the manufacturers instruction.

Condensation forms in the Patient Circuit over time. Periodically
check for moisture in the Patient Circuit. When present, remove
the moisture. Before attempting to dry the circuit, disconnect it
from the ventilator. Never subject the internal ventilator components to moisture or high pressure. Doing so may damage the ventilator and endanger the patient.
June 1999
Page 40

Caution Do NOT use compressed gas to clear moisture from the pressure line
when connected to the patient or the ventilator.
Inlet Air Filter Frequency

Check the filter weekly; daily when the ventilator is used during transport
or outdoors. Replace the filter when it becomes dirty. A blocked inlet filter may cause a setting error alarm. Failure to change the filter may cause
serious damage to the ventilator.
A bacteria filter may be used in place of the Inlet Air Filter. The use of a
bacteria filter further isolates you from bacteria in the environment. A bacteria filter may be mandatory when the caregiver or others in your home
are ill.
Warning Do not operate the ventilator without an inlet air filter. Using the
ventilator without a filter may damage the ventilator and endanger the patient. Use only filters supplied by Nellcor Puritan Bennett.
Procedure
1. Twist off the plastic cover over the inlet filter.
2. Remove the two particle screens that sandwich the air filter. Periodically wash the screens in a mild soap solution. Discard the old filter.
3. Place the new filter between the particle screens. Position the new filter with the printed side toward the ventilator.
4. Place the assembly into position. Twist the plastic cover into place over
the filter assembly.
Note Do NOT reuse filters. Discard them after removal.
June 1999
Page 41

Ventilator Surface Frequency

Clean as often as the surface becomes soiled.
Supplies
Use a mild soap solution and a damp cloth.
Procedure
1. Clean with a mild soap solution and a damp cloth. Squeeze the cloth
thoroughly before applying it to the units surface.
2. DO NOT allow liquids to enter the ventilator.
Warning Never allow liquids to contact internal ventilator components

under any circumstances. Moisture will damage the ventilator.
We recommend you use a ventilator cover to protect against liquids getting into your ventilator.
Storage of the Ventilator When not in use, the ventilator may be stored away. Wrap the AC power
cord around the Cord Wrap/Rear Feet. Begin the wrap by placing the cord
in the lower left foot. Use the inner groove. Continue to the upper left,
upper right, and lower right feet. Keep the first and second wraps in the
inner groove. At the start of the third wrap, place the cord in the outer
June 1999
Page 42

groove of the lower left foot. Place the plug in the holder located at the
top of the rear panel.
Scheduled Maintenance
Your ventilator needs periodic maintenance, just like your car does. Follow the schedule below to ensure peak performance from your ventilator.
Maintenance
Interval
Action Required
Change the Inlet Air Filter
As Needed
See page 41
Preventive Maintenance
Every twelve (12) months, or 6000

operating hours, whichever occurs
first.
Contact your dealer
Battery Discharge/Recharge
Monthly
See pages 21 and 23
You can check the total operating time on the Patient Pressure meter.
To do so, press the Alarm Silence/Reset and Battery Test buttons simultaneously.
When the needle points to 30 or more, contact your homecare dealer for
service.
Warning The ventilator must be serviced yearly by authorized personnel to

ensure proper performance.
June 1999
Page 43

June 1999
Page 44
Specifications
Specifications
LP6 Plus and LP10 Volume Ventilators
Power Line
110 VAC range (100-127 VAC),1 Ampere or 220 VAC range (220-240 VAC), 1 Ampere,
50/60 Hz., external voltage selector switch.
Power Usage
Maximum:
Nominal:
Extension Cord Gauge:
External Battery:
Internal Battery:
Type:
Motor:
Pump:
630 kw hours per year.

315 kw hours per year.
Use 3-conductor harmonized cord only; up to 49 use 18 gauge cord; up to 99, use 16
gauge cord; up to 200, use 14 gauge cord.
12 VDC, 6 Amperes. Approximately 20 hrs. operation with 75-80 Amp-hour 12 VDC
deep-cycle, gel-cell battery. Approximately 10 hrs operation with 35-40 Amp-hour 12
VDC deep-cycle, gel-cell battery.
Approximately 1 hour operation.
Volume ventilator.
Brushless induction.
Piston, 100 to 2200 ml tidal volume capability.
Front Panel Controls:

Alarm Silence/Reset:
Battery Test:
Mode:
Low Alarm:
Push button to silence alarms during events or reset after events; used with Battery Test
button to read machine operating hours on Patient Pressure meter.
Push button to show battery charge level on the lower window of Patient Pressure meter.
Rotary switch to set ventilator operating mode: Standby, Assist/Control, SIMV, or Pressure Cycle.
Rotary switch to set limit for Low Pressure alarm: 2 to 32 cmH2O/hPa in increments of 2
cmH2O/hPa
High Alarm Limit:
Rotary switch to set limit for High Pressure alarm {Assist/Control, SIMV modes} or limit
for Pressure Cycle mode: 15 to 90 cmH2O/hPa in increments of 5 cmH2O/hPa
Volume:
Breath Rate:
Push-to-turn knob to set volume: continuously adjustable from 100 to 2200 ml.
Rotary switch to set breathing rate: 120 BPM in increments of 1 BPM and 2238 BPM in
increments of 2 BPM.
Rotary switch to set time for delivery of set volume: 0.5 to 1.0 sec. in increments of
0.1 sec.; 1.2 sec.; and 1.5 to 5.5 sec. in increments of 0.5 sec.
Push-to-turn knob to set pressure level for detecting breathing effort; continuously
adjustable from -10 to +10 cmH2O/hPa
Inspiratory Time:
Breathing Effort:
Pressure Limit (LP10 Only):
Locking knob sets pressure limit level from 15 to 50 cmH 2O/hPa or closes off the pressure limit feature.
Input
Patient Pressure:
Port for connection to the proximal pressure line of the patient circuit.
June 1999
Page 45
Specifications
Outputs
Patient Air:
Exhalation Valve:
22 mm tube for connection to the bacteria filter.

Port for connection to the exhalation valve of the patient circuit.
Indicators
Normal Events
Patient Pressure Meter:
Breathing Effort:
Power:
Alarms:
Audible Alarms
Pulsating Tone:
Steady Tone:
Reminder Tone:
Displays patient pressure, -10 to +100 cmH2O/hPa; also displays battery charge and
machine hours of operation when appropriate buttons are pressed.
Green LED activated by adequate patient breathing effort.
LEDs indicate operating power source: green AC Pwr/Batt Charge, amber External Battery, flashing amber Internal Battery.
Flashing red LEDs: Low pressure /Apnea, Low Power, High Pressure, Setting Error,
Power Switchover.
Low Pressure/Apnea, Low Power, High Pressure, Setting Error, Power Switchover.
Loss of microprocessor control.
Every five minutes when powered by Internal battery, each time accessory printer generates a report.
Rear Panel Controls

AC Circuit Breaker
Inputs
Inlet Filter:
External Battery:
Communications Port
Outputs
Vent:
Remote Alarm
Communications Port
Environment:
Operating:
Storage:
Maintenance:
Dimensions:
Weight:
Emergency Pressure Relief:
Flow:
Internal to the AC Power Switch (1 for ON; 0 for OFF), 1 Ampere

Intake for patient air. Screw off cap for filter change.
Connection for 12 VDC battery.
Calibration information during service procedure.
Cooling vent for internal ventilator components
Connection for optional alarm accessories.
Connector for optional printer
Do not use or store in the presence of strong electromagnetic fields.
5 C to 40C (41F to 104 F), 10% to 90% RH.
-20C to 50C (5 F to 104F), 10% to 90% RH; when moving the LP6 Plus or LP10
Ventilator from a non-operating to an operating environment, allow a minimum of one
hour temperature stabilization before use.
Preventative maintenance must be performed by qualified personnel every twelve (12)
months or 6000 operating hours, whichever occurs first.
9.75 X 14.5 X 13.25 (24.6 X 36.8 X 33.6 cm)
Approximately 34 pounds (15.5 kg)
100 cmH 2O/hPa (approximately)
20-100 LPM
June 1999
Page 46
Service Policy
Service Policy
The LP6 Plus and LP10 Volume Ventilators are warranted against defects
in workmanship and materials. The full warranty on page 60 provides
details. Do not make any service repairs on this equipment during the
stated warranty period. Any unauthorized work immediately voids the
warranty. If you need information or assistance, or if the information in
this manual is insufficient, contact Nellcor Puritan Bennett, Inc., at:
(800) 497-3787
In Europe contact:
Nellcor Puritan Bennett Europe BV
Telephone: +31.73.648.5200
Fax:
+31.73.641.0915
Nellcor Puritan Bennett, Inc. does not recognize the owner of a ventilator
as an authorized service representative. Nellcor Puritan Bennett will not
be liable for any repairs attempted by the owner. Any such attempted
repairs other than specified non-warranty repairs voids the warranty. Parts
and labor costs incurred by the owner will not be reimbursed by Nellcor
Puritan Bennett, Inc.
Nellcor Puritan Bennett will make available on request diagrams, component parts lists, descriptions, calibration procedures and instructions to
assist in the repair of parts classified by Nellcor Puritan Bennett as repairable.
Before returning any device to Nellcor Puritan Bennett, you must get a
Return Authorization Number by calling Nellcor Puritan Bennett at one
of the numbers given above.
June 1999
Page 47
Limited Warranty
Limited Warranty
Nellcor Puritan Bennett, Inc. warrants to the owner that the LP6 Plus or
LP10 Volume Ventilator, exclusive of expendable parts and other accessories, shall be free from defects in material and workmanship for twentyfour (24) months from the original date of sale. Nellcor Puritan Bennetts
sole obligation, with respect to any such defect, is limited to the repair or,
at Nellcor Puritan Bennetts option, replacement of the ventilator. Purchaser pays return freight charges.
This warranty is made on the condition that prompt notification of a
defect is given to Nellcor Puritan Bennett within the warranty period, and
that Nellcor Puritan Bennett has the sole right to determine whether a
defect exists.
This warranty is conditional on performance of Preventive Maintenance at
a minimum of once every twelve (12) months by service personnel qualified by Nellcor Puritan Bennett. The warranty does not apply to ventilators that have been partially or completely disassembled; altered; subjected
to misuse, negligence, or accident; or operated other than in accordance
with the instructions provided by Nellcor Puritan Bennett. This includes
repair by unauthorized personnel.
This warranty represents the exclusive obligation of Nellcor Puritan Bennett and the exclusive remedy of the purchaser regarding defects in the
ventilator.
THIS WARRANTY IS GIVEN IN LIEU OF ANY EXPRESS

OR IMPLIED WARRANTIES, INCLUDING ANY WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
No person is authorized to modify, in any manner, Nellcor Puritan Bennetts obligation as described above.
June 1999
Page 48
Limited Warranty
June 1999
Page 49
Limited Warranty
June 1999
Page 50
Keyword Index
Keyword Index
AC power 16, 18, 20
AC power switch 16, 21, 28, 46
Air tube 14
Alarm lights 12
Alarm reference guide 13
Alarm silence/reset 1213, 3233, 3536, 43, 45
Assist/control 2829, 32, 3435, 45
Audible alarm 3538, 46
Bacteria filter 10, 41, 46
Battery test 13, 24, 33, 43, 45
Battery condition 24
Breath rate 26, 2829, 45
Breathing effort 13, 2729, 4546
Circuit breaker 16, 22, 39, 46
Cleaning 4042
Exhalation manifold 910, 13, 3940
Exhalation tube 10
External battery 13, 16, 1925, 33, 4546
Filter 10, 16, 41, 46
High alarm 27, 29, 34, 37, 39, 45
High pressure 29, 34, 3637, 45
Humidifier 11, 17, 40
Infection 40
Inlet filter 16, 41, 43, 46
Inspiratory time 26, 30, 45
Internal battery 12, 19, 2425, 39, 4546
Low alarm 27, 32, 35, 38, 45
Maintenance 4043, 46
Microprocessor 6, 36, 38
Mode 26, 2831, 45
Oxygen 7
Patient circuit 89, 11, 14, 38, 40, 45
Patient pressure meter 13, 24, 3031, 3335, 43, 4546
Patient tube 46
Power source lights 12
Pressure cycle 29, 45
Pressure limit 14, 2731, 3839, 45
Pressure limit control 14, 2931
June 1999
Page 51
Keyword Index
Pressure relief 16, 46

Pressure tube 10, 14, 32
Remote alarm 16, 36, 46
Safety 3235
Serial number 16
Setting error 41
SIMV 2829, 45
Standby 25, 28, 32, 35, 45
Sterilize 40
Storage 42, 46
Vent 16, 46
Voltage select 17
Volume 26, 38, 45
Warranty 48
June 1999
Page 52
(Blank Page)
Nellcor Puritan Bennett Inc.

2800 Northwest Blvd.
Minneapolis, MN 55441-2625
U.S.A.
Tel. 612.694.3500
Fax. 612.694.3600
Central Office:
European Office:
Nellcor Puritan Bennett Inc.

4280 Hacienda Drive
Pleasanton, CA 94588 U.S.A.
Tel. 510.463.4000
Fax 510.463.4420
Nellcor Puritan Bennett

Europe BV
Hambakenwetering I
5231 DD 's-Hertogenbosch
Holland
Tel. +31.73.6485200
Fax +31.73.6410915

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LP6 Plus Volume Ventilator

-AndLP10 Volume Ventilator

Important Note: Read all of this manual before you

Purpose of this Manual

Purpose of this Manual

Purpose of this Manual

Symbols and definitions

Symbols and definitions

Power switch ON position, connection to mains power

Attention, consult accompanying manual.

Power switch OFF position, disconnection from mains power

Symbols and definitions

Never place your ventilator near these appliances.

Warning Electrical interference may keep your ventilator from working

Introduction and Overview

Introduction and Overview

Introduction and Overview

Your doctor has prescribed a ventilator. A ventilators main purpose is to

Introduction and Overview

Patient Ventilator Circuit

Make sure there are no cracks in the hose.

lator circuit daily. The patient could be at risk if the manifold

Caution Adding attachments or other components to the breathing system will

Warnings Some active humidifiers do not have temperature monitoring or

alarm capabilities. Failure to monitor air temperature may allow

Push to test the alarms.

3. Power Source Lights:

The top light is green when the ventilator is AC powered.

4. Battery Test Button: It has four uses.

Lower Right Section

1. Inlet Filter: The ventilator draws in air through this filter.

2. Cord Wrap and Rear Feet: There is a foot at each corner.

Warning Do not block rear panel vent

Warning Do not block the pressure relief valve.

Caution An incorrect switch setting may damage your ventilator.

Take precautions to protect the setting switches.

Keep the front panel door closed.

Avoid spilling or allowing liquid to enter the unit.

Warning Never allow liquids to contact internal ventilator components

Warning Do not block the alarm port.

Warning AC power sources in ambulances and aircraft are frequently

unregulated. As a result, the ventilator may be exposed to high

as possible. The distance will help prevent battery gases from

Warning The batteries contain toxic chemicals and no attempt to remove

The ventilator must be protectively earthed when operating from

plugged into an AC outlet, and

You can also recharge an external battery that is properly connected to

will operate, contact a qualified electrician and/or Nellcor Puritan Bennett.

Caution Do not use the ventilator with a 24 VDC external battery.

as possible. The distance will help prevent battery gases from

standard battery charger to recharge external batteries used for extended

A 30 to 40 amp hour battery, in good condition can power the ventilator

Depth of Discharge (%)

The percentage of discharge relates directly to the number of cycles the

Warning NEVER place the battery above or on top of the ventilator.

F.A.A.: Title 49 C.F.R., parts 100 - 199, paragraphs 173.250A and

C.A.B.: Air Transport of Restricted Articles, Circular No. 6D, page

I.A.T.A.: Restricted Articles Regulations, Article # 1924, Packaging

Note An external battery cannot recharge the internal battery.

Warning If your health or safety would be jeopardized by a long-term