HT-70 Plus MANUAL DE SERVICIO
HT-70 Plus MANUAL DE SERVICIO
HT-70 Plus MANUAL DE SERVICIO
Se rvic e M a nua l
SERHT70P Rev. A
10/11
www.ventilators.com
Email: [email protected]
TABLE OF CONTENTS
1. INTRODUCTION
a. Definitions
b. General Warnings and Cautions
c. Copyright
d. Warranty
e. Company Information
2. General Information
a. Intended Use
b. Symbols
c. Front Panel Indicators
d. Control and Monitor Specifications
i. Control
ii. Monitor Data
e. Alarm Specifications
i. Alarm Indicator Descriptions
ii. User Adjustable Alarms
iii. Automatic Alarms
f. Hardware Specifications
g. Environmental Specifications
h. Physical Specifications
i. Factory Default Parameters
j. Accessory Specifications
3. Theory of Operation
a. Device Description
b. System Overview
i. Pneumatic
1. Gas Delivery Sub-system
2. Exhalation Valve Control
3. Safety
4. Oxygen (O2) Enrichment
5. Pneumatic System Diagram
ii. Electrical
6. Performance Verification
a. General Information
b. Test Equipment
c. Quick Check
i. Introduction
ii. Equipment Setup and Circuit Check
iii. Standard Settings
iv. Quick Check Procedure
1. External Power
2. Alarm Indicators
3. Pressure Gauge and PEEP
4. Tidal Volume / Minute Volume / Respiratory Rate
5. Integrated Battery System
6. Quick Check Record
d. Calibration Procedures
i. Introduction
ii. Equipment Setup
iii. Pressure Transducer Calibration
iv. Motor Speed Calibration
v. Pump Leak Calibration
vi. FiO2 Calibration
vii. LCD Display Calibration
e. Operational Verification Procedure (OVP) Testing
i. Equipment Setup
ii. Electrical Safety Test (EST)
iii. Front Panel
iv. AC Power Loss and Shutdown Buzzer Alarm Test
v. Pressure Relief Valve Test
vi. Pressure Verification Test
vii. Flow Measurement and System Leak Test
viii. Emergency Intake Valve Test
ix. Patient Effort Indicator Test
x. Pressure Control and PEEP Test
xi. Volume Control Test
xii. Manual Inflation Test
xiii. Integrated Battery System Check
xiv. OVP Test Record
7. Troubleshooting
a. Table 7.1 Troubleshooting Guide
INTRODUCTION
The design and intended use of the HT70 Ventilator requires that the operation and servicing of
the HT70 ventilator is restricted to trained medical professionals. This includes an implied
understanding that certain inherent characteristics of the HT70 Ventilator are known by the
operator. Instructions, warnings, and caution statements are therefore limited to the specifics of
the Newport HT70 ventilator.
This service manual provides instructions for service of the HT70 Ventilator System. Included
are a description of the ventilator controls and indicators, performance specifications,
maintenance schedule, and required tools and test equipment. It is imperative that the service
manual is read and understood prior to servicing the HT70 ventilator.
Federal law in the US restricts this device for sale by or on the order of a physician.
Please review all warnings and cautions in this manual prior to servicing the HT70 ventilator.
DEFINITIONS
WARNING: Describes a condition that can cause personal injury.
Caution Describes a condition that can cause damage to equipment.
Note: Emphasizes information that is important or convenient.
Inspection: An examination of the actual condition of the ventilator.
Service: The action(s) required to maintain a specified performance condition.
Repair: The action(s) required to restore to specified performance condition.
Maintenance: The routinely scheduled inspection, service, and repair (if necessary) of
the ventilator.
Preventive Maintenance: The maintenance performed at the required regular intervals
as stipulated by Newport Medical.
Operational Verification: The required performance verification procedure to ensure
proper operation as stipulated by Newport Medical.
Overhaul Procedure: The procedure for replacing key components at the required
intervals as stipulated by Newport Medical.
CAUTIONS
Damage can occur if the HT70 is exposed to extreme temperatures. Do not store the HT70 in
areas where it may expose to temperatures below -40° C (-40° F) or above 65° C (149° F).
All service and repairs performed on the HT70 must be done by an authorized Newport Medical
factory-trained technician.
Clean and decontaminate all external parts of the HT70 prior to performing any service.
Prior to performing any type of service, disconnect the HT70 from external power.
Use standard ESD protection techniques while servicing or handling any electronics parts.
WARNINGS
This manual excludes references to various hazards which are obvious to medical professionals
and operators of this equipment including consequences of product misuse, and potential
adverse effects in patients with abnormal conditions.
Product modification or misuse can be dangerous. Newport Medical Instruments, Inc. disclaims
all liability for the consequences of product alterations or modifications, as well as for the
consequences which might result from the combination of this ventilator with other products,
whether supplied by Newport Medical or by other manufacturers, unless such a combination
has been specifically endorsed by Newport Medical.
All settings and adjustments in the different ventilation modes must be made in accordance with
a physician s prescribed therapy.
Adding attachments or other components or sub-assemblies to the ventilator breathing system
can increase the pressure gradient across the ventilator breathing system, measured with
respect to the patient connection port.
Newport Medical cannot warrant or endorse the safe performance of third party humidifiers for
use with the HT70.
Do not use electrically conductive patient circuits.
Always use a clean and dry patient circuit.
Do not block the Emergency Gas Intake or the Fresh Gas Intake Port.
Ensure the air inlet filter is inspected and changed regularly.
Always use an inline filter (P/N: HT6004701 or equivalent) at the Airway Pressure Connector to
protect the internal transducers from moisture or other contaminants.
Always use appropriate patient monitors (such as pulse oximeter and/or capnograph) to ensure
sufficient oxygenation and ventilation when the HT70 Ventilator is in use on a patient.
The optional Air/Oxygen Entrainment Mixer is designed to operate with medical grade oxygen.
Ensure the oxygen source is not empty before and during the use of the optional Air/Oxygen
Entrainment Mixer or Oxygen Blending Bag Kit.
When the optional Air/Oxygen Mixer is secured in place, ensure that the oxygen supply is
enabled prior to powering on the HT70 to avoid putting unnecessary stress on the internal
pump and compromising gas delivery to the patient.
Continuous oxygen monitoring is required for patient safety. The optional built-in Oxygen
Monitoring System on the HT70 includes both High and Low FiO2 alarms which can be used to
assure proper oxygen delivery.
When the HT70 is used in homecare environments, proper education and training of the
appointed caregiver must be provided by the dispensing healthcare facility or the Durable
Medical Equipment (DME) provider prior to the patient leaving the healthcare facility.
If a fault is detected in the ventilator and the life support functions are in doubt, immediately
discontinue use of the ventilator. Change to an alternative method of ventilation until the fault
has been corrected. Contact the dispensing healthcare facility or Durable Medical Equipment
(DME) provider immediately.
Always ensure that the caregiver can hear the audible alert when the alarm sounds. Do not use
the ventilator in an environment where the audible alarms cannot be heard by the caregivers
when set at the maximum volume.
Failure to identify and correct alarm violations may result in patient injury.
The primary Power Pac battery should be replaced every 24 months (from the date of purchase)
or sooner if the usage time no longer meets the requirements of the user, whichever comes
sooner. This battery performance will depend on a number of factors including the patient
settings and usage patterns.
The HT70 is life support equipment. As with all life support equipment, an appropriate alternate
power source and means of ventilation should be readily available in case of a mechanical or
system failure.
When the HT70 is used for transport applications, ensure that the Power Pac battery is fully
charged prior to use. The Power Pac battery requires a constant charge of at least three (3)
hours to achieve a 100% full charge.
The transport of patients using the HT70 requires the medical staff to have a good working
knowledge of the ventilator use and problem resolution. Ensure proper emergency backup
equipment is readily available during transport.
When the Battery Empty audible alarm sounds, only a limited time of internal battery power
remains and an alternate power source should be found immediately.
Always plug the HT70 into an external power supply source when not in use to ensure the best
battery performance. Check the battery capacity on the front panel before disconnecting from
external power.
Verify the green External Power LED activates when the HT70 is connected to an external AC
or DC power source.
Only use the Newport Medical supplied AC Power Supply (P/N: PWR3204P) with the HT70
ventilator.
To maintain grounding integrity, ensure the HT70 power cord is attached to a known good
receptacle with a secure connection.
The functioning of this machine may be adversely affected by the operation of equipment, such
as high frequency surgical (diathermy) equipment, defibrillators or short-wave therapy
equipment in the vicinity.
This device has undergone EMC testing and found to be in conformance with IEC 60601-1-
2:2001 and meets the requirements of CISPR11:2004 (Class B), IEC 61000-3-2:2006, and IEC
61000-3-3:1995 +A1:2001 +A2:2005. These requirements are designed to provide reasonable
protection against harmful interference in a typical medical installation, as well as in
homecare environments. The equipment generates, uses and can radiate radio frequency
energy and, if not installed and used in accordance with these instructions, may cause
harmful interference to other devices in the vicinity. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference with other devices, which can be determined by turning the equipment off and
on, the user is encouraged to try to correct the interference by one or more of the following
measures:
Reorient or relocate the receiving device
Increase the separation between the equipment
Connect the equipment into an outlet on a circuit different from that to which the
devices(s) is connected
Consult the manufacturer or field service technician for help.
Copyright Information
© Copyright 2011 Newport Medical Instruments, Inc. All rights reserved. The Newport HT70
Ventilator system is manufactured in accordance with Newport Medical Instruments, Inc.
proprietary information. This product is protected by U.S. Patent #7654,802.
The information in this manual is the sole property of Newport Medical Instruments, Inc. and
may not be duplicated without permission. This manual may be revised or replaced by Newport
Medical Instruments, Inc. at any time and without notice.
Limitation of Liability
The liability of Newport Medical, whether arising out of, or related to manufacture and sale of the
goods, their installation, demonstration, sales representation, use, performance, or otherwise,
including any liability based upon Newport Medical s product warranty, is subject to and limited
to the exclusive terms and conditions as set forth, whether based upon breach of warranty or
any other cause of action whatsoever, regardless of any fault attributable to Newport Medical
and regardless of the form of action (including, without limitation, breach of warranty,
negligence, strict liability, or otherwise).
The stated expressed warranties are in lieu of all other warranties, expressed or implied,
including, without limitation, warranties of merchantability, fitness for any purpose, or non-
infringement.
Newport Medical shall not be liable for, nor shall the buyer be entitled to recover, any special
incidental or consequential damages or any liability incurred by buyer to any third party in any
way arising out of or relating to the goods.
Warranty
The Newport HT70 Ventilator is warranted to be free of defects for a period of two (2) years
from the invoice date of purchase.
The following are exceptions to this warranty:
Defects caused by misuse, mishandling, tampering, or by modifications not authorized
by Newport Medical or its representatives are not covered.
Rubber and plastic components and materials are warranted to be free of defects at time
of delivery.
The Power Pac Battery and Backup Battery system is warranted for six months.
If installed, the O2 sensor is covered for a period of six months from the invoice date of
purchase.
If installed, the Flow sensor is warranted to work at the time of delivery.
Accessory items, not manufactured by Newport Medical, supplied with the ventilator are
warranted in accordance with the original manufacturer s warranty. These included (but
are not limited to) items such as humidifiers, nebulizers, monitors, and patient circuits.
Any product which proves to be defective in workmanship or material will be replaced, credited,
or repaired with Newport Medical holding the option. Newport Medical is not responsible for
wear or abuse. In all cases, Newport Medical will not be liable beyond the original selling price.
Application of this warranty is subject to the following conditions:
Newport Medical or its authorized representatives must be promptly notified upon
detection of the defective material or equipment. This can be accomplished by filling out
the online complaint form at www.ventilators.com.
Contact Information
Telephone:
+1.714.427.5811
1.800.451.3111 (US only)
Fax:
+1.714.427.0489
Departments:
Customer Service (Ext. 282)
Technical Services (Ext. 500) available 24/7
Clinical Support (Ext. 123) available 24/7
Operational Hours:
Days: Monday through Friday
Hours: 8:00 am to 5:00 pm (PST)
Emergency After-hours: 24-Hour Clinical and Technical Support
Email:
Customer Service: [email protected]
Clinical Education and Support: [email protected]
Technical Education and Support: [email protected]
Internet:
www.ventilators.com
Shipping Address:
Newport Medical Instruments
Attn: Receiving Department
1620 Sunflower Avenue
Costa Mesa, CA 92626, USA
EC REP
Emergo Europe
Molenstraat 15
2513 BH, The Hague
The Netherlands
The Newport HT70 ventilator is suitable for use in hospital, sub-acute, emergency room, and
home care environments as well as for transport and emergency response applications.
SYMBOLS
Symbol Description
Brightness Control
Alarm Silence
/ Up / Down Arrow
PS % Expiratory 5 to 55% 5
Threshold
(percent of peak flow for flow
cycling off threshold for pressure
support breaths)
ALARM SPECIFICATIONS
(Indicators, Adjustable, and Automatic)
Indicators Description
Handle LED LED Indicators in ventilator handle flash red or yellow for violated alarms.
When the alarm is no longer violated, the indicator latches (stays lit). Cancel
a latched indicator by pressing the Alarm Silence/Reset button
Alarm Silence / Silences audible alarm for 60 seconds and resets latched alarm messages
Reset Button and LED indicators
Alarm Silence LED LED remains lit during the alarm silence period
Message Display Alphanumeric display changes color during an alarm violation and shows
Area alarm message. Multiple alarm messages display in order of priority
Alarm Loudness Range: 1 to 10 (10 is the loudest)
Adjustable Alarms Range / Description Alarm Priority
P 4 to 99 cmH2O / 4 to 99 mbar High
(High Airway Pressure)
P 3 to 98 cmH2O / 3 to 98 mbar, limited by PEEP + 3 High
(Low Airway Pressure) (when NIV is active 1-98 cmH2O /mbar)
Min Vol 1.1 to 50.0 L/min High
(High Inspiratory Minute
Volume)
Min VoI 0.1 to 49.0 L/min High
(Low Inspiratory Minute Volume)
RR Off, 30-100 b/min Medium
(High Respiratory Rate)
Apnea 5 to 60 seconds High
FiO2 Off, 24 100 Medium
(Only available when optional O2 Sensor is installed and enabled)
Motor Fault A hardware detected fault in the motor drive circuit has High
occurred
Internal Temperature Internal temperature is > 60° C Low
Backup Battery Backup Battery temperature is > 60° C Low
Temperature
Power Pac Battery Power Pac Battery temperature is > 60° C Low
Temperature
Power Pac Battery Less than 2 Ah of charge is left on Power Pac battery Medium
Pack Low pack
Switching to Backup Indicates that the Power Pac battery pack is not Medium
Battery available or useable. Ventilator is switching battery
operation to Backup Battery.
Operating on Backup The ventilator is operating on Backup Battery for > 15 Medium
Battery minutes. Audible alarm will sound every 5 minutes
Backup Battery Low Backup Battery has insufficient charge (< 1Ah) High
Backup Battery Backup Battery is extremely low and will lose power High
Shutdown Imminent very soon. Connect to external power or insert new
Power Pac battery pack
Backup Battery Failure Indicates a failure in Backup Battery due to High
communication fail with host processor or capacity is
below 1 Ah
HARDWARE SPECIFICATIONS
Requirements Description
Patient outlet 22 mm OD
ENVIRONMENT SPECIFICATIONS
Environment Description
18ºC to 40ºC
PHYSICAL SPECIFICATIONS
Physical Description
Height 10.25 inches (26.04 cm)
(including handle)
Advanced Screen
Flow Wave Pattern Square
Slope / Rise 5
PS Exp Threshold 25%
PS Max i-Time 1.0
Utility Screen
Autolock Disabled
Language English
Measurement cmH2O
Power Save On
FiO2 Disabled
BUV Screen
Minimum RR 15
Rate Multiplier 1.5
Ventilation Link BUV to LMV
SPONT Delta P 15
SPONT i-Time 1.0
Alarm Screen
P 8 cmH2O
(Low Airway Pressure)
P 40 cmH2O
(High Airway Pressure)
Min Vol 12 L/min
(High Inspiratory Minute Volume)
Min VoI 3 L/min
(Low Inspiratory Minute Volume)
RR 18 b/min
(High Respiratory Rate)
Apnea 20
Alarm Loudness
1
Level
Table 2.8 - Factory Default Parameters
Accessory Description
Reusable or disposable 22 mm I.D. adult/pediatric circuit with 3/16
inch (4.8 mm) I.D. proximal pressure sensing line, 1/8 inch (3.2mm)
I.D. exhalation valve control drive line, and exhalation valve.
Patient Circuit
NOTE: Newport Medical cannot guarantee the safe use of
breathing circuits that are not recommended by Newport Medical.
The Newport Medical reusable exhalation valve
(P/N EXH3203P) is manufactured specifically for the HT70
Ventilator.
Exhalation Valve
(Reusable)
NOTE: Newport Medical does not recommend the use of any type
or brand of exhalation valve that has not been tested and approved
by Newport Medical for use with the HT70.
Air / Oxygen Entrainment Mixer
Pneumatics Requirements
Oxygen 35 to 90 psig (2.4 to 6.2 Bar) full operating range
40 to 50 psig (2.7 to 3.4 Bar) accuracy ± .08
Air Atmospheric pressure
FiO2 Control FiO2, Adjusted from 21% to 100% via the HT70 Mixer control knob
Electronics System
The microprocessor-based design incorporates a Graphical User Interface (GUI), a Single
Board Computer (SBC), and the electronics to control the motor/pump, power management,
and safety functions of the HT70.
Refer to section 8: Diagram 8.2 Electronics System Diagram.
Graphical User Interface (GUI) Subsystem
The Graphical User Interface (GUI) consists of a Touch Screen LCD display, membrane panels
with embedded discrete Light Emitting Diodes (LED), Display Board, Single Board Computer
(SBC) and Main Control Board, and supporting electronics. Refer to the Diagram 3.3. Graphical
User Interface
The touch screen overlays the LCD display and the modes and functions are shown on the LCD
display. The user can select or change these parameters by pressing the soft keys shown on
the LCD display.
The HT70 powers up into a standby condition, in which, there is no patient ventilation occurring.
Upon completion of programming the patient settings while in the standby mode, the user can
begin patient ventilation by pressing the Start Ventilation soft key displayed on the LCD.
The membrane keys and the LEDs are controlled by the microcontroller on the SBC board.
LCD &
Touch Screen
LCD
DATA
3
Display Board
2 2
VIDEO
CTRL 4
DRAM
Micro
Processor
SBC/MAIN
BOARD
Motor Micro
DAC
Controller Processor
10
8
Alarm
Silence
Nurse Call
Nurse Call
Electronics
17
Watchdog
Timer
16 Motor Drive
Logic
Electronics
Watchdog
Out
Audible
Strobe Device Alert
Alarm
Alarm 15
Electronics
On/Off
Electronics +5V Power
18 Monitoring
+12V Electronics
Display
Dual LEDs
Board
19
13
Audio
SBC/ Dual Speaker
Amplifier
Microprocessor 14
24V AC/DC
POWER PAC
CONVERSION
20 21
16/24V
BACKUP VOLTAGE
BATTERY BOOST 23
22
SMBus DC/DC 25
CHARGER
24 CONVERSION
24V 12V 5V
26
MAIN
SBC 27 BOARD
Backup Ventilation
Backup Ventilation activates when the currently linked alarm occurs. This function can be linked
with the Low Minute Volume (MVI) alarm, the Apnea alarm, or both alarms. During Backup
Ventilation the linked alarm(s) will sound and the message window will indicate that Backup
Ventilation is in use. There are default Backup Ventilation parameters, but the user may adjust
these in the Advanced Screen.
Backup Ventilation is functional in all modes.
Backup Ventilation is not active for 60 seconds after the user adjusts ventilator controls,
changes modes or starts ventilation from the Setting condition.
During Backup Ventilation, the Alarm Silence/Reset button can be pressed to silence the
audible alarm. This will not cancel Backup Ventilation.
When linked with the Low Minute Volume alarm, Backup Ventilation is based on the delivered
inspiratory minute volume. The inspiratory minute volume may be different from the expiratory
minute volume in some conditions, such as in the case of a patient breathing circuit or airway
leak.
Backup Ventilation in A/CMV and SIMV Modes:
The factory default setting for Backup Ventilation in these two modes will increase the
respiratory rate by 1.5 times the set rate, up to a maximum of 99 b/min. The minimum breath
rate delivered is 15 b/min.
The respiratory rate (RR) will only increase up to a rate that produces a 1:1 I:E ratio even if the
calculated Backup Ventilation rate is higher.
Backup Ventilation in Spont Mode:
The factory default setting for Backup Ventilation in the SPONT mode will implement these
changes:
SPONT = SIMV mode
Rate = 15 b/min
Pressure Control breath type = 15 cmH2O above set PEEP
i-time = 1.0 sec
Breath Types
Always follow accepted hospital procedures or physician instructions for handling equipment
contaminated with body fluids.
The ventilator and its accessories must be thoroughly cleaned and disinfected after each patient
use.
Certain components of the ventilator, such as the exhalation valve and the front panel, consist
of materials that are sensitive to some organic solvents used for cleaning and disinfection (e.g.
phenols, halogen releasing compounds, oxygen releasing compounds, and strong organic
acids). Exposure to such substances may cause damage that is not immediately recognizable.
The reusable exhalation valve, reusable breathing circuit and other parts that come in direct
contact with the patient should be sterilized between uses.
Consult accessory manufacturer instructions for specific cleaning, disinfecting and sterilizing
guidelines.
Definition of CLEAN: Employ a medical detergent or alcohol based cleaning solution to remove
blood, tissue and other residue. Rinse thoroughly with sterile, distilled water, and allow to air
dry.
Caution: When using liquid chemical agents, closely follow the manufacturer s
recommendations. Prior to use, verify that the agent is compatible with plastics.
WARNING Ethylene Oxide (EtO) is toxic. All accessories MUST be completely dry prior to
packaging for ethylene oxide sterilizing. After sterilizing, they must be properly aerated to
dissipate residual gas absorbed by the material. Follow the EtO manufacturer s
recommendations for the specific aeration periods required.
Caution: Ethylene Oxide may cause superficial crazing of plastic components and will
accelerate the aging of rubber components.
Caution: Always inspect breathing circuits and accessories after cleaning, disinfecting or
sterilizing to check for deterioration. If any part is damaged or shows excessive wear, replace
with a new part. Do not use cracked or damaged parts.
Ventilator
Wipe clean between patients and as needed while in use. The exterior of the ventilator should
be wiped clean with a cloth dampened with a medical detergent, disinfectant or alcohol based
cleaning solution.
Caution: Do not use agents that contain acetone, toluene, halogenated hydrocarbons, or strong
alkalines on the face panel or ventilator housing.
Caution: Never autoclave or EtO sterilize the HT70 ventilator. These processes will damage the
HT70, rendering it unusable.
Reusable breathing circuits are generally provided in clean, but not sterile, condition. Follow the
manufacturer s instructions to clean and/or disinfect a circuit prior to use.
WARNING Do not use electrically conductive breathing circuits. Always use clean and dry
breathing circuits.
Reusable circuits should be cleaned and disinfected between patients and once per week while
in use. Always use a clean, disinfected exhalation valve (and humidifier/probe assembly if
appropriate) when a breathing circuit is reassembled for patient use. Clean and sterilize
between patients in accordance with the instructions provided by the manufacturer.
Caution: To avoid damage to a reusable circuit, attach and detach the circuit by grasping the
cuffs at the end of the circuit tubing. Do not pull or twist the circuit tubing.
General Cleaning Instructions: Use a low flow of running water or low flow of air to clear tubings
and passages of organic matter. Wash all components of the breathing circuit with a soft brush.
Rinse thoroughly with sterile, distilled water. Shake off excess water and place all parts on a
clean towel to air dry. Do not heat or blow dry. Always follow the instructions provided by the
manufacturer.
WARNING NEVER operate the HT70 without a clean Air Intake Filter in place. NEVER reverse
the Air Intake Filter when dirty.
WARNING: Always use a Proximal Inline Filter (p/n HT6004701) at the Airway Pressure
Connector to protect the internal pressure transducers from moisture or other contaminants.
Newport Medical strongly recommends that extra Prox Inline Filters be available at all times
when using the HT70 ventilator
Maintenance Guidelines
General Information
The maintenance for the HT70 ventilator is separated into three schedules routine, preventive,
and overhaul. By following the scheduled maintenance ensures the HT70 continually functions
at an optimum level.
Example:
Annual Routine Maintenance
1. Inspect and replace the Air Inlet Filter
2. Inspect and replace the Proximal Line Filter
3. Replace the Fan Filter
4. Perform the Operational Verification Procedure (OVP)
Routine Maintenance
Weekly
1. Inspect and if necessary replace the air inlet and proximal inline filters.
2. When frequently using battery power, ensure the HT70 is connected to an external
power source to charge the Power Pac and Backup Battery.
Every Six (6) Months
1. Replace the air inlet filter and proximal inline filter as needed.
2. Perform a Quick Check.
Annually
1. Replace the air inlet filter and proximal inline filter as needed.
2. Perform a Quick Check.
WARNING
These instructions are intended for use only by a Newport Medical Instruments factory-trained
technician. Do not perform any unauthorized modifications or repairs to the ventilator or its
components.
Caution
To avoid damaging equipment, always use standard electrostatic discharge (ESD) precautions,
including an ESD wrist strap, when servicing the ventilator.
Caution
To avoid damage to the HT70 due to over tightening of the screws, reference the called out
torque settings for each of the screws as noted in the removal instructions.
Tools Required
#1 Phillips Screwdriver (short)
#1 Phillips Screwdriver
#1 Flat Screwdriver
5/64 Hex Driver
3/32 Hex Driver
3/16 Nut Driver
Torque Driver (8.0 inch/pounds)
Torque Driver (10.0 inch/pounds)
Torque Driver (16.0 inch/ounces)
Large Pliers
Anti-static Wrist Strap
Anti-static Mat or Grounded Workstation
3. Using a #1 Phillips screwdriver, remove the nine (9) outside screws on the rear panel.
Note: The two (2) outside top screws are longer and must be used to secure the top
portion only.
Note: When reinstalling the above screws, the 6 side screws (SCR3210P) are secured
with a torque setting of 6 8 in-lb. At the top, the 2 screws (SCR3211P) and 1 screw
(SCR3210P) are secured with a torque setting of 40 in-oz
Remove
5. Disconnect the following cables from the MCB: J8, J16, J22, J26 J35 and J42.
J22
J8 CBL3214A
Backup Battery
J35
CBL3208A
J16 J26
From Motor CBL3209A J42
CBL3403A
XD22
XD2 (Green Tube)
(Yellow Tube)
J800 SBC
J39
J38
J36
J28
CBL3220A
TAP077P
Remove
PLT3270M
MCB SBC
Board Board
SW1
J5
Power
Switch
Screws
Power
Switch
Note: Note the position of the tabs on the switch and be sure to position the new switch
in the same configuration. The black wire is on the left side of the switch and the red wire
is on the right side. The ON position faces to the right, looking from the rear of the HT70
3. Reverse the above steps to reinstall.
Remove
Gasket
GKT3206M Oxygen
Sensor Cable
CBL3200A
Muffler
Inlet Tube
7. Carefully lift the rear portion of the top case Assembly. Ensure the fan clears the pump
assembly.
8. Slide the top case assembly forward to clear the Gas Output, Proximal Line, and
Exhalation Valve ports.
9. Reverse the above steps to reinstall.
Note: When reinstalling the muffler, ensure the gasket (GKT3206M) is between the
muffler and the inside of the HT70. The 2 screws (SCR3210P) to secure the muffler to
the HT70 are secured with a torque setting of 4 in-lb.)
CBL3208A
Fan Assembly
Backup
Battery
J6
J2
J9
J8
J3
J4
LCD back light 2 wire J7 (Under J3)
connector on INV3201A from touch screen
panel PNL3205P
J5 Inverter cable
Figure 5.21
Buzzer
Assembly
Note: The 4 screws (SCR2133P) are secured with a torque setting of 8 16 in-Oz
Remove 4 screws
(2 each side)
securing display to
chassis
Note: The 4 screws (SCR3216P) are secured with a torque setting of 6 8 in-lb
Remove 4 screws
(2 each side)
securing the handle
to cover assembly
Solenoid mounting
plate P/N PLT3276M
Qty 4 SCR3215P
Qty 6 SCR3219P
2. Disconnect the Auto-zero Solenoid yellow tube from the Y port connection on the
manifold.
3. Disconnect the Auto-zero Solenoid green tube from the G port connection on the
manifold.
4. From the bottom of the base assembly, remove the 4 screws p/n SCR3215P securing
the solenoid plate p/n PLT3276M to the HT70 base.
5. Remove the plate. To replace any of the 4 solenoids p/n VLV3226M, remove the 2
screws securing the solenoid, install the new solenoid and secure with the 2 screws
removed.
Note: The 4 screws (SCR3215P) are secured with a torque setting of 6 8 in-lb
Note: The 4 screws (SCR3219P) are secured with a torque setting of 8 10 in-lb
Note: The 4 screws (SCR3234P) are secured with a torque setting of 8 10 in-lb
Note: The 4 screws (SCR3219P) and 2 screws (SCR3232P are secured with a torque
setting of 8 10 in-lb
Note: When reinstalling the pump assembly, make sure the 3 stacks of gasket
GKT3212P are in place. If you need to replace the gaskets, order Qty 7.5 and cut to ½
lengths. See figure 5.30 for location
Remove Qty 2
Screws SCR3232P
Remove Qty 4
Screws SCR3219P
Location of GKT3212P
GKT3254M
WARNING Do not use the HT70 ventilator unless it passes the OVP.
Quick Check
Introduction
This procedure is intended to assist qualified operators establish a routine program for verifying
proper HT70 operation. Perform the Quick Check procedure before the first patient use,
between patient uses, every 6 months.
HOMECARE PROVIDERS: This procedure should be performed prior to delivery of the HT70 to a
pat ient s home and every 6 months.
NOTE: If Power Save is On, the screen will go to sleep (go blank) when not used for two
minutes. Just touch any button or the screen anywhere to bring it back into view.
WARNING Do not use the HT70 if it fails the Quick Check Procedure.
Pre-test Inspection
1. Inspect the Air Intake Filter through the filter cover on the right side of HT70.
Replace the filter if it is dirty.
2. Examine the test lung and patient circuit to ensure that there are no holes that will
cause leaks.
3. Verify that the A.C. power adapter PWR3204P is in good condition.
Setup
1. Connect the A.C. power adapter to an A.C. power source.
2. Verify that the External Power LED is lit .
3. Turn the ventilator on and verify that the audible alarm sounds and the LEDs light
during the self test.
4. Connect a breathing circuit with exhalation valve
5. Perform the Circuit Check.
a. Connect the breathing circuit to the ventilator as it will be used for your
patient.
b. Touch the Circuit Check button at the top of the touch screen.
c. For Step 1, occlude the patient connection end of the circuit. (Do not use a test
lung.)
Figure 6.1
d. Press the Accept button to confirm and start the Circuit Check .
e. For Step 2, open the end of the patient circuit.
f. Press the Accept button to continue the Circuit Check.
g. If the test passes, the message "Circuit Check PASSED Press Accept to Confirm"
will be displayed.
h. When the Circuit Check is completed, press the Accept button and adjust
patient settings as needed and touch the Start Ventilation button to begin
ventilation.
i. To cancel the Circuit Check and return to the Startup Screen, press the Cancel
button.
j. If the Circuit Check fails:
i. The message "Circuit Check FAILED Press Accept to Confirm" will be
displayed.
ii. Press the Accept button to return to Startup Screen.
iii. Restart the Circuit Check.
iv. Check that the accessories and all tubing connections are properly
connected and leak free.
v. Then touch the Circuit Check button to redo the test.
WARNING Do not use the HT70 if the Circuit Check fails, inadequate
ventilation may result. Use an alternate method of ventilation. Contact
Newport Medical Technical Support.
NOTE: The Circuit Check results are logged into Event History and retained
after power down.
6. Connect the test lung to the breathing circuit.
7. Press the Brightness button and verify that it scrolls through 4 levels of brightness.
Set the brightness at desired level.
8. Set the ventilator to the following Standard Test Settings as shown in Table 6.1 and
press St art Vent ilat ion .
Alarm Screen
P 3 cmH2O / mbar
(Low Airway Pressure)
P
(High Airway Pressure) 99 cmH2O / mbar
Min Vol
(High Inspiratory Minute 50 L (maximum setting)
Volume)
Min VoI
(Low Inspiratory Minute Volume) 1 L (minimum setting)
Max RR 100
Apnea 60
Max FiO2 Off
Min FiO2 Off
Alarm Loudness 1
Table 6.1 - Standard Test Settings
SECTION 6
The ventilator is ready for operation when all tests have passed each test.
Note:
Use the space below to document any comments on inspection of the unit, corrective
actions taken, or recommendations for further action.
Facility:
Serial #:
Unit Hours:
Calibration
Introduction
The HT70 calibration procedure should be performed for any repair, scheduled preventive
maintenance (every 24 months), 15,000 hour service, OVP failure, or software downloads. The
calibration procedure is not required for routine maintenance except in the event of a failure
Equipment Setup
1) Plug the HT70 into AC and leave powered off for 30 minutes prior to testing to ensure the
ventilator has sufficient power to complete the calibration testing.
Tee
Connector
Locking Pressure
Syringe
6) If the calibration is passed, the message Calibration passed . Press the Accept Cal button
to save the cal value . Press the Accept Cal button.
a) If the test fails, press Cancel Cal and repeat the calibration procedure.
Note: Any time during the process, the calibration may be canceled by pressing Cancel
Cal .
7) Disconnect the luer-lock on the clear tubing connected to the Internal Pressure Transducer
(XD2) mounted to the Main Control Board PCB.
a) Select Start Internal Cal to zero the reading.
Note: The Message Apply Zero Pressure to the Internal Pressure Transducer. Press
Zero When Ready
b) Verify the sensor port is open to atmosphere and press Zero Ready .
Note: The Message Apply 60 cmH2O pressure to the Internal Pressure
Transducer. Press Pressure Ready when ready is displayed.
8) Connect the certified test analyzer and locking pressure syringe (TOL1952P) to XD2 using a
Tee
Tee connector
Connector
9) Adjust the syringe and monitor the analyzer until a pressure of 60±0.02 cmH2O is achieved.
When the reading is stable, press the Pressure Ready . Avoid over-pressurization above
100 cmH2O to prevent damage to the transducers.
10) If the calibration is passed, the message Calibration passed. Press the Accept Cal button
to save the cal value . Press the Accept Cal button.
a) If the test fails, press Cancel Cal and repeat the calibration procedure.
11) Note: Any time during the process, the calibration may be canceled by pressing Cancel
Cal .
12) Reconnect the luer-lock to XD1 and XD2 transducer pressure tubes.
13) Reassemble the Rear Panel Assembly and reinstall the Power Pac removed in step 2.
Motor Speed
1) Disconnect the circuit from the output port
2) On the calibration screen, select Motor Speed Cal .
3) The unit will slowly increase speed motor. Wait approximately 3 minutes for the ventilator to
perform and complete this calibration.
Note: If the calibration is passed, the message Calibration passed. Press the Accept
Cal button to save the cal value .
4) Press the Accept Cal .
a) If the test fails, press Cancel Cal and repeat the calibration procedure.
Pump Leak
1) On the Calibration screen, select Pump Leak Cal .
Note: The Message Attach the Rp50 to the patient outlet. Press the button when ready
2) Connect an Rp50 parabolic resistor to the Main Flow Outlet and DO NOT block the open
end.
LCD Calibration
1) Press the LCD Cal button.
2) Follow the instructions as indicated on the screen.
3) Upon completion, press the On/Off Switch and the Accept button to power down the
ventilator.
Equipment Setup
1) Plug the HT70 into AC and leave off for 30 minutes prior to testing to ensure the ventilator
has sufficient power to complete the calibration testing.
2) Connect a new or test patient circuit and test lung to the HT70 as shown in Figure 6.4.
a) Connect one end of the patient circuit to the GAS OUTPUT port and the other end to
the exhalation valve.
b) Connect one end of the exhalation drive line tubing to the EXH. VALVE port and the
other end to the small port on the exhalation valve.
c) Connect one end of the proximal pressure tubing to the PROX. LINE and the other end
to the large port on the exhalation valve.
Circuit Check
1) If the calibration procedures were not required, perform a circuit check as outlined in the
Equipment Setup and Circuit Check section.
Flow Measurement
2) Attach the calibration analyzer inline with the patient circuit and the test lung (LNG600P)
with airway restrictor (Rp20).
3) Set PC 15 and PEEP 3.
a) Verify the ventilator monitored Peak pressure is within ±2 cmH2O and the PEEP is within
±1cmH2O of the measured pressures.
4) Set PC 15 and PEEP 5.
a) Verify the ventilator monitored Peak pressure is within ±2 cmH2O and the PEEP is within
±2 cmH2O of the measured pressures.
5) Set PC 30 and PEEP 15.
a) Verify the ventilator monitored Peak pressure is within ±3 cmH2O and the PEEP is within
±2 cmH2O of the measured pressures.
Note: The inspiratory pressure shall be maintained during entire inspiration time. To verify
this watch the bar graph on the monitor.
6) Record the results on the Test Record.
7) Press the Alarm/Silence Reset button multiple times to clear the displayed alarm history.
SECTION 6
HT70 Plus TEST RECORD
Hospital / Organization:
Serial Number Software Version Hour Meter
PASS / FAIL
TEST NA
PRESSURE RELIEF VALVE
Calibration Tests Expected Actual
Pressure Transducer 80-125
Motor Speed PRESSURE VERIFICATION
Pump Leak Display Indicator Actual Tolerance
FiO2 Sensor (if applicable) Internal Pressure
OVP Tests Airway Pressure <10% Variance
Front Panel External Pressure
AC Power Loss / Shutdown
FLOW MEASUREMENT / SYSTEM LEAK
Alarm
Circuit Check Setting Actual Tolerance
Pressure Relief Valve 30 25.5 34.5 Lpm
Check 60 51 69 Lpm
System Leak <5 Lpm
Pressure Verification
PRESSURE CONTROL and PEEP/CPAP
Flow Measurement / PC
Displayed Measured Tolerance
System Leak Setting
Emergency Intake Valve 15
±2 cmH2O
Pressure Trigger (Ptrig)
Pressure Control / PEEP 30 ±3 cmH2O
FiO2 Verification PEEP
Displayed Measured Tolerance
(if applicable) Setting
3 ±1 cmH2O
Volume Control
5
±2 cmH2O
15
Manual Inflation
FiO2 VERIFICATION (if applicable)
Setting Displayed Measured Range
Pressure Alarms
21% 21 - 29
High Pressure 60% 52 - 68
SECTION 7: TROUBLESHOOTING
General Information
This troubleshooting guide is intended to assist a Newport Medical factory-trained and
authorized technician to troubleshoot and repair the HT70 Ventilator. Although the table will be
advantageous during the evaluation of the problem, all issues may not be addressed.
The troubleshooting instructions are separated into two sections:
Mechanical and Pneumatic
Electronic
Contact the Newport Medical Technical Services Department for additional assistance.
WARNING
Hazardous voltages are present inside the ventilator. Disconnect electrical power and oxygen
sources before attempting any disassembly. Failure to do so could result in injury to service
personnel and/or equipment.
Low proximal pressure Faulty patient circuit Check breathing circuit for leaks
(Paw) with normal and/or proper connections
output flow
External humidifier chamber leaking Bypass humidifier and retest. If
problem is solved, inspect and
adjust the external humidifier
Low proximal pressure Pressure relief valve leaking Perform the Pressure Relief Valve
(Paw) with low output Check in the OVP section. If the
flow (cont) failure persists, contact Newport
Medical Technical Support for
further assistance.
Proximal pressure has Kinked or occluded proximal Check and replace the inline
slow return to baseline pressure line proximal filter if necessary
Inlet air filter cover or fan filter cover Inspect and tighten the screws
loose securing the covers
Unit auto-triggers Leak in patient circuit Check and replace patient circuit
if necessary
Does not operate on Backup battery discharged Connect to AC and charge for at
backup battery least 3 hours
Backup battery will not charge Replace the backup battery
Backup battery older than two (2) Replace the backup battery
years
Power Pac will not charge Replace the Power Pac battery
Power Pac older than two (2) years Replace the Power Pac battery
Dim display Display brightness set to low Press the Brightness button to
No display adjust the display
Intermittent display
Display backlight non-functional Replace the LCD display
assembly
LCD display cable has damaged Replace the LCD display cable
wires or connector
Touch Screen Loose connection Remove the rear panel and case
unresponsive assemblies and inspect the cables
for proper connections on the
display board
Buttons unresponsive Loose cable connection Remove the rear panel and case
assemblies and inspect the cables
for proper connections on the
display board
ON / OFF Switch Loose cable connection Remove the rear panel and
unresponsive inspect the switch cable for proper
connections on the Main Control
board
Device Alert LED on Motor Fault error Refer to the displayed message
window or Event History log for
Internal Pressure (Pint) error additional information
System Error
Device Alert Internal Pressure (Pint) error Review the Event History log. If
Pint failure is indicated, contact
Newport Medical Technical
Support for further assistance
PLACE HOLDER
PLACE HOLDER
PLACE HOLDER
PLACE HOLDER
PLACE HOLDER
The below kits contains the Left, Right and Top Membrane Switches for various
languages.
OVR3215A English
OVR3220A Symbols
OVR3221A Japanese
OVR3222A Spanish
OVR3223A Portuguese
OVR3224A Vietnamese
OVR3225A Chinese
OVR3226A Russian
PLACE HOLDER
SECTION 9: APPENDIX A
Abbreviations
The following list contains the abbreviations and meanings used throughout the HT70 Service
Manual.
Abbreviation Meaning
A Amperes
A/CMV Assist-Control Mechanical Ventilation
Ah Ampere-hour
ATPS Ambient Temperature and Pressure Saturated
BUV Back Up Ventilation
cmH2O Centimeters of Water
EMI Electromagnetic Interferance
FiO2 Fraction of Inspired Oxygen
ID Inner Diameter
i-TIME Inspiratory Time
L Liter
L/min Liters per minute
LED Light Emitting Diode / Used as Indicators
mbar Millibars
MCB Main Control Board
min minutes
mL Milliliter
ms milliseconds
MVI Inspiratory Minute Volume
NIV Non-Invasive Ventilation
OD Outer Diameter
Paw Airway Pressure
Pbase Base Pressure
PC Pressure Control Ventilation
Pmean Mean Pressure
Ppeak Peak Pressure
PS Pressure Support Ventilation
Psup Pressure Support
Ptrig Pressure Trigger
RR Respiratory Rate
SBC Single Board Computer
sec seconds
SIMV Synchronized Intermittent Mechanical Ventilation
SPONT Spontaneous Ventilation
STS Standard Test Settings
VAC Voltage, Alternating Current
VDC Voltage, Direct Current
VT Tidal Volume
Table E -- Abbreviations