Evita v300 Ifu 9052995 en PDF
Evita v300 Ifu 9052995 en PDF
Evita v300 Ifu 9052995 en PDF
Evita V300
Screen images
Use of terms
WARNING
A WARNING statement provides important
information about a potentially hazardous
situation which, if not avoided, could result
in death or serious injury.
CAUTION
A CAUTION statement provides important
information about a potentially hazardous
situation which, if not avoided, may result in minor
or moderate injury to the user or patient or in
damage to the medical device or other property.
NOTE
A NOTE provides additional information intended
to avoid inconvenience during operation.
Contents
WARNING
Only the accessories indicated on the list of
accessories 9053027 (1st edition or higher)
have been tested and approved for use with
the medical device.
Therefore, it is strongly recommended that
only these accessories are used in
conjunction with the medical device.
Otherwise, the correct functioning of the
medical device may be compromised.
Overloading of the medical device as a result of Patient safety may be achieved by a wide variety of
very high network traffic (e.g., due to "denial of means ranging from electronic surveillance of
service" attacks) could lead to deactivation of the medical device performance and patient condition
interfaces. The service functionality would not then to simple, direct observation of clinical signs.
be available until the medical device has been The responsibility for selecting the best level of
restarted. In rare cases, a warm boot may take patient monitoring lies solely with the user of the
place and may occur repeatedly. medical device.
Patient safety
WARNING
Sterile accessories
Do not connect connectors with an ESD
warning symbol and do not touch the pins of
such connectors without implementing ESD CAUTION
protective measures. Such protective Do not use sterile-packaged accessories if the
measures may include antistatic clothing and packaging has been opened, is damaged, or if
shoes, touching a ground stud before and there are other signs of non-sterility.
during connection of the pins, or using
electrically insulating and antistatic gloves.
All relevant personnel must be instructed in Installing accessories
these ESD protective measures.
CAUTION
WARNING
Install accessories to the basic device in
Do not use portable and mobile HF accordance with the instructions for use of the
communications equipment, e.g., mobile basic device. Make sure that there is a safe
phones, in the vicinity of the medical device. connection to the basic device system.
Maintain separation distances, see page 312.
Strictly observe instructions for use and assembly
instructions.
Virus protection
Training
WARNING WARNING
This medical device is intended to be used Do not use the medical device in hyperbaric
only by trained users. chambers! This may impair correct
functioning of the medical device and
WARNING endanger the patient.
Risk of fire
WARNING
The flow sensor can ignite medications or
Correct functioning of the medical device may
other substances based on highly flammable
be impaired by operation of high-frequency
substances.
electrosurgery units, defibrillators or short-
– Do not nebulize medications or other
wave therapy equipment and endanger the
substances that are easily flammable or
patient.
spray them into the device.
– Do not use substances containing alcohol.
– Do not allow flammable or explosive WARNING
substances to enter the breathing system Risk of malfunction
or the breathing circuit. Unauthorized modifications to the medical
device lead to malfunctions.
WARNING
This medical device must not be modified
Risk of fire unless authorized by the manufacturer.
Do not use the medical device in conjunction
with flammable gases or flammable solutions WARNING
that can mix with air, oxygen or nitrous oxide, Risk of electric shock
or other sources of ignition since the medical
device could ignite. Do not allow the medical Live components are located under the cover.
device to come into contact with sources of Do not open the housing of the medical
ignition. device.
WARNING
Do not use the medical device during
magnetic resonance imaging (MRI, NMR,
NMI)! This may impair correct functioning of
the medical device and endanger the patient.
WARNING WARNING
Risk of fire Risk of patient injury
Do not use the medical device in oxygen- If leakages are present, e.g., with non-invasive
enriched rooms since the medical device ventilation, the actual tidal volume may
could ignite. deviate from the measured values for VTe
Medical device malfunctions can increase and VTi.
the O2 concentration in the ambient air.
Activate leakage compensation and monitor
The medical device is only suitable for use
the measured value for VT. Minimize or
in rooms with sufficient ventilation.
remedy all leakages.
WARNING
WARNING
Do not obstruct the gas inlet for the safety
Risk of failure of flow measurement
valve. Otherwise, spontaneous breathing via
the emergency breathing valve is not possible Deposits that were not removed during
in the event of a device failure. reprocessing can damage the measuring
wires in the flow sensor or cause a fire.
WARNING – Before inserting the flow sensor check for
visible damage, soiling, and particles.
With neonates, the administration of
Repeat this check regularly.
increased O2 concentrations can lead to
retinopathy of prematurity. – Replace flow sensors when damaged,
Use additional monitoring, e.g., external SpO2. soiled, or not particle-free.
WARNING CAUTION
Risk of fire Keep away from sources of heat such as direct
sunlight, heat radiators or spotlights! Otherwise
The use of unapproved O2 pressure reducers the medical device may become too hot.
can lead to excess pressure which can cause
a fire. CAUTION
When supplying the ventilator with oxygen Do not obstruct or close off the vents on the
from a compressed gas cylinder, only use medical device. Air must be able to enter freely.
pressure reducers compliant with ISO 10524. Otherwise the medical device may become too
Slowly open the pressure reducer manually. hot. An alarm is triggered if the medical device
Do not use tools. overheats during operation.
WARNING CAUTION
Risk of unnoticed change in inspiratory O2 Positive-pressure ventilation can lead to negative
concentration effects, such as barotrauma or strain on the
If an additional flow is delivered by an external circulatory system.
flow source, the actual O2 concentration
delivered may deviate from the displayed CAUTION
values. Risk of patient injury
Use additional monitoring, e.g., external SpO2 An additional flow delivered by an external flow
monitoring, if necessary. source can affect the measured values for airway
pressure and flow.
WARNING
If a fault is detected in the medical device, its
life-support functions may no longer be
assured. Ventilation of the patient using an
independent ventilation device must be
started without delay, if necessary with PEEP
and/or an increased inspiratory O2
concentration (e.g., with a manual
resuscitator).
Handling Infinity ID components The RFID system of this medical device complies
with Part 15 of the FCC regulations, and its
Through ownership or purchase of this medical operation is subject to the following conditions:
device equipped with RFID technology, you have 1 This medical device does not cause any
only acquired the right to use the medical device dangerous interference.
and RFID technology in conjunction with products
approved by Dräger and in strict compliance with 2 The medical device is not liable to damage
these instructions for use. No intellectual property caused by the reception of interference,
rights or any rights to the use of the medical device including interference causing undesired
or RFID technology are hereby granted, either operating conditions.
explicitly or implicitly, which are contrary to the Dräger hereby declares that the RFID system in the
above-mentioned conditions. ventilation unit is in compliance with the basic
requirements and the other pertinent regulations
WARNING
of Directive 1999/5/EC.
Risk of patient injury
Although Evita V300 does not exceed the
applicable limiting values for electromagnetic
fields, radiation can interfere with the
functioning of pacemakers. Wearers of
pacemakers must keep a distance of at least
25 cm (10 in) between the pacemaker and
Evita V300.
Application
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Environment of use . . . . . . . . . . . . . . . . . . . . 18
Intended use
Environment of use
Evita V300 is intended for stationary use in – In rooms without sufficient ventilation
hospitals and medical rooms or for patient
Do not operate the device with helium or helium
transportation within the hospital.
mixtures.
Do not use the device in the following
environments:
– In hyperbaric chambers
– For magnetic resonance imaging (MRI, NMR,
NMI)
– In conjunction with flammable gases or
flammable solutions that can mix with air,
oxygen or nitrous oxide
– In areas of explosion hazard
– In areas with combustible or explosive
substances
System overview
Ventilation unit . . . . . . . . . . . . . . . . . . . . . . . . 23
Front panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Rear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Left side view . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Right side view . . . . . . . . . . . . . . . . . . . . . . . . . 25
Trolley 2 - 90 cm . . . . . . . . . . . . . . . . . . . . . . . 25
Range of functions . . . . . . . . . . . . . . . . . . . . . 27
Ventilation functions of Evita V300 . . . . . . . . . . 27
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Power supply . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Data transfer. . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Medication nebulizer. . . . . . . . . . . . . . . . . . . . . 28
Attaching accessories. . . . . . . . . . . . . . . . . . . . 28
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . 29
Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
E
001_V300
Front
H G F E D C 501
Rear
F E D C
502
A Alarm bar
B USB port
C Serial RS232 port (COM port)
D DVI port
E USB ports
F LAN port
Ventilation unit
A
B G
H
F I
C
D J
E
071
G Infinity ID flow sensor
070
A
B A
C B
C
D D
E E
F F
G G
004
005
A Fuse for the batteries
A Connection for system cable to Infinity C300 V1
B Connection for the neonatal flow sensor V5
B Connections for future extensions V2, V3
C Connections for future extensions V6, V8
C Connection for nurse call V4
D Connection for CO2 sensor V7
D Toggle switch
E Potential equalization pin
E Ambient air filter with cover
F Fuse for mains power supply F1, F2
F Strain relief for cable
G Connection for mains power supply
G Left device flap
Right side view A Connection for data cable to the GS500 gas
supply unit V9
E
014
Trolley 2 - 90 cm
A B Handle
C Trolley column
B D Hose hooks
E Alignment aid
C F Humidifier holder, can be swiveled
D
G Universal holder with standard rail
E
H Double castors with locking brake, set of 4
F
D
G
H
038
Back panel
C C
A
B
C C
330
A Rating plate
B Gas connection
C Screws (to hold the side panels in place)
Range of functions
Gas supply
Data transfer
Medication nebulizer
Abbreviations
Flow max Maximum inspiratory flow during mmHg Unit of measurement for end-
NIV (Neo. patient category) expiratory CO2 concentration
Flow trigger Trigger threshold, sensitivity (set More... Show more alarms
value) MRI Magnetic resonance imaging
FRC Functional Residual Capacity MV Minute volume, leakage-corrected
GS500 Gas supply unit MV delay Duration of alarm suppression for
HME Heat Moisture Exchanger MV high and MV low
hPa Hectopascal, unit of measurement MV high Upper alarm limit for minute
for pressure volume
1 hPa = 1 mbar = approx. MV low Lower alarm limit for minute
1 cmH2O volume
I:E Ratio of inspiratory time to MVapn Minute volume during apnea
expiratory time (set value) ventilation
I:Espon I:E during spontaneous breathing MVe Expiratory minute volume, overall,
IEC/CEI Alarm tone in accordance with not leakage-corrected
IEC 60601-1-8 MVemand Mandatory expiratory minute
incl. PEEP Externally applied PEEP, is volume
contained in the intrinsic PEEP MVespon Spontaneous expiratory minute
Insp. Label on the device, Inspiratory volume
port (GAS OUTPUT) MVi Inspiratory minute volume, overall,
Insp. Inspiration not leakage-corrected
Symbols
Operating concept
Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Main screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Monitoring area. . . . . . . . . . . . . . . . . . . . . . . . . 40
Main menu bar . . . . . . . . . . . . . . . . . . . . . . . . . 41
Dialog windows. . . . . . . . . . . . . . . . . . . . . . . . . 43
Therapy bar . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Therapy controls. . . . . . . . . . . . . . . . . . . . . . . . 43
Color concept . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Day and night mode . . . . . . . . . . . . . . . . . . . . . 45
Calibrating the touch screen. . . . . . . . . . . . . . . 45
LED displays
I
G H
511
Screen
This chapter describes: D Therapy bar with the therapy controls for the
– Main screen ventilation parameters of the active ventilation
– Monitoring area mode, see page 43.
– Main menu bar
The main screen can be configured for direct
– Dialogs windows
access as a Main screen button in the main menu
– Therapy line
bar. See "Assigning functions to additional buttons"
– Therapy controls
on page 181.
– Color concept
– Day and night mode
– Touch screen, calibrating
Monitoring area
A
Curve field
1 2 3
F Buttons with two arrows show the next or D Sensors/ Parameters... for calibrating the
previous page. sensors and for activating or deactivating
monitoring, see page 159.
E System setup... for configuring the device
Main menu bar functions, see page 175.
The main menu bar contains fixed assigned and F Configurable Help button, factory setting which
configurable buttons. The buttons are assigned to can be assigned according to user
various groups. Touching a button opens the specifications, see page 181.
corresponding dialog window or activates the G Trends/Data... for displaying all the measured
corresponding function. Touching the group symbol and set values, logbook, trends and for
opens the associated quick access bar. exporting data, see page 151.
H Special maneuvers... for selecting additional
Fixed assigned buttons functions, e.g., suction maneuver,
see page 113, or medication nebulization,
A see page 116.
1 2 3 I Start/ Standby... for selecting standby mode or
B starting therapy, see page 131.
C Configurable buttons
I
100_V300
NIF
A
364_V300
Dialog windows consist of one or several pages The therapy controls (A) are used to set the
which are displayed by touching the corresponding ventilation parameters.
horizontal or vertical tab. Dialog windows contain
Therapy controls are contained in the therapy bar of
elements for operating the device and informing the
the active ventilation mode and in the dialog
user on current settings. Dialog windows can be
window for the ventilation settings.
opened by touching a button in the main menu bar.
Ventilation settings
A D
B E F
C
B A
083
171
A B
C
D
078
Color concept
Alarms
Three different colors are used to identify the
priority of an alarm.
Controls
The following controls are available:
– Tabs
– Therapy controls
– Buttons
The status of the controls and the availability of
functions are identified by colors.
Significance of colors:
Color Status
Dark green The control has been selected and
displays the current selection.
Light green The control is active and can be
selected.
Yellow The control has been selected but
an input or confirmation is required.
Gray The control is not available.
Parameters or functions are selected and set with Selecting a control and changing the
the following controls: setting
– Tabs
– Therapy controls 1 Touch the control.
– Buttons
The control turns yellow. With therapy controls, the
unit is also displayed. The background light of the
Selecting a control rotary knob is yellow.
2 To make the setting, rotate the rotary knob to
1 Touch the control. the right or to the left.
The control turns yellow. 3 Press the rotary knob to confirm.
2 Press the rotary knob to confirm. The setting is adopted, the control returns to light
The selection is adopted, the control returns to light green or dark green.
green or dark green.
Some buttons are active immediately without
confirmation. The button turns dark green
immediately.
Setting the ventilation parameters If the maximum set limit for a parameter has been
reached, e.g., when it is dependent on other
parameters, it is not possible to exceed the set limit.
Press the rotary knob. Evita V300 adopts the
maximum possible set value.
128
085
O2 and Flow cannot be set directly. 1 Touch the PEEP (A) or Pinsp (B) therapy
control; the color turns to yellow.
Setting ventilation parameters directly The Link button (C) is displayed.
1 Touch the corresponding therapy control. 2 Touch the Link button (C).
2 Press the rotary knob and hold for The therapy control of the other parameter to be
approximately 3 seconds. linked (Pinsp or PEEP) turns yellow.
The therapy control changes to dark green with a 3 Turn the rotary knob to set the value for PEEP
yellow edge. The direct setting function is now and Pinsp. The other value is also
active. automatically changed so that the difference in
pressure remains constant.
4 Press the rotary knob to confirm the value.
Both therapy controls turn dark green.
Linking RR/Ti
087
Intrahospital transport . . . . . . . . . . . . . . . . . . 71
WARNING WARNING
Before each use, reprocess the device and all Do not place any containers with liquid on
accessories in accordance with the or above the device! Penetrating liquid may
instructions for use, see "Reprocessing list" cause malfunction of or damage to the device,
on page 251. Observe the hospital hygiene which may endanger the patient.
regulations!
WARNING
WARNING Failure to observe the permitted maximum
Securely mount Evita V300. Check for secure load and weight distribution may result in the
fit. Danger of damage to device or personal device toppling over. Danger of damage to
injury! device or personal injury! Observe the
permitted maximum load and weight
WARNING distribution, see "Maximum load"
on page 298.
Risk of tipping over
Do not tilt the device by more than 5°. CAUTION
When parking the device, lock all the double
castors of the trolley and check that the brakes
are working properly.
WARNING
Do not lean, press, push or pull against the
trolley above the marking points on the trolley.
The trolley could topple over.
Connecting the universal holder with Connecting the humidifier holder to the
standard rail to the trolley trolley
Attach the universal holder with standard rail to the The humidifier holder is attached to the front of the
front of the trolley. trolley. The humidifier holder can be fastened on
the left or right-hand side of the trolley column. The
Front of the attachment of the humidifier holder on the right-
trolley hand side is shown.
A
Front of the A
trolley C
C B
B
D
049
192
2 Attach the right-hand side of the universal 1 Hold the humidifier holder at the desired height
holder to the right-hand side of the rail (B). on the guide (A) of the trolley column.
Make sure that the catch of the universal holder
2 Turn the clamping screw (B) to the left until the
is completely behind the alignment aid.
base (C) fits into the guide of the trolley column.
3 Align the universal holder (C) horizontally and
3 Turn the clamping screw (B) to the right until the
press the left-hand side of the universal holder
humidifier holder is secured firmly in the guide.
onto the left-hand side of the column.
4 Move the standard rail (D) to the desired
4 Tighten the adjusting screw (A). Make sure that
position.
the catch of the universal holder is completely
behind the alignment aid.
5 Check that the universal holder is fixed
securely.
WARNING
The length of the hook-and-loop straps must
match the diameter of the compressed gas
cylinders to ensure that the hook-and-loop
straps can hold the cylinders securely. If
necessary have an appropriate hook-and-loop
strap fitted by service personnel. This is B
essential to ensure that the compressed gas
cylinders are properly secured. A A
Compressed gas cylinders with the following
dimensions can be secured:
B
Diameter: 80 to 176 mm (3.15 to 6.93 in)
A A
Length: 420 to 760 mm (16.54 to 29.92 in)
WARNING
Not every combination of compressed gas
cylinder diameter and length can be secured.
193
When used in combination with a pressure
reducer, the compressed gas cylinder must WARNING
not come into contact with the console of the Position the compressed gas cylinders fitted
trolley. The maximum diameter is 176 mm with pressure reducers in such a way to
(6.93 in) when the base of the compressed gas prevent the pressure reducers from being
cylinder is resting completely on the base damaged during transport. The lower part of
plate of the lower holder or is semi-spherical the trolley is designed to protect against
in shape. collisions. Take particular care when the
compressed gas cylinders being used extend
1 Place the cylinders into the mountings on the
beyond this collision protection.
trolley.
2 Secure each cylinder with 2 hook-and-loop
straps (A).
3 Secure the compressed gas hoses by hanging
them over the hose hooks (B).
A
A
B
011
1 Press and hold the tilt release button (A).
010
1 Hook the Infinity C300 holder (A) into the 2 At the same time, tilt Infinity C300 to the desired
mounting (B) on the trolley. working position.
2 Tighten the locking screw (C). 3 Release the button and make sure that it
engages securely.
3 Make sure that Infinity C300 is securely
attached to the trolley.
Turning Infinity C300
Positioning Infinity C300 on a standard rail Infinity C300 can be turned by a maximum of 180°
counterclockwise or 90° clockwise.
If Infinity C300 is connected to the trolley:
Turn to the desired working position.
1 Unscrew the locking screw (C).
2 Lift Infinity C300 out of the mounting (B) on the
trolley. Connecting the system cable
3 Hook Infinity C300 into the standard rail.
The system cable is connected to Infinity C300 and
4 Tighten the locking screw. to Evita V300. The system cable is fixed in a clamp.
5 Make sure that Infinity C300 is securely
attached to the standard rail.
Connecting the system cable to Infinity C300 4 Insert the system cable connector (E) into the
socket until the connector audibly clicks into
place.
5 Insert the protective sleeve (C) into the
protective plate (F) at the same time.
6 Turn the protective sleeve (C) by approximately
90° until it clicks into place. The cable is
A secured.
7 Close the left-hand flap.
1 Unscrew the cover from the socket (A). 1 Push the locking mechanism on the connector
(E) backwards and pull out the connector.
2 Insert the system cable connector (B) into the
socket (A). Ensure that the connector is 2 Turn the protective sleeve (C) by approximately
inserted with the correct orientation. 90° and withdraw it from the protective plate (F).
F
188
1 Open the clamp cover (H).
2 Place the system cable into the clamp. Keep the
D E cable length short between the clamp and
C Evita V300.
3 Close the clamp cover (H) and engage. Ensure
003
Using the MEDIBUS or the MEDIBUS.X Connecting an external device for using
protocol MEDIBUS or MEDIBUS.X
WARNING
Risk of patient injury
All data transferred via the MEDIBUS interface
are for information only and must not be used
as the sole basis for diagnostic or therapeutic
decisions. The MEDIBUS interface is not
intended for use with a distributed alarm
A
system conforming to IEC 60601-1-8:2012.
359_V300
external medical or non-medical device
(e.g., patient monitors or computers for data Connect an external device to the COM 1
management systems). or the COM 2 (A) interface of Infinity C300.
Use MEDIBUS cable 8416326.
Additional information
For MEDIBUS: Configuring the interface
B
A B
360_V300
WARNING
Do not simultaneously touch the connectors
of the interfaces and the patient. Risk of
electric shock.
WARNING
Risk of voltage surges and device malfunction
Do not connect a device that has its own
power supply to the USB port, e.g., a printer or
external hard drive.
Preparing the expiratory valve Fitting the Infinity ID neonatal expiratory valve
329
WARNING 1 Fit the diaphragm (A) onto the edge of the
Only use properly reprocessed expiratory expiratory valve housing. Make sure that the
valves which have been sufficiently dried. diaphragm is fitted properly.
Otherwise the proper functioning of the 2 If the muffler (B) has been removed, fit the
device may be impaired and the patient muffler.
endangered.
Only the Infinity ID expiratory valve is described in
The expiratory valve is mounted and then inserted the following sections. However, the Infinity ID
into the ventilation unit. neonatal expiratory valve is prepared using the
same method.
Fitting the Infinity ID expiratory valve
C
A
072
040
1 Fit the diaphragm (A) onto the edge of the 3 Fit the water trap container (C).
expiratory valve housing. Make sure that the
diaphragm is fitted properly.
2 If the flow sensor sleeve (B) has been removed,
fit the flow sensor sleeve.
B
074
006
towards the device, into the socket and push it Leave the flap closed during ventilation.
fully into the socket.
C
075
Safety information for the use of HMEs, A higher breathing resistance leads to a greater
bacterial filters, and breathing circuits work of breathing and trigger effort. Under
unfavorable conditions, this can lead to an intrinsic
PEEP, which can be recognized by the fact that the
WARNING expiratory flow does not return to "baseline" at the
Increased resistance end of expiration. If the PEEP is unacceptably high,
Medication nebulization and active this is indicated by an alarm. For additional
humidification may increase the resistance of information, see "Automatic alarm limits"
additional components. on page 302.
Check the breathing circuit regularly for signs The breathing resistance in the patient connector
of increased resistance and replace additional cannot be monitored directly by Evita V300.
components if necessary. For this reason:
Before starting ventilation, determine in standby
CAUTION mode inspiratory and expiratory breathing
Additional components in the breathing circuit resistance in the breathing circuit by means of
such as bacterial filters, HME or CO2 cuvettes the breathing circuit check.
may increase the dead space, compressible Check the condition of the patient and the
volume, and resistance. device's measured values for volume and
Particular care and monitoring are required when resistance more frequently.
using additional components. Observe the instructions for use for the HMEs,
Before checking the breathing circuit (see chapter bacterial filters and breathing circuits in use.
"Getting started"), attach all necessary additional
components up to the patient connector. Information on breathing circuits with variable
compliance
Additional components in the breathing circuit can
increase the inspiratory and expiratory breathing Some breathing circuits feature a position-
resistance and exceed standard requirements. dependent compliance. This results in an increased
Examples: Inspiratory and expiratory bacterial variability of hose compliance. Breathing circuits of
filters, HMEs, coaxial hoses. this type can increase the inaccuracy of volume
measurement under certain circumstances.
Evita V300 is designed to minimize the patient's
work of breathing. Operation does therefore not WARNING
require inspiratory or expiratory bacterial filters. When using breathing circuits with variable
The use of bacterial filters or HMEs requires compliance, volume-controlled ventilation is
particular care and monitoring by the user. restricted. After changing the hose length,
Especially during medication nebulization and immediately perform a check of the breathing
humidification, the resistance of the expiratory circuit to ensure that the hose compliance
bacterial filter may increase gradually. values are correct.
monitoring. Correct entry of the breathing circuit Connecting the breathing gas humidifier to the
being used prevents Evita V300 from generating an humidifier holder of the trolley
alarm in the case of non-variable breathing circuits.
185
CAUTION
Do not use an HME together with a breathing gas Connect the breathing gas humidifier to the
humidifier! This can lead to an increased humidifier holder of the trolley.
breathing resistance. Tilt the breathing gas humidifier into the correct
position.
Connecting the Fisher & Paykel MR 850
breathing gas humidifier Attaching the breathing gas humidifier to the
The breathing gas humidifier can be connected in humidifier holder for the lateral standard rail
the following ways: If a compressor is used on the trolley, use the
– on the standard rail of the universal holder humidifier holder for the lateral standard rail. The
– on the humidifier holder of the trolley holder can be connected to the left-hand or right-
– on the humidifier holder for the lateral standard hand side of device.
rail
D C
194
Setting the breathing circuit The following neonatal flow sensors are available:
– Neonatal flow sensor ISO 15 (8411130)
Evita V300 supports the user in selecting the
– Neonatal flow sensor Y-piece (8410185)
breathing circuit on the Start/Standby > Br. circuit/
Humidifier page. If a neonatal flow sensor and HME are used in the
patient categories Neo. or Ped. pat., the HME must
Set the breathing circuit according to the patient
be installed between the neonatal flow sensor and
category.
the patient connector.
Additional information
Transfer of ventilation settings, see page 90.
C
For the order numbers of the breathing circuits and B
the hinged arm, see the list of accessories.
A
300
1 Insert the neonatal flow sensor (A) into the
Installing a neonatal flow sensor
patient connector of the Y-piece (B).
2 Connect plug (C) of the flow sensor cable to the
WARNING
flow sensor.
Risk of fire
Residual vapors of easily flammable Installing a neonatal flow sensor Y-piece
disinfectants (e.g., alcohols) and deposits that (8410185)
were not removed during reprocessing can
ignite when the flow sensor is in use.
– Ensure particle-free cleaning and
disinfection.
– After disinfection, allow the flow sensor to
air for at least 30 minutes.
E
– Before inserting the flow sensor check for
visible damage and soiling, such as
residual mucus, medication aerosols, and
D
particles.
301
Further procedure for both neonatal flow Replacing the neonatal flow sensor
sensors insert
3 Position patient connector of the Y-piece to
point approx. 45° downwards to prevent If Evita V300 displays the alarm message
condensation from forming on the neonatal flow Neonatal flow sensor?, the insert of the neonatal
sensor. flow sensor must be replaced.
G F A C
303
1 Disconnect plug (A) of the flow sensor cable
from the neonatal flow sensor.
2 Gently press the knobs (B) on both sides while
302
A
054
C
D
180
Connecting the mains power supply to 2 Position the power cable (C) in the clamp (D).
Evita V300 Fit the clamp into the housing (E). Tighten the
screw (F) (stress relief).
WARNING
Risk of electric shock and of device failure
F
If the device is connected to a power socket
with incorrect mains voltage or without a
protective ground, the user can be injured and C
the device damaged.
D
Only connect the power cable to power
sockets with a protective ground and the
correct mains voltage. Observe the technical
E
186
data.
Insert the mains plug into the mains power
socket.
NOTE
The LED on Infinity C300 lights up green.
The mains power socket in use must be freely
accessible during operation.
Checking the toggle switch on Evita V300
The mains voltage must conform to the voltage
range specified on the rating plate (100 V to 240 V, CAUTION
50/60 Hz). Do not press the toggle switch during ventilation.
1 Plug the appliance socket (A) onto the
appliance connector (B). Prerequisite: The flap on the left-hand side of the
device is opened.
B
H
A
G
182
WARNING
Do not simultaneously touch the connectors
of the interfaces (H) and the patient. Risk of
electric shock.
Charge the batteries completely before initial use. Differences in electrical potential between devices
can be reduced by potential equalization. Potential
If the mains power fails, operation is maintained
equalization does not replace the protective ground
either via the internal battery of Evita V300 or via
connection. During operation, the potential
the PS500 power supply unit.
equalization connections must be readily
accessible and must be removable without tools.
Additional information
For additional information, see "Mains power Connecting the potential equalization cable
supply / DC power supply" on page 135.
1 Plug one end of the potential equalization cable
fully on to the potential equalization pin on
Evita V300.
Failure of the power supply
2 Connect the other end of the potential
If the mains power fails, operation is maintained via equalization cable to the hospital potential
batteries. equalization socket.
If the mains power fails and the batteries are
discharged, Evita V300 issues a power failure
alarm.
The following data are retained even in the event of
a power supply failure:
– Set values for ventilation
– Alarm limits
– Set values for monitoring
When the power supply is restored, the device
starts automatically with the previous values.
Connecting the gas supply 3 Position the compressed gas hoses over the
hose hooks (C).
WARNING The gas delivered through compressed gas hoses
Do not bring any oxygen supply components is used as fresh gas (FRESH GAS).
into contact with oil and grease. Danger of
explosion through spontaneous ignition! Additional information
For the order numbers of the compressed gas
WARNING
hoses, see the list of accessories.
Only use compressed gases approved for
medical use. The compressed gases must be
free of dust and oil particles and dry. Gas supply from cylinders
Otherwise the proper functioning of the If the central gas supply system fails or is not
device cannot be ensured. available, the gas can be supplied from cylinders.
A
B
C
C
021
Connecting the nurse call Connecting the nurse call to the central hospital
alarm system
The nurse call is used for transmitting high-priority The nurse call cable must be connected to the
alarm messages (warning) to a central hospital lead to the central hospital alarm system by
alarm system. service personnel.
029
decisions. The nurse call is not intended for
use with a distributed alarm system As soon as Evita V300 signals an alarm, the
conforming to IEC 60601-1-8:2012. connection between the white cable and the brown
cable (NO and COM) is closed and the nurse call is
CAUTION activated.
A fault in any of the components in the link
between the nurse call and the central hospital Connecting the nurse call to the ventilation unit
alarm system (e.g., in the unit's electronics for
Prerequisite: The flap on the left-hand side of the
nurse call, in the unit's power supply or in the
device is opened.
alarm generator of the central hospital alarm
system) can result in failure of the nurse call.
CAUTION
Connection of a nurse call does not relieve staff of B
their duty to check the monitoring on the device
screen at regular intervals. Screen displays must A
be checked regularly.
CAUTION
All alarms on Evita V300 must be checked
regularly even when the nurse call is connected.
Do not use nurse call as the sole source of alarm
022
information!
1 Plug the nurse call connector (A) into the socket
(B) until it engages audibly.
NOTE
The connector must engage audibly into the
socket to ensure all alarm messages are
transmitted properly.
Information on the nurse call Closing the flaps at the side of the device
High-priority alarm messages (warning) are
transmitted to a central hospital alarm system. Close the lateral flaps of the device after
Medium-priority (caution) and low-priority (note) preparation.
alarm messages are not transmitted.
The nurse call is also activated when the internal
acoustic alarm generator in the device is defective.
If, in the event of an alarm, the key (Audio
paused) is pressed, the acoustic alarm on the
device and the nurse call are suppressed for
2 minutes.
Additional information
023
For the order number of the nurse call cable, see
the list of accessories.
CAUTION
Keep both lateral flaps on the device closed
during operation to prevent accidental actuation
of the toggle switch or connections becoming
loose.
Intrahospital transport
Transport refers to any movement of the medical If fitted, slide the bed coupling into its retracted
device without the patient that does not serve to position.
position the medical device.
Grasp the trolley handle firmly and push the
device in longitudinal direction.
Increasing the tipping stability
The safety information regarding intrahospital
Swivel the control and display unit (Medical patient transport also applies, see chapter
Cockpit) until it is centrally aligned with the "Intrahospital patient transport" on page 138.
ventilation unit.
Set the hinged arms to minimum extension.
Drain the water container of the breathing gas
humidifier.
Secure the breathing gas humidifier to the
trolley, not to the lateral standard rails of the
ventilation unit.
Do not attach any additional parts to the lateral
standard rails of the ventilation unit.
Getting started
Selecting a patient . . . . . . . . . . . . . . . . . . . . . 75
Using the settings of the previous patient. . . . . 75
Admitting a new patient . . . . . . . . . . . . . . . . . . 75
WARNING CAUTION
Ventilation does not take place in standby Condensation may form when the device is
mode! The device must only be set to standby moved from a cold storage location to a warm
mode when no patient is connected to the environment. Do not switch on the device as
device. The patient may otherwise be otherwise its proper functioning may be adversely
jeopardized. affected. Wait until the condensation has dried.
Prerequisites: Start D
– Ventilation unit, Infinity C300, PS500, and
GS500 are reprocessed and assembled ready
for operation.
– The mains power supply and the gas supply are B
connected. C
– The Evita V300 toggle switch is set to (on).
Press the key (A) on Infinity C300.
116
Evita V300 provides you with two options:
– Using the settings of the previous patient (B)
– Admitting a new patient (C)
If the Start dialog is closed using the X button (D),
Evita V300 adopts the settings of the previous
patient.
If a data loss occurs, the previous settings cannot
be recovered. The Current patient button (B) is not
displayed.
A
361
Selecting a patient
Touch the Current patient button (A). dependent setting for a new patient is only possible
after selecting Weight in the System setup dialog
The last used patient-related settings including the window.
alarm limits, application mode and device status
are restored. O2 monitoring and flow monitoring are The alarm limit start-up settings are recalculated
switched on, see "Information on monitoring" according to the customized system configuration.
on page 160. When a new patient is admitted, the settings and
The Start/Standby page (B) is displayed. trend data of the previous patient are deleted.
Evita V300 is in standby mode. Prerequisite: The Start dialog is opened.
Start/Standby Start
B
D
A B C
C
116
E F G
I J
H H
106
092
In the Neo. patient category, the patient's body Setting the body weight during ventilation
weight is set directly. The Start/Standby page (D)
As a result of setting the ideal body weight in the
contains the button for this start-up body weight (K).
Adult and Ped. pat. patient categories or the
Start/Standby current body weight in the Neo. patient category,
measurements are displayed relative to the body
D weight, e.g., VT/kg BW.
Setting the body weight is only possible on the
Start/Standby page during ventilation.
K L In the Adult and Ped. pat. patient categories:
1 Touch the button for the ideal body weight.
H 2 Using the rotary knob, set the ideal body weight
319
and confirm the value.
In the Neo. patient category:
1 Touch the button for the start-up body
1 Touch the button for the current body weight.
weight (K).
2 Using the rotary knob, set the current body
2 Using the rotary knob, set the start-up
weight and confirm the value.
body weight and confirm the value.
The button for the current body weight (L) is
Whenever the patient category has been
displayed. After the patient has been admitted, the
changed
current body weight corresponds to the start-up
body weight. Check the breathing circuit, see chapter
"Performing the breathing circuit check"
Evita V300 determines the start-up values for VT,
on page 84.
RR, Slope and Flow trigger based on the start-up
body weight. The values for VT and RR are
displayed in the lower part of the page (H). The Additional information
other ventilation parameters displayed in the lower
The configuration for the ventilation parameter
part of the page are start-up settings for the
start-up values by body height/body weight or by
selected patient category.
patient category is entered on the System setup >
Determining the start-up settings can take up to Ventilation > Start settings page. See chapter
5 seconds. No entries can be made during this "Configuring start-up settings for the ventilation
time. parameters" on page 190.
For information on configuring customized alarm
limits, see chapter "Setting start-up values for alarm
limits" on page 184.
For information on starting the therapy, see chapter
"Starting the therapy" on page 92.
The breathing circuit and the breathing gas If the breathing circuit used is not included in
humidifier can only be selected in standby mode. the selection list
1 Touch the Start/ Standby... button in the main 1 Touch the button (B).
menu bar.
2 Select Other from the selection list.
2 Touch the Br. circuit/ Humidifier tab (A).
3 Confirm with the rotary knob.
The page for selecting the breathing circuit and the
4 Select the humidification type (E):
breathing gas humidifier is displayed.
– Active humid., exp. unheated
Start/Standby – Active humid., exp. heated
A – HME/Filter
B – None
Touch the corresponding button.
101
Safety information on the system check
Evita V300 displays the following on the Overview
page (B):
WARNING
– Last device check with date, time, and result (C)
Before using on the patient – Last breathing circuit check with date, time, and
– Perform the device check. If a malfunction the amount of leakage determined (D)
is detected, do not operate the device! – Battery check, result of the last battery check,
Patient hazard! and date for the next battery check (E)
– Perform the breathing circuit check to
ensure the pressure measurement
accuracy. Otherwise the airway pressure
may deviate from the set values.
C
102
102
The O2 sensor is calibrated during each device Confirm with Yes (F).
check. The regular calibration of the O2 sensor
ensures the specified accuracy. The page for the breathing circuit check is opened.
Starting the breathing circuit check When using Infinity ID breathing circuits, the default
values of the breathing circuit detected are used.
Prerequisite: The System check page (A) is open.
The leakage measurement becomes invalid.
1 Touch the Breathing circ. check tab (B).
When the patient category is changed, the
Start/Standby breathing circuit that was last used in this category
is selected and the corresponding values for hose
A
compliance and hose resistance are used.
D
The leakage measurement becomes invalid when
E a new patient is admitted to the same patient
B category. The values for hose resistance and hose
F compliance are retained.
The values of the last test are displayed (C). If a Canceling the breathing circuit check
valid measurement has not yet taken place, the
Start/Standby
standard values are displayed.
2 Touch the Start button (D).
G
3 Confirm with the rotary knob.
4 When requested by Evita V300 in the
instruction field (E): Seal the patient connection
port, e.g., with a sterile glove. Confirm with OK
(F).
5 When requested, open the patient connection
port. Confirm with OK (F).
103
The current leakage flow is displayed continuously
1 Touch the Cancel button (G).
throughout the test. A leakage flow of up to
300 mL/min at a pressure of 60 mbar (60 cmH2O) 2 Confirm with the rotary knob.
is acceptable.
The leakage measurement becomes invalid. The
After the leakage test, Evita V300 determines the values for hose resistance and hose compliance
compliance and the inspiratory and expiratory are reset to the default values.
resistance of the breathing circuit. Based on the
calculated compliance of the breathing circuit,
Evita V300 automatically corrects the volume-
controlled breaths as well as the measured flow
monitoring values.
When changing the breathing circuit and type of
humidifier, Evita V300 automatically resets the
values for hose compliance and hose resistance to
default values.
103
circuits. The test measures the leakage of the inner
5 If the displayed leakage value is permanently
hose.
below 120 mL/min, the OK button (F) turns light
Connect the coaxial breathing circuit: green.
Then touch the Cancel button (G). The check of
the coaxial breathing circuit is completed.
Continue with step 6.
J H If the displayed leakage value is unstable or is
permanently above 120 mL/min, touch the
I Cancel button (G). Remove the coaxial
breathing circuit from the device and dispose of
it. If required, perform a new test with a new
coaxial breathing circuit.
After the test:
6 Remove the patient connector of the breathing
hose, together with the coaxial test adapter,
232
104
The detailed results of the check are displayed.
– Compliance [mL/mbar] (J)
– Flow [L/min] (K)
369
Start/Standby
N
O
366
1 Unplug the power plug. 2 In the Special maneuvers > Maneuvers dialog
window, touch and hold the Man. insp./hold
If there is a PS500 power supply unit present, the button until the Inspiratory hold interrupted
device switches over to the PS500 without alarm is triggered.
interruption. If there is no PS500 present or the
PS500 is discharged, the device switches over to
the internal battery without interruption. The Checking alarm limits
Battery activated alarm is displayed.
2 Plug the power plug back in. The alarm limits for a settable alarm can be
checked by setting the alarm limits appropriately.
The device switches back to mains operation. The When the alarm limit is exceeded, the
Battery activated alarm message goes out. corresponding alarm is triggered.
Additional information on setting alarm limits can be
Checking the alarm signaling found in chapter "Setting alarm limits" on page 146.
Evita V300 can switch between non-invasive Setting parameters for the tube
ventilation and tube ventilation.
The application mode can only be selected in The inner diameter of the tube and the tube type
standby mode. can be entered for the following functions:
– Display of Ptrach, independent of ATC
1 Touch the Start/ Standby... button in the main – Measurement of patient resistance Rpat and
menu bar. the index C20/Cdyn
2 Touch the Tube/NIV tab (A). If the inner diameter of the tube and the tube type
are entered, the measured value Rpat corresponds
Start/Standby
with the patient resistance. Only if the inner
A diameter of the tube and the tube type are entered
B C correctly, are Rpat and C20/Cdyn displayed
correctly. The measured value R always
corresponds with the total resistance.
Prerequisite: The Tube/NIV page (A) is open.
The Tube application mode has been selected.
Start/Standby
A
113
Start/Standby
A
B C
126
C
092
Additional information
The page for the ventilation settings can be opened
with the Ventilation settings... button (C).
Start/Standby
A
B
368
Additional information
The time for the exchange interval can be
configured on the System setup > System status
> Exchange intervals page. See "Configuring
exchange intervals" on page 199.
Operation
Setting ventilation
Overview The page for the active ventilation mode (D) with
the General settings (F) is displayed by default.
This chapter describes how to set ventilation The corresponding therapy controls (E) are
modes and general settings as well as additional displayed.
settings for ventilation parameters. The tab for Additional settings (G) can be used to
For a detailed description of the ventilation modes supplement the active ventilation mode with
and ventilation parameters, see chapters additional settings.
"Description of the ventilation modes" on page 314
Ventilation settings
and "Additional settings for ventilation"
on page 336. D
F
G
Opening the Ventilation settings dialog E
window
083
The Ventilation settings dialog window can be
opened as follows:
Selecting ventilation modes
Touch the Ventilation settings... button (A) in
the main menu bar.
Prerequisite: The General settings page (A) is
Touch the button (B) in the therapy bar. open.
Touch the displayed ventilation mode (C) in the Ventilation settings
header bar.
B B B B C
C A
1 2 3
A
083
Evita V300 opens the Ventilation settings dialog The following 4 ventilation modes are preset at the
window. factory:
– VC-AC
– PC-BIPAP
– VC-SIMV
– SPN-CPAP/PS
131
1 Touch the corresponding therapy control, e.g.,
(B).
2 Set the value by turning the rotary knob and
170
3 Confirm with the rotary knob. Information is displayed in the message field (D),
e.g., when the setting limit of a parameter has been
The additional ventilation mode is displayed in the reached.
fifth tab (C). The ventilation mode is active.
078_V300
3 Confirm with the rotary knob. The color of the "Exceeding the set limit of a ventilation parameter"
tab turns dark green. on page 46.
The ventilation mode is active. The settings are "Direct setting of ventilation parameters
applied to the patient. (QuickSet)" on page 47.
"Linked setting of ventilation parameters"
on page 47.
WARNING
Do not suction during volume-controlled
ventilation. Flow delivery is limited in this
form of ventilation. As a result, negative
pressures are possible. Patient hazard!
WARNING
In the Neo. patient category, always use the
neonatal flow sensor for ventilation in the
Tube application mode. Otherwise,
measurement accuracy will be impaired.
Patient hazard!
CAUTION
In volume-controlled ventilation modes for
pediatric patients with relatively low compliance,
deviations in VT and MV are possible. In such
cases, change to pressure-controlled ventilation.
WARNING
If flow measurement is deactivated for
SPN-CPAP, use a separate monitoring device.
CAUTION
Only remove the water trap of the expiratory valve
briefly during ventilation. Otherwise, ventilation
will be impaired.
Setting the supplementary settings The page for setting the corresponding parameters
is opened.
Prerequisite: The page with the active ventilation
mode is open. Ventilation settings
1 Touch the Additional settings tab (A).
The additional settings of the active ventilation
mode are displayed. C C
Ventilation settings
D D D
098
CAUTION
High trigger sensitivity may lead to auto-triggering
of the ventilator.
Additional information
For a detailed description of the additional settings,
see chapter "Additional settings for ventilation"
on page 336.
Start/Standby
CAUTION A
Use of masks increases the dead space. Observe
the mask manufacturer's instructions! B
NOTE
Use suitable masks. Otherwise excessive
C
leakages may occur.
WARNING
Avoid high airway pressures. Danger of
365
aspiration!
4 Touch the NIV button (B) and confirm with the
rotary knob.
WARNING
Alarm limits and ventilation settings must be Evita V300 is in NIV application mode. In the
checked or set again in order to ensure header bar Evita V300 displays the symbol .
complete monitoring of ventilation after In the Neo. patient category, flow monitoring is
changing from NIV application mode to Tube deactivated.
application mode.
Limiting the inspiratory flow in the Neo. patient Setting ventilation parameters for NIV
category
In the Neo. patient category the inspiratory flow can Set the ventilation parameters as described
be limited with the Flow max setting. The base flow under "Setting ventilation parameters"
and the nebulizer flow (if active) are not affected by on page 97.
this setting. If the NIV application mode is selected,
the setting is reset to the maximum value. Therapy control Timax
To limit the maximum flow: The therapy control Timax (A) limits the maximum
Touch the Flow max button (C). Set the value duration of supported breaths (Pressure Support,
by turning the rotary knob and push to confirm. Volume Support, PPS) because the inspiratory
termination criterion may be ineffective with very
high leakages.
Starting NIV ventilation Ventilation settings
Start/Standby
A
105
B Set the value for Timax by turning the rotary
knob and push to confirm.
Ventilation settings
367
ventilation is displayed.
During manual inspiration, the duration of the
mandatory breath is determined by the TmanInsp
therapy control (B).
During manual inspiration, the pressure of the
mandatory breath is determined by the PmanInsp
therapy control (C).
Set and confirm the relevant values using the
rotary knob.
WARNING
Alarm limits may only be deactivated if the
safety of the patient is not jeopardized by the
absence of an alarm!
Additional information
"Setting alarm limits" on page 146.
Single loop
Touch the Views... button. Double loops
1 2 3
A 1 2 3
B
115_V300
Selecting the display of parameter fields Selecting the display of curve fields
1 Touch the parameter field. 1 Touch the curve field.
The selected parameter field is highlighted. The selected curve field is highlighted. Evita V300
Evita V300 opens the dialog for the contents of the opens the dialog for the contents of the curve field.
parameter field.
2 Proceed as described under "Selecting the
display of parameter fields".
Content
Additional information
E
"Configuring the screen view" on page 178.
"Factory-set screen views" on page 373.
F
C D
107
145
Recording the current loop in order to freeze,
display and save it afterwards The current curves are immediately frozen. The
cursor (A) displays the time of "freezing" and the
Touch the Capture loop button (B). value at the cursor position.
The current loop is frozen. The loops are drawn in To display a measured value at a certain moment in
blue. After "freezing", a cursor (C) is displayed time:
which can be moved with the rotary knob. The
respective values are displayed (D). Position the cursor on the time with the rotary
knob.
Recording up to 10 loops of mandatory or The measured value or the measured value pair
spontaneous breaths are displayed above the curve.
1 Touch the Draw button (E). To cancel the Freeze waveforms function:
2 Set how many loops should be recorded with Touch the Freeze waveforms button in the
the rotary knob and push to confirm. main menu bar again.
Smart Pulmonary View Smart Pulmonary View must be calibrated for each
new patient. If the measured values for Rpat and
Smart Pulmonary View is a graphic display of the Cdyn are outside the current display range, a red
compliance and resistance as well as of the line appears and calibration is required. Evita V300
spontaneous and mandatory minute volume. displays the following information:
Touch "Take reference".
A double-size curve field must be configured in
order to display Smart Pulmonary View. See Calibrating Smart Pulmonary View:
"Configuring the screen view" on page 178. Touch the Take reference (E) button.
The display range is adapted to the current
measured values. The measured values from the
last calibration are displayed as a broken line.
B
E Additional information
For a detailed description, see "Smart Pulmonary
C View" on page 355.
A
316
Help
Opening Help
Touch the Help... button in the main menu bar.
Help
F
171
A B C D E Touch the button (G) in the dialog window.
The appropriate section of the Help is displayed.
Closing Help
Touch the (G) or the (H) button in the dialog
window.
318
Maneuvers
081_V300
Manual inspiration – Manual
inspiration/hold
Triggering manual inspiration
The Manual inspiration/hold maneuver can be
activated in all ventilation modes and offers the Briefly touch the Man. insp./hold button (B).
following options:
– Between two mandatory breaths, a breath can Manually extending inspiration
be manually started and held. The pattern of the
Touch and hold the Man. insp./hold button (B)
manually started breath corresponds to the
for the desired inspiratory time.
ventilation pattern of the currently active
automatic ventilation mode. Evita V300 triggers an extended breath or extends
an already triggered mandatory breath.
– Regardless of the start time, a mandatory
breath can be prolonged. Evita V300 automatically ends inspiration:
– After a maximum of 40 seconds in the Adult
1 Touch the Special maneuvers... button in the
and Ped. pat. patient categories
main menu bar.
– After a maximum of 5 seconds in the Neo.
Evita V300 opens the Special maneuvers dialog patient category
window.
WARNING
The Manual inspiration/hold maneuver must
not be used during endotracheal suction.
Otherwise negative pressure may jeopardize
the patient.
Initial and final oxygen enrichment are only 3 Touch the O2 suction button (B) and confirm
possible with a fully functioning flow sensor and if with the rotary knob.
flow monitoring is switched on!
The oxygen enrichment program is started.
WARNING Evita V300 ventilates in the set ventilation mode
Select an appropriate suction catheter for with an increased O2 concentration:
suction. Otherwise this may result in a too
high negative pressure. Adult patient : 100 Vol% O2
category
WARNING Ped. pat. and Neo. : 1 to 2 times the current FiO2
Do not suction during volume-controlled patient categories concentration
ventilation. Flow delivery is limited with this
form of ventilation and therefore a high If PEEP is not set to more than 4 mbar (4 cmH2O),
negative pressure may occur. a PEEP of 4 mbar (4 cmH2O) will be applied
automatically. This PEEP allows Evita V300 to
detect disconnection. The other ventilation
WARNING
parameters remain unaffected.
Risk of patient injury during suction in a
closed breathing circuit Screen display:
078_V300
1 2 3
B
081_V300
Automatic termination of oxygen enrichment 2 Touch the Maneuvers tab (A) if the page is not
already preset.
If there is no reconnection when the time available
(120 seconds) has elapsed, the oxygen enrichment Special maneuvers
is terminated. All alarms are immediately active A
again. Evita V300 continues to ventilate
immediately in the set ventilation mode.
After reconnection
After reconnection, Evita V300 continues
ventilating in the set ventilation mode, except that
for 120 seconds an increased O2 concentration will
continue to be delivered for final oxygen B
081_V300
enrichment.
In the header bar, the remaining time available for
the final oxygen enrichment phase is displayed Activating manual disconnection
continuously in seconds.
Touch the Manual discon. button (B) and
confirm with the rotary knob.
Terminating oxygen enrichment prematurely
Touch the O2 suction button again and confirm Additional information
with the rotary knob.
The Manual disconnection maneuver can be
configured as a Manual discon. button in the main
Additional information menu bar to enable direct access. See "Assigning
functions to additional buttons" on page 181.
The suction maneuver can be configured as a O2
suction button in the main menu bar to enable The Manual discon. button is located in the quick
direct access. See "Assigning functions to access bar.
additional buttons" on page 181.
Manual disconnection
Medication nebulization
CAUTION
CAUTION
Ventilation impaired
During medication nebulization, do not use a heat
and moisture exchanger (HME) at the Y-piece. Aerosols may impair the functional integrity of the
The medication will not be appropriately expiratory valve.
administered to the patient.
When using medication nebulization, shorten the
reprocessing cycles for the expiratory valve.
CAUTION
Do not place a bacterial filter on the nebulizer
outlet during nebulization! Bacterial filters may Failure of the Air supply
increase the flow resistance and impair If the Air supply fails during medication
ventilation. nebulization, the medication nebulizer will continue
to operate with 100 Vol% O2. In this case,
CAUTION deviations in the inspiratory O2 concentration are
Remove the medication nebulizer after use. possible.
Accidental medication nebulization may impair
ventilation.
CAUTION
Surplus nebulized medication can affect the
ambient air.
Air supply from the GS500 gas supply unit O2 concentration of up to ±4 Vol% are possible. For
respiratory rates above 12/min, refer to the graph
If Evita V300 is supplied with Air from the GS500
on page 349.
gas supply unit and O2 is supplied from the central
gas supply system, the medication nebulizer CAUTION
operates with O2 only.
For respiratory rates of less than 12/min, major
The measured value FiO2 indicates the O2 deviations in O2 concentration may occur in
concentration of the gas supplied at the inspiratory extreme cases. Such deviations cannot be
port and not the O2 concentration reaching the detected by the device's internal monitoring of O2
patient. For deviations, see page 350. concentration.
For this reason, do not use the medication
Using a pneumatic medication nebulizer in the nebulizer at respiratory rates of less than 12/min!
Adult patient category
Medication nebulization may be used in all CAUTION
ventilation modes. The inspiratory tidal volume displayed may be
considerably higher or lower than the actual
Evita V300 applies the medication aerosol in
inspiratory tidal volume applied to the patient on
synchronization with the inspiratory flow phase and
account of tolerances in the nebulizer flow.
maintains a constant minute volume.
Pressure-controlled ventilation is therefore
If Evita V300 is supplied with Air and O2 from the recommended during nebulization.
central gas supply system, the medication
nebulizer is operated with mixed gas at the set O2 Compare the current measured values for minute
concentration. Small deviations in the inspiratory and tidal volumes with the measured values before
O2 concentration of up to ±4 Vol% are possible. To nebulization.
avoid greater deviations, Evita V300 automatically
If the VT and MV values differ significantly, the
switches off medication nebulization at inspiratory
ventilation pressure can be used for assessment of
flows below 14 L/min.
the ventilation. VT and MV values can be assessed
by comparing the difference between PEEP and
Using a pneumatic medication nebulizer in the plateau pressure before and during nebulization.
Ped. pat. patient category (with Infinity ID flow
In order to avoid false alarms and ensure
sensor)
monitoring:
Medication nebulization is possible in the pressure-
Adjust both alarm limits for MVe in line with the
controlled ventilation modes. In volume-controlled
current value.
ventilation modes, nebulization is only possible
while using the AutoFlow ventilation mode Use additional monitoring, e.g., external SpO2,
extension. if necessary.
The medication nebulizer nebulizes continuously.
The aerosol generated during expiration does not
reach the lungs, however.
If Evita V300 is supplied with Air and O2 from the
central gas supply system, the medication
nebulizer is operated with mixed gas at the set O2
concentration. Small deviations in the inspiratory
Using a pneumatic medication nebulizer in the Installing the medication nebulizer into
Neo. and Ped. pat. patient categories (with the breathing circuit
neonatal flow sensor)
Medication nebulization is possible in the pressure- For use in the Adult patient category
controlled ventilation modes. In the Ped. pat.
patient category, medication nebulization is also
possible in volume-controlled ventilation modes in B
conjunction with AutoFlow.
The medication nebulizer nebulizes continuously.
The aerosol generated during expiration does not C
reach the lungs, however. A
If Evita V300 is supplied with Air and O2 from the
065
central gas supply system, the medication
nebulizer is operated with mixed gas at the set O2 1 Connect the medication nebulizer (A) to the
concentration. Small deviations in the inspiratory inspiratory side of the Y-piece.
O2 concentration of up to ±4 Vol% are possible. For 2 Connect the inspiratory hose (B) to the
respiratory rates above 12/min, refer to the graph medication nebulizer.
on page 349.
3 Place the medication nebulizer in the vertical
In order to avoid false alarms and ensure position.
monitoring:
4 Using clamps, run the nebulizer hose (C) back
Use additional monitoring, e.g., external SpO2, to Evita V300 along the inspiratory hose.
if necessary.
025
4 Remove the corrugated hose of the breathing
circuit (G) from the inspiratory port of the
Y-piece and connect it to the catheter connector
(D).
322
5 Connect the free end of the corrugated hose (F) 1 Press the inlet port or the outlet port of the
to the inspiratory port of the Y-piece. medication nebulizer into one side of the clip
and the expiratory hose into the other.
Additional information 2 Place the medication nebulizer in the vertical
position.
The catheter connector (D) and adapter (E) can be
ordered under order number 8411031, see the list
of accessories. Connecting the nebulizer hose
WARNING
When using on the incubator
The nebulizer port (H) must be used for
nebulization only! Otherwise the proper
functioning of the device may be disrupted
and the patient endangered.
I
064
323_V300
Switching on medication nebulization Touch the Off button (D) and confirm with the
rotary knob.
1 Touch the Special maneuvers... button in the
main menu bar.
Removing the neonatal flow sensor from the
2 Touch the Nebulization tab (A). breathing circuit
Special maneuvers In the instruction field (E) Evita V300 requests the
A user to remove the neonatal flow sensor from the
breathing circuit.
B ∞
Special maneuvers
A
086_V300
E
3 Touch the button for the desired nebulization
time (B).
327_V300
Nebulization can be set to 5, 10, 15, or 30 minutes
or to continuous nebulization. WARNING
In the Adult and Ped. pat. patient categories (with Risk of fire
Infinity ID flow sensor), the nebulization starts. See
The measuring wires of the neonatal flow
"During medication nebulization" on page 121.
sensor are very hot and may ignite deposits of
Additional operating steps are necessary when medication aerosols during nebulization.
using the neonatal flow sensor. – Before medication nebulization, remove
the complete ISO 15 neonatal flow sensor,
or remove the sensor insert from the
Deactivating flow monitoring with neonatal flow
neonatal flow sensor Y-piece and insert a
sensor
sealing plug.
When the neonatal flow sensor is used, Evita V300 – Use additional monitoring since otherwise
requests the user in the instruction field (C) to the minute volume is not monitored and
switch off flow monitoring. apnea monitoring is limited.
When using the neonatal flow sensor Y-piece Replace or clean the neonatal flow sensor if
(8410185): there is visible soiling. See "Dismantling the
neonatal flow sensor" on page 246.
Special maneuvers
F
G
L
306
1 Disconnect plug (F) of the flow sensor cable
from the neonatal flow sensor (G).
327_V300
Touch the Done button (L).
H
I During medication nebulization
Evita V300 starts nebulization. The symbol
and the remaining nebulization time is displayed in
the screen header bar.
Evita V300 automatically switches off the
medication nebulizer after the set nebulization time
305
has elapsed.
2 Remove the insert (H).
A message indicating that nebulization has been
3 Insert the sealing plug (I) (8411024).
ended appears in the screen header bar.
The sealing plug is a component of the
medication nebulizer.
Additional information
When using the neonatal flow sensor ISO 15
(8411130): In the Ped. pat. patient category (with neonatal flow
sensor), further medication nebulization begins
when the nebulization time is entered, if flow
monitoring with neonatal flow sensor has already
been switched off.
In the Neo. patient category, removal of the
neonatal flow sensor must be confirmed again.
J
K
304
If the parameter field for continuous nebulization When using the neonatal flow sensor, the following
Cont. neb. has been configured for display, the steps are also required:
duration of medication nebulization is displayed. 3 Reconnect the neonatal flow sensor.
When using the neonatal flow sensor Y-piece
Aborting medication nebulization (8410185):
Remove the sealing plug and push the
Special maneuvers insert back in.
Reconnect plug of the flow sensor cable.
A When using the neonatal flow sensor ISO 15
(8411130):
Re-insert the neonatal flow sensor in the
Y-piece.
343_V300
Additional information
The Nebulization maneuver can be configured as
a Nebulization button in the main menu bar to
enable direct access. See "Assigning functions to
additional buttons" on page 181.
The Nebulization button is located in the quick
access bar.
Nebulization may lead to increased deposits.
Consequently, it may be necessary to change the
following compnents more often:
– Flow sensor
– Expiratory valve
Before nebulization with Aeroneb Remove the sealing plug and push the
insert back in.
When using the neonatal flow sensor, the following
steps are also required: Reconnect plug of the flow sensor cable.
1 Deactivate flow monitoring with neonatal flow When using the neonatal flow sensor ISO 15
sensor, see page 165. (8411130):
2 Remove the neonatal flow sensor from the Re-insert the neonatal flow sensor in the
breathing circuit, see page 120. Y-piece.
4 Activate flow monitoring with neonatal flow
WARNING
sensor, see page 165.
Risk of fire
5 Calibrate the neonatal flow sensor,
The measuring wires of the neonatal flow see page 161.
sensor are very hot and may ignite deposits of
medication aerosols during nebulization.
– Before medication nebulization, remove Additional information
the complete ISO 15 neonatal flow sensor, For the order number of the Aeroneb nebulizer,
or remove the sensor insert from the see the list of accessories.
neonatal flow sensor Y-piece and insert a
sealing plug.
– Use additional monitoring since otherwise
the minute volume is not monitored and
apnea monitoring is limited.
117_V300
configured for direct access as P0.1, PEEPi and
NIF buttons in the main menu bar. See "Assigning
Evita V300 displays the P0.1 values of the
functions to additional buttons" on page 181.
4 previous measurements (C).
The P0.1, PEEPi and NIF buttons are located in the
quick access bar.
Performing a measurement manually
1 Touch the Start button (D).
Occlusion pressure – P0.1 2 Confirm with the rotary knob.
Evita V300 starts the P0.1 measurement with the
General next spontaneous inspiration.
The occlusion pressure P0.1 characterizes the
negative pressure during a short occlusion Cancel measurement
(0.1 seconds) at the start of spontaneous
inspiration. Touch the Cancel button (E).
Using automatic P0.1 measurement Evita V300 displays the following values for the
4 previous measurements (C):
1 Touch the On button (F).
– PEEPi (intrinsic PEEP)
2 Set the time interval. Touch the button for the – incl. PEEP (intrinsic PEEP taking the set PEEP
time interval (G). Set the value by turning the into account)
rotary knob and push to confirm. – Vtrap
– Date and time of the measurement
The remaining time until the next measurement is
displayed. 4 Touch the Start button (D) and confirm with the
rotary knob.
To observe the therapy success, record the
measured value P0.1 as a trend. Evita V300 starts the PEEPi measurement.
The measurement can be aborted with Cancel (E).
Intrinsic PEEP – PEEPi
General
Intrinsic PEEP is the actual end-expiratory
pressure inside the lungs.
This special procedure can be performed in all
ventilation modes. Breathing activity by the patient
during this maneuver can distort the measured
values.
General
The Negative Inspiratory Force Index (NIF)
measures a patient's maximum inspiratory effort
after exhaling. The breathing circuit is closed during
measurement of the NIF. The NIF value is also
known as the Maximum Inspiratory Pressure (MIP).
As a result of the inspiratory effort during manual
expiration, the patient generates a negative
pressure in relation to PEEP. Evita V300
determines the NIF value during manual expiration.
Special maneuvers
A
D
C
B
C
C
119_V300
In order to ensure continuous Air supply, Switching on the gas supply unit for
Evita V300 can be equipped with the GS500 gas intrahospital patient transport
supply unit. If Evita V300 is connected to the central
1 Touch the Special maneuvers... button in the
gas supply system, GS500 ensures the supply of
main menu bar.
Air to the device in the case of failure of the central
gas supply system and during intrahospital patient 2 Touch the Transport tab (A).
transport.
3 Touch the On button (B).
Special maneuvers
Installing the bacterial filter A
B C
325_V300
A 4 Pull out the probe of the Air compressed gas
hose from the wall terminal unit of the central
gas supply system.
342
O2 therapy
CAUTION
Internal monitoring is deactivated. Airway Preparing a system with a Fisher & Paykel MR
pressure and ventilation parameters, e.g., flow, 850 breathing gas humidifier
minute volume or apnea are not monitored. Use
external SpO2 monitoring for patients who are
dependent on an increased defined O2
concentration. Otherwise a worsening of the
A
patient's condition cannot be detected.
NOTE
If the pressure needed for the set flow exceeds
30 mbar (30 cmH2O), the device issues an alarm
and the safety valve is opened. The cause may be
B
a kinked breathing hose or a blocked mask or B
nasal cannula. 037
109_V300
Start/Standby D E
A
B During O2 therapy, the screen display on the main
screen cannot be customized.
C
108
1 2 3
A B
109_V300
D
1 Touch the corresponding therapy control in the
therapy bar:
– FiO2 (A)
– Flow (B)
2 Set the value by turning the rotary knob and
push to confirm.
The FiO2 concentration is represented graphically
(C).
Standby mode
Switch to standby mode for the following actions: The message Standby mode activated is
– Keep Evita V300 ready for operation while the displayed in the header bar.
patient is absent
3 Touch the ALARM RESET button in the header
– Change the therapy type between ventilation
bar and confirm with the rotary knob.
and O2 therapy
– Change the patient category Evita V300 is in standby mode. Standby is
– Change the application mode displayed in field (C).
– Perform the device and breathing circuit check
– Query the status of accessories
– Switch off Evita V300
1 2 3
WARNING
Ventilation does not take place in standby C
mode! The device must only be set to standby
mode when no patient is connected to the
device. The patient may otherwise be
jeopardized.
363_V300
Activating standby mode
Start/Standby
A
B
367
Start/Standby
A A
B
367
Additional information
If the patient category or the body weight is
changed, Evita V300 determines new start-up
values for ventilation. See "Admitting a new patient"
on page 75.
For information on changing ventilation settings,
see "Setting ventilation" on page 96.
Ending operation
1 Switch Evita V300 to standby mode: Touch the As soon as the screen is completely dark
Start/ Standby... button in the main menu bar.
Disconnect the mains plug from the mains
Touch the Standby button and confirm with the
power socket.
rotary knob.
Pull the probe of the Air compressed gas hose
and the probe of the O2 compressed gas hose
out from the wall terminal units of the central
gas supply system.
CAUTION
Disconnect the compressed gas hoses from the
central gas supply system. Otherwise minute
internal leaks could contaminate the central gas
supply system through the reverse flow of supply
gases.
A
If Evita V300 cannot be switched off on account
361
of a device malfunction
2 Press the key (A) on Infinity C300.
1 Open the device flap on the left side of
Evita V300 opens the Shut down device dialog.
Evita V300.
Shut down device 2 Set the toggle switch to (off).
Once the toggle switch has been pressed and the
mains plug is disconnected, Evita V300 cannot be
B C switched on.
socket.
3 Touch the OK button (B) and confirm with the
2 Open the device flap on the left side of
rotary knob.
Evita V300.
Evita V300 ends operation.
3 Set the toggle switch to (on).
To return to standby mode:
4 Switch on Evita V300: Press the key on
Touch the Cancel button (C). Infinity C300.
When Evita V300 is not in standby mode and the
key (A) is pressed, the Start/Standby page is
opened.
Internal battery
The internal battery is supplied with the device. A B
358
PS500 power supply unit A LED for mains power:
In addition to the internal battery, the device can – Lights green when mains power is applied
optionally be equipped with the PS500 power and the toggle switch is in the position.
supply unit. – If the LED does not light up, the device is
disconnected from the mains power.
B LED for the internal battery:
Use of power supplies – Lights green when the battery charge is
greater than approx. 90 %.
The device is supplied with electric power from the – Lights yellow when the battery charge is
following sources in the order stated: between approx. 10 % and 90 %.
– Mains power – Does not light if the internal battery is faulty,
– Batteries in the PS500 (if present) discharged or device is switched off with the
– Internal battery toggle switch (energy-saving mode).
The switch-over between these sources takes
NOTE
place without interruption to operation according to
the following rules: The LED indicates only the battery charge
– If the mains voltage is sufficient, the power is of the internal battery, even when the PS500 is
supplied from the mains. present.
– If the mains voltage is not sufficient or during a
battery check, the power is supplied from the
batteries.
373
of the battery alarms" on page 186. The batteries are charged when the device is
Alarm messages are displayed corresponding to supplied with mains voltage. The symbol (A) is
the remaining battery capacity in order to warn displayed in the screen header bar.
against the complete discharge of the battery. The batteries are charged in the following order:
Alarm messages, see chapter "Alarm – Cause – – Internal battery
Remedy." – Batteries in the PS500 (if present)
Reestablish the mains power supply
immediately to avoid interruption of the Charging times
ventilation functions.
For information on the charging times,
When battery supply is no longer needed, recharge see page 297.
the batteries, see chapter "Battery charging".
A flashing symbol (C) indicates the following: Care and maintenance of the batteries
– The battery check is running.
– The interval for the battery check has expired. Take note of the following to limit premature ageing
– The last battery check failed. of the battery:
– Battery replacement is recommended. – Operate the device under the stated ambient
conditions
Battery parameter field – Avoid storing the device with discharged or
partially discharged batteries
In addition to the battery charge indication, the – Connect the device to the mains power supply
Battery parameter field can be configured. after battery operation
– Avoid shocks and vibrations
Battery – Perform the recommended battery checks
A
PS500
B
C
Internal
D
375
NOTE
Ageing and use of the batteries can result in a
shorter operating time compared with new
batteries.
Depending on the battery used, the battery
charge is indicated to the nearest 5 or 10 minutes.
It is always the minimum calculated operating
time that is displayed.
WARNING
Do not move trolley faster than at a walking
pace. There is an increased danger of the
trolley toppling over at thresholds, uneven
surfaces and ramps. Reduce the speed of
transport further. Danger of damage to
equipment!
A
020
WARNING
Two people are always required to move the
device. Otherwise there is an increased risk of Increasing the toppling stability during
the device toppling over. intrahospital patient transport
To ensure that the equipment cannot topple over,
WARNING the accessories must be moved to the most
Make sure to securely hold onto the handle of advantageous position:
the trolley whenever moving or positioning 1 Hinged arm set to minimum deflection.
the device. Otherwise there is an increased
risk of the device toppling over. 2 Hoses and cables hooked as close as possible
to the trolley.
WARNING 3 Humidifier secured to the trolley, not to the
Patient hazard due to discharged batteries. lateral rails of Evita V300.
Only start transporting patients when the
batteries are sufficiently charged.
Additional information
Air supply from the GS500 gas supply unit, see
"GS500 gas supply unit" on page 127.
Power supply, see "Mains power supply / DC power
supply" on page 135.
For the order number of the safety bar, see the list
of accessories.
Alarms
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142
Overview
Display of alarms
C A
1 2 3
B
376_V300
Alarm priorities
Alarm priority
High Medium Low
Alarm message field Alarm message on a red Alarm message on a Alarm message on a
background yellow background turquoise background
Parameter field Flashes red Flashes yellow –
Alarm bar Flashes red Flashes yellow –
078_V300
B 1 Touch the ALARM RESET button (A) in the
header bar.
2 Confirm with the rotary knob.
082
For a list of causes and remedies, see chapter The acknowledgeable messages are deleted in the
"Alarm – Cause – Remedy" on page 205. header bar and in the list containing the current
alarms. However, Evita V300 records all alarm
messages in the alarm history.
Alarm history
Alarms
A
B
094
B
C Deactivating alarm limits
D
WARNING
Alarms must only be deactivated if the safety
of the patient is not jeopardized by the
096
The alarm limit settings and the current measured absence of an alarm!
value are displayed.
The following alarm limits can be deactivated:
(B) : Upper alarm limit
Patient Invasive Non-invasive
(C) Current value : Current measured value category ventilation ventilation
(D) : Lower alarm limit Adult RR high MV low
VT high RR high
VT low Tapn
How to set an alarm limit – VT high
2 Set the value by turning the rotary knob and VT low Tapn
push to confirm. – VT high
– VT low
WARNING
The alarm limits must be set to meet the needs Neo. MV low –
of the therapy required by the current patient. RR high RR high
The patient may otherwise be jeopardized.
Tapn Tapn
Setting extreme alarm limits can render the
alarm system useless. VT high –
VT low –
Alarms
A
B
095
The alarm tone can be suppressed for a maximum Press the (Audio paused) key (A).
of 2 minutes.
This suppresses the acoustic alarm for 2 minutes.
Evita V300 displays the symbol in the header
bar and the remaining time for the suppressed
alarm tone.
If an alarm with a higher priority appears during this
time, the alarm tone sounds once.
If the fault triggering the alarm is not eliminated
after 2 minutes, the alarm tone sounds again.
Reactivate the alarm tone before the suppression
time has elapsed:
Press the (Audio paused) key (A) again.
A
362
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152
Overview
Evita V300 saves measured value and trend data. The Trends/Data dialog window provides the
Trends are displayed in the form of a graphic or a following functions for selection:
table. The following can be displayed: current – Display trends
measured values, settings and hospital-specific – Display data
combinations of measured and set values. The – Logbook
logbook can save up to a maximum of 5000 entries. – Data export
Data can be exported with a USB storage medium.
Displaying trends
Graphic trends
D E
076
Selecting parameters for the graphic trend The dialog for the group selected is closed.
display
The selected parameters are displayed in the trend
Prerequisite: The Graphics 1 or Graphics 2 page display. The Setup dialog is closed.
is open.
1 Touch the button (E). Deselecting a parameter in the trend display
The Setup dialog is displayed with the buttons for Touch the parameter to be deselected in the
Meas. (F) and Settings (G). parameter type dialog. The button turns pale green.
Setup
Selecting a time interval for the graphic trend
F G display
Prerequisite: The Graphics 1 or Graphics 2 page
is open.
Trends/Data
L
M
138_V300
076
– Minute vol. 1 Touch the button for the time interval (K).
– Volume/Flow
– Gases 2 Select the time interval from the selection list
– Timing/Cycl. (2, 4, 8, 12 hours; 1 day, 7 days).
– Others
– Events Displaying the value of a parameter at a certain
The settings (G) are divided into the following moment in time
parameter types: Position the cursor (L) on the time by turning the
– Pressures rotary knob or touching the time.
– Volume/Flow
– Gases The parameter value and the marked time are
– Timing/Cycl. displayed (M).
– Others The marked time in the trend display also
2 Touch the appropriate button for measurements corresponds with the marked row of this time in the
or settings. logbook.
3 Touch the desired parameter. Touch the buttons in the scrollbar (N) or turn the
rotary knob.
Trends/Data
B
315
A Apnea trend
B Apnea ventilation trend
Additional information
The apnea trend is only recorded when apnea
ventilation is switched off.
The duration of an apnea is displayed only in the
alarm history.
1 Touch the Trends/Data... button in the main "Configuring the display of hospital-specific
menu bar. measured values and settings" on page 180.
2 Touch the Table tab (A). The Table page can be configured as the Trends
table button in the main menu bar for direct access.
Trends/Data See "Assigning functions to additional buttons"
on page 181.
B C The Trends table button is located in the quick
F access bar.
A
E F
D
097
Displaying data
B
Displaying hospital-specific data C
1 Touch the Trends/Data... button in the main
menu bar.
2 Touch the Values tab (A).
Trends/Data
139
A
B
Displaying set values
Trends/Data
A
099
Additional information
140
Additional information
The Values page can be configured as the Values
button in the main menu bar for direct access. See
"Assigning functions to additional buttons"
on page 181.
The Values button is located in the quick access
bar.
The logbook records changes, events and alarms Displaying the setting parameters at another
in chronological order. A maximum of 5000 logbook moment in time
entries is possible. Events include, for example,
Select the row by turning the rotary knob or
use of the medication nebulizer or flow calibration.
touching the row.
For alarms only the occurrence of the alarm
condition is recorded, not its termination. With the button (D) the cursor will be moved
backwards or forwards by at least 24 hours.
The entries in the logbook are also retained after
the device has been switched off and on again or
following a power supply failure. Additional information
1 Touch the Trends/Data... button in the main The Logbook page can be configured as the
menu bar. Logbook button in the main menu bar for direct
access. See "Assigning functions to additional
2 Touch the Logbook tab (A).
buttons" on page 181.
Trends/Data The Logbook button is located in the quick access
A bar.
B
D
C
090
Data export
The data export takes place via a USB storage After the data export
medium. A maximum of 5000 logbook entries from
Remove the USB storage medium from the
the last 7 days can be exported.
USB port after waiting at least 2 seconds.
1 Insert the USB storage medium into the USB
port of Infinity C300.
If data export was not successful
2 Touch the Trends/Data... button in the main
If data export fails owing to the USB storage
menu bar.
medium being full, the buttons are deactivated.
3 Touch the Export data tab (A).
Remove the USB storage medium from the
Trends/Data H USB port and use a different USB storage
A medium.
I B
Additional information
C
D The buttons are deactivated when a USB storage
E medium is not connected.
F The exported files can only be viewed with a
G Unicode-enabled editor and a Unicode font.
An import into word processors or spreadsheets is
possible.
127
Monitoring
O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . 166
Calibrating the O2 sensor . . . . . . . . . . . . . . . . . 166
Deactivating or activating O2 monitoring . . . . . 166
Information on monitoring
Flow monitoring
307
– Before inserting the flow sensor check for
5 Put on a sterile glove.
visible damage and soiling, such as
residual mucus, medication aerosols, and 6 Seal the neonatal flow sensor ISO 15 (I) or
particles. neonatal flow sensor Y-piece (J).
– Replace flow sensors when damaged,
This ensures that the requirement for calibration
soiled, or not particle-free.
(flow = 0) is met.
Before each manual calibration, whether started 2 Touch the Flow sensor tab (A).
from the device check or from the
Sensors/Parameters dialog window, Evita V300
Sensors/Parameters E
cleans the Infinity ID flow sensor automatically by A
heating. This heating is performed 30 minutes after B F
switching on the device at the earliest, or D
30 minutes after replacement of the Infinity ID flow C
sensor at the earliest. Following medication
nebulization, the device automatically cleans the G
Infinity ID flow sensor by heating and performs
calibration.
110
WARNING
If flow and volume monitoring is deactivated,
ensure that appropriate substitute monitoring
is available immediately. The patient may
otherwise be jeopardized.
Deactivating flow monitoring with neonatal flow Deactivating flow monitoring with the Infinity ID
sensor flow sensor
1 Touch the Sensors/ Parameters... button in the 1 Touch the Sensors/ Parameters... button in the
main menu bar. main menu bar.
2 Touch the Neonatal flow sensor tab (A). 2 Touch the Flow sensor tab (E).
Sensors/Parameters C Sensors/Parameters G
A E
H F
D B
110
308
O2 monitoring
22?
FiO2:
Deactivating O2 monitoring
After calibration during the device check the sensor
will work again with full accuracy. 1 Touch the Sensors/ Parameters... button in the
main menu bar.
2 Touch the O2 sensor tab (A).
CAUTION
If the quality of the oxygen from the central gas Sensors/Parameters C
supply system is inadequate, calibrate the O2 A
sensor with calibration gas (100 % O2). Otherwise
this may result in an incorrect calibration.
Additional information D B
"Performing the device check" on page 81.
The O2 sensor page can be configured for direct
111
Activating O2 monitoring
Reactivate O2 monitoring as soon as possible.
Prerequisite: The O2 sensor page (A) is open.
Touch the On button (D) and confirm with the
rotary knob.
O2 monitoring is activated.
CO2 monitoring
142
– Disposable cuvettes
The cuvette type used must be selected on the 3 Touch the Reusable (C) or Disposable (D)
Zero calib. on/off page. button.
If the selected cuvette does not correspond to the
CAUTION cuvette used, the alarm message Check CO2
The cuvette windows of the reusable cuvette have cuvette is displayed.
different optical properties to the cuvette windows
of the disposable cuvette.
The cuvette type used must therefore be selected
correctly on the Zero calib. on/off page.
Otherwise the zero point will be shifted by up
to 8 mmHg CO2.
Prerequisite: Evita V300 is switched on and at least The Zero calib. on/off page (B) appears by default.
the three-minute warm-up phase for the CO2
Sensors/Parameters
sensor has elapsed. After 3 minutes, the measured
CO2 values will be inside the specified tolerance A
range. B
C
1 Fit the CO2 sensor on the cuvette.
2 Select the cuvette type, see page 167.
3 To display the CO2 measured value as a curve,
see "Changing the display of monitoring fields"
on page 107.
142
4 Remove the CO2 sensor with the cuvette from 3 Touch the Start button (C).
the breathing circuit and hold it in ambient air. When requested by Evita V300:
Do not breathe on or into the cuvette.
Instead of the cuvette from the breathing circuit,
another clean cuvette of the selected type D
(disposable or reusable) can be used.
5 Observe the measured CO2 value. If 0 to
1 mmHg (or 0 to 0.1 Vol% or 0 to 0.1 kPa) is not
displayed in the ambient air, perform a zero
calibration. E
179
4 Remove the CO2 sensor (D) from the cuvette
Performing a CO2 zero calibration (E).
5 Confirm with the rotary knob.
Zero calibration is performed in ambient air and
with a clean CO2 sensor which is removed from the Evita V300 performs the zero calibration and
cuvette. displays the message Calibration in progress.
Prerequisite: Evita V300 is switched on and at least
the three-minute warm-up phase for the CO2
sensor has elapsed. After 3 minutes, the measured
CO2 values will be inside the specified tolerance
range.
If zero calibration was successful 2 Remove the sensor from the cuvette and
connect it to the test filter (E) on the sensor
After approximately 5 seconds, Evita V300 reports
cable.
Zero calibration successful..
Fit the CO2 sensor (D) back on the cuvette (E).
177
If zero calibration is still impossible 3 Touch the Filter check button (C) and confirm
1 Check whether the sensor is soiled and clean it with the rotary knob.
if necessary. If the sensor is faulty, replace it. Evita V300 starts the check and displays the
2 Repeat zero calibration. progress and result of the check in the message
field (D).
Sensors/Parameters D
A
C B
143
Checking the calibration of the CO2 4 Read the CO2 concentration of the test gas
sensor with test gas from the test gas cylinder (A).
5 Open the test gas cylinder (E) and set the test
Perform the check when the test values are not gas flow to 0.1 L/min.
within the permitted tolerance during the calibration
check of the CO2 sensor with test filter.
Starting the calibration check of the CO2 sensor
CAUTION with test gas
For the check and calibration only use a test gas Prerequisite: The CO2 sensor page (F) is open.
which consists of CO2 and N2! Otherwise display
deviations of ±0.5 Vol% CO2 may occur. 1 Touch the Check sensor tab (G).
Sensors/Parameters
Before the check F
Prerequisite: Evita V300 is switched on and at least
the three-minute warm-up phase for the CO2
G
sensor has elapsed. H I
Perform CO2 zero calibration in ambient air.
143
The test gas must consist only of CO2 and N2! 2 Touch the Gas check button (H).
1 Use the reusable cuvette from the calibration Evita V300 displays the measured CO2
set! concentration (I).
At the start of the check with test gas, Evita V300 About 1 minute after the test gas flow has been set,
automatically sets the cuvette type to Reusable. the measured CO2 value must match the CO2
content of the test gas read from the test gas
cylinder with a tolerance of ±0.2 Vol%.
Evita V300 terminates the check with test gas
approx. 1 minute after the start.
D
3 Close the test gas cylinder again.
E If the test value is outside the permitted tolerance,
C the CO2 sensor must be recalibrated with test gas.
B
A
176
176
values are not within the permitted tolerance during
2 Connect the test gas cylinder (A) and the
the calibration check with test gas.
cuvette (B) of the calibration set to the hose (C).
CAUTION 3 Fit the CO2 sensor (D) on the cuvette (B) from
For the check and calibration only use a test gas the calibration set.
which consists of CO2 and N2! Otherwise display 4 Read the CO2 concentration of the test gas
deviations of ±0.5 Vol% CO2 may occur. from the test gas cylinder (A).
5 Open the test gas cylinder (E) and set the test
Before calibration gas flow to 0.1 L/min.
Prerequisite: Evita V300 is switched on and at least
the three-minute warm-up phase for the CO2 Starting calibration of the CO2 sensor with test
sensor has elapsed. gas
Perform CO2 zero calibration in ambient air. Prerequisite: The CO2 sensor page (F) is open.
1 Touch the Calibration tab (G).
Connecting the test gas supply
The test gas must consist only of CO2 and N2!
Sensors/Parameters J
F
1 Use the reusable cuvette from the calibration
set! I
At the start of calibration, Evita V300 automatically H G
sets the cuvette type to Reusable.
K
144
Evita V300 starts the calibration of the CO2 sensor Resetting the calibration of the CO2 sensor
and displays the progress and result of the
If problems occurred during calibration, the sensor
calibration in the message field (J).
can be reset to the delivery default values.
4 Close the test gas cylinder again.
Prerequisite: The Calibration page is opened.
1 Touch the Reset calibration button (K) and
If calibration was successful
confirm with the rotary knob.
Evita V300 displays the message CO2 sensor
After approximately 5 seconds, the factory-set
calib. with test gas successful.
calibration value is effective again and must be
The cuvette type is automatically reset to the checked with the test filter.
previously set cuvette type.
2 Check the calibration of the CO2 sensor with
Fit the CO2 sensor back on the cuvette in the test filter, see page 170.
breathing circuit.
Configuration
Information on configuration
The System setup dialog window provides the To prevent unauthorized adjustments, the following
user with the following configuration options: pages are password-protected:
– Screen layout – Screen layout > Views
– Alarms – Alarms
– Ventilation – Ventilation
– Config. exchange (Importing and exporting – Config. exchange
configurations) – Applications
– Applications – Exchange intervals
– System status
The password only needs to be entered once as
– Exchange intervals
long as the System setup dialog window remains
– System
open.
For additional information on the password,
see page 381.
Adjusting illumination and brightness The Day/Night button is located in the quick
access bar.
Prerequisite: The Screen layout page (A) is open.
1 Touch the General settings tab (B). Adjusting screen brightness
Automatic changeover of day and night mode Adjusting automatic screen dimming
If the automatic changeover of day and night mode Automatic dimming of the screen can be set for
is switched on, the system will automatically standby mode and battery operation.
change over the following settings: 1 Touch the On button (L).
– Illumination of the screen
– Volume of the alarm tone 2 Touch the button (N).
– Automatic increase of the alarm tone volume 3 Set the value by turning the rotary knob and
Touch button On (C) or Off (D). push to confirm.
Switching off automatic screen dimming:
Selecting the time period for screen Touch the Off button (M).
illumination at night
The illumination of the screen is reduced with a
dark background color for the time period entered.
Hours (E): minutes (F) to hours (G): minutes (H).
1 Touch the appropriate button.
2 Set the time by turning the rotary knob and push
to confirm.
If the automatic changeover for the illumination of
the screen is switched on, the system will change
over at the times entered.
The Day/Night button in the main menu bar can be
configured to enable direct access to the reduced
screen illumination mode that uses a dark
background color, see page 181.
View 1: L
K
View 2: L
K
View 3:
L
M
089_V300
L
The (K), (L) and (M) fields can be configured with
customized settings. All fields can also be
configured without contents. The following settings
are possible:
K L M
Field size 1x Field size 2x Field size 1x Field size 2x
Waveform Waveform Single parameter Single parameter Single parameter
Trends (meas.) Loop Double parameter Battery Double parameter
Trends (settings) Double loop Waveform
Trends (meas.) Loop
Lung display Double loop
(Smart Pulmonary
Trends (meas.)
View)
Trends (settings)
Lung display (Smart
Pulmonary View)
Additional buttons can be assigned in the main The graphic trend display for the Trends/Data >
menu bar to enable direct access to a function or to Trends > Graphics 1 and Graphics 2 pages can
directly open a page. The buttons are spatially be configured. The settings become effective with
assigned to the corresponding group. the admission of a new patient.
Prerequisite: The Screen layout page (A)is open. Prerequisite: The Screen layout page (A) is open.
1 Touch the Config. buttons tab (B). 1 Touch the Trends graphic 1 (B) or Trends
graphic 2 tab (C).
System setup
A System setup
A
C D E
D
B
E
D B
C
135_V300
137
Two additional buttons can be selected for the main Each page contains 2 graphic trend displays (D).
menu bar with buttons (C) and (D).
2 Touch the button.
3 Select the desired button from the selection list
with the rotary knob and push to confirm.
Evita V300 displays the selected button in the main
menu bar.
Additional information
For information on the display of additional buttons
and their location in the main menu bar, see "Main
menu bar structure" on page 369.
Configuring the trend display Evita V300 opens another dialog containing all the
parameters of the selected parameter type
1 Touch the button (E).
(example Volume/Flow).
Evita V300 opens the Setup dialog with the buttons
for Meas. (F) and Settings (G). Volume/Flow
Setup VT Flow
F G
146_V300
3 Touch the parameter. The button turns dark
green.
The dialog for the parameter type is closed.
The selected parameters are displayed in the trend
display. The Setup dialog is closed.
System setup
System setup
A
C D
B
136
The customized settings for the start-up values of Evita V300 displays the start-up values used for the
the alarm limits become effective with the alarm limits.
admission of a new patient. The customized alarm
tone settings are effective immediately depending (C) upper alarm limit
on the time of day. The selection of the alarm tone
(D) lower alarm limit
sequence is effective immediately.
1 Touch the System setup... button in the main 2 Touch the relevant button for the alarm limit.
menu bar.
3 Set the value by turning the rotary knob and
2 Touch the Alarms tab. push to confirm.
3 Enter password and confirm with Enter. The start-up values for the alarm limits can be
Evita V300 displays the following configurable adjusted specifically as required by the hospital.
alarm settings in the overview:
– Start-up values for alarm limits Selecting the factory settings
– Alarm volume and alarm tone
Touch the Dräger default button (E) and
confirm with the rotary knob.
Setting start-up values for alarm limits The Dräger default button also resets other start-
up settings on the Ventilation page and the
CAUTION Alarms page to the factory settings.
If several devices of the same type are used on a
ward, the alarm defaults must be configured
identically on all devices. The patient may
otherwise be jeopardized.
System setup
A
C B
D
E
148
Additional information
The alarm limits for the minute volume are set as a
percentage of the start-up value (VT x RR). To
configure VT and RR, see "Configuring start-up
settings for the ventilation parameters"
on page 190.
For an overview of the device's internal alarm limits,
see chapter "Automatic alarm limits" on page 302.
Setting the alarm tone Setting the volume for day or night
4 For the day setting, touch the button (D).
WARNING
5 Set the value for the sound level by day by
Unnoticed alarms in loud environments turning the rotary knob and push to confirm.
Alarm situations are not recognized. 6 For the night setting, touch the button (E).
Set the volume of the alarm tone so that 7 Set the value for the sound level by night by
alarms can be heard. turning the rotary knob and push to confirm.
Prerequisite: The Alarms page (A) is open.
Activating the automatic sound level increase
1 Touch the Alarm vol./tone tab (B).
The Auto increase function can be set separately
System setup for day and night.
A Touch the appropriate Auto increase button
C (F).
D F
E F B
Selecting alarm tone sequences
System setup
Activating a user-defined breathing circuit:
D E Additional information
Using the user-defined breathing circuit, see
F G page 78.
150
Configuring start-up settings for the The button with the active ventilation mode is
ventilation modes highlighted in gray and cannot be changed. The
button assignment can only be changed when
another ventilation mode is activated in the
CAUTION Ventilation settings dialog window.
If the ventilation start-up values are configured
differently to the Dräger standard values, this Depending on configuration, the number of
configuration must be identical on all Evita V300 displayed ventilation modes can vary between
belonging to a ward. The patient may otherwise 1 and 4.
be jeopardized.
System setup
A
C
D B
D
D
E
151
Configuring start-up settings for the After the start of ventilation, Evita V300 begins
ventilation parameters ventilation with the start-up values, dependent on
the patient category set on the Start/Standby
Prerequisite: The Ventilation page (A) is open. page.
1 Touch the Start settings tab (B). Setting start-up values depending on the body
height/weight
System setup
Prerequisite: The VT, RR, Trigger page (C) is
A open.
C 1 Touch the Weight button (F) and confirm with
D the rotary knob.
B System setup
E
C
F
147
163
– ATC
Evita V300 displays the start-up values for the
The VT, RR, Trigger page (C) appears by default. different body weights (G).
2 Touch the appropriate button (G).
Setting start-up values for VT, RR, Slope, and
Flow trigger 3 Set the value by turning the rotary knob and
push to confirm.
Depending on the patient category or the patient's
weight, these start-up values can be set: After the start of ventilation, Evita V300 begins
– VT ventilation with the start-up values, depending on
– RR the body height set on the Start/Standby page and
– Slope the ideal body weight derived from that, or with the
– Flow trigger set start-up body weight in the Neo. patient
category.
Setting start-up values depending on the
patient category
1 If not yet preset, touch the Patient button (D)
and confirm with the rotary knob.
Evita V300 displays the start-up values for the
different patient categories (E).
2 Touch the appropriate button (E).
3 Set the value by turning the rotary knob and
push to confirm.
Setting start-up values for pressures, FiO2 Selecting the factory settings
and I:E
Touch the Dräger default button (G) and
Prerequisite: The Start settings page (A) is open. confirm with the rotary knob.
1 Touch the Pressures, O2, I:E tab (B). The Dräger default button also resets other start-
up settings on the Ventilation page and the
System setup
Alarms page to the factory settings.
System setup
B
C
D A
E
F
153
A start-up value can be set for the expiratory Enter the tube diameter (I) according to the
termination criterion Exp. term. (F): selected tube type:
– ET: 2 to 12 mm
4 Touch the button (F).
– Trach.: 2.5 to 12 mm
5 Set the value by turning the rotary knob and
In the Neo. patient category, only the ET tube (G)
push to confirm.
type is available.
If the Dräger default button is touched on another
The setting range for the tube diameter is
page, e.g., the Ventilation > Start settings page or
selectable in accordance with the patient category:
the Alarms page, the settings are also set to the
– Patient category Adult: 5 to 12 mm
factory settings.
– Patient category Ped. pat.: 2 to 8 mm
– Patient category Neo.: 2 to 5 mm
Defining start-up settings for tube
5 Touch the relevant button for the patient
compensation
category.
Prerequisite: The Start settings page (A) is open.
6 Set the value for the tube diameter by turning
1 Touch the ATC tab (B). the rotary knob and push to confirm.
Prerequisite: The Ventilation page (A) is open. Prerequisite: The Ventilation page (A) is open.
1 Touch the General settings tab (B). 1 Touch the Maneuver tab (B).
D C D E
E
B
B
F
G
155_V300
H
156
For further information on the Anti Air Shower 2 Touch button (D) or (E).
function, see page 358. 3 Set the factor by turning the rotary knob and
push to confirm.
Evita V300 starts with the selected start-up
settings.
Preparing the configuration exchange Evita V300 reports the completion of the
configuration with a low-priority alarm.
Insert the USB storage medium into the USB
port on Infinity C300. 6 Check the settings of the imported
configuration.
1 Touch the System setup... button in the main
menu bar.
Exporting a configuration from the device to a
2 Touch the Config. exchange tab (A).
USB storage medium
System setup 1 Touch the Export button (F).
A
2 Confirm with the rotary knob.
Installing applications
System setup
A
C B
D
158
Installing applications
1 Touch the Install button (D).
2 Select the application from the list (C) with the
rotary knob and push to confirm.
3 Install the next application (repeat steps 1 to 3).
4 After all applications are installed, restart
Evita V300.
The installed applications are displayed in the list
(B).
System status
System setup
A
C
B
D
E
F
159_neu
G
The following information is displayed:
– Next service due (C)
– Cockpit (D)
– Operating hours: Standby
– Operating hours: Running
– Ventilation unit (E)
– Operating hours: Standby
– Operating hours: Running
– Internal battery installation date
– Gas supply unit (GS500) (F)
– Operating hours: Blower
– Installation date
– Power supply unit (PS500) (G), if present
– Installation date of the batteries in the
PS500
Configuring exchange intervals The exchange interval and the period of use
already elapsed for the relevant accessory (C) are
The user can configure how much of the period of displayed.
use elapses before Evita V300 displays a message
indicating that the next exchange of an accessory is Setting the exchange intervals
due. This depends on the device type.
5 Touch the appropriate button (D).
The exchange interval must be defined in
accordance with the applicable hygiene guidelines 6 Set the value by turning the rotary knob and
or in accordance with the specifications of the push to confirm.
corresponding accessory's instructions for use. The settings are effective immediately.
WARNING
Risk of inappropriate operating life No display of exchange intervals
Exchange monitoring only considers the Touch the appropriate button (D). Set Off by
actual period of use and not the current status turning the rotary knob and push to confirm.
of the Infinity ID accessory and therefore does
not release the user from the responsibility of Additional information
periodically checking the accessory.
Evita V300 displays the remaining period of use for
The exchange interval set for exchange the accessories on the Start/Standby >
monitoring does not guarantee that the Accessory status page.
accessory will last until the exchange interval
has expired. Sterilization of the expiratory valve or inspiratory
valve may gradually impair the operation of RFID
transmission. This may mean that Infinity ID
Opening the exchange interval page breathing circuit functions may not work or may no
1 Touch the System setup... button in the main longer work reliably. The period of use for the
menu bar. Infinity ID accessories is displayed with ---.
System setup
A
C D
C D
B
C D
159
System settings
The following system settings can be configured: Selecting the screen text language
– Country
Evita V300 is factory set to the customer's own
– Units
language. The current language is displayed in the
– Interface (interfaces)
field (C).
– Supply units (supply units)
– Service Selecting a different language:
The customized settings are immediately effective. 2 Touch the button (D).
1 Touch the System setup... button. Evita V300 opens the selection list containing the
available languages.
2 Touch the System tab.
3 Select the language with the rotary knob and
Evita V300 displays the following configurable
push to confirm.
settings in an overview:
– Language, date and time
– Units for measured values and settings Setting the date and time
– Network and serial interfaces
Evita V300 does not change over automatically
– GS500
between daylight saving time and standard time.
– Service information
The user must change the time manually.
Otherwise the times will be incorrect on the screen
and for saved values and actions (e.g., in the
Selecting country-specific settings logbook).
Prerequisite: The System page (A) is open. Changing the system time changes the time
displayed in trends, logbook, alarm history,
1 Touch the Country tab (B). maneuver measured values and reference loops.
System setup The data saved up to the change is displayed with
the system time up till then.
A
1 Touch the appropriate button:
C D – Day (E)
E F G B
– Month (F)
H :
I J – Year (G)
– Hours (H)
K – Minutes (I)
The order of the buttons (E) and (F) varies
depending on language.
2 Set the value by turning the rotary knob and
160
push to confirm.
3 After completing all the settings for the date and
time, touch the Apply button (J).
Configuring units
162_V300
H
The settings for COM 1 and COM 2 are displayed.
MEDIBUS or MEDIBUS.X can be selected for the
Protocol parameter.
353
External screen
If a second screen is connected to Infinity C300,
the user has to define whether the screen is analog
or digital.
Prerequisite: The System page (A) is open.
1 Touch the Interface tab (B).
2 Touch the External display tab (C).
System setup
A
D E
C
B
320
Additional information
The serial interface connectors are located on the
rear of Infinity C300.
B
326
Service dialog
Reprocessing
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . 244
Observe before disassembly . . . . . . . . . . . . . . 244
Disconnecting the breathing circuit. . . . . . . . . . 244
Removing the Infinity ID flow sensor . . . . . . . . 244
Dismantling the expiratory valve. . . . . . . . . . . . 245
Dismantling the CO2 sensor . . . . . . . . . . . . . . . 245
Dismantling the neonatal flow sensor. . . . . . . . 246
Dismantling the inspiratory unit . . . . . . . . . . . . 246
Dismantling the pneumatic medication
nebulizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Dismantling other accessories . . . . . . . . . . . . . 247
Disassembly
019
1 Open the flap (A) by lifting the lower edge
upwards.
A A
B
057
C
B
C D
061
031
3 Remove the flow sensor from the socket (C). 1 Pull the flow sensor sleeve (B) off the Infinity ID
expiratory valve or pull the muffler (B) from the
Infinity ID neonatal expiratory valve.
Dismantling the expiratory valve
2 Remove the diaphragm (C). Do not dismantle
Only the Infinity ID expiratory valve is described in the diaphragm any further.
the following sections. The Infinity ID neonatal 3 Remove the water trap container (D). Empty the
expiratory valve is dismantled in the same manner. water trap container.
175
073
Dismantling the inspiratory unit After use in the Ped. pat. and Neo. patient
categories
G F E
C
C
D
197
1 Remove the diaphragm with adapter (C) from
the fitting of the inspiratory unit.
044
2 Do not dismantle the inspiratory unit any further. 1 Remove the nebulizer hose (C) from the
medication nebulizer (D) and from the nebulizer
port on the device.
Dismantling the pneumatic medication 2 Remove the medication nebulizer (D) from the
nebulizer breathing circuit.
3 Pull the catheter connector (E) out of the inlet
After use in the Adult patient category port.
4 Pull the adapter (F) out of the outlet port.
5 Remove the corrugated hose (G) from the
adapter (F).
6 Dismantle the medication nebulizer in
A
B accordance with the corresponding instructions
for use.
013
Information on reprocessing
Safety information
WARNING CAUTION
Risk due to inappropriately reprocessed Risk due to faulty products
products
Signs of wear, e.g., cracks, deformation,
Reusable products must be reprocessed, discoloration, or peeling, may occur with
otherwise there is an increased risk of reprocessed products.
infection.
Check the products for signs of wear and replace
– Observe the hygiene regulations and
them if necessary.
reprocessing regulations of the healthcare
facility.
– Observe national hygiene regulations and CAUTION
reprocessing regulations. Health hazard
– Use validated procedures for Do not sterilize parts in ethylene oxide. Ethylene
reprocessing. oxide may diffuse into the parts.
– Reprocess reusable products after every
use.
CAUTION
– Observe the manufacturer's instructions
For infectious patients, all parts that come into
for cleaning agents, disinfectants, and
contact with breathing gas also have to be
reprocessing devices.
sterilized after disinfection and cleaning.
Safety information on disposable articles Safety information on the Infinity ID flow sensor
WARNING CAUTION
Risk of patient injury as a result of failure of Risk of failure of flow measurement
the accessories
Improper reprocessing and soiling, such as
Disposable articles were developed, tested deposits or particles, can damage the flow sensor:
and manufactured for single use only. Reuse, – No machine cleaning or disinfection
reprocessing or sterilization can lead to a – No plasma sterilization or radiation
failure of the accessories and cause injuries sterilization
to the patient. – No water jets, compressed air, brushes or the
like
Do not reuse, reprocess, or sterilize
– No ultrasonic bath
disposable articles.
– No hot steam sterilization
– Clean and disinfect the flow sensor in
Safety information on flow sensors accordance with the corresponding
instructions for use.
WARNING – For disinfecting the flow sensor use only clean
Risk of fire disinfectant solutions.
NOTE
– Do not use brushes for reprocessing the
sensor insert and do not use a syringe on the
sensor insert.
– For reprocessing the housing use lint-free
brushes only.
CAUTION
Risk of malfunction
Clean and disinfect the screen only if a patient is
not connected.
Do not allow liquid to collect at the edge of the
screen when cleaning.
Do not use sharp tools or abrasives.
Classification Definition
Non-critical Components that come only into contact with skin that is intact
Semi-critical (A, B) Components that carry breathing gas or come into contact with mucous
membranes or pathologically altered skin
Critical (A, B, C) Components that penetrate skin or mucous membranes or come into contact
with blood
Observe the instructions for use for the – Trolley with accessory mounts
components.
– System cable
The following classification is a recommendation
– Compressed gas hoses
from Dräger.
– CO2 sensor
Non-critical – Connection cable for the neonatal flow sensor
– Ventilation unit – Data link cable
– Medical Cockpit display unit
– GS500 gas supply unit
– PS500 power supply unit
Semi-critical A Semi-critical B
– Reusable cuvette for the CO2 sensor – Infinity ID expiratory valve, including individual
parts
– Infinity ID flow sensor
– Infinity ID neonatal expiratory valve, including
– Neonatal flow sensor Y-piece or ISO 15,
individual parts
including individual parts
– Inspiratory unit, including individual parts
Reprocessing list
Reprocessing procedure
CAUTION
Infinity ID flow sensor
Risk of patient injury due to failure of the flow
Manual cleaning followed by disinfection by measurement
immersion must be carried out for complete
Sterilization can damage the flow sensor. Do not
reprocessing of the flow sensor.
sterilize the flow sensor.
Manual cleaning:
The cleaning agent that is used must have a pH of Infinity ID neonatal expiratory valve
between 9 and 12.
1 Prepare the cleaning agent in accordance with
the manufacturer's data in a container with a
cover.
2 Place the flow sensor in the solution, ensuring
there are no bubbles. Swirl the flow sensor
vigorously at least 3 times at the beginning and
end of the contact time. Make sure that the
solution reaches all surfaces and interior B A
spaces.
352
3 Rinse the flow sensor in the water bath
Carry out manual cleaning:
(preferably drinking-water quality) until cleaning
agent residues are no longer discernible. 1 Immerse the neonatal expiratory valve in the
solution and agitate it slightly so that the air can
Disinfection by immersion:
escape.
1 Prepare the disinfectant solution in accordance
2 Before the contact time begins and after it has
with the manufacturer's instructions.
elapsed, fit a syringe (A) containing 20 mL of
2 Swirl the flow sensor backwards and forwards solution to the ejector channel (B). Inject and
several times in the solution. Make sure that the extract the solution several times with the
solution reaches all surfaces and interior syringe.
spaces.
Perform manual disinfection in the same manner.
3 Rinse the flow sensor in the water bath
(preferably drinking-water quality) until
disinfectant residues are no longer discernible.
4 Check the flow sensor for visible soiling and for
damage to the measuring wires and their pegs.
5 Thoroughly shake out residual water. Allow the
flow sensor to dry completely.
Neonatal flow sensors 4 Rinse the housing and sensor inset in a water
bath (at least drinking-water quality) until
Manual cleaning followed by disinfection by
cleaning agent residues are no longer
immersion (sterilization optional) must be carried
discernible.
out for complete reprocessing of the flow sensor.
Disinfection by immersion:
1 Prepare the disinfectant solution in accordance
A with the manufacturer's data in a container with
a cover.
B 2 Place the housing and sensor insert in the
C
solution, ensuring there are no bubbles. Swirl
the parts back and forth for approx. 1 minute at
the beginning and end of the contact time. Make
D sure that the solution reaches all surfaces and
interior spaces.
3 At the beginning and end of the contact time,
355
Sterilization:
Only sterilize the flow sensor when it is assembled.
CAUTION
Risk of patient injury due to failure of the flow
measurement
Improper sterilization may damage the flow
sensor. Only use the specified sterilization
procedures.
After reprocessing
B
C
A
072
Inserting the expiratory valve into Evita V300 Assembling the inspiratory unit
Only the Infinity ID expiratory valve is described in 1 Make sure the inspiratory unit and diaphragm
the following section. The neonatal expiratory valve are completely dry, otherwise this may impair
is inserted in the same way. proper functioning.
Prerequisite: The flap on the front is pivoted
upwards.
1 Turn the locking ring (D) as far as possible to
the left. A
C
2 Push the expiratory valve into the fitting.
B
D
C
190
2 Insert the adapter (A) of the diaphragm into the
opening of the fitting (B). The adapter must be
able to slightly move up and down in the
opening.
073
E
189
Assembling accessories
Assemble the medication nebulizer and breathing
gas humidifier in accordance with the
corresponding instructions for use.
Fit the medication nebulizer into the breathing
circuit, see page 118.
Prepare the breathing gas humidifier,
see page 62.
Maintenance
Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Definition of maintenance concepts . . . . . . . . . 264
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 264
Safety checks . . . . . . . . . . . . . . . . . . . . . . . . . . 265
Remote Service . . . . . . . . . . . . . . . . . . . . . . . . 265
Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 266
Overview
Concept Definition
Maintenance Appropriate measures intended to retain the specified condition of a medical device
Inspection Measures intended to determine and assess the actual state of a medical device
Preventive Repeated indicated measures intended to retain the specified condition of a
maintenance medical device
Repair Measures intended to restore the functional condition of a medical device after the
failure of a device function
Inspection
Preventive maintenance
WARNING
Risk due to defective components
Device malfunction can occur due to wear and
material fatigue of components. To maintain
the function of all components, this device
must be inspected and serviced at the
intervals specified by the manufacturer.
Maintenance intervals
Repair
A
B
035
Prerequisite: The expiratory valve has been 1 Remove the diaphragm (A).
removed, see "Removing the expiratory valve"
2 Fit the new diaphragm onto the edge of the
on page 245.
expiratory valve housing. Make sure that the
diaphragm is fitted properly.
3 Dispose of used diaphragm with domestic
waste.
4 Fit the expiratory valve, see "Inserting the
expiratory valve into the ventilation unit"
on page 59.
A
187
Replacing the breathing gas filter in the 1 Loosen the screws on the rear of the device
blower unit sufficiently for the side panel to be removed.
Remove the side panel.
The breathing gas filter is located behind the left- Ensure that the filter mat attached to the side
hand side panel of the GS500 gas supply unit. section is not loosened.
2 Take hold of the breathing gas filter by the
handle and withdraw it from the GS500 gas
supply unit. Dispose of the used breathing gas
C filter in accordance with local waste disposal
regulations.
3 Insert a new breathing gas filter in the GS500
gas supply unit until it reaches the end position.
4 Fit the side panel and tighten the screws.
B
370
B
371
Battery maintenance
The following actions are required to achieve the A battery check is required at regular intervals to
maximum life span of the batteries: determine the current state of the batteries.
The battery check determines the approximate
Always fully charge the batteries.
operating time.
Connect the device to the mains power supply
The battery check consists of a charge-discharge-
at the latest after 5 days to charge the batteries.
charge cycle. After the batteries have been fully
Observe the required charging time.
charged, the device is operated in test mode with
If recharging is not possible after 5 days at the power supply from the batteries. The determined
latest, do the following: operating time is the approximate operating time to
be expected in the next period of battery operation
Set the toggle switch to the position and
with typical ventilation without GS500.
then disconnect the power plug.
Dräger recommends the following test intervals:
The device is then in the energy-saving mode and
the discharge is reduced to the self-discharge of
Internal battery (NiMH) Every 3 months
the batteries. Check that the capacity of the
batteries is sufficient before use on a patient. The PS500 power supply unit Every 3 months
batteries may be exhausted or faulty as a result of (VRLA)
excessively long storage.
Batteries are wear parts. The replacement intervals Prerequisites for the battery check
depend on the utilization. Observe the test
– The device is connected to the central gas
intervals.
supply.
Storage at an increased ambient temperature – The device is connected to the mains power
reduces the life span of the batteries. The storage supply.
duration must not be exceeded. See chapter – The device is prepared and ready for use.
"Ambient conditions" on page 278. – The test lung is connected.
– A ventilation pattern is set, e.g.:
The capacity of the batteries used must be checked
– PC-AC
regularly.
– FiO2 = 21 %
The batteries must have sufficient capacity. – RR = 12/min
Replace the batteries if necessary. – Pinsp = 20 mbar (or hPa or cmH2O)
– PEEP = 5 mbar (or hPa or cmH2O)
The following table shows the typical operating time
to be expected as a function of the ageing of a new
battery.
If the batteries do not correspond to the
approximate operating time listed, replacement of
the batteries is recommended.
Age of the battery Operating time of the internal Operating time of PS500 (VRLA)
battery (NiMH) with a full charge with a full charge
3 months 29 min 225 min
6 months 28 min 210 min
9 months 27 min 195 min
12 months 26 min 180 min
15 months 25 min 165 min
18 months 24 min 150 min
21 months 23 min 135 min
24 months 22 min 120 min
NOTE
The operating time may be reduced due to the
utilization of the battery. The data are approximate
values and cannot be regarded as guaranteed for
every battery.
NOTE
Replace the batteries if the operating time falls
below the minimum value (see chapter "Battery
ageing" on page 363) or after 24 months.
Disposal
CAUTION
The device and its components must be
disinfected and cleaned before disposal!
Disposal of batteries
The medical device contains batteries with toxic waste disposal corporations. The battery installed
substances. in the device must therefore be removed by experts
In the Federal Republic of Germany: The user is before the device can be disposed of.
obliged by the ordinance on the return and disposal
Observe the applicable laws and regulations for
of used batteries to return batteries which contain
battery disposal.
toxic substances either to the manufacturer/sales
outlet or to a collection center operated by public
Technical data
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . 292
Ambient conditions
During operation
Temperature 10 to 40 °C (50 to 104 °F)
Pressure range 700 to 1060 hPa
Altitude up to 3000 m (9842 ft)
Relative humidity 10 to 90 %, without condensation
During storage and transportation
Pressure range 500 to 1060 hPa
Relative humidity 5 to 95 %, non-condensing
Temperature
The technical specifications of the battery
manufacturer regarding storage duration
refer to a relative humidity of 45 to 85 %.
Storage outside this range is possible. In
this case, perform a battery test before
using the device. Charging every 6 months
at the latest is recommended. Several
charge and discharge cycles may be
required as a battery test in order to
completely reactivate the electrochemical
composition after long term storage.
Device without PS500 batteries
for charging subsequent to storage
For storage up to 6 months –20 to <45 °C (–4 to <113 °F)
For storage up to 1 month –20 to <55 °C (–4 to <131 °F)
For storage up to 1 week –20 to 60 °C (–4 to 140 °F)
Device with PS500 batteries
for charging subsequent to storage
For storage up to 6 months –15 to 25 °C (5 to 77 °F)
For storage up to 3 months –15 to 40 °C (5 to 104 °F)
Depending on the accessories used, more
stringent ambient conditions can apply.
Observe corresponding instructions for use.
Set values
Performance characteristics
Additional functions
Safety valve Opens if medical compressed air supply fails
(supply gas flow is not sufficient to provide the
inspiratory flow required), enables spontaneous
breathing with ambient air.
Monitoring
Monitoring (cont.)
Monitoring (cont.)
Monitoring (cont.)
Operating data
Protection class
Ventilation unit Class I
Medical Cockpit C300
Gas supply unit GS500
Power supply unit PS500
CO2 sensor (sensor connected) Type BF
Proximal flow sensor (sensor connected) Type BF
Degree of protection against ingress of liquids IP21
and particles Protection against particles with a diameter of more
than 12.5 mm (0.47 in)
Protection against vertically dripping water
Mains power supply
Mains power connection 100 V to 240 V
50/60 Hz
Current consumption
at 230 V max. 1.4 A
at 100 V max. 3.0 A
Inrush current approx. 8 to 24 A peak
approx. 6 to 17 A quasi RMS
Power consumption
maximum 300 W
during ventilation, without charging the approx. 100 W ventilation unit with Medical Cockpit
battery approx. 180 W with GS500
Device fuses
Range 100 V to 240 V F6.3H 250V IEC 60127-2/V (2 pcs.) Ventilation unit
Batteries
The operating time applies when the batteries
are fully charged and new and ventilation is
typical.
Low temperatures may reduce the operating
time.
The charging time applies to new and
completely discharged batteries when
ventilation is typical and GS500 is not used.
The actual charging time depends on the
battery charge.
If GS500 is operating or the ambient
temperature is high, the battery charging
process may be restricted or interrupted.
Typical ventilation
Ventilation mode PC-AC
FiO2 21 Vol%
PEEP 5 mbar (or hPa or cmH2O)
Pinsp 20 mbar (or hPa or cmH2O)
RR 12/min
Measured MV 6 L/min
Ambient temperature 22 °C (71.6 °F)
Internal battery of ventilation unit (without
PS500)
Type NiMH battery, sealed
Fuse F15A 80V UL248
Capacity 2.5 Ah
Voltage 24 V
Current 0 to 15 A
Operating time if mains power supply is not
available
without GS500 30 minutes
with GS500 15 minutes
Charging
Charging time (to charge battery fully) <4 hours (<2 hours for 80 % charge)
Device ports
Outputs
V1 System cable
V2, V3 not used
V4 Nurse call
V5 Neonatal flow sensor
V6 not used
V7 CO2 sensor
V8 not used
V9 GS500
Galvanic isolation
V1 The port is not electrically isolated from the device
electronics.
V2, V3 not used
V4 The port is not electrically isolated from the device
electronics.
V5 The port is electrically isolated from the device
electronics (Type BF). The test voltage for electrical
isolation is 1500 V.
V6 not used
V7 The port is not electrically isolated from the device
electronics.
V8 not used
V9 The port is electrically isolated from the device
electronics. The test voltage for galvanic isolation is
500 V.
Infinity C300
Operating data
Dimensions (W x H x D) 385 mm x 307 mm x 132 mm
(15.16 in x 12.09 in x 5.2 in)
Connectors
MEDIBUS or MEDIBUS.X protocol
Baud rate 1200, 2400, 4800, 9600, 19200, 38400 baud
(19200 and 38400 baud are required for
transmitting high-speed data, e.g., for the flow
waveform)
Data bits 8
Parity even, odd, no
Stop bits 1 or 2
Pin assignment of COM1 and COM2
Pin 1 DCD
Pin 2 RXD
Pin 3 TXD
Pin 4 DTR
Pin 5 GND
Pin 6 DSR
Pin 7, 8 RTS/CTS
Pin 9 RI
Housing SHLD
Input/output ports 1 x LAN 10/100 Mbit/s, electrically isolated (test
voltage 1500 V)
2 x RS232, electrically isolated (test voltage
1500 V)
3 x USB 2.0, not electrically isolated, only for
passive storage media
1 x DVI-I, not electrically isolated
System connector Connector for system cable (22 pins)
Screen values
Screen size 391.2 mm (15.4 in)
Aspect ratio 16:10
Resolution 1280 x 800 pixels
Contrast ratio (typical) 700:1
Viewing angle 140°
Pressure monitoring
Volume monitoring
The expiratory minute volume MVe is monitored
within the set alarm limits.
The inspiratory tidal volume VTi or, when leakage
compensation is switched on, the leakage-
compensated tidal volume VT is monitored within
the set alarm limits.
Because the device ensures the minimum
inspiratory tidal volume when volume-controlled
ventilation modes or pressure-controlled ventilation
modes with Volume Guarantee are selected, it is
not possible to set the lower alarm limit for VTi or
VT manually.
FiO2 monitoring
CO2 monitoring
The essential performance consists in a controlled Additionally, the integrated monitoring alarms in the
and monitored patient ventilation with user-defined following situations:
settings for the monitoring functions – Failure of the external power supply
– minimum and maximum tidal volume, – Battery discharge
– maximum airway pressure, – Failure of the gas supply
– minimum and maximum O2 concentration in the
breathing gas,
or, if a set limit is exceeded, an appropriate alarm.
Connections to IT networks
During operation, this device can exchange This device must only be connected to the network
information with other devices by means of IT by service personnel. The IT representative of the
networks and supports the following functions: hospital must be consulted in advance.
– Display of waveforms and parameter data The following documents must be observed:
– Transfer of device settings and patient data – Description of the network interface
Consequences of using an unsuitable network – Data are sent incomplete, sent to the wrong
device, or not sent at all.
If the network does not meet the requirements,
dangerous situations can result. The following – Patient data are intercepted, falsified, or
situations can occur with this device: damaged.
– Due to an insecure decentralized alarm system: – Data have incorrect time stamps.
– Alarms or data are transmitted at the wrong
time.
Requirements for the electrical characteristics
– Alarms are not transmitted.
of connected devices and networks
– During an interruption of the network
The analog and digital ports are only appropriate for
connection:
connecting devices or networks that have a
– Suppressed alarms or alarm tones are not
nominal voltage on the network side of max.
reactivated, but remain suppressed.
24 V DC and meet the requirements of one of the
– Alarms are not transmitted.
following standards:
– Without firewall and antivirus software:
– IEC 60950-1: Ungrounded SELV circuits
– Data are not protected.
– Device settings are changed. – IEC 60601-1 (as of 2nd edition): Touchable
– The device generates false alarms or no secondary circuits
alarms.
Open-source software
EMC Declaration
Electromagnetic emissions
Electromagnetic environment
The medical device is intended for use in an
electromagnetic environment as specified below.
The user must ensure its use in such an
environment.
Electromagnetic immunity
Max. PEIRP (W) 150 kHz to 2.5 GHz All other frequencies Examples
0.03 0.32 m (1.05 ft) 0.96 m (3.15 ft) e.g., WLAN 5250 / 5775 (Europe)
0.10 0.58 m (1.90 ft) 1.75 m (5.74 ft) e.g., WLAN 2440 (Europe)
0.17 0.76 m (2.49 ft) 2.28 m (7.48 ft) e.g., Bluetooth, RFID 2.5 GHz
0.20 0.82 m (2.69 ft) 2.47 m (8.10 ft) e.g., WLAN 5250 (not in Europe)
0.25 0.92 m (3.02 ft) 2.76 m (9.06 ft) e.g., UMTS cellular phones
0.41 1.18 m (3.87 ft) 3.53 m (11.58 ft) e.g., cordless DECT devices
0.82 1.67 m (5.48 ft) 5.00 m (16.40 ft) e.g., RFID 13.56 MHz
1.00 1.84 m (6.04 ft) 5.52 m (18.11 ft) e.g., WLAN 5600 (not in Europe)
1.64 2.36 m (7.74 ft) 7.07 m (23.20 ft) e.g., GSM 1800 / GSM 1900
3.28 3.33 m (10.93 ft) 10.00 m (32.81 ft) e.g., GSM 900 cellular phones,
RFID 868 MHz
Principles of operation
Measurements . . . . . . . . . . . . . . . . . . . . . . . . 359
Flow / volume measurement . . . . . . . . . . . . . . 359
Measurement principles . . . . . . . . . . . . . . . . . . 360
Airway pressure measurement. . . . . . . . . . . . . 361
VC-CMV
Paw
Insp. Pause Pressure limitation
Pplat Pmax
PEEP
t
Ti Te
1
RR
Flow
Insp. flow
204
Pressure limitation
The therapy control Pmax is activated when the
user links the alarm limit Paw high to the therapy
control Pmax. Evita V300 can avoid the pressure
peak with the pressure limitation Pmax, complying
with the set tidal volume VT.
The tidal volume VT remains constant provided the
plateau pressure Pplat is present. Evita V300 limits
the pressure by reducing the inspiratory flow when
the set Pmax value is reached.
If the tidal volume VT can no longer be applied with
the selected pressure Pmax, e.g., due to reduced
compliance, the low-priority alarm VT not reached,
Pmax active is generated.
VC-SIMV
Paw
Pressure support PS Pressure limitation
PEEP
t
Ti Trigger window
1
RR
Flow
Insp. flow
205
VC-AC
Paw
Pressure limitation
Insp. Phase
Pplat Pmax
PEEP
t
Ti Te Trigger window
1
RR
Flow Insp. flow
206
Volume-controlled ventilation Assisted-controlled ventilation
The tidal volume of the mandatory breaths is Every inspiratory effort of the patient from the PEEP
determined by the volume VT. The duration of the level triggers a synchronized mandatory breath.
mandatory breaths is determined by Ti. The Thus, the time and number of mandatory breaths
pressure rise is determined by the inspiratory flow are determined by the patient. The trigger window
Insp. flow. If the inspiratory flow is so high that the covers the expiratory time minus a refractory period
set tidal volume is reached before inspiratory time for the previous expiration. The expiratory time is
Ti has fully elapsed, an inspiratory pause occurs. If determined by the respiratory rate RR and the
leakage compensation is activated, Evita V300 inspiratory time Ti. A non-synchronized mandatory
increases the inspiratory flow in order to apply the breath is triggered at the latest at the end of the
set volume despite leakages. expiratory time (back-up respiratory rate).
The minimum number of mandatory breaths is
In the Neo. patient category, this mode is only
determined by the respiratory rate RR.
available with AutoFlow activated.
In the Neo. patient category, VC-AC is not
selectable with non-invasive ventilation.
Pressure limitation
The therapy control Pmax is activated when the
user links the alarm limit Paw high to the therapy
control Pmax. Evita V300 can avoid the pressure
peak with the pressure limitation Pmax, complying
with the set tidal volume VT.
The tidal volume VT remains constant provided the
plateau pressure Pplat is present. Evita V300 limits
the pressure by reducing the inspiratory flow when
the set Pmax value is reached.
If the tidal volume VT can no longer be applied with
the selected pressure Pmax, e.g., due to reduced
compliance, the low-priority alarm VT not reached,
Pmax active is generated.
VC-MMV
MV
Set MV
Mandatory MV
Spont. breathed MV
PC-CMV
PEEP
t
Ti
1
RR
Flow
200
Pressure-controlled ventilation
The upper pressure level is determined by Pinsp.
The duration of the mandatory breaths is
determined by Ti. As in all pressure-controlled
ventilation modes, the tidal volume supplied
depends on the difference in pressure "Pinsp –
PEEP", the lung mechanics (resistance and
compliance) and the patient's respiratory drive. The
pressure rise from the lower pressure level PEEP
to the upper pressure level Pinsp is determined by
the Slope setting.
The mandatory breaths are time-cycled and are not
triggered by the patient. The number of mandatory
breaths is determined by the respiratory rate RR.
PC-BIPAP
PEEP
t
Ti Trigger window for insp. and
1 exp. synchronization
RR
Flow
212
Pressure-controlled ventilation In the Neo. patient category, this mode is not
available with non-invasive ventilation.
The upper pressure level is determined by Pinsp.
The duration of the mandatory breaths is
determined by Ti. As in all pressure-controlled Synchronization
ventilation modes, the tidal volume supplied
The mandatory breaths can be triggered by the
depends on the difference in pressure "Pinsp –
patient's inspiratory effort on PEEP level.
PEEP", the lung mechanics (resistance and
compliance) and the patient's respiratory drive. The A mandatory breath can only be triggered within a
pressure rise from the lower pressure level PEEP "trigger window" by the flow trigger in synchrony
to the upper pressure level Pinsp is determined by with the patient's spontaneous inspiratory effort.
the Slope setting. This prevents the mandatory breath being applied
during expiration.
The change-over from the inspiratory to the
expiratory pressure level is synchronized with the The trigger window is 5 seconds in the Adult
patient's spontaneous breathing. Synchronization patient category and 1.5 seconds in the Ped. pat.
of the mandatory breath reduces the duration of the and Neo. patient categories.
mandatory breath. Evita V300 extends the
subsequent breath by the missing time. This
prevents an increase in respiratory rate.
For expiratory times shorter than 5 seconds in the The pressure support is also terminated as soon as
Adult patient category or 1.5 seconds in the Ped. the duration of the support has reached the
pat. and Neo. patient categories, the trigger maximum inspiratory time. For intubated patients,
window covers the entire expiratory time minus a the maximum inspiratory time is limited to
refractory period for the previous expiration. 4 seconds in the Adult patient category and to
1.5 seconds in the Ped. pat. and Neo. patient
Synchronization of mandatory breaths reduces the
categories. In non-invasive ventilation, the
expiratory time. Evita V300 extends the
maximum inspiratory time is limited to 130 % of Ti
subsequent expiratory time or spontaneous
(maximum 4 seconds) in the Adult patient category
breathing time by the missing time. This prevents
and to 130 % of Ti (maximum 1.5 seconds) in the
an increase of the mandatory respiratory rate.
Ped. pat. patient category.
The number of mandatory breaths is determined by
the respiratory rate RR.
Pressure support
During spontaneous breathing from the PEEP
level, the patient can be supported with PS. Every
inspiratory effort of the patient that meets the trigger
criteria triggers a pressure-supported breath. By
setting the trigger level, the patient's inspiratory
efforts are synchronized. The time, number, and
duration of pressure-supported breaths is
determined by the patient's spontaneous breathing.
As in all pressure-controlled ventilation modes, the
tidal volume supplied depends on the difference in
pressure "Psupp – PEEP", the lung mechanics
(resistance and compliance) and the patient's
respiratory drive. The pressure rise from the lower
pressure level PEEP to the upper pressure level
Psupp is determined by the Slope setting.
The pressure support is terminated as soon as the
inspiratory flow falls below a certain proportion of
the maximum inspiratory flow.
The proportion of the maximum inspiratory flow can
be adjusted using the Insp. term. setting. If the
Insp. term. setting is not configured, this proportion
is 25 % in the Adult patient category and 15 % in
the Ped. pat. and Neo. patient categories.
PC-SIMV
PEEP
t
Ti Trigger window for insp.
1 synchronization
RR
Flow
201
Pressure-controlled ventilation Synchronization
The upper pressure level is determined by Pinsp. The mandatory breaths can be triggered by the
The duration of the mandatory breaths is patient's inspiratory effort from the PEEP level. By
determined by Ti. As in all pressure-controlled setting the trigger level, the mandatory breaths can
ventilation modes, the tidal volume supplied be synchronized with the patient's inspiratory
depends on the difference in pressure "Pinsp – efforts.
PEEP", the lung mechanics (resistance and
A mandatory breath can only be triggered within a
compliance) and the patient's respiratory drive. The
"trigger window" by the flow trigger in synchrony
pressure rise from the lower pressure level PEEP
with the patient's spontaneous inspiratory effort.
to the upper pressure level Pinsp is determined by
This prevents the mandatory breath being applied
the Slope setting.
during expiration.
In the Neo. patient category, this mode is not
The trigger window is 5 seconds in the Adult
available with non-invasive ventilation.
patient category and 1.5 seconds in the Ped. pat.
and Neo. patient categories. For expiratory times
shorter than 5 seconds in the Adult patient
category or 1.5 seconds in the Ped. pat. and Neo.
patient categories, the trigger window covers the
entire expiratory time minus a refractory period for
the previous expiration.
Pressure support
During spontaneous breathing from the PEEP
level, the patient can be supported with PS. Every
inspiratory effort of the patient that meets the trigger
criteria triggers a pressure-supported breath. By
setting the trigger level, the patient's inspiratory
efforts are synchronized. The time, number, and
duration of pressure-supported breaths is
determined by the patient's spontaneous breathing.
As in all pressure-controlled ventilation modes, the
tidal volume supplied depends on the difference in
pressure "Psupp – PEEP", the lung mechanics
(resistance and compliance) and the patient's
respiratory drive. The pressure rise from the lower
pressure level PEEP to the upper pressure level
Psupp is determined by the Slope setting.
The pressure support is terminated as soon as the
inspiratory flow falls below a certain proportion of
the maximum inspiratory flow.
The proportion of the maximum inspiratory flow can
be adjusted using the Insp. term. setting. If the
Insp. term. setting is not configured, this proportion
is 25 % in the Adult patient category and 15 % in
the Ped. pat. and Neo. patient categories.
The pressure support is also terminated as soon as
the duration of the support has reached the
maximum inspiratory time. For intubated patients,
the maximum inspiratory time is limited to
4 seconds in the Adult patient category and to
1.5 seconds in the Ped. pat. and Neo. patient
categories.
In non-invasive ventilation, the maximum
inspiratory time is limited to 130 % of Ti (maximum
4 seconds) in the Adult patient category and to
130 % of Ti (maximum 1.5 seconds) in the Ped.
pat. patient category.
PC-AC
PEEP
t
Ti Trigger window for insp.
1 synchronization
RR
Flow
202
Pressure-controlled ventilation Assisted-controlled ventilation
The upper pressure level is determined by Pinsp. Every inspiratory effort of the patient from the PEEP
The duration of the mandatory breaths is level triggers a synchronized mandatory breath.
determined by Ti. As in all pressure-controlled Thus, the time and number of mandatory breaths
ventilation modes, the tidal volume supplied are determined by the patient. The trigger window
depends on the difference in pressure "Pinsp – covers the expiratory time minus a refractory period
PEEP", the lung mechanics (resistance and for the previous expiration. The expiratory time is
compliance) and the patient's respiratory drive. The determined by the respiratory rate RR and the
pressure rise from the lower pressure level PEEP inspiratory time Ti. A non-synchronized mandatory
to the upper pressure level Pinsp is determined by breath is triggered at the latest at the end of the
the Slope setting. expiratory time (back-up respiratory rate).
In the Neo. patient category, this mode is not The minimum number of mandatory breaths is
available with non-invasive ventilation. determined by the respiratory rate RR.
PC-PSV
PEEP
t
Flow
Inspiratory termination criterion
310
Pressure support The pressure support is terminated as soon as the
inspiratory flow falls below a certain proportion of
During spontaneous breathing from the PEEP
the maximum inspiratory flow.
level, the patient can be supported with PS. The
level of pressure support is determined by Pinsp. The proportion of the maximum inspiratory flow can
Every inspiratory effort of the patient that meets the be adjusted using the Insp. term. setting. If the
trigger criteria triggers a pressure-supported Insp. term. setting is not configured, this proportion
breath. By setting the trigger level, the patient's is 25 % in the Adult patient category and 15 % in
inspiratory efforts are synchronized. The time, the Ped. pat. and Neo. patient categories.
number, and duration of pressure-supported
The pressure support is also terminated as soon as
breaths is determined by the patient's spontaneous
the duration of the support has reached the
breathing. If the patient's respiratory rate is less
maximum inspiratory time.
than the set back-up respiratory rate RR or there is
no spontaneous breathing present, the device For intubated patients, the maximum inspiratory
administers pressure-supported breaths with the time is limited to 4 seconds in the Adult patient
respiratory rate RR. category and to 1.5 seconds in the Ped. pat.
patient category. For the Neo. patient category, the
As in all pressure-controlled ventilation modes, the
maximum inspiratory time can be set with Timax to
tidal volume supplied depends on the difference in
a maximum of 1.5 seconds.
pressure "Pinsp – PEEP", the lung mechanics
(resistance and compliance) and the patient's
respiratory drive. The pressure rise from the lower
pressure level PEEP to the upper pressure level
Pinsp is determined by the Slope setting.
PC-APRV
Paw
Phigh
Plow
t
Thigh
Tlow
Flow
203
The patient breathes spontaneously at a high determines the percentage by which the expiratory
pressure level Phigh for an adjustable length of flow must fall short of in relation to the peak flow for
time Thigh. For very short expiratory times Tlow, the ventilation to return to the high pressure level.
Evita V300 switches to a low pressure level Plow.
When AutoRelease is switched on, the change-
The normal lung areas are emptied, but the "slow"
over from the upper pressure level Phigh to the
lung areas only change volume to a lesser extent*.
lower pressure level Plow is synchronized with the
The number of pressure releases is determined by patient's spontaneous breathing.
the Thigh and Tlow settings. The releases are
Synchronization of the mandatory breath reduces
time-cycled and are not triggered by the patient.
the time on the upper pressure level. Evita V300
The duration is determined by Tlow. The tidal
prolongs the subsequent ventilation time on the
volume exchanged during the release phases
upper pressure level by the missing time. This
depends on the difference in pressure Phigh –
prevents an increase in respiratory rate.
Plow, the lung mechanics (resistance and
compliance) and the length of pressure release In the Neo. patient category, this mode is not
Tlow. The steepness of the pressure rise from the available with non-invasive ventilation.
lower pressure level Plow to the upper pressure
level Phigh is determined by the Slope setting.
During the activation of AutoRelease, the duration
of pressure releases is determined by the
expiratory flow trace. The Exp. term. setting
SPN-CPAP/PS
PEEP
t
Flow
Inspiratory termination criterion Insp. term.
209
When the pressure support is not switched on, the The proportion of the maximum inspiratory flow can
patient's spontaneous breathing is merely be adjusted using the Insp. term. setting. If the
supported by an increased PEEP. Insp. term. setting is not configured, this proportion
is 25 % in the Adult patient category and 15 % in
During spontaneous breathing from the PEEP
the Ped. pat. and Neo. patient categories.
level, the patient can be supported with PS. Every
inspiratory effort of the patient that meets the trigger The pressure support is also terminated as soon as
criteria triggers a pressure-supported breath. The the duration of the support has reached the
time, number, and duration of pressure-supported maximum inspiratory time. For intubated patients,
breaths is determined by the patient's spontaneous the maximum inspiratory time is limited to
breathing. 4 seconds in the Adult patient category and to
1.5 seconds in the Ped. pat. patient category. For
As in all pressure-controlled ventilation modes, the
the Neo. patient category, the maximum inspiratory
tidal volume supplied depends on the difference in
time can be set with Timax to a maximum of
pressure "Psupp – PEEP", the lung mechanics
1.5 seconds. In non-invasive ventilation, the
(resistance and compliance) and the patient's
maximum duration of support can be set with
respiratory drive. The pressure rise from the lower
Timax.
pressure level PEEP to the upper pressure level
Psupp is determined by the Slope setting. In the Neo. patient category, this mode is not
available with non-invasive ventilation.
The pressure support is terminated as soon as the
inspiratory flow falls below a certain proportion of
the maximum inspiratory flow.
SPN-CPAP/VS
Paw
PEEP
t
Inspiratory termination criterion Insp. term.
Flow
210
For volume support VS, every inspiratory effort by time can be set with Timax to a maximum of
the patient on the PEEP level that meets the trigger 1.5 seconds. In non-invasive ventilation, the
criteria triggers a volume-supported breath. By maximum duration of support for the Adult and
setting the trigger level, the patient's inspiratory Ped. pat. patient categories can be set with Timax.
efforts are synchronized. The time, number and
In the Neo. patient category, this mode is not
duration of volume-supported breaths is
available with non-invasive ventilation.
determined by the patient's spontaneous breathing.
The pressure rise is determined by the Slope The set tidal volume of the supported breaths is
setting. reached through the automatically controlled
pressure level of the volume support. With volume
The volume support is terminated as soon as the
support, the support pressure is automatically
inspiratory flow falls below a certain proportion of
adjusted to changes in lung conditions (resistance
the maximum inspiratory flow. The proportion of the
and compliance) and to the spontaneous breathing
maximum inspiratory flow can be adjusted using
demand of the patient.
the Insp. term. setting. If the Insp. term. setting is
not configured, this proportion is 25 % in the Adult If Paw high is linked to the Pmax therapy
patient category and 15 % in the Ped. pat. and control, set the maximum pressure that can be
Neo. patient categories. applied with the Pmax setting!
The volume support is also terminated as soon as If Paw high is not linked to the Pmax therapy
the duration of the support has reached the control, always set the Paw high alarm limit so
maximum inspiratory time. For intubated patients, that Evita V300 generates an alarm in the event
the maximum inspiratory time is limited to of an increase in airway pressure due to
4 seconds in the Adult patient category and to reduced compliance. The maximum pressure
1.5 seconds in the Ped. pat. patient category. For that can be applied is limited to 5 mbar
the Neo. patient category, the maximum inspiratory (5 cmH2O) below the upper alarm limit.
SPN-CPAP
Paw
PEEP
t
Flow
354
The SPN-CPAP ventilation mode is only available
with non-invasive ventilation in the Neo. patient
category.
The patient's spontaneous breathing is supported
with an increased PEEP.
For the Manual inspiration/hold maneuver, the
pressure of the breath is set with the PmanInsp
therapy control and the duration of the breath is set
with the TmanInsp therapy control.
SPN-PPS
VT
t
Paw
PEEP
Inspiration Expiration t
VT
t
Paw
PEEP
Inspiration Expiration t
224
In ventilation mode SPN-PPS, Evita V300 supports The degree of support in PPS mode can be set
the patient's spontaneous breathing in proportion to separately according to the resistive and elastic
the inspiratory effort. If the patient breathes components. Using the resistive proportion Flow
strongly, Evita V300 supports this effort with high Assist, the user defines how much of the resistive
pressure support. If the patient has shallow work of breathing is taken over by Evita V300.
breathing, Evita V300 reacts with low pressure Using the elastic proportion Vol. Assist, the user
support. Mechanical support is omitted altogether if defines how much of the elastic work of breathing
there is no spontaneous breathing. Monitoring of is taken over by Evita V300. This support is only
apnea and minute volume must therefore be set effective during inspiration.
appropriately.
Apnea Ventilation
Paw
Start Apnea Ventilation
Spontaneous breathing
with pressure support
PEEP
t
Apnea alarm 1
time Tapn RRapn
Flow
222
If the patient is ventilated using a volume-controlled time for apnea ventilation is determined from the
mode without AutoFlow, apnea ventilation is also set apnea respiratory rate RRapn and a fixed I:E
volume-controlled without AutoFlow. In all other ratio of 1:2.
cases, apnea ventilation is volume-controlled with
The patient can breathe spontaneously and the
AutoFlow.
mandatory breaths are synchronized with the
For Evita V300 to be able to detect an apnea, flow patient's spontaneous breathing. The apnea
measurement must function and the flow ventilation respiratory rate RRapn remains
monitoring must be activated. constant. Evita V300 provides synchronized
intermittent mandatory ventilation.
Evita V300 detects an apnea when no expiratory
flow is measured or insufficient inspiratory gas is Apnea ventilation is terminated by touching the
delivered during the set apnea alarm time Tapn. If Apn. Vent. reset button. Evita V300 continues
apnea ventilation is activated, the device starts ventilating in the previously set ventilation mode.
volume-controlled ventilation with the ventilation Changing the ventilation mode or the additional
parameters RRapn and VTapn. The inspiratory settings, e.g., PS, also terminates apnea
ventilation.
Paw
Start Apnea Ventilation
Spontaneous breathing
with pressure support
PEEP
t
Apnea alarm time 1
Tapn RRapn
Flow
317
For Evita V300 to be able to detect an apnea, flow ventilation respiratory rate RRapn remains
measurement with the neonatal flow sensor must constant. Evita V300 provides synchronized
function and flow monitoring with the neonatal flow intermittent mandatory ventilation.
sensor must be activated.
Apnea ventilation is terminated by touching the
Evita V300 detects an apnea when no expiratory Apn. Vent. reset button. Evita V300 continues
flow is measured or insufficient inspiratory gas is ventilating in the previously set ventilation mode.
delivered during the set apnea alarm time Tapn. If Changing the ventilation mode or the additional
apnea ventilation is activated, the device starts settings, e.g., PS, also terminates apnea
volume-guaranteed ventilation with the ventilation ventilation.
parameters RRapn and VTapn. The inspiratory
If an apnea situation generating an alarm occurs
time for apnea ventilation is determined from the
again during apnea ventilation, this indicates that
set apnea respiratory rate RRapn and a fixed I:E
the apnea ventilation respiratory rate RRapn has
ratio of 1:2.
been set too low in relation to apnea alarm time
The patient can breathe spontaneously and the Tapn.
mandatory breaths are synchronized with the
patient's spontaneous breathing. The apnea
Flow trigger
Paw
Spontaneous
breathing
PEEP
Flow
Trigger threshold
t
230
With the Flow trigger threshold, the mandatory
breaths are synchronized with the inspiratory
efforts. The start setting of the flow trigger can be
configured on the page System setup >
Ventilation > Start settings > VT, RR, Trigger
page.
Spontaneous breathing activity by the patient is
indicated on the screen by the brief appearance of
the symbol.
In order to prevent a possible error when
measuring the respiratory rate, e.g., caused by
cardiogenic oscillations, only those spontaneous
breaths are counted which meet the adjustable
trigger criterion.
Inspiratory termination
Paw
t
Start of inspiration End of inspiration
Flow
228
For spontaneous breaths supported with PS, VS
and PPS, the length of inspiration is determined by
the inspiratory termination criterion. Inspiratory
termination specifies at which percentage of the
peak inspiratory flow Insp. term. expiration is to
start.
The standard setting is 25 % in the Adult patient
category and 15 % in the Ped. pat. and Neo.
patient categories.
The termination criterion can be configured on the
System setup > Ventilation > Start settings >
Other settings page.
When configured, the inspiratory termination can
be set with the Insp. term. therapy control in order
to achieve better adaptation to the patient's lung
properties and breathing pattern.
Sigh
intPEEP
PEEP
220
Atelectasis can be prevented by activating the sigh
function and setting the sigh in the form of an
intermittent PEEP. The purpose of expiratory sigh
is to open collapsed areas of the lungs or to keep
open "more dependent" areas of the lungs.
The sigh function can be activated in all ventilation
modes with mandatory breaths, except for PC-
APRV. When the sigh function is activated, the end-
expiratory pressure PEEP increases by the set
value of the intermittent PEEP.
The time between the two sigh phases can be set
with the Interval sigh therapy control.
The Cycles sigh therapy control controls how
many respiratory cycles are covered by the sigh
phase. The average airway pressure is higher, and
a longer filling time is normally available.
In pressure-controlled ventilation, the inspiratory
pressures Pinsp, Psupp increase by the amount
intPEEP.
AutoFlow/Volume Guarantee
Paw
Paw high
Pinsp = f (VT, C)
PEEP
t
Ti Te
1
Flow RR
VT
225
Evita V300 provides ventilation with If the Paw high alarm limit is linked to the Pmax
AutoFlow/Volume Guarantee with a decreasing therapy control, the user can adjust the maximum
flow in order to avoid pressure peaks. Evita V300 value for the airway pressure. Since the value set
determines the pressure required for the set tidal for Pmax may be reached in this case with
volume, with consideration of the lung conditions AutoFlow/Volume Guarantee, the current
(compliance, resistance) and the patient’s condition of the patient must always be taken into
spontaneous breathing demand. consideration when setting the value, in order to
exclude the possibility of causing harm if the airway
When the patient breathes in, Evita V300 delivers
pressure is too high.
an additional inspiratory flow limited by the VT high
alarm limit. The patient can also breathe out during The minimum inspiratory pressure for mandatory
the inspiratory plateau phase. The VT high alarm non-triggered breaths is 3 mbar (3 cmH2O) above
limit must be set with care to prevent, for example, PEEP; for triggered mandatory and spontaneous
overdistention of the lungs following rapid changes breaths it is 0.1 mbar (0.1 cmH2O) above PEEP.
in compliance.
Typically, the selected inspiratory time Ti is much
The inspiratory pressure is limited by the Paw high longer than the lung filling time. The inspiratory
alarm limit. The maximum applied pressure is pressure Pinsp corresponds to the minimum value
limited to 5 mbar (5 cmH2O) below the upper calculated from the tidal volume VT and
pressure limit Paw high. Always set this alarm limit compliance C of the lungs. The inspiratory flow is
in order to generate an alarm in the event of an automatically controlled so that there is no pressure
increase in airway pressure due to reduced peaks caused by the resistances of the tube and
compliance. the airways. With AutoFlow/Volume Guarantee,
changes in inspiratory flow occur in steps of max.
3 mbar (3 cmH2O) from breath to breath.
If the tidal volume VT is reached (inspiratory flow = A set inspiratory time Ti shorter than the lung filling
0) before the inspiratory time Ti has fully elapsed, time can be recognized from the flow curve. The
the control system for the inspiratory and expiratory flow at the end of the inspiratory time has not
valves ensures that the patient can breathe in and dropped to zero. In this case, it must be decided
out during the remaining inspiratory time, even whether the current condition of the patient permits
during the constant pressure plateau Pplat. If the prolongation of the inspiratory time Ti in order to
patient breathes in or out during mandatory reduce peak pressure even further. This effect can
inspiration, the inspiratory pressure does not also be caused during ventilation, e.g., due to a
fluctuate during that breath. Only the inspiratory build-up of secretion. In this situation, the pressure
and expiratory flow are adapted to the patient’s is limited by Evita V300 as described. If the set tidal
demand. The applied tidal volume VT may deviate volume VT can no longer be fully applied as a
from the set tidal volume VT in individual breaths. result, the low-priority alarm message Pressure
However, as an average over time, a constant tidal limited is generated.
volume VT is supplied.
The pressure rise from the PEEP level to the
Exceeding the tidal volume VT can be limited by the inspiratory level can be even more closely adapted
VT high alarm limit. If the set alarm limit is to the needs of the patient by adjusting the pressure
exceeded once, Evita V300 generates a low priority rise time Slope.
alarm message (!). If it is exceeded three times in
If the AutoFlow/Volume Guarantee function in the
succession, Evita V300 generates a medium
Ped. pat. and Neo. patient categories is switched
priority alarm message (!!). Tidal volume is actively
on and a manual inspiration (Man. insp./hold) is
limited to the value of the VT high alarm limit by
triggered, a breath is applied to the maximum
switching to PEEP level.
pressure Pmax.
Regardless of the VT high alarm limit setting,
Evita V300 triggers an extended breath or extends
Evita V300 ends an AutoFlow/Volume Guarantee
an already triggered mandatory breath.
breath when the supplied inspiratory volume
(minus the volume supplied for breathing circuit
compliance compensation) exceeds the set volume
by 100 %. This may occur in the event of a major
leakage. In this case, Evita V300 generates the low
priority alarm message VT not reached, leakage.
Set the MV high and MV low alarm limits
appropriately in order to avoid excessive or
insufficient flow following rapid changes in
compliance. When using AutoFlow/Volume
Guarantee, activate flow monitoring!
ATC
Paw
Pressure at Y-piece
Ptrach
Tracheal pressure
PEEP
t
Flow
226
ATC regulates the airway pressure to the tracheal Calculating tracheal pressure
level. This function calculates and displays the
Evita V300 calculates tracheal pressure on the
tracheal pressure on the basis of a mathematical
basis of a square function of tube resistance and
tube model, the set tube type and the inner
patient flow.
diameter of the tube.
When tube compensation is activated, Evita V300 PTrachea = Paw – KTube x Flow x Flow x |Flow|
displays the calculated tracheal pressure in the PTrachea: Pressure in the trachea
pressure curve together with the pressure at the
Y-piece as a line. Activated tube compensation is Paw: Pressure at the Y-piece of the breathing
indicated by ATC and the tube diameter in the circuit
screen header bar. KTube: Tube coefficient (see page 347)
When selecting loops, tracheal pressure can also Flow: Patient flow
be selected as a parameter. Tracheal pressure can
also be displayed when tube compensation is Inspiration: Flow >0
deactivated if the calculation of the tracheal Expiration: Flow <0
pressure was activated on the Start/Standby >
Tube/NIV page and the tube type and diameter The selected tube type and the inner diameter of
were entered. Evita V300 uses this value for the tube must correspond with the real tube for
calculating leakage and determining the lung correct calculation and display of the tracheal
mechanics, but not for tube compensation. The pressure. This is required for correct tube
selected degree of compensation is not considered compensation.
when displaying tracheal pressure or when
determining leakage and lung mechanics.
When tube compensation is activated, the If the value selected for Paw high or Pmax is too
ventilation pressure in the breathing circuit is low, it may impair the effectiveness of tube
increased during inspiration or decreased during compensation. If the value selected for Paw high
expiration. The airway pressure is adjusted to the or Pmax is too high, it may result in unwanted high
tracheal level if 100 % compensation of the tube airway pressures. When setting Pmax, be aware
resistance has been selected. that this value may actually be reached in contrast
to the value for Paw high.
Expiratory tube compensation can be deactivated.
In volume-controlled ventilation modes with a
Calculating the support
constant inspiratory flow (VC-CMV, VC-SIMV,
VC-MMV, VC-AC) tube compensation is only active The level of support Paw applied during ATC is
during the expiration and spontaneous breathing calculated on the basis of a square law function of
phases. tube resistance and patient flow.
For the mandatory portion of the breath, the Paw = Comp. x KTube x Flow x Flow x |Flow|
inspiratory tube compensation can be deactivated.
Comp.: Degree of compensation 0 to 100 %
When tube compensation is activated, Evita V300
controls the ventilation pressure so that the KTube: Tube coefficient (see page 347)
resistive work of breathing on the tube is Flow: Patient flow
compensated in accordance with the selected
degree of compensation.
Tube coefficient
Depending on the direction of the patient flow, the
airway pressure is increased during inspiration or The tube coefficient KTube is largely determined on
decreased during expiration. the basis of the results obtained by Guttmann et al*.
The airway pressure can be reduced to a minimum The tube coefficient KTube for the full-length tube is
of 0 mbar (0 cmH2O). always taken as the basis. The effect of the
shortened length is negligible.
The maximum value for the airway pressure can be
set using the Pmax therapy control. If Pmax is not The values for the tube coefficients are shown in
linked to the Paw high alarm limit, the maximum the following tables.
pressure is limited to 5 mbar (5 cmH2O) below the
Paw high alarm limit. The pressure limitation
message is displayed when the maximum
permitted values are reached.
Inner diameter of the Tube coefficient Inner diameter of the Tube coefficient
tube (mm) KTube (mbar/L2/s2) tube (mm) KTube (mbar/L2/s2)
2.00 1834.00 2.50 600.00
2.50 600.00 3.00 340.00
3.00 340.00 3.50 170.00
3.50 170.00 4.00 100.00
4.00 100.00 4.50 50.00
4.50 50.00 5.00 30.96
5.00 30.96 5.50 15.40
5.50 23.70 6.00 10.00
6.00 17.21 6.50 7.90
6.50 13.05 7.00 6.38
7.00 10.56 7.50 5.20
7.50 8.41 8.00 4.50
8.00 6.57 8.50 3.70
8.50 5.17 9.00 2.95
9.00 4.29 9.50 2.65
9.50 3.80 10.00 2.50
10.00 3.50 10.50 2.05
10.50 3.00 11.00 1.65
11.00 2.50 11.50 1.35
11.50 2.00 12.00 1.10
12.00 1.50
AutoRelease
Paw
Start of Start of t
Flow exp. insp.
t
AutoRelease Exp. term.
229
In ventilation mode PC-APRV, the duration of
pressure release is determined from the expiratory
flow curve when AutoRelease is activated. The
Exp. term. setting specifies when the ventilation
returns to the pressure level Phigh dependent on
the decline in percent of the peak expiratory flow.
The Tlow max therapy control limits the maximum
duration of pressure release.
When AutoRelease is switched on, the change-
over from the upper pressure level Phigh to the
lower pressure level Plow is synchronized with the
patient's spontaneous breathing.
Synchronization of the mandatory breath reduces
the effective time of the upper pressure level.
Evita V300 prolongs the subsequent ventilation
time on the upper pressure level by the missing
time. This prevents an increase of the respiratory
rate resulting from the settings.
Special functions
P2
227
Respiratory drive can be measured at the start of Evita V300 keeps the inspiratory valve closed after
inspiration by measuring the mouth pressure during one expiration and measures the airway pressure
a short term occlusion. Within the first 100 ms, the produced by the patient's inspiratory effort during
pressure is not influenced by physiological 100 ms. The 100 ms time interval starts when a
reactions that would try to compensate for the negative pressure of –0.5 mbar (–0.5 cmH2O)
occlusion (e.g., reflexive interruption of breathing or below PEEP/CPAP is measured during the
increased respiratory drive). In principle, this inspiratory effort. The second pressure value is
pressure is also independent of the muscle determined after 100 ms. Simultaneously, the
strength of the diaphragm. Therefore, the negative inspiratory valve is opened. The patient can
mouth pressure P0.1 after 0.1 seconds is a direct breathe normally again. The occlusion pressure
measure of neuromuscular respiratory drive*. P0.1 is the difference between the pressure values
Evita V300 displays the value for the measured "P2 – P1".
pressure difference without a negative sign. For
patients with healthy lungs and regular breathing,
P0.1 will be about 3 to 4 mbar (3 to 4 cmH2O). A
high P0.1 value signifies a high respiratory drive,
which can only be maintained for a limited period of
time. P0.1 values above 6 mbar (6 cmH2O), e.g.,
for a COPD patient, indicate impending exhaustion
(RMF – respiratory muscle fatigue).
PEEPi
PEEP
Measur-
ing inter- Measur-
Flow ing inter-
val 1
val 2
t
Vtrap
219
Intrinsic PEEP is the actual end-expiratory Measuring interval 1 is terminated:
pressure inside the lungs. Owing to dynamic – when no pressure changes are detected any
influences of the lung mechanics (resistance, longer, but at the earliest after 0.5 seconds,
compliance, closing volume) and the ventilation – at the latest after 3 seconds in the Adult patient
setting parameters, the Intrinsic PEEP may deviate category and after 1.5 seconds in the Ped. pat.
from the PEEP in the upper airways. patient category
This measurement maneuver also measures the The start value corresponds to PEEP and the value
"trapped" volume Vtrap in the lungs, which does at the end of the closed phase is the Intrinsic PEEP.
not participate in gas exchange. At the end of measuring interval 1, Evita V300
opens the expiratory valve and measures the
The Intrinsic PEEP is measured in two phases.
expiratory flow generated by Intrinsic PEEP during
Evita V300 keeps the inspiratory and expiratory
measuring interval 2. During this period, lung
valves closed during measuring interval 1. This
pressure is allowed to decrease to PEEP level.
ensures that it is impossible for inspiratory gas to
flow into the breathing circuit or for gas to escape Measuring interval 2 is terminated:
from it. During this closed phase, pressure is – when the expiratory flow has returned to 0, but
equalized between the lungs and the circuit after 0.5 seconds at the earliest,
system. Evita V300 measures the pressure over – at the latest after 7 seconds in the Adult patient
time. category and after 3.5 seconds in the Ped. pat.
patient category
The integrated flow corresponds to the air volume
trapped in the lungs Vtrap by Intrinsic PEEP.
C20/C
Measurements
During the breathing circuit check before the start of The difference between values measured as NTPD
ventilation, Evita V300 determines the compliance and BTPS is approximately 12 % at a pressure of
of the breathing hoses. It then compensates for the 1013 mbar (1013 cmH2O).
effect of this compliance on flow and volume Example: 250 mL tidal volume NTPD become
measurement during ventilation. 282 mL BTPS when warmed to 37 °C (99 °F) and
Depending on the airway pressure, Evita V300 humidified to 100 % relative humidity.
increases ventilatory volume to the same amount Evita V300 controls tidal volume in such a way that
that remains in the breathing hoses. Evita V300 the set tidal volume value is applied under BTPS
compensates hose-dependent volume losses up to conditions in the lungs.
a compliance of 4 mL/mbar in the Adult patient
category and 3 mL/mbar in the Ped. pat. and Neo.
patient categories.
Battery concept
NOTE
When the internal battery and the batteries in the
PS500 show less than the following residual
operating times, they are considered to be spent.
The switch-over of the device to battery operation is the internal battery after the operating time of the
indicated by the Battery activated alarm (see PS500 has elapsed. The switch-over is indicated
chapter "Alarm – Cause – Remedy"). The alarm by the Internal battery activated alarm.
can be acknowledged by the user. Consequently
At the end of the operating time of the internal
the Battery activated alarm will no longer be
battery, the device generates the Battery low
displayed until the mains power supply is re-
alarm. The Battery discharged alarm follows after
established.
that.
When the device is equipped with a PS500 power
These alarms appear at the time specified by the
supply unit, in battery operation the PS500 is
model-based calculation for the particular battery.
discharged first. If the mains power supply has not
been re-established, the device switches over to
Battery activated
Voltage [V]
Battery low
PS500 Internal battery
Battery discharged
Switch-off voltage
Device shuts down
The schematic representation of the sequence of When the voltage drop of the internal battery
alarms with respect to battery utilization is shown in reaches an operationally critical value, a shut-down
an example with a PS500 but without the use of a of the device due to an inadequate supply is
GS500. The representation corresponds to the immediately imminent. In this case the power
operating time of new and fully charged batteries. supply failure alarm sounds.
NOTE
If the device displays the Battery low alarm
message or the Battery discharged alarm
message, connect the device to the mains power
supply.
NOTE
When the remaining calculated operating time is
less than 10 minutes, the model-based Battery
low alarm appears. When the remaining
calculated operating time is less than 5 minutes,
the model-based Battery discharged alarm
appears.
NOTE
The operating time remaining after the
corresponding alarms can be considerably longer
than the specified minimum operating time.
NOTE
When the device is fitted with the GS500 gas
supply unit, the device calculates the time for the
Battery discharged alarm allowing for the power
consumption of a GS500, regardless of whether
the GS500 is activated or not.
A 8 B 9 10 11
3 5 7 p 18 F
17 E
27 28
4 6 p CO2
E 20 V 12
2 E E
19
13
23 24 G C 14
Air
26 O2
H E D Insp. Gas
25 21 O2 p V
E Exsp. Gas
I E 16 15 E
22 Nebulizer gas
198
1 Air gas inlet 16 Barometric pressure sensor
2 O2 gas inlet 17 Calibration valve for inspiratory pressure
sensor
3 Air non-return valve
18 Inspiratory pressure sensor
4 O2 non-return valve
19 Calibration valve for expiratory pressure sensor
5 Air metering valve
20 Expiratory pressure sensor
6 O2 metering valve
21 O2 sensor
7 Tank
22 Nebulizer outlet
8 Mixed gas metering valve
23 Air pressure regulator
9 Safety valve
24 O2 pressure regulator
10 Emergency expiratory valve
25 Nebulizer mixer valve
11 Emergency breathing valve
26 Nebulizer changeover valve
12 Patient's lungs
27 CO2 sensor
13 Expiratory valve
28 Neonatal flow sensor (depending on the patient
14 Non-return valve
category)
15 Expiratory Infinity ID flow sensor
A Gas mixture and gas metering assembly spontaneous breathing. The expiratory Infinity ID
flow sensor (D, 15) measures the expiratory flow
B Inspiratory unit assembly
in accordance with the hot-wire anemometry
C Expiratory unit assembly measurement principle. Therefore the measured
flow is a mass flow (NTPD).
D Expiratory Infinity ID flow sensor
The inspiratory unit, expiratory unit, and expiratory
E Barometric pressure sensor
Infinity ID flow sensor assemblies can be detached
F Pressure measurement assembly from Evita V300 for cleaning purposes.
G Calibration assembly The mass flow to volume flow conversion (BTPS)
requires knowledge of the ambient pressure. The
H O2 sensor
ambient pressure is measured with the barometric
I Medication nebulization assembly pressure sensor (E, 16).
The pressure in the breathing system is measured
Description of the pneumatic mode of operation with two independent pressure sensors (18, 20)
that form the pressure measurement assembly
Evita V300 consists of 9 pneumatic assemblies.
(F). The pressure sensors are regularly zero
The gas mixture and dosage assembly (A) calibrated. For this, the pressure sensors are
delivers the time-variable flow of a gas mixture with connected to ambient pressure via the two
adjustable proportions of O2 and air. Gas from the calibration valves (17, 19). The calibration valves
(central) gas supply system enters the device via form the calibration assembly (G).
the gas inlet connections for O2 and air (1, 2). Two
The O2 sensor (H, 21) measures the inspiratory O2
non-return valves (3, 4) prevent one gas from
concentration based on a sidestream
returning to the supply line of the other gas. The
measurement principle. For calibration by the user
mixing of the gases takes place in the tank (7) and
during the device check, the O2 sensor can be
is controlled via two control valves (5, 6). The
flushed with pure O2 from the tank (7).
supplied inspiratory flow is controlled via a third
control valve (8). A pneumatic medication nebulizer can be
connected to the nebulizer gas outlet (22) for
The inspiratory unit assembly (B) consists of the
medication nebulization. Evita V300 provides an
safety valve (9) and two non-return valves (10, 11).
intermittent gas flow consisting of O2 and air to
In normal operation, the safety valve is closed so
drive the medication nebulizer. This ensures that
that the inspiratory flow is supplied to the patient
the deviation of the set O2 concentration remains
(12) from the gas mixture and gas metering
within the specified limits. For this, the gas from the
assembly. During other operating states, e.g., when
two gas inlet connections (1, 2) is throttled by the
Evita V300 is in standby, the safety valve is open
pressure regulators (23, 24). The intermittent gas
and enables spontaneous inspiration through the
delivery is done by nebulizer mixer valve (25). The
emergency breathing valve (11). The emergency
nebulizer changeover valve (26) closes the
expiratory valve (10) provides a second channel for
nebulizer gas outlet when the nebulizer function is
expiration when the expiratory valve (13) is
not switched on.
blocked.
The nebulizer mixer valve, the nebulizer
The expiratory valve assembly (C) consists of the
changeover valve, and the two pressure regulators
expiratory valve (13) and a non-return valve (14).
form the medication nebulization assembly (I).
The expiratory valve is a proportional valve and is
used to adjust the pressure in the breathing The CO2 concentration of the breathing gas can be
system. In conjunction with the spring-loaded valve measured using the CO2 sensor (27). CO2 is
of the emergency air outlet (10), the non-return measured according to an optical measurement
valve (14) prevents pendulum breathing during principle in the mainstream.
The following table lists the buttons of the main buttons are freely configurable and are assigned to
menu bar with the resulting dialog windows of the the respective group. The freely configurable
same name and the tabs. Touching a tab opens the buttons open the corresponding page in the dialog
corresponding page. The dark gray buttons are window or activate a function.
always contained in the main menu bar. The white
Group Button in main menu Horizontal tab Vertical tab Additional tabs
symbol bar
Alarms... Limits
Current alarms
Alarm history
Settings
Alarm volume
Ventilation settings... Modes 1, 2, 3, 4
General settings
Additional settings
Overview
Apnea Ventilation
Trigger/ Termin.
Sigh
AutoFlow/ Volume
Guarantee
ATC
Auto Release
Mode 5
General settings
Additional settings
Overview
Apnea Ventilation
Trigger/ Termin.
Sigh
AutoFlow/ Volume
Guarantee
ATC
Auto Release
Other modes
Trigger
Apnea Ventilation continued next page
Group Button in main menu Horizontal tab Vertical tab Additional tabs
symbol bar
Views...
1 2 3
Day/Night
Freeze waveforms
Export screenshot
Main screen
Trends/Data... Trends
Graphics 1
Graphics 2
Table
Values
Customized data
Values 1
Values 2
Settings
Logbook
Export data
Trends table
Values
Logbook
Customized data
Special maneuvers... Maneuvers
Nebulization
Diagnostics
P0.1
PEEPi
NIF
Nebulization
Diagnostics
O2 suction
Man. insp./hold
P0.1
PEEPi
NIF
Exp. hold
Manual disconnection continued next page
Group Button in main menu Horizontal tab Vertical tab Additional tabs
symbol bar
Sensors/ Parameters... Neonatal flow
sensor
Flow
O2 sensor
CO2 sensor
Zero calib. on/off
Check sensor
Calibration
Neonatal flow sensor
Flow sensor
O2 sensor
CO2 sensor
System setup... Screen layout
Overview
General settings
Views
Customized data
Config. buttons
Trends graphic 1
Trends graphic 2
Therapy bar
Alarms
Overview
Preset limits
Alarm vol./tone
Ventilation
Overview
Patient category
Modes
Start settings
VT, RR, Trigger
Pressures, O2, I:E
Other settings
ATC
General settings
Maneuver
continued next page
Group Button in main menu Horizontal tab Vertical tab Additional tabs
symbol bar
Config. exchange
Applications
System status
Overview
General status
Exchange intervals
System
Overview
Country
Units
Interface
LAN
COM
External display
Supply units
Service
System Information
Operating Data
Options
Service Call
Applications
Help...
Start/ Standby...
Start/Standby
Tube/NIV
Br. circuit/ Humidifier
System check
Overview
Device check
Breathing circ.
check
Check results
Battery check
Accessory status
View 1
FiO2
Waveform Paw
MVe
Waveform Flow
VTe
Waveform Volume
RR
View 2
FiO2
Waveform Paw
MVe
MVespon
VTe
VTespon
Waveform Flow
RR
RRspon
View 3
FiO2
R
Cdyn
088_V300
List of references
Index
A AutoFlow
Description . . . . . . . . . . . . . . . . . . . . . . . . 342
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Switch on or off . . . . . . . . . . . . . . . . . . . . . 192
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Automatic alarm limits . . . . . . . . . . . . . . . . . . 302
Attaching . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Automatic leakage compensation . . . . . . . . . 357
Accessories, displaying the status of . . . . . . . . . 93 AutoRelease, description . . . . . . . . . . . . . . . . 348
Acoustic alarm, failure . . . . . . . . . . . . . . . . . . . 150
Additional buttons . . . . . . . . . . . . . . . . . . . . . . 181
Additional settings for ventilation . . . . . . . . . . . 101 B
Description . . . . . . . . . . . . . . . . . . . . . . . . . 336 Bacterial filter . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Start-up settings . . . . . . . . . . . . . . . . . . . . . 192 Battery
Ventilation parameters . . . . . . . . . . . . . . . . 102 Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Aeroneb nebulizer . . . . . . . . . . . . . . . . . . . . . . 123 Internal . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
Alarm – Cause – Remedy . . . . . . . . . . . . . . . . 205 Battery charging . . . . . . . . . . . . . . . . . . . . . . . 136
Alarm bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Battery check . . . . . . . . . . . . . . . . . . . . . . . . . 272
Alarm history . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Battery concept . . . . . . . . . . . . . . . . . . . . . . . 362
Alarm limits Battery maintenance . . . . . . . . . . . . . . . . . . . 270
Automatic setting . . . . . . . . . . . . . . . . . . . . 302 Battery operation . . . . . . . . . . . . . . . . . . . . . . 136
Configuring start-up values . . . . . . . . . . . . 184 Before reuse . . . . . . . . . . . . . . . . . . . . . . . . . . 261
Deactivating . . . . . . . . . . . . . . . . . . . . . . . . 146 Body height/body weight . . . . . . . . . . . . . . . . . 76
In event of power failure . . . . . . . . . . . . . . 147 Body weight, current . . . . . . . . . . . . . . . . . . . . . 77
Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Breathing circuit
Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 185 Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 84
Alarm priorities . . . . . . . . . . . . . . . . . . . . . . . . . 143 Connecting . . . . . . . . . . . . . . . . . . . . . . . . . 63
Alarm tone Disconnecting . . . . . . . . . . . . . . . . . . . . . . 244
Setting the volume . . . . . . . . . . . . . . . . . . . 148 Safety information . . . . . . . . . . . . . . . . . . . . 61
Suppressing . . . . . . . . . . . . . . . . . . . . . . . . 149 Selecting . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Alarms Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Acknowledging . . . . . . . . . . . . . . . . . . . . . . 144 User-defined . . . . . . . . . . . . . . . . . . . . . . . . 78
Current alarms . . . . . . . . . . . . . . . . . . . . . . 144 Breathing gas humidifier
Displaying causes and remedies . . . . . . . . 144 Attaching . . . . . . . . . . . . . . . . . . . . . . . . . . . 62
Ambient air filter, replacing . . . . . . . . . . . . . . . 267 Selecting . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
Anti Air Shower Brightness, adjusting . . . . . . . . . . . . . . . . . . . 177
Description . . . . . . . . . . . . . . . . . . . . . . . . . 358 BTPS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Switch on or off . . . . . . . . . . . . . . . . . . . . . 194
Apnea ventilation
Auto. Return, switching on or off . . . . . . . . 194 C
Description . . . . . . . . . . . . . . . . . . . . . . . . . 336 C20/C, description . . . . . . . . . . . . . . . . . . . . . 354
Switch alarm on or off . . . . . . . . . . . . . . . . 194 Calibrating the O2 sensor . . . . . . . . . . . . . . . . 166
Switch on or off . . . . . . . . . . . . . . . . . . . . . 192 Checking readiness for operation . . . . . . . . . . . 80
Application mode CO2 cuvette, installing . . . . . . . . . . . . . . . . . . . 66
NIV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104 CO2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . 167
Selecting . . . . . . . . . . . . . . . . . . . . . . . . . . . 89 Deactivating or activating . . . . . . . . . . . . . 173
Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 259
ATC
Description . . . . . . . . . . . . . . . . . . . . . . . . . 345
Switch on or off . . . . . . . . . . . . . . . . . . . . . 193
Audio paused . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
CO2 sensor E
Check calibration with test filter . . . . . . . . . 170
Check calibration with test gas . . . . . . . . . 171 EMC Declaration . . . . . . . . . . . . . . . . . . . . . . 308
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . 245 Environment of use . . . . . . . . . . . . . . . . . . . . . 18
Installing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Exchange intervals . . . . . . . . . . . . . . . . . . . . . 199
Performing calibration . . . . . . . . . . . . . . . . 172 Expiratory compensation, switching on or
CO2 zero calibration . . . . . . . . . . . . . . . . . . . . 169 off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 193
CO2 zero indication . . . . . . . . . . . . . . . . . . . . . 169 Expiratory hold . . . . . . . . . . . . . . . . . . . . . . . . 113
Coaxial breathing circuit . . . . . . . . . . . . . . . . . . 86 Expiratory valve
Color concept . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Dismantling . . . . . . . . . . . . . . . . . . . . . . . . 245
Compressed gas cylinders . . . . . . . . . . . . . . . . 52 Inserting . . . . . . . . . . . . . . . . . . . . . . . 59, 260
Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . 175 Preparing . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Configuring alarm settings . . . . . . . . . . . . . . . . 184 Replace diaphragm . . . . . . . . . . . . . . . . . 267
Configuring units . . . . . . . . . . . . . . . . . . . . . . . 201 External screen . . . . . . . . . . . . . . . . . . . . . . . 203
Connecting the nurse call . . . . . . . . . . . . . . . . . 70
Connection with other electrical equipment . . . . . 9 F
Contraindications . . . . . . . . . . . . . . . . . . . . . . . . 18
Control and display unit . . . . . . . . . . . . . . . . 21, 38 Factory settings . . . . . . . . . . . . . . . . . . . . . . . 191
Country-specific settings . . . . . . . . . . . . . . . . . 200 Fisher & Paykel MR 850 . . . . . . . . . . . . . . . . . . 62
Curve field . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Flow / volume measurement . . . . . . . . . . . . . 359
Curve fields, selecting the display . . . . . . . . . . 108 Flow monitoring . . . . . . . . . . . . . . . . . . . . . . . 161
Curves and measured values, displaying . . . . 107 Deactivating or activating . . . . . . . . . . . . . 164
Cuvette type, selecting . . . . . . . . . . . . . . . . . . 167 Flow reduction . . . . . . . . . . . . . . . . . . . . . . . . 357
Flow sensor
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . 275
D Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Data export . . . . . . . . . . . . . . . . . . . . . . . . . . . 158 Flow sensor (Infinity ID)
Data transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Calibrating . . . . . . . . . . . . . . . . . . . . . . . . 163
Date and time . . . . . . . . . . . . . . . . . . . . . . . . . 200 Fitting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Day and night mode . . . . . . . . . . . . . . . . . . . . . 45 Flow trigger, description . . . . . . . . . . . . . . . . . 339
DC power supply . . . . . . . . . . . . . . . . . . . . . . . 135 Freezing waveforms . . . . . . . . . . . . . . . . . . . . 109
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Front
Description . . . . . . . . . . . . . . . . . . . . . . . . . . . 313 Control and display unit . . . . . . . . . . . . . . . 21
Device check . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Ventilation unit . . . . . . . . . . . . . . . . . . . . . . 23
Diagnostics . . . . . . . . . . . . . . . . . . . . . . . . . . . 124 Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Dialogs windows . . . . . . . . . . . . . . . . . . . . . . . . 43
Disassembly . . . . . . . . . . . . . . . . . . . . . . . . . . 244 G
Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . 243
Display data . . . . . . . . . . . . . . . . . . . . . . . . . . . 156 Gas supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Displaying data Central gas supply . . . . . . . . . . . . . . . . . . . 69
All measurements . . . . . . . . . . . . . . . . . . . 156 Connecting . . . . . . . . . . . . . . . . . . . . . . . . . 69
Hospital-specific data . . . . . . . . . . . . . . . . . 156 From cylinders . . . . . . . . . . . . . . . . . . . . . . 69
Set values . . . . . . . . . . . . . . . . . . . . . . . . . 156 Gas supply unit GS500 . . . . . . . . . . . . . . . . . 127
Disposable cuvettes . . . . . . . . . . . . . . . . . . . . 167 General settings for ventilation . . . . . . . . . . . . . 98
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273 Getting started . . . . . . . . . . . . . . . . . . . . . . . . . 73
Disposal of the device . . . . . . . . . . . . . . . . . . . 275 Safety information . . . . . . . . . . . . . . . . . . . . 74
Graphic trends . . . . . . . . . . . . . . . . . . . . . . . . 152
GS500 gas supply unit
Functionality . . . . . . . . . . . . . . . . . . . . . . . 204
H M
Header bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Main menu bar . . . . . . . . . . . . . . . . . . . . . . . . . 41
Height above sea level . . . . . . . . . . . . . . . . . . 201 Structure . . . . . . . . . . . . . . . . . . . . . . . . . . 369
Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Main screen . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
HME . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61 Mains power supply . . . . . . . . . . . . . . . . . . . . 135
Hospital-specific measured values . . . . . . . . . 180 Maneuvers . . . . . . . . . . . . . . . . . . . . . . . . . . . 112
Humidifier holder . . . . . . . . . . . . . . . . . . . . . . . . 51 Manual disconnection . . . . . . . . . . . . . . . . . . . 115
Manual inspiration . . . . . . . . . . . . . . . . . . . . . 112
I Manual ventilation device . . . . . . . . . . . . . . . . . 14
Measurement maneuver, description . . . . . . . 351
Illumination adjusting . . . . . . . . . . . . . . . . . . . . 177 Measurement principles . . . . . . . . . . . . . . . . . 360
Import/export of configurations . . . . . . . . . . . . 195 MEDIBUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Medication nebulization
Infinity C300 Applying . . . . . . . . . . . . . . . . . . . . . . . . . . 116
Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Description . . . . . . . . . . . . . . . . . . . . . . . . 349
Preparing . . . . . . . . . . . . . . . . . . . . . . . . . . . 54 Switching on . . . . . . . . . . . . . . . . . . . . . . . 120
Infinity ID breathing circuit . . . . . . . . . . . . . . 63, 79 Medication nebulizer . . . . . . . . . . . . . . . . . . . . 28
Infinity ID components . . . . . . . . . . . . . . . . . . . . 15 Dismantling . . . . . . . . . . . . . . . . . . . . . . . . 247
Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Installing . . . . . . . . . . . . . . . . . . . . . . . . . . 118
Inspiratory hold . . . . . . . . . . . . . . . . . . . . . . . . 112 Preparing . . . . . . . . . . . . . . . . . . . . . . . . . 118
Inspiratory termination Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . 27, 159
Description . . . . . . . . . . . . . . . . . . . . . . . . . 340 Monitoring area . . . . . . . . . . . . . . . . . . . . . . . . 40
Switch on or off . . . . . . . . . . . . . . . . . . . . . 194 Monitoring fields, changing display . . . . . . . . 107
Inspiratory termination criterion . . . . . . . . . . . . 340 Monitoring functions . . . . . . . . . . . . . . . . . . . . . 27
Installing applications . . . . . . . . . . . . . . . . . . . 197
Instructions for use, observing . . . . . . . . . . . . . . . 8 N
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Interfaces, configuring . . . . . . . . . . . . . . . . . . . 202 Negative Inspiratory Force
Intrahospital patient transport . . . . . . . . . . . . . 138 Description . . . . . . . . . . . . . . . . . . . . . . . . 353
Intrinsic PEEP Measurement . . . . . . . . . . . . . . . . . . . . . . 126
Applying . . . . . . . . . . . . . . . . . . . . . . . . . . . 125 Neonatal flow sensor
Description . . . . . . . . . . . . . . . . . . . . . . . . . 352 Calibrating . . . . . . . . . . . . . . . . . . . . . . . . . 161
Dismantling . . . . . . . . . . . . . . . . . . . . . . . . 246
L Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . 275
Installing . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
LAN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 202 Replacing insert . . . . . . . . . . . . . . . . . . . . . 65
Lateral flaps on the device . . . . . . . . . . . . . . . . . 71 New patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Leakage compensation Non-invasive ventilation
Description . . . . . . . . . . . . . . . . . . . . . . . . . 357 Applying . . . . . . . . . . . . . . . . . . . . . . . . . . 104
Switch on or off . . . . . . . . . . . . . . . . . . . . . 194 Description . . . . . . . . . . . . . . . . . . . . . . . . 356
List of references . . . . . . . . . . . . . . . . . . . . . . . 374 NTPD . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Logbook, displaying . . . . . . . . . . . . . . . . . . . . . 157
Loops O
Evaluating . . . . . . . . . . . . . . . . . . . . . . . . . 109
Reference loop . . . . . . . . . . . . . . . . . . . . . 109 O2 monitoring . . . . . . . . . . . . . . . . . . . . . . . . . 166
Deactivating or activating . . . . . . . . . . . . . 166
O2 therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
Description . . . . . . . . . . . . . . . . . . . . . . . . 356
Setting O2 and flow . . . . . . . . . . . . . . . . . . 130
Switching off . . . . . . . . . . . . . . . . . . . . . . . 130
Switching on . . . . . . . . . . . . . . . . . . . . . . . 129
Trends
Configuring display . . . . . . . . . . . . . . . . . . 181
Displaying . . . . . . . . . . . . . . . . . . . . . . . . . 152
Trolley, preparation . . . . . . . . . . . . . . . . . . . . . . 50
U
Units of measurement, configuring . . . . . . . . . 201
Universal holder with standard rail . . . . . . . . . . 51
USB storage medium . . . . . . . . . . . . . . . . . . . 196
V
Ventilation functions . . . . . . . . . . . . . . . . . . . . . 27
Ventilation modes
Description . . . . . . . . . . . . . . . . . . . . . . . . . 314
Selecting . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Ventilation parameters
Exceeding set limit . . . . . . . . . . . . . . . . . . . . 46
Linked setting . . . . . . . . . . . . . . . . . . . . . . . . 47
Setting . . . . . . . . . . . . . . . . . . . . . . . . . . 46, 97
Setting directly . . . . . . . . . . . . . . . . . . . . . . . 47
Ventilation settings
Configuring . . . . . . . . . . . . . . . . . . . . . . . . 187
Configuring import . . . . . . . . . . . . . . . . . . . 188
Transferring . . . . . . . . . . . . . . . . . . . . . . . . . 90
Virus protection . . . . . . . . . . . . . . . . . . . . . . . . . 11
Volume Guarantee
Description . . . . . . . . . . . . . . . . . . . . . . . . . 342
Switch on or off . . . . . . . . . . . . . . . . . . . . . 192
Volume-controlled ventilation modes . . . . . . . . . 99
Manufacturer
9052995 – GA 6500.320 en
© Drägerwerk AG & Co. KGaA
Edition: 3 – 2016-04
(Edition: 1 – 2011-03)
Dräger reserves the right to make modifications
to the device without prior notice.