Ivent201 - Manual de Usuario (001-099)
Ivent201 - Manual de Usuario (001-099)
Ivent201 - Manual de Usuario (001-099)
iVentTM201
User’s Reference Manual
Revision: 13
VersaMed, a General Electric Company, doing business as GE Healthcare.
Calling for Help
Owner’s Record
The model number and serial number of your iVentTM201 are located on the rear panel of
your ventilator. Record the serial number in the space below in case service or support is
necessary.
Model Number:
Serial Number:
Customer Service
If you have a ventilator problem you cannot solve and you purchased your ventilator directly from GE,
call:
US number 800-345-2700 - Customer Service
If you have a ventilator problem that you cannot solve and you purchased your ventilator from an
authorized GE distributor, please contact your distributor directly to report the problem.
TABLE OF CONTENTS
1 INTRODUCTION .................................................................................................................................................. 1
Introduction .......................................................................................................................................................................................... 3
How to Use This Manual ................................................................................................................................................................. 4
Looking at the iVent™201 .............................................................................................................................................................. 5
Cautions and Warnings .................................................................................................................................................................. 7
Symbols and Labels .......................................................................................................................................................................... 8
Performance Parameters ........................................................................................................................................................... 12
Specifications.................................................................................................................................................................................... 13
Monitored Data Range, Resolution and Accuracy .......................................................................................................... 13
Size and Weight ............................................................................................................................................................................... 15
Ventilation Modes ........................................................................................................................................................................... 15
Environmental Specifications.................................................................................................................................................... 16
Power Supply .................................................................................................................................................................................... 16
O2 Supply Specifications ............................................................................................................................................................. 17
Ventilation Performance and Controlled Parameters ................................................................................................... 17
Pulse Oximetry Specifications................................................................................................................................................... 18
Standards and Safety Requirements .................................................................................................................................... 19
User Adjustable Alarms ................................................................................................................................................................ 22
Additional Alarms and Indicators ............................................................................................................................................ 23
Waveforms and Diagnostics Packages ............................................................................................................................... 23
Intended Use ..................................................................................................................................................................................... 25
Use of the iVentTM201 With MRI ............................................................................................................................................. 25
MRI Conditional Tests Specifications ..................................................................................................................................... 29
2 SETTING UP ....................................................................................................................................................... 31
Introduction ....................................................................................................................................................................................... 32
Power Connection .......................................................................................................................................................................... 32
External Power ................................................................................................................................................................................. 32
Internal Battery ................................................................................................................................................................................ 35
Oxygen Supply ................................................................................................................................................................................. 38
High Pressure Oxygen supply ................................................................................................................................................... 38
Low Pressure Oxygen Supply .................................................................................................................................................... 39
Patient Circuit ................................................................................................................................................................................... 40
Disposable Patient Circuit ........................................................................................................................................................... 41
Reusable Patient Circuit ............................................................................................................................................................... 41
Dual Limb Patient Circuit ............................................................................................................................................................. 42
Circuit Resistance ........................................................................................................................................................................... 44
I
Other Connections ......................................................................................................................................................................... 44
HME ....................................................................................................................................................................................................... 44
MDI ......................................................................................................................................................................................................... 44
Using the iventTM201 with heated humidification (1.4 Stepper Based models only) ....................................... 44
PneUmaTIC Nebulizer ................................................................................................................................................................... 46
Pulse Oximeter ................................................................................................................................................................................. 46
Remote Alarm ................................................................................................................................................................................... 49
Sensor Line Maintenance............................................................................................................................................................ 49
Patient Connection......................................................................................................................................................................... 49
Filters .................................................................................................................................................................................................... 49
Air Inlet Filter ..................................................................................................................................................................................... 50
Bacterial Filter................................................................................................................................................................................... 50
Chemical, Biological, Radiological and Nuclear Filter.................................................................................................... 50
Operational Case ............................................................................................................................................................................ 51
The iVentTM201 User Interface .................................................................................................................................................. 51
Controls and Power Up ................................................................................................................................................................ 52
The Front Panel ................................................................................................................................................................................ 52
Silence.................................................................................................................................................................................................................. 52
Manual Breath ................................................................................................................................................................................................. 53
Hold ....................................................................................................................................................................................................................... 53
Clear...................................................................................................................................................................................................................... 53
LED Indicators .................................................................................................................................................................................................. 53
The Screen ......................................................................................................................................................................................................... 54
Introduction ....................................................................................................................................................................................... 59
Operation of the iVentTM201 ...................................................................................................................................................... 59
Power Up and Weight Selection .............................................................................................................................................. 59
O.V.T ...................................................................................................................................................................................................... 60
Standby and Patient Ventilation .............................................................................................................................................. 61
Changing Ventilation Mode........................................................................................................................................................ 62
Common Parameters.................................................................................................................................................................... 64
Changing Ventilation Paramters – Overview ..................................................................................................................... 65
The Selection Interface................................................................................................................................................................. 66
Adjusting the Breath Rate ........................................................................................................................................................... 67
Adjusting the Tidal Volume ......................................................................................................................................................... 69
Breath Types ..................................................................................................................................................................................................... 70
Adjusting Pressure.......................................................................................................................................................................... 71
Adjusting FiO2 .................................................................................................................................................................................. 73
Adjusting Peak Flow....................................................................................................................................................................... 74
Adjusting Pressure Support Ventelation .............................................................................................................................. 76
II
Adjusting PEEP.................................................................................................................................................................................. 78
Adjusting Trigger Sensitivity....................................................................................................................................................... 79
Adjusting Inspiratory Time .......................................................................................................................................................... 80
Adjusting Rise Time ........................................................................................................................................................................ 82
Adjusting Flow Termination (Esens) ........................................................................................................................................ 84
Introduction ....................................................................................................................................................................................... 89
Navigating the Main Menu ......................................................................................................................................................... 89
Alarm Settings .................................................................................................................................................................................. 90
Advanced Settings ......................................................................................................................................................................... 91
Sigh Breath ........................................................................................................................................................................................ 91
Easy Exhale™ .................................................................................................................................................................................... 93
Oxygen Supply ................................................................................................................................................................................. 94
High Option ....................................................................................................................................................................................................... 95
Alarm Messages .............................................................................................................................................................................................. 96
Low + Monitoring Option ............................................................................................................................................................................. 97
Low Option......................................................................................................................................................................................................... 97
None Option ...................................................................................................................................................................................................... 98
Adaptive Peak Flow........................................................................................................................................................................ 98
Humidifier Setting ........................................................................................................................................................................... 99
Pulse Oximetry ...............................................................................................................................................................................100
Pneumatic Nebulizer ...................................................................................................................................................................102
Set Time and Date ........................................................................................................................................................................103
Restore Default Settings ............................................................................................................................................................105
Default parameters Settings ...................................................................................................................................................106
Show Graphs ...................................................................................................................................................................................108
Browse Waveforms......................................................................................................................................................................108
Select Range ...................................................................................................................................................................................110
Show Trends ....................................................................................................................................................................................112
Selecting Trends To Display .....................................................................................................................................................114
Browsing Trends ............................................................................................................................................................................115
Show Loops .....................................................................................................................................................................................117
Show Mechanics ...........................................................................................................................................................................119
Pulse Oximetry Screen................................................................................................................................................................120
Pulse Oximetery Alarms .............................................................................................................................................................122
Show Log Book ..............................................................................................................................................................................123
Display................................................................................................................................................................................................124
O.V.T. ...................................................................................................................................................................................................127
Maintenance ...................................................................................................................................................................................127
III
5 ADAPTIVE BI-LEVEL ........................................................................................................................................ 129
Introduction .....................................................................................................................................................................................131
About Adaptive Bi-Level.............................................................................................................................................................131
Guide to Adaptive Bi-Level .......................................................................................................................................................131
Indications and Warnings .........................................................................................................................................................132
Indications ........................................................................................................................................................................................132
Warnings...........................................................................................................................................................................................132
Setup ...................................................................................................................................................................................................132
Adaptive Bi-Level Alarm Settings ..........................................................................................................................................134
Other Alarm Options....................................................................................................................................................................134
Adjusting Adaptive Bi-Level Parameters ...........................................................................................................................134
Adaptive Bi-Level Window ........................................................................................................................................................135
Easy Exhale ......................................................................................................................................................................................137
Optimizing the Patient Ventilator Interface ......................................................................................................................137
Resolving Patient Ventilator Dysynchrony ........................................................................................................................137
Excessive Ventilation ...................................................................................................................................................................137
Excessive Leak ...............................................................................................................................................................................137
Non-Triggered Breaths (Inspiratory Trigger Failure).....................................................................................................138
Excessive Triggering (auto cycling): ......................................................................................................................................138
I:E Cycling Dysynchrony .............................................................................................................................................................138
Premature I:E Cycling ..................................................................................................................................................................138
6 ALARMS............................................................................................................................................................ 141
Introduction .....................................................................................................................................................................................143
How Alarms Work .........................................................................................................................................................................143
Responding to an Alarm ............................................................................................................................................................143
Alarm settings ................................................................................................................................................................................144
Changing Individual Alarm Settings .....................................................................................................................................145
Setting the Respiratory Rate Alarm ......................................................................................................................................146
Setting the Minute Volume Alarm ........................................................................................................................................................ 147
Setting the Pressure Alarm...................................................................................................................................................................... 148
Setting the Apnea Time Alarm ............................................................................................................................................................... 149
Setting the FiO2 Alarm .............................................................................................................................................................................. 150
Setting the Leak Alarm .............................................................................................................................................................................. 151
Auto Settings ...................................................................................................................................................................................152
Alarm Options .................................................................................................................................................................................153
Setting the Alarm Volume ........................................................................................................................................................................ 154
Setting the Inverse I:E Ratio Alarm ....................................................................................................................................................... 154
Setting the Tidal Volume Not Delivered Alarm ............................................................................................................................... 155
Disabling or Enabling the Patient Circuit Disconnect Alarm .................................................................................................... 156
Guide to Alarm Definitions and Priorities ...........................................................................................................................158
IV
Alarms Test ......................................................................................................................................................................................167
The Sensor Failure Alarm ..........................................................................................................................................................169
Patient Disconnect Alarm .........................................................................................................................................................170
Patient Circuit Failed Alarm......................................................................................................................................................170
Introduction .....................................................................................................................................................................................173
Cleaning and Maintenance ......................................................................................................................................................173
Cleaning the Ventilator...............................................................................................................................................................174
Planned Maintenance .................................................................................................................................................................174
Storage Planned Maintenance ...............................................................................................................................................176
The O.V.T............................................................................................................................................................................................176
The Maintenance Screen...........................................................................................................................................................176
Calibration ........................................................................................................................................................................................176
O2 Calibration ............................................................................................................................................................................................... 177
Ventilator Verification tests ......................................................................................................................................................179
Required Equipment and Supplies: ...................................................................................................................................................... 180
Starting the VVT ............................................................................................................................................................................................ 181
The Alarm Sound Test ................................................................................................................................................................................ 181
Pressure Tests ............................................................................................................................................................................................... 182
Flow Tests........................................................................................................................................................................................................ 182
O2 Tests............................................................................................................................................................................................................ 182
Battery Test .................................................................................................................................................................................................... 183
Watchdog Timer Tests .............................................................................................................................................................................. 183
VVT Completion ............................................................................................................................................................................................ 183
Configuration Screen ..................................................................................................................................................................184
Choosing a Different Startup Screen ...................................................................................................................................184
Setting the Startup Weight .......................................................................................................................................................185
Default FiO2 Setting .....................................................................................................................................................................185
VersaMed Service Functions ...................................................................................................................................................186
Communication Port ...................................................................................................................................................................186
Communication Rate ..................................................................................................................................................................186
Localization......................................................................................................................................................................................186
Total Operating Hours ................................................................................................................................................................188
Warranty ...........................................................................................................................................................................................201
V
Theory ................................................................................................................................................................................................205
Ambient Air Filter...........................................................................................................................................................................205
CBRN Filter (optional) ...................................................................................................................................................................205
Low Pressure O2 Adapter and Filter (optional) ...............................................................................................................205
Air/Oxygen Blending System ...................................................................................................................................................205
Inlet Manifold ..................................................................................................................................................................................205
Turbine Unit .....................................................................................................................................................................................206
Turbine Pressure Sensor ............................................................................................................................................................206
Turbine Valves ................................................................................................................................................................................206
Over Pressure Relief Valve ........................................................................................................................................................206
Airway Flow and Pressure Sensors ......................................................................................................................................206
Pressure Switch .............................................................................................................................................................................206
Inlet and Outlet Mufflers ............................................................................................................................................................206
Breath Delivery...............................................................................................................................................................................213
Patient Triggering .........................................................................................................................................................................213
Breath Types ...................................................................................................................................................................................214
Adaptive Flow and Adaptive I-Time .....................................................................................................................................215
Mandatory Volume Control Breath ......................................................................................................................................216
Pressure Control Breath.............................................................................................................................................................217
Manual Mandatory Breath .......................................................................................................................................................218
Patient Pressure Support Breath ...........................................................................................................................................218
Patient Spontaneous Breath ...................................................................................................................................................219
Summary ..........................................................................................................................................................................................220
Assist/Control Mode.....................................................................................................................................................................225
Definition ...........................................................................................................................................................................................225
Available Breath Types ...............................................................................................................................................................225
Description .......................................................................................................................................................................................225
Parameters Setting ......................................................................................................................................................................226
Synchronized Intermittent Mandatory Ventilation Mode...........................................................................................226
Definition ...........................................................................................................................................................................................226
Available Breath Types ...............................................................................................................................................................226
Description .......................................................................................................................................................................................226
Parameters Setting ......................................................................................................................................................................227
Continuous Positive Airway Pressure Mode .....................................................................................................................228
Definition ......................................................................................................................................................................................................... 228
Available Breath Types .............................................................................................................................................................................. 228
Description...................................................................................................................................................................................................... 228
VI
Parameters Setting ......................................................................................................................................................................228
Apnea Back-Up Ventilation ......................................................................................................................................................229
Open Loop Mode ...........................................................................................................................................................................229
Adaptive Bi-Level Mode .............................................................................................................................................................230
VII
Instructions for Use ......................................................................................................................................................................258
Instructions for Use With the Humidifier ...........................................................................................................................258
Transport Mounting Panel ........................................................................................................................................................259
Kit Contents .....................................................................................................................................................................................259
Installation........................................................................................................................................................................................259
Support Arm for Breathing Circuit ........................................................................................................................................261
connecting the Patient circuit to the Support Arm .......................................................................................................261
Roll Stand ..........................................................................................................................................................................................262
Mounting the iVentTM201 On The Roll Stand ....................................................................................................................262
Dismounting the iVentTM201 From The Roll Stand ........................................................................................................262
Connecting the optional Battery Holder Accessory P/N: M1162050....................................................................263
VIII
1 INTRODUCTION
Introduction Page 3
Specifications Page 13
1
1 Introduction
INTRODUCTION
NOTE Certain modes are optional features and may not be operational in some
iVentTM201 models
3
HOW TO USE THIS MANUAL
4
1 Introduction
5
3
4
Figure 1: Front View of the iVent™201
1 Display
2 Keypad
3 Control Knob
4 Exhalation valve luer inlet
5 Ventilator outlet
6 Sensor line luer inlets
7 Nebulizer outlet
5
1
2 3
17
16
4
15 5
6
14
7
8
13
9
12
10
11
1 Carrying handle
2 Keyboard connector
3 Remote alarm connector
4 External screen connector
5 LAN connector*
Do not remove connector cap. This connection
port is not in use
6 AC cable clip
7 RS 232 connectors (COM1 and COM2)
8 On/off switch (with cover)
9 High pressure oxygen inlet connector
6
1 Introduction
The factory default setting for Leak Alarm is set to Off. Users must
manually set the leak alarm to enable it.
7
mandatory.
Qualified medical personnel should visually monitor patients on
life-support ventilation. Life-threatening conditions may arise that
might not activate alarms,
To prevent explosion hazard, do not use the ventilator in the
presence of flammable anesthetics.
Do not cover the iVentTM201 while it is in use. Make sure that the
iVentTM201 is positioned so that its inlet ports and cooling vents
are open to freely circulating air.
Symbol Meaning
Nebulizer
Ventilator outlet
8
1 Introduction
Location Label
AC Connector AC IN 100-240V
50-60Hz 1.6A
DO NOT
OBSTRUCT
COOLING
Cooling Fan
FAN
DO NOT
OBSTRUCT
Connector DC IN
12-15V
8.5A
T15A (250V)
DC Fuse
Device ID
Device Product
Ethernet
Connector (not
on all units)
External Display
Connector
9
High Pressure
Oxygen Inlet
Keyboard
Connector
Power Pack
Fuse T15A (250V)
Power Switch
ON
OFF
Serial RS-232
Communication
Connector
10
1 Introduction
Power Pack
(inside) POWER PACK
P/N : 503A0012
Caution: This Power Pack contains a sealed Lead -
Acid Battery. Disposal of this unit should be
according to Environmental Safety Requirements for
Lead-Acid batteries.
VersaMed
11
PERFORMANCE PARAMETERS
Displayed
Page
Set
Respiratory rate 1-12 bpm 1 Y Y 67
12-80 2
Inspired Tidal Volume 50-2000 mL 10% Y N 69
Measurement
12
1 Introduction
SPECIFICATIONS
The following section describes the various specifications and parameters of the
iVentTM201.
13
Resolution: 1%
Accuracy: 5%
Flow Leak Range: 0 to 100%
Resolution: 1%
Accuracy: 15%
Mean Airway Pressure Range: 0 to 99 cmH2O
Resolution: 1 cmH2O
Accuracy: 2 (+ 5 % of reading) cmH2O
Resistance (dynamic) Range: 0 to 99.9 cmH2O/L/s
Resolution: 0.1 cmH2O/L/s
Accuracy: (2 + 20% of actual value)
cmH2O/L/s
Compliance (dynamic) Range: 0 to 99.9 ml/cmH2O
Resolution: 0.1 ml/cmH2O
Accuracy: (2 +20% of actual value)
ml/cmH2O
RR/Vt-Rapid Shallow Range: 0 –200 /min*L
Breathing Index (RSBI) Resolution: 1 /min*L
Accuracy: (5 + 20% of actual value). /min*L
Static compliance Range: 0 to 99 ml/cmH2O
Resolution: 1 ml/cmH2O
Accuracy: (2 + 20 % of actual value).
ml/cmH2O
Auto PEEP Range: 0 to 99 cmH2O
Resolution: 1 cmH2O
Accuracy: 2 (+ 5 % of reading) cmH2O
Plateau Pressure Range: 0 to 99 cmH20
Resolution: 1 cmH20
Accuracy: +2(+5% of reading) cmH20
Time Constant Range: 0.0 to 9.9 sec
Resolution: 0.1 sec
Accuracy: 20%
14
1 Introduction
Parameter
Height: 13” / 33 cm
Width: 9.5” / 24 cm
Depth: 10.3” / 26 cm
Screen: 8.4” / 21.3 cm
diagonal
Weight 18.3 lb/8.3 kg
(without battery)
Battery Weight 6.2lb/2.8kg
Extended Battery 10.1 lb / 4.6 kg
Weight
Overall Weight 24.5 lb/11.1 kg
Overall Weight (with 27.8 lb/12.6 kg
extended Battery)
VENTILATION MODES
Assist/Control (A/C)
o Volume Controlled (A/C)
o Pressure Controlled (A/C)
Synchronized Intermittent Mandatory Ventilation (SIMV)
o Volume Controlled SIMV (Vctrl)
o Pressure Controlled SIMV (Pctrl)
Continuous Positive Airway Pressure (CPAP) with Pressure Support Ventilation
(PSV)
NOTE Certain modes are optional and might not be operational in all
iVentTM201 models
15
ENVIRONMENTAL SPECIFICATIONS
Parameter
POWER SUPPLY
Parameter
16
1 Introduction
O2 SUPPLY SPECIFICATIONS
Parameter
Parameter
17
PULSE OXIMETRY SPECIFICATIONS
18
1 Introduction
19
DISPLAYED PARAMETERS
The following table presents the displayed parameters and indicates whether the
displayed values are set, measured or both.
Unit of
Displayed
Parameter Measure
Set
Rate bpm + +
Ventilation Mode + +
Oxygen Concentration FiO2 + +
Inspiration to Expiration +
time ratio I:E ratio
Inspiratory Time (Itime) sec + +
Sensitivity Values cmH2O/LPM + +
(Triggers): Pressure and
Flow
Pressure Support cmH2O +
Ventilation (PSV)
Flow termination (Esens) % +
Rise time (drive) + +
Alarm Pressure / Limit cmH2O + +
Pressure
Positive End Expiratory cmH2O + +
Pressure (PEEP)
Exhaled Minute Volume L +
Peak Inspiratory Pressure cmH2O +
Pressure/Flow Wave +
Forms
Electrical Power Source +
(Ext./Int.)
SpO2 % +
Heart rate Bmp +
In Adaptive Bi-Level
Mode:
IPAP (Ins Pressure) cmH2O + +
EPAP (Exp. Pressure) cmH2O + +
Tidal Volume (estimated) mL +
Leak (estimated)* LPM +
Rise Time Setting sec +
Non-Displayed Additional
Parameters
20
1 Introduction
Unit of
Displayed
Parameter Measure
Set
Sigh Breath Setting +
Humidifier Setting (purge +
cycle)
Nebulizer Settings (time) Hr: min + +
21
USER ADJUSTABLE ALARMS
Value Range
22
1 Introduction
Alarms
Low O2 Pressure
AC Power Disconnect
Low Battery
Empty Battery
Battery Disconnect or
Damaged
Over Temperature
Check Sensor
Tube Disconnect
Sensor Disconnect
Patient Disconnect
Service Notice
High PEEP
Need Cal (Calibration)
Patient Circuit Failed
SpO2 Patient
Disconnect
SpO2 Sensor
Disconnect
SpO2 Reading Failed
Indicators
Battery Charge
Alarm Silence Icon & Timer
Work Hour Counter
Date and Time
LEDs: ON, Charge, Alarm
Power Source Icon
Breath Type: Mandatory, Spontaneous,
Assist, Hold, or Sigh
Zeroing
Purging
100% O2 suction mode
External DC
23
WAVEFORMS AND DIAGNOSTICS PACKAGES
Pressure, Flow, and Volume Waveforms Software Package includes the following:
Real Time Pressure and, Flow Waveforms
Waveform History Browsing
Trending of Monitored Data
Respiratory Diagnostics Software Package
Pressure, Flow and Volume Loops
Lung Mechanics (Compliance-static and dynamic, Resistance, Mean Airway
and Plateau Pressure)
24
1 Introduction
INTENDED USE
25
The facility must map and permanently mark the 100 Gauss strength line on the
floor with a durable tape. VersaMed Gauss line warning floor label (Versamed P/N
350C0323-01, GE P/N M1218236), shown in Figure 3 below can be used to
emphasize the location of the 100 Gauss line.
26
1 Introduction
MR Class
WARNING Use of the ventilator other than as instructed may result in injury to
the patient or personnel.
Connect the potential equalization pin on the back of the ventilator to the
CAUTION
ground during battery (DC power) operation
Before using the MR suite, remove the green cover and the attached metal
chain from the high-pressure oxygen fitting.
Use of the ventilator other than as instructed may cause damage to the
MR scanner
Use of the ventilator other than as instructed may cause the ventilator to
malfunction, and may cause permanent damage to the ventilator.
NOTE To avoid degrading image quality, do not use the static mechanics function
during MRI scanning and Connect the potential equalization pin on the back
of the ventilator to the ground during battery (DC power) operation
If the standard patient circuit is not long enough when the ventilator is
placed outside the 100 Gauss boundary we offer the following options:
The only metal GEHC accessories that are acceptable for use within the MRI
Suite are the following:
27
P/N M1162046 OXYGEN CYLINDER HOLDER, MRI CONDITIONAL
The iVentTM201 was tested with the Magnetom Trio, a Siemens Medical Solution
scanner under 3 Tesla, horizontal static magnetic field. For the test specifications
refer to MRI Conditional Tests Specifications below.
The outcomes of the test results were:
There was no detectable magnetic attraction of the ventilator when placing
the iVentTM201 close to the 100 Gauss line.
The operation of the ventilator was not affected when adhering to the
instructions as described above.
The ventilator demonstrated minor visible RF interference (zipper
interference) which is detectable in some MR images. This effect varies from
site to site due to variation in MR shielding and should be evaluated by the
site radiologist.
28
1 Introduction
The iVent™201 MR conditional has been performed to demonstrate that there are
no known hazards in a specified MR environment with specified conditions.
The specified MR environment was:
29
2 Setting up
2 SETTING UP
Introduction Page 32
Filters Page 49
31
INTRODUCTION
This section shows you how to set up the iVentTM201, and includes the following:
Connecting to external AC or DC power
Using the internal battery
Verifying power condition
Charging the battery, and proper recharging procedure
Connecting to cylinder, central supply-system, or low-pressure oxygen
Connecting the breathing circuit
Installing heated humidification
Connecting a pneumatic nebulizer
Connecting a pulse oximeter
Installing filters at the ventilator’s inlet and outlet
Packing the unit in its optional transportation case
POWER CONNECTION
EXTERNAL POWER
The iVentTM201 can use either external alternating current (AC) or direct current
(DC) power. Both AC and DC inputs are located on the back panel of the
ventilator (see Figure 5). A hospital grade AC power cord is supplied
Connect one end of the AC or DC cord to the ventilator and the other to the
power outlet
32
2 Setting up
Figure 5: External AC and DC power supply sockets. The AC power cord is connected to
the power inlet and fastened with the clip.
NOTE Before you turn off the iVentTM201 change the mode to Standby
mode (Page 61)
When the ventilator is in operation, icons at the bottom section of the screen
indicate the power state (Figure 6).
33
Figure 6: On-Screen Power Status Indicator
Power
When the iVentTM201 is connected to an AC
power supply, the screen shows a 3-pronged
power outlet icon.
Power
When disconnected from the AC power supply,
disconnect
the 3-pronged outlet icon is displayed with a red
“X” throughout.
DC power
When connected to an external DC power supply
connected
such as a battery, the screen shows “EXT” in blue
and AC
power
connected.
No External
When disconnected from the DC power supply,
battery
the screen shows “No EXT” in black
connected
CAUTION If the screen flashes “EXT” in red, the external battery voltage is low.
Replace the battery at once. Ensure adequate power is immediately
available
If the external battery connector is removed from the iVentTM201 IT MUST REMAIN
DISCONNECTED FOR 40 SECONDS before plugging it back in.
NOTE The iVentTM201 is designed to switch off the external DC battery if the
external battery voltage drops below 10 volts, in order to prevent
damage to the external battery. Some batteries may pose a fire hazard if
discharged below specified minimum charge levels. Because the
ventilator draws variable current while it is operational, the voltages
34
2 Setting up
INTERNAL BATTERY
CAUTION The iVentTM201 should only be used with a properly functioning battery.
Green
Battery is fully charged
35
be substituted and programmed according to the VersaMed Service
Manual and only with the battery specified in those notes
CAUTION “Low Battery” or “Empty Battery” alarm appears, the internal battery must
y recharged, as described below
Continued usage of the battery after the “Empty Battery” alarm appears may
disable the battery’s charging capability and/or lead to battery failure. Ventilation
parameters may not be met in this condition.
NOTE The full recharge procedure first empties the battery of all its charge.
Charging it to capacity then allows for proper calibration of the battery
gauge.
NOTE If the Extended battery is in use, charge the unit for at least 24 hours
3. Switch on the ventilator. When the Weight Selection window appears, select
the 70kg patient weight setting.
4. Set the pressure alarm to 60 (cmH20).
5. Connect the ventilator with a patient circuit to the Rp20 resistor and test
lung.
6. Press Start on the ventilator (See page 59) for directions on starting the
iVentTM201.)
7. Adjust the tidal volume (Vt) so that a PIP (peak inspiratory pressure) of 40 is
attained on each breath – for example, a value of 850.
8. Disconnect the power cord. The AC Disconnect alarm sounds and a pop-up
window appears. Press the red Silence button on the keypad to
remove the pop-up window and silence the alarm.
9. Allow the ventilator to run off the battery continuously. When the Empty
Battery alarm sounds, clear it by pressing the red Silence button on the
keypad.
10. Place the unit in Standby mode (Page 61), then switch it off. Connect the AC
power cord.
11. Let the unit charge for at least 10 hours.
36
2 Setting up
NOTE If Extended battery is in use, charge the unit for at least 24 hours.
If after a full recharge, the battery indicator fails to reach Full, or a Low or Empty
Battery alarm displays, then the battery pack must be replaced.
Figure 7: Unscrewing the Battery Pack Figure 8: Unscrewing the Extended Battery Pack
Figure 9: Removing the Battery Pack Figure 10: Removing the Extended Battery Pack
4. Carefully slide the new battery pack into the chassis. Be sure it is
properly aligned.
5. Firmly and carefully push the battery back into place, making certain
the female connector at the front end of the pack plugs into the
ventilator.
6. Reattach the four screws.
37
7. Charge the battery by following the instructions in Full Recharge Procedure,
page 36.
OXYGEN SUPPLY
WARNING The exact oxygen pressure which the iVentTM201 requires when
connected to medical grade oxygen depends on the version you have.
Check the back label (Shown in Figure 11) for the pressure levels of your
unit.
If using pressurized oxygen, connect the oxygen supply to the oxygen O2 inlet
connector at the back of the ventilator (Figure 11).
WARNING To prevent explosion hazard always ensure the oxygen connector is free
from oil.
CAUTION Verify that the oxygen supply is at the correct pressure before connecting to
the O2inlet.
When the unit is ventilating the measured concentration of delivered oxygen can
be viewed on the Alarm Settings screen (See page 145).
38
2 Setting up
CAUTION When using the iVentTM201 with a pressurized oxygen supply, the accuracy of
the oxygen concentration should be verified periodically with an external
calibrated oxygen analyzer
39
Figure 12: Low Pressure O2 Supply Adapter and Filter Installed
3. Be sure that the Low +M or Low option is selected under Oxygen Supply
(Pressure) in the Advanced Settings menu (See page 91).
CAUTION Do not attempt to use the FiO2 option above 60% when using a low pressure
oxygen supply
When not using a low pressure O2 supply, the Low Pressure O2 Filter must
NOT be used, as the 22mm port is easily blocked.
When the Low + M option is the selected in the Advanced Settings window, the
measured FiO2 level is displayed in the Main window of the screen.
PATIENT CIRCUIT
There are three ways to connect a patient circuit to the iVentTM201: using a
disposable patient circuit, a reusable patient circuit, or a dual limb patient circuit.
Consult a physician and an authorized VersaMed dealer for the appropriate
patient circuit that suits the patient’s needs.
40
2 Setting up
The Patient Wye contains a flow sensor which is connected by two sensor tubes
to the luer connectors on front of the ventilator.
The Expiratory Limb fastens to the Patient Wye and leads to the Exhalation Valve,
which connects to a blue tube, the Control Line, and leads back to the ventilator
front panel. (See Figure 1)
To connect a disposable patient circuit:
1. Twist the knurled connector of the inspiratory limb onto the ventilator outlet.
The connector should fit snugly.
2. Connect the Flow Sensor tubing (the clear tubes) to their connectors. Ensure
correct connection of the Male and Female luer connectors on the flow
sensor tubing.
3. Connect the external Exhalation Valve control tube (the blue tube) to its
connector (marked with a blue dot).
4. Ensure that all connections are secure and airtight. Perform an Operation
Verification Test (O.V.T.), as described on page 60.
The reusable patient circuit contains the same components as the disposable
circuit. It should be sterilized by a stem autoclave. The Versamed reusable Patient
Circuit can be sterilized up to 40 cycles.
CAUTION Prior to use, examine the patient circuit carefully. Should any damage,
discoloration or other abnormality appear on any part of the patient circuit, do
not use it. Replace the patient circuit.
41
To connect a reusable patient circuit:
1. Twist the knurled connector of the Inspiratory limb onto the Ventilator outlet.
The connector should fit snugly.
2. Connect the Flow Sensor tubing (the clear tubes) to their connectors. Ensure
correct connection of the Male and Female luer connectors on the flow
sensor tubing.
3. Connect the Exhalation Valve control tube (the blue tube) to its connector
(marked with a blue dot).
4. Ensure that all connections are secure and airtight. Perform an Operation
Verification Test (O.V.T.), as described in on page 60.
The dual limb patient circuit contains two corrugated tubes, which can be used
as either inspiratory or expiratory limbs. The expiratory limb is connected to
external Exhalation valve, which is then connected to the iVentTM201.
To connect a dual limb patient circuit:
1. Connect the Exhalation valve and its accessories to the ventilator
2. Connect the Tubing.
NOTE The instructions provided below only refer to devices in which the
Transport Mounting plate (P.N.M1169908) is installed. For additional
information regarding Transport Mounting plate refer to your local
customer support.
42
2 Setting up
The Exhalation valve is now connected and ready to use. The next step involves
installing the tubing to the ventilator.
To install the patient circuit:
1. Assemble the PEEP control tube by connecting one end to the barb fitting of
the exhalation valve and the other end to the barb fitting of the reusable Luer
fitting.
2. Connect the assembled PEEP control tube by securing the luer lock fitting to
the Exhalation valve luer inlet, which is marked with a blue dot on the front
panel of the ventilator (see figure 1, item number 4).
3. Secure the multi-use one way valve to the ventilator patient outlet (see figure
1, item number 5)
4. Connect the patient circuit inspiratory limb to the one way valve sitting on
the ventilator patient outlet and the expiratory limb to the exhalation valve.
5. If appropriate, fit the patient wye to the inspiratory and expiratory patient
circuit tubes.
6. Secure the flow sensor to the patient wye and connect the 2 sensor lines to
the ventilator sensor line luer inlets (see figure 1, item number 6).
Note: even though the luer lock fittings at the end of the flow sensor
sampling lines are non-interchangeable, it is good practice to verify that the
left (while facing the ventilator) male luer connector connects to the fitting on
the flow sensor which is closest to the patient
WARNING Before connecting a patient to the ventilator with a new circuit, you
must perform a complete Operational Verification Test (O.V.T.) as
described on page 60
43
CIRCUIT RESISTANCE
OTHER CONNECTIONS
HME
If required, a Heat and Moisture Exchanger may be placed between the flow
sensor and the patient connection.
CAUTION A contaminated HME filter can impede the ventilator’s Patient Disconnect
alarm detection. Do not use any filter that appears to be discolored or filled
with water.
MDI
To administer medication, install an adapter for MDI treatment between the flow
sensor and the patient connection.
44
2 Setting up
3. Connect the one-way valve to one end of a 1-2’ length of 22mm corrugated
tubing.
4. Connect the other end of the tubing to the ventilator outlet. Fasten the one-
way valve to the humidifier inlet. Be sure the directional arrow on the valve is
pointing towards the patient end of the circuit.
5. Connect the Male and Female clear sensor tubing connectors to the Male
and Female luer inlets on the front of the iVent201 as described above in
Patient Circuit, page 40.
6. Connect the blue Expiratory Sensor tube to the luer connector marked with a
blue dot on the front of the ventilator.
Figure 15: The iVentTM201 shown connected to a Fisher and Paykel Heated Humidifier Model MR850
NOTE If not using a heated wire circuit, placement of a water trap at the
45
lowest point of the Inspiratory Limb is highly recommended.
PNEUMATIC NEBULIZER
NOTE 100% oxygen is used as a driver gas for the nebulizer. Thus an external
high-pressure oxygen supply must be connected to the machine to
enable the nebulizer operation.
To activate the nebulizer you need to select the High option under
Oxygen Supply in the advance menu (See page 95)
2. Install the Nebulizer with the required medication to the patient circuit after
the Patient Wye and the Flow Sensor.
3. Connect the other side of the Nebulizer tube to the nebulizer.
4. To activate the Nebulizer see page 102.
PULSE OXIMETER
The pulse oximeter and accessories are indicated for continuous non-invasive
monitoring of oxygen saturation (SpO2) and pulse rate (measured by the SpO2
sensor). The pulse oximeter and accessories are intended for use with adult and
46
2 Setting up
WARNING Use only Nonin manufactured pulse oximeter sensors. Using other
manufacturer’s sensors can result in improper oximeter performance.
The SpO2 device do not meet defibrillation-proof requirement per IEC 60601-
1.
Do not sterilize the SpO2 device. Refer to the cleaning instructions included in
the sensor instruction.
2. Connect the Pulse Oximeter sensor to the gray end of the Unit Connector
cable (Figure 19).
47
Figure 19: Pulse Oximeter Sensor
Keyboard
Connector
RS-232
Connectors:
COM1
COM2
You can connect the RS-232 to any communication port. The iVentTM201 sets the
communication automatically. To configure the communication port see page
186.
48
2 Setting up
REMOTE ALARM
The iVentTM201 can be connected to a remote alarm system via the Remote
Alarm Connection port on the back panel shown in Figure 20.
Using Normally Opened (NO) or Normally Closed (NC) signals, this connection port
allows alarm signal activation in locations remote from the ventilator triggered by
ventilator alarm conditions. For connector details see Appendix H: Remote Alarm
Connector.
WARNING Connect the Remote Alarm Cable only to its designated port marked
accordingly.
NOTE The iVentTM201 is supplied with the Remote Alarm port covered (See Figure 20).
Unscrew the cover to connect the Remote Alarm cable.
The LAN port is not in use and should be covered with the plastic cap at all
times
The iVentTM201 monitors the sensor lines and periodically sends pressurized air
through the lines to clear them of any accumulated material. It is possible for
secretions and/or condensation to accumulate. Should this occur:
1. Do not attempt to clean sensor lines while a patient is connected to the
iVentTM201.
2. Disconnect the sensor lines from the connectors on the iVentTM201.
3. Insert the end of a syringe into one end of the sensor line and discharge air
through it until the line is clear of condensation or secretions.
4. Re-attach the sensor lines.
PATIENT CONNECTION
When connecting the patient, make sure the Patient Wye is positioned so that the
flow sensor tube connections are on top.
Angle the Patient Wye downward to help prevent fluid accumulation.
FILTERS
WARNING Do not use the iVentTM201 without the air-inlet filter and a bacterial filter
before the patient circuit.
49
AIR INLET FILTER
The air inlet filter (part no. M1161007 )screens out particulate matter from
ambient air (Figure 21).
WARNING Failure to use an air inlet filter may result in severe damage to the
internal components of the iVentTM201.
The air inlet filter must be replaced every 500 hours or every thirty days of
operation. See page 173 for air filter maintenance procedures.
BACTERIAL FILTER
WARNING Failure to use an adequate bacterial filter may cause severe damage
to internal pressure and flow sensors, which may result in ventilator
failure.
50
2 Setting up
The CBRN filter fits into the iVentTM201 via an optional air inlet adapter (item
M1161967). Remove the air inlet filter from the iVentTM201 by turning it
counterclockwise. Then fasten the air inlet adapter to the CBRN filter by twisting
it on clockwise. Finally, screw the CBRN canister with the adapter into the air inlet
adapter.
OPERATIONAL CASE
With an optional soft case (item M1161883 )(Figure 23) the iVentTM201 can be
operated in bad weather conditions, such as rain or snow. Padding and
protected ventilation ports enable full function in a variety of situations.
It is important to invest time to acquaint yourself with the iVentTM201 and how the
Control Knob is integrated with the screen and the operation of the iVentTM201.
Connect a test lung with an Rp20 resistor and patient circuit. Switch on the unit,
and navigate through the features discussed in this section. Rotating the Control
Knob at the menu level allows for easy, automatic selection of ventilation modes.
Choosing the best parameter for a patient is as easy as switching on the
iVentTM201 and selecting the patient’s ideal body weight.
51
CONTROLS AND POWER UP
Located above and to the right of the ventilator outlet, is the rotational Control
Knob, which allows control of and access to all the ventilator functions via the
LCD screen. Turn the knob to change a value, or navigate through a menu screen
or through a list of choices. Press the knob and the iVentTM201 responds with a
tactile click and with audible feedback – to select or confirm a choice, or to
access another menu.
Where a numeric value is required, selection is done by rotating the dial to move
a virtual slider bar, spin button, or counter, in increments calibrated precisely
along the full range of values. In some settings menus, one press of the knob is
enough to instantly select or confirm a value, which thereafter immediately
returns you to the previous screen.
Five dedicated keys are positioned below the LCD (Figure 24):
Silence
Silence is used to immediately mute the audible alarm and minimize the
corresponding red message pop-up window. A two-minute timer is activated and
displayed in the lower right corner of the display instead of the time-date field,
alongside the silenced alarm icon (Figure 25).
One short press on the Silence key resets the time to 2 minutes. Press the Silence
key for one second and it re-activates pending alarms.
52
2 Setting up
Manual Breath
Manual Breath delivers a single breath at the set tidal volume or pressure. In
CPAP/PSV ventilation mode, where there is no definition for machine breath, the
Manual Breath is set according to the default volume control for the specified
patient weight chosen at startup.
Hold
Hold activates and/or cancels the hold maneuver. Press the button once to
initiate an inspiratory hold maneuver, which allows the calculation of static
compliance. Press it twice to initiate an end to the expiratory hold maneuver,
which allows the calculation of intrinsic PEEP. For more details see page 235.
Clear
LED Indicators
Three LED (light emitting diode) indicators provide a quick indication of power and
alarm status:
The red alarm LED blinks rapidly when the iVentTM201 detects an alarm
condition.
53
The amber charge LED lights to indicate that the iVentTM201 is connected to
external power.
The green on LED indicates that the power is switched on.
The Screen
The LCD screen is organized to allow rapid access to the ventilator’s functions.
The monitoring or control of any critical parameter is performed with ease.
Baseline indicators and alarms – emergency alerts and alert status
indicators, power and battery states, date and time, and the Menu access
button -- are all displayed along the bottom of the screen indicators.
Set values are displayed in black
Measured and calculated values are displayed in blue -- flashing values
indicate that a set value was not obtained.
Here is a quick overview of the most important screens:
The Main Screen (Figure 26) is the first screen displayed when the iVentTM201 is
placed in Standby or Start Mode.
The slider gauge along the left side of the screen displays the real-time measured
Peak Inspiratory Pressure below a digital readout of the last peak inspiratory
pressure value.
On the top left of the screen, a large shows the total measured respiratory rate in
breaths per minute in large blue numbers. The selected/default respiratory rate
is shown in smaller black numbers below. Proceed to the Respiratory Rate
option to enable and change the number of breaths per minute.
Beside the Respiratory Rate option, there is also the Tidal Volume option. This
displays the exhaled Tidal Volume and allows adjustment to the set Tidal Volume.
(See page 69 for more details about the Tidal Volume display.)
On the top right of the screen is the Mode Selection option, which shows the
current ventilation mode. This option allows you to change modes (See page 62).
Selecting and clicking on a mode brings up the appropriate Mode screen for the
selected ventilation mode. Use this screen to view or adjust ventilation
parameters.
When the ventilator is operating, the middle section of the Main screen displays
pressure/flow waveforms. The optional waveforms package permits a host of
possible display characteristics. (See page 108 for a guide to the waveform
package.)
54
2 Setting up
If a pulse oximeter is connected to the iVentTM201 the SpO2 levels and Heart rate
are displayed on the lower right side of the screen (Figure 27).
Figure 27: The Main Screen With the Pulse Oximetry Monitoring Window
55
Notes:
56
3 Operating the iVentTM201 – Setting Modes and Parameters
Introduction Page 59
57
3 Operating the iVentTM201 – Setting Modes and Parameters
INTRODUCTION
The following section describes the various functions and capabilities for
operating the iVentTM201.
If you have installed a patient circuit then you are ready to begin operating the
iVentTM201. To turn on the power, press the green ON/OFF switch on the rear
panel.
When power is turned on, the software performs a self-test. Once the boot up
process completes (after approximately thirty seconds) you hear a beep and the
screen (Figure 28) asks you to select the patient’s body weight, which sets the
default ventilation parameters.
59
NOTE Parameters for all the iVentTM201’s possible ventilation modes are set when
you choose a patient weight upon startup. For a view of the default
parameters according to weight, refer to Table 1: Default Start Parameters for
Volume Ventilation for 10 kg to 70 kg through Table 4, page 107.
The default selection for patient weight range for the iVentTM201 is 70+kg. This
may be changed using the Configuration utility described on page 185.
As a safety measure, within a few seconds after the patient weight selection pop-
up window appears, the iVentTM201 generates airflow to see if resistance is
encountered in the patient circuit, which means that the patient is connected.
NOTE This is an optional feature, not available in all iVentTM201 units.
O.V.T
The patient circuit must be tested each time it is connected, so if you are
reconnecting a patient circuit or using a new one, you must perform the
Operational Verification Test (O.V.T.). This test, which takes less than one minute,
checks the integrity of the breathing circuit and audible alarm functionality.
Two plastic caps for covering the ends of the patient circuit are required for the
O.V.T. They are included with all patient circuits offered by Versamed.
To perform an O.V.T.:
1. Rotate the Control Knob until the O.V.T. option is selected in bright blue.
2. Press the Control Knob until you hear a click. The O.V.T. Instructions pop up
window appears (Figure 29).
60
3 Operating the iVentTM201 – Setting Modes and Parameters
3. Follow the instructions on the screen. Use the plastic caps to seal off the
following:
The patient Wye sensor, and
The exhalation valve
4. Press the knob to begin the test. A pop-up window appears which indicates
the test has begun.
5. After several seconds, another pop-up window appears and instructs you to
remove the cap on the exhalation valve leaving the cap on the Wye
outlet.
6. After the ventilator performs further testing, it sounds an alarm. If you can
hear the alarm, press the Control Knob to complete the O.V.T. If remote
alarm is connected verify the alarm is activated in remote station.
Once the iVentTM201 has successfully completed the O.V.T., the patient circuit and
ventilator are ready for use.
If the O.V.T. fails:
1. Verify that both Flow Sensor tubes are properly and snugly connected to the
correct luer ports on the front of the iVentTM201. (Note: Remember that two
lines go to the patient Wye connectors, and the blue line goes to the
Expiratory Valve Control connector.) Repeat the test.
2. If the O.V.T. fails once again, then replace the patient circuit.
3. If after replacing the patient circuit, the O.V.T. still fails, try re-calibrating the
ventilator. If calibration fails to correct the O.V.T. failure, immediately remove
the ventilator from service and contact a Versamed approved technician.
When you have selected the weight, the iVentTM201 enters Standby, ready to
ventilate the patient with a press of the Control Knob. By default iVentTM201
starts up in SIMV Volume control.
To start ventilation from Standby mode:
61
Return to the Main screen, rotate the Control Knob until the Start option is
selected, then press the Control Knob.
To return the ventilator to Standby mode:
1. Return to the Main screen, turn the Control Knob to select the Mode
Selection option on the top right of the LCD display, and press the Control
Knob.
2. At the bottom of the drop-down menu is Standby. Dial the knob until
Standby is selected and press. Then select the Yes option in the
Confirmation window and press the knob. The ventilator suspends
operation.
NOTE Always return the iVentTM201 to Standby mode before powering down
The Mode Selection option is on the top right side of the LCD display (Figure 30):
To change the mode, turn the Control Knob to select the Mode Selection option,
then press. The Ventilation Modes menu pop-up window appears (Figure 31)
which offers six options including Standby:
62
3 Operating the iVentTM201 – Setting Modes and Parameters
Turning the Control Knob moves the selected bar through the choices. When the
required mode is selected, press the knob to accept it. A parameter screen is
displayed where you can either accept the default ventilation parameters or
change any of them.
For example, to change to SIMV pressure control mode from SIMV volume
control mode:
1. Make sure that you start from the Main screen
NOTE To return to the Main screen, press the clear key on the keypad below the display.
This returns you to all previous screens until you return to the Main screen.
2. From the Main screen, turn the Control Knob to select the Mode Selection
option, as shown in Figure 30. By default, the iVentTM201 starts in SIMV
Volume Control, abbreviated “SIMV Vctrl.”
3. Press the Control Knob and the Parameters screen appears. Turn the knob
clockwise one click to select Pressure Control (Figure 32):
63
Figure 32: Pressure Control Option Selected
4. Press the knob to accept the selection. The SIMV Pressure Control
Parameters screen appears (Figure 33).
NOTE The user must press Accept to change both the mode and the parameters.
COMMON PARAMETERS
64
3 Operating the iVentTM201 – Setting Modes and Parameters
Tidal volume
Pressure limit
Oxygen level
Peak flow
Pressure support
PEEP
Triggers
Inspiratory time
Rise Time
Flow Termination – Exhale sensitivity (Essens)
65
5. Press the knob again to save the setting. You are returned to the Parameters
screen.
6. Continue through the other parameter options, and choose and change until
you have set all the values you want. Once you have finished, select
Accept at the bottom of the screen. Press the knob and your new
selections are saved.
NOTE To abort the selection process and return the parameter to the previously
chosen value, press the Clear button
CAUTION Selecting Restore Defaults resets ALL values to their default state, including
the Ventilation mode (SIMV Volume Control). For more information about
restoring defaults. See page 105 Restore Default Settings
Most of the quantitative parameters are presented in the form of an oval dial with
black numerals – in the iVentTM201 black numbers represent Set values – on solid
teal. Turning the Control Knob increases or decreases the selected value as
indicated by the black numerals inside the oval. A dark blue ribbon indicator
moves around the periphery of the oval to show the scale of the selected value.
Recommended ranges are outlined in green, while values outside the
recommended ranges are outlined in red. As a precaution, if a setting you are
inserting exceeds or fails to meet recommended settings for the patient weight, a
bright yellow Caution flag appears, as shown in Figure 34 below.
66
3 Operating the iVentTM201 – Setting Modes and Parameters
The chosen values are not operational until you confirm your selection by
pressing the Control Knob, which takes you back to the Main screen. The new
value(s) you have selected are shown in black.
NOTE To abort the selection process and return the parameter to the previously
chosen value, press the Clear button.
To return the selection of ALL ventilation parameters to their default levels for
a given patient weight see page 105.
The following procedures explain how to adjust the breath rate, which is
measured in breaths per minute.
To adjust the breath rate during the ventilation:
1. From the top most left side of the Main screen select the Respiratory Rate
option (Figure 35).
Or select the Rate setting option from the Mode Parameter screen (Figure 36).
67
Figure 36: Respiratory Rate Selected on the Mode Parameter Screen
2. Press the Control Knob to display the Set Rate pop-up window (Figure
37).
3. Turn the Control Knob to change the rate, measured in breaths per
minute. Notice that the calculated values for Breath Period,
Inspiratory Time, and Mandatory Minute Volume change
automatically.
4. After setting a new value, press the Control Knob to confirm and accept
the settings.
NOTE Certain modes and values described in this section are not
operational in all iVentTM201 models.
When the setting for Inspiratory Time is Adaptive, the value to reach
I.E. ratio 1:2 is displayed. Once this value reaches 2 seconds, it does
not change since the Adaptive Respiratory algorithm does not allow
Tinsp above 2 seconds.
68
3 Operating the iVentTM201 – Setting Modes and Parameters
The Tidal volume is the amount of air inhaled and exhaled in a breath and can be
adjusted during the ventilation.
To adjust the tidal volume:
1. Select the Tidal Volume (or in Pressure Control select Volume Limit) setting
from the top middle section of the Main screen (Figure 38):
2. Press the Control Knob to display the Tidal Volume pop-up window (Figure
40).
69
Figure 40: The Tidal Volume Pop Up Window
Breath Types
The following section describes the various breath types which are each
represented by their own specific icon.
The Tidal Volume portion of the Main screen indicates the Exhale Minute Volume
(MV) on the left side of the window.
Figure 41: The Tidal Volume Window With the Breath Type Icon Displayed
The upper left corner of the Tidal Volume screen (Figure 41) also indicates the
type of breath delivered, by displaying one of several icons beside the exhale
volume, which are explained below
70
3 Operating the iVentTM201 – Setting Modes and Parameters
ADJUSTING PRESSURE
71
Figure 42: Pressure Limit Selected on the Main Screen
Or select the Pressure option in the Mode Parameters screen (Figure 43):
2. Press the Control-Knob to display the Set Pressure pop-up window (Figure
44).
72
3 Operating the iVentTM201 – Setting Modes and Parameters
3. Turn the Control Knob to choose the required numeric pressure value. The
high pressure alarm is adjusted automatically to the value PLimit + 5
cmH2O. It can also be set to any required value using the Alarm menu. For
more information see page 148.)
4. Press the Control Knob to confirm and save the settings.
ADJUSTING FIO2
73
Figure 46: FiO2 Selected on the Mode Screen
2. Press the Control Knob to display the FiO2 pop-up window (Figure 47).
3. Turn the Control Knob to adjust the FiO2 level. The range is 21% to 100%.
4. Press the Control Knob to confirm and accept the settings.
Changing the FiO2 percentage automatically changes the O2 alarm based on a
default margin of +20%, - 10% O2. The O2 alarm parameters can also be
adjusted from the Alarm Settings (See page 150.)
In volume control ventilation modes you can adjust the peak flow. You can also
set the ventilation to adaptive peak flow which matches the flow to the patient
spontaneous flow.
To adjust the peak flow:
1. Select the Peak Flow setting from the second row of options on the Main
screen (Figure 48):
74
3 Operating the iVentTM201 – Setting Modes and Parameters
Or select the Peak Flow on the Mode Parameters screen (Figure 49):
2. Press the Control Knob to display the Peak Flow pop-up window (Figure 50).
75
Figure 50: The Set Flow Pop-Up Window
76
3 Operating the iVentTM201 – Setting Modes and Parameters
Or select the PSV option in the Mode Parameters screen (Figure 54):
77
NOTE The PSV value cannot be set to a value greater than P(Limit) – PEEP
or a maximum value of 60 cmH2O.
ADJUSTING PEEP
The PEEP level of the patient is adjusted to a set value during the ventilation.
To adjust the PEEP:
1. Select PEEP from the second row on the Main screen (Figure 56):
Or select the PEEP option in the Mode Parameters screen (Figure 57)
2. Press the Control Knob. The set PEEP pop-up window appears:
78
3 Operating the iVentTM201 – Setting Modes and Parameters
3. Turn the Control Knob to adjust the PEEP level. The Inspiratory Pressure
limit above PEEP is shown at the bottom of the Setting pop-up window as
adjustments are made.
NOTE The PEEP value cannot be set higher than P(limit) – PSV or a maximum
value of 40 cmH2O.
When the patient's breathing is measured, and above the adjustable value, then
it is identified as spontaneous breath.
To adjust the triggers sensitivity:
1. Select the Triggers option from the bottom left section of the Main screen
(Figure 59):
Or select the Triggers option in the Mode Parameters screen (Figure 60):
79
Figure 60: Triggers Selected on the Mode Parameters Screen
2. Press the Control Knob. Two sliding numeric gauges appear (Figure 61)
The inspiration time is the time between the start of the inspiration until the
exhalation is started.
To adjust the inspiratory time:
1. Select the Inspiratory Time setting from the middle of the lower portion of the
Main screen (Figure 62):
80
3 Operating the iVentTM201 – Setting Modes and Parameters
Or select the Inspiratory Time option on the Mode Parameters screen (Figure
63):
2. Press the Control Knob. The I. Time pop-up window appears (Figure 64)
81
3. Turn the Control Knob to change the Inspiratory Time. Notice that the I:E
ratio is calculated as you adjust the value.
4. To return to Adaptive I. Time™, turn the Control Knob counterclockwise until
Adapt appears.
5. Press the Control Knob to confirm and accept the settings.
If Adaptive Inspiratory Time is selected a blue icon with black circled A is
displayed on the Main screen (Figure 66). If Manual Inspiratory Time is selected,
a transparent icon with black circled M is displayed on the Main screen (Figure
65).
If a manual I time is set that does not allow for a 1:1 I:E Ratio, or does not allow
the set volume to be delivered within the set I time, then the display flashes
during the ventilation.
The iVentTM201 provides four possible values for Rise Time (drive): Mid, High, Max
or Auto. These options refer to the speed of the engine acceleration during the
inspiratory phase.
In Adaptive Bi-level you can adjust the rise time between 0.1 to 1.5 seconds.
NOTE The factory default value for rise time is “Auto”. It is recommended that this
setting not be changed
82
3 Operating the iVentTM201 – Setting Modes and Parameters
Or select the Rise Time option in the Mode Parameters screen (Figure 68):
NOTE The Rise Time option is located in the top left of the Mode
Parameters screen for Adaptive Bi-Level mode.
2. Press the Control Knob. The Rise Time pop-up window appears (Figure 69):
83
Figure 69: The Rise Time Pop Up Window
In Adaptive Bi-Level ventilation mode the rise time can be adjusted between 0.1
and 1.5 seconds (Figure 70).
Figure 70: The Rise Time pop up window in Adaptive Bi-level ventilation mode
The iVentTM201 terminates the pressure support breath delivery after flow drop
detection to an adjustable percentage of the peak flow. The flow termination
(exhale sensitivity) can be set between 10 to 90 percentages of the peak flow.
To adjust the flow termination:
1. Select the Esens option in the lower portion of the Main screen (Figure
71):
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3 Operating the iVentTM201 – Setting Modes and Parameters
Or select the Esens option in the Mode Parameters screen (Figure 72):
Figure 72: The Esens Option Selected on the Mode Parameters Screen
2. Press the Control Knob. The Set Flow Term pop up window appears
(Figure 73):
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Notes:
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4 The Main Menu
Introduction Page 89
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