PLV 100 User Manual
Contents
1. No Setting The numbers in the win dow flash when e The inspiratory time is longer than expiratory time or e The expiratory time is very long when the I E ratio is more than 1 9 9 This display is blank in the SIMV Mode Alarms when The voltage of the External Battery is low below 9 5 volts No setting SECTION 7 SETTING UP AND CHECKING THE VENTILATOR ON OFF Qe RECHARGE Securely Connect the Patient Circuit to the Ventilator The large ribbed tubing connects to the ventila tor Patient Air Outlet port The smallest 1 8 tubing connects to the venti lator Exhalation Valve Tubing port The medium 3 16 tubing connects to the ven tilator Assist PAP Tubing port Press the On Off Recharge Switch to ON The PLV 100 performs the following 5 second self check when the unit is turned on The alarm beeps for 1 second All display windows read 8 s for 1 second Each light briefly turns on one at a time WATCH the Tidal volume window to check that it briefly reads 0 0 Another short alarm beeps The ventilator begins delivering breaths Respironics PLV 100 Patient Manual p n 35555 25 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR Stop The Tidal Volume window must display 0 0 before the unit begins delivering breaths If the Tidal Volume Window shows a 1 0 or 2 0 DO NOT USE THIS ventilator Call your home care compan2. SENSIUVITY 8 Adjust the Sensitivity knob to o 6i z H20 ASSIST oa Respironics PLV 100 Patient Manual p n 35555 27 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR LOW PRESSURE ALARM SET 204 FA 9 Adjust the Low Pressure Alarm Set knob to Steps for Checking the Low Pressure Alarm s40 10 m KA A The 30 Second Alarm Silence light must be off 2 cmH O 30 15 SECOND DELAY B With a clean towel or clean hand tightly block the end of the large tubing that connects to you Let the ventilator deliver a breath An alarm may sound At the end of the breath the 15 Sec Delay light turns on C Unblock the end of the tubing and wait 15 seconds D After 15 seconds an alarm should sound and the 15 Sec Delay light should still be on If the alarm did not sound e Look at the 30 Second Alarm Silence light If this light is turned on wait until this light turns off then repeat the steps for Checking that the Low Pres sure Alarm is set correctly If the 30 Second Alarm Silence light is not on then e Check the Low Pressure Alarm settings listed in 9 of this section or on the Daily Ventilator Checklist Turn the Low Pressure Alarm Set knob to the cor rect setting e Repeat the steps for Checking that the Low Pres sure Alarm is set correctly WARNING Improper setting of the Low Pressure Alarm may result in harm Settings more than 10 cmH O below the system pressure may prevent the unit from warning
3. even when the Power Switch is off To check the Internal Battery voltage 1 Unplug the Power Cord from the wall outlet A 3 sec ond alarm sounds warning that the power source the ventilator is using has changed 2 Disconnect the External Battery A 3 second alarm sounds to tell you that the power the ventilator is using has changed The Internal Battery light gold turns on 3 Wait 2 3 minutes 4 Push the Battery Voltage Test Switch to the Internal or up position 5 Hold the switch up until the ventilator delivers a breath 52 Respironics PLV 100 Patient Manual p n 35555 SECTION 5 THE FRONT OF THE VENTILATOR Pressure 7 Sensitivity Knob 8 Assist Spontaneous Light 9 Low Pressure Alarm Set Knob 10 15 Second Delay Light In Assist Control Mode this controls the amount of breathing effort needed to start an assisted breath In SIMV Mode this controls the amount of breathing effort needed to count patient breaths or assisted breaths This light turns on briefly when In Assist Control Mode when there is an assisted breath In SIMV Mode when there is an assisted breath or a patient breath Important This light does not turn on in the Control Mode This sets the pressure at which the low pressure alarm sounds This alarm sounds when the ventilator becomes disconnected from the patient This safety alarm has a 15 second delay As part of normal operation this light turns
4. says that you are ready to operate it Don t use any equipment if it does not work right or continues to alarm Don t set containers of liquid on or near the PLV 100 Don t block the intake air ports on the back of the ven tilator Don t use the PLV 100 at temperatures below 23 F 5 C and above 106 F 41 C Don t open the case of the PLV 100 All repairs must be done by specially trained service people SECTION 5 THE FRONT OF THE VENTILATOR TIDAL VOLUME INCREASE 05 TO 3 LITERS RATE PATIENT BPM 1 E RATIO BLINKS DURING INVERSE E RATIO OR READINGS OVER 1 9 9 OFF DURING SIMV SENSITIVITY PRESSURE PATIENT AIR o EXHALATION 6E VALVE a SPONTANEOUS esis OUTLET AIRWAY LOW PRESSURE PRESSURE LIMIT ALARM SET 56 60 40 amp 8 30 2 PAP io s40 10m s Pa cmH cmH O O15 second DELAY 1cmH 20 1mbar 0 1kPa LIFECARE PLV 100 Vw INTERNAL EXTERNAL f INSPIRATORY FLOW RATE INCREASE 10 TO 120 LPM INCREASE INSPIRATORY rLow READ BATTERY VOLTS Oem EXTE 30 SECOND ALARM SILENCE RECHARGE 1011 EXTERNAL DANGER RISK OF EXPLOSION IF USED NEAR FLAMMABLE ANESTHETICS Respironics PLV 100 Patient Manual p n 35555 SECTION 12 HUMIDIFIERS When you breathe on your own air passes through your nose or mouth where it is warmed and moisture is added This moisture is very important for your lungs because it helps the lungs
5. EXHALATION sll VALVE ASSIST ea SPONTANEOUS SSIS OUTLET AIRWAY LOW PRESSURE PRESSURE LIMIT ALARM SET 60 40 30 20 ae 7 on PAP D E s140 a 10m 20m m90 ve 10 Demo 7 s 100 cmH 0 cmH O15 second DELAY 1cmH 20 1mbar 0 1kPa LIFECARE PLV 100 INTERNAL EXTERNAL Quer READ BATTERY VOLTS t a INSPIRATORY FLOW RATE INCREASE 10 TO 120 LPM Ie INCREASE INSPIRATORY rLow INTERNAL EXTE 30 SECOND ALARM SILENCE 10 11 50 lt 10 RECHARGE RECHARGE EXTERNAL DANGER RISK OF EXPLOSION IF USED NEAR FLAMMABLE ANESTHETICS 10 Respironics PLV 100 Patient Manual p n 35555 SECTION 11 TROUBLESHOOTING GUIDE Symptom Probable Cause Ventilator passed the Low Pressure Alarm start up check and is operating A continuous alarm sounds and the 15 Sec Delay light is on all the time Ventilator is working and an alarm sounds only during the ma chine or assisted breaths High Pressure Alarm Corrective Action Check the connection of tubing to the patient Check trach or mask for air leaking around it Check entire circuit including the exhalation valve for loose connec tions disconnections or holes Re secure con nections or change circuit if damaged Check medium PAP tubing for water or mucous Replace tubing if dirty Check that the Low Pressure Alarm is set correctly You are speaking or coughing You need su
6. the window 2 f the maximum Inspiratory Flow Rate 120 is reached and more changes are required the PLV 100 next lowers the Rate until there is enough time to deliver the set Tidal Volume Respironics PLV 100 Patient Manual p n 35555 SECTION 6 THE BACK OF THE VENTILATOR 6 Power Cord Connector 7 Remote Alarm 8 Hour Meter The power cord connects to this receptacle An optional Respironics Remote Alarm connects to this plug Located behind the Machine Air Inlet filter 5 See the Maintenance and Cleaning section for preventive mainte nance schedule Respironics PLV 100 Patient Manual p n 35555 23 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR DO NOT connect yourself to the PLV 100 until a trained health care professional has taught you how to use it The PLV 100 should NOT be connected to you as you follow these instructions 1 Select Power Source Securely plug the power cord into the power cord connector on the back of the ventilator then into a 3 prong wall outlet AND OR Connect the ventilator to the optional external battery by lining up the dot on the battery cable plug with the dot above the external battery con nector on the front of the ventilator Turn the plug clockwise right to lock in place See Power section for instructions on connecting the battery cable to the battery 24 Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Con
7. 35555 57 SECTION 11 TROUBLESHOOTING GUIDE Symptom Probable Cause Switch to Battery Alert sounding Ventilator is working and an alarm sounds once briefly for about 3 seconds 120 VAC light is flashing Battery Cable connec tions are reversed on the battery External Battery cable has just been con nected and an alarm sounds External Battery power is in use An alarm sounds and the Exter nal Battery light is flashing Low External Battery voltage Inspiratory Flow Rate set too low for the set Rate and Tidal Volume Increase Inspiratory Flow light is flashing after changing Rate Tidal Volume or Inspira tory Flow Rate The numbers in the Inspira tory Flow and Rate windows have changed and are flashing 56 Respironics PLV 100 Patient Manual p n 35555 SECTION 5 THE FRONT OF THE VENTILATOR Corrective Action E Mode 1 Check the battery voltage and make sure the battery has enough power 2 Check that the power cord is se curely plugged into back of ventilator and the wall outlet 3 Check the house fuse circuit breaker 1 Mode Reconnect Battery Cable with the WHITE cable to the POSITIVE battery terminal and the BLACK cable to the NEGATIVE terminal 1 Plug the ventilator into a wall outlet to power the ventilator 2 Tidal Volume Knob and Window 2 Recharge the exter nal battery Readjust the Inspiratory Flow Rate knob Refer to page 40 for mo
8. Before using the ventilator for the first time make sure your health care professional doctor nurse or therapist demonstrates how to use the PLV 100 The PLV 100 is controlled by a small computer chip and is electrically powered It can be plugged into a wall outlet or connected to a car type battery It also has an internal battery for short term emergency power The PLV 100 is designed for long term use in the home Because of its small and lightweight design the PLV 100 is portable However check with your home care company before traveling with the ventilator For more help call your home care company or Respironics 4 Respironics PLV 100 Patient Manual p n 35555 DAILY VENTILATOR CHECKLIST Ventilator Settings Checklist Date Settings last changed Mode Tidal volume Rate Inspiratory Flow Sensitivity Points to Airway Pressure Limit points to Low Pressure Alarm Set points to Usual breath pressure Humidifier Setting Air Temperature Oxygen or Flow PLV 100 Serial Number Date PLV 100 in use PLV 100 hours at start Respironics PLV 100 Patient Manual p n 35555 61 SECTION 14 DAILY VENTILATOR CHECKLIST My Doctor Name Address Phone My Home Care Company Name Address Phone If power failure Power Company Name Phone Patient Name Address Respironics PLV 100 Patient Manual p n 35555 SECTION 3 YOU AND YOUR VENTILATOR Your body needs to move fresh air into and out o
9. LV 100 Inlet BLINKS DURING INVERSE I E RATIO OR 3 OnO INSPIRATORY FLOW RATE INCREASE INTERNAL EXTERSAL BATTERY 10 TO 120 LPM 30 SECOND V 19 VOLTS CAPACITY ALARM 1213 90 SILENCE wz w wn 50 lt 10 RECHARGE RECHARGE eX ALARM 21 2 Look to see if the black foam filters are dusty They need cleaning if they look a little dusty Check and clean them more often if they look very dusty INCREASE INSPIRATORY FLow DANGER RISK OF EXPLOSION IF USED NEAR LAMMABLE ANESTHETICS A 3 Remove the dirty filters and insert clean filters 4 Screw the white plastic covers over the clean 23 filters 5 Rinse the dirty filters in warm water 6 Let the filters air dry before storing in a clean plastic bag in a dust free area 7 Replace the filters when they become worn or discolored 18 Respironics PLV 100 Patient Manual p n 35555 Respironics PLV 100 Patient Manual p n 35555 47 SECTION 9 MAINTENANCE AND CLEANING E Cleaning the Tubing Continued 46 10 11 12 13 Hang the tubing up to dry Place all other parts on a clean towel to dry do not wipe dry WHEN COMPLETELY DRY check all equipment for signs of wear and damage and replace as neces sary Reassemble all equipment and store in a clean plas tic bag in a dust free area Important Points to Remember Do not get water inside any of the small and medium sized tubings These small tubings do not d
10. MAINTENANCE AND CLEANING SECTION 5 THE FRONT OF THE VENTILATOR E PLV 100 The PLV 100 must have preventive maintenance done at H Power Preventive least every 8 000 hours of ventilator use or once a year Maintenance whichever occurs first The PLV 100 has an hour meter 16 Read Battery Whenever the ventilator is powered by a battery the that records the number of hours the ventilator is used Volts Switch voltage charge left in the battery can be checked To The hour meter is located behind the Machine Air Inlet check the battery push and hold the switch in the up filter located on the back of the ventilator The hour meter position when the internal back up battery is in use can be seen after the filter is removed A loaner ventilator may be provided by Respironics or through your home Push and hold the switch in the down position when an care company during this warranty or contract service external battery is in use The voltage is displayed on the Inspiratory Flow Rate window 5 after the ventilator gives Before the ventilator is sent in for maintenance or service the next breath make sure you are able to breathe by using a backup or loaner ventilator Important Wait 2 3 minutes after beginning to use the internal or external batteries before checking the volt age Refer to the Power Section for more information 17 Power Source 120 VAC Green light Lit when power is from a wall Lights outlet Internal Gold light Lit when venti
11. Patient Manual p n 35555 21 SECTION 6 THE BACK OF THE VENTILATOR 22 Made in USA US Patent 4 617 637 4 493 614 Canadian Patent 1 204 090 1 237 507 Other Patents Pending Battery Fuse ry T 5 Amp Slow Blow Remove fuse for safe shipment Patient Air Inlet RESPIRONICS Murrysville PA USA Model PLV 100 Serial No Catalog 35001 120V 50 60 Hz 2A 12V 5A AC Plug To assure proper ground LISTED 747Y reliability and to prevent possible MEDICAL shock hazard this device should FEOUIPMENT only be connected to a wall amp receptacle marked Hospital Grade E Machine Air Vent This device is intended for use only on or by the order of a physician and in accordance with the instruction manual Decontamination Notice Do not use radiation or exceed 60 relative humidity 130 F temperature for gas ETO This unit complies with the limits for a Class B Computing Device pursuant to Subpart J of Part 15 of FCC Rules Electric shock hazard x Do not remove cover panels or end plates Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Continued Increase Inspiratory Flow Alert Function Switch to Battery Alert Purpose e 3 second alarm sound e 120 VAC light goes out and a battery light turns on Set By Function E Description Continued If this happens the new rate number flashes in the Rate window The Increase Inspiratory Flow light
12. con tinues to flash until the Rate knob is turned down to the number displayed in the Rate window Occurs when The power to the PLV 100 changes from a wall outlet to a battery No setting A 3 second alarm sounds The 120 VAC light turns off and a battery power light turns on Important All batteries can only give power for a limited amount of time Always check the voltage on any battery before and during use Plan ahead to have another battery or a wall outlet available when needed Respironics PLV 100 Patient Manual p n 35555 43 SECTION 8 ALARMS E Alarm Continued 42 E Description Continued Increase Inspiratory Flow Alert Purpose Flashes when Flashing Increase Inspiratory Flow light red New setting s are shown after The current combination of Tidal Volume and Rate settings can not be given by the PLV 100 because the Inspiratory Flow the PLV 100 s automatic ad Rate is too low justments Set By No setting Function The PLV 100 fixes the problem on its own by making changes in the following order 1 The PLV 100 first turns up the Inspiratory Flow Rate to give the set Tidal Volume and the set Rate If this happens the number in the Inspiratory Flow Rate window flashes until it reaches the new higher flow The Increase Inspiratory Flow light continues to flash until the Inspiratory Flow Rate knob and the Rate knob if neces sary is turned up to the number shown in
13. dishwashing liquid CAUTION Do not let water get inside of the small and medium tubing because moisture left behind may dam age the PLV 100 Respironics PLV 100 Patient Manual p n 35555 SECTION 6 THE BACK OF THE VENTILATOR 1 Patient Air Inlet 2 Sensor Vent 3 Battery Fuse 4 Rear Feet Cord Wraps 5 Machine Air Inlet Room air for patient delivery enters the ventilator through the patient air inlet Important There is a reusable foam filter in this inlet It must always be in place and cleaned regu larly See Maintenance and Cleaning section for instructions on cleaning The PLV 100 samples the room air and makes automatic pressure adjustments A 5 amp slow blow fuse protects the unit from current surges from the battery These feet allow the PLV 100 to be used in the face up position The cord can also be wrapped clockwise in the direction of the arrow around the four feet to store or shorten the cord Important If used in the face up position DO NOT block the Patient Air Inlet or Machine Air Inlet on the back of the ventilator such as by placing on a shag carpet or blanket Pulls room air through the filter to the inside of the venti lator to help cool the motor Important There is a reusable foam filter in this inlet It must always be in place and cleaned regu larly See Maintenance and Cleaning section for instructions on cleaning Respironics PLV 100
14. to this port Number of breaths and pressure are AE AKALAR oe ee on NREN See ee Airway sensed by the ventilator through this tubing you with a battery and instruct you on how to set it up Pressure 2 Connect the WHITE wire of the cable to the POSITIVE connector battery terminal and the BLACK wire of the cable to 14 Patient Air The large ribbed ventilator tubing connects to this port the NEGATIVE battery terminal Outlet The ventilator delivers machine and assisted breaths Connector through this tubing Note If these are switched when you connect the cable to the PLV 100 an alarm sounds but the PLV 15 Airway Sets the limit of pressure that can reach the lungs 100 is not damaged Pressure Limit Knob 3 Line up the white dot near the External Battery recep tacle on the front of the PLV 100 with the dot on the external battery cable connector 4 Push the cable connector into the ventilator and twist to the right to lock 50 Respironics PLV 100 Patient Manual p n 35555 Respironics PLV 100 Patient Manual p n 35555 15 SECTION 5 THE FRONT OF THE VENTILATOR SENSITIVITY PRESSURE PATIENT AIR o CONTROL a r EXHAPATON s H20 ASSIST CONTROL assist oa m 40 sIMV SPONTANEOUS ee 20 SWAY TIDAL VOLUME INCREASE LOW PRESSURE a PRESSURE um 05 TO 3 LITERS ALARM SET RATE 1emH 20 lt 1mbar 0 1kPa PATIENT BPM LIFECARE me PLV 100 BLINKS DURING INVERSE LE RATIO OR READINGS OVER 1 OFF D
15. ventilator tubings connections or in your lungs These changes may affect your ability to breathe or the ventilator s ability to help you breathe Alarms only work when they are set right for your needs If set wrong there may either be too many alarms or they may not warn of possible problems Alarm settings are written on your Daily Ventilator Checklist and when your health care professional changes the settings be sure to write the new settings on your Daily Ventilator Checklist and in the Setting Up amp Checking the Ventilator section of this manual WARNING DO NOT change any settings unless spe cifically told to do so by your Health Care Professional When an alarm sounds 1 Answer all alarms immediately 2 Make sure that you can breathe Use a back up venti lator or manual resuscitator if needed 3 Notice whether the alarm sound is on and off or con tinuous 4 Look to see if the pressure gauge needle is going up and down as usual Respironics PLV 100 Patient Manual p n 35555 31 SECTION 8 ALARMS mM Responding to 5 The Alarm Silence button silences most alarm sounds Alarms for 30 seconds Continued 6 If the cause of the alarm cannot be found or fixed DO NOT USE THE VENTILATOR Use another means of ventilation or manual resuscitator and call your home care company for assistance E Alarm a Description Microprocessor Failure Alarm Purpose Alarms when f PASL Deep Aarin Soung The PLV
16. 0 FIRST MAKE SURE THAT YOU ARE ABLE TO BREATHE use a backup ventilator or manual resuscitator if necessary then call your home care company immediately If the circuit breaker on the front of the ventilator trips reset it once If it trips again use a backup ventilator or manual resuscitator and call your home care company immediately Use the Daily Ventilator Checklist each day located in Section 14 at the back of this manual to make sure that the ventilator is working right Connect the PLV 100 to a 3 prong grounded outlet when wall power is used Check with your home care company or power company if your are unsure about the outlets in your home Replace the fuse on the back of the ventilator when needed with a 5 amp slow blow fuse type 3AG Respironics PLV 100 Patient Manual p n 35555 SECTION 13 IMPORTANT WORDS TO KNOW Tidal Volume Size of the breath the ventilator delivers This is measured in liters 1 liter about 1 quart Inspiratory Flow Speed the ventilator delivers a breath This is measured in liters per minute abbreviated LPM Patient Rate Number of breaths the machine is set to deliver each minute It is measured in breaths per minute abbreviated BPM Machine Breath Breath given by the machine at the set tidal volume size of the breath and the set inspiratory flow rate rate the breath is deliv ered Assisted Breath Breath given by the ventilator at the set tidal volume a
17. 100 computer is e 41 0 or 2 0 shows in the Tidal not working properly Volume window Set By No setting Alarm Silence does not silence Function The PLV 100 is always this alarm checking the internal com puter If a problem is found the ventilator repeats the start up check and a fast beep sounds The Tidal Volume window shows either 1 0 or 2 0 as error codes WARNING DO NOT USE THIS EQUIPMENT Have the ventilator serviced by a trained service person 32 Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Continued E Description Ventilator Malfunction Alarm Purpose Alarms when e Fast beep alarm sound The ventilator is not working properly Alarm Silence does not silence this alarm Set By No setting Function This alarm warns of a me chanical problem with the ventilator WARNING DO NOT USE THE UNIT WHEN THE FAST BEEP ALARM IS SOUNDING The ventilator must be serviced by a trained service person Power Failure Alarm Purpose Alarms when There is no available power e Continuous sound source for the PLV 100 Alarm Silence does not silence this alarm Set By No setting Function This alarm warns when the power switch is ON and all power sources are drianed or disconnected Respironics PLV 100 Patient Manual p n 35555 33
18. 555 19 SECTION 6 THE BACK OF THE VENTILATOR SECTION 9 MAINTENANCE AND CLEANING E Cleaning the Tubing Replace the tubings when they become dirty or wet Continued inside damaged or the connections are not tight Patient Machine Air Inlet Air Vent Cleaning the large ribbed tubings and connec tors 1 Remove all tubing and take apart the exhalation valve 2 Wash your hands before cleaning the equip ment Made in USA US Patent 4 617 637 4 493 614 Canadian Patent 1 204 090 1 237 507 Other Patents Pending 3 Rinse warm water through the inside of the tubings on or by the order of a physician and in vy This device is intended for use only accordance with the instruction manual Battery Fuse RESPIRONICS T 5 Amp Slow Blow Murrysville PA USA Decontamination Notice Do not use Remove fuse for Model PLV 100 i A radiation or exceed 60 relative humidity safe shipment Serial No Catalog 35001 130 F temperature for gas ETO 120V 50 60 Hz 2A 12V 5A 7 This unit complies with the limits for a vir ji ii Ac iPlus Te assure piset ground USTED TEN Class B Computing Device pursuant to Subpart reliability and to prevent possible MEDICAL J of Part 15 of FCC Rules tlan onde provers pease NSL Kauer 5 Rinse all parts under running tap water to re a teas Do not remove cover pane s liad move all of the soap or end plates 4 Scrub the insides in warm soapy water dishwashing liquid using a
19. 64 Respironics PLV 100 Patient Manual p n 35555 TABLE OF CONTENTS E Sections 10 11 12 13 14 15 Preface Introduction You and Your Ventilator Do s and Don ts The Front of the Ventilator The Back of the Ventilator Setting Up amp Checking the Ventilator Alarms Maintenance and Cleaning Power Troubleshooting Guide Humidifiers Important Words to Know Daily Ventilator Checklist Notes Respironics PLV 100 Patient Manual p n 35555 Warnings and Cautions Warnings Cautions Vv Throughout this manual the following definitions apply gt gt gt p gt p gt gt gt Warning A condition that may cause injury to a patient or operator if instructions are not followed Caution A condition that may cause damage or shorten the service life of the PLV 100 Personnel using and operating the PLV 100 must become familiar with this instruction manual before initial setup and use Equipment that does not function correctly or alerts the user to a potential problem by sounding an alarm must not be used until the problem is corrected Do not use the PLV 100 in the presence of flammable anesthetics Do not remove any covers or panels Refer all servicing to authorized service personnel To avoid the entrainment of battery gases into the intake ports on the rear panel do not operate the PLV 100 directly above a battery Due to the wide variety of disposable tubing the user must be certain
20. ING SIMV r INSPIRATORY FLOW RATE INCREASE 10 TO 120 LPM INCREASE INSPIRATORY FLow PRESSURE PATIENT AIR EXHALATION rS SET PRESSURE LIMIT emH O Ors SECOND DELAY 1cemH 20 1mbar 0 1kPa 4 LIFECARE PLV 100 Vw INTERNAL EXTERNAL BATTERY ON 30 SECOND au SILENCE OFF RECHARGE DANGER RISK OF EXPLOSION IF USED NEAR FLAMMABLE ANESTHETICS READ BATTERY VOLTS EXTE v EXTERNAL Respironics PLV 100 Patient Manual p n 35555 SECTION 10 POWER E Explanation of Power Sources Continued To check the Internal Battery voltage continued Read the voltage level in the Inspiratory Flow Rate window this is not the amount of time left in the bat tery charge If the voltage is less than 10 volts 6 recharge the Internal Battery Release the Battery Voltage Test Switch Plug the unit into the wall outlet and or connect the external battery to the unit Respironics PLV 100 Patient Manual p n 35555 53 SECTION 10 POWER E Explanation of Power Sources Continued Internal Battery 12 Volt DC Power The PLV 100 has a built in internal battery for a short term power source A fully charged battery powers the PLV 100 for up to one hour depending upon the ventilator settings An audible alarm sounds and the Internal Bat tery light flashes when the internal battery voltage is low The internal battery slowly recharges whenever the venti lator is connected to a wall outlet
21. This requires close monitoring of the battery strength and may require battery replacement sooner than the normal maintenance interval Caution Federal law restricts this device to sale by or on the order of a physician Respironics PLV 100 Patient Manual p n 35555 Thank you for using the Respironics PLV 100 Respironics PLV 100 Patient Manual p n 35555 63 SECTION 15 NOTES Important reminders from your home care team Questions for your home care team 62 Respironics PLV 100 Patient Manual p n 35555 SECTION 1 PREFACE Respironics wishes to thank Karen Glenn RRT and Barry Make MD of the National Center for Home Mechanical Ventilation for their assistance in the writing of this manual Their professional expertise was invaluable in the organization and presenta tion of this material We know that you will find this information helpful in your use of the PLV 100 ventilator Users of the manual are also referred to the PLV 100 Operating Manual for additional information on the operation of this ventilator Respironics PLV 100 Patient Manual p n 35555 3 SECTION 2 INTRODUCTION SECTION 14 Your new ventilator is the PLV 100 made by Respironics Your health care profes sional doctor nurse or therapist has ordered this ventilator to meet your needs This manual is designed to help you use and care for the PLV 100 Please read this manual and become familiar with the PLV 100 before using the ventilator
22. URING smy INTERNAL EXTERNAL BATTERY 4 READ BATTERY VOLTS INSPIRATORY FLOW RATE INCREASE 30 SECOND ALARM SILENCE RECHARGE INCREASE INSPIRATORY FLOW J 16 Respironics PLV 100 Patient Manual p n 35555 SECTION 10 POWER E Explanation of Power Sources The PLV 100 automatically selects the best power source available It looks for power in the following order 1 Wall Outlet 2 External Battery 3 Internal Battery If the PLV 100 is plugged into a working wall outlet the wall outlet power is always used If the ventilator is not plugged into a wall outlet or there is a power loss the ventilator looks for and use the external battery The PLV 100 only uses the internal battery if neither the wall outlet nor an external battery can be used Wall Outlet 120 volt AC power To use a wall outlet securely connect the power cord into the Power Cord receptacle on the back of the PLV 100 and plug the other end into a wall outlet For safety the wall outlet must be grounded and must have three holes to fit the three pronged plug The outlet should be checked for safety by your home care company electric company or electrician before the ventilator is plugged in This is the only power source that does not need recharging Note Whenever possible leave the PLV 100 plugged into a wall outlet to keep the unit s batteries fully charged Respironics PLV 100 Patient Manual p n 35555 49 SECTION 9
23. alarm sounds and flashes any time the PLV 100 is alarming See Accessories Section of Oper ating Manual or more information Respironics PLV 100 Patient Manual p n 35555 39 SECTION 8 ALARMS E Alarm Continued E Description Continued Low Pressure Alarm in Function If the Assist Spontaneous light SIMV Mode Continued does not turn on with a patient or an assisted breaths e Turn the Sensitivity knob right clockwise towards 3 a little e Check that the Assist Spontaneous light turns on with the next patient or assisted breath e If it does not light turn the Sensitivity knob to the right a little more and check again e Continue adjusting the Sensitivity knob until the Assist Spontaneous light turns on once for each patient or assisted breath If the Assist Spontaneous light blinks more than once during one patient or assisted breath e Turn the Sensitivity knob left counterclock wise towards 6 a little e Check that the Assist Spontaneous light comes on only once with the next patient or assisted breath e If it still blinks more than once turn the Sensitivity knob to the left more and check again 38 Respironics PLV 100 Patient Manual p n 35555 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR PARATE ou 6 Adjust the Rate knob until the window reads INSPIRATORY FLOW RATE eee 7 Adjust the Inspiratory Flow Rate knob until the window reads C3 INCREASE INSPIRATORY FLOW
24. ctioning Water has built up in the large ribbed tubing and needs to be emptied The large ribbed tubing is pinched Check tubing for damage after freeing Check that the Airway Pressure Limit is set correctly Respironics PLV 100 Patient Manual p n 35555 55 SECTION 11 TROUBLESHOOTING GUIDE 54 WARNING Whenever there is an alarm check that you can breathe use a back up ventilator or manual resuscitator if needed unless you find and fix the problem right away Symptom Ventilator switched ON and does not operate A continuous alarm sounds 1 0 or 2 0 is dis played in Tidal Volume window Ventilator does not operate and Fast Beep alarm sounds The ventilator passed the start up check and begins operation A 3 second alarm sounds and Internal Battery light is flashing Respironics PLV 100 Patient Manual p n 35555 Probable Cause 1 There is no power to the unit 2 Circuit breaker tripped 3 Shipping fuse prob lem Ventilator computer problem Low Internal Battery voltage Corrective Action 1 Plug into wall outlet to power ventilator and charge batteries 2 Push the circuit breakers back in If the circuit breaker trip again do not use this ventilator and call your home care company 3 Check that the ship ping fuse is in place or replace DO NOT USE THIS UNIT Call your home care company to ser vice your ven
25. e connection or water in the medium PAP tubing e There is a leak or loose connection in the small Exhalation Valve tubing The exhalation valve is not assembled cor rectly or is damaged Low Pressure Alarm Set knob The Low Pressure Alarm must be set a little less than your usual breath pressure how high the needle rises on the Pres sure gauge during a machine breath When the pressure rises above the Low Pressure Alarm Set point the 15 second delay timer starts Respironics PLV 100 Patient Manual p n 35555 35 SECTION 8 ALARMS SECTION 8 ALARMS E Alarm E Description E Alarms Are Important Airway Pressure Limit Alarm Purpose Alarms when e Alarm sounds during a ma The pressure in the chine breath circuit is above the Air way Pressure Limit e Sound is on and off setting Set by Airway Pressure Limit knob Function Alarm sounds and the extra pressure is re leased from the circuit The needle on the Pres sure gauge goes up and briefly stops at the Air mM Responding to way Pressure Limit Alarms setting The alarm sounds until the needle drops back down Respironics Recommendation Set the Airway Pressure Limit 10 to 20 cmH O above your usual breath pressure setting Your setting for the Airway Pressure Limit is written on your Daily Ventilator Checklist 34 Respironics PLV 100 Patient Manual p n 35555 Alarms are designed to warn of changes The changes may be in the
26. ered by the ven tilator even when the ventilator is turned off At this time connect yourself to the ventilator Respironics PLV 100 Patient Manual p n 35555 29 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR E Important 30 Points To Remember Check all tubing connections each time before turning on the ventilator Check all settings each time the ventilator is turned on before using Always check the alarm settings before connecting yourself to the ventilator Once the PLV 100 is set to your needs these settings stay in the ventilator until the knobs are turned Do not change any of the ventilator settings unless your doctor nurse or respiratory therapist informs you to Whenever your doctor nurse or respiratory therapist changes any of the ventilator settings write these changes down in the Setting Up and Checking the Ventilator section and on your Daily Ventilator Checklist When using the SIMV mode connect an H valve in the patient circuit to make it easier to take patient breaths Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Continued Low Pressure Alarm in Control Purpose and Assist Control Modes e Alarm sound is continuous e 15 Sec Delay Light remains lit Set By Function E Description Continued Alarms when e You are disconnected from the ventilator e There is a leak or loose connection in the large ribbed tubing e There is a leak loos
27. f the lungs Muscles help pump the air into the lungs As fresh air moves through the nose and mouth it is warmed fil tered and moisturized The air then travels through the windpipe and into the lungs The lungs are the sight where the oxygen from the air is absorbed by the body and carbon dioxide is released Your doctor has ordered the PLV 100 ventilator to help pump air into your lungs This ventilator is adjustable to meet your personal needs Because your doctor knows how much air you need from the ventilator the ventilator is set to e Pump the right amount of air into your lungs with each breath called thetidal volume e Deliver the right number of breaths each minute called the breathing rate e Move air into your lungs at the speed you need called inspiratory flow The PLV 100 ventilator provides all of your breaths or just some of your breaths A machine breath is when the ventilator delivers a breath When you take a breath on your own this is called a patient breath Your ventilator can even be set to deliver a breath when you start to take a breath on your own called an assisted breath Respironics PLV 100 Patient Manual p n 35555 5 SECTION 4 DO S AND DON TS Please Do Read this manual and learn how to operate the PLV 100 before using it Use the PLV 100 only at the settings prescribed If you are unsure of the settings contact your home care company or doctor If there is a problem with the PLV 10
28. fight infection and keeps your phlegm thin If you use your ventilator with a tube in your throat tracheo stomy tube you probably have a humidifier because the air does not go through your nose or mouth Even if you use your ventilator with a nasal mask or mouthpiece you may want to use a humidifier because it makes breathing more comfortable Basically there are two kinds of humidifiers One is an electrically heated container that holds water The other is a small device that catches the moisture in air you exhale and adds it the next breath you take in usually called an artifi cial nose There are many different brands of both humidifiers available Always follow the manufacturer s directions for your specific humidifier Typical Heat and Water Humidifier A breath from the ventilator goes through a piece of ribbed tubing and into the humidifier The air is warmed and picks up moisture and goes through the rest of the ribbed tubing to you General important points e These humidifiers give the most moisture e These humidifiers need to be plugged into a wall outlet e Since these humidifiers use water you need to add water to the container several times each day e These humidifiers must be changed or cleaned on a regular schedule along with the ventilator tubing e NEVER dump water that has collected in the ribbed tubing back in the humidifier This can lead to a lung infection Respironics PLV 100 Patient Manual p n
29. ironics Recommendation Set the Low Pressure Alarm 5 to 10 cmH O below your usual breath pressure set ting Your setting is written on your Daily Ventilator Checklist Low Pressure Alarm in Purpose Alarms when SIMV Mode lator e 15 Sec Delay Light remains lit oe There is a leak or loose connection in the large ribbed tubing e There is a leak loose connection or water in the medium PAP tubing e There is a leak or loose connection in the small Exhalation Valve tubing 36 Respironics PLV 100 Patient Manual p n 35555 SECTION 7 SETTING UP AND CHECKING THE VENTILATOR AIRWAY PRESSURE LIMIT 50 60 m 40o a 30y 980 10 Adjust the Airway Pressure Limit knob to set your Airway Pressure Limit to aioe Steps for Checking the Airway Pressure Limit Alarm A The 30 Second Alarm Silence light must be off With a clean towel or clean hand tightly block the end of the tubing that connects to you Watch the Pressure gauge needle as the ventilator delivers the next breath The needle on the Pressure gauge should go up to your Airway Pressure Limit number written above and pause A constant alarm sounds until the Pressure gauge needle drops back down Unblock the end of the tubing If the needle did not go up to the right number on the pressure gauge adjust the Airway Pressure Limit knob and repeat the test Now you know that the PLV 100 is set for your needs These settings are rememb
30. lator is using the internal battery This light flashes when the internal bat tery charge is low Important The internal battery only supplies enough power for up to one hour of use depending upon the ventilator settings This is intended for switching be tween AC and external battery power only External White light Lit when ventilator is using an optional external battery This light flashes when the external battery charge is low 48 Respironics PLV 100 Patient Manual p n 35555 Respironics PLV 100 Patient Manual p n 35555 17 SECTION 5 THE FRONT OF THE VENTILATOR SECTION 9 MAINTENANCE AND CLEANING mM Cleaning the PLV 100 Clean the outside of the PLV 100 every two weeks or as often as needed Use a clean damp not wet cloth and soapy water dishwashing liquid eae ae Bana o E Cleaning the PLV 100 The Machine Air Inlet filter and the Patient Air Inlet r zean Filters filter are located on the back of the ventilator ear ier Check both of them twice a week and clean them ASSIST OUTLET when they look a little dusty These filters are cleaned and reused m AIRWAY TIDAL VOLUME INCREASE LOW PRESSURE PRESSURE LIMIT 05 TO 3 LITERS ALARM SET 0 30 20 s40 10m gt emo RATE O15 seconp DELAY JomH 20 1mbar 0 1kPa PATIENT BPM E Filter Cleaning 1 Unscrew and remove the white plastic covers um SvLIFECARE Procedure over both the Patient Air Inlet and Machine Air LE RATIO P
31. nd inspira tory flow rate that the patient starts by beginning to breathe in This kind of breath can only happen in Assist Control Mode and SIMV Mode Patient Breath Breath taken on your own through the ventilator tubing You can take the breath at the speed and size you want This kind of breath is only possible in the SIMV mode Respironics PLV 100 Patient Manual p n 35555 59 SECTION 12 HUMIDIFIERS 58 LIFECARES The Artificial Nose Humidifier The artificial nose is a short piece of tubing When you breathe out the moisture in this air is trapped inside the tubing The next breath you take goes through the tubing and picks up the moisture This process happens with each breath Artificial Nose General important points e Artificial noses are very easy to use when you are away from home because they do not need refilling and cannot spill e Phlegm can get trapped in the artificial nose and block the air from going through it e They must be changed on a regular schedule usually more often than the ventilator tubing e They do not give as much humidity as the heated humidifier and some individuals who have tracheostomy tubes may not get enough humidity Respironics PLV 100 Patient Manual p n 35555 SECTION 4 DO S AND DON TS E Please Don t Respironics PLV 100 Patient Manual p n 35555 Don t use the PLV 100 until a health care professional your doctor nurse or respiratory therapist
32. of circuit leaks or disconnects 28 Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Continued Low Pressure Alarm in SIMV Mode Continued E Description Continued Purpose Alarms when e The machine did not sense a breath taken in the last 15 seconds e The pressure in the tubing during the last machine or assisted breath was less than the Low Pressure Alarm Set point there is no 15 second delay in this alarm when in the SIMV mode Set by Low Pressure Alarm Set knob and the Sensitivity knob Function The Low Pressure Alarm must be set a little less than your usual breath pressure how high the needle rises on the Pres sure gauge during a machine breath In order for the Low Pressure Alarm to work properly the Sensitivity knob must be adjusted correctly The Sensitivity knob must be set so that the Assist Spontaneous light comes on once during each pa tient breath or assisted breath not machine breath Respironics PLV 100 Patient Manual p n 35555 37 SECTION 8 ALARMS E Alarm Continued E Description Continued Low Pressure Alarm in Control Function If the alarm sounds this and Assist Control Modes means the ventilator thinks Continued that you have not received a full breath that is the pressure in the circuit has not risen above the Low Pressure Alarm Set in the last 15 seconds Each time you receive a full breath the 15 second time delay restarts Resp
33. on after each machine breath and turns off during each machine breath Respironics PLV 100 Patient Manual p n 35555 13 SECTION 5 THE FRONT OF THE VENTILATOR TIDAL VOLUME INCREASE 05 TO 3 LITERS RATE PATIENT BPM LE RATIO BLINKS DURING INVERSE E RATIO OR READINGS OVER 1 9 9 OFF DURING SIMV PATIENT AIR EXHALATION VALVE SPONTANEOUS assist OUTLET AIRWAY LOW PRESSURE PRESSURE LIMIT ALARM SET 30 20 o_ Go mho O 15 SECOND DELAY cmH 0 1mbar 0 1kPa 4LIFECARE PLV 100 INTERNAL EXTERNAL BATTERY CO INSPIRATORY FLOW RATE INCREASE 10 TO 120 LPM INCREASE INSPIRATORY FLow READ BATTERY VOLTS INTERNAL EXTER AL BATTERY 2V ON 30 SECOND S CAPACITY ALARM 0 SILENCE 1 o RGE RECHARGE EXTERNAL DANGER RISK OF EXPLOSION IF USED NEAR FLAMMABLE ANESTHETICS 14 Respironics PLV 100 Patient Manual p n 35555 SECTION 10 POWER E Explanation of Power Sources Continued The external battery slowly recharges whenever it is connected to the ventilator that is using the wall outlet for its power source even when the Power Switch is off Use a battery charger to recharge an external battery that has been used for a few hours To check the External Battery voltage 1 2 Connect the External Battery to the ventilator Unplug the wall outlet power cord A 3 second alarm sounds warning that the power source the ventilator is using has changed The External Bat
34. re information Your doctor has decided which one of these is right for you to use Control The ventilator delivers all breaths at the size and rate set on the machine machine breaths More than the allotted breaths cannot be taken Assist Control The ventilator delivers all breaths at the size set on the machine machine breaths The rate set on the machine is the minimum number of breaths re ceived The ventilator delivers more breaths when you begin to take a breath When the ventilator senses an attempt to breathe in it delivers an assisted breath SIMV Synchronized Intermittent Mandatory Ventila tion The ventilator delivers machine breaths at the size and rate set on the machine Additional breaths that are not machine breaths patient breaths may be taken by breathing normally When the ventilator senses the begin ning of a breath just before the ventilator delivers a machine breath it delivers an assisted breath To make it easier to breathe without machine assistance connect an H valve SIMV valve in the patient circuit Sets and displays the size tidal volume of the machine breaths in liters one liter about 1 quart Respironics PLV 100 Patient Manual p n 35555 9 SECTION 5 THE FRONT OF THE VENTILATOR TIDAL VOLUME INCREASE 05 TO 3 LITERS RATE PATIENT BPM 1 E RATIO BLINKS DURING INVERSE E RATIO OR READINGS OVER 1 9 9 OFF DURING SIMV SENSITIVITY PRESSURE PATIENT AIR EE
35. ry inside and this moisture can damage the PLV 100 Do not re use the vinegar solution It will not clean your equipment a second time Do not put the cleaned equipment away until it is com pletely dry Other cleaning solutions may be available from your home care company Contact your home care profes sional for more information on these cleansers Respironics PLV 100 Patient Manual p n 35555 SECTION 5 THE FRONT OF THE VENTILATOR E Power Continued 18 19 20 21 22 23 On Off Recharge Switch 5 Amp Circuit Breaker 2 Amp Circuit Breaker External Battery Connector 30 Second Alarm Silence Button Alarm Speaker Switches between ON and OFF RECHARGE When the ventilator is plugged into a wall outlet both the inter nal and any optional external battery connect to the ventilator continue to charge with the ventilator power switch in the on or off positions Circuit breaker Push in to reset if white stem is visible Circuit breaker Push in to reset if white stem is visible Receptacle plug for optional external battery cable or auto lighter cable Pressing this button turns off most alarms for 30 sec onds Important If alarms are not silenced by pressing this button check the troubleshooting section of this manual Some important alarms cannot be silenced by this button Alarms sound from this speaker Respironics PLV 100 Patient Manual p n 35
36. soft bottle brush 6 Mix 1 cup 8 ounces vinegar and 3 cups of distilled water in a clean sink or a large clean container You can use more or less of the vinegar and water but it must remain in the ratio of 1 part vinegar to 3 parts water 7 Soak the large tubing and connectors in the vinegar and water for one hour 8 Dispose of the vinegar and water and com pletely rinse the equipment under warm running water 9 Shake the parts to remove the extra water 20 Respironics PLV 100 Patient Manual p n 35555 Respironics PLV 100 Patient Manual p n 35555 45 SECTION 9 MAINTENANCE AND CLEANING mM Cleaning the 44 Warning When it is time to clean your equipment make sure you can breathe by using a backup venti lator or manual resuscitator if necessary Important Assemble a clean circuit to connect to the ventilator before you remove the old circuit Clean all of the tubing twice a week unless you have been told differently by your doctor nurse or therapist You may find it helpful to set regular days such as Mon day and Thursday as not to forget Clean the tubing more often if it looks dirty inside or if you have a lung infection Cleaning the small and medium tubing The small and medium tubing have smooth outsides without ridges These are called the exhalation valve tubing and the PAP tubing Wipe off the outside using a clean damp cloth or one dampened with soapy water from
37. tery light white turns on Wait 2 3 minutes Push the Read Battery Volts switch to the External or down position Hold the switch down until the machine delivers a breath Read the battery voltage on the Inspiratory Flow Rate window this number is not the amount of time left on the battery If the voltage is less than 10 volts re charge the External Battery Release the switch Plug the unit into the wall outlet Respironics PLV 100 Patient Manual p n 35555 51 SECTION 10 POWER SECTION 5 THE FRONT OF THE VENTILATOR E Explanation of External Battery 12 Volt DC Power Pressure Power Sources The PLV 100 can be powered by an optional external Continued Continued battery such as a deep cycle boat battery This makes it easier to leave your home An external battery when fully Disol h nth i SNE HO charged lasts for up to 24 hours depending upon the 11 Pressure isplays the Eo in the ventilator tubing in cmH O ventilator settings An audible alarm sounds and the Ex Gauge centimeters of water ie Paner Oubiashes when there xemnalpateky 12 Exhalation The smallest 1 8 smooth tubing of the ventilator circuit OM Valve Tubing connects to this port This controls the exhalation valve To Connect the External Battery Connector the valve that lets you breathe out i face A see aE ee 13 Assist PAP The medium 3 16 tubing from the ventilator circuit con e labi i as es EEA oud Proximal nects
38. the connection to the patient air outlet fits properly Do not place containers of liquids on the ventilator Do not spill liquids on the ventilator The PLV 100 must be periodically checked and maintained to ensure proper operation Do not use the PLV 100 to charge a deeply discharged external battery Connect the PLV 100 only to a grounded outlet If either front panel circuit breaker trips reset by pushing the round circuit breaker knob in until it clicks back into position If the breakers continue to trip after resetting return the ventilator to an authorized service personnel for repair Do not position the PLV 100 as to block the air intake ports located on the rear panel Performance may be affected at temperatures below 5 C 23 F and above 41 C 106 F Do not disconnect the external battery while the unit is operating under load This may cause the unit to repeat the diagnostic start up cycle Do not operate the unit on the internal batteries in place of external batteries To decrease the chance of depleting the wheelchair battery do not use the battery as the external power source for the PLV 100 Storage of the unit with a partially discharged internal battery severely decreases the battery life Always store the unit with the power plug connected to AC voltage or only after fully charging the internal battery from AC voltage Frequent and or prolonged use of the unit on internal battery shortens the battery life
39. tilator 1 Connect ventilator to a wall outlet or an external battery at once to keep ventila tor working 2 Recharge Internal Battery SECTION 5 THE FRONT OF THE VENTILATOR E Mode Continued 3 Rate Knob and Window 4 LE Ratio Window 5 Inspiratory Flow Rate Knob and Window 6 Increase Inspiratory Flow Light This knob sets the number of machine breaths delivered each minute counted as BPM breaths per minute Depending on the ventilator Mode used the window shows a Control Mode The number of machine breaths is shown b Assist Control Mode The total number of machine breaths and assisted breaths are shown c SIMV Mode The total number of machine breaths assisted breaths and patient breaths are shown Shows the ratio of length of time used to breathe in inspira tion compared to the length of time used to breathe out expiration during machine breaths There are 2 numbers in this window separated by a colon for example 1 2 Sets and shows the Inspiratory Flow Rate that is how fast the ventilator delivers the breath This light turns on when the machine s settings are changed to values that it cannot accommodate See page 43 Respironics PLV 100 Patient Manual p n 35555 11 SECTION 5 THE FRONT OF THE VENTILATOR 12 SIMV TIDAL VOLUME INCREASE 05 TO 3 LITERS RATE PATIENT BPM LE RATIO BLINKS DURING INVERSE I E RATIO OR READINGS OVER 1 9 9 OFF DUR
40. tinued Low External Battery Alarm Continued Low Internal Battery Alarm e Continuous sound e Flashing Internal Battery light E Description Continued Function Warns that the External Purpose Battery is out of power If you do not plug the ventila tor into a wall outlet the unit switches to the internal battery When the PLV 100 switches to internal battery power a 3 second alarm sounds the External Bat tery light white turns off and the Internal Battery light gold turns on Alarms when The voltage of the Internal Battery is low below 9 5 volts Set By No setting Function Warns that the Internal Battery is out of power Plug the PLV 100 into a wall outlet immediately or the PLV 100 stops working By plugging the ventilator into a wall outlet restores power to the ventilator and allows the internal battery to recharge Important It takes several hours to recharge the internal battery completely Respironics PLV 100 Patient Manual p n 35555 41 SECTION 8 ALARMS E Alarm Continued Inverse E Ratio Alert e Flashing number in the I E window Low External Battery Alarm e Continuous sound e Flashing External Battery light 40 Respironics PLV 100 Patient Manual p n 35555 E Description Continued Purpose Set By Function Purpose Set By Flashes when The time to breathe in inspiratory time is longer than the time to breathe out expiratory time
41. y immediately Check the ventilator settings Once the ventilator is adjusted to your settings the ventilator remembers them even after the unit is turned off However each time you turn the ventilator on re check all the settings in case the knobs were turned while the machine was off While you check the ventilator it may begin to alarm this is okay Push the 30 Second Alarm Silence button to temporally turn off the alarms 4 The Mode knob should be set to e CONTROL Mode r ASSIST CONTROL o _ SIMV STO 3 HERS INCREASE 5 Adjust the Tidal Volume knob until the Tidal ty Volume window reads 26 Respironics PLV 100 Patient Manual p n 35555 SECTION 8 ALARMS E Alarm Continued E Description Continued Low Pressure Alarm in SIMV Mode Continued e Continue until the Assist Spontane ous light turns on once for each patient or assisted breath Respironics Recommendation Set the Low Pressure Alarm 5 to 10 cmH O below your usual breath pressure setting Your settings for both the Low Pressure Alarm and the Sensitivity are written on your Daily Ventilator Checklist Purpose Alarms when Remote Alarm optional Any alarm on the PLV 100 is acti e Continuous sound vated e Flashing alarm light Set By No setting Function A Respironics Remote alarm optional can be plugged into the ventilator and put in another room to let someone else know when the ventilator is alarming This
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