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Respironics V60 Ventilator - Frank`s Hospital Workshop

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1. 39 Low inhalation pressure alarm setting 300009 O to 40 40 Unused 90800 N A Always output as 0OOOOO 41 Low exhaled mandatory tidal volume alarm set ting 0 0000 0 00 to 1 50 Lo Vy alarm setting Low exhaled minute vol ume alarm setting High respiratory rate alarm setting 000009 0 0 to 99 0 5 to 90 High inhalation pressure alarm status NORMAL NORMAL RESET ALARMe Low inhalation pressure alarm status NORMAL NORMAL RESET ALARMe Unused 90800 N A Always output as 99999 Low exhaled mandatory spontaneous tidal vol ume alarm status NORMAL NORMAL RESETe ALARM Low exhaled minute vol ume alarm status High respiratory rate alarm status NORMAL NORMAL NORMAL RESET ALARM NORMAL RESET ALARM Low oxygen supply pres sure alarm status NORMAL NORMAL RESET ALARM B 10 90800 N A Respironics V60 Ventilator User Manual Always output as 09OOOO 1047358 RevA Table B 2 SNDA record format continued Low battery alarm status NORMAL NORMAL RESET ALARM Appendix B Communications interface 53 to 80 Unused 90800 N A Always output as 00000 81 83 to 88 Inhalation pressure set ting Inhalation time setting Unused 12 00 0 10000 4 00 to 40 00 0 10 to 3 00 N A IPAP in PCV mode IPAP in S T mod
2. 13 Measured peak inspirato 240400 0 to 50 ry pressure 714to76 Unused 900 N A Always output as 99999 17 Measured exhaled tid 460999 0 to 3000 al volume 78 Unused 900 N A Always output as 99999 79 Measured minute volume 5 8300 0 to 99 80 Unused 99999 N A Always output as 99999 81 M easured total breath 129999 rate 0 to 90 Rate measurement 82t083 Unused 900 N A Always output as 99999 84 Measured patient leak 2000090 0 to 200 Measured percent of 209999 1 0 to 100 breaths triggered by the patient Unused 99999 N A Always output as 99999 87 Ti Ttot 0 2300 0 00 to 1 00 88 to91 Unused N A Always output as 99999 92 Unused N A Always output as 99999999 99999 Unused N A Always output as 99999 1047358 Rev A Respironics V60 Ventilator User Manual B 5 Appendix B Communications interface Table B 1 VRPT record format continued Unused 99999999 Always output as 99999 99999999 99999 Unused 99999 Always output as 99999 Unused 99999999 Always output as 99999 99999999 99999 97 to 98 Unused 99999 Always output as 99999 99 Unused 99999999 Always output as 99999 99999999 99999 Unused 99999 Always output as 99999 Unused 99999999 Always output as 99999 99999999 99999 Occlusion alarm status NORMAL NORMAL ALARM RESET Safety valve status NORMAL NORMAL ALARM
3. 3 Adjust settings as desired see Changing individual ventilator settings on page 6 4 Newly adjusted setting values are shown in yellow Batch Update of Current Mode 51 P BMLIL E OFF aa Activate Batch Chango 1047358 RevA Respironics V60 Ventilator User Manual 6 3 Chapter 6 Operation Changing individual ventilator settings You can make ventilator settings from the Settings window 1 Open the Settings window 2 Select the desired setting As an example we will show the IPAP adjustment Actua Mode S T IPAP Rate I Time Rise NEN 12 2 1 00 2 OFF 2 EPAP o 4 22 ST Modos Standby EM Settings i 3 The setting window opens Adjust the setting Select Accept to apply Adjustment arrow button Setting range scale Additional pr information Current settings area S T Settings at Proposed value 6 4 Respironics V60 Ventilator User Manual 1047358 RevA Chapter 6 Operation Using the Ramp Time The Ramp Time function helps your patient adapt to ventilation by gradually function increasing inspiratory and expiratory pressure IPAP and EPAP CPAP from subtherapeutic to user set pressures over a user set interval Table 6 3 on page 6 15 describes this function s principles of operation Follow these instructions to use the Ramp Time function 1 Select the Ramp Time button in the Settings window The ramp starts As the ramp progresses the Ramp Time button grap
4. Ti Tyor Inspiratory duty cycle or inspiration time divided by total cycle time Moving average over the last 8 breaths Tot Leak Estimated total leak Average during the previous breath cycle Displayed before a suitable exhalation port and mask patient interface are selected Estimated minute ventilation The product of tidal volume spontaneous and timed and rate spontaneous and timed Moving average over the last 6 breaths Estimated exhaled tidal volume Moving average over the last 6 breaths It is body tempera ture pressure saturated BTPS compensated Waveform window Airway pressure Where applicable dotted lines represent target IPAP and EPAP Estimated patient flow The total delivered flow minus the leak flow Tot Leak where Tot Leak includes known intentional leakage through the exhalation port plus any unintentional leak age in the circuit or at the mask patient interface Estimated patient volume In AVAPS mode the dotted line represents target volume V waveform Scaling the waveform Scale the vertical and horizontal waveform axes with the scale buttons axes m The vertical scale button autoscales the Y axes to best fit the current t data The horizontal time adjust button rescales the X axis to show 3 6 12 0r24 seconds 1 2 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 7 Patient monitoring Freeze waveforms for extended viewing by selecting the pause button Freezi
5. 5 6 Respironics V60 Ventilator User Manual 1047358 RevA Navigating the graphical user interface 1047358 Rev A Chapter 5 Preparing for ventilation Select a function by touching the desired tab or button on the touchscreen Use this as the primary method to control the ventilator You can use the navigation ring as an alternative to the following touchscreen functions Touchscreen equivalent Navigation ring equivalent Touch increase button adjustment Touch and rotate finger clockwise to in gt arrow crease value or move cursor forward Touch decrease button adjustment Touch and rotate finger counterclock arrow wise to decrease value or move cursor backward Touch Accept button ap _ Press Accept checkmark plies selection S button applies selection d E t After making selections and adjusting values accept selections by pressing the circular Accept button the checkmark in the middle of the navigation ring to accept and apply the change To open a window touch the window tab To cancel a function and close the window either select Cancel or touch another window tab To adjust a parameter touch the arrow buttons repeatedly or select the value with the navigation ring The slider flag moves along the setting range scale Select Accept to apply Adjustment Slider flag Setting range scale arrow button 5 T E Proposed value The navigation ring also lets you adjust the positio
6. As per the Digital Auto Trak Sensitivity algorithms see erance Auto Trak Sensitivity on page 4 3 Inspiratory and expiratory pres lt 4 cmH50 at 60 LPM sure drop measured at patient 1 5 cmH5O at 30 LPM connection when the recom mended breathing system is in use and normal ventilation is compromised by the total or par tial loss of power supply Audio alarm loudness 60 to 95 e primary alarm gt 65 dB A backup alarm 10 6 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix A First time installation Unpacking and inspection 1047358 Rev A Before putting the ventilator into service for the first time install it as described in this chapter Unpack the ventilator and inspect it for damage Inspect the exterior cabinet of the ventilator for cracks scratches or blemishes Inspect the front panel for scratches or abrasions Correct and or report any problems found to Respironics before using the ventilator Before using the ventilator the first time we recommend wiping the exterior clean and disinfecting components according to the instructions in Chapter 9 Respironics V60 Ventilator User Manual A 1 Appendix A First time installation Mounting the ventilator A 2 CAUTI NOTE ON To prevent possible damage to the ventilator always secure it to its stand or securely place it on a flat stable surface that is free of dirt and debris Do not use the ventilator adjacent to or
7. Respir ronics VoO Ventilator User M anual PHILIPS PHILIPS For Technical Support and Customer Service contact USA and Canada 800 345 6443 or 724 387 4000 Respironics Europe Africa Middle East 33 1 47 52 30 00 Respironics Asia Pacific 852 3194 2280 Facsimile 1 724 387 5012 USA Respironics California Inc 2271 Cosmos Court Carlsbad CA 92011 Email and web addresses service philips com clinical philips com www philips com healthcare Authorized European representative Respironics Deutschland GmbH Gewerbestrasse 17 D 82211 Herrsching Germany 49 8 15 29 30 60 2009 Respironics and its affiliates All rights reserved This work is protected under Title 17 of the United States copyright code and is the sole property of Respironics No part of this document may be copied or otherwise reproduced or stored in any electronic information retrieval system except as specifically permitted under United States copyright law without the prior written consent of Respironics 1047358 Rev A Table of contents 1 Warnings cautions and noteS cccc cece eee eee nnn nnne lel Ly STING Cll een A aea adi ah ao dust atid eck OS em Stat var ded 1 1 GENETTA ea tvs es n ak ined tes apes ites ike Oe ok a eta ane he need ee ok Se a 1 1 Preparing for ventilar HOS de eo aoe dee a 1 3 QD CATION tara act ae aute 8 or OE God de III 1 5 Alarms and messages aaa rn 1 5 Care and MantenanCe awe do P erue E ho
8. part number D 3 PM See Preventive maintenance Port exhalation how to select 6 7 6 9 how to test 6 10 6 11 part numbers D 3 See also RS 232 serial and analog I O port Remote alarm port or Connector Index 3 Power cord how to install A 7 location 3 8 Power cord retainer location 3 8 Power Has Been Restored message 8 9 Power indicators illustration 5 5 Preoperational check 5 8 5 9 required materials 5 8 Preparing for ventilation 5 1 5 9 Pressure Regulation High alarm 8 9 Pressure unit how to change F 7 Pressure baseline description 4 3 Pressure controlled ventilation mode See PCV Preventive maintenance 9 3 9 6 schedule 9 3 Principles of operation 4 1 4 12 Proximal Pressure Line Disconnect alarm 8 9 Pt Leak patient leak monitored parameter 7 2 Pt Trig patient triggered breaths monitored parameter 7 2 R Ramp Time setting definition 6 16 Rate Respiratory Rate setting definition 6 16 Rate monitored parameter definition 7 2 Regulatory compliance E 1 E 2 Remote alarm cable kits B 12 Remote alarm port B 12 Remote alarm nurse call connector location 3 8 Repacking and shipping 9 6 Respi Link remote diagnostic system description 3 3 location of Ethernet connector 3 8 Respiratory rate See Rate Respironics V60 Ventilator front view 3 6 physical description 3 4 3 8 rear view 3 8 side view 3 7 system overview 3 2 3 3 Rise Rise Time setting definition 6 16 RS 232 serial and analog I O port B 2 B 11 commands and
9. 2 1 m 7 ft proxi mal pressure line tube hanger and 2 hose clips BiPAP Vision invasive single patient use circuit with exhalation port 652002 water trap temperature probe ports proximal pressure line proximal airway filter humidifier coupling tube tube hanger and hose clips 652001 Bilevel CPAP single limb heated circuit with extension and Respiron 1020523 ics disposable exhalation port DEP Fisher amp Paykel Circuit tubing single patient use 15 cm 6 in 312151 Circuit tubing single patient use 20 cm 8 in 312153 Humidifier tubing single patient use 91 cm 3 ft 312111 Proximal pressure line assembly with tee single patient use 2 m 312112 6 5 ft Proximal pressure bacteria filter single patient use 1002362 Hose clip 312154 For noninvasive use without humidification T For noninvasive and invasive use with humidification Bacteria filter Description Quantity Part number Single patient use bacteria viral filter with 22 mm M x F connectors 1 1014047 10 342077 Operator maintenance parts Description Quantity Part number Cooling fan filter 1054280 Air inlet filter 1054279 D 4 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix D Parts and accessories Other parts Description Part number Universal stand 1041139 Ventilator to universal stand mounting 1048873 plate E cylinder holder for universal stand 1048903
10. Autore resettable settable Silence able Proximal pressure is not alarms are compromised measured Pressure related Check the patient Provide alternative ventilation Have the ventilator serviced High 9 No alarms are compromised the ventilator serviced Proximal pressure is not Check the patient Provide High 7 Yes No No measured Pressure related alternative ventilation Have alarms are compromised the ventilator serviced Proximal pressure is not Check the patient Provide High Yes No No measured Pressure related alternative ventilation Have 11 Table 8 4 Vent Inoperative alarm messages summary and troubleshooting Priority Manually Autore Silence Message Description Corrective Action type ID resettable settable able Technical failure The venti Check the patient Provide al High 2 lator is in the ventilator inop ternative ventilation Have the erative state ventilator serviced Technical failure The venti Check the patient Provide al High 3 Yes No No lator is in the ventilator inop ternative ventilation Have the erative state ventilator serviced Technical failure The venti Check the patient Provide al High 4 Yes No No lator is in the ventilator inop ternative ventilation Have the erative state ventilator serviced Technical failure of the CPU Check the
11. Flow Volume Volume adjustment Figure 4 5 Tidal volume adjustment Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 4 Principles of operation Ventilation modes The Respironics V60 Ventilator operates in the following ventilation modes e CPAP continuous positive airway pressure mode e S T spontaneous timed mode e PCV pressure controlled ventilation mode e AVAPS average volume assured pressure support mode optional Table 4 1 summarizes the characteristics of these modes Note that on the ventilator the Timed breath indicator means the breath is ventilator triggered while the Spont breath indicator means the breath is patient triggered Table 4 1 Characteristics of UG V60 ventilation modes Mandatory breaths breaths Spontaneous breaths Mode CPAP Trigger Limit j Trigger Limit Cycle Auto Trak Pressure Auto Trak Time Pressure Time N A N A N A Auto Trak S T Time Pressure Time Auto Trak Pressure Auto Trak Auto Trak AVAPS Time Pressure Time Auto Trak Pressure Auto Trak Auto Trak Auto Trak A trigger variable starts inspiration t A limit variable can reach and maintain a preset level before inspiration ends but it does not end inspiration t Acycle variable is a measured parameter used to end inspiration 1047358 Rev A Respironics V60 Ventilator User Manual 4 7 Chapter 4 Principles of operation CPAP mode In the CPAP continuous positive airway pressure mode the ve
12. STDBYe Active respiratory rate setting 0 1 for 4 0 to 9 0 1 for 10 to 60 4 0 to 9 0 10 to 60 99999 in CPAP mode Rate setting in other modes Unused Oxygen concentration setting 90800 210000 N A N A 21 to 100 Always output as 99999 10 Unused 90800 N A Always output as OOOOOO 11 PEEP or EPAP setting 0 0000 4 0 to 25 0 CPAP or EPAP setting 12 to 21 Unused 901800 N A Always output as 99999 22 Pressure support setting 00000 0 to 56 IPAP EPAP in S T and PCV modes 0 in CPAP mode 99999 in AVAPS mode 23 to 29 Unused Measured total respirato ry rate 901800 0 1 for 1 0 to 9 9 for 10 to 100 0 0 to 9 9 10 to 100 Always output as 99999 Measured tidal volume 0 01 0 00 to 9 99 For values out of range set output to 99999 32 Measured total minute 0 01 for 0 00 to 9 99 For values out of volume 0 00 to range set output to 9 99 99 909 0 1for10 0 10 0 to 99 9 to 99 9 33 Unused N A N A Always output as 1047358 RevA Respironics V60 Ventilator User Manual 990000 Appendix B Communications interface Table B 2 SNDA record format continued Measured peak inhala tion pressure 50 000 0 0 to 99 0 35 to 37 Unused 90800 N A Always output as 09OOOO 38 High inhalation pressure alarm setting 200000 10 to 50
13. VERIFY that the alarm resets and that the ventilator automatically resumes ventilation Patient Circuit Occluded 1 Disconnect the patient circuit including bacteria filter from the ventilator outlet and block the ventilator outlet with your thumb 2 VERIFY that the Patient Circuit Occluded alarm is activated 3 Unblock the outlet and reconnect the circuit 4 VERIFY that the alarm resets 1047358 Rev A Respironics V60 Ventilator User Manual 5 11 Chapter 5 Preparing for ventilation This page is intentionally blank 5 12 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 6 Operation WARNING To ensure the ventilator s safe operation always run the full preoperational check described in Preoperational check on page 5 8 before using the ventilator on a patient If the ventilator fails any tests remove it from clinical use immediately Do not use the ventilator until necessary repairs are completed and all tests have passed NOTE Before operation prepare the ventilator as instructed in Chapter 5 After power on the ventilator starts up in the mode and with the settings that were active before last power down Check these settings and adjust as required You must be familiar with using the touchscreen and navigation ring to select adjust activate and confirm parameters For details see Navigating the graphical user interface on page 5 7 Access the ventilator setting windows from
14. medical system and is therefore responsible for ensuring that the system complies with the requirements for medical electrical systems Also be aware that local laws may take priority over the above mentioned requirements If in doubt consult Respironics It is the responsibility of the end user to validate the compatibility and use of information transmitted from the ventilator to the device to be connected to the ventilator The data provided through the communications interface is for reference only Decisions for patient care should be based on the clinician s observations of the patient To prevent possible patient injury due to nonannunciating alarms verify the operation of any remote alarm device before use To ensure the functionality of the remote alarm connect only Respironics approved cables to the remote alarm port The remote alarm port is intended to connect only to an SELV safety extra low voltage and ungrounded system with basic insulation to ground in accordance with IEC 60601 1 To prevent damage to the remote alarm make sure the signal input does not exceed the maximum rating of 24 VAC or 36 VDC at 500 mA with a minimum current of 1 mA To prevent possible patient injury do not enter the diagnostic mode while a patient is connected to the ventilator Verify that the patient is disconnected before proceeding Respironics V60 Ventilator User Manual 1 7 Chapter 1 Warnings cautions and notes This page is
15. phase Applies in CPAP mode only Expiratory positive airway pressure The ap 4 to 25 cmH50 plication and maintenance of pressure above atmospheric at the airway throughout the expiratory phase of positive pressure mechanical ventilation IPAP Must be less than or equal to IPAP Inspiratory positive airway pressure The ap i 4 to 40 cmH5O0 plication and maintenance of pressure above atmospheric at the airway throughout the inspiration phase of positive pressure mechanical ventilation Must be greater than or equal to EPAP I Time Inspira Time to deliver the required gas Inverse ra 0 30 to tory Time tio ventilation is not allowed 3 00 secs Resulting E Shows where I E ratio ratio becomes inverse 1047358 Rev A Respironics V60 Ventilator User Manual 6 15 Chapter 6 Operation Table 6 3 Modes and control settings with ranges continued Setting Description Max P AVAPS Maximum IPAP Pressure The maximum pressure to be applied NOTE When you adjust the AVAPS minimum and maximum pressures remember that IPAP is adjusted to meet the target value If the calculated target pressure is outside of the minimum and maximum pressure range the target volume will not be achieved Applies in AVAPS mode only 6 to 40 cmH5O0 Min P AVAPS Minimum IPAP Pressure The minimum pressure to be applied NOTE When you adjust the AVAPS minimum and maximum pressures remember that IPAP is adjusted
16. rebreathing may occur To ensure normal air circulation and exchange do not cover or block the ports on the ventilator or ventilator circuit Do not block the air inlet panel on the right side of the ventilator To prevent possible patient injury and possible water damage to the ventilator make sure the humidifier is set to appropriate temperature and humidification settings Respironics V60 Ventilator User Manual 1 3 Chapter 1 Warnings cautions and notes 1 4 WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING To prevent the possibility of inadequate humidification pay close attention to the humidifier s functioning when operating the ventilator at an ambient temperature 30 9C 86 9F The ventilator warms the air delivered to the patient above ambient temperature which may impair the humidifier s performance To reduce the risk that the patient will aspirate condensed water from the breathing circuit position any humidifier lower than both the ventilator and the patient To prevent possible patient injury and equipment damage do not turn the humidifier on until the gas flow has started and is regulated Starting the heater or leaving it on without gas flow for prolonged periods may result in heat build up causing a bolus of hot air to be delivered to the patient Circuit tubing may melt under these conditio
17. ume Alarm BTPS HIP High Inspiratory 5 to 50 cmH50 1 cmH50 50 cmH50 Pressure Alarm LIP Low Inspiratory OFF 1 to 40 cmH50 1 cmH50 OFF Pressure Alarm Lo Ve Low Minute OFF 1 to 99 L min 1 L min OFF Ventilation Alarm BTPS LIP T Low Inspiratory 5 to 60 sec 1 sec 20 secs Pressure Delay Time Alarm Menu window settings Table 10 5 Menu window settings and ranges Parameter Brightness l to 5 Loudness to 10 Mask ET Selection ET Trach 1 2 3 4 Other Exhalation Port Selection DEP Respironics Disposable Exhalation Port Whisper Swivel Respironics Whisper Swivel PEV Respiron ics Plateau Exhalation Valve Other Other Exhalation Port None No inline circuit exhalation port Screen Lock Off On 1047358 Rev A Respironics V60 Ventilator User Manual 10 3 Chapter 10 Technical specifications Operator accessible diagnostic mode functions Physical characteristics 10 4 Table 10 6 Diagnostic mode functions Language English Nederlands Francais Deutsch Italiano Por tugu s Espa ol Date Time Pressure Units cmH50 hPa Restore Default Settings Software Options Baud Rate 9 600 19 200 115 200 Significant Event Log Touch Screen Calibration Table 10 7 Physical characteristics Dimensions 10 9 kg 24 Ib with optional battery 10 kg 22 lb without battery Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 10
18. 1 5 Chapter 1 Warnings cautions and notes CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION CAUTION First time installation WARNING CAUTION Do not attempt to disassemble open drop crush bend or deform insert foreign objects into puncture or shred the battery pack modify or remanufacture it immerse or expose it to water or other liquids expose it to fire excessive heat including soldering irons or put it in a microwave oven Replace the battery only with another battery specified by the manufacturer Follow all instructions for proper use of the battery Do not short circuit the battery or allow metallic or conductive objects to contact the battery connector housing Use the battery with the Respironics V60 Ventilator only Do not attempt to sterilize or autoclave the ventilator To prevent possible damage to the ventilator use only those cleaning agents listed in this manual To prevent possible damage to the touchscreen take care when cleaning it Do not drip water and or soap solution After cleaning and rinsing remove all moisture with a dry soft cloth Never clean the touchscreen with an abrasive brush or device since this will cause irreparable damage To avoid introducing foreign matter into the ventilator and to ensure proper system performance change the air inlet filter at regular intervals or as stipulated by your institution To ensure proper system performance use
19. 87 psig Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 8 Alarms and messages Table 8 2 Alarm and other messages summary and troubleshooting continued Message High Rate High Tidal Volume Low Inspiratory Pres sure Low Internal Battery Low Leak CO Re breathing Risk Low Minute Ventila tion Low O Supply Pres sure 1047358 Rev A Priority Manually Autore Silence Description Corrective Action type ID resettable settable able Measured respiratory rate is Check the patient Confirm Low Yes Yes Yes greater than the Hi Rate ventilator and alarm settings 50 setting Escalates to a high are appropriate If problem priority alarm if the alarm persists provide alternative condition persists for more ventilation Have ventilator than 60 sec serviced Measured estimated tidal Check the patient Confirm Low Yes Yes Yes volume is greater than the ventilator and alarm settings 49 Hi Vr setting Escalates toa are appropriate If problem high priority alarm if the persists provide alternative alarm condition persists for ventilation Have ventilator more than 60 secs serviced Measured inspiratory pres Check the patient Confirm High Yes Yes Yes sure is less than the LIP ventilator and alarm settings 41 setting are appropriate If problem persists provide alternative ventilation Have ventilator
20. EACUS oe 10 5 Electrical specifications n ot aede de COR o SC ade RC aec een 10 5 Otner specifICatloDS au arc Ee AA a OC ER E 10 6 First time installation oorr IM Unpacking and INSPCCUON au ee doe oi eA eee Rees waa ee A 1 Mounting the ventilator ee rn A 2 Installing the optional battery 0 ee es A 3 Installing oxygen inlet connector and AC power cord Outside the USA and J a E O aE eee Seas Gale ha 2 A 6 Installing the oxygen manifold Kit 0 0 ce ee es A 7 Configuration and screen calibration 0 o oooooo o A 7 Respironics V60 Ventilator User Manual V Table of contents B Communications interface s s rrr rro B l RS 232 serial and analog I O pOMt o oooooooonooo B 2 Pilot or GOBe Of s acu carae Eg pac EO a Ec di a ek RR B 2 Communications protocol ses B 3 Commands and transmission conventions B 3 Remote alarm DOM s ace desc dote dO CP Eod dod do dae dod dero ge B 12 C Warranty E E E E E E E E BN BN E E BG BN EE E E E BN E E E E E E E E E BN E E E E E E E E E E E BG E E UN C 1 One year warranty llle hh C 1 Waranty IMSS arde i es C 1 D Parts and accessories ossa DL PMT AS Sets Sr dees a a ode ache XU a edet E festus dida D pde Kobe de aaa D 1 POG UGC IS KS esu p cod aca arr ae C ae RI Ae Lee A Ga le e SES ERS D 3 ExhalabloD DOLES a ios addc id dbi a Add Code ji eR d OR de qt D 3
21. HIS DIG OUT3 Output HIS digital output 3 0 to 3 3V Unused N A N A HIS RS232 DTR Output HIS RS232 Data Termi nal Ready HIS DIG INO Input HIS digital Input 0 HIS SIG RTN Power HIS RS232 Signal com mon HIS DIG IN1 Input HIS digital Input 1 HIS BOOT SEL Input Boot Select Signal 0 Download 1 Flash HIS ANALOG INOO Input HIS analog input 0 0 to 5 V HIS ANALOG OUTO Output HIS analog output 0 0 to 5 V HIS ANALOG INO1 Input HIS analog input 1 0 to 5 V HIS ANALOG OUT1 Output HIS analog output 1 0 to 5 V HIS SIG RTN Power HIS RS232 Signal com mon HIS ANALOG OUT2 Output HIS analog output 2 0 to 5 V Chassis Power Figure B 2 RS 232 serial and analog I O connector pinout Respironics V60 Ventilator User Manual Cable shield 1047358 RevA Appendix B Communications interface Communications protocol The RS 232 serial protocol is configured as follows for all communications functions e Baud rate Configurable in diagnostic mode e Data bits 8 e Parity None e Stop bits 1 e Flow control None Commands and transmission conventions The ventilator supports the following commands that are of interest to the user e VRPT Send Ventilator Report Table B 1 e SNDA Send Variable Length Ventilator Report Table B 2 on page B 8 These co
22. IC wide a e Hor bh eS 1 5 First time installation acts arae See oae eed race so oe AT e C en 1 6 Communications interface l i Rr t 1 7 Diagnose MOE 4 3 0 4 Eat aos Poeta oe Es SE aaa 1 7 2 SUmDOIS a icio acd dc rt alie ac aia Ra Rid E 3j General information 0 0c cece ohio Srl intended USO iu dca Pee Ee eoo Ho eee ease dh idee SS 3 1 About CO rebreathing she tat AA 3 1 Potential Side eNe scuto dm Va Proh rata Neo BP oe a OE a 3 1 CON MeN Gla ONS a aae Ede ede ECT A 3 2 General description sers sarrar Ate acia aon 3 2 Physical CSCI Nereida dp ERE dedi e o i eae ais 3 4 Patient circuits masks patient interfaces and accessories 3 4 Ventilator UAE lord amp Ebr aea d I Xue eie Ro e SS 3 6 Graphical user interface leen 3 9 4 Principles of operation ccc cece eee ee eee eee eee eee dH System operational overVieW e n 4 1 Pneumatic system operation see rr 4 2 Breath delivery characteristics leee nnn 4 2 CONTO Mattei sra ardid i Stn dI dE e es 4 2 Triggering cycling and leak adaptation 4 2 Baseline pressure i dunes dob erc UE weak wad CAL Ho d e ia 4 2 Pressure nise UME adidas rica Aene 4 3 Negative pressures llle rh 4 3 Oxygen concentration leen 4 3 Auto Trak Sensitivity s criba dor acre HORSE E a od Ade d E NOS DR 4 3 TAGIEN ere care die da care banal dede quc Bad Er atenta 4 3 ONO 2d rada cada dada dt 4 3 Lea
23. No quisition PCBA ADC alternative ventilation Have 26 Failed the ventilator serviced Check Vent Flash Technical failure Check the patient Provide High Yes No No File System Error alternative ventilation Have 35 the ventilator serviced Check Vent Internal Technical failure Check the patient Check for High Yes No No Temperature High causes of overheating such 29 CPU as high room temperature blocked vents clogged air inlet filter or nonfunctional fan Provide alternative ven tilation Have the ventilator serviced 1047358 Rev A Respironics V60 Ventilator User Manual 8 11 Chapter 8 Alarms and messages Table 8 3 Check Vent alarm messages summary and troubleshooting continued Check Vent Internal Temperature High Daq Check Vent Internal Temperature High Mtr Check Vent Ma chine Pressure Sen sor Auto Zero Failed Check Vent Ma chine Pressure Sen sor Calibration Data Error Check Vent Ma chine Pressure Sen sor Range Error Check Vent Motor Control PCBA ADC Failed Check Vent Oxygen Device Failed Check Vent O5 Flow Sensor Calibration Data Error Check Vent O Pres sure Sensor Calibra tion Data Error Check Vent O5 Sup ply Pressure Sensor Range Error Check Vent OVP Cir cuit Failed Check Vent Primary Alarm Failed Check Vent Pro gram CRC Test Failed 8 12 Priority Manually Autore Silence Description Correct
24. Oxygen manifold kit 1057785 Support arm bracket 1002497 Backup battery 1056921 25 to 9 pin adapter 1058403 1047358 Rev A Respironics V60 Ventilator User Manual D 5 Appendix D Parts and accessories This page is intentionally blank D 6 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix E Electromagnetic compatibility EMC Safety 1047358 Rev A Regulatory compliance EN 60601 1 2 Electromagnetic Compatibility Requirements and Tests EN 55011 Radiated and Conducted RF Disturbance Characteristics Limits and Methods of Measurement Level A EN 61000 3 2 Limits for Harmonic Current Emissions EN 61000 3 3 Limitation of Voltage Changes Fluctuations and Flicker Emissions Electrostatic Discharge Immunity Test 8 15KV EN 61000 4 2 EN 61000 4 3 Radiated Electromagnetic Field Immunity Test 10V M EN 61000 4 4 Electrical Fast Transient Burst Immunity Test EN 61000 4 5 Surge Immunity Test EN 61000 4 6 Immunity to Conducted RF Disturbances 10V EN 61000 4 8 EN 61000 4 11 Power Frequency Magnetic Field Immunity Test Voltage Dips Short Interruptions and Voltage Variations Immunity Tests MIL STD 461E RE101 Electromagnetic Field Generation Army Level Protection Against Class 1 Electric Shock Degree of Protection Type B Against Electric Shock Degree of Protection Against Harmful In gress of Fluids IPX1 Continuous Operatio
25. RS 232 port Remote alarm 25 pin D sub nurse call port connector Figure B 1 Location of communications interface ports 1047358 Rev A Respironics V60 Ventilator User Manual B 1 Appendix B Communications interface RS 232 serial and analog I O port The ventilator can exchange both analog and RS 232 digital data through a 25 pin D sub connector on the rear panel The ventilator assumes the slave role and responds to commands from the external master The digital port uses a standard RS 232 null modem pin configuration with the auxiliary pins supporting analog data 1 0 Pinout of connector Figure B 2 shows the pinout of the 25 pin D sub connector used for the RS 232 serial and analog I O port a 0000000000000 QooooooooooQp HIS RS232_ SHLD Power HIS RS232 cable shield HIS RS232 Tx D Output HIS RS232 transmit data output HIS DIG IN2 Input HIS digital Input 2 HIS RS232 Rx D Input HIS RS232 receive data input HIS DIG IN3 Input HIS digital Input 3 HIS RS232 RT S Output HIS RS232 Ready To Send HIS DIG OUTO Output HIS digital output 0 0 to 3 3V HIS RS232 CT S Input HIS RS232 Clear To Send HIS DIG OUT1 Output HIS digital output 1 0 to 3 3V HIS RS232 DSR Input HIS RS232 Data Set Ready HIS DIG OUT2 Output HIS digital output 2 0 to 3 3V HIS SIG RTN Power HIS RS232 Signal com mon
26. Rate 4 to 60 BPM 1 BPM 1 BPM 4 BPM Rise Rise Time 1 Los Vr AVAPS Target Tidal Lo to 2000 mL BTPS E mL Volume 1047358 Rev A Respironics V60 Ventilator User Manual 10 1 Chapter 10 Technical specifications Table 10 2 Controls active in Respironics V60 ventilation modes Inspiratory pres IPAP mE sure Rise Time 0 0 o a C Ramp feature Ramp Time Patient data Table 10 3 Patient data ranges resolutions and accuracies Patient data window Breath phase trigger indicator Spont Timed Exhale Color coded display Spont turquoise Timed orange Ex hale blue 0 to 91 1 5 We 0 to 99 0 L min BTPS 0 1 L min 15 or 0 3 L min whichev er is greater Vr 0 to 3000 mL BTPS 5mL 1596 for volumes above 200 mL Waveform window P waveform 0 to 50 cmH 0 Time axis 1 second y waveform 240 to 240 L min BTPS Time axis 1 second V waveform 0 to 3000 mL BTPS Time axis 1 second 1 BPM 10 2 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 10 Technical specifications Alarms Table 10 4 lists the adjustable alarm ranges and resolutions Table 8 2 on page 8 6 describes other nonadjustable alarms Table 10 4 Adjustable alarm ranges and resolutions Hi Rate High Rate 5 to 90 BPM 1 BPM 30 BPM Alarm Lo Rate Low Rate 1 to 89 BPM 1 BPM 10 BPM Alarm Hi Vr High Tidal Vol 200 to 2500 mL 5 mL 2500 mL ume Alarm BTPS Lo V4 Low Tidal Vol OFF 5 to1500 mL 5 mL OFF
27. See PCV Pressure supported breath A patient triggered pressure targeted breath psi Pounds per square inch psig Pounds per square inch gauge above atmospheric pressure Pt Leak The leak resulting from leaks around the mask or from unintentional leaks in the circuit A monitored parameter shown when the intentional leak is known Pt Trig Percentage of patient triggered breaths Patient initiated breaths as a percentage of total breaths during the last 15 minutes Ramp Can be used to allow the patient to become accustomed to respiratory ventilatory therapy over time Ramp will allow the pressure to linearly increase over a user set period Rate Respiratory frequency a control setting and monitored parameter Resistance The pressure drop across a pneumatic device i e bacteria filter patient circuit tubing for a unit of flow when the volume of the device remains constant i e cmH5O mL sec Respiratory Rate Rate Respiratory frequency a control setting Rise Time Rise The time required for a pressure supported or pressure controlled breath to reach its target pressure a control setting RS 232 Serial data communications protocol Spont indicator Denotes patient initiated breathing Spontaneous breath A breath for which both the timing and volume are controlled by the patient That is the patient both triggers and cycles the breath Spontaneous timed mode See S T mode S T mode Spontaneous timed mode A pressure s
28. See Vy Time and date how to change F 6 Timed breath type indicator definition 7 2 Tot Leak estimated total leak monitored parameter defini tion 7 2 Total leak See Tot Leak Total masks See Masks Touchscreen how to calibrate F 13 how to clean 9 2 Triggering principles of operation 4 3 volume method 4 3 Trolley See Universal stand Troubleshooting alarms 8 6 8 13 U Universal stand mounting the ventilator to A 2 Unpacking and inspection A 1 Using Default Settings message 8 9 V Vent Info Ventilator Information window description 6 11 Vent Inoperative 1 1 8 V Supply Failed alarm 8 9 Vent Inoperative 10 Machine and Proximal Pressure Sensors Failed alarm 8 13 Vent Inoperative 11 Pressure Regulation High alarm 8 13 Vent Inoperative 12 Data Acquisition PCBA ADC Reference Failed alarm 8 13 Vent Inoperative 13 Watchdog Test Failed alarm 8 13 Index 4 Vent Inoperative 2 3 3 V Supply Failed alarm 8 12 Vent Inoperative 3 12 V Supply Failed alarm 8 12 Vent Inoperative 4 Blower Temperature Too High alarm 8 12 Vent Inoperative 5 Internal Temperature High alarm 8 12 Vent Inoperative 6 Internal Temperature High alarm 8 13 Vent Inoperative 7 Internal Temperature High alarm 8 13 Vent Inoperative 8 Data Acquisition PCBA ADC Failed alarm 8 13 Vent Inoperative 9 Machine and Proximal Pressure Sensors Failed alarm 8 13 Vent Inoperative alarm description 8 3 Ventilation modes how to change 6 2 principles of operation 4 7 4 12 Ventil
29. Technical specifications Environmental specifications Table 10 8 Environmental specifications Temperature Operating 5 to 40 9C 41 to 104 9F Storage 20 to 50 4 to 122 F Relative humidity Operating 15 to 9596 noncondensing Storage 10 to 9596 relative noncondensing Barometric pressure 600 to 765 mmHg approximately 51 to 1951 m 200 to 6400 ft relative to sea level Pneumatic specifications Table 10 9 Pneumatic specifications Parameter Specification High pressure oxygen supply Pressure 2 76 to 6 00 bar 276 to 600 kPa 40 to 87 psig Flow 175 SLPM Connector DISS male DISS female NIST SIS Air supply Integrated blower Inspiratory outlet To patient Connector ISO 15 mm female 22 mm male conical port Electrical specifications Table 10 10 Electrical specifications Battery optional 14 4 V 11 5 Ah Maximum system current draw 11 A Charge voltage 416 9 V maximum Operating time 360 minutes under normal condi tions 1047358 Rev A Respironics V60 Ventilator User Manual 10 5 Chapter 10 Technical specifications Other specifications Table 10 11 Other specifications Flow delivery 150 L min at 40 cmH5O at 1951 m 6400 ft altitude 1096 degradation in flow at 2286 m 7500 ft Dynamic pressure regulation 2 cmH50 4 of target NOTE Negative subatmospheric pressure settings are not available Start up time Ready to ventilate 9 seconds after power on Triggering cycling and leak tol
30. assisted ventilation only These modes do not provide ventilation with guaranteed tidal volume delivery We do not recommend you use AVAPS on patients who require rapid and frequent IPAP adjustments to maintain a consistenttidal volume AVAPS a volume targeted mode changes the IPAP setting in order to achieve the target tidal volume During AVAPS setup there may be a period of time before the target tidal volume is achieved AVAPS is ideal for more stabilized patients 1047358 Rev A Respironics V60 Ventilator User Manual 1 1 Chapter 1 Warnings cautions and notes WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING CAUTION CAUTION NOTE NOTE NOTE NOTE To reduce the risk of CO rebreathing make sure EPAP pressures and exhalation times are sufficient to clear all exhaled gas through the exhalation port In noninvasive ventilation continuous air flow through the port flushes exhaled gases from the circuit The ability to completely exhaust exhaled gas from the circuit depends on the EPAP setting and I E ratio Higher tidal volumes further increase the volume of CO rebreathed by the patient To reduce the risk of CO rebreathing monitor the patient for changes in respiratory status at the start of ventilation and with each change in ventilator settings circuit configuration or patient condition Pay attention to ventilator alarms that warn of increased CO re
31. eek Xen EY 0 4 SICH CI AG AMS a a dci d ARS ACERO a AA ed 8 5 Resetting alar MS 00 va ia daa A AA 8 5 Manually resetting alarms eere 8 5 Clearing autoreset alarms from the Alarms list 8 5 Hiding displaying alarm messages llle 0 6 Alarms and other messages lille 8 6 Care and maintenance ccc eve eee eee sss l Decontarmitiadbl E i sarria biie dadas adds 9 1 Ventilator exterior lee ns 9 1 TOUChSCFeBll e uat sra 9 2 Bacteria filter patient circuit and other accessories 9 2 Preventive maintenance iler 9 3 Replacing the air inlet filter ooooooo 9 4 Cleaning or replacing the cooling fan filter 9 5 Removing and replacing the battery o oo 9 6 BISPO GF Ladder dad pira x Motel ac Seded ads 9 6 SION AGO o cox A indie RUE dPcE GE Be es 9 6 A adt oe va dawn eae hana ACC e CU da ond 9 6 Repacking and shipping llle RI 9 6 Technical specifications rrr 10 1 CODEFol SCLEMNOS 2 ici ERO nca dE CER dee et oe Sate 10 1 Patient Gatdi 3 934 sesah vera aaa a 10 2 AMS at uni ue draco rar alabada Raa ea 10 3 Menu window settings lile Ree 10 3 Operator accessible diagnostic mode functi0NS 10 4 Physical characteristics s cy 4h pa 10 4 Environmental specifications seen 10 5 Pneumatic SpeclfTCatlons i ua aa de Ace va a XC c C
32. flow shape signal to be slightly behind the patient s flow signal If there is a sudden change in patient flow the patient s flow signal crosses the shape signal this results in a trigger or a cycle As a result a sudden decrease in expiratory flow from an inspiratory effort will cross the shape signal and create a signal for ventilator triggering Cycle to exhalation crossover point Shape signal Estimated patient flow Trigger to inspiration crossover point Figure 4 2 Shape signal SET method of cycling Patient flow reaches the spontaneous exhalation threshold SET see Figure 4 3 The SET represents the intersection of the flow waveform and a line of a given slope SET is updated each breath Spontaneous exhalation threshold Figure 4 3 Spontaneous exhalation threshold SET 4 4 Respironics V60 Ventilator User Manual 1047358 RevA Chapter 4 Principles of operation Leak adaptation Noninvasive ventilation in particular may involve considerable leakage around the mask or through the mouth Some leakage is known or intentional it is a characteristic of the mask patient interface design So that it can accurately adjust its baseline flow the ventilator has you enter the intentional leakage value specific to the mask patient interface Selecting the mask and exhalation port on page 6 7 Other leakage is unpredictable or unintentional and it changes as the patient s breathing pattern changes To m
33. intentionally blank 1 8 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 2 Symbols Refer to these tables to interpret symbols used on the ventilator labels and packaging and on the ventilator screen To interpret symbols pertaining to accessories refer to their instructions for use Table 2 1 Symbols used on ventilator labels and packaging Respironi Warning Risk of explosion Do not use in the presence of flammable an esthetics Attention consult the accompanying documents Read the user manual before using the ventilator Protective earth ground Type B applied part which is equipment that provides a particular degree of protection against electric shock particularly in regard to allowable leakage current and of the protective earth connection Requires alternating current AC Degree of fluid ingress protection provided by the enclosure drip proof Alarm and remote alarm Two states of control ON and Shutdown Battery European Conformity Date of manufacture Manufacturer cs V60 Ventilator User Manual 2 9 Chapter 2 Symbols Table 2 1 Symbols used on ventilator labels and packaging continued RS 232 RS 232 serial input output e ni Oxygen Ethernet connection Accept button on the navigation ring Adjustment direction on the navigation ring Canadian Standards Association approval Do not disassemble Refer to Respironics authorized service pe
34. llle 6 3 Making batch setting Changes llle 6 3 Changing individual ventilator settings 6 4 Using the Ramp Timefunction lee e e e e 6 5 Changing alarm settings llle 6 6 Selecting the mask and exhalation port o o ooooooooo 6 7 Running the exhalation port test aoaaa 6 10 dise Wer AO oY aiid Ch oe ae Be OEE wee as 6 10 TOW DI CSIOOUIIG stir dey oo qa AN 6 11 Other functions the Menu window enn 6 11 DONES cou aed vete d uv d ee S Rare draw uw ded d al 6 11 WOU GS m car ae osos 6 11 Maski PON roo cd a Ad dedo pui ae tee ae aah 6 11 Vent Info ventilator information lt lt 6 11 A AA 49 had wl aat presi b dit etis Bhat 6 12 SCANGIOW xc dist Rava ak se Mae HA EA oe iwi eee latas 6 12 Fe Hor MCMC UN OM as a a Sets Sac ah aaa deed ae rn dicas dopo ida Ga ae 6 14 Table of modes and control settings 00 cee eee 6 15 Patent MONMONNG x ad bide ONS eA co CRY Oe TL Display Conventi ONS au dac SR eara Bharat ao x cdd arde ern Bed Eo LS 1 1 Table of monitored parameters 0 0 0c o 1 2 Scaling the waveform aXes i e rrr 1 2 Freezing and unfreezing waveforms o oooo oo ooo 7 3 Respironics V60 Ventilator User Manual 1047358 Rev A 8 9 10 A 1047358 RevA Table of contents Alarms and messages airada airada Ol Responding to alarms iler 8 1 Setting alarm IOUANESS 4 3 icc x dew YU Ea Xa
35. occlusions dust lint etc If discol ored or dirty remove and wash or rinse thor oughly and let dry completely before reinstalling Periodically not Air inlet filter Inspect and replace if needed to exceed eve months of use E very year Every 10 000 hours ry 6 Backup battery Inspect and replace if needed Ventilator Preventive maintenance Ventilator Preventive maintenance Must be done by Respironics authorized service personnel according to the instructions in the service manual 1047358 Rev A Respironics V60 Ventilator User Manual 9 3 Chapter 9 Care and maintenance 9 4 Replacing the air inlet filter Replace the air inlet filter as follows referring to Figure 9 1 1 Power down the ventilator and disconnect it from AC power 2 Turn the captive D ring fastener counter clockwise one quarter turn and release Remove the side panel 3 Remove the inlet filter by pinching it out of the recess in the bracket 4 Install a new air filter by tucking it into the recessed area Replace the side panel and push in and turn the D ring fastener one quarter turn until it locks Captive fastener Bracket Figure 9 1 Replacing the air inlet filter Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 9 Care and maintenance Cleaning or replacing the cooling fan filter Clean or replace the cooling fan filter as follows referring to Figure 9 2 1 Inser
36. of 1 mA Pressing Alarm Silence deactivates the remote alarm The remote alarm nurse call port allows ventilator alarm conditions to be annunciated at locations away from the ventilator for example when the ventilator is in an isolation room The ventilator sends alarm signals to a remote alarm through the connector at the rear of the ventilator Figure B 1 on page B 1 Figure B 3 shows the pin assignments for this connector The connector is a standard 14 inch female audio ring tip sleeve connector The ventilator signals an alarm using either a normally open NO or normally closed NC relay contact The de energized state of the relay represents an alarm state any high priority alarm and the energized state represents a non alarm state This application requires one of the cables listed in Table B 3 Remote alarm connector and cable NC amm Tip Common Sleeve Figure B 3 Remote alarm port Table B 3 Remote alarm cable kits Part Number Remote alarm cable kit normally open protocol 1003741 Remote alarm cable kit normally closed protocol 1003742 Remote alarm cable kit Respironics LifeCare 1003743 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix C Warranty One year warranty Warranty limits 1047358 Rev A Respironics warrants the Respironics V60 Ventilator to be free from defects in materials or workmanship for a period of one year from the date of delivery to the purchase
37. patient Provide al High 5 Yes No No PCBA The ventilatorisinthe ternative ventilation Have the ventilator inoperative state ventilator serviced Technical failure of the DAQ Check the patient Provide al High 6 Yes No No PCBA The ventilatorisinthe ternative ventilation Have the ventilator inoperative state ventilator serviced Technical failure of the motor Check the patient Provide al High 7 Yes No No PCBA The ventilatorisinthe ternative ventilation Have the ventilator inoperative state ventilator serviced Technical failure The venti Check the patient Provide al High 8 Yes No No lator is in the ventilator inop ternative ventilation Have the erative state ventilator serviced Technical failure The venti Check the patient Provide al High 9 Yes No No lator is in the ventilator inop ternative ventilation Have the erative state ventilator serviced Respironics V60 Ventilator User Manual 8 13 Chapter 8 Alarms and messages Table 8 4 Vent Inoperative alarm messages summary and troubleshooting continued Priority Manually Autore Silence Message Description Corrective Action type ID resettable settable able Vent Inoperative Technical failure The venti Check the patient Provide al High Yes No No 10 lator is in the ventilator inop ternative ventilation Havethe 10 Machine and erative state ventilator serviced Proximal Pres sure Sensor
38. related patient datais Check the patient Provide High Yes No No Sensor Calibration disabled Oxygen concentra alternative ventilation Have 12 Data Error tion switches to 21 venti the ventilator serviced lates with air only Default volume used in AVAPS mode Standby disabled Volume leak disconnect and occlusion alarms com promised Check Vent Alarm Technical failure Check the patient Provide High 5 Yes No No LED Failed alternative ventilation Have the ventilator serviced Check Vent Auxilia Backup alarm problem Check the patient Provide High Yes No No ry Alarm Supply alternative ventilation Have 19 Failed the ventilator serviced Check Vent Backup Backup alarm problem Check the patient Provide High 4 Yes No No Alarm Failed alternative ventilation Have the ventilator serviced Check Vent Barome Default barometric pres Check the patient Provide High Yes No No ter Calibration Data sure of 686 0 mmHg ap alternative ventilation Have 17 Error proximately 900 m 2953 ft the ventilator serviced above sea level used in cal culations 8 10 Respironics V60 Ventilator User Manual 1047358 RevA Chapter 8 Alarms and messages Table 8 3 Check Vent alarm messages summary and troubleshooting continued Priority Manually Autore Silence Message Description Corrective Action type ID resettable settable able
39. such as a mask or ET tube A pressure tap proximal to the patient is used to monitor patient pressure The exhalation port continually exhausts gas from the circuit during inspiration and exhalation to minimize rebreathing and ensure CO removal Control variable Breaths delivered by the Respironics V60 Ventilator are pressure controlled In the AVAPS mode the ventilator s applied pressure is automatically adjusted over several breaths to maintain a target tidal volume Triggering cycling and leak adaptation Unlike other ventilators the Respironics V60 Ventilator does not require you to set triggering and cycling sensitivity or to adjust baseline flow The ventilator s unique Auto Trak Sensitivity algorithm adjusts these automatically see Auto Trak Sensitivity on page 4 3 Baseline pressure A positive baseline pressure EPAP or CPAP may be set for all breaths in all modes Respironics V60 Ventilator User Manual 1047358 Rev A Auto Trak Sensitivity 1047358 Rev A Chapter 4 Principles of operation Pressure rise time The operator set Rise Time defines the time required for inspiratory pressure to rise to the set target pressure Negative pressures There are no negative pressures generated during exhalation Oxygen concentration The Respironics V60 Ventilator incorporates an oxygen mixer Oxygen concentration can be set in all modes An important characteristic of the Respironics V60 Ventilator is its ability to recogn
40. the ON Shutdown key The screen displays Press again for Diagnostics or wait for Ventilation Respironics V60 Ventilator User Manual F 1 Appendix F Diagnostic mode 3 Within less than 5 seconds release and press the Accept button again The Diagnostics Menu Figure F 1 is displayed WARNING The Diagnostics Mode is not to be used when patient is connected to the ventilator Verify that the patient is disconnected prior to proceeding Diagnostics Menu System Settings ELEM Touch Screen Calibration If bu amp toris ane un spore press v to calibrate touch screen Figure F 1 Diagnostics Menu 4 Select the desired function F 2 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix F Diagnostic mode System settings From the System Settings screen Figure F 2 you can perform the functions below Figure F 2 System Settings screen 1047358 RevA Respironics V60 Ventilator User Manual F 3 Appendix F Diagnostic mode Language The Language function lets you set the language of software display 1 From the System Settings screen select Language to display the Set Language screen Figure F 3 Figure F 3 Set Language screen 1 F 4 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix F Diagnostic mode 2 The active language is shown in white type Select the new language 3 A second Set Language screen is displayed Figure F 4 Select Ventilator Shutdown to apply th
41. ventilator and the patient is no longer receiving ventila tory support Ventilation continues Power Has Been Re Power is restored following Check the patient Confirm Infor Yes Yes N A stored loss of power The ventilator ventilator and alarm settings mation restarts and continues ven are appropriate 56 tilation in the set mode be fore power was lost Pressure Regulation Pressures exceed ventilator Check the patient Confirm High Yes Yes Yes High defined thresholds Ventila ventilator and alarm settings 38 tion continues Autoresets are appropriate If problem when alarm condition re persists provide alternative moved otherwise transi ventilation Have ventilator tions to the ventilator serviced inoperative state if pres sure continues to rise Proximal Pressure Proximal pressure low fora Check the patient Recon High Yes Yes Yes Line Disconnect few seconds Proximal pres nect proximal pressure line 34 sure line is disconnected Confirm ventilator and alarm Air flow to the patient con settings are appropriate If tinues problem persists provide al ternative ventilation Have ventilator serviced Running on Internal System is powered by the Connect ventilator to AC Low Yes Yes Yes Battery internal battery Autoresets power 51 when ventilator is connect ed to AC power Using Default Set Displayed after power on if Check the patient Check Infor Yes Yes N A tings setti
42. 2 1010609 1004878 1018585 1003052 1010609 1004879 1018581 Medium 1004849 1004884 Medium 1018586 1018583 Large 1010871 1008887 Large 1018587 Respironics V60 Ventilator User Manual 1018584 1047358 Rev A Appendix D Parts and accessories Part number Description Quantity Non US Japan only Contour Deluxe single patient use Petite 1016980 1016981 nasal mask Petite 1016982 1016983 Small 1016693 1016697 Small 1016694 1016698 Medium large 1016691 1016695 Medium large 1016692 1016696 Head strap Petite 1018472 1018472 Small medium 1007365 1007365 large If there is no part number listed for J apan the non US part number is used to order a part in J apan Pediatric masks Part number Description Contour Deluxe single patient use nasal mask Petite 1016980 1016981 Petite 1016982 1016983 Head strap Petite 1018472 1018472 Exhalation ports Description Quantity Part number Plateau exhalation valve P EV 302312 Replacement diaphragm for PEV 302310 Whisper Swivel II exhalation port 332113 Disposable exhalation port DEP 312149 1047358 Rev A Respironics V60 Ventilator User Manual D 3 Appendix D Parts and accessories Patient breathing circuits Description Quantity Part number BiPAP Vision single patient use circuit for use without humidifier 582073 Each includes 1 8 m 6 ft tubing exhalation port
43. 60 Ventilator is an assist ventilator and is intended to augment patient breathing It is intended for spontaneously breathing individuals who require mechanical ventilation patients with respiratory failure chronic respiratory insufficiency or obstructive sleep apnea in a hospital or other institutional settings under the direction of a physician The ventilator is intended to support pediatric patients weighing 20 kg 44 Ib or greater to adult patients It is also intended for intubated patients meeting the same selection criteria as the noninvasive applications The ventilator is intended to be used by qualified medical professionals such as physicians nurses and respiratory therapists The ventilator is intended to be used only with various combinations of Respironics recommended patient circuits interfaces masks humidifiers and other accessories As with mask ventilation in general patient CO rebreathing may occur under some circumstances Follow these guidelines to minimize the potential for CO rebreathing If rebreathing is a significant concern for a particular patient and these guidelines are not sufficient to acceptably reduce the potential for CO rebreathing consider an alternative means of ventilation e Increase EPAP to decrease the potential for CO rebreathing Higher pressures produce more flow through the exhalation port which helps to purge all CO from the circuit to prevent rebreathing e Be aware that the
44. 708 DOE der dC Oe adr dh uh PA A E di r FL Hi A euge Fin D AAA PEZ 12 1 THERE Tarte mg a 13 qUeE Qu T3 MULT EA Cg ap CH A anii AAA DOE ade PC ESAME RR A E Figure F 11 Significant Event Log screen Respironics V60 Ventilator User Manual 1047358 Rev A Appendix F Diagnostic mode Touchscreen Calibrate the touchscreen X and Y coordinates as follows calibration 1 From the Diagnostics Menu select Touch Screen Calibration The Calibrate Touch Screen screen is displayed Figure F 12 NOTE If the Touch Screen Calibration button does not respond press the Accept button on the navigation ring to begin Touch Screen Calibration Cancel Figure F 12 Calibrate Touch Screen screen 2 Follow the steps shown Press on the middle of each target with a blunt narrow object If the calibration is not successful have the ventilator serviced Exiting the diagnostic Exit the diagnostic mode by turning off ventilator power with the ON Shutdown key mode 1047358 Rev A Respironics V60 Ventilator User Manual F 13 Appendix F Diagnostic mode This page is intentionally blank F 14 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Glossary A Ampere a unit of current AC Alternating current Alarm Silence button Silences alarm sound for 2 minutes Assisted breath Breath in which the patient begins inspiration but the ventilator controls the inspiratory phase and ends inspiration Auto
45. APe e AVAPSe STDBYe 7 character field rep resenting available modes in NPPV in cluding STDBY dur ing leak test Unused 90800 N A Always output as OOOOOO NPPV respiratory rate setting 129999 4 to 60 99999 in CPAP mode Rate setting in other modes NPPV EPAP setting NPPV IPAP setting or CPAP 599999 599999 CPAP or EPAP setting CPAP setting in CPAP mode 99999 in oth er modes NPPV inspiratory time setting 1 0000 0 30 to 3 00 NPPV rise time 0 1999 0 1 to 0 6 NPPV I trigger type AUTOO N A Unused 90100 N A Always output as 99999 NPPV E cycle type AUTOO N A Unused 90800 N A Always output as OOOOOO NPPV oxygen concentra tion setting Unused 210000 21 to 100 901800 Always output as OOOOOO 67 NPPV low inspiratory pressure alarm limit set ting Unused N A 300000 1 0 to 40 T Respironics V60 Ventilator User Manual cmH5O0 Off 20 Always output as 99999 1047358 Rev A Appendix B Communications interface Table B 1 VRPT record format continued NPPV low tidal volume 00000 0 to 1500 alarm limit setting NPPV high respiratory 150000 5 to 90 rate alarm limit setting NPPV low minute volume 1 0000 0 01 for 0 to 99 alarm limit setting 0 00 to 9 99 0 1 for 10 0 to 99 0 71to72 Unused 99999 N A N A Always output as 99999
46. Always output as 99999 High enclosure tempera NORMAL NORMAL N A Respironics V60 Ventilator User Manual Always output as 9999 Appendix B Communications interface Table B 1 VRPT record format continued Low PEEP alarm status NORMAL NORMAL ALARM RESET Low EPAP alarm status NORMAL NORMAL N A Patient Disconnect ALARM alarm status RESET High leak alarm status NORMAL NORMAL N A ALARM RESET Unused 99999 N A N A Always output as 99999 Alarm silence status OFF900 ONO N A OFFS Screen lock status OF Feo ONO N A OFFO900 Unused 9000 N A N A Always output as 99999 135 Stop code 0x03 N A N A N A ASCII End Transmis sion character ETX Table B 2 SNDA record format Command name 5 character field Number of characters between the start and stop codes am Number of fields be tween the start and stop codes 3 character field 2 character field Start code 13 45 Time of request ASCII Start Transmis sion character STX 24 hour clock hh mm 999999999 9999999 E i Unused N A Respironics V60 Ventilator User Manual Always output as 400000000 9999999 Always output as 99999 1047358 Rev A Appendix B Communications interface Table B 2 SNDA record format continued Date ventilator system FEB0923020080 12 character field clock MMMeDDeYYYYe Mode setting PCVeee 5 1999 PCVOO CPAP AVAPSe
47. Check Vent Barome Default barometric pres Check the patient Provide High Yes No No ter Sensor Range Er sure of 686 0 mmHg ap alternative ventilation Have 18 ror proximately 900 m 2953 ft the ventilator serviced above sea level used in cal culations Check Vent Battery Battery problem Check the patient Connect High Yes No No Failed the ventilator to AC Provide 57 alternative ventilation Have the ventilator serviced Check Vent Battery Battery problem Check the patient Connect High Yes No No Temperature High the ventilator to AC Check 33 for causes of overheating such as high room tempera ture blocked vents clogged air inlet filter or nonfunc tional fan Provide alterna tive ventilation Have the ventilator serviced Check Vent Blower Technical failure Check the patient Check for High Yes No No Temperature High causes of overheating such 32 as high room temperature blocked vents clogged air inlet filter or nonfunctional fan Provide alternative ven tilation Have the ventilator serviced Check Vent Cooling Overheating of ventilator Check the patient Provide High Yes No No Fan Speed Error possible alternative ventilation Have 34 the ventilator serviced Check Vent CPU Technical failure Check the patient Provide High Yes No No PCBA ADC Failed alternative ventilation Have 28 the ventilator serviced Check Vent Data Ac Technical failure Check the patient Provide High Yes No
48. Default Settings Figure F 7 Restore Default Settings screen 2 Select Restore Defaults F 8 Respironics V60 Ventilator User Manual 1047358 RevA Appendix F Diagnostic mode Software Options With the Software Options function you enable a software option using a unique code specific to the option and the ventilator serial number Options can also be enabled through the Respi Link remote service program NOTE Before installing an option verify that the ventilator serial number matches the serial number shown in the Vent Info window Vent Info ventilator information on page 6 11 If the serial numbers do not match contact Respironics 1 From the System Settings screen select Software Options to display the Enable Software Options screen Figure F 8 Enable Soliwaro Options L r F Seri DT ua a1 Li 0123456789 Figure F 8 Enable Software Options screen 2 Use the onscreen keypad to enter the code then select Enter The screen displays Software option successfully enabled 3 Repeat as needed to enable additional options 4 Verify that the options are enabled by selecting Back to System Settings then Back to Diagnostics Menu then Service The Vent Info window should show the new options 1047358 RevA Respironics V60 Ventilator User Manual F 9 Appendix F Diagnostic mode Baud Rate The Baud Rate function lets you set the baud rate for serial communications 1 From the System Settings screen
49. High pressure oxygen inlet connector Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 3 General information Graphical user interface Through the graphical user interface Figure 3 6 you make ventilator settings and view ventilator and patient data During ventilation the upper screen displays alarms and patient data The middle screen displays real time waveforms and alarm and informational messages The lower screen lets you access modes and other ventilator settings display help information and see the power status Alarm status bar see page 8 2 Wy Ve Patient data window 16 550 8 8 20 see page 7 1 Exhale Hate Pt Leak PE Trig TT tort Waveforms window see page 7 1 Compressed waveforms window with Alarms Messages list see page 8 2 Window window tabs see page 6 1 Sii lriigu Power symbols Help button see page 5 5 see page 6 14 Figure 3 6 Parts of graphical user interface 1047358 Rev A Respironics V60 Ventilator User Manual 3 9 Chapter 3 General information This page is intentionally blank 3 10 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 4 Principles of operation System operational overview 1047358 Rev A The Respironics V60 Ventilator is a microprocessor controlled pneumatic system that delivers a mixture of air and oxygen It is powered by AC with optional battery backup to protect against power failure or unstabl
50. IPAP Pressure setting definition 6 16 Menu window functions 6 11 6 12 M essage informational description 8 3 1047358 Rev A Respironics V60 Ventilator User Manual Index Min P AVAPS Minimum IPAP Pressure setting definition 6 16 Minute ventilation See Vc Modes ventilation See Ventilation modes Monitored parameters definitions 7 2 ranges resolutions and accuracies 10 2 Mounting the ventilator A 2 N Nurse call connector location 3 8 Nurse call port B 12 0 O setting definition 6 16 Operation 6 1 Operator replacement parts part numbers D 4 Options software how to enable F 9 Oxygen inlet connector how to install location 3 8 Oxygen Not Available alarm 8 8 Oxygen how to connect 5 1 5 2 P Parts and accessories D 1 D 5 Patient circuit how to install 5 2 5 3 part numbers D 4 Patient Circuit Occluded alarm 8 8 Patient data ranges resolutions and accuracies 10 2 See also Monitored parameters Patient Disconnect alarm 8 9 Patient interface how to select for leak adjustment purposes 6 7 6 9 See Masks Patient leak See Pt Leak 7 2 Patient monitoring 7 1 7 3 Patient triggered breaths See Pt Trig P CV pressure controlled ventilation mode principles of op eration 4 9 Peak inspiratory pressure See PIP PerformaTrak masks See Masks PerforMax masks See Masks PEV plateau exhalation valve part number D 3 PIP peak inspiratory pressure monitored parameter defini tion 7 2 Plateau exhalation valve PEV
51. If Screen Lock is active the touchscreen remains locked even if an alarm becomes active Standby lets you safely suspend ventilation to temporarily disconnect the patient from the ventilator or to set up the ventilator before connecting the patient Alarms are disabled during standby You can also change ventilator settings and most menu functions during standby The settings changes are effective when you exit standby Enter standby as follows 1 Select Standby The Entering Standby window opens Entering Standby Pere Patient interfaca in arder to enter Sharai z CAP Cereb Mode B L1 LE BAA ard Eee ha Cancel Leo when Eh patient is 5 5 ing o3 un SIT Modes T Standby F Settings mL NOTE Remove the mask patient interface in order to enter standby The ventilator will not enter standby with a patient connected If the patient is not disconnected the ventilator continues breath delivery while waiting for the patient to be disconnected The standby mode request cancels in 60 seconds if the patient remains connected NOTE Standby mode disables alarms and should be used when the patient is disconnected Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 6 Operation 2 Disconnect the patient from the ventilator now The ventilator enters standby and displays the Standby screen Standby Disconnected from Patient Waiting for Restart Patient Trigger ST Modo Patient Alarms Disabl
52. Mul Airway pressure PF P flow V and IPAP volume V waveforms EPAP p CPAP ause button Mi Waveform Vertical L wind w autoscaleB button m Cursor Time base adjust button Time scale adjustable Figure 7 1 Patient data and waveform window Display conventions The following symbols may be displayed in place of numeric values Data is not valid and or ventilator is in standby mode or disconnected Data is over range Data is under range 1047358 RevA Respironics V60 Ventilator User Manual 7 1 Chapter 7 Patient monitoring Table of monitored parameters Table 7 1 Monitored parameters Patient data window Breath phase trigger indicator Spont spontaneous Inspiratory phase patient triggered breath color turquoise Timed Inspiratory phase ventilator triggered breath color orange Exhale Expiratory phase color blue CO Peak inspiratory pressure The highest patient pressure during the previous breath cycle Pt Leak Estimated patient leak or unintentional leak Average during the previous breath cycle Dis played only after a suitable exhalation port and mask patient interface are selected Pt PE Tig 0 Patient Patient triggered breaths as a percentage of total breaths over the last 15 minutes breaths as a percentage of total breaths over the last 15 minutes Li MS Respiratory rate or A breathing frequency Moving average over the last 6 breaths o 15 seconds
53. Noninvasive patient circuit without humidification Proximal pressure port Ventilator outlet Bacteria filter Proximal pressure line Proximal filter V pd I T s GOES CU COMAS GU Water trap T Hunmidifier Figure 5 3 Invasive patient circuit with humidification 2 Properly position the patient circuit after assembly Make sure the tubing will not be pushed pulled or kinked during patient movement or other procedures 1047358 Rev A Respironics V60 Ventilator User Manual 5 3 Chapter 5 Preparing for ventilation Connecting to AC power About the optional backup battery 9 4 WARNING To reduce the risk of electric shock connect the ventilator to an AC supply mains with protective earth only WARNING Do not use extension cords adapters or power cords with the ventilator that are not approved by Respironics WARNING To prevent unintentional disconnection of the power cord always use the correct Respironics supplied power cord and lock it into place with the power cord retainer before you switch the ventilator on The retainer is designed to hold the connector end of the Respironics supplied cord securely in place WARNING To reduce the risk of electric shock regularly inspect the AC power cord and verify that it is not frayed or cracked WARNING To reduce the risk of strangulation route the power cor
54. Patient breathing CIFCUIES v x53 4 cR esce SCR RR C he e had ec ee S D 4 Bactena TE oa omis pat Up Ab dt ap ahah ae ee ee A Go ah aa D 4 Operator maintenance parts es D 4 GSTs AS RR TR RE Seto oh eS oe dada a o dao D 5 E Regulatory COMpINGNCE asirios E E Electromagnetic compatibility EMC anaana ne E 1 sca PR RA A e A a O E 1 E Diagnosuc Mode siria rara eT a Fl Entering the diagnostic mode nonan e I e F 1 SYSTEM SOLE BOS v cuis amp captat S o p ect C ade EE at e o DeC nc cane deg F 3 Language xe o usce dx aru EIER cv C uos qd bor madre us F 4 Date T Ille amic oe PS rot pt A Run S ce edt dc eure P SE F 6 FES SUSE DIES catador Up dust rae toda aa ard Median od F 7 Restore Default Settings ee es F 8 SOrtWare OPTIONS star x E ae ER qub dee e CER A F 9 Ball Bale maena a RENE vir 8 Redi a SO dE dug ng du xc See i Selene F 10 DENCE eh Bee A D E ce a d PON aO ew d F 11 significant Event LOG iia da add DS F 11 Touchscreen calibration liens F 13 Exiting the diagnostic ITIOdG 1 ao v voe rA ORCI Code Rodgers Ya F 13 Glossary iai doe EE Yr CRI E Saw a x cera GIOSSaly 1 IndeX arar ricardo CR AER ONU TRUE ames MAX T vi Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 1 Warnings cautions and notes Before using the Respironics V60 Ventilator on a patient familiarize yourself with this user manual particularly the safety considerations listed Be aware however that this manual is
55. RESET Low internal battery NORMAL NORMAL alarm status ALARM RESET Nonvolatile memory fail NORMAL NORMAL ure Using default set ALARM ti is RESETe 106 Primary alarm failure NORMAL NORMAL N A ALARM RESET 107 High inspiratory pres NORMAL NORMAL N A sure alarm status ALARM RESETe 108 Apnea alarm status NORMAL NORMAL N A Low Rate alarm sta ALARM tus RESETe B 6 Respironics V60 Ventilator User Manual 1047358 Rev A Table B 1 VRPT record format continued Appendix B Communications interface 124 1047358 Rev A ture alarm status Unused ALARM RESET Low inspiratory pressure NORMAL NORMAL alarm status ALARM RESET Air source fault alarm NORMAL N A NORMAL N A status ALARM RESET O valve stuck closed NORMAL N A NORMAL N A alarm status ALARM RESET Unused 900 N A N A N A Always output as 99999 Low O supply alarm sta NORMAL NORMAL N A High and low supply tus ALARM pressure RESET Unused 900 N A N A Always output as 99999 Low minute volume NORMAL NORMAL N A alarm status ALARM RESET Unused 900 N A N A Always output as 99999 Low tidal volume alarm NORMAL NORMAL N A Status ALARM RESET Low spontaneous tidal NORMAL NORMAL N A Low Tidal Volume volume alarm status ALARM Alarm status RESET Unused 900 N A N A Always output as 99999 High respiratory rate NORMAL NORMAL N A alarm status ALARM RESET Unused 9000 N A N A
56. Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 4 Principles of operation AVAPS mode optional NOTE When you adjust AVAPS minimum and maximum pressures remember that IPAP is adjusted to meet the target value If the calculated target pressure is outside of the minimum and maximum pressure range the target volume will not be achieved Unlike most pressure modes the AVAPS average volume assured pressure support mode delivers a target tidal volume It achieves the target volume by regulating the pressure applied following an initial pressure ramp up The AVAPS mode delivers time cycled mandatory breaths and pressure supported spontaneous breaths If the patient fails to trigger a breath within the interval determined by the Rate control the ventilator triggers a mandatory breath with the set Time Mandatory and spontaneous breaths are delivered at a pressure that is continually adjusted over a period of time to achieve the volume target V1 Min P and Max P define the minimum and maximum pressures that can be applied You set no patient triggering or cycling sensitivities the patient triggers and cycles based on the ventilator s Auto Trak Sensitivity algorithms The control settings active in the AVAPS mode are shown in Figure 4 12 Figure 4 13 shows AVAPS mode waveforms Active Mode AVAPS erit zc eu AVAPS Alarm Modes Menu tandby Em SO EA Settings js Figure 4 12 AVAPS controls Resp
57. Time Inspiratory time The duration of inspiration during mechanical ventilation L Liter LCD Liquid crystal display LED Light emitting diode Limit To prevent from exceeding a specified maximum value during a breath LIP Low Inspiratory Pressure Alarm an alarm setting Lo Rate Low Rate Alarm an alarm setting Lo VE Low Minute Ventilation Alarm an alarm setting Lo Vr Low Tidal Volume Alarm an alarm setting Mandatory breath A breath for which either the timing or volume is controlled by the ventilator That is the machine triggers and or cycles the breath Max P AVAPS Maximum IPAP Pressure A control setting in AVAPS Min P AVAPS Minimum IPAP Pressure A control setting in AVAPS mL M illiliter mm Millimeter Noninvasive Pertaining to a diagnostic or therapeutic technique that does not require the skin to be broken or a cavity or organ of the body to be entered Mechanical ventilation via mask nasal prongs or mouthpiece 0 Oxygen concentration A control setting OD Outer diameter PCV Pressure controlled ventilation A ventilation mode that provides mandatory and spontaneous breaths with a set frequency pressure and inspiratory time Peak inspiratory pressure See PIP Respironics V60 Ventilator User Manual Glossary 3 Glossary Glossary 4 Percentage of patient triggered breaths See Pt Trig PIP Peak inspiratory pressure The peak pressure for the previous inspiration Pressure controlled ventilation
58. Trak Sensitivity A Respironics innovation in triggering and cycling that utilizes several different methods to provide enhanced sensitivity in the presence of leaks and changing breathing patterns AVAPS Average volume assured pressure support A ventilation mode in which pressure support is automatically adjusted to maintain the user defined target tidal volume AVAPS Maximum IPAP Pressure See Max P AVAPS Minimum IPAP Pressure See Min P AVAPS Target Tidal Volume See Vj Average volume assured pressure support See AVAPS Baseline As in baseline pressure The pressure at end exhalation BPM Breaths per minute BTPS Body temperature 98 F ambient pressure 100 saturated with water vapor C Flex A setting in CPAP mode which enhances traditional CPAP by reducing the pressure at the start of exhalation cmH50 Centimeters of water a unit of pressure measurement Continuous positive airway pressure See CPAP CPAP Continuous positive airway pressure A ventilation mode that provides a single continuous level of positive pressure to the patient and a control setting in that mode Cycle To end inspiration Respironics V60 Ventilator User Manual Glossary 1 Glossary Glossary 2 dB A Decibel a unit of acoustic power DISS Diameter index safety standard a standard for high pressure gas inlet fittings EPAP Expiratory positive airway pressure A control setting The application and maintenance of pressure above atmos
59. a Respironics approved air inlet filter Because some environments cause a quicker collection of lint and dust than others inspect the filters more often when needed The air inlet filter should be replaced the cooling fan filter should be cleaned To prevent possible damage to the ventilator always ship it with the original packing material If the original material is not available contact Respironics to order replacements Never attempt to disconnect or connect the battery during operation To prevent possible damage to the ventilator always secure it to its stand or securely place it on a flat stable surface that is free of dirt and debris Do not use the ventilator adjacent to or stack it with other equipment 1 6 Respironics V60 Ventilator User Manual 1047358 Rev A Communications interface Diagnostic mode 1047358 Rev A WARNING WARNING WARNING WARNING WARNING CAUTION WARNING Chapter 1 Warnings cautions and notes Connect to the ventilator only items that are specified as part of or compatible with the ventilator system Additional equipment connected to medical electrical equipment must comply with the respective IEC or ISO standards Furthermore all configurations shall comply with the requirements for medical electrical systems see IEC 60601 1 1 or clause 16 of edition 3 of IEC 60601 1 respectively Anybody connecting additional equipment to medical electrical equipment configures a
60. a reference only It is not intended to supersede your institution s protocol regarding the safe use of assisted ventilation Definitions WARNING CAUTION NOTE General WARNING WARNING WARNING WARNING Alerts the user to the possibility of injury death or other serious adverse reactions associated with the use or misuse of the device Alerts the user to the possibility of a problem with the device associated with its use or misuse such as device malfunction device failure damage to the device or damage to other property Emphasizes information of particular importance An alternative means of ventilation shall be available whenever the ventilator is in use If a fault is detected in the ventilator disconnect the patient from it and immediately start ventilation with such a device The ventilator must be removed from clinical use and serviced by Respironics authorized service personnel Use the Respironics V60 Ventilator on spontaneously breathing patients only It is an assist ventilator and is intended to augment the ventilation of a spontaneously breathing patient It is not intended to provide the total ventilatory requirements of the patient We do not recommend you use the Respironics V60 Ventilator on patients who require ventilation at predetermined tidal volumes The ventilator provides continuous positive airway pressure CPAP and positive pressure ventilation S T PCV and AVAPS and is indicated for
61. ackup Baseline pressure description 4 3 Batch settings how to make 6 3 1047358 RevA Battery backup description 5 4 5 5 how to install A 3 A 5 location 3 8 operation time 5 4 part number D 5 specifications 10 5 Baud rate how to change F 10 RS 232 serial and analog I O port B 3 Breath frequency See Rate Breath phase trigger indicator definition 7 2 Breathing circuit See Patient circuit Brightness display how to set 6 11 Buzzer backup 5 4 C Calibration touchscreen F 13 Care and maintenance 9 1 9 6 Cart See Universal stand C Flex setting definition 6 15 Check Vent alarm description 8 3 Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent 10 Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent Check Vent 1 8 V Supply Failed alarm 8 10 12 V Supply Failed alarm 8 10 24 V Supply Failed alarm 8 10 3 3 V Supply Failed alarm 8 10 35 V Supply Failed alarm 8 10 5 V Supply Failed alarm 8 10 Air Flow Sensor Calibration Data Error alarm 8 Alarm LED Failed alarm 8 10 Auxiliary Alarm Supply Failed alarm 8 10 Backup Alarm Failed alarm 8 10 Barometer Calibration Data Error alarm 8 10 Barometer Sensor Range Error alarm 8 10 Battery Failed alarm 8 10 Battery Temperature High alarm 8 10 Blower Temperature High alarm 8 11 Cooling Fa
62. aintain prescribed pressures in the presence of leakage the ventilator adjusts its baseline flow Because the unintentional part of the leakage may constantly change the ventilator recalculates the baseline flow each breath at the end of exhalation The ventilator uses two main mechanisms to update its baseline flow expiratory flow adjustment and tidal volume adjustment Expiratory flow adjustment Every breath at end exhalation the ventilator updates its flow baseline At end exhalation patient flow is assumed to be zero so any difference between actual patient flow and the original baseline flow indicates a change in leakage Figure 4 4 shows how the ventilator adjusts the baseline 4x7 QUE Flow Inspiration Cycle to l a exhalation i i New Original I baseline rigina baselin Additional End exhalation leak I 2 cix c Dri owemm TIME V zm un Spontaneous trigger Patient flow Adjustment Te gt of baseline Figure 4 4 Expiratory flow adjustment Respironics V60 Ventilator User Manual 4 5 Chapter 4 Principles of operation 4 6 Tidal volume adjustment Every breath the ventilator compares the inspiratory and expiratory tidal volumes Any difference is assumed to be due to an unintentional circuit leak The ventilator adjusts the baseline to reduce this tidal volume difference for the next breath Figure 4 5 shows how the ventilator adjusts the baseline Additional leak New baseline
63. al Continued safe ventilator operation may be in jeopar dy Oxygen flow and blower operation are disabled Im mediately secure alterna tive ventilation for the patient Troubleshoot as per Table 8 4 Immediately secure alter native ventilation for the patient Chapter 8 Alarms and messages Vent Inoperative d Blower Temperature too High Figure 8 2 Vent Inoperative screen Setting alarm You can set the alarm loudness from the Menu window see Loudness on loudness page 6 11 8 4 Respironics V60 Ventilator User Manual 1047358 Rev A Silencing alarms Resetting alarms 1047358 Rev A Chapter 8 Alarms and messages Silence an alarm for 2 minutes by selecting the Alarm Silence button The button icon is replaced by this one A timer shows time remaining in the 2 minute alarm silence period Select Alarm Silence again at any time to reset the counter to 2 00 minutes During patient maneuvers you can pre silence audible alarms as desired Some alarms cannot be silenced these are listed in Table 8 2 When a non silenceable alarm is annunciated the following is shown Mon silenceable alarm active Most alarms reset themselves autoreset when the alarm triggering condition is removed but you must manually reset others Table 8 2 specifies whether an alarm is autoreset Manually resetting alarms Manually reset an alarm by selecting Alarm Reset When an alarm is manually reset the m
64. allation WARNING To prevent unintentional disconnection of the power cord always use the correct Respironics supplied power cord and lock it into place with the power cord retainer before you switch the ventilator on The retainer is designed to hold the connector end of the Respironics supplied cord securely in place 2 Secure the power cord with the power cord retainer Figure A 4 a Remove the power cord retainer by removing two screws b Connect the power cord that is appropriate to your region into the AC power connector c Reinstall the power cord retainer over the power cord and tighten the screws with a 3 0 mm hex wrench Power cord retainer Pate aa 100 FAA SIUGDH DONA J AN Sui fs Boge dic emie niana AS A Figure A 4 Installing the power cord retainer If desired install the oxygen manifold kit as described in the accompanying instructions After completing the setup activities described in Chapter 5 set or check the ventilator settings for language units of measure and time in the diagnostic mode see Appendix F Calibrate the screen as required referring to Touchscreen calibration on page F 13 Respironics V60 Ventilator User Manual A 7 Appendix A First time installation This page is intentionally blank A 8 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix B Communications interface WARNING Connect to the ventilator only items that are specified as p
65. art of or compatible with the ventilator system Additional equipment connected to medical electrical equipment must comply with the respective IEC or ISO standards Furthermore all configurations shall comply with the requirements for medical electrical systems see IEC 60601 1 1 or clause 16 of edition 3 of IEC 60601 1 respectively Anybody connecting additional equipment to medical electrical equipment configures a medical system and is therefore responsible for ensuring that the system complies with the requirements for medical electrical systems Also be aware that local laws may take priority over the above mentioned requirements If in doubt consult Respironics WARNING Itis the responsibility of the end user to validate the compatibility and use of information transmitted from the ventilator to the device to be connected to the ventilator WARNING The data provided through the communications interface is for reference only Decisions for patient care should be based on the clinician s observations of the patient The ventilator provides the following communications interface ports Figure B 1 e RS 232 serial and analog I O port Through this port the ventilator receives commands from a host computer or bedside monitoring system and responds with fixed format records It is also used for ventilator servicing and software downloading e Remote alarm nurse call port This port is used to activate alarms remotely ui i
66. ary Alarm message in Alarms list None Autoreset alarm Background color same as that of active alarm Mes sage with strike out text Alarm icon Informa tional mes sage Low priori ty alarm Maria dor Yellow High prior ity alarm High prior ity alarm Check Vent Alternates black and red Flashes I Tigh Pia NETT IE Blue background color Information al icon Yellow background color Alarm icon Red background color Alarm icon Intermittent tone at an interval of approximately 20 seconds Chapter 8 Alarms and messages Action required Repeating se quence of 5 tones Important information or instructions Respond promptly Trouble shoot as per Table 8 2 Respond immediately to ensure patient safety Trou bleshoot as per Table 8 2 Respond immediately to ensure patient safety Do not use equipment that is malfunctioning or that indi cates a potential problem until the problem is cor rected Troubleshoot as per Table 8 3 High prior ity alarm Vent Inop erative Loss of power On contin uously code Figure 8 2 Vent Inoperative screen including Primary alarm Repeating se quence of 5 tones or backup alarm alternating tone for a mini mum of 2 min utes The volume of the primary alarm is the same for low and high priority alarms 1047358 Rev A Respironics V60 Ventilator User Manu
67. ated on the ventilator in cmH5O Millibars and hectopascals hPa are used by some institutions instead Since 1 millibar equals 1 hPa which equals 1 016 cmH50 the units may be used interchangeably The ventilator is not intended for use as an ambulance transport ventilator or as an Automatic Transport Ventilator as described by the American Hospital Association and referenced by the FDA It is intended to allow the patient to be transported within the hospital setting using a cart to move the ventilator When attachments or other components or subassemblies are added to the ventilator breathing system the pressure gradient across the ventilator breathing system measured with respect to the ventilator outlet may increase 1 2 Respironics V60 Ventilator User Manual 1047358 Rev A Preparing for ventilation 1047358 Rev A NOTE NOTE NOTE NOTE NOTE WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING WARNING Chapter 1 Warnings cautions and notes To ensure the correct performance of the ventilator and the accuracy of patient data we recommend you use only Respironics approved accessories with the ventilator See Appendix D Parts and accessories This Respironics V60 Ventilator and its recommended accessories that have patient contact are free of latex If an alarm persists for no apparent reason discontinue ventilator use and contact Respir
68. atically determine when to trigger and cycle based on patient efforts Figure 4 9 shows a PCV mode pressure waveform Active Mode PCV l Time 4 00 ES PCV 25 AM Modes Menu Standby Settings ettings Figure 4 8 PCV controls Pressure PAP EPAP Patient trigger d gt Tlme e Spont breath Dachinetragere a l Rate Timed breath Figure 4 9 PCV pressure waveform Respironics V60 Ventilator User Manual 4 9 Chapter 4 Principles of operation 4 10 S T mode The S T spontaneous timed mode guarantees breath delivery at the user set rate It delivers pressure controlled time cycled mandatory and pressure supported spontaneous breaths all at the IPAP pressure level If the patient fails to trigger a breath within the interval determined by the Rate setting the ventilator triggers a mandatory breath with the set Time You set no patient triggering or cycling sensitivities the patient triggers and cycles based on the ventilator s Auto Trak Sensitivity algorithms The control settings active in the S T mode are shown in Figure 4 10 Figure 4 11 shows an S T mode pressure waveform Active Mode S T l Time 1 00 S T Alarm adit Settings Figure 4 10 S T controls Pressure Mandatory Rise Timed breath Patient triggered un lt i 1 Rate gt spontaneous breath with 9 Tim d pressure support IPAP EPAP Figure 4 11 S T pressure waveform
69. atient Mounting The ventilator can be mounted to the universal stand When equipped with the optional cylinder holder the stand can accommodate two E size oxygen cylinders Communications interface The ventilator can output data through the RS 232 serial port upon receiving a command from a host computer or bedside monitoring system The ventilator is equipped with a remote alarm nurse call connection to activate alarms remotely Upgradability via Respironics Respi Link remote diagnostic system The Respi Link interface permits software upgrade and remote troubleshooting of the ventilator through the RS 232 port Respironics V60 Ventilator User Manual 3 3 Chapter 3 General information Physical description 3 4 Patient circuits masks patient interfaces and accessories Figure 3 2 shows the Respironics V60 Ventilator with its patient circuit and accessories Table 3 1 on page 3 5 lists recommended patient circuits masks patient interfaces and other accessories for use with the ventilator Appendix D provides ordering information for Respironics parts and accessories Oxygen monitor Bacteria filter Patient circuit Exhalation port Mask Oxygen cylinder Figure 3 2 Respironics V60 Ventilator with accessories Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 3 General information Table 3 1 Recommended parts and accessories Patient circuit Single limb pati
70. ator breathing circuit See Patient circuit Ventilator settings See Control settings or Alarm settings Volume AVAPS Target Tidal Volume See V7 estimated exhaled tidal See Vr waveform See Waveforms VRPT command B 3 B 8 Vr AVAPS Target Tidal Volume setting definition 6 16 Vr estimated exhaled tidal volume monitored parameter 7 2 W Warnings cautions and notes 1 1 1 7 Warranty C 1 Waveforms description 7 2 how to freeze and unfreeze 7 3 how to scale axes 7 2 Weight ventilator 10 4 Whisper Swivel II exhalation port part number D 3 1047358 Rev A Respironics V60 Ventilator User Manual Index Index 5 Index This page is intentionally blank Index 6 Respironics V60 Ventilator User Manual 1047358 Rev A Philips Healthcare is part of Royal Philips Electronics ww w philips com healthcare healthcare philips com Manufacturer s address Respironics C alifornia Inc 2271 Cosmos Court Carlsbad CA 92011 USA European representative address Respironics Deutschland G mbH Gewerbestrasse 17 D 82211 Herrsching Germany Printed in USA 1047357 RevA O 2009 Koninklijke Philips Electronics N V PHILIPS All rights are reserved Reproduction or transmission in whole or in part in any form or by any means electronic mechanical or otherwise is prohibited without the prior written consent of the copyright owner
71. breathing risk Be aware of the possibility of contamination from patient exhalate being exhausted into the room through the exhalation port To ensure accuracy of oxygen administration and to monitor for the presence of contamination incorrect gas connected use an external oxygen monitor to verify the oxygen concentration in the delivered gas To reduce the risk of fire use the ventilator in well ventilated areas away from flammable anesthetics Do not use in a hyperbaric chamber or other similarly oxygen enriched environments Do not use near an open flame To reduce the risk of electric shock from liquid entering the device do not put a container filled with a liquid on the ventilator To reduce patient risk of hypoxemia keep free flowing oxygen away from air inlet of ventilator The nurse call remote alarm should be considered a backup to the ventilator s primary alarm system To ensure that the alarm will be heard make sure the alarm loudness is adequate and avoid blocking the alarm speakers beneath the ventilator Federal law USA restricts this device to sale by or on the order of a physician The Respironics V60 Ventilator is designed to operate in the temperature range of 5 to 40 C 41 to 104 F To minimize the risk of overheating the device do not operate adjacent to heaters or other heat sources The displays shown in this manual may not exactly match what you see on your own ventilator Pressures are indic
72. d to avoid entanglement CAUTION For 120 V equipment grounding reliability can only be achieved when it is connected to an equivalent receptacle marked hospital only or hospital grade Plug the power cord into a grounded outlet that supplies AC power between 100 and 240 V 50 60 Hz Always check the reliability of the AC outlet If you are using a 120 V outlet make sure that it is hospital grade WARNING To reduce the risk of power failure pay close attention to the battery s charge level The battery s operation time is approximate and is affected by ventilator settings discharge and recharge cycles battery age and ambient temperature Battery charge is reduced at low ambient temperatures or in situations where the alarm is continuously sounding NOTE The backup batteries are intended for short term use only They are not intended to be a primary power source NOTE We recommend that the ventilator s batteries be fully charged before you ventilate a patient If the batteries are not fully charged and AC power fails always pay close attention to the level of battery charge The optional internal backup battery protects the ventilator from low or failure of AC mains power If AC power fails the ventilator automatically switches to operation on backup battery with no interruption in ventilation The battery powers the ventilator until AC power is again adequate or until the battery is depleted The battery powers the venti
73. ductive objects to contact the battery connector housing Use the battery with the Respironics V60 Ventilator only Install the battery as follows Figure A 2 You will need a Phillips screwdriver E NOTE Shut down and then unplug the ventilator Failure to properly shut down the ventilator before battery installation may result in erroneous alarms after power on Remove the side panel by turning the captive Phillips head fastener a Ya turn and releasing Using a 3 mm hex wrench remove the battery bracket by removing two screws Holding the battery so that the vent hole faces up and the Philips logo faces out thread the battery cable through the battery bracket Position and place the battery inside the battery compartment Pinching the end of the battery connector plug it in so that it locks in place Reinstall the battery bracket by replacing the two screws Reinstall the side panel and secure the fastener with a turn clockwise Make sure the battery is properly installed by plugging the ventilator into an AC power receptacle and verifying that the yellow Battery Respironics V60 Ventilator User Manual A 3 Appendix A First time installation charged LED on the front panel flashes The flashing LED indicates the battery is being charged WARNING Never attempt to disconnect or connect the battery during operation CAUTION Following battery installation if a Check Vent or Vent Inoperative alarm occurs duri
74. e CPAP in CPAP mode 999999 in AVAPS mode I Time in PCV mode 99999 in oth er modes Always output as OOOO 89 Alarm silence status ONO OFFeee Unused Occlusion alarm status or I time too long alarm status NORMAL N A NORMAL RESETe ALARM Always output as OOOO Report highest urgen cy of these alarms Patient Circuit Oc cluded and Patient Disconnect 92 to 95 Unused 90800 N A Always output as OOOOOO 96 Parameter control setting I TIME N A Always output I TIME 97 Unused 90800 N A Always output as OOOOOO Stop code 1047358 RevA 0x03 Respironics V60 Ventilator User Manual ASCII End Transmis sion character ETX B 11 Appendix B Communications interface Remote alarm port B 12 WARNING WARNING CAUTION NOTE To prevent possible patient injury due to nonannunciating alarms verify the operation of any remote alarm device before use To ensure the functionality of the remote alarm connect only Respironics approved cables to the remote alarm port The remote alarm port is intended to connect only to an SELV safety extra low voltage and ungrounded system with basic insulation to ground in accordance with IEC 60601 1 To prevent damage to the remote alarm make sure the signal input does not exceed the maximum rating of 24 VAC or 36 VDC at 500 mA with a minimum current
75. e change The change is effective after you restart the ventilator Set Lun ey IT Dutch Hederlands Figure F 4 Set Language screen 2 1047358 Rev A Respironics V60 Ventilator User Manual F 5 Appendix F Diagnostic mode Date Time The Date Time function lets you verify date and time settings 1 From the System Settings screen select Date Time to display the Set Date and Time screen Figure F 5 Set Date and Time Figure F 5 Set Date and Time screen 2 Adjust the date and time with the and buttons then Apply F 6 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Appendix F Diagnostic mode Pressure Units The Pressure Units function lets you select the unit of measure for pressure display 1 From the System Settings screen select Pressure Units to display the Set Pressure Units screen Figure F 6 uim Limits arsi Figure F 6 Set Pressure Units screen 2 The active pressure unit is shown in white type Select the desired pressure unit The change is effective after you restart the ventilator Respironics V60 Ventilator User Manual F 7 Appendix F Diagnostic mode Restore Default Settings The Restore Default Settings function lets you return ventilator settings to factory defaults The factory defaults are listed in Chapter 10 1 From the System Settings screen select Restore Default Settings to display the Restore Default Settings screen Figure F 7 Restore
76. e power and to facilitate intrahospital transport The ventilator s pneumatics deliver gas and its electrical systems control pneumatics monitor the patient and distribute power The user provides inputs to the ventilator through a touchscreen keys and a navigation ring These inputs become instructions for the pneumatics to deliver a precisely controlled gas mixture to the patient Pressure and flow sensors provide feedback which is used to adjust gas delivery to the patient Monitored data based on sensor inputs is also displayed by the graphical user interface The ventilator s gas delivery and monitoring functions are cross checked This cross checking helps prevent simultaneous failure of these two main functions and minimizes the possible hazards of system failure A comprehensive system of visual and audible alarms helps ensure the patient s safety Clinical alarms can indicate an abnormal physiological condition Technical alarms triggered by the ventilator s self tests can indicate a hardware or software failure In the case of some technical alarms limited ventilation is provided to give the user time for corrective actions When a condition is critical enough to possibly compromise safe ventilation the ventilator is placed into the ventilator inoperative state in which oxygen flow and blower operation are disabled The ventilator has several means to ensure that safe patient or respiratory pressures are maintained The maximu
77. ed The Dare earita has beer fered iron ire EU T AA tab birra of the batho of thie 4 83 are 1 1 15 for Charo Garth SLi S T Modes 5 tard by Settings 3 To resume ventilation reconnect the patient When the ventilator senses a patient breathing effort ventilation automatically resumes in the previous mode NOTE You can also manually resume ventilation with the Restart Mode button Respironics V60 Ventilator User Manual 6 13 Chapter 6 Operation Help function Select the help button to display additional information Settings Help message 6 14 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 6 Operation Table of modes and control settings Table 6 3 Modes and control settings with ranges Modes Ventilation mode CPAP S T PCV AVAPS optional OFF 1 to 3 C Flex optional Enhances traditional CPAP by reducing the pressure at the beginning of exhalation a time when patients may be uncomfortable with CPAP and returning it to the set CPAP pressure before the end of exhalation The amount of pressure relief is determined by the C Flex setting and the expiratory flow The higher the setting number 1 2 or 3 and the greater the expiratory flow the greater the pressure relief during the active part of exhalation only Applies in CPAP mode only Pressure relief Continuous positive airway pressure The baseline pressure applied during the expiratory 4 to 25 cmH50
78. ent port Main connection for the patient circuit Deliv ers air and oxygen in prescribed pressures to the patient NN Alarm speakers beneath ventilator Alarm LED Flashes during a high priority alarm On continuously during a venti lator inoperative condition Battery charged LED Flashes when battery is charging On continuously when battery is charged Off when ventilator is running on battery or when the venti lator is off and AC power is not connected ON Shutdown key with LED Turns on AC power and initiates ventilator shutdown LED is continuously on when AC power is connected Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 3 General information Figure 3 4 Side view Ventilation vents Allow intake of air for delivery to the patient Air inlet filter under side panel Filters the air for delivery to the patient 1047358 Rev A Respironics V60 Ventilator User Manual 3 7 Chapter 3 General information 2 5432 Figure 3 5 Rear view mer ton o Backup battery compartment under side panel Optional 6 hour backup bat tery Remote alarm nurse call connector Reserved for future use NENA Power cord retainer RS 232 serial and analog 1 0 connector female DB 25 Connects to hospital information systems and other serial devices and functions as an interface for analog signals Connects Respi Link remote diagnostic system gateway for software updates Cooling fan filter MEN
79. ent circuit intended for noninvasive or invasive ventilation To mini mize turbulence we recommend that you use smooth bore tubing Use a Respironics circuit listed in Appendix D or the equiva lent Patient interface noninvasive or invasive Respironics masks listed in Appendix D Invasive interface tracheostomy or ET tube Exhalation port Respironics exhalation port listed in Appen dix D or the equivalent Inspiratory filter Respironics main flow inspiratory bacteria filter listed in Appendix D or the equivalent Humidifier Fisher amp Paykel MR810 or MR850 e Hudson RCI CONCHATHERM or CONCHATHERM Neptune Oxygen monitor 1047358 Rev A Respironics V60 Ventilator User Manual CRITERION OxiCheck oxygen analyzer PN 8 100661 00 e Teledyne M X300 oxygen monitor An equivalent that complies with ISO 1767 Chapter 3 General information Ventilator unit Figure 3 3 through Figure 3 5 show the controls indicators and other important parts of the ventilator unit TC Key panel Figure 3 3 Front view Graphical user interface Color LCD liquid crystal display with touchscreen Navigation ring Lets you adjust values and navigate the graphical user interface by rotating the finger on its touchpad Accept button Activates selections Proximal pressure port Connection for tubing that monitors patient pressure in the patient circuit Ventilator outlet To pati
80. er how to connect to 5 4 specifications 10 5 AC power cord how to install A 6 A 7 Accessories part numbers D 1 D 5 recommended 3 5 Acoustic noise specifications 10 6 Air inlet filter See Filter air inlet Alarm LED description 3 6 state during alarm conditions 8 3 Alarm Reset button function 8 5 Alarm Silence button function 8 5 Alarm tests 5 10 5 11 Alarms adjustable specifications 10 3 Check Vent high priority description 8 3 Check Vent troubleshooting table 8 10 8 12 high priority description 8 3 how to clear autoreset alarms from the Alarms list 8 5 how to hide display messages 8 6 how to manually reset 8 5 how to respond to 8 1 how to set 6 6 how to silence 8 5 loudness how to adjust 6 11 low priority description 8 3 messages list 8 6 8 13 See also name of specific alarm settings how to change 6 6 list of descriptions and ranges 6 17 troubleshooting table 8 6 8 13 Vent Inoperative high priority description 8 3 Vent Inoperative troubleshooting table 8 12 8 13 visual alarm indications 8 2 Alarms and messages 8 1 8 13 Assembly ventilator A 2 A 7 AVAPS average volume assured pressure support AVAPS mode principles of operation 4 11 AVAPS Maximum IPAP Pressure setting See Max P AVAPS Minimum IPAP Pressure setting See Min P AVAPS Target V Exceeded Min Pressure Too High mes sage 8 6 AVAPS Target Vy Not Achieved Insufficient Max Pressure message 8 6 B Backup alarm 5 4 Backup battery See Battery b
81. es Follow the manufacturer s guidelines Respironics V60 Ventilator User Manual 1047358 Rev A Preventive WARNING maintenance WARNING CAUTION CAUTION Chapter 9 Care and maintenance To prevent patient or ventilator contamination inspect and replace the main flow bacteria filter between patients and at regular intervals or as stated by the manufacturer To prevent possible patient injury inspect and verify the proper operation of the exhalation port regularly during use Because some environments cause a quicker collection of lint and dust than others inspect the filters more often when needed The air inlet filter should be replaced the cooling fan filter should be cleaned To ensure proper system performance use a Respironics approved air inlet filter Perform preventive maintenance on your Respironics V60 Ventilator according to the sched ule in Table 9 1 You can view the hours of ventilator operation in the Vent Info window Vent Info ventilator information on page 6 11 The following subsections provide details for some of these preventive maintenance procedures Frequency Every month Table 9 1 Schedule of preventive maintenance Every week and Patient circuit in Per manufacturer recommendations between patients cluding mask and Regularly check water traps and patient circuit main flow bacteria hoses for water accumulation Empty as re filter quired Cooling fan filter Inspect for
82. essage display Unless otherwise indicated alarms listed as autoresettable are reset when the alarm condition is removed Table 8 2 Alarm and other messages summary and troubleshooting Priority Manually Autore Silence Description Corrective Action type ID resettable settable able AVAPS target pressure is Check the patient Confirm Infor No Yes N A less than Min P setting The pressure settings are com mation ventilator limits its applied patible with target Evaluate 54 pressure to Min P pressure and volume set tings AVAPS target pressure ex Check the patient Confirm Infor No Yes N A ceeds Max P setting The pressure settings are com mation ventilator limits applied patible with target Evaluate 53 pressure to Max P pressure and volume set tings See Table 8 3 on page 8 10 Measured inspiratory pres Check the patient Confirm High Yes Yes Yes sure is greater than the HIP ventilator and alarm settings 39 setting and the ventilator are appropriate If problem cycles into exhalation Au persists provide alternative toresets after a complete in ventilation Have ventilator spiration without the alarm serviced condition O inlet pressure is greater Check the patient If prob High No Yes Yes than 92 psig so O enrich lem persists provide alter 44 ment ends Autoresets native ventilation Have when O supply pressure ventilator serviced falls below
83. essage is cleared from the Alarms list any other alarm indications are removed and the alarm silence is terminated If the alarm cannot be manually reset you see the following darme active non r einitialisable Clearing autoreset alarms from the Alarms list Autoreset alarms are shown with text crossed out in the Alarms list Clear the message from the Alarms list by selecting Alarm Reset Respironics V60 Ventilator User Manual 8 5 Chapter 8 Alarms and messages Hiding displaying alarm messages To hide an alarm or informational message in the Alarms or Messages list touch the flashing alarm indicator button or informational message button when up arrows are present To display messages touch the flashing alarm indicator or Informational Message button when down arrows are present Both Alarms and other messages AVAPS Target Vr Ex ceeded Min Pres sure Too High AVAPS Target Vy Not Achieved Insuffi cient Max Pressure Check Vent description of failure High Inspiratory Pres sure High O5 Supply Pres sure active and autoreset alarms and informational messages are displayed and hidden Up Table 8 2 is a list of alarms and other messages displayed by the ventilator along with descriptions suggested corrective actions and other information The ID identifier listed with the priority type is the priority number of the alarm This priority number determines the order of alarm m
84. est Failed is displayed check for leaks in the patient circuit and install an exhalation device with lower leak characteristics Repeat test If the exhalation port test fails again the intentional leak is unknown and Tot Leak rather than Pt Leak is displayed in the patient data window From the Menu window you can adjust user preferences Hanki Port 4 Brightness Use Brightness to adjust the screen for optimum daytime or nighttime viewing Loudness Use Loudness to adjust the volume of the alarm and touchscreen audible feedback You will hear audible feedback as you go through the selections Mask Port See Selecting the mask and exhalation port on page 6 7 Vent Info ventilator information The Ventilator Information window displays version and other information specific to your ventilator Ventilator information a V iau Ma Lu i EI rg Auber AT Varia Tota Power on Hae E Date ymar month mayl Iu 15 Settings Peral Eo Menu aa T o Respironics V60 Ventilator User Manual 6 11 Chapter 6 Operation Standby 6 12 Screen Lock Screen Lock deactivates all buttons and tabs on the touchscreen except Alarm Silence Alarm Reset the Alarm M essage button and Help Tabs are grayed out as in this example S T Alarm Modes Menu Standby y AE Settings This message bar is displayed at the top of the screen To unlock the screen press the Accept button in the center of the navigation ring NOTE
85. gh Rate Alarm High total breath rate 5 to 90 BPM Lo Rate Low Rate Alarm Low total breath rate 1 to 89 BPM NOTE In non CPAP modes the Low Rate Alarm is essentially off if set below the Respiratory Rate setting Hi Vz High Tidal Volume Alarm High exhaled tidal volume 200 to 2500 mL Lo V Low Tidal Volume Alarm Low exhaled tidal volume OFF to 1500 mL HIP High Inspiratory Pres sure Alarm LIP Low Inspiratory Pres sure Alarm High pressure at the patient airway Low pressure at the patient airway 5 to 50 cmH50 OFF to 40 cmH5O LIP T Low Inspiratory Pres sure Delay Time The interval from the detec tion of low inspiratory pres sure until the alarm becomes active 5 to 60 secs Lo Ve Low Minute Ventila tion Alarm Low expiratory minute vol ume Respironics V60 Ventilator User Manual OFF to 99 0 L min 1047358 RevA 6 17 Chapter 6 Operation This page is intentionally blank 6 18 Respironics V60 Ventilator User Manual 1047358 RevA Chapter 7 Patient monitoring The ventilator displays numeric patient data in the patient data window and real time graphics in the waveform window Figure 7 1 Numeric patient data is updated every breath Table 7 1 on page 7 2 lists the ventilator s monitored parameters Breath phase trigger spont Rate VT Ve indicator 16 550 2 8 coli Hi D RES Numeric Pt Leak Pt Trig Ti TrorT
86. hat the patient will aspirate condensed water from the breathing circuit position any humidifier lower than both the ventilator and the patient To reduce the risk of fire use only patient circuits intended for use in oxygen enriched environments Do not use antistatic or electrically conductive tubing To prevent patient or ventilator contamination we recommend you use a Respironics approved main flow bacteria filter on the patient gas outlet port Filters not approved by Respironics may degrade system performance To reduce the risk of bacterial contamination or damage handle bacteria filters with care Any additional accessories in the patient circuit may substantially increase flow resistance and impair ventilation Install the patient circuit as follows For a complete list of compatible parts and accessories offered by Respironics see Parts and accessories on page D 1 1 Assemble the patient circuit including the main flow inspiratory bacteria filter proximal pressure line and humidifier if desired Figure 5 2 and Figure 5 3 show circuit configurations for noninvasive 5 2 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 5 Preparing for ventilation and invasive ventilation Follow the manufacturers instructions for use for the individual parts including the humidifier Proximal pressure port Ventilator outlet 7 Proximal pressure line 0 Um DOO mb CO XX i Figure 5 2
87. hic fills in 2 To change the ramp interval or to end the ramp select the Ramp Time button again The Ramp in Progress window opens Ramp in Progress 0 minutes of 5 lapsed Ramp Start Status New Ramp Bar S T Alarm Modes Standby da Settings Settings fi 3 To end the ramp and apply the full IPAP and EPAP CPAP immediately select End Ramp 4 Toend the ramp and start a new one select Start New Ramp The Ramp Time setting window opens again so that you can set up a new ramp 1047358 Rev A Respironics V60 Ventilator User Manual 6 5 Chapter 6 Operation Changing alarm settings 6 6 WARNING To prevent possible patient injury avoid setting alarm limits to extreme values which can render the alarm system useless Some ventilator alarm settings are operator adjustable You can adjust these at any time Table 6 4 on page 6 17 lists the alarm settings and their ranges Review and adjust the alarm settings as follows 1 Open the Alarm Settings window Activo Modo S T Hi Rate Hi Vy HIP Lo Ve 30 200 50 OFF Lo Rate tov up TE 10 OFF OFF 20 Alarm Stand by ia 2 Select the desired setting adjust it and select Accept to apply The ventilator annunciates an alarm when a monitored value goes out of the range bounded by the alarm limits Respironics V60 Ventilator User Manual 1047358 Rev A Selecting the mask and exhalation port 1047358 Rev A Chapter 6 Operation To be able to display f
88. ilation Have 14 the ventilator serviced Continues to ventilate with Check the patient Provide High Yes No No air only alternative ventilation Have 16 the ventilator serviced Technical failure Check the patient Provide High Yes No No alternative ventilation Have 58 the ventilator serviced Technical failure Check the patient Provide High 3 Yes No No alternative ventilation Have the ventilator serviced Technical failure Check the patient Provide High 1 Yes No No alternative ventilation Have the ventilator serviced Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 8 Alarms and messages Table 8 3 Check Vent alarm messages summary and troubleshooting continued Description Check Vent Proximal Pressure Sensor Auto Zero Failed Check Vent Proximal Pressure Sensor Cali bration Data Error Check Vent Proximal Pressure Sensor Range Error Vent Inoperative 2 3 3 V Supply Failed Vent Inoperative 3 12 V Supply Failed Vent Inoperative 4 Blower Tempera ture Too High Vent Inoperative 5 Internal Tempera ture High Vent Inoperative 6 Internal Tempera ture High Vent Inoperative 7 Internal Tempera ture High Vent Inoperative 8 Data Acquisition PCBA ADC Failed Vent Inoperative 9 Machine and Proximal Pres sure Sensors Failed 1047358 Rev A Corrective Action Priority type ID Manually
89. ironics V60 Ventilator User Manual 4 11 Chapter 4 Principles of operation Max P ii Mandatory Timed E Rise y breath i Min P gt Time lt l l 4 1 Rate M Patient triggered Spont spontaneous breath gt A N A A LL I A _ 0 f 9 coo M Time Figure 4 13 AVAPS waveforms 4 12 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 5 Preparing for ventilation Set up the ventilator for each patient use as described in this chapter For first time installation refer to Appendix A Connecting external You can connect the ventilator to a remote alarm nurse call device and a devices patient monitor or other external device See Appendix B for details Connecting oxygen WARNING Connect the ventilator to an appropriate medical grade oxygen source only The source must be able to deliver 100 oxygen regulated to 276 to 600 kPa 40 to 87 psig WARNING To ensure accuracy of oxygen administration and to monitor for the presence of contamination incorrect gas connected use an external oxygen monitor to verify the oxygen concentration in the delivered gas WARNING To reduce the risk of fire do not use a high pressure oxygen hose that is worn or contaminated with combustible materials like grease or oil WARNING To reduce the risk of hypoxia connect only oxygen to the high pressure connector at the rear of the ventilator WARNING Always check the status of the oxygen cylinders before using
90. ive Action type ID resettable settable able Technical failure Check the patient Check for High Yes No No causes of overheating such 30 as high room temperature blocked vents clogged air inlet filter or nonfunctional fan Provide alternative ven tilation Have the ventilator serviced Technical failure Check the patient Provide High Yes No No alternative ventilation Have 31 the ventilator serviced Proximal pressure is not Check the patient Provide High 8 Yes No No measured Pressure related alternative ventilation Have alarms are compromised the ventilator serviced Proximal pressure is not Check the patient Provide High 6 Yes No No measured Pressure related alternative ventilation Have alarms are compromised the ventilator serviced Proximal pressure is not Check the patient Provide High Yes No No measured Pressure related alternative ventilation Have 10 alarms are compromised the ventilator serviced Technical failure Check the patient Provide High Yes No No alternative ventilation Have 27 the ventilator serviced Continues to ventilate with Check the patient Provide High Yes No No air only alternative ventilation Have 15 the ventilator serviced Continues to ventilate with Check the patient Provide High Yes No No air only alternative ventilation Have 13 the ventilator serviced Continues to ventilate with Check the patient Provide High Yes No No air only alternative vent
91. ize and compensate for unintentional leaks in the system and to automatically adjust its triggering and cycling algorithms to maintain optimum performance in the presence of leaks This is called Auto Trak Sensitivity The following subsections describe this function in detail Triggering Breaths are patient flow triggered in all modes typically when patient effort causes a certain volume of gas to accumulate above baseline flow volume method An inspiration is also triggered when the patient inspiratory effort distorts the expiratory flow waveform sufficiently shape signal method see page 4 4 Cycling Cycling to exhalation occurs in these cases e Patient expiratory effort distorts the inspiratory flow waveform sufficiently shape signal method See Shape signal method of cycling and triggering on page 4 4 e Patient flow reaches the spontaneous exhalation threshold SET See SET method of cycling on page 4 4 e After 3 seconds at the IPAP level timed backup safety mechanism e When a flow reversal occurs typically due to a mask or mouth leak Respironics V60 Ventilator User Manual 4 3 Chapter 4 Principles of operation Shape signal method of cycling and triggering The shape signal or shadow trigger method uses a mathematical model derived from the flow signal A new flow signal shape signal is generated by offsetting the signal from the actual flow and delaying it Figure 4 2 This intentional delay causes the
92. k adaptalo teresita e oc De OE VA DOCU s e Cd e s 4 5 Ventilation modes o qos sodio aod e RH Re Pole don cta de di d di ie doe 4 7 CPAP MOOR 3 acd urs nde Sek cie So pe aa o doc des Gare ae E dedos 4 8 POV MOQO wicket dint cae cha eee ede ARCU ERA ES 4 9 IN Sek aA wet eee Bd 4 10 AVAPS mode optional sac 524 wore eee Re Ye o VES EP EAP eae 4 11 Respironics V60 Ventilator User Manual lii Table of contents 5 6 Preparing for ventilation i a d CR Aaa Del Connecting external devices llle 5 1 Connecting oeXygelt s Cat wee de AREA dada 5 1 Installing the patient Circuit m I I 5 2 Connecting to AC power llle 5 4 About the optional backup battery 0 000 cee eee 5 4 Starting up the ventilator 1 rn 5 6 Shutting down the ventilator saaa nnn 5 6 Navigating the graphical user interface aa 5 7 Preoperatiolal Ge Ks sit vo S RAR Wan eol eat CS a Ne o e i e AC 5 8 Required materials erica acm qr ate de eg a QE de a o ns 5 8 diosdi qe rrr 5 8 LEOHUDIGSDOOLI MO 3 aod Racca de a AS 5 9 A TOS CENE TET LETTERE IIT TT LLES TD ID T 5 10 ao AP 5 10 High Inspiratory Pressure ooo ooo ooo I I 5 10 Low Tidal Volume ia see oa ad RS de o9 s 5 10 Patent DISCOANECE sardina ii s e e idea 5 11 Patient Circuit Occluded oooooooomsonoa oo 5 11 Operation 5344 4 1 4 RC ari doe HC CUERO daa Ol Changing the mode 4 vas x Ra CE o haw ATUS XD Yd 6 2 Changing control settings
93. k if High No Yes Yes of range oxygen device high low O gt source is the 42 failed air flow sensor and problem and correct If or oxygen flow sensor cali problem persists provide al bration failed or oxygen in ternative ventilation Have let pressure sensor ventilator serviced calibration failed The ven tilator discontinues oxygen support Proximal pressure and pa Check the patient Check High Yes Yes Yes tient flow are low Patient the patient circuit for bulk 35 circuit occluded liquid crimps or blocked filter Confirm ventilator and alarm settings are appropri ate If problem persists pro vide alternative ventilation Have ventilator serviced Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 8 Alarms and messages Table 8 2 Alarm and other messages summary and troubleshooting continued Priority Manually Autore Silence Message Description Corrective Action type ID resettable settable able Patient Disconnect Excessive flow to the pa Check the patient Recon High Yes Yes Yes tient for a few seconds Pa nect patient circuit Con 36 tient is no longer connected firm ventilator and alarm to the ventilator either settings are appropriate If through circuit mask or ET problem persists provide al tube or the patient circuit ternative ventilation Have is disconnected from the ventilator serviced
94. lator typically for 6 hours As a safeguard the ventilator provides a low battery alarm It also has a capacitor driven backup alarm that sounds for at least 2 minutes when battery power is completely lost The ventilator charges the battery whenever the ventilator is connected to AC with or without the ventilator switched on The Battery charged LED flashes to show that the battery is being charged Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 5 Preparing for ventilation Check the battery charge level before putting a patient on the ventilator and before unplugging the ventilator for transport or other purposes The power source symbol at the bottom right hand corner of the screen shows the power source in use and if the ventilator is running on battery the level of battery charge Figure 5 4 If the battery is not fully charged recharge it by connecting the ventilator to AC power for a minimum of 5 hours Pressing the Help button shows you the time remaining until the battery is full If the battery is not fully charged after this time have the ventilator serviced LA a Eriala Rais LI gt PAP 16 550 88 20 Pr Lawak FE Trey eo ON Shutdown LED Battery charged LED Power source symbol On continuously AC Flashes Battery is charging power is connected The ventilator is powered by AC On continuously Battery is charged and the battery is installed 90 to 100 Off Ven
95. laws Do not ship the battery either in the ventilator or separately by sea or air Contact your Respironics representative to obtain appropriate packaging for ground transport of batteries Remove the battery from the ventilator before shipping the ventilator See Installing the optional battery on page A 3 for more information Ship the battery and ventilator separately in appropriate packaging in conformance with federal state and local regulations Contact Respironics to obtain appropriate ventilator or battery packaging Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 10 Technical specifications Control settings Table 10 1 lists ventilator control setting ranges resolutions and accuracies Table 10 2 lists the controls active in the different ventilation modes Table 10 1 Control setting ranges resolutions and accuracies Mode settings Modes CPAP S T PCV N A N A Srt AVAPS optional Control settings C le OFF t03 to 3 A MN Caa 4 to Lui NE cmH5O 1 cmH50 2 cmH50 4 of 4 cmH50 target EPAP 4 to 25 cmH 0 1 cmH50 2 cmH50 496 of 4 cmH 0 target IPAP 4 to 40 cmH5O0 1 cmH50 2 cmH50 4 of 12 cmH50 target Time Inspiratory 0 30 to 3 00 sec 0 05 sec 0 03 sec 1 00 sec Time Max P AVAPS Maxi 6 to 40 cmH 0 1 cmH50 2 cmH50 4 of 25 cmH5O0 mum IPAP Pressure target Min P AVAPS Mini 5 to 30 cmH20 1 cmH5O0 2 cmH50 4 of 10 cmH50 mum IPAP Pressure target Rate Respiratory
96. m working pressure is ensured by the high inspiratory pressure HIP alarm limit If the set high pressure limit is reached the ventilator cycles into exhalation Respironics V60 Ventilator User Manual 4 1 Chapter 4 Principles of operation Pneumatic system operation The ventilator uses ambient air and high pressure oxygen Figure 4 1 Air enters through an inlet filter Oxygen enters though a high pressure inlet and a proportioning valve provides the operator set concentration The system mixes the air and oxygen pressurizes it in the blower and then regulates it to the user set pressure To do this the ventilator compares the proximal patient pressure measurement with the ventilator outlet machine pressure and adjusts the machine pressure to compensate for the pressure drop across the inspiratory filter patient circuit and humidifier This helps ensure accurate and responsive pressure delivery and leak compensation Respironics V60 Ventilator O pressure High Propor rud tioning oxygen Ventilator outlet machine Ambient Air flow Tm Patient Air inlet Main flow Port filter filter PERTERRITI NET RP Oe A et MR J Breath delivery characteristics 4 2 Figure 4 1 Respironics V60 Ventilator gas delivery system The ventilator delivers gas to the patient through a main flow inspiratory bacteria filter a single limb patient breathing circuit a humidification device optional and a patient interface
97. mask Respironics PerforMax Face Mask EE Reserved for future Respironics mask releases Total Reusable Full Face Mask Mask not manufactured by Respironics NOTE If you select Other the ventilator displays Tot Leak rather than Pt Leak A leak symbol is printed on Respironics masks 4 Select the desired exhalation port type Table 6 2 Select Accept to apply Exhalatlon Port Selection Respironic Boy posable a IEA e git If you select an exhalation port that is not compatible with the selected mask Not allowed with current interface is displayed NOTE ET trachestomy tubes and most Respironics masks require the use of an exhalation port If you selected ET Trach or Leak 1 as a mask patient interface you may not select None as an exhalation port 6 8 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 6 Operation Exhalation port test recommended DEP No Respironics Disposable Exhalation P ort Table 6 2 Exhalation port selections Whisper Swivel Respironics Whisper Swivel PEV Respironics Plateau Exhalation Valve Other Other Exhalation port not supplied by Respironics None Meals No inline circuit exhalation port NOTE If you select None refer to the manufacturer s instructions to make sure the mask selected contains an exhalation port 5 Run the exhalation port test if indicated in the table see Running the exhalation port test on page 6 10 for instr
98. mmands which are available during ventilation return raw data that can be used for monitoring the patient and ventilator After receiving a command followed by a carriage return the ventilator responds by transmitting the information in the tables The fields that comprise these tables are separated by commas The ventilator stores and responds to valid commands in the order received It returns invalid commands in an error message The ventilator also supports service oriented commands Contact Respironics for details In the tables shown a space is designated as 0 When data is unavailable the output field contains 4 0 that is four dash characters followed by two spaces When a field is unused the output field contains all spaces Table B 1 VRPT record format d CNN CNN RN Number of characters 3 character field between the start and stop codes H3 Number of fields be N A N A 3 character field tween the start and stop codes H4 Start code N A N A ASCII Start Transmis sion character STX 1 Time of request N A N A 24 hour clock hh mm 1047358 RevA Respironics V60 Ventilator User Manual B 3 Appendix B Communications interface Table B 1 VRPT record format continued Date FEBe23 20089 12 character field MMM DD YYYY Current ventilation type NPPVO NPPVO Unused 90800 N A Always output as OOOOOO NPPV mode setting 5 1999 5 1999 PCVeee CP
99. n IEC 60601 1 Medical Electrical Equipment Part 1 General Requirements for Safety CSA C22 2 No 601 1 Medical Electrical Equipment Part 1 General Requirements for Safety UL 60601 1 Medical Electrical Equipment Part 1 General Requirements for Safety Respironics V60 Ventilator User Manual E 1 Appendix E Regulatory compliance EN 60601 1 Medical Electrical Equipment Part 1 General Requirements for Safety EN 60601 1 1 Medical Electrical Equipment Part 1 1 Safety Requirements EN 60529 Degrees of Ingress Protection Provided by Enclosures IPX1 zero degrees tilt E 2 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix F Diagnostic mode Entering the diagnostic mode 1047358 Rev A In the diagnostic mode you select the language of software display set the date and time select pressure units enable software options and calibrate the touchscreen NOTE The diagnostic mode is primarily for use by Respironics authorized service personnel to download software and perform other diagnostic procedures WARNING To prevent possible patient injury do not enter the diagnostic mode while a patient is connected to the ventilator Verify that the patient is disconnected before proceeding Enter the diagnostic mode as follows 1 Make sure the patient is disconnected and the ventilator is powered off 2 Press and hold the Accept button on the navigation ring and turn on the ventilator by pressing
100. n Speed Error alarm 8 11 CPU PCBA ADC Failed alarm 8 11 Data Acquisition PCBA ADC Failed alarm 8 11 Flash File System Error alarm 8 11 Internal Temperature High CPU alarm 8 11 Internal Temperature High Dag alarm 8 11 Internal Temperature High Mtr alarm 8 11 Machine Pressure Sensor Auto Zero Failed Respironics V60 Ventilator User Manual alarm 8 11 Check Vent Machine Pressure Sensor Calibration Data Error alarm 8 11 Check Vent Machine Pressure Sensor Range Error alarm 8 11 Check Vent Motor Control PCBA ADC Failed alarm 8 11 Check Vent O Flow Sensor Calibration Data Error alarm 8 11 Check Vent O Pressure Sensor Calibration Data Error alarm 8 12 Index 1 Check Vent O5 Supply Pressure Sensor Range Error alarm 8 12 Check Vent OVP Circuit Failed alarm 8 12 Check Vent Oxygen Device Failed alarm 8 11 Check Vent Primary Alarm Failed alarm 8 12 Check Vent Program CRC Test Failed alarm 8 12 Check Vent Proximal Pressure Sensor Auto Zero Failed alarm 8 12 Check Vent Proximal Pressure Sensor Calibration Data Error alarm 8 12 Check Vent Proximal Pressure Sensor Range Error alarm 8 12 Circuit patient See Patient circuit Cleaning touchscreen 9 2 ventilator exterior 9 1 CO rebreathing precaution 3 1 Communications interface B 1 B 12 Connector oxygen inlet how to install A 6 location 3 8 remote alarm nurse call location 3 8 RS 232 serial and analog I O location 3 8 Continuous positive airway pressure See CPAP Conti
101. n of the cursor in the waveforms window while the screen is frozen See Freezing and unfreezing waveforms on page 7 3 for more information Respironics V60 Ventilator User Manual 5 7 Chapter 5 Preparing for ventilation Preoperational check WARNING To ensure the ventilator s safe operation always run the full preoperational check described in Preoperational check on page 5 8 before using the ventilator on a patient If the ventilator fails any tests remove it from clinical use immediately Do not use the ventilator until necessary repairs are completed and all tests have passed WARNING To prevent possible patient injury disconnect the patient from the ventilator before running the preoperational check Make sure another source of ventilatory support is available Before you connect a new patient to the ventilator run the preoperational check to verify the ventilator s operation including alarm functionality Required materials To ensure that the ventilator also functions according to specifications on your patient we recommend that your test circuit be equivalent to the circuit used for ventilation 5 8 e Breathing circuit PN 582073 or the equivalent e 1 L test lung PN 1021671 or the equivalent e CRITERION OxiCheck oxygen analyzer PN 8 100661 00 Teledyne M X300 oxygen monitor or the equivalent Procedure Do or observe Connect ventilator to AC power and the oxygen supply Assemble the pa
102. ng and unfreezing waveforms i to the left of the waveform window The cursor makes one complete sweep across the waveform and then TI displays the pause in progress symbol The graphic display is then e frozen and the cursor is visible in the middle of the display Figure 7 2 Reposition the cursor with the navigation ring or by touching the waveform screen Data values at cursor location for pressure flow and volume are displayed in the white boxes U nfreeze the waveforms with the resume button p Exhale Rate VI 16 550 8 8 I Pt Leak Pt Trig Ti TrorT 12 95 38 Resume button unfreezes p waveforms Measurements at ux cursor M Cursor Figure 7 2 Waveform window with frozen screen 1047358 Rev A Respironics V60 Ventilator User Manual Chapter 7 Patient monitoring This page is intentionally blank 7 4 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 8 Alarms and messages Responding to alarms 1047358 Rev A Alarms and messages on the ventilator alert you to situations that require your attention The ventilator can also actuate remote alarms Figure 8 1 on page 2 shows the visual alarm characteristics Table 8 2 on page 8 6 summarizes the different types of alarm and tells you how to respond to each WARNING If AC power fails and the backup battery is not installed or is depleted an audible and visual alarm annunciates for at least 2 minutes Immediately discontinue
103. ng the preoperational check discontinue use of the ventilator immediately and contact Respironics The Vent Inoperative alarm occurs if AC power is disconnected and a battery is not installed or if the battery is fully discharged NOTE A new battery must be charged for at least 5 hours before being placed into service A 4 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Appendix A First time installation Battery X _ Orient with vent hole on top and Philips logo facing out Battery cable Figure A 2 Installing the battery Respironics V60 Ventilator User Manual A 5 Appendix A First time installation Installing oxygen inlet connector and AC power cord Outside the USA and Japan only A 6 Each Respironics V60 Ventilator is customized for the country of destination In some cases you must install the power cord and oxygen inlet connector 1 Install the oxygen inlet connector as follows Figure A 3 a Gently fit connector into the hole provided with flat sides to the left and right b Install the oxygen inlet connector retaining plate Tighten the two screws with a 2 5 mm hex wrench Oxygen inlet connector Retaining plate Figure A 3 Installing the oxygen inlet connector Respironics V60 Ventilator User Manual 1047358 Rev A Installing the oxygen manifold kit Configuration and screen calibration 1047358 Rev A Appendix A First time inst
104. ng values are corrupt and adjust settings as re mation ed or not set or if default quired 52 values were restored by the user Vent Inoperative x See Table 8 4 on page 8 14 description of failure 1047358 Rev A Respironics V60 Ventilator User Manual 8 9 Chapter 8 Alarms and messages Table 8 3 Check Vent alarm messages summary and troubleshooting Priority Manually Autore Silence Message Description Corrective Action type ID resettable settable able Check Vent 1 8 V Technical failure Check the patient Provide High Yes No No Supply Failed alternative ventilation Have 20 the ventilator serviced Check Vent 3 3 V Technical failure Check the patient Provide High Yes No No Supply Failed alternative ventilation Have 21 the ventilator serviced Check Vent 5 V Sup Technical failure Check the patient Provide High Yes No No ply Failed alternative ventilation Have 22 the ventilator serviced Check Vent 12 V Technical failure Check the patient Provide High Yes No No Supply Failed alternative ventilation Have 23 the ventilator serviced Check Vent 24 V Technical failure Check the patient Provide High Yes No No Supply Failed alternative ventilation Have 24 the ventilator serviced Check Vent 35 V Technical failure Check the patient Provide High Yes No No Supply Failed alternative ventilation Have 25 the ventilator serviced Check Vent Air Flow Flow
105. ns Turn the heater power switch off before stopping gas flow To reduce the risk of fire use only patient circuits intended for use in oxygen enriched environments Do not use antistatic or electrically conductive tubing To prevent patient or ventilator contamination we recommend you use a Respironics approved main flow bacteria filter on the patient gas outlet port Filters not approved by Respironics may degrade system performance To reduce the risk of bacterial contamination or damage handle bacteria filters with care Any additional accessories in the patient circuit may substantially increase flow resistance and impair ventilation To reduce the risk of strangulation from patient tubing use a tubing support arm and secure the proximal pressure line with clips To reduce the risk of electric shock connect the ventilator to an AC supply mains with protective earth only Do not use extension cords adapters or power cords with the ventilator that are not approved by Respironics To prevent unintentional disconnection of the power cord always use the correct Respironics supplied power cord and lock it into place with the power cord retainer before you switch the ventilator on The retainer is designed to hold the connector end of the Respironics supplied cord securely in place To reduce the risk of electric shock regularly inspect the AC power cord and verify that it is not frayed or cracked To reduce the risk of st
106. ntilator functions as a demand flow system with the patient triggering all breaths and determining their timing pressure and size You set no triggering or cycling sensitivities the patient triggers and cycles based on the ventilator s Auto Trak Sensitivity algorithms The control settings active in the CPAP mode are shown in Figure 4 6 Figure 4 7 shows CPAP mode waveforms The optional C Flex setting enhances traditional CPAP by reducing the pressure at the beginning of exhalation a time when patients may be uncomfortable with CPAP and returning it to the set CPAP level before the end of exhalation Active Mode CPAP CPAP Settings 5 CPAP ms m T S UN d T E 3 E S Figure 4 7 CPAP waveforms 4 8 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 4 Principles of operation PCV mode The PCV pressure controlled ventilation mode delivers pressure controlled mandatory breaths either triggered by the ventilator Timed or the patient Spont You set no triggering sensitivity the patient trigger is based on the ventilator s Auto Trak Sensitivity algorithms The control settings active in the PCV mode are shown in Figure 4 8 The IPAP setting defines the applied pressure for all breaths Rate and l Time define the breath timing for all breaths You set no triggering or cycling thresholds the ventilator s Auto Trak Sensitivity algorithms autom
107. nuous tone alarm 5 4 Contour Deluxe masks See Masks Contraindications 3 2 Control settings how to change 6 3 6 4 how to make batch setting changes 6 3 list of descriptions and ranges 6 15 6 16 ranges resolutions and accuracies 10 1 See also name of specific setting Cooling fan filter See Filter cooling fan CPAP continuous positive airway pressure mode 4 8 CPAP continuous positive airway pressure setting defini tion 6 15 D Date and time how to change F 6 Decontamination 9 1 9 2 Default factory settings how to restore F 8 Definitions G 1 G 5 Delivered pressure specifications 10 6 Diagnostic mode F 1 F 13 how to calibrate touchscreen F 13 how to change baud rate F 10 how to change date and time F 6 how to change language F 4 F 5 how to change pressure unit F 7 how to enable software options F 9 how to enter F 1 how to exit F 13 how to restore default factory settings F 8 how to view event log F 11 F 12 Dimensions ventilator 10 4 Display brightness how to set 6 11 1047358 Rev A Respironics V60 Ventilator User Manual Index E Electrical specifications 10 5 Electromagnetic compatibility EMC compliance with stan dards E 1 Environmental specifications 10 5 EPAP expiratory positive airway pressure setting definition 6 15 Estimated exhaled tidal volume See Vy Estimated minute ventilation See Vc Estimated total leak See Tot Leak Event log how to view F 11 F 12 Exhalation port how to select 6 7 6 9 part n
108. onics If you detect any unexplained changes in the performance or visual displays of the ventilator discontinue ventilator use and contact Respironics The Respironics V60 Ventilator does not support automatic record keeping Connect the ventilator to an appropriate medical grade oxygen source only The source must be able to deliver 100 oxygen regulated to 276 to 600 kPa 40 to 87 psig To reduce the risk of hypoxia connect only oxygen to the high pressure connector at the rear of the ventilator To reduce the risk of fire do not use a high pressure oxygen hose that is worn or contaminated with combustible materials like grease or oil Always check the status of the oxygen cylinders before using the ventilator during transport To prevent possible asphyxia and to reduce the risk of CO rebreathing take these precautions with respect to mask and exhalation port use Use only a mask with an exhalation port or a nasal mask for noninvasive ventilation Do not occlude the exhalation port Turn on the ventilator and verify that the port is operational before application Pressurized gas from the ventilator should cause a continuous flow of air to exhaust from the leak port flushing exhaled gas from the circuit Never leave the mask on the patient while the ventilator is not operating When the ventilator is not operating the exhalation port does not allow sufficient exhaust to eliminate CO from the circuit Substantial CO
109. operation Alarm functionality is verified by this self check You may also want to run alarm tests which demonstrate the alarms operation WARNING To prevent possible patient injury always return alarm settings to hospital standard values after the preoperational check Preparation 1 Set the ventilator up as for normal ventilation complete with breathing circuit PN 582073 orthe equivalent and a 1 liter test lung assembly PN 1021671 Set the mode to S T and make the following control settings Rate 4 BPM IPAP 10 cmH20 EPAP 6 cmH50O I Time 1 sec Rise 1 Ramp Off O5 21 Make the following alarm settings Hi Rate 90 BPM Lo Rate 1 BPM Hi Vr 200 mL Lo Vy OFF HIP 50 cmH50 LIP OFF Lo Vg OFF LIP T 5 secs High Inspiratory Pressure 1 2s Lower the HIP alarm limit to 8 cmH50O VERIFY that the High Inspiratory Pressure alarm is activated the ventilator cycles into exhalation and pressure falls to 6 cmH50O the EPAP level Raise the HIP alarm limit to 15 cmH5O Low Tidal Volume Raise the Lo V alarm setting above the displayed measured Vr VERIFY that the Low Tidal Volume alarm is activated Turn the Lo Vr alarm setting OFF VERIFY that the alarm resets Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 5 Preparing for ventilation Patient Disconnect 1 Disconnect the test lung 2 VERIFY that the Patient Disconnect alarm is activated 3 Reconnect the test lung 4
110. other messages summary and troubleshooting continued Low Rate Low Tidal Volume Mask x Exh Port y Use Menu to change Oxygen Not Available Patient Circuit Oc cluded Priority Manually Autore Silence Description Corrective Action type ID resettable settable able A low priority alarm if the Check the patient Confirm Low Yes Yes Yes measured respiratory rate is ventilator and alarm settings High less than the Lo Rate set are appropriate If problem 46 ting escalating to a high persists provide alternative priority alarm in 60 sec ventilation Have ventilator A high priority alarm from Serviced the start if The Lo Rate setting is lt 4 BPM and there are no breaths for gt 60 Lo Rate setting The Lo Rate setting is gt 4 BPM and there are no breaths for 15 sec Estimated tidal volume is Check the patient Confirm Low Yes Yes Yes less than the Lo Vy setting ventilator and alarm settings 48 Escalates to a high priority are appropriate If problem alarm if the alarm condition persists provide alternative persists for more than 60 ventilation Have ventilator sec serviced Displays when ventilator is Select mask and port from Infor No Yes N A turned on Displays select Menu tab Message is re mation ed mask type and exhala moved when user confirms 55 tion port selections or after 5 min utes Oxygen supply pressure out Check the patient Chec
111. ow SE Includes swivel connector Headgear Qty 4 Part number 1049037 1044385 face mask 1049038 1044386 1052553 1052554 1047426 1047427 1052555 1052556 1047358 Rev A Respironics V60 Ventilator User Manual 1052568 1052569 D 1 Appendix D Parts and accessories Description PerforMax single patient use full face mask with exhalation elbow PerformaTrak single patient use full face mask Quantity 1052531 Part number 1052535 Japan only 1052549 S mall 1052532 1012623 1052536 1012573 1052550 Small 1018592 Medium 1012624 1012574 Medium 1018593 Large 1012572 1012635 Large 1018594 Disposable head strap with clips for PerformaTrak mask series PerformaTrak single patient use full face mask with CapStrap Small 1015788 1019478 1019492 1002409 Medium 1019479 1019498 1002408 Large 1019480 1019507 1002405 Single patient use CapStrap headgear PerformaTrak SE single patient use nasal mask with CapStrap Total reusable full face mask with headgear Petite 1019543 1048706 1019543 1048709 1019543 1019481 Small 1048705 1048708 1019483 M edium large 1048707 302433 1048710 302433 1019484 Headgear for Total full face mask Image3 single patient use full face mask with headgear Small 100305
112. pheric at the airway throughout the exhalation phase of positive pressure mechanical ventilation Estimated exhaled tidal volume See Vy Estimated minute ventilation See Ve Estimated patient leak See Pt Leak Estimated total leak See Tot Leak ET Endotracheal Exhalation Port test Performed to assess the leak flow rate through the exhalation port Expiratory positive airway pressure See EPAP HIP High Inspiratory Pressure Alarm an alarm setting Hi Rate High Rate Alarm an alarm setting Hi Vy High Tidal Volume Alarm an alarm setting hPa Hectopascal a unit of pressure measurement 1 hPa is equal to 1 mbar which is approximately equal to 1 cmH 0 ID Inner diameter IEC International Electrotechnical Commission I E ratio Ratio of inspiratory to expiratory time Inop Inoperative Inspiration exhalation ratio See E ratio Inspiratory positive airway pressure See PAP Inspiratory time See Time Inspiratory duty cycle See T Tror Intentional leakage Known quantifiable leakage that is a function of the mask Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Glossary IPAP Inspiratory positive airway pressure A control setting The application and maintenance of pressure above atmospheric at the airway throughout the inspiration phase of positive pressure mechanical ventilation ISO International Organization for Standardization a worldwide federation of national standards bodies I
113. port for spontaneously breathing adult and pediatric patients Figure 3 1 Respironics V60 Ventilator Ventilation modes The ventilator offers a range of conventional pressure modes CPAP continuous positive airway pressure PCV pressure controlled ventilation and S T spontaneous timed The volume targeted AVAPS average volume assured pressure support mode combines the attributes of pressure controlled and volume targeted ventilation Auto Trak Sensitivity allows the ventilator to automatically compensate for unintentional leaks by maintaining a stable baseline and adjusting trigger and cycle thresholds for optimum patient to ventilator synchrony User interface The ventilator s ergonomic design including a 12 1 inch 31 cm color touchscreen a navigation ring and key panel lets you easily access ventilator settings and monitored parameters Respironics V60 Ventilator User Manual 1047358 RevA 1047358 Rev A Chapter 3 General information Monitoring The ventilator displays monitored parameters as numbers and as real time waveforms curves or scalars Alarms The ventilator s operator adjustable and nonadjustable alarms help ensure the patient s safety Power and gas supplies The ventilator uses as its primary power source AC mains An optional internal backup battery powers the ventilator typically for 6 hours The ventilator uses high pressure oxygen An integral blower pressurizes gas for delivery to the p
114. possible damage to the ventilator use only those cleaning agents listed in this manual CAUTION Do not attempt to sterilize or autoclave the ventilator Ventilator exterior Use a soft moist lint free cloth to clean the outside surfaces of the ventilator We recommend the following cleaning agents e Water e Hydrogen peroxide 3 e Soapy water or mild detergent e 10 bleach solution 10 bleach 90 water e 91 isopropyl alcohol e Germicidal disposable cloth alkyl dimethyl benzyl ammonium chloride 0 07 alkyl dimethyl ethybenzyl ammonium chloride 0 07 remaining inert ingredients e Ammonium cleaner disinfectant e Ethyl alcohol 70 1047358 RevA Respironics V60 Ventilator User Manual 9 1 Chapter 9 Care and maintenance 9 2 Touchscreen CAUTION To prevent possible damage to the touchscreen take care when cleaning it Do not drip water and or soap solution After cleaning and rinsing remove all moisture with a dry soft cloth Never clean the touchscreen with an abrasive brush or device since this will cause irreparable damage Dampen a soft cloth with isopropyl alcohol or a nonabrasive glass cleaner and wipe the screen Avoid using cleaners other than glass cleaners Do not use any vinegar based solutions Avoid using gritty cloths Handle the touchscreen with care To facilitate cleaning the touchscreen during ventilation use the Screen Lock function Bacteria filter patient circuit and other accessori
115. potential for CO rebreathing increases as inspiratory time increases A longer inspiratory time decreases exhalation time allowing less CO to be purged from the circuit before the next cycle In such circumstances higher tidal volumes further increase the volume of CO rebreathed by the patient Advise the patient to immediately report any unusual chest discomfort shortness of breath or severe headache Other potential side effects of noninvasive positive pressure ventilation include ear discomfort conjunctivitis skin abrasions due to mask patient interface and gastric distention aerophagia If skin irritation or breakdown develops from the use of the mask refer to the accompanying mask instructions for appropriate action Respironics V60 Ventilator User Manual 3 1 Chapter 3 General information Contraindications General description 3 2 The Respironics V60 Ventilator is contraindicated for patients with any of the following conditions e Lack of spontaneous respiratory drive e Inability to maintain a patent airway or adequately clear secretions e At risk for aspiration of gastric contents e Acute sinusitis or otitis media e Hypotension e Untreated pertussis e Epistaxis nosebleed The Respironics V60 Ventilator Figure 3 1 is a microprocessor controlled bilevel positive airway pressure BiPAP ventilatory assist system that provides noninvasive positive pressure ventilation NPPV and invasive ventilatory sup
116. r the warranty period If the product contains a defect in materials or workmanship and the product is returned to Respironics within the warranty period Respironics will repair or replace the product or issue a credit for the purchase price of the product with the choice to repair replace or credit being within the sole discretion of Respironics Respironics will pay customary freight charges from Respironics to the dealer location only The foregoing repair replacement or credit remedy will be the sole remedy for breach of the foregoing warranty Without limiting the foregoing this warranty does not cover damage to the product caused by accident misuse abuse negligence failure to install in accordance with Respironics installation instructions failure to operate under conditions of normal use and in accordance with the terms of the User Manual failure to maintain in accordance with the applicable service manuals alteration or any defects not related to materials or workmanship This warranty does not cover damage which may occur in shipment This warranty does not apply to any unit or individual parts which have been repaired or altered by anyone other than Respironics or an authorized Respironics service center This warranty does not apply to products which are not purchased new Respironics does not make and hereby specifically disclaims all other warranties express or implied including without limitation any implied warran
117. rangulation route the power cord to avoid entanglement To reduce the risk of power failure pay close attention to the battery s charge level The battery s operation time is approximate and is affected by ventilator settings discharge and recharge cycles battery age and ambient temperature Battery charge is reduced at low ambient temperatures or in situations where the alarm is continuously sounding Respironics V60 Ventilator User Manual 1047358 RevA Operation Alarms and messages Care and maintenance 1047358 Rev A WARNING WARNING WARNING WARNING CAUTION CAUTION WARNING WARNING WARNING WARNING WARNING WARNING Chapter 1 Warnings cautions and notes To ensure the ventilator s safe operation always run the full preoperational check described in Preoperational check on page 5 8 before using the ventilator on a patient If the ventilator fails any tests remove it from clinical use immediately Do not use the ventilator until necessary repairs are completed and all tests have passed To prevent possible patient injury disconnect the patient from the ventilator before running the preoperational check Make sure another source of ventilatory support is available To prevent possible patient injury due to nonannunciating alarms verify the operation of any remote alarm device before use To prevent possible patient injury always return alarm settings to hospital standard val
118. rsonnel Product must be disposed of in accordance with the WEEE directive Noninvasive ventilation patient with mask Invasive ventilation intubated patient Do not block the cooling fan Inlet at the rear of the ventilator Hospital grade On power cord 2 10 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 2 Symbols Table 2 1 Symbols used on ventilator labels and packaging continued da o d Recycle Nu Do not stack 3 high AL Lj Do not stack 7 high Limit temperature to between 20 and 50 4 and 122 F Hazmat class 9 uR UL recognition symbol mA Battery option Respironics V60 Ventilator User Manual 2 11 Chapter 2 Symbols Table 2 2 Symbols used on graphical user interface Alarm audible Alarm is silenced Alarm Alarm reset Informational message Alarm message is displayed Touch to hide alarm messages Alarm message is hidden Touch to display alarm messages Increase and decrease adjustment arrow buttons Adjusts a setting or selects a value Accept button Accepts set values Cancel button Cancels set values Ventilator is powered by AC power and the optional battery is installed Ventilator is powered by AC power and the optional battery is not in stalled Ventilator is powered by the battery This symbol shows the approximate battery time remaining in hours and minutes and it shows the capacity graphically Help but
119. s Failed Vent Inoperative Technical failure The venti Check the patient Provide al High Yes No No 11 lator is in the ventilator inop ternative ventilation Have the 11 Pressure Regula erative state ventilator serviced tion High Vent Inoperative Technical failure The venti Check the patient Provide al High Yes No No 12 lator is in the ventilator inop ternative ventilation Havethe 12 Data Acquisition erative state ventilator serviced PCBA ADC Refer ence Failed Vent Inoperative Technical failure The venti Check the patient Provide al High Yes No No 13 lator is in the ventilator inop ternative ventilation Havethe 13 Watchdog Test erative state ventilator serviced Failed 8 14 Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 9 Care and maintenance WARNING To reduce the risk of electric shock power down the ventilator and disconnect it from AC power before cleaning or servicing it NOTE It is the user s responsibility to comply with the information provided in this chapter To ensure the safety and reliability of your ventilator follow these maintenance procedures along with your own institutional policies for cleaning disinfecting and maintaining equipment All the procedures in this manual are intended to be performed by the operator For further maintenance contact your service representative Decontamination CAUTION To prevent
120. select Baud Rate to display the Set Baud Rate for Serial Communications screen Figure F 9 at Bagel Hato for Serial Lo 19 200 Figure F 9 Set Baud Rate for Serial Communications screen 2 The active baud rate is shown in white type Select the desired baud rate F 10 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix F Diagnostic mode Service The Service screen lets you view the event log Other service functions are for use by Respironics authorized service personnel Significant Event Log The Significant Event Log contains data about clinically relevant ventilator occurrences including alarms and setting changes The time date and an identifier for event classification are included 1 From the Service screen select the Misc tab Went Pneumatics Outputs Info 2 The Miscellaneous screen opens Figure F 10 Select Significant Event Log Misco llano Cow nicad Woda Figure F 10 Miscellaneous screen 1047358 RevA Respironics V60 Ventilator User Manual F 11 Appendix F Diagnostic mode F 12 3 The Significant Event Log opens Figure F 11 Use the buttons on right side to navigate through the log AAA Lag 694 entries in log Showing 1 to 25 de db 24d a Mi a d POLA 2144 TO ered rica ra ET X FIA D BAW dash Port Prompt AA bl As E eg ger U A eee Ae 01 16 004 Se magi maga O M0 A AO T TAL ri a 14 ORO PEPA PR DEI Coslirm Bd eri Perera FL ee eee de ctra anii irm nihi
121. serviced Battery can provide operat Connect ventilator to AC High No Yes No ing power for only an addi power Provide alternative 37 tional 15 minutes under ventilation nominal conditions Autore sets when ventilator is con nected to AC power Estimated volume of ex Check the patient as possi High Yes Yes Yes haled gas returned to the bility of CO rebreathing 26 patient is high could pose a potential prob lem Check the port for oc clusions Check for appropriate patient interface and exhalation port settings Estimated minute ventila Check the patient Confirm Low Yes Yes Yes tion is less than the Lo Vc ventilator and alarm settings 47 setting Escalates to a high are appropriate If problem priority alarm if the alarm persists provide alternative condition persists for more ventilation Have ventilator than 60 sec serviced Oxygen supply pressure is Check the patient Attach to High No Yes Yes less than 40 psig and deliv oxygen source with suffi 43 ered oxygen is at least 5 cient pressure If problem lower than O setting The persists provide alternative ventilator continues to de ventilation Have ventilator liver as much oxygen as serviced possible but ends oxygen support when oxygen inlet pressure drops to less than 18 psig Autoresets when oxygen supply pressure ex ceeds 23 psig Respironics V60 Ventilator User Manual 8 7 Chapter 8 Alarms and messages Table 8 2 Alarm and
122. stack it with other equipment If you mount the ventilator to a stand make sure the stand is approved by Respironics The ventilator may be mounted to the optional universal stand or placed on a flat stable clean surface Installing the ventilator to the stand requires a Respironics V60 Ventilator specific mounting plate follow the instructions includ ed with the mounting plate Figure A 1 shows the installed ventilator Use the brakes to lock and unlock the wheels as needed Make sure the wheels are un locked before moving the ventilator Power cords can be stored on stand hooks Wheel lock Figure A 1 Respironics V60 Ventilator on the universal stand Respironics V60 Ventilator User Manual 1047358 Rev A Installing the optional battery 1047358 Rev A Appendix A First time installation WARNING To reduce the risk of fire explosion leakage or other hazard take these precautions with respect to the battery Do not attempt to disassemble open drop crush bend or deform insert foreign objects into puncture or shred the battery pack modify or remanufacture it immerse or expose it to water or other liquids expose it to fire excessive heat including soldering irons or put it in a microwave oven Replace the battery only with another battery specified by the manufacturer Follow all instructions for proper use of the battery Do not short circuit the battery or allow metallic or con
123. t a small flat blade driver tip between the foam filter and the filter retaining cover Figure 9 2 2 Gently pry the filter cover from the back of the ventilator Do not remove the fan retaining pins 3 Wash or rinse the filter Let it dry completely before reinstalling 4 Replace the filter then snap the filter cover into place Fan retaining pin Do not remove Filter cover E Fan Do not remove Figure 9 2 Replacing the cooling fan filter Respironics V60 Ventilator User Manual 9 5 Chapter 9 Care and maintenance Disposal Storage Repairs Repacking and shipping 9 6 Removing and replacing the battery See Installing the optional battery on page A 3 Dispose of all parts removed from the device according to your institution s protocol Follow all local state and federal regulations with respect to environmental protection especially when disposing of the electronic device or parts of it for example oxygen cell batteries See Table 10 8 on page 10 5 for ventilator storage requirements For technical service or repair information not included in this chapter contact Respironics CAUTION To prevent possible damage to the ventilator always ship it with the original packing material If the original material is not available contact Respironics to order replacements NOTE Transport of lithium ion batteries is strictly controlled by international regulations and
124. ter air inlet Intended use Respironics V60 Ventilator 3 1 Interface See Patient interface or Communications inter face IPAP inspiratory positive airway pressure setting definition 6 15 l Time inspiratory time setting definition 6 15 L Language how to change F 4 F 5 Leak adaptation principles of operation 4 5 4 6 Leak estimated total See Tot Leak LIP Low Inspiratory Pressure Alarm setting definition 6 17 LIP T Low Inspiratory Pressure Delay Time setting defini tion 6 17 Lo Rate Low Rate Alarm setting definition 6 17 Lo Ve Low Minute Ventilation Alarm setting definition 6 17 Lo Vr Low Tidal Volume Alarm setting definition 6 17 Locking and unlocking the screen 6 12 Log event how to view F 11 F 12 Loudness how to set alarm 6 11 Low Inspiratory Pressure alarm 8 7 Low Inspiratory Pressure Alarm setting See LIP Low Inspiratory Pressure Delay Time setting See LIP T Low Internal Battery alarm 8 7 Low Leak CO Rebreathing Risk alarm 8 7 Low Minute Ventilation alarm 8 7 Low Minute Ventilation Alarm setting See Lo Ve Low O Supply Pressure alarm 8 7 Low Rate alarm 8 8 Low Tidal Volume alarm 8 8 Low priority alarm description 8 3 M Main flow bacteria filter See Filter main flow bacteria Mains power how to connect to 5 4 specifications 10 5 Maintenance See Care and maintenance Mask x Exh Port y Use Menu to change message 8 8 Masks ordering information D 1 D 3 Max P AVAPS Maximum
125. the ventilator during transport CAUTION To prevent possible damage to the ventilator ensure that the connection to the oxygen supply is clean and unlubricated and that there is no water in the oxygen supply gas NOTE To avoid depleting the cylinders close the cylinder valves when using the wall oxygen supply Connect the oxygen hose to the ventilator s oxygen inlet connector Figure 5 1 or to the oxygen manifold if applicable 1047358 Rev A Respironics V60 Ventilator User Manual 5 1 Chapter 5 Preparing for ventilation Installing the patient WARNING circuit WARNING WARNING WARNING WARNING WARNING WARNING WARNING Oxygen inlet connector Figure 5 1 Oxygen inlet connector To reduce the risk of strangulation from patient tubing use a tubing Support arm and secure the proximal pressure line with clips To prevent possible patient injury and possible water damage to the ventilator make sure the humidifier is set to appropriate temperature and humidification settings To prevent possible patient injury and equipment damage do not turn the humidifier on until the gas flow has started and is regulated Starting the heater or leaving it on without gas flow for prolonged periods may result in heat build up causing a bolus of hot air to be delivered to the patient Circuit tubing may melt under these conditions Turn the heater power switch off before stopping gas flow To reduce the risk t
126. the tabs at the bottom of the Screen CPAP Alarm Modes Standby MTM ON Settings e page 6 3 page 6 6 page 6 2 page 6 11 page 6 12 page 6 14 Respironics V60 Ventilator User Manual 6 1 Chapter 6 Operation Changing the mode The active ventilation mode is displayed in the bottom left hand corner of the screen Change the mode as follows For details on modes see Ventilation modes on page 4 7 1 Open the Modes window 2 Select the desired mode Chose New Mode or Batch 4 ACET CETE 3 Adjust settings as desired see Changing individual ventilator settings on page 6 4 Newly adjusted setting values are shown in yellow New Mode PLW 4 Select Activate Mode to apply Hew Mode PCV 1 Time 1 00 6 2 Respironics V60 Ventilator User Manual 1047358 RevA Chapter 6 Operation Changing control Table 6 3 on page 6 15 is an alphabetical list of the control settings with their settings ranges Table 10 2 on page 10 2 shows the control settings applicable to the different modes For more information on control settings as they apply in the different ventilation modes see Ventilation modes on page 4 7 Making batch setting changes NOTE During a batch setting change you cannot change the Ramp Time setting when a ramp is active This process applies to ventilation settings only not to alarm settings 1 Open the Modes window 2 Select the active mode Choose New Mode or Batch Change S T
127. tient breathing circuit Breathing circuit is assembled correctly See Figure 5 2 on page 5 3 or Figure 5 3 on page 5 3 Switch on power You hear two high pitched tones followed by a beep approximately 2 seconds later Check active mask and exhalation port selection in Messages list Messages E TP k Fah Ha nem Pa I Set the mode to S T and make the following control settings Rate 4 BPM IPAP 10 cmH50 EPAP 6 cmH50 Time 1 sec Rise 1 Ramp Off O 2196 Make the following alarm settings Hi Rate 90 BPM Lo Rate 1 BPM Hi Vr 200 mL Lo Vz OFF HIP 50 cmH50 LIP OFF Lo Ve OFF Displayed mask and exhalation port match ones in use see Selecting the mask and exhalation port on page 6 7 Test lung expands during inspiration and collapses during exhalation There is a con tinuous flow of gas from the exhalation port Disconnect the proximal airway pressure line from the ventilator connector Respironics V60 Ventilator User Manual Proximal Pressure Line Disconnect alarm is annunciated audio visual and flashing Alarm LED by the ventilator and remote alarm if connected 1047358 Rev A 1047358 Rev A Do or observe Reconnect the proximal airway pressure line and manually reset alarm Chapter 5 Preparing for ventilation Proximal Pressure Line Disconnect alarm is reset Set O5 to 4096 Wait for oxygen concentration to stabilize Oxygen analy
128. tilator is running on battery The ventilator is powered by AC or the ventilator is off and AC power egg and the battery is not installed is not connected The ventilator is powered by the battery This symbol shows the ap proximate battery time remaining in hours and minutes and it shows the capacity graphically 2 00 Figure 5 4 Power indicators 1047358 RevA Respironics V60 Ventilator User Manual 5 5 Chapter 5 Preparing for ventilation Sta rting up the NOTE Upon power on the ventilator automatically runs a test of the backup ventilator audible alarm followed by the primary audible alarm You should hear two high pitched tones followed by a beep approximately 2 seconds later If you do not hear all of these sounds discontinue use of the ventilator and have it serviced 1 Power on the ventilator with the ON Shutdown key 2 Run the preoperational check on page 5 8 Shutting down the Shut down the ventilator as follows ventilator 1 Press and release the ON Shutdown key The Shutdown window opens 2 Select Ventilator Shutdown The ventilator shuts down Ventilator Shutdown TR Alarm Modes Menu Standby Settings Sottings NOTE Improper shutdown may cause a Loss of Power Alarm message the next time the ventilator is turned on NOTE If the screen is blank and the dialogue box cannot be displayed shut down the ventilator by pressing the ON Shutdown key then the Accept button on the navigation ring
129. to meet the target value If the calculated target pressure is outside of the minimum and maximum pressure range the target volume will not be achieved Applies in AVAPS mode only 5 to 30 cmH5O0 Ramp Time Oxygen concentration to be delivered An interval during which time the ventilator linearly increases pressure helping to re duce patient anxi ety Ramp Time FE Initial CPAP EPAP CPAPIEPAP 4 cmo Ramp Rug start pressures Initial IPAP Initial EPAP CPAP EPAP pressures 21 to 40 OFF 5 to 45 min Rate Respirato ry Rate Rise Rise Time Respiratory frequency or number of breaths per minute Rosplratory Hato Inverse ratio ventilation is not allowed Shows where E ratio becomes inverse Resulting I E ratio Speed with which inspiratory pressure rises to the set target pressure Rise Time Fi m i 012345 If the Rise Time is insufficient to reach the target IPAP pressure adjust the Rise Time or Time setting Proposed rise slope in relation to EPAP and IPAP 4 to 60 BPM 1 to 5 1 is fast est Vr AVAPS Tar get Tidal Vol ume Target tidal volume to be delivered during inspiration The ventilator meets this target by adjusting the inspiratory pressure with each breath Applies in AVAPS mode only Respironics V60 Ventilator User Manual 200 to 2000 mL 1047358 Rev A Table 6 4 Alarm settings Chapter 6 Operation Hi Rate Hi
130. ton Touch to display onscreen help information 2 12 Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Chapter 2 Symbols Table 2 2 Symbols used on graphical user interface continued Vertical autoscale button Autoscales the Y axis of the graphs to fit the t data currently displayed Pause button Freezes waveforms in the Waveform window Pause in progress ru Resume button Resumes all waveform graphs from a paused state Time base adjust button Rescales the X axis of the graph display data at 3 6 12 and 24 second increments Estimated minute ventilation Estimated exhaled tidal volume a Duty Duty cycle Inspiratory time divided by total cycle time Inspiratory time divided by total cycle time A No valid data to display Data is under range Pressure centimeters of water oo Flow liters per minute BTPS compensated W L min Volume milliliters User set Ramp Time Ramp graphic fills in as Ramp Time progresses Respironics V60 Ventilator User Manual 2 13 Chapter 2 Symbols 2 14 Table 2 2 Symbols used on graphical user interface continued Ramp Time is OFF no ramp time set Intentional leak The number corresponds to the leak symbol printed on Respironics masks Respironics V60 Ventilator User Manual 1047358 Rev A Chapter 3 Intended use About CO rebreathing Potential side effects 1047358 RevA General information The Respironics V
131. transmission conventions B 3 B 11 communications protocol B 3 location B 1 pinout of connector B 2 SNDA record format B 8 B 11 VRPT record format B 3 B 8 Running on Internal Battery alarm 8 9 S S T spontaneous timed mode principles of operation 4 10 Safety compliance with standards E 1 Scalars See Waveforms Screen lock 6 12 Send Variable Length Ventilator Report See SNDA com mand Send Ventilator Report command See VRPT command Settings default factory how to restore F 8 Shutdown ventilator 5 6 1047358 Rev A Respironics V60 Ventilator User Manual Index SNDA command B 8 B 11 Software options how to enable F 9 Specifications See Technical specifications Spont spontaneous breath type indicator definition 7 2 S pontaneous timed mode See S T mode Stand See Universal stand Standby 6 12 6 13 Start up time specifications 10 6 Symbols 2 9 2 14 System Settings functions in diagnostic mode F 3 T Technical specifications 10 1 10 6 acoustic noise 10 6 alarm settings 10 3 control setting ranges resolutions and accuracies 10 1 delivered pressure 10 6 dimensions 10 4 electrical 10 5 environmental 10 5 monitored parameter ranges resolutions and accuracies 10 2 patient data ranges resolutions and accuracies 10 2 ventilator start up time 10 6 weight 10 4 Tests alarm tests 5 10 5 11 exhalation port 6 10 6 11 T Tzor duty cycle monitored parameter definition 7 2 Tidal volume estimated exhaled
132. ty of merchantability or fitness for a particular purpose In no event shall Respironics be liable for lost profits loss of good will or incidental or consequential damages even if Respironics has been advised of the possibility of the same Purchaser is cautioned that no person or entity is authorized to make any warranties on behalf of Respironics and any such alleged warranties are hereby disclaimed by Respironics Laws vary from state to state and some states do not allow the exclusion or limitation of implied warranties or the disclaimer of incidental and consequential damages Accordingly the laws of your state may give you additional protections In addition if you are located outside of the United States the laws of your country may give you additional rights Respironics V60 Ventilator User Manual C 1 Appendix C Warranty This page is intentionally blank C 2 Respironics V60 Ventilator User Manual 1047358 Rev A Appendix D Parts and accessories NOTE To ensure the correct performance of the ventilator and the accuracy of patient data we recommend you use only Respironics approved accessories with the ventilator This appendix lists parts and accessories supplied by Respironics that are compatible with the Respironics V60 Ventilator Contact your Respironics representative to order these parts Adult masks Includes exhalation elbow EE Description PerforMax reusable full Includes standard elb
133. uctions CAUTION If you selected PEV or Other as an exhalation port you must run an exhalation port test NOTE If the exhalation port test fails the intentional leak is unknown Tot Leak rather than Pt Leak is displayed in the patient data window 1047358 Rev A Respironics V60 Ventilator User Manual 6 9 Chapter 6 Operation Running the exhalation port test The exhalation port test is required and its window is automatically displayed when PEV or Other is selected Procedure Run the test as follows 1 Disconnect the patient circuit from the mask patient interface Exhalation Port Tost Waiting for disconnect CHGS rece Chen Glia cul trem Ee peter Ad a A to proci S T Alarm Mod Menu t 2 Occlude the circuit outlet Select Start Test Exhalatian Port Test Patipnt is disconnected mor ral cada Lo noi Gide Pala bon portl phan presa Start Tan Alarm Modes Menu 3 Wait while the test runs Exbhualatlon Port Tost Tast a e DITS keap crol guter coded unti teat is complete Progress Modes Po re 4 Verify that Test Passed is displayed Exhilation Port Test Test Passed E La fab Der Ore wil Ta Eh Eur Start Ventilation Respironics V60 Ventilator User Manual 1047358 RevA Other functions the Menu window 1047358 Rev A Chapter 6 Operation 5 Reconnect the patient circuit to the mask interface 6 Select Start Ventilation to initiate ventilation Troubleshooting If T
134. ues after the preoperational check To prevent possible damage to the ventilator ensure that the connection to the oxygen supply is clean and unlubricated and that there is no water in the oxygen supply gas For 120 V equipment grounding reliability can only be achieved when it is connected to an equivalent receptacle marked hospital only or hospital grade To prevent possible patient injury avoid setting alarm limits to extreme values which can render the alarm system useless If AC power fails and the backup battery is not installed or is depleted an audible and visual alarm annunciates for at least 2 minutes Immediately discontinue ventilator use and secure an alternative means of ventilation As in most ventilators with passive exhalation ports when power is lost sufficient air is not provided through the circuit and exhaled air may be rebreathed To reduce the risk of electric shock power down the ventilator and disconnect it from AC power before cleaning or servicing it To prevent patient or ventilator contamination inspect and replace the main flow bacteria filter between patients and at regular intervals or as stated by the manufacturer To prevent possible patient injury inspect and verify the proper operation of the exhalation port regularly during use To reduce the risk of fire explosion leakage or other hazard take these precautions with respect to the battery Respironics V60 Ventilator User Manual
135. ull leakage data plus accurate tidal and minute volumes the ventilator must know the intentional leak characteristics of the specific mask patient interface and exhalation port After power on the Messages list displays the current mask and port settings for 15 minutes e Mask 1 Exh Port DEP Use Menu to change Change these settings as follows 1 Open the Menu window 2 Select Mask Port 3 Select the desired mask patient interface type Table 6 1 Select Accept to apply Mask ET Selection Check Respironics Mask for rE aatem lab Walii Leak 5yrmbol and Valus oO ST Alarm Modes Mon Standby EM c 5ettings Settings For information concerning mask port leak characteristics see the instructions provided with each mask port See Appendix D for a complete list of masks circuits and related components used with the ventilator Respironics V60 Ventilator User Manual 6 7 Chapter 6 Operation Table 6 1 interface selections Mask patient interface type Description ET Trach ET or tracheostomy tube Leak 1 Mask with minimal intentional leak characteristics Enter Leak 1 for any of these Respironics masks Respironics Vinyl Nasal Single Patient Use Mask Respironics Contour Deluxe Nasal Single Patient Use Mask Respironics PerformaTrak Mask Respironics Image3 Full Single Patient Use Mask Leak 2 Mask with medium intentional leak characteristics Enter Leak 2 for this
136. umbers D 3 Exhalation port test how to run 6 10 6 11 Exhale breath phase indicator definition 7 2 Expiratory positive airway pressure See EPAP F Fan filter See Filter cooling fan Filter air inlet how to install 9 4 maintenance schedule 9 3 cooling fan how to clean or replace 9 5 location 3 8 maintenance schedule 9 3 part number D 4 main flow inspiratory bacteria part numbers D 4 main flow inspiratory bacteria part numbers D 4 First time installation A 1 A 7 Fitting See Connector Frequency breath See Rate G General information 3 1 3 9 Glossary G 1 G 5 Graphical user interface how to calibrate F 13 illustration 3 9 GUI See Graphical user interface H Help feature description 6 14 Hi Rate High Rate Alarm setting definition 6 17 Hi Vx High Tidal Volume Alarm setting definition 6 17 High Inspiratory Pressure alarm 8 6 High O5 Supply Pressure alarm 8 6 High Rate alarm 8 7 High Tidal Volume alarm 8 7 High priority alarm description 8 3 HIP High Inspiratory Pressure Alarm setting definition 6 17 Index 2 Image3 masks See Masks Informational message description 8 3 Inlet filter See Filter air inlet Inspiration triggering volume method 4 3 Inspiratory duty cycle See T Tror Inspiratory positive airway pressure See IPAP Inspiratory time setting See I Time Installation AC power cord A 7 air inlet filter 9 4 cooling fan filter 9 5 oxygen inlet connector A 6 Intake filter See Fil
137. upport ventilation mode that ensures patients receive a minimum number of breaths per minute if their spontaneous breathing rate drops below the respiratory rate setting Standby Suspends ventilation and retains current settings when the clinician wants to temporarily disconnect the patient from the ventilator Respironics V60 Ventilator User Manual 1047358 Rev A 1047358 Rev A Glossary Time Trigger Initiation of inspiration by the ventilator according to the Respiratory Rate setting Timed indicator Denotes machine triggered mandatory breathing T Tror Inspiratory duty cycle Inspiratory time divided by total cycle time averaged over 8 breaths a monitored parameter Tot Leak Estimated total leak both intentional and unintentional A monitored parameter shown when the mask leak and type of exhalation port are not known Trigger To begin inspiration Unintentional leakage Unpredictable leakage that cannot be quantified V Volt a unit of electrical potential or volume V Flow Ve Estimated minute ventilation The product of tidal volume spontaneous and timed and rate spontaneous and timed a monitored parameter V4 Estimated exhaled tidal volume a monitored parameter and AVAPS Target Tidal Volume a control setting in AVAPS mode Respironics V60 Ventilator User Manual Glossary 5 Glossary This page is intentionally blank Glossary 6 Respironics V60 Ventilator User Manual 1047358 Rev A Index A AC pow
138. ventilator use and secure an alternative means of ventilation As in most ventilators with passive exhalation ports when power is lost sufficient air is not provided through the circuit and exhaled air may be rebreathed NOTE If an alarm persists for no apparent reason discontinue ventilator use and contact Respironics Respond to an alarm as follows 1 Approach the patient immediately Secure sufficient and effective ventilation for the patient You may silence the alarm if possible 2 Correct the alarm condition referring to the alarm messages in Table 8 2 You can modify alarm settings at any time through the Alarm Settings tab Respironics V60 Ventilator User Manual 0 1 Chapter 8 Alarms and messages Alarm status bar nonalarm status No active alarms Alarm Reset Alarm button button active active Up arrows indicate that you can hide message in Alarms Messages list Alarm Silence button active Alarm status bar Gels TIE E np active alarm status 16 WR re Autoreset alarm strikeout line 12 y 38 through message Waveforms compressed Alarms Messages list Up to 7 entries prioritized from high to low to informational messages an Ead a o 3 Alarm LED Active alarms Figure 8 1 Visual alarm indications 8 2 Respironics V60 Ventilator User Manual 1047358 RevA No alarms Alarm LED on front panel Alarm status bar Table 8 1 Alarm summ
139. zer reads between 35 and 45 Disconnect the ventilator from AC power while the ventilator is running NOTE Ifthe ventilator has a backup battery the battery must be adequately charged to run this test Recharge as necessary before running the test If the optional backup battery is installed The ventilator switches over to battery power battery symbol in right hand corner of screen is displayed The green LED above the ON Shutdown key remains lit The audible alarm sounds intermittently Running on Internal Battery is shown The Battery LED is off If the optional backup battery is not installed An alternating backup alarm tone sounds and the Alarm LED flashes for a minimum of 2 minutes 9 If the backup battery is installed reconnect the ventilator to AC power 10 Return settings to hospital standard values WARNING To prevent possible patient injury always return alarm settings to hospital standard values after the preoperational check Troubleshooting The alarm resets The ventilator is again running on AC symbol displayed in right hand corner of screen The Battery LED flashes to indicate the battery is charging If any test step fails discontinue ventilator use and contact Respironics Respironics V60 Ventilator User Manual Chapter 5 Preparing for ventilation Alarm tests The ventilator performs a self check during start up and continuously during

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