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1. AD MMTCH 33 ADC mismatch HW FAULT AD MTCHO 35 ADC mismatch cleared HW FAULT AD MTCH1 34 ADC mismatch occurred HW FAULT ADC1 VAL 65 AD mismatch primary channel fault value HW FAULT APNEA 0 06 Apnea mode exited APNEA APNEA 1 05 Apnea mode entered APNEA BATLOWO 14 Internal battery low exited BAT LOW BATLOW1 13 Internal battery low occurred BAT LOW BATMPTO 12 Internal battery empty exited BAT EMPTY BATMPT1 11 Internal battery empty occurred BAT EMPTY Reclaims all incorrectly recognized bad CER ERE 88 EEPROM records S Ne CLR CAL 60 Calibration records cleared N A CLR CTRL 52 Control settings cleared N A CLR EVNT 51 Event log cleared N A CRC 41 Memory CRC check failed RESET DEFAULTS 25 Defaults or Set Defaults occurred J N EBERAWES DISC 0 10 Circuit disconnect exited DISC SENSE EEPROM 40 EEPROM degraded HW FAULT EXT LOWO 18 External power low exited POWER LOW EXT LOW1 17 External power low occurred POWER LOW EXT LSTO 16 External power lost exited POWER LOST EXT LST1 15 External power lost occurred POWER LOST FAN FLTO 28 Fan fault exited HW FAULT FAN FLT1 27 Fan fault occurred HW FAULT A problem is detected writin ta to the RESTE 69 EEPROM os do BM RACET HI f VtTO 82 Rapid Shallow Breathing Index SBT gt f Vt HI f VtT1 81 Rapid Shallow Breathing Index SBT gt f Vt HI PEEPO 76 Monitored PEEP HIGH PEEP HI PEEP 1 75 Monitored PEEP HIGH PEEP HI PRESO 43 High pressure exited HIGH PRES HI PR
2. Code Event Name Event Associated Alarm 37 SYNCERO Stepper motor lost sync exited HW FAULT 38 HOME ER1 Stepper motor home failure occurred HW FAULT 39 HOME ERO Stepper motor home failure exited HW FAULT 40 EEPROM EEPROM degraded HW FAULT 41 CRC Memory CRC check failed RESET 42 HI PRES1 High pressure occurred HIGH PRES 43 HI PRESO High pressure exited HIGH PRES 44 TBN ISTP Turbine immediate stop occurred HIGH PRES 45 TBN ZERO Turbine set to zero flow occurred HIGH PRES 46 TBN ESTP Turbine emergency stop occurred HIGH PRES 47 LOW VE 1 Low minute volume occurred LOW MIN VOL 48 LOW VE 0 Low minute volume exited LOW MIN VOL 49 LO PRES1 Low peak pressure occurred LOW PRES 50 LO PRESO Low peak pressure exited LOW PRES 51 CLR EVNT Event log cleared N A 52 CLR CTRL Control settings cleared N A 53 SET DATE Date set N A 54 SET TIME Time set N A 55 N A 56 STACK Stack overflow detected RESET 57 POST POST failure RESET 58 RUNAWAY Code runaway detected RESET 59 WDOG TST Watchdog test run Inop 60 CLR CAL Calibration records cleared N A XDORNAR pfeil pressure ee XDCFLTI Differential pressure transducer 62 XDER WID Wide hanna fault ADC RETI a OCR Geer DOM 64 XDCR AIR Airway pressure transducer fault XDC FLT1 65 ADC1 VAL P primary channel fault HW FAULT 66 TBN HSTP Turbine Hold Stop occurred HIGH PRES hutdown for other than pressin A problem is detected writing data to HW FAULT 68 FLUSH ER the EEPROM during system shutdown
3. ventilator Battery Charge Defective internal Immediately contact a certified Pulmonetic Status LED is battery or internal Systems service technician flashing red problem with the ventilator Battery Charge Defective internal Immediately contact a certified Pulmonetic Status LED is solid red Page 15 16 battery or internal problem with the ventilator Systems service technician LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Alarms Many alarms such as HIGH PRES or LOW O2 PRES can occur during normal operation Information on addressing alarms is covered in Chapter 9 Ventilator Alarms Single occurrences of some alarms such as HW FAULT or RESET may be caused by ESD If these alarms reoccur and for other alarms that do not usually occur during normal operation follow the instructions in this section or immediately contact Pulmonetic Systems Multiple Alarm Priorities When multiple active alarms occur at the same time the alarm with the highest priority level will be displayed When a highest priority active alarm is reset any remaining active alarms will be displayed in order of priority one by one as each alarm is reset When multiple alarms occur e A flashing alarm message appears in the display window showing the highest priority active alarm e An audible alarm will sound e Any associated control displays will flash e Depending on the alarm other actions m
4. amp N__ Exhalation Valve Drive Line CAUTION Patient Wye Installation After cleaning install the patient wye in the patient circuit so the proximal sense lines are oriented up while operating ATTENTION Installation de la soupape d expiration Apr s le nettoyage installez la soupape d expiration dans le circuit du patient de sorte que les lignes de d tection soient align es vers le haut pendant l op ration Page C 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Ventilator without Humidifier 1 Connect the main breathing tube to the 22mm outlet port on the right side of the ventilator CAUTION Install circuit so LTV Series connectors are UP Ventilator Patient Circuit Assembly Without Humidifier 2 Connect the two exhalation flow transducer sense lines to the ports marked Flow Xdcer on the right side of the ventilator These are non interchangeable Luer fittings 3 Connect the exhalation valve drive line to the port marked Exh Valve on the right side of the ventilator Ventilator with Humidifier 1 Attach the main breathing tube to the outlet port on the humidifier 2 Connect the humidifier circuit tube not included in reusable circuit configurations to the 22mm outlet port on the right side of the ventilator and to the inlet port of the humidifier CAUTION Install circuit so connectors are UP LTV Series Ventilator Humidifier
5. HIGH PRES alarm occurred The High Pres Limit display is flashed and the HIGH PRES message is displayed when a high pressure alarm occurs The display will continue to flash even after the condition clears See page 6 4 for an explanation of the HIGH PRES alarm feature Low Pressure display flashing LOW PRES alarm occurred The Low Pressure display is flashed and the LOW PRES message is displayed when a low pressure alarm occurs The display will continue to flash even after the condition clears See page 6 12 for an explanation of the LOW PRES alarm feature Low Min Vol display flashing LOW MIN VOL alarm occurred The Low Min Vol display is flashed and the LOW MIN VOL message is displayed when a low minute volume alarm occurs The display will continue to flash even after the condition clears See page 6 11 for an explanation of the LOW MIN VOL alarm feature O O Flush display flashing LOW O2 PRES or HIGH O2 PRES alarm occurred The 0 O Flush display is flashed and the LOW O2 PRES or HIGH O2 PRES message is displayed when a low or high O pressure alarm occurs The display will continue to flash even after the condition clears See pages 9 19 and 9 12 for an explanation of the LOW O2 PRES and HIGH O2 PRES alarm features Page 15 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do Control di
6. Symptoms Possible Causes What to Do Remote Alarm System PNT ASSIST option set to NORMAL dual tone system only generates one continuous tone Defective Remote Alarm System Internal problem with the ventilator Set PNT ASSIST option to PULSE See page 10 6 for instructions Contact Remote Alarm System manufacturer or service personnel Immediately contact a certified Pulmonetic Systems service technician Patient Assist Call System does not work With the ventilator Incorrect Patient Assist cable installed Normally Open versus Normally Closed system cable mismatch Defective or improper connections Defective Patient Assist cable Defective Patient Assist Call System Internal problem with the ventilator Establish whether the Patient Assist Call System is a Normally Open or Normally Closed system and verify the appropriate Patient Assist Cable Normally Open or Normally Closed is installed See page C 14 for instructions Check the Patient Assist Cable connection between the ventilators Patient Assist Port and the Patient Assist Call System See page C 14 for instructions Replace Patient Assist Cable Contact Patient Assist Call System manufacturer or service personnel Immediately contact a certified Pulmonetic Systems service technician Patient Assist Call System generates a pulsating tone or light and manufacturers instructions indicate
7. Using the AC Adapter To run the ventilator from the Pulmonetic Systems AC Power Adapter 1 Attach the power connector from the AC Adapter to the ventilator as shown here AC Adapter connection Power Port E Pigtail Connector Adapter 4 Connector To AC Adapter N 2 Connect the proper AC power cable 110V or 220V plug to the AC Power Adapter 3 Connect the 110V or 220V power cable to a suitable power source Verify the External Power LED shows green or amber CAUTION Release Button To avoid damaging the ventilator or the power connector push the release button on the connector before removing it from the ventilator power port or the power port pigtail connector ATTENTION Bouton de d clenchement Pour viter d endommager le ventilateur ou le connecteur d alimentation appuyer sur le bouton de d clenchement situ sur le connecteur avant de le retirer du port d alimentation du ventilateur ou du raccord de queue de cochon du port d alimentation While the ventilator is plugged in the internal battery is continuously charged 55 Pulmonetic Systems AC Adapter P N 10537 11537 or 18053 001 5 Pulmonetic Systems Power Cord P N 10536 or P N 17527 001 Page 14 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Using an External Battery Optional External Batteries Cables and Charger are available from Pulmonetic Systems The Large External Battery Pack includes a large ca
8. While Low Pressure O Source is on e The O Inlet Pressure Low alarm is inactive e The O Pressure High alarm is set to activate at gt 10 PSIG e The O O Flush display will display dimmed dashes and O cannot be set e Oxygen inlet flow must be set to obtain the desired oxygen percentage WARNING Inspired Oxygen FIO2 Concentration If the patient has a variable respiratory rate his her minute ventilation will fluctuate If exact concentrations of inspired oxygen FlO2 are required to be delivered to the patient it is recommended that an accurate oxygen analyzer with alarms be used AVERTISSEMENT Concentration d oxyg ne inspir FIO Si la fr quence respiratoire du patient est variable sa ventilation minute va fluctuer Lorsqu une concentration exacte d oxyg ne inspir FIO est n cessaire pour une transmission au patient il est recommand d utiliser un analyseur de niveau d oxyg ne pr cis comportant des alarmes Operator s Manual LTV 1200 Ventilator Page 6 13 p n 18247 001 Rev G Low Pressure O Source cont NOTE The Oxygen Inlet High Pressure alarm at 10 PSIG is only active when Low Pressure O Source is on REMARQUE L alarme de haute pression d entr e de l oxyg ne r gl e sur 10 PSIG ne sera active que lorsque la source de basse pression O est activ e While Low Pressure O Source is off e The O Inlet Pressure Low alarm is set to activate at less than 35 PSIG
9. are turned off f PEEP OFF for an explanation of this feature HI PEEP OFF is The High PEEP alarm This is an informational message only see displayed is turned off Chapter 9 HI PEEP OFF for an explanation of this feature HIGH f OFF is The High Breath Rate This is an informational message only see displayed alarm is turned off Chapter 9 HIGH f OFF for an explanation of this feature HI f Vt OFF is The SBT High f Vt This is an informational message only see displayed alarm is turned off Chapter 9 HI f Vt OFF for an explanation of this during the SBT mode of feature ventilation Page 15 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do LO f Vt OFF is The SBT Low f Vt alarm This is an informational message only see displayed is turned off during the Chapter 9 LO f Vt OFF for an explanation of this SBT mode of feature ventilation LO PEEP OFF is The Low PEEP alarm is This is an informational message only see displayed turned off Chapter 9 LO PEEP OFF for an explanation of this feature SBT f OFF is The SBT High Breath This is an informational message only see displayed Rate and SBT Low Chapter 9 SBT f OFF for an explanation of this Breath Rate alarms are feature turned off during the SBT mode of ventilation SBT f Vt OFF is The SBT High f Vt and This is an informational message only see displayed SBT Low f
10. wak aae itre a nahn 7 2 Charge Status s xuna nena lere EE E A E iia 7 4 External POW6f E EEE a Muret 7 5 NPE Ye rd E a a DD E E T e AT 7 6 Patient AE EAE Edol A E N NA ev durent be 7 6 Vent ale e e de 7 6 Chapter 8 Monitored Data ooommnnnnccccccccocononnccnncencnnnnnnnnnannnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnns 8 1 Automatic or Manual Data Display Scrolling eetaeeeeesieeeeeteeeee 8 2 PIP XX CMA 20 sales a a E nl A nay Kake h kn da 8 3 MAPSOCCMEAPO EE y4n A ada an A rene nan an uen Eat 8 3 PEEP Xx CMA2OM it ere en A te mn A han 8 3 TP XXII re oa 8 3 MENOR Me A en e ee i en W k s r Ai nu E ad 8 3 MEN ell KE ee TE fared at ee ee ne en tan aah da N let 8 3 Page vi LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G F ES de e la 8 3 LECCION a PE PRE PA TR PE PRE LEE 8 4 Veale XXX LOM ass ste nt A ti Tea tn At A tn Rs O 8 4 SBT MIN n oes oh eee ee uk i ae ee A A AA de eae ant ef dl 8 4 DOOKST VET RED ER iaa 8 4 Chapter 9 Ventilator Alarms nes 9 1 AMOS ae boa aides tn eth est etek hoes cuits eens dar lire dr fests AMEL Tes aire te aude dat casi craie ed test 9 2 APNEA APNEA SOM 9 2 BATEMP Vis A AA aad ae es ee 9 3 BAT OW eee PT e li ars deceo leales ag 3 9 5 DEFAULTS 0 A dr nette 9 7 DERAULTS SE Tone totato det ha akar rl o ie ea Ad nn nr Raton 9 9 DISC SENSE vor A Aa iris 9 10 HIGH DD E T 9 11 HIGH OsIPRES sch wees Stained ai ein d
11. Patient Circuit Assembly With Humidifier 3 Connect the two exhalation flow transducer sense lines to the ports marked Flow Xdcer on the right side of the ventilator These are non interchangeable luer fittings 4 Connect the exhalation valve driveline to the port marked Exh Valve on the right side of the ventilator Operator s Manual LTV 1200 Ventilator Page C 11 p n 18247 001 Rev G Oxygen Lines Connection Instructions CAUTION Oxygen Supply Contamination The accuracy of the oxygen delivery capabilities of LTV ventilators can be compromised by foreign debris contamination in the oxygen supply system To reduce the risk of airborne contaminants entering the ventilator ensure that any oxygen supply connected to the ventilator is clean properly filtered and that the ventilator s O Inlet Port Cap is securely installed on the O Inlet Port whenever the ventilator is not connected to an external oxygen supply ATTENTION Contamination de la r serve d oxyg ne La pr cision de la capacit d alimentation en oxyg ne des ventilateurs LTV peut tre compromise par la pr sence de corps trangers dans le syst me d alimentation en oxyg ne Afin de diminuer le risque de pr sence d agents contaminants atmosph riques dans le ventilateur assurez vous que la r serve d oxyg ne reli e au ventilateur est propre et filtr e de mani re ad quate et que le bouchon de l orifice d alimentation en oxyg ne est correc
12. Problem detected with primary and or HW FAULT oF AC ERE Eip audible an w j Recovery from problem detected with HW FAULT 70 RAC ERRO primary and or redundant audible alarm circuitry 71 SNDRERR1 Alarm sounder error HW FAULT Page E 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Code Event Name Event Associated Alarm 72 SNDRERRO Recovery from alarm sounder error HW FAULT 73 HIGH f1 High breath rate alarm occurred HIGH f 74 HIGH f0 High breath rate alarm recovered HIGH f 75 HI PEEP1 Monitored PEEP HIGH PEEP 76 HI PEEPO Monitored PEEP HIGH PEEP TI HI SBTf1 Total Breath Rate SBT gt f 78 HI SBTfO Total Breath Rate SBT gt f 79 LO SBTf1 Total Breath Rate SBT lt f 80 LO SBTf2 Total Breath Rate SBT lt f 81 HI f VtT1 Rapid Shallow Breathing Index SBT gt f Vt 82 HI f VtTO Rapid Shallow Breathing Index SBT gt f Vt 83 LO f VtT1 Rapid Shallow Breathing Index SBT lt f Vt 84 LO f VtTO Rapid Shallow Breathing Index SBT lt f Vt 85 SBT1 N A N A 86 MON f Vt f Vt value at SBT exit N A 87 SBTO SBT exit reason N A Reclaims all incorrectly recognized N A 88 CLRBREC pad EEPROM records J 89 LO PEEP1 Monitored PEEP LOW PEEP 90 LO PEEPO Monitored PEEP LOW PEEP 91 NEW PTNT New patient setup N A Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page E 5 Event Codes by Event Name Event Name Code Event Associated Alarm
13. Set Insp Set Insp it Time i Time Volume Control Breaths When the combination of inspiratory time and tidal volume result in an initial flow of lt 20 Lpm the final flow remains at 10 Ipm and the waveform is flattened Initial flow is Final flow is Initial flow is Final flow is gt 20 Lpm 50 of i lt 20 Lpm 10 Lpm Re flow Pa Set Insp Set Insp Time Time Volume Control Breaths Page 3 2 LTW 1200 Ventilator Operator s Manual p n 18247 001 Rev G Pressure Control Breaths For Pressure Control breaths flow is delivered to elevate the circuit pressure to the Pressure Control setting and maintain it at that pressure for the set Inspiratory Time Pressure Control breaths may be machine or assist type breaths Flow delivered to Flow delivered to meet set pressure meet set pressure f Breath cycles at J Breath i cycles at Y set Insp Time set Insp Time Set Pressure Paw i Set Insp Set Insp Time f Time Pressure Control Breaths Shown with example flow patterns for two different patient conditions Adjusting the Rise Time Profile changes the flow and pressure waveforms for Pressure Control breaths Profile 2 Profile 9 Faster Rise Time Slower Rise Time i i M lt Set Pressure Paw Adjusting Rise Time on Pressure Control Breaths Pressure Control and Pressure Support breaths do compensate for PEEP For example a Pressure Control setting of 2
14. allume cigare et les prises de courant sont habituellement c bl s de fa on obtenir un contact central positif et un contact du manchon la terre Le branchement du ventilateur dans une prise qui n est pas c bl e ad quatement aura pour effet de faire sauter le fusible de l adaptateur et pourrait endommager l adaptateur ou le ventilateur Puissance nominale des prises d allume cigare Le branchement d un ventilateur une prise d allume cigare qui ne poss de pas la tension suffisante moins de 20 amp res peut faire griller un fusible de l automobile causant ainsi l arr t du ventilateur et ventuellement celui d autres accessoires de l automobile Adaptateur pour allume cigare Ne faites pas fonctionner le ventilateur l aide de l adaptateur pour allume cigare lorsque vous d marrez le v hicule ou lorsque vous faites une connexion provisoire de la batterie d un v hicule Vous pourriez ainsi endommager le ventilateur Embout adaptateur pour allume cigarette d automobile Apr s l utilisation d brancher l adaptateur pour allume cigarette d automobile avec pr caution car son embout peut tre chaud Prise d allume cigare d automobile Selon la condition de la batterie de l automobile si le moteur est coup d marr ou est en marche les prises d allume cigare d une automobile peut g n rer des niveaux de tension vari s sur certains mod les la prise ne fonctionne que si le moteur est en marche
15. e The O Pressure High alarm is set to activate at greater than 85 PSIG e The 02 O Flush may be used to set the desired percentage of oxygen NOTE The Oxygen Inlet High Pressure alarm at 85 PSIG and Oxygen Inlet Low Pressure alarm at 35 PSIG are only active when Low Pressure O Source is off and the O O Flush setting is greater than 21 REMARQUE L alarme de haute pression d entr e de l oxyg ne r gl e sur 85 PSIG et l alarme de basse pression d entr e de l oxyg ne r gl e sur 35 PSIG ne seront actives que lorsque la source de basse pression O est d sactiv e et que le r glage du O Flush O est sup rieur 21 When the Oxygen Blending option is not installed The Low Pressure O Source button is only active when the oxygen blending option is installed Oxygen may still be supplied through the low pressure low flow inlet but the Low Pressure O Source button O2 O2 Flush control and the Oxygen Inlet Pressure alarms are inactive Page 6 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Low Pressure O Source cont Low Pressure O Blending Oxygen will be applied through the low pressure low flow inlet Use this chart to determine the approximate O flow required to deliver the desired FIO Input O2 Flow Ipm WARNING Inspired Oxygen FIO2 Concentration If the patient has a variable respiratory rate his her minute ventilation will fluctuate If exact concentr
16. 3 Turn the Set Value knob until the desired Variable Time Termination is displayed 4 Push the Select button Range 0 3 to 3 0 sec Page 10 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Pressure Control Flow Termination Use the Pressure Control Flow Termination option to enable or disable flow termination for Pressure Control breaths When this option is ON Pressure Control breaths are cycled at the set percentage of the peak flow if it is reached before the set Inspiratory Time elapses The percentage of peak flow is set in the Variable Flow Termination option When this option is OFF Pressure Control breaths are cycled when the set Inspiratory Time is reached Set pressure is maintained and inspiratory flow Peak B goes to zero Breath Flow i terminates at set Insp V Set Pressure Paw Set Insp Time PC FLOW TERM set to OFF Pressure Control Breath terminates normally Breath terminates at percentage of peak flow j Set Percentage of a Peak Flow Peak Flow V Set Pressure Paw set Insp Time PC FLOW TERM set to ON Pressure Control Breath terminates at the same Percentage of Peak Flow as Pressure Support breaths To modify the Pressure Control Flow Termination setting 1 Push the Select button while PC FLOW TERM is displayed 2 4 Push the Select button Options ON or OFF Operator s Manual p n 18247 001 Rev G PC FLOW ON or PC FLOW
17. 9 32 10 28 B Backup Pressure Trigger See Triggers BAT EMPTY 9 3 BAT LOW 9 5 Battery See Internal or External Battery Battery Charge Status 7 4 14 1 Battery Level 7 2 Bias Flow 4 6 Blanked Controls Displays 5 4 Boot Installation C 6 Boot Removal C 3 Boots C 2 Breath Type Pressure Control 3 3 Pressure Support 3 5 4 4 Spontaneous 3 6 Volume Control 3 2 Page G 1 Button Controls 5 3 C Calculated Peak Flow 6 28 8 2 8 4 Calibration B 1 Car Lighter Adapter 14 8 Cautions iv Charge Status 7 4 14 1 14 12 Checklist Ventilator Settings 12 10 Checkout Tests 11 1 Cigarette Lighter Adapter 14 8 Cleaning 13 1 Fan Filter 13 2 Inlet Filter 13 3 O Inlet Filter 13 4 Clearing Alarms See Alarms Clearing Com Port C 15 COM SETTING 10 16 Communications Port C 15 Communications Setting 10 16 C 15 Connecting to a Patient 12 2 Continuous Flow See Bias Flow CONTROL 11 6 Control Lock 5 6 6 3 9 35 15 3 Control Mode 4 1 Control Test 11 6 Control Unlock 10 15 Controls 5 1 5 2 5 3 6 1 Assist Control SIMV CPAP NPPV Mode 6 1 Blank 5 4 Dashes 5 5 Dimmed 5 4 15 3 Flashing 5 5 High Pressure Limit 14 5 15 2 Inspiratory Time 6 10 Limiting 5 5 Lock 5 6 6 3 9 35 10 15 15 3 Low Minute Volume 6 11 15 2 Low Pressure 6 12 15 2 Low Pressure O Source 6 13 9 12 Manual Breath 6 17 O2 O Flush 6 14 6 18 6 19 9 19
18. Rev G Procedure for Assist Control Mode Set Up Set any desired Extended Features options and 1 Push the mode Select button twice to toggle the modes between Assist Ctrl and SIMV CPAP Select the Assist Ctrl mode 2 Push the mode Select button twice to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired 3 Establish the Breath Rate 4 If Volume ventilation is selected establish the Tidal Volume The calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed 5 If Pressure ventilation is selected establish the Pressure Control 6 Establish the Inspiratory Time The calculated peak flow Vealc is displayed in the window while Inspiratory Time is being changed Vcalc only applies to volume ventilation 7 Set the desired percentage of oxygen to be delivered by the ventilator 8 Set the Sensitivity to a setting from 1 to 9 9 Set the High Pres Limit alarm 10 Set the Low Pressure alarm 11 Set the Low Min Vol alarm 12 Set the PEEP Airway Pressure cmH 0 ae LT Vi200 Chorge Status V lASYS Battery Level H CAR E Pres Control Insp Time Pres Support 01 High Pres Limit Low Pressure Low Min Vol Vent Inop cmH 0 PEEP sec cmH0 PEEP 02 Flush cmH 0 H 0 L Silence Insp Exp Manual Low Pressure Breath 02 Source a End 3 425 1 6 7 8 9 10 11 12 Operator s Manual LTV 1200 Ventilator Page 12 5 p n 18247 001 Rev G Pr
19. Rinse thoroughly in warm water 4 Examine the filter for excessive wear or damage Discard and replace with a new filter if necessary 5 Allow the filter to thoroughly air dry before reinstallation 6 Reinstall the filter CAUTION Wet or Damp Filters Do not install a wet or damp filter into the LTV 1200 ventilator This could damage the ventilator ATTENTION Filtres mouill s ou humides Ne pas installer des filtres mouill s ou humides dans les ventilateurs de la 1200 LTV Cela pourrait endommager le ventilateur Operator s Manual LTV 1200 Ventilator Page 13 3 p n 18247 001 Rev G Cleaning or Replacing the O Inlet Filter The O filter should be cleaned or replaced when it becomes soiled Failure to do this can affect ventilator performance CAUTION Oxygen Supply Contamination The accuracy of the oxygen delivery capabilities of LTV 1200 ventilator can be compromised by foreign debris contamination in the oxygen supply system To reduce the risk of airborne contaminants entering the ventilator ensure that any oxygen supply connected to the ventilator is clean properly filtered and that the ventilator s O Inlet Port Cap is securely installed on the O Inlet Port whenever the ventilator is not connected to an external oxygen supply ATTENTION Contamination de la r serve d oxyg ne La pr cision de la capacit d alimentation en oxyg ne des ventilateurs LTV 1200 peut tre compromise p
20. Select Button Pressure cmH 0 Brooth Rate Tidol Volume Pres Control Insp Time Pres Support h bpa ml emd PEEP set cml PEEP h Insp Exp Monuol Low Pressure Hold 4 Breath 0 Source _ ee 2 SELECT is displayed in the display window Display Area SELECT is displayed py Pressure cmH 0 REF ae krn Cure LEVi200 m VAS mm Botiery Level Select Button Breath Rote Tidal Volume Pres Control Insp Time Pres Support Dik mi cambio PEEP se mi0 PEEP 0 Flesh 88 a p Monuol Low Pressure Breath 0 Source Operator s Manual LTV 1200 Ventilator p n 18247 001 Rev G Page 11 6 Control Test cont 3 Test each control by pressing each button one at a time When pressed verify that the name of the button pressed is displayed in the display window Control names are as shown in the table below Control Display Display Select SELECT Breath Rate BREATH RATE Tidal Volume TIDAL VOLUME Pressure Control PRES CONTROL Inspiratory Time INSP TIME Pressure Support PRES SUPPORT O2 O2 Flush 02 Sensitivity SENSITIVITY High Pressure Alarm HIGH PRES Low Peak Pressure LOW PRES Low Minute Volume LOW MIN VOL Silence Reset SILENCE On Standby ON STNDBY Volume amp Pressure MODE VOL PRS Assist Control amp SIMV CPAP MODE A C S C Inspiratory Expiratory Hold IE HOLD Manual Breath MANUAL BRTH Low Pressure O Source LOW PRES O2 Control Lock CONTROL LOCK Set Value knob ro
21. Title Application ISO 3864 Prev IEC 348 Caution refer to accompanying Used to direct the user to the instruction manual where it is necessary to follow documents certain specified instructions where bo No Bed safety is involved IEC 417 Fuse To indicate the fuse boxes for example Symbol No and their location 417 IEC 5016 IEC 417 Output To identify an output terminal when it is gt Symbol No necessary to distinguish between inputs 417 IEC 5035 and outputs IEC 417 Protective earth To identify any terminal which is Symbol No ground intended for connection to an external 417 IEC 5019 protective conductor for protection against electric shock in case of a fault or the terminal of a protective earth ground electrode e IEC 417 Type BF To mark a type BF equipment complying Symbol No equipment with IEC Publication 601 417 IEC 5333 IEC 417 Direct Current To indicate on the rating plate that the Symbol No equipment is suitable for direct current mz a G r 417 IEC 5031 only to identify relevant terminals IEC 417 Alternating current To indicate on the rating plate that the Symbol No equipment is suitable for alternating 417 IEC 5032 current only to identify relevant terminals IEC 417 Class Il equipment To identify equipment meeting safety Symbol No requirements specified for Class II 417 IEC 5172 equipment IEC 60417 Sound audio Used to identify controls or terminals
22. V rifier la source d alimentation utilis e par le ventilateur indiqu e par la DEL External Power du ventilateur Alarme distance Assurez vous toujours que l alarme a distance indique de fa on ad quate les alarmes du ventilateur LTV avant d utiliser le ventilateur Alarme a distance Suivez toujours les exigences d utilisation et d entretien du fabricant de l alarme distance afin d assurer le fonctionnement ad quat de l appareil Bloc piles externe Le bloc piles externe ne doit tre branch qu aux ventilateurs de la 1200 LTV l aide du c ble pour piles externes de Pulmonetic Systems N pi ce 10802 Ce c ble est pr c bl et ses terminaisons assurent une connexion s curitaire entre le bloc piles externe et le ventilateur Mise lectrique la terre En cas de perte de la mise lectrique la terre de protection toutes les pi ces conductrices peuvent transmettre un choc lectrique Pour viter un choc lectrique nl utilisez que le cordon d alimentation d origine non modifi fourni avec les ventilateurs de la 1200 LTV maintenus en bonne condition et branch s une prise ad quatement c bl e et mise la terre 2 En plus du filtre interne de l orifice d alimentation en oxyg ne dont le num ro de pi ce est 14313 Pulmonetic Systems propose un filtre oxyg ne externe de num ro de pi ce 14470 Page 1 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G
23. When the NO CAL DATA alarm occurs e The NO CAL DATA message is flashed in the display window e The audible alarm is sounded e The ventilator continues to operate e Default transducer data is used e Vte PIP MAP PEEP and VE monitored values are displayed as NO CAL To clear the NO CAL DATA alarm 1 Push the Silence Reset button twice This will clear the alarm and the ventilator will continue to operate however the NO CAL message will still be displayed in place of affected monitored values 2 Take the unit out of service and perform the Calibration procedure To clear the NO CAL message 1 Take the unit out of service and perform the Calibration procedure WARNING NO CAL Condition Operation of the LTV 1200 ventilator under a NO CAL condition may result in inaccurate pressure and volume measurements Should this condition occur disconnect the patient from the ventilator provide an alternative method of ventilation and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems AVERTISSEMENT Condition NO CAL L op ration continue du ventilateur de la 1200 LTV sous condition NO CAL peut r sulter en mesures de pression et de volume erron es Si cette condition se pr sente le ventilateur doit tre retir du service et vous devez imm diatement contacter votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems 45 For more informatio
24. and the AC adapter may be used in the MR environment To avoid patient harm and or equipment damage do not operate the MR Conditional LTV 1200 System in the MR environment if any system component is missing or not installed Failure to follow all warnings the LTV 1200 Operator s Manual and all MR Conditional procedures and precautions when the MR Conditional LTV 1200 System is used may cause patient and or operator harm and damage to the ventilator may occur Contact Pulmonetic Systems with any questions Remove the LTV Carrying Strap if attached located at the top of the ventilator before entering the MR environment AVERTISSEMENT e Dans un milieu de RM seul le syst me MR Conditional LTV 1200 qui inclut le ventilateur MR Conditional LTV 1200 le support de plancher MR Conditional le circuit de patient de 4 6 m 15 pi MR Safe et l adaptateur de c a peut tre utilis dans le milieu de RM Pour viter tout danger pour le patient et ou tout dommage l quipement ne faites pas fonctionner le syst me MR Conditional LTV 1200 dans un milieu de RM si tout composant du syst me manque ou n est pas install Ne pas suivre tous les avertissements le manuel de l op rateur LTV 1200 et toutes les pr cautions et proc dures conditionnelles de RM lorsque le syst me MR Conditional LTV 1200 est utilis pourrait mener des probl mes pour le patient et ou pour l op rateur et des dommages au ventilateur Contactez
25. mode of ventilation has ended 33 See Chapter 9 Ventilator Alarms for additional information 3 HIGH f OFF and f PEEP OFF messages are not displayed during SBT ventilation Page 8 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G PIP xxx cmH20 The Peak Inspiratory Pressure PIP monitor displays the greatest pressure measured during the inspiratory phase and the first 300 ms of exhalation 9 Monitored PIP data is measured and displayed at the completion of inspiration MAP xx cmH20 The Mean Airway Pressure MAP monitor displays a running average of the airway pressure for the last 60 seconds MAP data is recalculated and displayed in 10 second intervals PEEP xx cmH20 The Positive End Expiratory Pressure PEEP monitor displays the pressure in the patient circuit at the completion of exhalation PEEP data is displayed at the completion of exhalation f xxx bpm The Total Breath Rate displays the breaths per minute based on the last 8 breaths and includes all breath types Total Breath Rate is recalculated and updated at the end of each exhalation or every 20 seconds Vte xxx m The Exhaled Tidal Volume Vte monitor displays the tidal volume as measured at the patient wye Vte data is recalculated and displayed at the completion of every exhalation VE xx x L The Minute Volume VE monitor displays the exhaled tidal volume for the last 60 seconds as calculated from the last 8 breaths VE data is rec
26. setting To modify the O Flush setting 1 Push the Select button while O2 FLUSH is displayed and xxx min is displayed 2 Turn the Set Value knob until the desired amount of minutes is displayed and push the Select button The O Flush time period is set Range 1 to 3 minutes in increments of 1 Page 10 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Control Unlock Use the Control Unlock option to select the Easy or Hard unlocking method for unlocking the controls The Easy unlocking method should be used when only trained personnel have access to the ventilator The Hard method should be used when children or others may have access to the ventilator and you want to prevent accidental changes to the control settings When the Easy method is selected unlock the controls by pushing the Control Lock button When the Hard method is selected unlock the controls by pushing and holding the Control Lock button for 3 seconds To modify the Control Unlock setting 1 Push the Select button while CTRL UNLOCK is displayed 2 UNLOCK EASY or UNLOCK HARD is displayed 3 Turn the Set Value knob until the desired setting is displayed 4 Push the Select button Options EASY or HARD Language Selection Use the Language Selection option to select the language used in the display window for all messages alarms and menus To modify the Language setting 1 Push the Select button while LANGUAGE is displayed 2 ENGLI
27. tat d alarme BAT INT VIDE afin d assurer une ventilation continue et ininterrompue au patient Alarme BAT EMPTY Une alarme BAT EMPTY indique que la pile interne est pratiquement plat Branchez imm diatement le ventilateur une source d alimentation externe Alarme INOP Si une alarme INOP survient au cours de l op ration ventilez le patient l aide de la m thode alternative retirez imm diatement le ventilateur du service et contactez imm diatement votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems Condition NO CAL L op ration continue du ventilateur de la s rie LTV sous condition NO CAL peut r sulter en mesures de pression et de volume erron es Si cette condition se pr sente le ventilateur doit tre retir du service et vous devez imm diatement contacter votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems Alarme XDCR FAULT L op ration continue du ventilateur de la s rie LTV avec une alarme XDCR FAULT activ e peut r sulter en mesures de d bit et de volume erron es Si cette condition se pr sente le ventilateur doit tre retir du service et vous devez imm diatement contacter votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems Blessures personnelles et chocs lectriques L op ration d un ventilateur de la s rie LTV alors que ses panneaux sont enlev s peut causer un choc lectrique au patient ou l
28. 15 2 15 4 On Standby 6 20 PEEP Control 6 21 Pressure Control 6 22 15 2 Pressure Support 6 23 15 2 Select 6 24 Sensitivity 6 25 Set Value Knob 5 3 6 26 Setting 5 2 Silence Reset 6 27 Tidal Volume 6 28 Unlock 10 15 Volume Pressure Mode 6 29 15 4 CPAP Mode 4 3 Page G 2 LTV 1200 Ventilator CRC 15 21 CTRL UNLOCK 10 15 15 4 D Dashes in Display 5 5 Date 10 17 10 18 DATE FORMAT 10 18 Decelerating Waveform 3 2 6 28 Default Controls Settings 9 8 Default Extended Features Settings 9 8 DEFAULTS 9 7 15 22 DEFAULTS SET 9 9 Dimmed Controls Displays 5 4 15 3 DISC SENSE 9 10 15 20 15 21 Disconnect Sense Line 9 10 DISPLAY 11 4 DISPLAY f Vt 10 27 Display Language 10 15 Display Select 11 7 A 1 Display Test 11 4 Display Window 7 1 Displays 5 1 7 1 Airway Pressure 7 1 10 19 Battery Level 7 2 Blank 5 4 Charge Status 7 4 Dashes 5 5 Dimmed 5 4 15 3 External Power 7 5 Flashing 5 5 NPPV 7 6 Patient Effort 7 6 Vent Inop 7 6 Window 7 1 E Effort LED 6 25 EMC iii EPAP 4 4 6 1 6 21 12 8 ET Tube 15 26 Event Codes E 3 Event Trace E 1 Exhaled Minute Volume 8 3 Exhaled Tidal Volume 8 2 8 3 EXP HOLD 6 5 A 1 Expiratory Hold 6 5 6 8 A 1 F 2 Extended Features 5 3 6 24 6 26 Navigation 10 2 External Battery 14 3 Disposal 14 4 External Power 7 5 14 4 14 9 Oper
29. 21 Non Invasive Positive Pressure Ventilation See NPPV mode NPPV Mode Indicator 7 6 Nurse Call See Patient Assist Call O O Bleed In 6 16 O Conserve 10 13 O Cylinder Duration 10 21 O Flush 10 14 O Inlet Filter 13 4 0 15 2 0 O Flush 6 14 6 18 6 19 9 19 15 4 On Standby Button 6 20 Operating Procedures 12 1 Connect to a Patient 12 2 Operating Theory D 1 Oxygen Blending 6 18 Concentration Bleed In 6 16 Concentrator 6 13 Connecting C 13 Source 2 3 P Patient Assist Call C 14 Patient Assist Call System 15 23 Patient Circuit Connecting C 10 Humidifier C 11 Patient Connection 12 2 Patient Effort 6 25 7 6 Patient Query 10 23 Patient size 10 23 Page G 4 LTV 1200 Ventilator PC FLOW TERM 3 4 6 22 10 9 10 11 15 2 Peak Flow 6 28 Peak Inspiratory Pressure 8 2 8 3 PEEP 10 26 PEEP Control 6 21 PEEP Monitored 8 2 8 3 PIP 8 2 8 3 10 19 PIP LED 10 19 PNT ASSIST 10 6 15 22 15 23 Positive End Expiratory Pressure See PEEP Monitors PEEP POST 15 21 POWER LOST 1 5 9 23 14 6 POWER LOW 9 24 Power Source 2 3 14 1 AC 14 2 Automobile Cigarette Lighter Adapter 14 8 External Battery 14 3 PRES SUPPORT 10 26 Presets 10 23 Presets Table 10 24 Pressure Control 6 22 15 2 Pressure Control Breath 3 3 Pressure Control Flow Termination See PC FLOW TERM Pressure Mode 4 6
30. 4 for an explanation of HP DELAY When an alarm occurs the audible alarms sound for a minimum of 3 seconds or for as long as the condition exists Some alarms such as HIGH PRES may clear almost immediately and the alarm will sound for only 3 seconds Alarm doesn t sound Internal problem with the Immediately contact a certified Pulmonetic ventilator Systems service technician Ventilator won t Diaphragm installed Open the exhalation valve and remove the exhale repeated HIGH backwards or incorrectly PRES alarms turbine seated in exhalation valve stops and pressure drops then autocycles up to HIGH PRES again diaphragm Reseat the diaphragm and snap the exhalation valve in place See page 13 10 for a diagram of correct exhalation valve assembly Operator s Manual LTV 1200 Ventilator Page 15 19 p n 18247 001 Rev G Symptoms Possible Causes What to Do continued Ventilator won t exhale repeated HIGH PRES alarms turbine stops and pressure drops then autocycles up to HIGH PRES again Exhalation Drive line occluded or pinched Internal problem with the ventilator Check the exhalation drive line to be sure it is correctly attached and secured at both the ventilator and exhalation valve ends Verify the line is not occluded or pinched Immediately contact a certified Pulmonetic Systems service technician Repeated DISC SENSE alarms Page 15
31. 6 BIAS FIOW is it 4 6 Chapter 5 Using the Controls and Indicators 5 1 Ventilator Controls sis int sn date tint anne ended ate Weka Ma ka Y K P y u ek a ka Weka ca H Z reke 5 1 SE MING sas GOGE sy 24 y00 e y eee re eee sabin nen S ben GERA RA REN K bik ei ban n EN be A nu Ke Wi DERE SE N e KAR ENA 5 2 Variable Controls suicida ina dest ed din tt ete 5 2 ULI eta A Yer rane r He dd tee tess AS et a aes Mote 5 3 Set Value NOD A A a aged ee ae eee 5 3 Extend d Fe al k Sola Ad y a hil e cee Gael ite Meal ioe el te srt E aM 5 3 Bright Dim and Blank Control Displays narrar kk KE rn 5 4 Flashing COTOS ist ces seis te heat Sead yn is te ile et Se stale helt a R nde Ee ean asada toe 5 5 Dashes ERA N Ye E N A ae ad Lt elie ate 5 5 Control Limiting s sienne EAE AA EEEE 5 5 Control LOCKING icra akan me anses een ae nt 5 6 Control R tentions utilidad A es Rebar aa asa Senn at as th etat need Le el da 5 6 Operator s Manual LTV 1200 Ventilator Page v p n 18247 001 Rev G Chapter 6 CONOS ann es crie KAKA AKA A AHAA KAKA KAKA 6 1 Assist Control SIMV CPAP NPPV iii ake kaxe kak kak k kk kak kak k Ka KAK KK KA KA KA KA A KAKA 6 1 Breath Rates sd syn nn A ee eee 6 2 Control Lock a here tet Uk ets ake lie teeth etal oy tte ata hatin Ve en N 6 3 High Pressure Limit cti 6 4 In
32. ATTENTION Ne recouvrez pas le ventilateur En vue d viter le risque de dommages du ventilateur ne le recouvrez pas pendant son fonctionnement ou ne le positionnez pas en relation avec d autres objets de sorte que le fonctionnement ou le rendement du ventilateur puisse en tre n gativement affect Assurez vous qu un espace suffisant existe autour du ventilateur pendant son utilisation afin de permettre une bonne circulation des gaz Choc lectrostatique L utilisation de tuyaux et de tubes conductibles n est pas recommand e L utilisation de ces mat riaux risque de causer une d charge lectrostatique qui endommagerait le ventilateur Source de courant continu ou pile externe Lorsque vous branchez les ventilateurs de la 1200 LTV sur une source de courant continu ou sur une pile externe utilisez seulement les m thodes et les connecteurs approuv s sp cifi s au chapitre 14 Alimentation et op ration avec pile Source d alimentation c a Lorsque vous branchez le ventilateur sur une source d alimentation c a utilisez l adaptateur c a LTV approuv Validit de la mise la terre de l alimentation c a Si vous doutez de la validit de la mise la terre de l alimentation c a utilisez la pile interne une pile externe ou une source externe de courant continu pour op rer le ventilateur de la 1200 LTV Danger d incendie des fusibles Le remplacement des fusibles existants par des fusibles de type d amp rag
33. Apnea Backup mode of ventilation see Chapter 9 Ventilator Alarms for additional information A High Pressure alarm HIGH PRES is generated during which the ventilator s turbine is stopped to allow the circuit pressure to evacuate see Chapter 9 Ventilator Alarms for additional information The operator selects SBT OFF in the SBT OP SBT START menu The operator pushes any control button other than the Manual Breath Select Control Lock or Silence Reset To modify the Spontaneous Breathing Trial settings 1 Turn the Set Value knob until SBT START is displayed push the Select button and SBT OFF or SBT ON is displayed Turn the Set Value knob until the desired setting is displayed and push the Select button e When SBT ON is selected the Spontaneous Breathing Trial ventilation mode is turned on using the current SBT menu settings If the SBT menu settings were not previously reset the factory set default settings will be used see DEFAULTS in Chapter 9 Ventilator Alarms for additional information All SBT menu settings are to be reviewed for applicability and or set as necessary prior to selecting the SBT ON menu option e When the Spontaneous Breathing Trial ventilation mode is active and SBT OFF is selected the Spontaneous Breathing Trial ventilation mode is terminated and ventilation returns to the previously set modes settings 2 Turn the Set Value knob until PRES SUPPORT is displayed push the Select button and PE
34. Blending from a High Pressure Oxygen source Low Pressure Oxygen Bleed in O Flush and O Cylinder Duration Monitoring e Lockable front panel controls e Monitors for Breath Rate f l E Ratio MAP Minute Ventilation VE PEEP PIP and Tidal Volume Vte e Real time patient circuit pressure display with Peak Inspiratory Pressure indicator e Variable termination conditions for Pressure Support breaths including maximum inspiratory time termination and percentage of peak flow e Selectable Percentage of Peak Flow termination for Pressure Control breaths e Presets to facilitate rapid patient set up e Leak Compensation to improve triggering when a circuit leak is present e Single or dual tone output capabilities e Operation from a variety of power sources including AC power internal battery and external DC power sources Continuous Positive Airway Pressure i Synchronized Intermittent Mandatory Ventilation Non invasive Positive Pressure Ventilation Operator s Manual LTV 1200 Ventilator Page 2 1 p n 18247 001 Rev G Indications for Use The LTV 1200 ventilator is intended to provide continuous or intermittent ventilatory support for the care of the individuals who require mechanical ventilation The ventilator is a restricted medical device intended for use by qualified trained personnel under the direction of a physician Specifically the ventilator is applicable for adult and pediatric patients weighing a
35. Certain patients may experience difficulty triggering a breath with a bias flow of 0 lpm AVERTISSEMENT Conservation d O Lorsque CONSERVE ON est s lectionn le LTV 1200 r gle automatiquement le d bit corrig 0 l min et s lectionne l enclenchement de la pression Certains patients peuvent prouver des difficult s pour enclencher un souffle respiratoire de O l min de d bit corrig Page 4 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 5 USING THE CONTROLS AND INDICATORS Ventilator Controls The following diagram shows how the front panel controls and displays are arranged Variable Control Settings Power Source Set ventilation characteristics Source and Charge Levels Ai P Displ Display Window Variable Alarm Ree n nat died Alarm Messages Patient Effort Settings pose res edito Monitored Data Indicator Set variable Ircult Fressure Extended Features Menus alarm levels Airway Pressure cmH20 Vi VIASYS 0 02 Flush Pres Control Insp Time Pres Support cmHi0 PEEP sec cmH 0 PEEP Breath Rate Tidal Volume m mi Insp Exp Manual Low Pressure Control On Standby volume Pressure kw W Hold Breath 02 Source Lock zz Sa A 0p pg Breath amp Mode Selection Set Value Knob PEEP Select breath types Change control settings and Set PEEP Select ventilation mode Navigate Extended Features menus pressure But
36. Control breaths only For information on selecting breath types see Chapter 10 Extended Features Low Peak Pressure Alarm The Low Pressure alarm establishes the minimum expected circuit pressure for the selected breath types If the circuit pressure does not meet or exceed the Low Pressure setting e A LOW PRES alarm is displayed e The audible alarm is sounded To set the Low Pressure alarm 1 Push the Low Pressure button 2 Change the setting using the Set Value knob Range 1 60 cmH20 WARNING Patient Circuit Accessories The use of accessories such as Speaking Valves Heat Moisture Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection may impede the generation of a Low Pressure alarm Ensure that the Low Pressure alarm settings accommodate these types of accessories when used in combination with patient circuits AVERTISSEMENT Accessoires du circuit du patient L utilisation d accessoires tels que les membranes vocales les changeurs thermohydriques et les filtres produit une r sistance additionnelle dans le circuit de patient et en cas de d branchement elle risque d emp cher la g n ration de l alarme de basse pression S assurer que les param tres de l alarme de basse pression s adaptent ces types d accessoires lorsqu ils sont utilis s avec les circuits du patient Page 6 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G
37. Inop op rera a son maximum de volume pendant 5 minutes au moins L alarme sonore Vent Inop est contr l e par un condensateur et son volume ne peut donc pas tre modifi par l utilisateur Operator s Manual LTV 1200 Ventilator Page 10 3 p n 18247 001 Rev G Apnea Interval Use this menu item to establish the apnea interval The apnea interval is the maximum time allowed between the beginning of one breath and the beginning of the next breath To modify the Apnea Interval 1 Push the Select button while APNEA INT is displayed APNEA xx sec is displayed Turn the Set Value knob until the desired setting is displayed Push the Select button N Range 10 60 sec High Pressure Alarm Delay Use this menu item to select immediate or delayed audible notification for High Pressure alarms When NO DELAY is selected the audible alarm is sounded for all High Pressure alarms When DELAY 1 BRTH or DELAY 2 BRTH is selected and a high pressure condition occurs the breath is terminated and the HIGH PRES message is posted The audible alarm is not sounded until the number of consecutive breaths with a high pressure condition meets the delay setting two breaths for DELAY 1 three breaths for DELAY 2 Any time a high pressure condition persists for more than 3 seconds the audible alarm will be sounded regardless of the delay setting To modify the High Pressure Alarm Display 1 Push the Select button while HP DELAY
38. LOW PEEP 9 20 10 5 LOW PRES 6 12 9 21 10 4 15 2 Low Pressure Alarm 6 12 10 4 15 2 Low Pressure O Source 6 13 9 12 LPP ALARM 6 12 10 4 LPPS OFF 9 36 LTM Compatibility 10 19 LTM Graphics Monitor C 15 LTV1200 10 19 M Maintenance B 1 Manometer See Displays Airway Pressure Manual Breath Button 6 17 MAP 8 2 8 3 Mean Airway Pressure 8 2 8 3 Message Window See Displays Window Minimum Exhalation Time 3 1 Minimum Inspiratory Time 3 1 Minute Volume 8 2 8 3 MINUTES 10 27 Mode Buttons 5 3 Model Number 10 19 Modes 4 1 Apnea Backup 4 2 4 3 4 5 Assist Control 4 1 Control 4 1 CPAP 4 3 NPPV 4 4 Pressure 4 6 6 29 SIMV 4 2 Volume 4 6 6 29 Monitor Window See Displays Window Monitored Data See Monitors Monitored Data Displays 6 24 8 2 Monitors 6 24 Calculated Peak Flow 8 2 8 4 Exhaled Minute Volume 8 3 Exhaled Tidal Volume 8 2 8 3 L f 8 3 f Vt f 8 2 8 4 LANGUAGE 10 15 IE Ratio 8 2 8 3 LEAK 11 8 MAP 8 2 8 3 Operator s Manual LTV 1200 Ventilator Page G 3 p n 18247 001 Rev G Mean Airway Pressure 8 2 8 3 Minute Volume 8 2 NO CAL 9 22 15 21 Peak Inspiratory Pressure 8 2 8 3 PEEP 8 2 8 3 PIP 8 2 8 3 SBT min 8 2 8 4 Total Breath Rate 8 2 8 3 Veale 8 2 8 4 VE 8 2 8 3 Vte 8 2 8 3 MR Conditional System 16 1 N NIST Adapter C 13 NO CAL 8 1 9 22 15 21 NO CAL DATA 9 22 15
39. LTM Graphics Monitor compatibility To view the LTV model number 1 Turn the Set Value knob while in the VENT OP menu until LTV xxxx is displayed e The model number is displayed as LTV xxxx where xxxx is the model of the ventilator e The model number is set when the ventilator is manufactured 2 Push the Control Lock button to exit or the Select button to display the serial number option To view the LTV serial number 1 Push the Select button when the LTV model number LTV xxxx is displayed e The serial number is displayed on the left side of the display area as xxxxxx where xxxxxx is the serial number of the ventilator e The serial number is set when the ventilator is manufactured 2 Push the Control Lock button or the Select button to return to the model number option To verify LTM Graphics Monitor Compatibility 1 Push the Select button when the LTV model number LTV xxxx is displayed e The message LTM will be displayed on the right side of the display area if the ventilator was originally manufactured or upgraded by Pulmonetic Systems to accommodate the LTM Graphics Monitor 2 Push the Control Lock button or the Select button to return to the model number option Operator s Manual LTV 1200 Ventilator Page 10 19 p n 18247 001 Rev G Valve Home Position Use the Valve Home Position option to view the home position for the LTV s flow valve The home position is displayed as VHome xxx where xxx is the home p
40. Low Pressure O Source When selected this option allows oxygen to be supplied from a low pressure low flow oxygen source such as an oxygen concentrator or line mounted flow meter Oxygen from the low pressure source is mixed with air inside the ventilator The O percent delivered to the patient is determined by the O inlet flow and the total minute volume and is not regulated by the ventilator Use the Input O Flow chart page 6 15 to determine the correct O flow for the desired FIO e When the Low Pressure O Source option is selected and a high O pressure source is attached to the ventilator an Automatic High O2 Switch Over safety response generates a HIGH O2 PRES alarm switches the ventilator to High Pressure O2 Source mode and sets the percentage of oxygen to be delivered in the gas flow to 21 When the Low Pressure O Source option is not selected a high pressure oxygen source is expected and oxygen blending is done within the ventilator The ventilator expects an oxygen source with a pressure of 40 80 PSIG The O percent delivered to the patient is determined by the O O Flush setting on the ventilator front panel To toggle the state of the Low Pressure O Source 1 Push and hold the Low Pressure O Source button for three 3 seconds e While the Low Pressure O Source button is being held the associated LED will be flashing e When the Low Pressure O Source is selected the associated LED will be on continually
41. N 10430 e Item 6 Finish Washers 6 P N 10191 19119 001 or 19119 002 Contained in Pulmonetic Systems Replacement Screws kit P N 11149 Page C 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G To Remove the Lower Protective Boot 1 Lay the ventilator down front up and use a Phillips head screwdriver to remove the four flat head mounting screws and finish washers in the sides of the lower protective boot 2 as indicated in the illustration 2 Remove the lower boot 2 and insert and thread four 4 40 X 1 4 flat head mounting screws 5 with finish washers 6 into the screw holes in the ventilator s side panels as indicated in the illustration e Finish washers 6 should be already in place 3 Torque tighten all four screws to 20 in oz 0 14 Nm do not over tighten to avoid damage to the finish washers Y N Counter i a i lt p Example Finish Washer to N Screw Orientation ae e Item 1 Protective Boot Upper 1 P N 19033 001 Purple e Item 2 Protective Boot Lower 1 P N 19032 001 Purple e Item 3 4 40 X 3 16 Pan head screw 1 P N 10438 e Item 4 44 40 X 1 4 Pan head mounting screws 2 P N 10435 e Item 5 4 40 X 1 4 Flat head mounting screws 6 P N 10430 e Item 6 Finish Washers 6 P N 10191 19119 001 or 19119 002 73 Refer to Appendix C Installation and Checkout for information concerning the appropriate a
42. OFF is displayed 3 Turn the Set Value knob until the desired state is displayed LTV 1200 Ventilator Page 10 11 Leak Compensation Use the Leak Compensation option to enable or disable tracking of the baseline flow to improve triggering when a circuit leak is present When Leak Compensation is on the system is gradually adjusted to maintain set sensitivity if the leak is stable and there is no autocycling e Ifaleak is unstable during exhalation it will not be detected and will not be compensated for e Leak Compensation can compensate for a maximum patient circuit leak of 6 Lom If autocycling is occurring it can be manually eliminated as follows 1 Set Sensitivity to OFF see Chapter 6 Sensitivity or higher than the leak amount see Chapter 10 Real Time Transducers LEAK xx xx Lpm 2 Set Leak Compensation to LEAK COMP ON see instructions below 3 Wait for a period of 10 15 breaths 4 Reset sensitivity to desired level see Chapter 6 Sensitivity Leak Sensitivity Recognize Recognize Recognize Compensated Setting Trigger Trigger X Trigger N Leak Comp Leak Comp Off j On Leak Compensation Off to On To modify the Leak Compensation setting 1 Push the Select button while LEAK COMP is displayed 2 LEAK COMP ON or LEAK COMP OFF is displayed 3 Turn the Set Value knob until the desired state is displayed 4 Push the Select button Options ON or OFF 8 Baseline flow is used
43. Page 16 3 p n 18247 001 Rev G WARNING Put the MR Conditional LTV 1200 System outside the 100 Gauss field line at least 9ft 2 74m from the bore opening and in a position where the operator can always see the LTV 1200 Always lock the two 2 locking caster wheels on the ventilator floor stand when used in the MR environment Use only MR Conditional non magnetic e g aluminum oxygen cylinders and MR Conditional oxygen regulators AVERTISSEMENT Placez le syst me RM conditionnelle LTV 1200 l ext rieur de la ligne de force de 100 Gauss au moins 2 74 m 9 pi de l ouverture d al sage et dans une position o l op rateur peut toujours voir le LTV 1200 Verrouillez toujours les deux 2 roulettes verrouilables sur le support de plancher du ventilateur en utilisant dans l environnement de RM Utilisez seulement des r gulateurs d oxyg ne et des bobonnes d oxyg ne non magn tique comme en aluminium RM conditionnelle Page 16 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix VENTILATOR SPECIFICATIONS Modes and Breath Types Breath Types Volume Control Pressure Control Pressure Support Spontaneous Modes Control Assist Control SIMV CPAP NPPV Apnea Backup Variable Controls Control Range Tolerance Backup Pressure Trigger 3 cmH 20 2 cmH 0 Breath Rate 1 to 80 bpm 1 bpm or 10 of breath period whichever is less Date Format mm dd yyyy dd mm yyyy
44. Pulmonetic Systems pour toutes questions Retirez la sangle de transport LTV si elle est install e qui se trouve sur le dessus du ventilateur avant d entrer dans le milieu de RM Page 16 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 100 Gauss Field Line eur pl8l4 ssneg OOL 100 Gauss Field Line 100 Gauss Field Line Example of the MR Conditonal LTV 1200 System placed outside the 100 Gauss field line at least 9ft 2 74m from the bore opening AC power cord not shown for clarity NOTE e The use of Pressure Control ventilation is recommended with the 15ft patient circuit If Volume Control ventilation is selected when using the 15ft patient circuit compressible volume should be compensated The compressibility factor is 4 ml cmH 0 Always plug the AC adapter power cord into a properly working power receptacle with ground connection when operating in the MR environment REMARQUE e L utilisation d une ventilation contr le de pression est recommand e avec le circuit de patient de 4 6 m 15 pi Si la ventilation contr le de pression est choisie en utilisant le circuit de patient de 4 6 m 15 pi il faut compenser le volume compressible Le facteur de compressibilit est de 4 ml cmH20 Branchez toujours le cordon d adaptateur de c a dans une prise qui fonctionne correctement avec connexion de masse lorsque vous tes dans le milieu de RM Operator s Manual LTV 1200 Ventilator
45. Set any desired Extended Features options and 1 2 3 4 5 6 7 8 9 Push the mode Select button twice to toggle the modes between Assist Ctrl and SIMV CPAP Select the SIMV CPAP mode Push the mode Select button twice to toggle between Volume and Pressure ventilation for apnea backup Select Volume or Pressure as ordered Establish the Breath Rate to dashes If Volume ventilation is selected establish the Tidal Volume for apnea backup The calculated peak flow Vealc is displayed in the window while Tidal Volume is being changed If Pressure ventilation is selected establish the Pressure Control for apnea backup Establish the Inspiratory Time for apnea backup The calculated peak flow Vcalc is displayed in the window while Inspiratory Time is being changed Veale only applies to volume ventilation Set the Pressure Support if desired Set the desired percentage of oxygen to be delivered by the ventilator Set the Sensitivity to a setting from 1 to 9 10 Set the High Pres Limit alarm 11 Set the Low Pressure alarm for apnea backup 12 Set the Low Min Vol alarm 13 Set the PEEP Airway Pressure cmH20 re LTVi200 Chorge Status VIASYS HCARE Tidol Pres Control ksp Time Pres Support 0 cmH0 PEEP cmH 0 PEEP 0 lush Low Pressure Control 0 Source aza Operator s Manual LTV 1200 Ventilator Page 12 7 p n 18247 001 Rev G Procedure for NPPV Mode Set Up S
46. Support Breaths si Patient Triggers IPAP EPAP Patient Breaths Page 4 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Apnea Backup The LTV 1200 ventilator provides an Apnea Backup mode of ventilation Apnea Backup ventilation begins when the time since the last breath start is greater than the set Apnea Interval When an apnea alarm occurs e If an inspiration is in progress the ventilator cycles to exhalation e The ventilator begins Apnea Backup ventilation in the Assist Control mode according to the current control settings The active controls are displayed at full intensity and all other controls are dimmed The breath rate for Apnea Backup mode is determined as follows e If the set Breath Rate is gt 12 bpm the Apnea breath rate is the set Breath Rate e If the set Breath Rate is lt 12 bpm and the set Breath Rate is not limited by other control settings the Apnea breath rate is 12 bpm e If the set Breath Rate is limited to lt 12 bpm the Apnea breath rate is the highest allowed rate The ventilator exits the Apnea Backup mode and returns to the previous mode of ventilation when the operator resets the Apnea alarm or when two consecutive patient initiated breaths occur The Apnea Interval may be changed using the Extended Features menu 9 bpm 6 66 Sec j 4 9 bpm 6 66 Sec 6 36 Sec 3 64 Sec Patient Fa N Apnea Backup Trigger Start Activity Mode
47. TERM 35 30 25 TIME TERM TERM 0 5 sec TERM 1 0 sec TERM 2 0 sec PC FLOW TERM Off Off Off Leak Comp LEAK COMP ON LEAK COMP ON LEAK COMP ON Breath Rate 20 bpm 15 bpm 12 bpm Breath type Pressure Pressure Volume Tidal Volume 50 ml 250 ml 500 ml Insp Time 0 3 sec 0 7 sec 1 0 sec Pres Control 15 cmH 0 15 cmH 0 15 cmH 0 Pres Support 10 cmH 0 10 cmH 0 10 cmH 0 Sensitivity 2 Lpm 3 Lpm 3 Lpm High Pres Limit 30 cmH 0 30 cmH 0 40 cmH 0 Low Pressure 10 cmH 0 10 cmH 0 10 cmH 0 Low Min Vol 0 5 ml 1 0 ml 3 0 ml PEEP 0 cmH 0 0 cmH 0 0 cmH 0 Mode Assist Ctrl Assist Ctrl Assist Ctrl Page 10 24 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT Spontaneous Breathing Trial Operations Use the SBT Operations menu to set up ventilator controls and options that are not available directly from front panel controls The menu is set up as follows SBT OP SBT START PRES SUPPORT PEEP SBT FIO2 MINUTES HIGH f Vt LOW f Vt SBT HIGH f SBT LOW f DISPLAY f Vt EXIT Using the Spontaneous Breathing Trial option you can temporarily minimize ventilatory support and perform clinical assessments of a patients dependence on or ability to be removed from positive pressure ventilation SBT mode should be used only while attended by a Respiratory Therapist or other properly trained and qualified personnel WARNING Untrained Personnel Only properly trained personnel should operate the ventilator The LTV 1200 ventilator is a restricted medi
48. Termination at lt 3 Lpm F_ setting i Pressure maintained at PEEP A Paw Spontaneous Breaths Shown with example flow for two different patient conditions Page 3 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 4 VENTILATION MODES The LTV 1200 ventilator provides the following modes of ventilation e Control e Assist Control e SIMV Synchronized Intermittent Mandatory Ventilation e CPAP Continuous Positive Airway Pressure e Apnea Backup Ventilation e NPPV Non Invasive Positive Pressure Ventilation Each of these modes is described below Control Mode Control mode ventilation is selected when Assist Ctrl is selected and Sensitivity is set to a dash In Control mode Volume or Pressure Controlled machine breaths are given at the rate specified by the Breath Rate setting and no triggered breaths are allowed Paw e Breath Period o Pressure Control Machine Breaths Assist Control Mode Assist Control ventilation is selected when Assist Ctrl is selected and Sensitivity is on In Assist Control mode the ventilator guarantees a minimum number of Volume or Pressure Controlled breaths are given The patient may trigger additional Volume or Pressure Controlled assist breaths Machine Machine Assist Machine Breath Breath Breath Breath Paw i 4 Breath Period gt a i Breath Period gt Pressure Control Machine and Assist Breaths Op
49. To cycle through the available monitored data automatically from a halted scan 1 Push the monitor Select button twice within 0 3 sec 2 Pushing the Select button once while scan is active will halt scanning and the currently displayed data will remain in the display window 3 Each time you push the button once the next data item in the list will be displayed 4 To resume scan push the Select button twice The monitored data is displayed for 3 seconds Extended Features To enter the Extended Features menu 1 Push and hold the Select button for 3 seconds The first Menu Item will be displayed for example ALARM OP For more information on how to use the Extended Features menu see Chapter 10 Extended Features Page 6 24 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Sensitivity Use the Sensitivity control to establish the threshold level to allow the patient to flow trigger delivered breaths A flow trigger occurs when e The O Conserve feature is OFF CONSERVE OFF e The Sensitivity is set to any value from 1 to 9 e And the ventilator is in exhalation phase e And the minimum exhalation time has expired e And the flow is greater than or equal to the Sensitivity setting The LEAK measurement displayed in the RT XDCR DATA menu can be used to help select an appropriate sensitivity value Typically the sensitivity value is set higher than the displayed LEAK measurement For instance if the LEAK
50. Volume is suspended for the first 20 seconds and the HIGH f alarm High Breath Rate is suspended for the first 60 seconds of operation If the Power On Self Tests fail The mode of failure CPU SRAM INT VECTOR ROM CRC or EEPROM is displayed in the message window and an audible alarm sounds continuously e Turn the ventilator off by pushing the On Standby button e Silence the alarm by pushing the Silence Reset button e Discontinue use of the ventilator and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems Before Connecting the Ventilator to a Patient Perform the following steps before connecting the ventilator to a patient 1 If this is the initial use of the ventilator follow the checkout procedures in Appendix C Installation and Checkout before proceeding 2 If desired you may connect the ventilator to a Patient Assist Call system See Appendix C Installation and Checkout for details Page 12 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 3 If required connect a low or high pressure oxygen source to the ventilator If you connect a low pressure oxygen source make sure to select the Low Pressure O2 Source option on the front panel See Appendix C Installation and Checkout for connection and setup details WARNING Inspired Oxygen FIO2 Concentration If the patient has a variable respiratory rate his her minute ventilation will fluctuate If
51. airlines may allow an electrical cord to be plugged in if arranged in advance Pulmonetic Systems recommends checking with the intended carrier well in advance before traveling Operator s Manual LTV 1200 Ventilator Page 2 3 p n 18247 001 Rev G Information Assistance For additional information or troubleshooting assistance concerning the operation of the LTV 1200 ventilator contact a certified Pulmonetic Systems service technician or Pulmonetic Systems 17400 Medina Rd Suite 100 Minneapolis Minnesota 55447 1341 Phone 763 398 8300 Customer Care Center 800 754 1914 Fax 763 398 8400 E mail info pulmonetic com Website http www pulmonetic com Page 2 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 3 BREATH TYPES This chapter contains information regarding the breath types available on the LTV 1200 ventilator It covers how breaths are initiated limited and cycled and when each type of breath is given The following terms are used in discussing how breaths are given Initiate What causes a breath to be given Breaths may be initiated by a patient trigger a push of the Manual Breath button or by the ventilator based on the set breath rate and ventilation mode Limit How the breath is controlled Breaths may be limited to a maximum circuit pressure or flow Cycle What causes the breath to be cycled from the inspiratory phase to the exhalation phase Breaths may be c
52. and cause expected battery duration to degrade Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist Call connector Ventilator Checkout Tests LTV 1200 ventilator Checkout tests must be performed before initial use of the ventilator Rerun the tests whenever a question about the ventilator s operation arises Release Button To avoid damaging the ventilator or the power connector push the release button on the connector before removing it from the ventilator power port or the power port pigtail connector Page 1 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G ATTENTION St rilisation du ventilateur Afin d viter des dommages irr parables au ventilateur de la 1200 LTV ne tentez pas de st riliser ce dernier Produits de nettoyage Afin d viter d endommager les composants plastiques et le panneau frontal du ventilateur n utilisez pas des produits de nettoyage contenant chlorure d ammonium compos s de chlorure plus de 2 de glutarald hyde ou ph nol Immersion du ventilateur Ne pas immerger le ventilateur dans des liquides incluant les produits st rilisants Composants r utilisables du circuit du patient Pour viter la d gradation des composants r utilisables du circuit du patient ne d passez pas les limites suivantes e 50 cycles de nettoyage ou 1 an le premier des deux pr valant Autoclave a vapeur e Pression 20 Ib po e Temp
53. and in accordance with applicable state laws and regulations Patient Monitoring Patients who are dependent on a ventilator should be constantly monitored by qualified personnel Such personnel should be prepared to address equipment malfunctions and circumstances where equipment becomes inoperative An alternative method of ventilation should be available for all patients dependent on the ventilator and qualified personnel should be fully familiar with emergency ventilation procedures AVERTISSEMENT Personnel non qualifi Seul le personnel qualifi doit op rer le ventilateur Le ventilateur de la 1200 LTV est un dispositif m dical restreint con u pour tre utilis par les inhaloth rapeutes ou autres personnes qualifi es et par le personnel qualifi sous la supervision d un m decin et en conformit avec les lois et r glements applicables Surveillance du patient Un personnel qualifi doit constamment surveiller les patients qui sont reli s un ventilateur Le personnel doit tre en mesure de s occuper des d fectuosit s de fonctionnement de l quipement ainsi que des circonstances o ce dernier devient inop rant Une forme de ventilation alternative doit tre disponible tous les patients reli s au ventilateur et le personnel qualifi devrait tre pleinement familier avec les proc dures de ventilation d urgence 7 Airline carriers typically allow only dry cell batteries on board aircraft However some
54. batterie interne est congue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de plusieurs facteurs tels la configuration le niveau de la charge et la condition ou l ge de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e When an LTV 1200 ventilator is operated on its internal battery to the point that the internal battery is completely depleted the ventilator will shut down If the ventilator remains in this state the internal battery may recharge slightly within a few seconds minutes and cause the ventilator to automatically restart and operate for a short period of time This cycle may repeat several times depending on the condition of the internal battery Page 9 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G BAT LOW When the ventilator is operating on internal battery power and the battery charge level falls below the low threshold a BAT LOW alarm is generated When a BAT LOW alarm occurs e The Battery Level LED is displayed Amber e The BAT LOW message is displayed e The audible alarm is sounded To reset the BAT LOW alarm 1 Push the Silence Reset button twice WARNING Battery run time When the battery reaches the BAT LO
55. cifi es Retirer le ventilateur du service et contactez imm diatement un technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems 42 Electrostatic Discharge Page 9 16 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G INOP An INOP alarm is generated when e The ventilator is switched from On to Standby e The ventilator detects any condition that is deemed to make the ventilator unsafe When an INOP occurs the ventilator shuts down and sets the hardware to a safe state so the patient can breathe from room air When an INOP alarm occurs e Inspiratory flow is stopped and the exhalation valve is opened allowing the patient to breathe spontaneously from room air e The oxygen blending solenoids are closed e The INOP LED is illuminated red e The audible alarm is sounded continuously To silence the INOP alarm 1 Push the Silence Reset button to silence the alarm Verify a confirming audible chirp occurs after the alarm is silenced WARNING Alternative Ventilation It is recommended that an alternative means of ventilating the patient be available at all times and that all ventilator operators be fully familiar with emergency ventilation procedures INOP Alarm If an INOP alarm occurs during operation ventilate the patient using an alternative method disconnect the ventilator and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems AVERTIS
56. correctly The Vent Check Menu is set up as follows VENT CHECK ALARM DISPLAY CONTROL LEAK EXIT WARNING Ventilator Checkout Tests Gas is not delivered to the patient during these tests Disconnect the patient from the ventilator and ventilate using an alternative method before running the Ventilator Checkout tests Leak Testing the Patient Breathing Circuit The patient circuit must be leak tested in VENT CHECK mode before connection to the patient Ventilator Checkout mode should also be used to check for correct operation of the alarms displays and controls Harm to the patient or ineffective ventilation may result from failure to leak test the patient breathing circuit before connection to a patient When using a heated humidifier include it in the circuit when leak testing AVERTISSEMENT Tests de v rification du ventilateur Noter que le gaz n est pas transmis au patient au cours de ces tests D brancher le patient du ventilateur et ventiler l aide d une forme de ventilation alternative avant de proc der aux tests de v rification du ventilateur Contr le de l tanch it du circuit respiratoire du patient L tanch it du circuit respiratoire du patient v rification de ventilation doit tre v rifi e en mode VENT CHECK avant le raccordement au patient En outre on doit utiliser le mode Ventilator Checkout v rification du ventilateur afin de s assurer du fonctionnement ad quat de l alarme de
57. d aucune fa on Connecteur d appel d aide aux patients Ne mettez pas plus de 25 V efficace ou 32 V c c au connecteur d appel d aide aux patients Page C 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Communications Port The Communications Port on the LTV 1200 ventilator allows for attachment to and communication with accessories such as graphics monitors or printers Currently the printer option is only available for use by service personnel Use the Communications Setting option in the Extended Features menu to modify the communications protocol see Chapter 10 Extended Features Communications Setting for instructions LTM Graphics Monitor The LTM Graphics Monitor is a thin lightweight color graphics monitor accessory for LTM compatible LTV ventilators e For additional information regarding the LTM Graphics Monitor contact Pulmonetic Systems 2 3888 88 og i S888 BER Ss R SES ET RE ES SES ES dn Y To install and setup an LTM Graphics Monitor refer to the LTM Graphics Monitor Operator s Manual included with your Monitor Operator s Manual LTV 1200 Ventilator Page C 15 p n 18247 001 Rev G Using the Remote Alarm Cable Use the Remote Alarm Cable P N 10893 to connect the LTV ventilator to third party single or dual tone remote alarm systems requiring a normally closed input signal terminated with a 51K o
58. ee 13 6 Chapter 14 Power and Battery Operation nnnnse 14 1 USing the AG Adapter sis rats id ne e tal er lala ren Tete te Nat d 14 2 Using an External Battery asr ere ft 14 3 Using the Automobile Cigarette Lighter Adapter 14 6 Replacing the Automobile Adapter Fuse kek kk k KA KAK KE KE KA KI 14 10 The Universal Power Supply UPS sise 14 10 The Transport Battery System TBS 4 anka kaka ak kalak ek aA KAK KARA KAWA WA KAWA 14 10 The SprintPack Li lon Power System ss 14 11 Caring for the Internal Battery siens 14 12 Battery Replacement it ld rte Dune 14 12 Battery Disposal aaa And mine de man nl BAYA ne AA ana Mage Kek SA KAP EE 14 12 Operator s Manual LTV 1200 Ventilator Page ix p n 18247 001 Rev G Chapter 15 Troubleshooting ocimoioonnononnonionononncannannnaniinannaannnannanniaanninananiiaces 15 1 Displays and BUON A aid Kan 15 2 Ventilator Performance sc 4 al lk ak karak liy sa add 15 6 Power and Battery Operation sise 15 15 A am ner le Sena An attenant nee en GEDE w U R WERA AAE A 15 17 Checkout Test Failures ses 15 24 Test Lung Operations i add nay al le yek d ka uy akre yek b e kk av ka ke kevl dah kah yk k ande u az bev v keka 15 26 Chapter 16 MR Conditional System snnnneee 16 1 MR Conditional System Components ss 16 1 MR Conditional S
59. exact concentrations of inspired oxygen FlO2 are required to be delivered to the patient it is recommended that an accurate oxygen analyzer with alarms be used AVERTISSEMENT Concentration d oxyg ne inspir FIO Si la fr quence respiratoire du patient est variable sa ventilation minute va fluctuer Lorsqu une concentration exacte d oxyg ne inspir FlO2 est n cessaire pour une transmission au patient il est recommand d utiliser un analyseur de niveau d oxyg ne pr cis comportant des alarmes 4 Connect the Patient Circuit To keep moisture out of the sense lines attached at the patient wye be sure to connect the exhalation valve and circuit to the wye so the proximal sense lines are oriented up see below Connect a test lung to the circuit CAUTION Connector Inspiratory Install Wye so sense 22mm Limb line connections are y oriented up while operating MI II SN High Pressure a CA Sense Line y N TO PATIENT Low Pressure F Luer Fittings Sense Line Patient ON Connection Port Exhalation Exhalation Expiratory Sense Line Drive Line Valve Limb Connections DO NOT REMOVE 5 Set any desired extended features options For a detailed list of extended features see Chapter 10 Extended Features 6 Select the ventilation mode and all controls including PEEP to prescribed values Detailed procedures for setting each mode are included later in this chapter The LTV Patient Circuit compli
60. f exceeds the set SBT gt f Vt alarm value Patient Circuit leak Internal problem with the ventilator Check SBT gt f Vt alarm value See page 10 27 for instructions Do a Leak test and reseat or replace the leaking parts or connections See page 71 8 for instructions If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Repeated SBT lt f Vt alarms Total Breath Rate f is less than the set SBT lt f Vt alarm value Patient Circuit leak Internal problem with the ventilator Check SBT lt f Vt alarm value See page 10 27 for instructions Do a Leak test and reseat or replace the leaking parts or connections See page 71 8 for instructions If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Checkout Test Failures Symptoms Possible Causes What to Do Alarm Test Alarm volume set too high Set the alarm volume under the Extended Audible alarm level Features Menu See page 10 3 for an excessive explanation of the ALARM VOL feature Alarm Test Alarm volume set too low Set the alarm volume under the Extended Audible alarm too soft Features Menu See page 10 3 for an explanation of the ALARM VOL feature Alarm sounder blocked Check the alarm sounder opening in the right side of the ventilator to verify the opening is not blocked Internal problem with the ventila
61. flow is not peak flow meet set pressure reached breath is cycled at set Time Term Breath cycles at set percentage g of peak flow Va Flow Term Set Pressure Paw Pressure Support Breaths For some patients it may be useful to adjust the variable flow termination percentage Adjusting the FLOW TERM setting between 10 and 40 will change the length volume and comfort of the inspiration Measured peak flow Higher percentage Lower percentage of peak flow 40 f of peak flow 10 Set Pressure Paw PR Longer Insp PS Time Adjusting Flow Term on Pressure Support Breaths 1 Pressure Control and Pressure Support breaths do compensate for PEEP For example a Pressure Control setting of 20cmH20 and a PEEP setting of 10cmH20 results in a Peak Inspiratory Pressure PIP of 30cmH20 20 cmH20 over the set PEEP Operator s Manual LTV 1200 Ventilator Page 3 5 p n 18247 001 Rev G Spontaneous Breaths For Spontaneous breaths flow is delivered to meet patient demand and maintain the circuit pressure at the measured PEEP from the previous breath The breath is cycled when the flow drops below the Pressure Support Flow Termination setting or below 3 Ipm Spontaneous breaths may also be terminated by exceeding 2 breath periods Spontaneous breaths are patient type breaths Measured Flow delivered to meet peak flow patient demand and maintain PEEP Breath cycles at Pressure Support Breath cycles Flow
62. for flow triggering detection and Vte calculation accumulation Page 10 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G O Conserve Use the O Conserve option to minimize the use of oxygen from an O source while maintaining the FIO during inspiration When CONSERVE ON is selected the ventilator provides a bias flow of 0 Ipm and automatically selects pressure triggering Oxygen is supplied during inspiration but not during expiration O Conserve ON reduces trigger sensitivity and should be used when the conservation of oxygen is necessary When CONSERVE OFF is selected the ventilator provides a bias flow of 10 lpm and automatically selects flow triggering O2 Conserve OFF provides the best trigger sensitivity and should be used when the conservation of oxygen is not a priority e The O Conserve option is not affected by turning the ventilator on or off The ventilator retains the desired setting through power up and power down cycles If O2 Conserve is set to ON the message BIAS FLO OFF will scroll through the alphanumeric display when the ventilator is in operation To modify the O2 CONSERVE setting 1 Push the Select button while O2 CONSERVE is displayed 2 CONSERVE ON or CONSERVE OFF is displayed 3 Turn the Set Value knob until the desired state is displayed 4 Push the Select button Options ON or OFF WARNING O Conserve When CONSERVE ON is selected e TheLTV 1200 automatically se
63. is controlled by the Pressure Support or Pressure Control setting and is affected by the PEEP setting For example a Pressure Support setting of 20cmH20 and a PEEP setting of 10cmH 0 results in a Peak Inspiratory Pressure PIP of 30cmH 0 REMARQUE La pression de support et le contr le de la pression des respirations sur le LTV 1200 sont compens s pour la pression expiratoire positive PEP La pression administr e est contr l e par le r glage de la pression de support ou par le r glage du contr le de la pression et elle d pend du r glage PEP Par exemple un r glage de la pression de support de 20 cmH 0 et un r glage PEP de 10 cmH20 donnent une pression inspiratoire maximale Plmax de 30 cmH20 Operator s Manual LTV 1200 Ventilator Page 1 1 p n 18247 001 Rev G Operator s Safety Information All Operators are to read and understand the following information about Warning Caution and Note statements before operating the LTV 1200 ventilator WARNING WARNING statements alert the reader to potentially hazardous situations which if not avoided could result in death or serious injury AVERTISSEMENT Les nonc s AVERTISSEMENT informent le lecteur de situations dangereuses qui si elles ne sont pas vit es peuvent entrainer la mort ou des blessures graves CAUTION CAUTION statements alert the reader to potentially hazardous situations which if not avoided could result in equipment
64. is on the message LOCKED will be displayed in the display window and the Control Lock LED will flash Two different levels of difficulty can be set for control unlocking Easy and Hard The Easy unlocking method should be used when only trained personnel have access to the ventilator The Hard method should be used when children or others may have access to the ventilator and you want to prevent accidental changes to the control settings Easy unlocking is the default and this setting is changed using the Extended Features menus To turn the Control Lock on 1 Push the Control Lock button The Control Lock LED is on whenever the front panel controls are locked If you push a button while the controls are locked 1 The Control Lock LED will flash 2 LOCKED will be displayed in the display window 3 The button push is ignored To turn the Control Lock off with Easy unlocking 1 Push the Control Lock button To turn the Control Lock off with Hard unlocking 1 Push and hold the Control Lock button for 3 seconds These controls are not affected by the Control Lock and operate even when the Control Lock is on Manual Breath Silence Reset Select NOTE The Control Lock button also serves as an escape key from the Extended Menu REMARQUE Le bouton de verrouillage sert aussi de touche d chappement pour quitter le menu Fonctions avanc es Control Retention Once a control value is set that value will be retaine
65. it should be a continuous tone or light PNT ASSIST option set to PULSE Defective Patient Assist Call System Internal problem with the ventilator Set PNT ASSIST option to NORMAL See page 10 6 for instructions Contact Patient Assist Call System manufacturer or service personnel Immediately contact a certified Pulmonetic Systems service technician Repeated SBT gt f alarms Total Breath Rate f exceeds the set SBT gt f alarm value Patient Circuit leak causing autocycling Internal problem with the ventilator Check SBT gt f alarm value See page 70 27 for instructions Do a Leak test and reseat or replace the leaking parts or connections See page 11 8 for instructions If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Repeated SBT lt f alarms Total Breath Rate f is less than the set SBT lt f alarm value Patient Circuit leak Internal problem with the ventilator Check SBT lt f alarm value See page 10 27 for instructions Do a Leak test and reseat or replace the leaking parts or connections See page 71 8 for instructions If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 15 23 Symptoms Possible Causes What to Do Repeated SBT gt f Vt alarms Total Breath Rate
66. less than the minimum inlet pressure of 35 PSIG the LOW 02 PRES alarm is generated This alarm is only active when Low Pressure O Source is not selected and the oxygen concentration is set to greater than 21 NOTE The LTV 1200 features an enhanced Low O Pressure alarm algorithm which allows for a brief temporary drop of the O pressure supply while maintaining delivered O REMARQUE Le LTV est caract ris par un algorithme am lior alarme de pression d oxyg ne bassez lequel permet la chute br ve et temporaire de l approvisionnement de pression d oxyg ne basse tout en maintenant le d oxyg ne administr When a LOW O2 PRES alarm occurs e The LOW O2 PRES message is flashed in the display window e The 02 O Flush control display is flashed e The audible alarm is sounded To reset the LOW O2 PRES alarm 1 Push the Silence Reset button to silence the alarm 2 Reset the ventilators oxygen inlet pressure 3 Push the Silence Reset button to reset the alarm Operator s Manual LTV 1200 Ventilator Page 9 19 p n 18247 001 Rev G LOW PEEP When the patient circuit positive end expiratory pressure PEEP is less than the Low PEEP alarm setting the LOW PEEP alarm is generated e To prevent nuisance alarms the LOW PEEP alarm is suspended for the first three 3 breaths or 60 seconds whichever is longer after power on and ventilation begins When a LOW PEEP alarm occurs e The LOW PEEP messag
67. n a yyyy mm dd Display Select Toggles between manual or n a automatic display scrolling and changes monitor displayed Inspiratory Expiratory One push toggles monitor Hold window display between normal display INSP HOLD and EXP HOLD While INSP HOLD is 6 seconds maximum displayed a push and hold initiates an Inspiratory Hold While EXP HOLD is 6 seconds maximum displayed a push and hold initiates an Expiratory Hold Inspiratory Time 0 3 to 9 9 seconds 0 05 seconds Leak Compensation On Off n a Language English Dansk Deutsch n a Espanol Francais Italiano Norsk Portugues Svenska Pyccko O 21 to 100 O mean 21 to 50 3 51 to 95 5 keep steady state only O Flush O 95 5 Time 1 2 or 3 minutes 0 1 sec Patient Query On Off n a PEEP CPAP 0 to 20 cmH20 Uncalibrated Operator s Manual LTV 1200 Ventilator Page A 1 p n 18247 001 Rev G Control PIP LED Display Pressure Control Pressure Control Flow Termination Pressure Support Set Date Set Time Sensitivity Tidal Volume Variable Flow Termination Variable Rise Time Variable Time Termination Bias Flow SBT Start SBT PS SBT PEEP SBT FIO SBT O minutes SBT high f Vt SBT low f Vt SBT High f SBT Low f Display f Vt Range On Off 1 to 99 cmH 0 On Off 1 to 60 cmH 0 01 01 1998 to 12 31 2097 00 00 00 to 23 59 59 1 to 9 Lpm 50 to 2000 ml 10 to 40 1to
68. op rateur Tout entretien doit tre effectu par un technicien de service certifi de Pulmonetic Systems Alarmes sonores L chec identifier et corriger dans l imm diat les situations d alarmes sonores peut causer des blessures au patient Mauvais fonctionnement ou panne de l quipement Des dispositifs lectrom caniques peuvent mal fonctionner ou subir une panne Le ventilateur de la s rie LTV a t con u avec des alarmes pour d tecter et aviser les op rateurs de certaines conditions et pour cesser d op rer en cas de conditions d op ration dangereuses En cas de panne de l quipement tous les op rateurs du ventilateur devraient avoir une forme de ventilation alternative leur disponibilit et tre pleinement familiers avec les proc dures de ventilation d urgence Ventilateurs fonctionnant de fa on inad quate L op ration d un ventilateur dont le fonctionnement semble inad quat peut repr senter un danger Si le ventilateur est endommag s il choue les tests de v rification du ventilateur ou s il fonctionne de fa on inad quate suspendez l utilisation de ce ventilateur et contactez imm diatement votre technicien de service certifi de Pulmonetic Systems Tests de v rification du ventilateur Noter que le gaz n est pas transmis au patient au cours de ces tests D brancher le patient du ventilateur et ventiler le patient l aide d une forme de ventilation alternative avant de proc der aux
69. period will begin For any alarms that occur during the silence period the visual displays will flash but the audible alarm will remain silenced until the end of the silence period Vent Inop and Standby alarms To silence the Vent Inop or Standby alarm 1 Push the Silence Reset button The audible alarm will be permanently silenced but the Vent Inop LED will remain lit for a minimum of 5 minutes This does not adversely affect battery life Operator s Manual LTV 1200 Ventilator Page 6 27 p n 18247 001 Rev G Tidal Volume Use the Tidal Volume control to establish the volume of gas which the ventilator will produce and deliver during Volume Controlled breaths Flow is delivered in a taper waveform over the set Inspiratory Time The peak flow is calculated based on the Tidal Volume and Inspiratory Time with a maximum flow of 100 Ipm and a minimum flow of 10 Ipm Flow is decelerated from the calculated peak flow to 50 of the calculated peak flow Inspiratory Time Taper Waveform While the Tidal Volume is being updated the Calculated Peak Flow is displayed in the display window To set the Tidal Volume 1 Push the Tidal Volume button 2 Change the setting using the Set Value knob 3 Push the Tidal Volume button again to deselect the setting and accept the new value Range 50 2000 ml NOTE Be sure that Volume ventilation is selected REMARQUE Assurez vous que le volume de ventilation est s lec
70. protective boot 2 to the ventilator as shown in the illustration Move the boot into position on the bottom of the ventilator and align its four screw holes with the corresponding holes in the ventilator side panels Insert and thread four 4 40 X 1 2 flat head mounting screws 7 with finish washers 6 through the screw holes in the sides of the lower boot as indicated in the illustration below Torque tighten all four screws in the boot to 20 in oz 0 14 Nm do not over tighten to avoid damage to the finish washers Y Z N Counter lt p Example Finish Washer to N Screw Orientation ED Z7 e Item 5 4 40 X 1 4 Flat head mounting screw 1 P N 10430 e Item 6 Finish Washers 8 P N 10191 19119 001 or 19119 002 e Item 7 4 40 X 1 2 Flat head mounting screws 6 P N 10338 e Item 8 4 40 X 3 8 Flat head mounting screws 2 P N 10474 77 78 Refer to page C 8 for information concerning the appropriate accessories mounting screws or accessories replacement screws location type and length to use when removing or exchanging external accessories on an LTV ventilator Contained in Pulmonetic Systems Replacement Screws kit P N 11149 Page C 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G LTV External Accessories Mounting Screws Location Type amp Length Reference Pulmonetic Systems Replacement Screws Kit P N 11149 i i Screw Screw W
71. receives a minimum number of machine and assist breaths The available breath types are Volume Control and Pressure Control A volume or pressure breath that the patient triggers and which is then controlled and cycled by the ventilator Assist breaths may occur in Assist Control and SIMV modes Autozero The procedure for determining the transducer zero offset for ambient pressure Bias flow A constant stream of gas through the patient circuit during the exhalation phase of the breath bpm Breaths Per Minute Breath period The time between consecutive ventilator started breaths The Breath Period is determined by the Breath Rate per minute setting For instance a Breath Rate of 6 would give a Breath Period of 10 seconds 60 seconds divided by 6 bpm Breath rate set The minimum quantity of machine breaths given in a minute BTPD Body Temperature Pressure Dry Circuit See airway circuit Circuit pressure See airway pressure cmH 0 Operator s Manual p n 18247 001 Rev G Centimeters of water A unit of measure for pressure LTV 1200 Ventilator Page F 1 TERM Control mode DEFINITION A ventilation mode where the ventilator delivers machine breaths at a set rate In Control Mode patient triggers are not allowed CPAP Continuous Positive Airway Pressure The ventilator continuously maintains Positive gas pressure through the patient circuit during the entire brea
72. required voltage being delivered to the ventilator If this condition occurs the ventilator will generate a POWER LOST alarm and switch the ventilator s power source to the internal battery AVERTISSEMENT Avant toute utilisation d une prise d allume cigare ou d une prise de courant Avant d utiliser un allume cigare ou une prise de courant comme source d alimentation du ventilateur LTV 1200 v rifiez que la batterie interne du ventilateur est en bon tat et enti rement charg e L utilisation d un allume cigare ou d une prise de courant fournissant un branchement de qualit m diocre des d fauts du circuit lectrique batterie syst me de charge etc ou l utilisation d accessoires d automobile climatisation phares cha ne st r o et haut parleurs forte consommation etc peuvent affecter le voltage d livr au ventilateur et provoquer une sous alimentation de celui ci Dans cette situation le ventilateur d clenche une alarme PAS ALIM SEC et utilise la batterie interne du ventilateur comme source d alimentation 1 Pulmonetic Systems Automobile Cigarette Lighter Adapter P N 10703 Page 14 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G CAUTION Automobile Cigarette Lighter and Power Outlets Automobile cigarette lighter and power outlets are normally wired for a positive center contact and ground sleeve contact Connecting the ventilator to an improperly wired outlet will cause the
73. s Manual P N 10890 for other safety information extended operating procedures and troubleshooting techniques TV Series External Battery Kit Operator s Manual P N 10890 Operator s Manual LTV 1200 Ventilator Page 14 5 p n 18247 001 Rev G Using the Automobile Cigarette Lighter Adapter An optional Automobile Cigarette Lighter Adapter is available to power the LTV 1200 ventilator while operating in a vehicle This adapter is designed to connect to high power pre wired 12V automobile cigarette lighter or auxiliary power outlets capable of supplying at least 20 amperes of current e Newer vehicles have Auxiliary Power Outlets which typically have lower contact resistance and higher amperage ratings than Automobile Cigarette Lighter Outlets and should be used when available e The use of third party installed automobile cigarette lighter style power outlets is not recommended i e on battery boxes or wheelchairs WARNING Before Using Automobile Cigarette Lighter or Power Outlets Before using Automobile Cigarette Lighter or Power Outlets as a power source for the LTV 1200 ventilator assure that the ventilator s internal battery is in good condition and fully charged Poor cigarette lighter or power outlet connections electrical system defects battery charging system etc or use of vehicle accessories air conditioner high current lights high power audio equipment etc could result in less than the
74. s breath rate no longer exceeds the set HIGH f alarm value Operator s Manual LTV 1200 Ventilator Page 9 11 p n 18247 001 Rev G HIGH O PRES When the average oxygen inlet pressure exceeds the acceptable limit for the type of oxygen source the HIGH 02 PRES alarm is generated e If Low Pressure O Source is selected the inlet pressure is gt 10 PSIG e If Low Pressure O Source is not selected and the oxygen concentration is set to greater than 21 the inlet pressure is gt 85 PSIG When the Low Pressure O Source option is selected and a high O pressure source is attached to the ventilator an Automatic High O Switch Over safety response generates a HIGH O2 PRES alarm switches the ventilator to High Pressure O2 Source mode and sets the percentage of oxygen to be delivered in the gas flow to 21 When a HIGH O2 PRES alarm occurs e The HIGH O2 PRES message is flashed in the display window e The 0 O Flush control display is flashed e The audible alarm is sounded To reset the HIGH O2 PRES alarm 1 Push the Silence Reset button to silence the alarm 2 Adjust the oxygen inlet pressure 3 Push the Silence Reset button to reset the alarm Page 9 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G HIGH PEEP When the patient circuit positive end expiratory pressure PEEP exceeds the High PEEP alarm setting the HIGH PEEP alarm is generated When a HIGH PEEP alarm occurs e The HIGH PEEP mess
75. seconds the message will be removed and the LED will turn off e Pushing the Select Silence Reset or Control button will return the display to normal and the LED will stop flashing Operator s Manual LTV 1200 Ventilator Page 6 5 p n 18247 001 Rev G Inspiratory Hold An Inspiratory Hold maneuver holds the inspiratory phase of a delivered breath for a duration sufficient to determine A Pres pressure and static lung compliance of the patient To perform the Inspiratory Hold maneuver 1 Push the Insp Exp Inspiratory Expiratory Hold control button once and the display window will toggle from normal monitor display to INSP HOLD 2 Push and hold the Insp Exp Inspiratory Expiratory Hold button during a volume inspiration e The ventilator will perform an Inspiratory Hold on the next Volume breath e P Plat will be displayed in the display window e All buttons that are not lockable will operate normally e All buttons that are lockable will be ignored 3 Continue holding the button until the Volume inspiration is completed During the maneuver e The exhalation valve will remain closed e Flow will be set to 0 LPM e P Plat xxx will be displayed in the display window where xxx is the real time circuit pressure e The breath period will remain in inspiration phase so no breath triggers are allowed e DISC SENSE and HIGH PRES alarms will terminate the maneuver 4 Release the button when the pressure setting is P Plat or when 6 0
76. seconds elapse whichever comes first e The exhalation valve will be opened and a normal exhalation phase will begin e The display will cycle every 2 seconds between A Pres xxx where xxx is the change in pressure C Static xxx where xxx is the static compliance and P Plat xxx where xxx is the plateau pressure NOTE Breath period timing and apnea timing will be suspended while the maneuver is performed As a result the apnea alarm will not alarm during the maneuver REMARQUE La synchronisation de la p riode de respiration et la synchronisation de l apn e sont interrompues pendant la manoeuvre Ainsi l alarme d apn e ne se d clenche pas au cours de la man uvre Range P Plat 0 100 cmH20 A Pres 0 100 cmH 0 C Static 1 999 ml cmH 0 14 p Plat is Plateau pressure reached during Inspiratory Hold maneuver 15 Pres is calculated as P Plat Pressure PEEP measured from previous breath 16 C Static is calculated as Set Delivered Volume A Pres Page 6 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G NOTE The ventilator will not perform an Inspiratory Hold maneuver during Pressure Control Pressure Support or Spontaneous breaths If the button is held during exhalation or any non volume inspiration e The associated LED will be blinking e All buttons that are not lockable will operate normally e All buttons that are lockable will be ignored If the button is released before the insp
77. setting using the Set Value knob Range 21 100 WARNING Inspired Oxygen FIO2 Concentration If the patient has a variable respiratory rate his her minute ventilation will fluctuate If exact concentrations of inspired oxygen FlO2 are required to be delivered to the patient it is recommended that an accurate oxygen analyzer with alarms be used AVERTISSEMENT Concentration d oxyg ne inspir FIO Si la fr quence respiratoire du patient est variable sa ventilation minute va fluctuer Lorsqu une concentration exacte d oxyg ne inspir FIO est n cessaire pour une transmission au patient il est recommand d utiliser un analyseur de niveau d oxyg ne pr cis comportant des alarmes CAUTION Oxygen Supply Contamination The accuracy of the oxygen delivery capabilities of LTV 1200 ventilator can be compromised by foreign debris contamination in the oxygen supply system To reduce the risk of airborne contaminants entering the ventilator ensure that any oxygen supply connected to the ventilator is clean properly filtered and that the ventilator s O Inlet Port Cap is securely installed on the O Inlet Port whenever the ventilator is not connected to an external oxygen supply 18 For information on using a low pressure low flow source see Low Pressure O2 Source in this section 19 In addition to the existing internal O Inlet filter P N 14313 an External In Line Oxygen Filter P N 14470 is available f
78. sont ins r s dans celle ci Des pistolets de gaz haute pression sont utilis s pour l ass cher Operator s Manual LTV 1200 Ventilator Page 1 13 p n 18247 001 Rev G ATTENTION Nettoyage du panneau frontal Ne pas asperger des solutions nettoyantes ou les laisser s couler sur le panneau frontal Entretien des filtres bact riens Les filtres bact riens ne devraient pas tre immerg s dans un liquide Un autoclave vapeur devrait tre utilis pour le nettoyage des filtres bact riens Filtres mouill s ou humides Ne pas installer des filtres mouill s ou humides dans les ventilateurs de la s rie LTV Cela pourrait endommager le ventilateur Contamination de la r serve d oxyg ne La pr cision de la capacit d alimentation en oxyg ne des ventilateurs LTV peut tre compromise par la pr sence de corps trangers dans le syst me d alimentation en oxyg ne Afin de diminuer le risque de pr sence d agents contaminants atmosph riques dans le ventilateur assurez vous que la r serve d oxyg ne reli e au ventilateur est propre et filtr e de mani re ad quate et que le bouchon de l orifice d alimentation en oxyg ne est correctement install chaque fois que le ventilateur n est pas reli une source d oxyg ne externe Conduites de d tection N enlevez pas les conduites de d tection qui se trouvent sur les divisions en du circuit du patient Allume cigare et prises de courant L
79. such as the Low Minute Volume alarm and the Low Pressure alarm may cause non detection no alarm for a disconnection of the lower sense line or the exhalation valve drive line Exhalation Valve Diaphragm Patient ventilation may be ineffective or dangerous if the exhalation valve diaphragm is damaged or worn out The exhalation valve diaphragm must be inspected on a daily basis and replaced whenever necessary Sustained HIGH PRES Alarm During a sustained High Pressure alarm condition HIGH PRES the ventilator s turbine is stopped and gas is not delivered to the patient Disconnect the patient from the ventilator and ventilate the patient using an alternative method See Chapter 15 Troubleshooting Alarms for additional information concerning the HIGH PRES alarm BAT EMPTY Alarm A BAT EMPTY alarm indicates the internal battery is almost depleted Connect the ventilator to an external power source immediately Operator s Manual LTV 1200 Ventilator Page 1 3 p n 18247 001 Rev G WARNING Battery run time When the battery reaches the BAT LOW level the ventilator will only run for approximately 10 minutes before generating a battery empty alarm BAT EMPTY The approximate time shown is based on tests using the nominal settings a new battery and a full 8 hour charge cycle as specified in Appendix Ventilator Specifications Actual run time may be more or less depending on ventilator settings patient demand and battery age or
80. the battery is recharged or external power is applied Operator s Manual LTV 1200 Ventilator Page 9 3 p n 18247 001 Rev G BAT EMPTY cont NOTE When the battery reaches empty the ventilator may run for approximately 5 minutes before shutdown based on the nominal settings a new battery and a full 8 hour charge cycle as specified in Appendix A Ventilator Specifications Actual run time may be more or less depending on ventilator settings patient demand and battery age Internal Battery Use The internal battery is intended for use during short periods while switching between external power supply connections emergency situations or short duration transports The length of time the ventilator will operate on internal power is a function of many factors such as settings charge level and condition or age of the battery therefore the use of the internal battery as a standard operating practice is not recommended REMARQUE Lorsque la batterie atteint le niveau Vide le ventilateur continuera de fonctionner pendant environ cinq minutes avant de s teindre dans le cas de r glages nominaux d une nouvelle batterie et d un cycle de charge complet de huit heures tel que sp cifi dans l annexe A Ventilator Specifications La dur e de fonctionnement r elle peut tre inf rieure ou sup rieure suivant les r glages du ventilateur les besoins du patient et l ge de la batterie Utilisation de la batterie interne La
81. the control is deselected all displays will return to their normal brightness The new control value goes into effect as soon as the control is deselected Page 5 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Buttons Button controls do one of three things e Turn a feature on or off such as Control Lock e Toggle between two features such as Volume or Pressure ventilation e Perform a function such as Manual Breath Push the button to activate the feature or change the feature state A green LED next to the button indicates when a feature is on For Mode buttons there is a second confirmation push required To toggle between modes 1 Push the mode button The associated LED will flash for 5 seconds 2 To confirm the mode change push the mode button again while the LED is flashing The ventilator will begin operating in the new mode To prevent an accidental shutdown the ventilator requires a longer push of the On Standby button to put the ventilator in the Standby state To put the ventilator in Standby push and hold the On Standby button for 3 seconds Set Value Knob Use the Set Value knob to set control values and navigate extended features menus To change the setting for a variable control select the control then turn the knob clockwise or counter clockwise until the desired setting is reached For information on how to use the Set Value knob to navigate the extended features menus see Ch
82. to dashes the ventilator will be operating in Control mode e f Sensitivity is set to any other value the ventilator will be operating in Assist Control mode When SIMV CPAP is selected the ventilator will be in SIMV or CPAP mode depending on the Breath Rate setting e f Breath Rate is set to dashes the ventilator will be operating in CPAP mode e f Breath Rate is set to any other value the ventilator will be operating in SIMV mode REMARQUE Lorsque Aide Contr le est s lectionn le ventilateur sera en mode Contr le ou Aide selon le r glage de la sensibilit e Sila sensibilit est r gl e sur Traits le ventilateur fonctionnera en mode Contr le e Sila sensibilit est r gl e sur toute autre valeur le ventilateur fonctionnera en mode Aide Contr le Lorsque le mode SIMV CPAP est s lectionn le ventilateur sera en mode SIMV ou CPAP selon le r glage du d bit respiratoire e Si le d bit respiratoire est r gl sur Traits le ventilateur fonctionnera en mode CPAP e Si le d bit respiratoire est r gl sur toute autre valeur le ventilateur fonctionnera en mode SIMV Operator s Manual LTV 1200 Ventilator Page 6 1 p n 18247 001 Rev G Breath Rate Use the Breath Rate control to establish the minimum rate of machine or assist breaths that the ventilator will deliver per minute To set the Breath Rate 1 Push the Breath Rate button 2 Change the setti
83. tres nominaux une nouvelle batterie et un cycle de chargement complet de 8 heures tel que sp cifi dans l Annexe A Sp cifications du ventilateur La dur e d utilisation r elle pourrait tre sup rieure ou inf rieure selon les param tres du ventilateur la demande du patient et l ge ou l tat de la batterie Il est fortement recommand qu une source d alimentation alternative soit connect e AVANT que le ventilateur n atteigne l tat d alarme BAT INT VIDE afin d assurer une ventilation continue et ininterrompue au patient Operator s Manual LTV 1200 Ventilator Page 7 3 p n 18247 001 Rev G Charge Status The Charge Status indicator shows the charge state of the internal battery This LED is on when the ventilator is supplied with external power and the internal battery is being charged The charge status is indicated as follows LED Color Charge Status The ventilator is performing pre charge testing of the battery before starting the charge process This occurs when external power is first connected The process normally takes a few seconds but may take up to an hour on a deeply discharged battery Flashing Amber Green The internal battery is charged to full level While in this state the charger will continue to trickle charge the battery Amber The internal battery is being bulk charged The battery has not reached a full charge level yet Red The ventilator has detected a charge internal ba
84. ventilator settings as follows and run the equipment for at least two minutes Mode Volume Assist Ctrl Low Press 02 Off Breath Rate 12 Tidal Volume 500 Insp Time 1 sec Pressure Support 0 O2 21 Sensitivity 3 High Pressure Limit 100 Low Pressure Alarm 5 Low Min Vol 1 0 PEEP 0 Set the 02 control to 22 Reset O2 to 21 and clear the alarm Set the Low Min Vol alarm to 10L Reset the Low Min Vol alarm to 1 0 and clear the alarm Set the Low Pressure alarm to 60 Set the Low Pressure alarm to 5 and clear the alarm Set the High Pres Limit to 10 cmH 0 below the Peak Inspiratory Pressure Reset the High Pres Limit alarm to 100 and clear the alarm Performance Requirement Selected Monitors should read as follows e Exhaled Tidal Volume 383 to 633 ml e E Ratio 1 3 8 to 1 4 2 e Total Breath Rate 12 bpm e Total Minute Vol 4 6 to 7 6 L e No alarms LOW O2 PRES alarm activates after a short pause LOW MIN VOL alarm activates LOW PRES alarm activates HIGH PRES alarm activates 81 See Chapter 11 Ventilator Checkout Tests for more information Page C 18 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Ventilator Settings and Procedure G Disconnect the high pressure sense Performance Requirement e DISC SENSE alarm activates on the next line from the ventilator see the illustration in Appendix C Patient Breathing Circuit Connection Instr
85. 0 Extended Features for how to set the Variable Flow Termination percentage and enable Flow Termination for Pressure Control breaths 3 See Chapter 10 Extended Features for how to set the Flow Rise Time profile Page 6 22 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Pressure Support This control establishes the target pressure above the PEEP setting for Pressure Support patient breaths If Pressure Support is set to dashes all patient breaths will be given as Spontaneous breaths Inspiratory flow for Pressure Support and Spontaneous breaths is controlled to meet the patient demand NOTE Pressure Control and Pressure Support breaths do compensate for PEEP Delivered pressure is controlled by the Pressure Support setting and is affected by the PEEP setting For example a Pressure Control setting of 20cmH20 and a PEEP setting of 10cmH 0 results in a Peak Inspiratory Pressure PIP of 30cmH20 REMARQUE Le contr le de la pression et la pression de support des respirations compensent la PEP La pression administr e est contr l e par le r glage du contr le de la pression et elle d pend du r glage PEP Par exemple un r glage du contr le de la pression de 20 cmH 0 et un r glage PEP de 10 cmH O donnent une pression inspiratoire maximale Plmax de 30 cmH 0 Pressure Pressure Control Control PEEP PEEP Paw Paw Profile 1 Faster Rise Time Profile 9 Slower Rise Time To set Pressure S
86. 00 Ventilator Operator s Manual p n 18247 001 Rev G Manual Breath Use the Manual Breath button to deliver one 1 Machine breath The breath will be a Volume Control or Pressure Control breath as defined by the current ventilator settings The Manual Breath LED is on during the Manual Breath inspiration To deliver a Manual breath 1 Push the Manual Breath button The Manual Breath button is only active during exhalation Operator s Manual LTV 1200 Ventilator Page 6 17 p n 18247 001 Rev G O O Flush The O2 O Flush button is a dual function control O and O Flush e When being used to set the percentage of oxygen delivered by the ventilator through the oxygen blending system 02 push and release the O2 O Flush button as described below When being used to elevate the delivered FIO to 100 for a preset period of time O Flush push and hold the O2 O Flush button for 3 seconds as described in Chapter 10 Extended Features O2 Flush The 02 O Flush control establishes the percentage of oxygen to be delivered through the oxygen blending system Oxygen blending requires a high pressure oxygen source and is active only when Low Pressure O Source is not selected When Low Pressure O Source is selected this control is displayed as dashes and may not be modified To set the percentage of oxygen delivered by the ventilator 1 Push and release the O2 O Flush button 2 Change the
87. 0cmH20 and a PEEP setting of 10cmH20 results in a Peak Inspiratory Pressure PIP of 30cmH20 20 cmH20 over the set PEEP Operator s Manual LTV 1200 Ventilator Page 3 3 p n 18247 001 Rev G Pressure Control Breaths cont Pressure Control breaths have an optional flow termination criteria If PC Flow Termination is ON Pressure Control breaths may be time or flow terminated If the flow drops to the set FLOW TERM level before the inspiratory time is completed the inspiration is cycled Peak Set pressure is Flow maintained and inspiratory flow goes to zero Breath terminates at set Insp Time Breath terminates at set percentage of peak flow Y Set Pressure Set Pressure Paw Le Set Insp E E Set Insp Time ii Time PC FLOW TERM set to OFF PC FLOW TERM set to ON Pressure Control Breath terminates normally Pressure Control Breath terminates at the same Percentage of Peak Flow as Pressure Support breaths Page 3 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Pressure Support Breaths For Pressure Support breaths flow is delivered to elevate the circuit pressure to the Pressure Support setting and maintain it at that pressure until the flow drops below a variable percentage of the peak flow Pressure Support breaths may also be cycled by a variable time limit or by exceeding 2 breath periods Pressure support breaths are patient type breaths Measured Flow delivered to When set of peak
88. 1 8 for Immediately contact a certified Pulmonetic Systems service technician Ventilator does not work with LTM Graphics Monitor Communications setting is not set to MONITOR mode Ventilator requires upgrades to be compatible with LTM Graphics Monitor Defective connections between the LTM Graphics Monitor and the ventilator LTM Graphics Monitor Set communications setting to MONITOR mode See page 10 16 for instructions Check LTM compatibility in the Model Number menu See page 10 19 for instructions If the ventilator is not LTM compatible it will require upgrading by a certified Pulmonetic Systems service technician to accommodate the Check the Communications Data Cable connection between the ventilator s communications port and the LTM Graphics Monitor s Data Port See the LTM Graphics Monitor Operator s Manual P N 11010 for detailed instructions Page 15 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Power and Battery Operation Problem Possible Causes What To Do The ventilator does not power up Faulty power connection AC power source or adapter and depleted internal battery Verify the power cord for the AC adapter is fully seated Connect the ventilator to a verified source of AC power Allow the internal battery to charge a minimum of 8 hours Internal problem with the ventilator Immediately conta
89. 20 High or low side sense lines disconnected from vent or wye High or low side sense line or elbow at patient wye loose or leaking High or low sense lines are occluded High or low sense ports in the wye are occluded Check high and low pressure sense lines to be sure they are correctly attached and securely seated at both the ventilator and wye ends Check the luer fitting connections for leaks Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Patient circuit disconnected at patient ventilator or circuit component LTV 1200 Ventilator Check the circuit and exhalation valve to verify the circuit is securely connected and the valve is intact Open the exhalation valve and remove the diaphragm Reseat the diaphragm and snap the valve cap back in place See page 13 10 for a diagram of correct exhalation valve assembly Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do continued Exhalation drive line leaking Check the exhalation drive line at both Repeated or loose the ventilator and exhalation valve ends DISC SENSE alarms Exhalation valve leaking Verify the line is securely seated and not during inspiration Internal problem with the ventila
90. 37 SBT AOR F Se N in ee ets ate eee et he ee eee 9 37 SBT LO ROR PF cee e E S 9 37 SBT TIME nuit ND anne nn nine dent e E TD diner nn den no fee de 9 38 WARMUP SX ne ce e Ce Re dee Ki de da 9 38 Chapter 10 Extended Features 10 1 Navigating the Extended Features Menus 10 2 Alarm Operation Si one tte ee ane aed ne ae ne ne Yh 10 3 Alarm Volume A mr tte aan A Tourne hote etats tete nna ete 10 3 NT 10 4 High Pressure Alarm Delay lt l a ica ta kk cene Dota nas 10 4 Low Peak Pressure Alarme nn ne k n e lt tia 10 4 High fin A ee Re i o delo ee ea i Ce Ne ate 10 5 High n zi D SAR MM oda ita Soares 10 5 LOW PE E n te A ak E A e e A A er Sed Kene er A ded SLA eee 10 5 Patient ASS k kin y l l l A el A AZ si ee ee h z yk Eka ten nets 10 6 EXD A Zin ba J rin kirin n b z E a kiw yen ni Kek bda nln bir y n n nin he Kuba n b d nin kes n eb tn E 10 6 Vent Operations it et ren tn ld re GI Ke de keze Ka Sky KE l Sete nada 10 7 WESEN AI NH DN ND a E HHHH RR T gw 10 8 Variable Flow Termination seen 10 9 Variable Time Terminal oia rame lel Dee az 10 10 Pressure Control Flow Termination eres seceaeaeceeeeeeeeeeescnieeeeeeeeeeees 10 11 Leak Compensation sise 10 12 OS CONSERVER b n ve dek en KOYAN MAA we been race at enr K dead lana Cede duce re AE 10 13 Oo Plus Misco dial 10 14 Control UnlOck 0 0 cio maman ti T a ed A A
91. 398 8400 E mail info pulmonetic com Website http www pulmonetic com Page B 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix C INSTALLATION AND CHECKOUT Installation and Setup Unpacking the Ventilator Instructions 1 Inspect the exterior of the ventilator transport container for evidence of damage during transit If present notify the delivering service 2 Take the ventilator and all accessories out of the transport container 3 Confirm the presence of all items listed on the packing slip Notify an authorized sales representative or Pulmonetic Systems of any discrepancies 4 Examine all components for visible damage If present notify the delivering service 5 Retain the transport container for potential ventilator service or maintenance returns Operator s Manual LTV 1200 Ventilator Page C 1 p n 18247 001 Rev G Protective Boots Rubberized protective boots are installed on the top and bottom of all current versions of LTV ventilators to protect them from accidental shocks and strikes to the casing If desired they may be removed and or re installed using the following instructions Y Lower Protective Boot WARNING Mounting Screw Use Internal damage to the ventilator may result if the wrong length mounting screws are used when installing or removing external accessories Accessories Mounting Screws Refer to the information contained in Pulmonetic Systems Re
92. 6 29 Pressure Support 6 23 15 2 Pressure Support Breath 3 5 4 4 Pressure Trigger See Triggers Preventative Maintenance B 1 Protective Boot Installation C 6 Protective Boot Removal C 3 Protective Boots C 2 R Real Time Transducers 10 32 Remote Alarm Cable C 16 Remote Alarm System 15 22 REMOVE PTNT 9 25 11 2 RESET 9 26 15 21 RISE TIME 3 3 6 22 6 23 10 8 Rise Time Profile See RISE TIME RT XDCR DATA 10 32 15 6 RUNAWAY 15 21 S SBT lt f 9 27 15 23 SBT lt f Vt 9 29 SBT gt f 9 28 15 23 SBT gt f Vt 9 30 15 24 SBT f OFF 9 36 SBT f Vt OFF 9 37 SBT FIO2 10 27 SBT HI f OFF 9 37 Operator s Manual p n 18247 001 Rev G SBT HIGH f 10 27 SBT LO f OFF 9 37 SBT LOW f 10 27 SBT min 8 2 8 4 SBT OFF 9 31 SBT OP 10 25 SBT Operations 10 25 SBT Operations DISPLAY f Vt 10 27 SBT Operations HIGH f Vt 10 27 SBT Operations LOW f Vt 10 27 SBT Operations MINUTES 10 27 SBT Operations PEEP 10 26 SBT Operations PRES SUPPORT 10 26 SBT Operations SBT FIO2 10 27 SBT Operations SBT HIGH f 10 27 SBT Operations SBT LOW f 10 27 SBT Operations SBT OP 10 25 SBT Operations SBT START 10 26 SBT START 10 26 SBT TIME 9 38 Scrolled Automatically 9 33 9 34 9 35 9 36 9 37 9 38 Scrolling 8 2 F 4 Select Button 6 24 Sensitivity 6 25 Serial Number 10 19 Service 2 4 B 2 SET DATE 10 17 Set Defaults 10 20 SET TIM
93. 9 0 3 to 3 0 sec 0 Ipm or 10 Ipm during exhalation On Off 0 30 cmH20 0 20 cmH20 21 100 15 120 minutes 70 120 5 90 15 80 BPM 0 40 BPM On Off Tolerance n a 2 cmH 0 or 8 whichever is greater steady state only n a 2 cmH 0 or 8 whichever is greater steady state only n a n a 1 0 5 lpm for setting of 1 1 lpm for all other settings 10 or 10 ml whichever is greater for temperatures from 20 C to 30 C only standard atmospheric pressure 15 or 2 Ipm whichever is greater 0 1 to 1 0 sec 0 1 sec 10 or 1 Ipm whichever is greater n a 2 cmH 0 or 8 whichever is greater steady state only 2 cmH 0 or 10 whichever is greater O2 mean 21 to 50 3 51 to 95 5 keep steady state only n a 20 20 1 bpm or within 5 whichever is greater 1 bpm or within 5 whichever is greater n a 84 0 lpm when O2 Conserve ON is selected or 10 lpm when O2 Conserve OFF is selected Page A 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Alarms Variable Alarms Control Range Tolerance Apnea Interval High Breath Rate High PEEP Low PEEP High Pressure Limit HP Alarm Delay Low Minute Volume Low Peak Pressure LPP Alarm SBT High f Vt SBT Low f Vt SBT High f SBT Low f Operator s Manual p n 18247 001 Rev G 10 to 60 seconds Rate 5 80 bpm HIGH f OFF Time 0 60
94. 9 36 LO PEEP OFF 9 35 LOCKED 9 35 LPPS OFF 9 36 SBT f OFF 9 36 SBT f Vt OFF 9 37 SBT HI f OFF 9 37 SBT LO f OFF 9 37 SBT TIME 9 38 WARMUP xx 9 38 Alarm Test 11 3 15 24 ALARM VOL 10 3 15 24 Alarm Volume 10 3 15 24 Alarms APNEA 4 2 4 3 9 2 10 4 APNEA xx bpm 4 2 4 3 9 2 BAT EMPTY 9 3 BAT LOW 9 5 DEFAULTS 9 7 15 22 DEFAULTS SET 9 9 DISC SENSE 9 10 15 20 15 21 HIGH f 9 11 9 20 HIGH O2 PRES 9 12 15 2 HIGH PEEP 9 13 HIGH PEEP 10 5 HIGH PRES 6 4 9 14 10 4 15 2 15 19 HW FAULT 9 16 13 2 15 21 INOP 9 17 LOCKED 5 6 LOW MIN VOL 6 11 9 18 15 2 Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator LOW 02 PRES 9 19 15 2 LOW PEEP 9 20 LOW PEEP 10 5 LOW PRES 6 12 9 21 10 4 15 2 NO CAL 8 1 9 22 NO CAL DATA 9 22 15 21 POWER LOST 1 5 9 23 14 6 POWER LOW 9 24 REMOVE PTNT 9 25 RESET 9 26 15 21 SBT lt f 9 27 SBT lt f Vt 9 29 SBT gt f 9 28 SBT gt f Vt 9 30 SBT OFF 9 31 XDCR FAULT 9 32 15 21 Apnea 4 2 4 3 9 2 Apnea Backup 4 2 4 3 4 5 9 2 Apnea Backup Rate 4 5 APNEA INT 10 4 Apnea Interval 4 5 10 4 APNEA xx bpm 4 2 4 3 9 2 Assist Control Mode 4 1 Assist Control SIMV CPAP NPPV Mode 6 1 Audible Alarm Test 11 3 Audible Alarm Volume 10 3 Autocycling 15 6 Automatic High O Switch Over 6 13 9 12 Automatic Scrolling 8 2 Automobile Cigarette Lighter Adapter 14 8 Autozero
95. A very small ET tube connected directly to the wye may cause jetting and cause the flow differential to be read incorrectly To reduce the jetting effect add a short larger bore extension between the ET tube and the wye Page 15 26 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 16 MR CONDITIONAL SYSTEM This chapter provides information about using the MR Conditional LTV 1200 System in the magnetic resonance MR environment NOTE The MR Conditional LTV 1200 ventilator P N 18888 2XX is different than the LTV 1200 ventilator P N 18888 0XX This chapter is intended for use with the MR Conditional LTV 1200 System only Contact Pulmonetic Systems with any questions prior to use REMARQUE Le ventilateur MR Conditional LTV 1200 P N 18888 2XX est diff rent du ventilateur LTV 1200 P N 18888 0XX Ce chapitre porte seulement sur le systeme MR Conditional LTV 1200 Contactez Pulmonetic Systems pour toutes questions avant d utiliser le produit MR Conditional System Components The MR Conditional LTV 1200 System is comprised of the following MR Conditional LTV 1200 Ventilator P N 18888 2XX e LTV MR Conditional Floor Stand P N 14982 001 e LTV 1200 MR Safe 15ft 4 57m Patient Circuit P N 19189 001 and e LTV AC Adapter P N 18053 001 If an O supply is required both the O tank and regulator must be MR Conditional non magnetic 6 The last two
96. Connection sos c Expiratory Port OS Lim Exhalation 1 Exhalation Drive Line Valve DO NOT REMOVE 3 Disassemble the exhalation valve by using the small extrusion above the notch on the exhalation valve cap to pry the valve cap and valve body apart When opened remove the diaphragm Tab Open FF Edge of Diaphragm eS A Small Extrusion Notch Exhalation Valve Body Diaphragm Exhalation Exhalation Drive Line Valve Cap DO NOT REMOVE Operator s Manual LTV 1200 Ventilator Page 13 9 p n 18247 001 Rev G To clean the exhalation valve sense lines wye and reusable patient circuit 1 Remove all particulate matter and bathe for a minimum of 10 minutes using one of the following solutions warmed to 95 F to 150 F 35 C to 65 5 C e mild detergent 50 water 50 white vinegar solution or liquid cleaner e g KlenZyme or other enzymatic cleaner Ultrasonic cleaning is not recommended 2 Rinse gently for 2 minutes and use a low flow air source less than 10 L min to eliminate any residual fluid To clean the water trap if used use a mild detergent solution followed by rinsing and drying with a low flow air source To high level disinfect the exhalation valve sense lines wye and reusable patient circuit 1 Remove all particulate matter and bathe in a glutaraldehyde solution e g Cidex 2 for 20 minutes 2 Rinse gently for 2 minutes and use a low flow air source less than 10 L min to eliminate a
97. E 10 18 Set Up Assist Control Mode 12 5 Control Mode 12 4 CPAP Mode 12 7 NPPV Mode 12 8 SIMV Mode 12 6 Set Value Knob 6 26 Setting a Control See Controls Setting Settings Ventilator Checklist 12 10 Silence Reset Button 6 27 Silence Period 6 27 Silencing Alarms See Alarms Silencing SIMV Mode 4 2 Software Version 10 16 Specifications A 1 Spontaneous Breath 3 6 Spontaneous Breathing Trial SBT 10 25 STACK 15 21 Standby 6 20 Sterilizing 13 1 T Taper Waveform 3 2 6 28 Test Alarm 15 24 Tidal Volume 6 28 8 3 Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Time 10 18 TIME TERM 3 5 6 23 10 10 15 2 Total Breath Rate 8 2 8 3 Transducer Autozero 10 28 Transport Battery System 14 10 14 11 Triggers 3 1 4 6 6 25 7 6 Troubleshooting 15 1 U Universal Power Supply kit 14 10 Unlock 10 15 15 3 15 4 Usage Meter 10 16 USAGE xxxxx x 10 16 V Valve Home Position 10 20 Variable Flow Termination See FLOW TERM Variable Rise Time See RISE TIME Variable Time Termination See TIME TERM Veale 8 2 8 4 VE 8 2 8 3 VENT CHECK exit 11 12 VENT CHECK Menu 11 1 Vent Inop 7 6 Vent Inop Alarm Test 11 10 VENT OP 10 7 Vent Operations 10 7 Ventilator Checkout C 18 Ventilator Checkout Test Alarm Test 11 3 Control Test 11 6 Display Test 11 4 Leak Test 11 8 Vent Inop Alarm Test 11 10 Ventilator Checkout
98. EP xx cmH20 is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT Pressure Support value is set Range 0 30 cmH20 in increments of 1 3 Turn the Set Value knob until PEEP is displayed push the Select button and xxx cmH20 is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT PEEP value is set Range 0 20 cmH20 in increments of 1 Page 10 26 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT Operations cont 4 Turn the Set Value knob until SBT FIO2 is displayed push the Select button and xxx 02 is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT O2 value is set Range 21 100 in increments of 1 5 Turn the Set Value knob until MINUTES is displayed push the Select button and xxx MIN is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT ventilation mode run time is set Range 15 120 minutes in increments of 5 6 Turn the Set Value knob until HIGH f Vt is displayed push the Select button and xxx f Vt is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT high f Vt alarm value is set see SBT gt f Vtin Chapter 9 Ventilator Alarms for additional information Range HI f Vt OF
99. ES1 42 High pressure occurred HIGH PRES HI SBTf0 78 Total Breath Rate SBT gt f HI SBTf1 77 Total Breath Rate SBT gt f HIGH DIS 08 High side disconnect DISC SENSE HIGH f0 74 High breath rate alarm recovered HIGH f HIGH f1 73 High breath rate alarm occurred HIGH f HOME ERO 39 Stepper motor home failure exited HW FAULT Page E 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Event Name Code Event Associated Alarm HOME ER1 38 Stepper motor home failure occurred HW FAULT HOUR MTR 03 Set hour meter None INTRRPT1 31 Spurious interrupt occurred ms RESET 1 INTRRPT2 32 Spurious interrupt occurred Is RESET 1 LN VENT1 67 Shutdown for other than pressing On Standby RESET LO f VtTO 84 Rapid Shallow Breathing Index SBT lt f Vt LO f VtT1 83 Rapid Shallow Breathing Index SBT lt f Vt LO PEEPO 90 Monitored PEEP LOW PEEP LO PEEP1 89 Monitored PEEP LOW PEEP LO PRESO 50 Low peak pressure exited LOW PRES LO PRES1 49 Low peak pressure occurred LOW PRES LO SBTf1 79 Total Breath Rate SBT lt f LO SBTf2 80 Total Breath Rate SBT lt f LOW DIS 09 Low side disconnect DISC SENSE LOW VE 0 48 Low minute volume exited LOW MIN VOL LOW VE 1 47 Low minute volume occurred LOW MIN VOL MON f Vt 86 f Vt value at SBT exit N A NEW PTNT 91 New patient setup N A NO CAL 26 No calibration data found NO CAL DATA O2 HI 0 24 O pressure high exited H
100. F or 70 900 f Vt in increments of 5 7 Turn the Set Value knob until LOW f Vt is displayed push the Select button and xxx f Vt is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT low f Vt alarm value is set see SBT lt f Vt in Chapter 9 Ventilator Alarms for additional information e Range LO f Vt OFF or 5 90 f Vt in increments of 5 8 Turn the Set Value knob until SBT HIGH f is displayed push the Select button and xxx bpm is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT high f alarm value is set see SBT gt fin Chapter 9 Ventilator Alarms for additional information Range SBT HI f OFF or 15 80 bpm in increments of 1 9 Turn the Set Value knob until SBT LOW f is displayed push the Select button and xxx bpm is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT low f alarm value is set see SBT lt fin Chapter 9 Ventilator Alarms additional information Range SBT LO f OFF or 1 40 bpm in increments of 1 10 Turn the Set Value knob until DISPLAY f Vt is displayed push the Select button and DISPLAY OFF or DISPLAY ON is displayed Turn the Set Value knob until the desired setting is displayed push the Select button and the SBT scrolling display status on or off of the monitored xxx f Vt value is set see Automatic or Manual Dat
101. IGH O2 PRES O2 HI 1 23 O pressure high occurred HIGH O2 PRES O2 LOW 0 22 O pressure low exited LOW O2 PRES O2 LOW 1 21 O pressure low occurred LOW O2 PRES POST 57 POST failure RESET Recovery from problem detected with primar PACERBO a and or redundant addibie ao Y HW FAULT Problem detected with primary and or HW FAULT BAERS AR redundant audible Ae ut RUNAWAY 58 Code runaway detected RESET SBTO 87 SBT exit reason N A SBT1 85 N A N A SET DATE 53 Date set N A SET TIME 54 Time set N A SNDRERRO 72 Recovery from alarm sounder error HW FAULT SNDRERR1 71 Alarm sounder error HW FAULT STACK 56 Stack overflow detected RESET SYNC ER1 36 Stepper motor lost sync occurred HW FAULT SYNCERO 37 Stepper motor lost sync exited HW FAULT TBN ESTP 46 Turbine emergency stop occurred HIGH PRES TBN HSTP 66 Turbine Hold Stop occurred HIGH PRES TBN ISTP 44 Turbine immediate stop occurred HIGH PRES TBN ZERO 45 Turbine set to zero flow occurred HIGH PRES VENT 0 02 Power off None Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page E 7 Event Name Code Event Associated Alarm VENT 1 01 Power on None VENT CHK 04 Set vent check a Ed mode WDOG TST 59 Watchdog test run Inop XDC FLTO 20 XDCR fault exited XDCR FAULT XDC FLT1 19 XDCR fault occurred XDCR FAULT XDCR AIR 64 Airway pressure transducer fault XDC FLT1 Differential pressure transducer Bi ASE 9 directional channel fault ROGET XDCR NAR 61 Different
102. KA KAKA KAWA 1 1 Operator s Safety IMfOrmation s 5i kx 4450 ly irin kan la cecdad bal n ka h n k n Kan E KENA be Rab Mn Ke ese k eb N k en 1 2 VS DIG yee ker KE e A ne DE Odd 1 3 CAUTIONS NNN JJj nt Beh ances se tan ld Le Re 1 10 DO Sana ed dan KER KARN scan tide de in leiste A ke P n AN WW DOC iodo idos bae CU 1 16 Chapter 2 Ventilator OvervieW ccccoccccoonnnonccnncccconcnnnnnnnnnnnnnncnonennnaannnnnnnnnnnnnnnns 2 1 Indications for USE Old lA dia nt tt toa radar rene eis onan Perd ete 2 2 Power Supplies Required sise 2 3 Information Assistance iii A doi ae aan 2 4 Chapter 3 Breath Ty pe Ss i simer keni de Ki ri re lik an bad SEBE Eke Vi kan b n S EGE ER v G R EBE VE aiaro 3 1 Breath TYPOS A ants veh tee hee bin Aa kr ri AA K aaa K WAN Ae pi A et ne eat nade th rm 3 1 Volume Control Breaths si inn ayi Esr yan da b bav k e terne telnet 3 2 Pressure Control Breaths sico 3 3 Pressure Support Breaths see 3 5 Spontaneous Breaths ee 3 6 Chapter 4 Ventilation Modes 4 1 Control Mode morten en ken A here din eae fret aire 4 1 Assist Control Mode ER diia 4 1 SIMV Mode ici sce de ete tokens ti lets Banner eau era M eue lend eee dinde an vel dan enr tree 4 2 CPAP Mode xy yl keyl dere id E eee eee 4 3 NPPW MOde A O O A mater die een aie 4 4 Abie a Backup Ms de M nr Massa naaa ss Asset ne 4 5 Volume Pressure Ventilation sise 4
103. LTV 1200 ventilator can be compromised by foreign debris contamination in the oxygen supply system To reduce the risk of airborne contaminants entering the ventilator ensure that any oxygen supply connected to the ventilator is clean properly filtered and that the ventilator s O Inlet Port Cap is securely installed on the O Inlet Port whenever the ventilator is not connected to an external oxygen supply Proximal Sense Lines Do not remove the proximal sense lines from the patient wye Automobile Cigarette Lighter and Power Outlets Automobile cigarette lighter and power outlets are normally wired for a positive center contact and ground sleeve contact Connecting the ventilator to an improperly wired outlet will cause the adapter fuse to blow and may damage the adapter or the ventilator Automobile Cigarette Lighter Outlet Power Rating Running a ventilator from an improperly rated automobile cigarette lighter outlet less than 20 amperes may cause a fuse in the automobile to blow causing the ventilator and possibly other accessories in the automobile to stop operating Automobile Cigarette Lighter Adapter Do not operate the ventilator from the Automobile Cigarette Lighter Adapter while starting the vehicle or when jump starting the automobile battery Doing so may cause damage to the ventilator Automobile Cigarette Lighter Adapter Tip Use care when disconnecting the Automobile Cigarette Lighter Adapter after use its tip ma
104. N Temp rature d entreposage L entreposage du ventilateur de la 1200 s rie LTV des temp ratures sup rieures 60 C 140 F durant des p riodes prolong es peut endommager la pile interne et causer l usure pr matur e de la pile Utilisation de la batterie interne La batterie interne est con ue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de plusieurs facteurs tels la configuration le niveau de la charge et la condition ou l ge de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e Battery Replacement When necessary the LTV 1200 ventilator s internal battery can be replaced by a trained service technician To replace the LTV internal battery refer to the instructions for use provided with the replacement battery kit P N 18634 001 Battery Disposal The LTV 1200 ventilator uses sealed lead acid batteries Some jurisdictions consider these batteries hazardous materials subject to special disposal regulations Contact the proper agency for information on permissible methods of disposing of used batteries Page 14 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 15 TROUBLESHOOTING This chapter describes troub
105. NPPV Mode Non invasive Positive Pressure Ventilation NPPV can be selected as the primary mode of ventilation In the NPPV mode the ventilator cycles between IPAP Pressure Support and EPAP PEEP When a patient trigger is detected a Pressure Support patient breath is given WARNING Masks used with the LTV 1200 must be non vented no holes or leak vents With a vented mask the patient s exhaled air escapes via holes or vents in the mask elbow or swivel connector With a non vented mask the patient s exhaled air escapes through the ventilator exhalation valve Using a vented mask will deplete the oxygen supply faster and also may lead to patient ventilator dysynchrony Excessive leakage can also occur if the mask is not properly sealed to the patients face REMARQUE Les masques utilis s avec le LTV 1200 ne doivent pas tre ventil s ni trous ni panchements d air Avec un masque de ventilation lair que le patient expire s chappe par les trous ou la ventilation du masque le coude ou le connecteur pivotant Avec un masque qui n a pas de ventilation lair que le patient expire s chappe a travers la valve d expiration du ventilateur Utiliser un masque de ventilation va puiser la r serve d oxyg ne plus rapidement et peut aussi causer une dysynchronie entre le patient et le ventilateur Des fuites excessives peuvent aussi se produire si le masque n est pas proprement tanche sur le visage des patients Pressure
106. O Source and 02 features Page 15 11 Symptoms Possible Causes What to Do Continued Low Pressure O Verify that the Low Pressure O Source is on 02 is high Source incorrectly when using a low flow low pressure source and selected off when using a high pressure source See pages 6 13 and 6 18 for information on using the Low Pressure O Source and O2 features Failed calibration or Immediately contact a certified Pulmonetic internal problem with Systems service technician the ventilator VHome setting does Immediately contact a certified Pulmonetic not match flow valve Systems service technician O2 is low O inlet flow too low Verify the low pressure O inlet has been when Low Pressure O Source selected Failed calibration or internal problem with the ventilator correctly calculated and set using the Input O Flow Chart see page 6 15 Pulmonetic Systems recommends the use of an O2 monitor to verify delivered O2 Adjust the entrained O flow so the monitored value shows the desired FIO See pages 6 13 and 6 18 for information on using the Low Pressure O Source and O2 features Immediately contact a certified Pulmonetic Systems service technician VHome setting does not match flow valve Immediately contact a certified Pulmonetic Systems service technician PEEP not working PEEP low PEEP sags during exhalation Page 15 12 Circuit leak Diaphrag
107. Pressure O Source and O O Flush controls and the Oxygen Inlet Pressure alarms are inactive 2 See Low Pressure O2 Source in this chapter for more information Operator s Manual LTV 1200 Ventilator Page 6 19 p n 18247 001 Rev G On Standby This button switches the LTV 1200 ventilator between Standby and On When the ventilator is on the On Standby LED will be on The ventilator will operate on external power if it is available or internal battery if there is no external power or the external power source is depleted The internal battery will be charged from the external power source while the ventilator is operating on external power When the ventilator is in Standby the On Standby LED will be off however the internal battery will continue to charge To turn the ventilator on from the Standby state 1 Push the On Standby button If the Patient Query feature is enabled on when the ventilator is powered up ventilation and alarm activation are suspended and the message SAME PATIENT is displayed see Presets in Chapter 10 Extended Features e To enable the suspended alarms and begin ventilation with the settings in use during the last power cycle press the Select button while SAME PATIENT is displayed OR e To enable the suspended alarms and begin ventilation with Presets values appropriate for a new patient turn the Set Value knob until NEW PATIENT is displayed and press the Select button Then turn the Set
108. R LOW alarm 1 Push the Silence Reset button twice Page 9 24 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G REMOVE PTNT When the ventilator is powered up in the Ventilator Checkout or Ventilator Maintenance modes the REMOVE PTNT alarm is generated to remind you to remove the patient from the ventilator before proceeding Use the Ventilator Checkout mode to check for correct operation of the displays and controls and to check the patient circuit for leaks Ventilator Maintenance mode is used by technical personnel to perform maintenance or calibration WARNING Ventilator Checkout and Maintenance Modes The LTV 1200 ventilator does not deliver gas during the Ventilator Checkout mode VENT CHECK or Ventilator Maintenance mode VENT MTNCE and should not be used to ventilate a patient during these tests AVERTISSEMENT Modes V rification et Entretien du ventilateur Le ventilateur de la 1200 LTV ne transmet pas le m lange de gaz en mode V rification du ventilateur VENT CHECK ou en mode Entretien du ventilateur VENT MTNCE il ne devrait donc pas tre utilis pour ventiler un patient durant l ex cution de ces tests When you enter Ventilator Checkout mode or Ventilator Maintenance mode a REMOVE PTNT alarm occurs e The REMOVE PTNT message is displayed e The audible alarm is sounded To reset the REMOVE PTNT alarm 1 Push the Silence Reset button twice Operator s Manual LTV 1200 Ventilator Pa
109. Running 3 4 amps Nominal Power Startup 66 watts Draw Running 36 48 watts Leakage Current Total leakage current to Earth ground for the ventilator with only approved accessories attached shall not exceed 500 microAmps during normal operation per IEC 601 1 Total leakage current to Earth ground for the ventilator shall not exceed one milliAmp when any single fault condition is present per IEC 601 1 Ground Resistance Total impedance between the ground contact at the inlet power connector and any accessible metal part shall not exceed 0 1 ohm per IEC 601 1 Dielectric Strength The ventilator shall be able to survive 1500 volts applied from either phase of the AC power inlet to Earth ground for a period of one minute per IEC 601 1 Page A 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Power cont Internal Battery 12V sealed lead acid battery 4 5Ah Feature Range Tolerance Indicators Full Power Green LED Medium Power Amber LED Low Power Red LED Charge Time Battery shall be capable of being gt 90 When external power is charged within 8 hours from fully present and the vent is discharged state to state indicated by running at the nominal load green Charge Status LED Charge Status Pre Charge Qualification Flashing Amber LED Battery Charging Amber LED Battery gt 90 Charged Green LED Battery Fault Red LED Hysteresis Ventilator shall not resume battery 2 operation unless the battery volt
110. SEMENT Ventilation alternative ll est recommand qu un moyen alternatif de ventilation soit disponible en tout temps et que tous les op rateurs de ventilateur soient pleinement familiers avec les proc dures de ventilation d urgence Alarme INOP Si une alarme INOP survient au cours de l op ration ventilez le patient l aide de la m thode alternative retirez imm diatement le ventilateur du service et contactez imm diatement votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems NOTE An INOP alarm is generated as a part of the normal process of switching the ventilator from On to the Standby state and does not indicate a problem with the ventilator The INOP LED will remain lit for a minimum of 5 minutes and does not affect battery life REMARQUE Une alarme INOP est g n r e au cours du processus normal de commutation du ventilateur de la position On Marche la position Standby State tat d attente et n indique pas un probl me de fonctionnement du ventilateur La DEL INOP restera allum e durant au moins 5 minutes et n affecte en rien la dur e de vie de la batterie 43 The audible chirp occurs after the Inop Alarm sounds for longer than 0 8 seconds and is then silenced Operator s Manual LTV 1200 Ventilator Page 9 17 p n 18247 001 Rev G LOW MIN VOL When the exhaled minute volume VE is less than the Low Minute Volume setting the LOW MIN VOL alarm is generated e To
111. SET or RESET 1 Reset High 15 HIGH PRES High Pressure High 16 LOW MIN VOL Low Minute Volume Medium 17 LOW PRES Low Peak Pressure Medium 18 XDCR FAULT Transducer Fault Medium 19 DEFAULTS SET Defaults Set Medium 20 HIGH PEEP High PEEP Medium 21 HIGH f High Rate Low 22 SBT gt f SBT High f Low 23 SBT lt f SBT Low f Low 24 SBT gt f Vt SBT High f Vt Low 25 SBT lt f Vt SBT Low f Vt Low 26 SBT OFF SBT Off Low 27 LOW PEEP Low PEEP Low Page 15 18 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do HIGH PRES occurred Alarm silence was already but alarm did not active Silence Reset LED sound is red High pressure alarm delay is on HP DELAY is set to DELAY 1 BRTH or DELAY 2 BRTH Alarm automatically silenced after 3 seconds because condition cleared The ventilator alarms can be silenced for 60 seconds by pushing the Silence Reset button If the alarm is already silenced Silence Reset LED is red it will not sound again until the silence period expires When a high pressure condition is detected the HIGH PRES message is displayed and the High Pres Limit control is flashed If the HP DELAY option is set to NO DELAY the audible alarm is sounded immediately When the HP DELAY option is set to DELAY 1 BRTH or DELAY 2 BRTH the audible is not sounded until the second or third consecutive breath with a high pressure condition See page 10
112. SH or the currently selected language is displayed 3 Turn the Set Value knob until the desired language is displayed 4 Push the Select button Options ENGLISH DANSK DEUTCH ESPANOL FRANCAIS U S Danish German Spanish French ITALIANO NORSK PORTUGUES SVENSKA PYCCKO Italian Norwegian Portuguese Swedish Russian Operator s Manual LTV 1200 Ventilator Page 10 15 p n 18247 001 Rev G Software Version Use the Software Version option to verify the software version installed in the ventilator The software version number is displayed as VER xx xx Usage Meter Use the Usage Meter to view the time the ventilator has been in use It is updated every 1 10 hour up to 139 000 0 hours and is displayed as USAGE xxxxxx x Communications Setting The ventilator may be connected to a printer a graphics monitor or a modem or may be set up to output system diagnostic data Use the Communications Setting option to select the communications protocol for data transmission e Use the MONITOR setting to communicate with an LTM Graphics Monitor To modify the Communications Setting 1 Push the Select button while COM SETTING is displayed 2 DATA or the currently selected protocol is displayed 3 Turn the Set Value knob until the desired protocol is displayed 4 Push the Select button Options DATA MONITOR PRINTER and MODEM 42 Only DATA and MONITOR for LTM Graphic Monitors compatible LTV ventilators are avai
113. Starts Machine Rate 9 bpm Inspiratory Time 0 3 Seconds Apnea Interval 10 Seconds 12 bpm 5 0 Sec 12 bpm 5 0 Sec 5 0 Sec No Breath Start Activity No Breath ia Start Activity Breath Machine Rate 12 bpm Inspiratory Time 0 3 Seconds Apnea Interval 10 Seconds Operator s Manual LTV 1200 Ventilator Page 4 5 p n 18247 001 Rev G Volume Pressure Ventilation The LTV 1200 ventilator offers both Volume and Pressure ventilation When Volume is selected all machine and assist breaths are Volume Control breaths Breaths are given according to the Tidal Volume and Insp Time controls For more information on Volume Control breaths see Chapter 6 Controls Tidal Volume When Pressure is selected all machine and assist breaths are Pressure Control breaths Breaths are given according to the Pres Control and Insp Time controls For more information on Pressure Control breaths see Chapter 6 Controls Pressure Control Bias Flow The LTV 1200 ventilator provides a constant bias flow of 10 Lpm during exhalation to assist with patient triggering When the O2 Conserve option is ON the bias flow is O Ipm and assistance with patient triggering is reduced For more information on bias flow using the O2 Conserve option see Chapter 10 Extended Features O2 Conserve WARNING O Conserve When CONSERVE ON is selected the LTV 1200 automatically sets the bias flow to 0 Ipm and selects pressure triggering
114. Symbol No 5182 related to audio signals Directive 2002 96 EC ASTM F2503 05 Waste Container MR Conditional To identify Waste Electrical and Electronic Equipment WEEE that is not to be disposed of as unsorted municipal waste and is to be collected separately To identify equipment that has been demonstrated to pose no known hazards in a specified MR environment with specified conditions of use 3 Reference IEC Medical Electrical Equipment 2 Edition 1988 Page 1 16 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 2 VENTILATOR OVERVIEW The LTV 1200 ventilator is a lightweight high performance ventilator that is designed to provide the maximum functionality in the smallest possible package The LTV 1200 ventilator provides the following features e High performance ventilation in a small lightweight package 10 5 x 13 5 x 3 25 14 5 lbs e Turbine technology allows the ventilator to operate without an external compressed gas source e CPAP SIMV Control Assist Control and Apnea Backup ventilation modes NPPV mode ventilation e Volume Control Pressure Control and Pressure Support ventilation e Spontaneous Breathing Trial SBT to assist with weaning and discontinuation of ventilatory support e Variable alarm settings including High Peak Pressure Low Peak Pressure Low Minute Volume Apnea High Breath Rate High PEEP and Low PEEP e Oxygen
115. Tests 11 1 Ventilator Proper Operation Checkout Worksheet C 20 VER xx xx X 10 16 VHome 10 20 15 7 15 8 15 10 15 12 Volume Control Breath 3 2 Volume Mode 4 6 6 29 Volume Pressure Mode 6 29 15 4 Vte 8 2 8 3 W WARMUP xx 9 38 Warnings iv Warranty ii Waveform 3 2 6 28 Worksheets Ventilator Proper Operation Checkout C 20 Page G 5 X XDCR ZERO 10 28 15 7 15 8 15 9 15 10 15 11 15 13 XDCR FAULT 9 32 15 21 Page G 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G
116. Transducer Autozero 1 The previous results AP xxxx P are displayed 2 Push the Select button An asterisk appears the pass fail indicator is removed from the display and the test is scheduled for the next breath 3 After the autozero is run on the next breath the new autozero value and the pass fail indicator are displayed If an autozero fails it will be automatically rescheduled for the next breath Page 10 28 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Bi directional Flow Transducer Differential Autozero Use this item to view the Bi directional Flow Transducer Differential Autozero results and schedule Autozeros to be run To view the Bi directional Flow Transducer Differential Autozero results 1 2 3 The previous results FDb xxxx P are displayed If the results are displayed as FDb xxxx the Bi directional Flow Transducer is not installed on your unit The final P indicates the previous zero results were within the required tolerance and the previous autozero passed If a final F is displayed the previous zero results were outside the required tolerance and the autozero failed An asterisk indicates that an autozero is scheduled for the next breath Turn the Set Value knob to display the EXIT option Push the Select button To schedule the Bi directional Flow Transducer Differential Autozero 1 2 3 The previous results FDb xxxx P are displayed Push the Select button A
117. Turn the Ventilator On 1 Connect the unit to an external source of power The AC power adapter may be used or the ventilator may be connected to an external battery e The External Power LED is lit to indicate the external power source voltage level e The ventilator begins charging the internal battery from the external source e The Charge Status LED is lit to indicate the charge progress 2 Push the On Standby button and the ventilator will commence operation e The On Standby LED is lit e The Power On Self Tests POST are performed e The front panel displays light up e The audible alarm activates for 1 second to be verified by operator e Aconfirming audible chirp sounds to be verified by operator e POST messages CPU SRAM INT VECTOR ROM CRC and EEPROM are flashed in the message window 51 Power On Self Tests A set of self tests the ventilator performs when turned on to verify the operational integrity of the Processor Displays Audible Alarm Confirming Audible Chirp SRAM Program Memory and EEPROM some tests require operator visual and or audible verification Operator s Manual LTV 1200 Ventilator Page 12 1 p n 18247 001 Rev G To Turn the Ventilator On cont If the Power On Self Tests are passed successfully The ventilator starts operation using the stored control settings with the following exceptions If the Patient Query feature is enabled on when the ventilator is powered up ventilation
118. V ventilator Mounting Screw Use Internal damage to the ventilator may result if the wrong length mounting screws are used when installing or removing external accessories Patient Circuit Accessories The use of accessories such as Speaking Valves Heat Moisture Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection may impede the generation of a Low Pressure alarm Ensure that the Low Pressure alarm settings accommodate these types of accessories when used in combination with patient circuits Low Minute Volume Control Settings The Low Min Vol control should be set to its highest clinically appropriate value If there is a clinical need to set the Low Minute Volume alarm to lower values or off perform a clinical assessment to determine if an alternative monitor i e a Pulse Oxymeter with an audible alarm or a Cardio Respiratory Monitor should be used The MR Conditional LTV 1200 System is specified as An LTV 1200 Ventilator P N 18888 2XX LTV 1200 MR Safe 15ft Patient Circuit P N 19189 001 MR Conditional Floor Stand P N 14982 001 anda LTV AC adapter P N 18053 001 Adding not approved parts or accessories may cause patient and or operator harm Operator s Manual LTV 1200 Ventilator Page 1 5 p n 18247 001 Rev G AVERTISSEMENT Personnel non qualifi Seul le personnel qualifi doit op rer le ventilateur Le ventilateur de la 1200 LTV est
119. VIASYS HCARE Excellence For Life LTV 1200 Ventilator MR Conditional LTV 1200 System Operator s Manual P N 18247 001 Rev G Document Revision History Document Revision Level Revision Date Rev ECO 3891 Rev B ECO 4016 Rev C ECO 4763 Rev D ECO 5407 Rev E ECO 5462 Rev F ECO 5952 Rev G ECO 6082 April 2006 May 2006 October 2007 July 2008 May 2009 June 2009 August 2009 Contact Information Pulmonetic Systems 17400 Medina Rd Suite 100 Minneapolis Minnesota 55447 1341 Phone 763 398 8300 Customer Care Center 800 754 1914 Fax 763 398 8400 E mail info pulmonetic com Website http www pulmonetic com LTV 1200 is a trademark belonging to Pulmonetic Systems Copyright 2009 Pulmonetic Systems Minneapolis Minnesota Operator s Manual LTV 1200 Ventilator Page i p n 18247 001 Rev G Warranty Pulmonetic Systems warrants that the LTV 1200 ventilator is free from defects in material and workmanship for a period of one 1 year from the date of shipment or 8 800 hours as measured on the usage meter whichever comes first with the following limitations 1 The internal battery is warranted for ninety 90 days from date of shipment Pulmonetic Systems will at its option either repair replace or issue credit for products that prove to be defective during the warranty period For warranty service or repair the product must be returned to Pulmonet
120. Value knob until the desired patient type is displayed INFANT PEDIATRIC or ADULT and press the Select button see LTVO 1200 Presets Table in Chapter 10 Extended Features for detailed settings information e Turning the Set Value knob until EXIT is displayed and pressing the Select button returns the ventilator to the SAME PATIENT menu option message If no controls are activated for three 3 seconds while either the SAME PATIENT or NEW PATIENT options are being displayed an audible alert sounds Activation of any control resets the 3 second delay of the audile alert If the Patient Query feature is disabled off when the ventilator is powered up and passes POST it will begin ventilation appropriate alarms enabled using the settings in use during the last power cycle To prevent autocycling the Leak Compensation feature if enabled on is suspended during the first 30 seconds of operation To prevent nuisance alarms the LOW MIN VOL alarm Low Minute Volume is suspended for the first 20 seconds and the HIGH f alarm High Breath Rate is suspended for the first 60 seconds of operation To put the ventilator into Standby 1 Push and hold the On Standby button for 3 seconds 2 An Inop alarm will occur To cancel the Inop alarm push the Silence Reset button e Verify a confirming audible chirp occurs after the alarm is silenced 3 The Vent Inop LED will remain lit for a minimum of 5 minutes Page 6 20 LTV 1200 Ventilator Operator
121. Vt alarms Chapter 9 SBT f Vt OFF for an explanation of are turned off during this feature the SBT mode of ventilation SBT HI f OFF is The SBT High Breath This is an informational message only see displayed Rate alarm is turned off Chapter 9 SBT HI f OFF for an explanation of during the SBT mode of this feature ventilation SBT LO f OFF is The SBT Low Breath This is an informational message only see displayed Rate alarm is turned off Chapter 9 SBT LO f OFF for an explanation of during the SBT mode of this feature ventilation SBT TIME is The SBT mode of This is an informational message only see displayed ventilation will end in Chapter 9 SBT TIME for an explanation of this two 2 minutes feature Operator s Manual LTV 1200 Ventilator Page 15 5 p n 18247 001 Rev G Ventilator Performance Symptoms Possible Causes What to Do Ventilator is Sense lines are The sense lines are not designed to be removed autocycling reversed from either the wye or the luer fittings If the monitored volumes are very small RT XDCR DATA item FTx shows negative flows during exhalation and positive flows during inspiration sense lines have been removed and replaced incorrectly they may not seal correctly when replaced Replace the patient wye and sense lines with a known good assembly Ventilator won t allow patient to exhale Diaphragm installed backwards or incorrectly seated in exhalation va
122. W level the ventilator will only run for approximately 10 minutes before generating a battery empty alarm BAT EMPTY This approximate time is based on tests using the nominal settings a new battery and a full 8 hour charge cycle as specified in Appendix A Ventilator Specifications Actual run time may be more or less depending on ventilator settings patient demand and battery age or condition It is highly recommended that an alternate power source is connected PRIOR to the ventilator reaching the BAT EMPTY alarm condition to ensure continuous uninterrupted patient ventilation AVERTISSEMENT Dur e d utilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS le ventilateur fonctionne pendant environ 10 minutes avant d mettre une alarme de batterie faible BAT INT VIDE Cette dur e approximative est bas e sur des tests avec des param tres nominaux une nouvelle batterie et un cycle de chargement complet de 8 heures tel que sp cifi dans l Annexe A Sp cifications du ventilateur La dur e d utilisation r elle pourrait tre sup rieure ou inf rieure selon les param tres du ventilateur la demande du patient et l ge ou l tat de la batterie Il est fortement recommand qu une source d alimentation alternative soit connect e AVANT que le ventilateur n atteigne l tat d alarme BAT INT VIDE afin d assurer une ventilation continue et ininterrompue au patient Operator s Manual LTV 1200 Ven
123. a Battery Level Red Amber Green LED n a Usage Meter Usage Meter 1 to 139 000 hrs Below 100 hrs 10 Above 100 hrs 5 Packaging 3 x 10 x 12 OR 3 25 x 10 5 x 13 5 with Protective Boots installed 13 4 Ibs OR 14 5 lbs with Protective Boots installed Sound Level Sound Level Shall not exceed 50 dBA RMS at one meter Storage and Operating Conditions Specification Tolerance Storage Temperature 20 to 60 degrees C n a Humidity 10 to 95 Relative non condensing n a Operating Temperature 5 to 40 degrees C n a Humidity 15 to 95 Relative non condensing n a Orientation The ventilator functions within its performance specifications when operated in any orientation Inlet Air Filtration The ventilator air filter is removable and cleanable by the operator All filter materials are FDA compliant for breathing circuits and meet burn requirements for UL 94HB 65 LTV ventilators stored at temperatures outside of the specified Operating Temperature range are to be allowed to stabilize to within the operating temperature range before turning the ventilator on Page A 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Storage and Operating Conditions cont Specification Tolerance Oxygen Inlet DISS or NIST Connector Inlet Pressure Range 40 to 80 PSIG 2 PSIG Tapered Tubing Connector Inlet Pressure Range 0 to 10 PSIG 2 PSIG Shock and Vibration The ventilato
124. a Display Scrolling in Chapter 8 Monitored Data for additional information Exit To return to the top of the SBT OP menu 1 Push the Select button while EXIT is displayed SBT Alarms For information concerning SBT related alarms see Chapter 9 Ventilator Alarms Operator s Manual LTV 1200 Ventilator Page 10 27 p n 18247 001 Rev G Transducer Autozero Use the Transducer Autozero menu to manually schedule transducer autozeros and to view previous autozero results Autozeros are automatically scheduled at appropriate intervals during ventilator operation so manual scheduling of autozeros is not commonly performed but may occasionally be done The menu is set up as follows XDCR ZERO AP xxxx P FDb xxxx P FDw xxxx P FDn xxxx P Airway Pressure Transducer Autozero Use this item to view the Airway Pressure Transducer Autozero results and schedule the Airway Pressure Transducer Autozero to be run To view the Airway Pressure Transducer Autozero results 1 The previous results AP xxxx P are displayed The final P indicates the previous zero results were within the required tolerance and the previous autozero passed If a final F is displayed the previous zero results were outside the required tolerance and the autozero failed An asterisk indicates that an autozero is scheduled for the next breath 2 Turn the Set Value knob to display the EXIT option 3 Push the Select button To schedule the Airway Pressure
125. a iA i ka di r aA ee LA TA 9 12 l u ll z zi Zi RISWA yn DE A dar ye eee ta tente tn eee ee te n 9 13 HIGH PRES ai WENDE A ene 9 14 AW BAULT ss ne neni eee eo a aie ed et elie ee ei 9 16 NOP st nie ladito idas 9 17 LOW MIN VOL kasey tir mine tem tete tte A ten 9 18 LOW OSPRRES DD cc Aa cal ee aie Anes aan tases En Ra nent 9 19 LOW PEEPS sito A alee a ed ee 9 20 EOWPRES a antl e e 9 21 NO CAL DATA NO CAL Monitor Display sis 9 22 POWERLO ST eos tilo 9 23 POWER O Wiz Dia E it ete een 9 24 REMOVE P TN Testi 9 25 RESET RESET A inusitada ea dan datos 9 26 A A o a o Torr 9 27 A ee n a 9 28 SBT SAME da A Adee ie Gh haat eas e eta a 9 29 SB ile S W rot nt lt A tddi dal mener E tenait Nees 9 30 SBD ORE cutee SN mi tatters tyson da leia io irte ee io 9 31 XDR FAUL Toco te Bd teal eed nie ir dani naa 9 32 Alarm Status Message DD rg n its 9 33 L R EROFR omitir dd rt ne nr tai ae na 9 33 BIL AYAR O A A a A EE N he dre ds My dr none 9 33 APRE R ORR mn de Dicen a a Nr nn D Ann nn a en tr 9 33 H amp L PEEP OFF laurier Rama a nee a int 9 34 AIGA fT A DRE en Tan etat sages ates ee TI tr 9 34 EMV ERPSIOR Fs PY DD atras dd 9 34 EMO dr ida 9 35 LO PEEP OE ann nn SR nt ne ee 9 35 COOKED SR N a e es 9 35 LOTVEOEF td N ar AE N DK r DD 9 36 Operator s Manual LTV 1200 Ventilator Page vii p n 18247 001 Rev G LEPPS O FE Pak a cost seth RN 9 36 DEBE DD YD DD A n br ng 9 36 _ ani oe asa SA E TE IE a E aBBBH eee bb r bb rd 9
126. a modification des param tres ou l tat du mat riel fuite dans le circuit par exemple modifient le taux de consommation de l oxyg ne Lorsque la situation du patient le permet il est recommand qu une bouteille d oxyg ne de secours ou toute autre source alternative d oxyg ne soit disponible en permanence Avant toute utilisation d une prise d allume cigare ou d une prise de courant Avant d utiliser un allume cigare ou une prise de courant comme source d alimentation du ventilateur LTV v rifiez que la batterie interne du ventilateur est en bon tat et enti rement charg e L utilisation d un allume cigare ou d une prise de courant fournissant un branchement de qualit m diocre des d fauts du circuit lectrique batterie syst me de charge etc ou l utilisation d accessoires d automobile climatisation phares cha ne st r o et haut parleurs forte consommation etc peuvent affecter le voltage d livr au ventilateur et provoquer une sous alimentation de celui ci Dans cette situation le ventilateur d clenche une alarme PAS ALIM SEC et utilise la batterie interne du ventilateur comme source d alimentation Pi ces accessoires et options non autoris es Des dommages l quipement ou des blessures au patient peuvent survenir suite l utilisation de pi ces accessoires et options non autoris es Seuls les l ments express ment approuv s par Pulmonetic Systems doivent tre utilis s en conjon
127. adapter fuse to blow and may damage the adapter or the ventilator Automobile Cigarette Lighter Outlet Power Rating Running a ventilator from an improperly rated automobile cigarette lighter outlet less than 20 amperes may cause a fuse in the automobile to blow causing the ventilator and possibly other accessories in the automobile to stop operating Automobile Cigarette Lighter Adapter Do not operate the ventilator from the Automobile Cigarette Lighter Adapter while starting the vehicle or when jump starting the automobile Doing so may cause damage to the ventilator Automobile Cigarette Lighter Adapter Tip Use care when disconnecting the Automobile Cigarette Lighter Adapter after use its tip may be hot Automobile Cigarette Lighter Outlet Depending on the condition of the automobile battery whether the automobile is turned off being started or running automobile cigarette lighter outlets can provide varying levels of voltage in some the outlet only operates when the vehicle is running Verify which power source the ventilator is using by checking the External Power LED on the ventilator ATTENTION Allume cigare et prises de courant L allume cigare et les prises de courant sont habituellement cabl s de fa on a obtenir un contact central positif et un contact du manchon la terre Le branchement du ventilateur dans une prise qui n est pas c bl e ad quatement aura pour effet de faire sauter le fusible de l adapta
128. age level is 11 8 V Battery Duration Time Before Ventilator Shutdown total time Approximate Time from battery full 45 minutes Mode green LED to battery low amber LED PEEP and BAT LOW alarm Breath Rate bpm Approximate Time from battery low to 10 minutes O battery empty red LED and BAT EMPTY alarm Tidal Volume ml Lung Compliance ml cmH20 Approximate Time from battery empty 5 minutes i Ti to ventilator shutdown Vent Inop LED nsp Time sec and INOP alarm ET Resistance cmH20 L S Times based on nominal load new battery and full 8 Sensitivity Ipm hour battery charge Battery Temp DOT Requirements Unregulated meets the requirements of 49 CFR 173 159 d Agency Requirements 60 minutes Nominal Load Settings Regulatory Requirements FDA Draft Reviewer Guidance for Ventilators July 1995 Shipping Requirements The ventilator packed in its shipping container conforms to the International Safe Transit Association requirements for packaged products weighing less than 100 pounds Operator s Manual LTV 1200 Ventilator Page A 9 p n 18247 001 Rev G Page A 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix B SET UP MAINTENANCE Recommended Maintenance Schedule The LTV 1200 ventilator is designed to operate for extended periods of time with minimal routine maintenance The following periodic maintenance is recommended Hou
129. age is flashed in the display window e The audible alarm is sounded To reset the HIGH PEEP alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm silences the audible alarm and clears the flashing display Operator s Manual LTV 1200 Ventilator Page 9 13 p n 18247 001 Rev G HIGH PRES When the pressure in the patient circuit is greater than the High Pressure Limit setting the HIGH PRES alarm is generated When this alarm occurs any inspiration in progress is terminated and the exhalation valve is opened The turbine is stopped to allow the circuit pressure to evacuate when the high pressure condition persists for more than four times the set inspiratory time or more than 3 0 seconds whichever is less WARNING Sustained HIGH PRES Alarm During a sustained High Pressure alarm condition HIGH PRES the ventilator s turbine is stopped and gas is not delivered to the patient Disconnect the patient from the ventilator and ventilate the patient using an alternative method See Chapter 15 Troubleshooting Alarms for additional information concerning the HIGH PRES alarm AVERTISSEMENT Alarme ALARME PMAX continue Dans des conditions d alarme de haute pression prolong es ALARME PMAX la turbine du ventilateur s arr te et le gaz n est plus transmis au patient D branchez le patient du ventilateur et utilisez une autre m thode de ventilatio
130. ages f PEEP OFF The f PEEP OFF message is displayed when e The High Breath Rate alarm is turned off by being set to HIGH f OFF and e The High PEEP alarm is turned off by being set to HI PEEP OFF This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the f PEEP OFF message 1 Push any front panel button or turn the Set Value knob The f PEEP OFF message is not displayed during SBT mode HI f Vt OFF The HI f Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when the SBT High f Vt alarm is turned off by being set to HI f Vt OFF This is an informational message only The message is displayed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the HI f Vt OFF message 1 Push any front panel button or turn the Set Value knob HI PEEP OFF The HI PEEP OFF message is displayed when e The High PEEP alarm is turned off by being set to HI PEEP OFF and e The High Breath Rate alarm HIGH f is turned on This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the HI PEEP OFF message 1 Push any front panel button or turn the Set Value kn
131. al battery power and the battery charge level falls below the empty threshold the BAT EMPTY alarm is generated For patient safety this alarm can only be silenced once for 30 seconds and cannot be silenced preemptively After the 30 seconds has elapsed the alarm cannot be silenced again and will continue to sound and display until an alternate power source is provided or the battery is depleted and the ventilator goes INOP This alarm will always sound at maximum volume WARNING BAT EMPTY alarm A BAT EMPTY alarm indicates the internal battery is almost depleted Connect the ventilator to an external power source immediately AVERTISSEMENT Alarme BAT EMPTY Une alarme BAT EMPTY indique que la pile interne est pratiquement a plat Branchez imm diatement le ventilateur une source d alimentation externe When a BAT EMPTY alarm occurs e The Battery Level LED displays red e The BAT EMPTY message is displayed e The audible alarm is sounded NOTE Volume of the BAT EMPTY alarm cannot be lowered For patient safety this alarm will always sound at full volume REMARQUE Le volume de l alarme batterie faible ne peut tre r duit Pour la s curit des patients le volume de l mission de cette alarme est toujours fort To temporarily silence the BAT EMPTY alarm 1 Push the Silence Reset button once to silence the audible alarm for 30 seconds only The BAT EMPTY alarm can only be silenced once and cannot be reset until
132. al breath rate monitored f The exhaled volume quantified at the patient wye Exhaled volume is measured for all breath types The quantity of breaths given per minute includes all breath types Transducer A measuring device Transducers can be used to quantify flow or pressure Vealc A monitor that displays the calculated peak flow for volume control breaths Vcalc is calculated based on the set tidal volume and the set inspiratory time VE See minute volume monitored Page F 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G TERM DEFINITION Volume control breath A machine or assist breath where a operator set volume is delivered over a operator set time Flow is delivered in a decelerating waveform where the peak and final flows are calculated so that the final flow is 50 of the peak flow Vte See tidal volume monitored Operator s Manual LTV 1200 Ventilator Page F 5 p n 18247 001 Rev G Page F 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix G INDEX A AC Adapter 14 2 AC Power Source 14 2 Active Alarm 6 27 Airway Pressure Display See Displays Airway Pressure ALARM 11 3 15 24 Alarm Clearing 6 27 ALARM OP 10 3 Alarm Operations 10 3 Alarm Silencing 6 27 Alarm Status Messages f PEEP OFF 9 33 H amp L PEEP OFF 9 34 HI f Vt OFF 9 33 HI PEEP OFF 9 33 HIGH f OFF 9 34 LMV LPPS OFF 9 34 LMV OFF 9 35 LO f Vt OFF
133. al information concerning the Spontaneous Breathing Trial SBT mode of ventilation see SBT Spontaneous Breathing Trial Operations in Chapter 10 Extended Features When a SBT gt f Vt alarm is generated The SBT gt f Vt message is flashed in the display window The audible alarm is sounded To reset the SBT gt f Vt alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm silences the audible alarm and clears the flashing display e When the SBT gt f Vt alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the SBT gt f Vt alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice It is not enabled when the SBT gt f Vt alarm is automatically silenced reset because the patient s breath rate is no longer greater than the set HIGH f Vt alarm value e When an SBT alarm has been active in excess of 5 minutes the SBT mode of ventilation is terminated the ventilator clears the alarm status silences the audible alarm and returns to its previous mode of ventilation settings To remove the flashing SBT alarm message from the display window push the Silence Reset button Page 9 30 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT OFF When the minutes preset in the SBT OP MINUTES menu have elapsed and a Spontan
134. alculated and displayed at the completion of every exhalation or every 20 seconds whichever occurs first I E xx xx The l E Ratio displays the unitless ratio between measured inspiratory time and measured exhalation time The smaller of the inspiratory and exhalation times is normalized to one Both normal and inverse l E Ratios are displayed 35 This is done to protect the patient since often the highest pressure is obtained at the beginning of the exhalation phase Operator s Manual LTV 1200 Ventilator Page 8 3 p n 18247 001 Rev G l Ecalc xx xx The Calculated l E ratio l Ecalc display is based on the set Breath Rate and Inspiratory Time The display is updated in real time while either setting is being changed In modes where Vcalc is displayed during Inspiratory Time changes the display can be toggled between Veale and l E calc using the Select button Veale xxx Lpm The Calculated Peak Flow is based on the Tidal Volume and Inspiratory Time settings Vcalc is included in the list of monitored values when Volume ventilation is selected and is not included when Pressure ventilation is selected Vcalc is automatically displayed when Tidal Volume or Inspiratory Time is selected for change When both controls are deselected the previously displayed monitored data will be restored to the display window SBT xxx min During the Spontaneous Breathing Trial SBT mode of ventilation the monitor displays the time remaining unti
135. and alarm activation are suspended and the message SAME PATIENT is displayed see Presets in Chapter 10 Extended Features e To enable the suspended alarms and begin ventilation with the settings in use during the last power cycle press the Select button while SAME PATIENT is displayed OR e To enable the suspended alarms and begin ventilation with Presets values appropriate for a new patient turn the Set Value knob until NEW PATIENT is displayed and press the Select button Then turn the Set Value knob until the desired patient type is displayed INFANT PEDIATRIC or ADULT and press the Select button see LTVO 1200 Presets Table in Chapter 10 Extended Features for detailed settings information e Turning the Set Value knob until EXIT is displayed and pressing the Select button returns the ventilator to the SAME PATIENT menu option message If no controls are activated for three 3 seconds while either the SAME PATIENT or NEW PATIENT options are being displayed an audible alert sounds Activation of any control resets the 3 second delay of the audible alert If the Patient Query feature is disabled off when the ventilator is powered up and passes POST it will begin ventilation appropriate alarms enabled using the settings in use during the last power cycle To prevent autocycling the Leak Compensation feature if enabled on is suspended during the first 30 seconds of operation To prevent nuisance alarms the LOW MIN VOL alarm Low Minute
136. apter 10 Extended Features Extended Features The Extended Features menus allow you to set ventilation parameters that do not have dedicated front panel controls For information on how to use the Set Value knob to navigate the extended features menus see Chapter 10 Extended Features Operator s Manual LTV 1200 Ventilator Page 5 3 p n 18247 001 Rev G Bright Dim and Blank Control Displays Variable controls will be displayed at normal or dimmed intensity or may be blanked A display will be displayed at normal intensity e When itis selected for change All other displays will be dimmed e When itis active in the current ventilation mode Dimmed displays are not active in the current mode NOTE Be sure to set any controls that may be used in Apnea Backup ventilation to appropriate values Even though these controls are dimmed they will be used if apnea should occur REMARQUE Assurez vous de r gler aux valeurs appropri es tous les contr les susceptibles d tre utilis s en mode ventilation de secours pour l apn e M me si ces contr les sont en veilleuse ils seront utilis s en cas d apn e A display will be displayed at dimmed intensity e When another control is selected for change e When it is not active in the current ventilation mode A display will be blank e To conserve battery power while operating from battery power e If no button pushes or control knob activity occurs for 60 seconds
137. ar la pr sence de corps trangers dans le syst me d alimentation en oxyg ne Afin de diminuer le risque de pr sence d agents contaminants atmosph riques dans le ventilateur assurez vous que la r serve d oxyg ne reli e au ventilateur est propre et filtr e de mani re ad quate et que le bouchon de Porifice d alimentation en oxyg ne est correctement install chaque fois que le ventilateur n est pas reli une source d oxyg ne externe To clean or replace the O Inlet Filter 1 Ifa high pressure O source is being used disconnect the high pressure O hose from the oxygen block on the left side of the ventilator 2 If alow pressure O source is being used disconnect the O line from the barbed oxygen adapter Unscrew and remove the barbed adapter from the oxygen block on the left side of the ventilator In addition to the existing internal O Inlet filter P N 14313 an External In Line Oxygen Filter P N 14470 is available from Pulmonetic Systems Page 13 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 3 Using a pick gently remove the rubber O Ring from inside the O inlet port Use caution Do not damage the O Ring while removing it Tip the ventilator to allow the O Inlet Filter to slide out a OzInlet Filter v RD g4 O Ring 4 Clean the filter using a mild cleanser warm water and a soft brush Rinse the filter thoroughly to remove all traces of the cleanser Allow the filte
138. asher LTV Ventilator Final Configuration Desired EE Description Q 3 14 Flathead None Ventilator with no external accessories installed L5 2 eee 2 4 4 Pan head None 0 T LE Panhead None Q 3 3 8 Pan head None Ventilator with LTV LTM Mounting Bracket installed 2 6 1 4 Flat head lO 2 3 8 Pan head None O 1 a16 Panhead None 3 1 4 Flathead None Ventilator with Protective Boots installed 6 1 2 Flat head Finish washer Ref P N 11509 for installation instructions 2 3 8 Flat head LOA 17 Flathead Finish washer Counter Example rinin Washer to Flat head Screw Orientation Z N PE x m Pan head Flat head er 316 jn 1 4 ID 1 4 3 8 ND 5 16 122 PITT 3 8 screws shown actual size Operator s Manual LTV 1200 Ventilator Page C 9 p n 18247 001 Rev G Patient Breathing Circuit Connection Instructions 1 Connect the main breathing tube to the 22 mm outlet port on the right side of the ventilator 2 Connect the two exhalation flow transducer sense lines to the ports marked Flow Xducer on the right side of the ventilator These are non interchangeable Luer fittings 3 Connect the exhalation valve drive line to the port marked Exh Valve on the right side of the ventilator High Pressure Sense Line Low Pressure Sense Line KS Ventilator 22mm Be Outlet Port Adapter
139. ations of inspired oxygen FlO2 are required to be delivered to the patient it is recommended that an accurate oxygen analyzer with alarms be used AVERTISSEMENT Concentration d oxyg ne inspir FIO2 Si la fr quence respiratoire du patient est variable sa ventilation minute va fluctuer Lorsqu une concentration exacte d oxyg ne inspir FlO2 est n cessaire pour une transmission au patient il est recommand d utiliser un analyseur de niveau d oxyg ne pr cis comportant des alarmes Operator s Manual LTV 1200 Ventilator Page 6 15 p n 18247 001 Rev G Low Pressure O Source cont To determine the required O input flow 1 Find the desired FIO bottom of chart 2 Calculate the patient s minute ventilation rate by using the following formula Tidal volume x breath rate 3 Follow the FIO up to the applicable slanted VE minute volume line right side of chart 4 Read across horizontally to the left side of chart to the required Input O Flow Ipm VE Input O Flow Ipm dia Applicable VE Example To determine the required O2 input flow To determine the delivered O concentration 1 Find the Input O Flow left side of chart 2 Follow the Input O Flow across horizontally to the right to the applicable slanted VE minute volume line 3 Read down to the FIO bottom of chart Input VE O Flow Ipm Example To determine the delivered O2 concentration Page 6 16 LTV 12
140. ator s Manual p n 18247 001 Rev G F f 8 2 8 3 f PEEP OFF 9 33 f Vt f 8 2 8 4 Fan Filter 13 2 Filter O Inlet 13 4 Flashing Controls Displays 5 5 FLOW TERM 3 4 3 5 6 22 6 23 10 9 10 11 Flow Trigger See Triggers H H amp L PEEP OFF 9 34 Help 2 4 B 2 HI f Vt OFF 9 33 HI PEEP OFF 9 33 HIGH f 9 11 9 20 10 5 15 22 HIGH f OFF 9 34 HIGH f Vt 10 27 HIGH O2 PRES 9 12 15 2 HIGH PEEP 9 13 10 5 15 22 HIGH PRES 6 4 9 14 10 4 15 2 15 19 15 20 High Pressure Alarm Delay See HP DELAY High Pressure Limit 14 5 15 2 High Rate Alarm See HIGH f Hours in Operation 10 16 HP DELAY 10 4 15 19 Humidifier C 11 HW FAULT 9 16 13 2 15 21 I IE Ratio 8 2 8 3 Inactive Alarm 6 27 Inlet Filter 13 3 INOP 9 17 INSP HOLD 6 5 A 1 Insp Exp 6 5 6 6 6 8 Inspiratory Hold 6 6 A 1 F 2 Inspiratory Time 6 10 Inspiratory Expiratory 6 5 6 6 6 8 9 8 A 1 Internal Battery 14 12 Battery Life 14 12 Charge Status 14 12 Charging 14 12 Disposal 14 12 Replacing 14 12 IPAP 4 4 6 1 6 23 12 8 Leak Compensation F 2 Leak Test 11 8 Limiting 5 5 15 3 LMV LPPS OFF 9 34 LMV OFF 9 35 LO f Vt OFF 9 36 LO PEEP OFF 9 35 LOCKED 5 6 9 35 15 3 LOW f Vt 10 27 LOW MIN VOL 6 11 9 18 15 2 Low Minute Volume 6 11 9 18 15 2 LOW O2 PRES 9 19 15 2 Low Peak Pressure Alarm See LPP ALARM See Low Pressure Alarm
141. ators or MRI Pen except the MR Conditional LTV 1200 The LTV 1200 ventilator may emit and receive electromagnetic interference Avoidance of this exposure is recommended whenever possible The MR Conditional LTV 1200 System is comprised of only i e no Unauthorized accessories an MR Conditional LTV 1200 ventilator P N 18888 2XX LTv 1200 MR Safe 15ft Patient Circuit P N 19189 001 MR Conditional Floor Stand P N 14982 001 and an LTV AC adapter P N 18053 001 The MR Conditional LTV 1200 System is suitable for use in both 1 5 and 3 0 Tesla not to exceed 3 0 Tesla static magnetic field shielded magnetic scanners see Chapter 16 MR Conditional System for more information C 0086 European Regulatory Requirements per 93 42 EEC Medical Device Directives Pulmonetic Systems European Representative for vigilance reporting within the European Community is MediMark Europe Sarl 11 rue Emile Zola BP 2332 F 38033 Grenoble Cedex 2 France Tel 33 0 4 76 86 43 22 Fax 33 0 4 76 17 19 82 E mail info medimark europe com Any product malfunctioning issues that fall under Medical Device Directives Essential Requirements should be directed to MediMark Operator s Manual LTV 1200 Ventilator Page iii p n 18247 001 Rev G Notice To Operators Unsafe Operation Operating the LTV 1200 ventilator without a complete and thorough understanding of its attributes is unsafe and may cause harm to t
142. ay be taken such as terminating an inspiration or opening the exhalation valve When an alarm is reset and other alarms have occurred at the same time the active alarms will occur in order of priority level until each alarm is individually reset Active alarms take priority over inactive alarms Priority levels Alarm condition priority levels are categorized in one or more of the following levels High Priority Medium Priority or Low Priority Alarms in order of priority Alarm Name Displayed Alarm Priority Level 1 INOP Inoperable ventilator shutdown High 2 REMOVE PTNT Remove Patient High 3 APNEA Apnea High 4 DISC SENSE Disconnect High 5 BAT EMPTY Internal Battery Empty High 6 BAT LOW Internal Battery Low High 7 POWER LOST External Power Lost High 8 POWER LOW External Power Low High 62 If an INOP alarm condition occurs the ventilator will shut down and the Vent Inop LED on the front panel will be illuminated red and the audible alarm will sound continuously See Chapter 9 Ventilator Alarms for more information on the INOP alarm Operator s Manual LTV 1200 Ventilator Page 15 17 p n 18247 001 Rev G Alarm Name Displayed Alarm Priority Level 9 LOW O2 PRES O Pressure Low High 10 HIGH O2 PRES O Pressure High High 11 DEFAULTS Defaults High 12 NO CAL DATA No Calibration Data High 13 HW FAULT Hardware Fault High 14 RE
143. by larger increments turn the knob more quickly Extended Features To navigate through a list of items in an Extended Features menu 1 Turn the Set Value knob clockwise to display the next menu item or 2 Turn the Set Value knob counter clockwise to display the previous menu item Page 6 26 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Silence Reset Use this button to silence an alarm for 60 seconds to reset an alarm to start a 60 second preemptive silence period and to permanently silence the Vent Inop and Standby alarms Two important definitions for understanding how the Silence Reset button works e Active alarm An alarm for which the condition currently exists e Inactive alarm An alarm that has occurred but for which the condition no longer exists Silencing and Clearing Alarms To silence an active alarm for 60 seconds 1 Push the Silence Reset button The audible alarm will be silenced for 60 seconds Once the silence period expires the audible alarm will resume sounding To clear an inactive alarm 1 Push the Silence Reset button The visual alarm displays will be cleared To cancel an active alarm 1 Push the Silence Reset button twice The audible alarm will be silenced and the visual alarm displays will be cleared and the silence period will be terminated Preemptive Silence Period To start a preemptive silence period 1 Push the Silence Reset button A 60 second silence
144. ca 10 15 Language Sel ction s Al k nt tdi dede 10 15 Software Version nn A ee eee ne nn k He 10 16 Usage Meter ts ao 10 16 Communications S ttingiz 2iss r2s sr riaa iaa 10 16 DOW DAC O Per DD DD 10 17 Set TIME ii edn eis eee ee nieve a nel eee eet 10 18 DateFormat vii sushi ts nt tt ne r y n ke b ceke a aa a a a eaaa iaaa 10 18 PIF BZ BZ N WD RM DD van tin DD een tena an eee oid 10 19 Model Number Serial Number 10 19 Valve Home Position sienne 10 20 Set DefaultS aia aati Mee le eet ee beka eee 10 20 O Cylinder Duration escocesa AE ner te Te ner ete mater R d yan ak d 10 21 O r rine fe Ne A ni 10 23 Turning Patient Query on or off se 10 23 Selecting Patient Size nant ina ann aan 10 23 SF 1200 Presels Table rara iia 10 24 SBT Spontaneous Breathing Trial Operations iu ik nc na kk kk kk e KA 10 25 Page viii LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SARA nm Dy DDKD rz gggg gm 10 27 Transducer AUtOZErO xerza dal heliy kik kkin ees alone K n Hak ek eyd Da dee aw intended 10 28 Airway Pressure Transducer UtOZ FO ii llikl ikak kak non c cnn nar n cnn narran WEKA KAW AKA KA 10 28 Bi directional Flow Transducer Differential Autozero E iEEE EEE kk 10 29 Exhalation Flow Transducer Differential Autozero Narrow k 10 30 Exhalation Flow Transducer Differential Autozero Wide u 10 31 Real Time TranSGucers s 2 ayin Hen diy A at
145. cal device designed for use by Respiratory Therapists or other properly trained and qualified personnel under the direction of a physician and in accordance with applicable state laws and regulations AVERTISSEMENT Personnel non qualifi Seul le personnel qualifi doit op rer le ventilateur Le ventilateur de la 1200 LTV est un dispositif m dical restreint con u pour tre utilis par les inhaloth rapeutes ou autres personnes qualifi es et par le personnel qualifi sous la supervision d un m decin et en conformit avec les lois et r glements applicables Operator s Manual LTV 1200 Ventilator Page 10 25 p n 18247 001 Rev G SBT Operations cont When the Spontaneous Breathing Trial mode is turned on SBT ON selected The ventilator switches to CPAP mode Pressure Support and FIO control settings on the front panel are overridden with the values preset in the SBT OP menus The High Breath Rate alarm HIGH f in the ALARM OP menu is disabled as long as the SBT mode is on The Spontaneous Breathing Trial mode will be terminated and ventilation will return to the previously set modes settings when The minutes preset in the SBT OP MINUTES menu have elapsed An SBT alarm SBT lt f SBT gt f SBT lt f Vt or SBT gt f Vt has been active in excess of 5 minutes see Chapter 9 Ventilator Alarms for additional information An Apnea alarm APNEA is generated and the ventilator automatically enters the
146. ccessories mounting screws or accessories replacement screws location type and length to use when removing or exchanging external accessories on an LTV ventilator 74 Contained in Pulmonetic Systems Replacement Screws kit P N 11149 Operator s Manual LTV 1200 Ventilator Page C 5 p n 18247 001 Rev G Protective Boot Installation Supplies Tools Required e Item 1 Protective Boot Upper 1 P N 19033 001 Purple e Item 2 Protective Boot Lower 1 P N 19032 001 Purple e Replacement Screws Kit P N 11149 e Torque wrench 20 in oz 0 14 Nm to 60 in oz 0 42 Nm range e Phillips head screwdriver To Install the Upper Protective Boot 1 Carefully place and support the disconnected ventilator in an upright position on a clean dry surface 2 Using a Phillips head screwdriver remove the two upper back panel pan head and two side panel flat head mounting screws indicated in the illustration e Donot remove the mating finish washers 3 Orient the upper protective boot 1 over the ventilator as shown in the illustration next page Move the boot down into position on the top of the ventilator and align its four screw holes with the corresponding holes in the ventilator back and side panels 4 Insert and thread two 4 40 flat head mounting screws with finish washers 6 through the screw holes in the legs of the upper boot as indicated in the illustration next page 75 Refer to page C 8 for information concerni
147. characters of the ventilator part number referenced as XX designate the specific language configuration of the unit and range from 01 12 Operator s Manual LTV 1200 Ventilator Page 16 1 p n 18247 001 Rev G MR Conditional System Conditions for Operation The MR Conditional LTV 1200 System is suitable for use in both 1 5 and 3 0 Tesla not to exceed 3 0 Tesla static magnetic field shielded magnetic scanners when operated under the following conditions e The LTV 1200 MR Conditional System shall always be used as an assembled system using all of the components MR Conditional LTV 1200 ventilator MR Conditional Floor Stand MR Safe 15ft Patient Circuit and the AC adapter Put the MR Conditional LTV 1200 System outside the 100 Gauss field line at least 9ft 2 74m from the bore opening and in a position where the operator can always see the LTV 1200 Always lock the two 2 locking caster wheels on the ventilator floor stand when used in the MR environment e Use only MR Conditional non magnetic e g aluminum oxygen cylinders and MR Conditional oxygen regulators if O is required e Follow all institutional guidelines MR Conditional procedures and precautions and the LTV 1200 Operator s Manual when operating in the MR environment WARNING e Only the MR Conditional LTV 1200 System which includes the MR Conditional LTV 1200 ventilator MR Conditional Floor Stand MR Safe 15ft Patient Circuit
148. cigare contient un fusible et est con u pour prot ger les ventilateurs de la 1200 LTV contre les transitoires d alimentation des automobiles Le voyant DEL vert de l adaptateur indique que l adaptateur est branch et qu il fonctionne ad quatement Si le voyant ne s allume pas l adaptateur n est peut tre pas bien install dans la prise ou le fusible est peut tre saut Essayer de replacer ou de tourner l adaptateur de mani re obtenir un meilleur raccordement ou changer le fusible se reporter au Chapitre 14 Remplacement du fusible de l adaptateur While the ventilator is connected to the Automobile Cigarette Lighter Adapter the internal battery is being continuously charged Operator s Manual LTV 1200 Ventilator Page 14 9 p n 18247 001 Rev G Replacing the Automobile Adapter Fuse To replace the fuse 1 Unscrew the knurled nut 2 Remove the contact point nut fuse and spring as shown below Be careful not to lose the internal spring as the adapter will not operate correctly without it 3 Replace the spring and new fuse as shown 4 Ensure that the retaining ring is properly in place 5 Replace the contact point and tighten the nut Contact Poi Fuse 10A 32V SLOBLO Glass oint i las Spring Ring The Universal Power Supply UPS The Pulmonetic Systems Universal Power Supply kit is a rechargeable external power source and backup system for Pulmonetic Systems devices It has the following fea
149. condition It is highly recommended that an alternate power source is connected PRIOR to the ventilator reaching the BAT EMPTY alarm condition to ensure continuous uninterrupted patient ventilation INOP Alarm If an INOP alarm occurs during operation ventilate the patient using an alternative method disconnect the ventilator and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems NO CAL Condition Operation of the LTV 1200 ventilator under a NO CAL condition may result in inaccurate pressure and volume measurements Should this condition occur disconnect the patient from the ventilator provide an alternative method of ventilation and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems XDCR FAULT Alarm Continued operation of the LTV 1200 ventilator with an activated XDCR FAULT alarm may result in inaccurate flow and volume measurements Should this condition occur disconnect the patient from the ventilator provide an alternative method of ventilation and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems Personal Injury and Electric Shock Operation of the LTV 1200 ventilator if any of its panels have been removed may result in electrical shock to the patient or operator All servicing must be performed by a certified Pulmonetic Systems service technician Audible Alarms Failure to immediately id
150. correctly attached and securely seated at both the ventilator and wye ends Check the luer fitting connections for leaks Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Verify the exhalation valve is not leaking during inspiration If it is leaking open the exhalation valve and remove the diaphragm Reseat the diaphragm See page 13 10 for a diagram of correct exhalation valve assembly If necessary replace the exhalation diaphragm or exhalation valve with a new one The sense lines are not designed to be removed from either the wye or the luer fittings If the sense lines have been removed and replaced incorrectly they may not seal correctly when replaced Replace the patient wye and sense lines with a known good assembly Verify that the Leak Compensation extended features option is set to On default setting is on See page 10 12 for instructions Perform an autozero under XDCR ZERO See page 10 28 for more information Immediately contact a certified Pulmonetic Systems service technician Operator s Manual p n 18247 001 Rev G LTV 1200 Ventila
151. ct a certified Pulmonetic Systems service technician Vent Inop LED is on and ventilator is not ventilating Vent in Standby Ventilator was running on internal battery and battery became depleted Vent Inop Internal problem with the ventilator After the vent has been turned off and the external power is reconnected the Vent Inop LED is lit This is normal Push the On Standby button to turn ventilator on Connect the ventilator to a good external power source Power up the vent and check the EVENT TRACE for events indicating the reason for inop See page E 1 for information on reading the event trace Immediately contact a certified Pulmonetic Systems service technician Defective AC source AC adapter power cord loose The ventilator doesn t operate from external power Defective AC adapter Internal problem with the ventilator Make sure the AC adapter is securely plugged into a verified source of AC power and is securely connected to the ventilator Verify the power cord for the adapter is fully seated Replace the AC adapter Immediately contact a certified Pulmonetic Systems service technician The ventilator does not operate from internal battery The ventilator shuts Internal battery depleted If the internal battery is depleted charge the internal battery for 8 hours by connecting the external AC adapter and plugging it into a good AC sou
152. ction avec les ventilateurs de la s rie LTV Accessoires non approuv s L utilisation d accessoires qui ne sont pas express ment approuv s par Pulmonetic Systems pourrait entra ner des conditions dangereuses Seuls les accessoires de Pulmonetic Systems devraient tre utilis s pour brancher les ventilateurs aux syst mes d aide aux patients Ces accessoires comportent des caract ristiques de s curit pour r duire les risques de choc N essayez pas de modifier ces accessoires d aucune fa on Connecteur d appel d aide aux patients Ne mettez pas plus de 25 V efficace ou 32 V c c au connecteur d appel d aide aux patients Entretien et r paration du ventilateur Tout entretien ou r paration du ventilateur de la s rie LTV ne doit tre effectu que par un technicien de service certifi de Pulmonetic Systems Circuits du patient Les circuits du patient du Pulmonetic Systems les valves expiratoires et les collecteurs d eau sont exp di s propres mais pas st riles Sensibilit la lumi re ultraviolette Les mat riaux utilis s pour la tubulure des circuits du patient ne sont pas stables sous rayons UV Eviter d exposer la tubulure la lumi re UV Vis de montage des accessoires Voir les renseignements fournis dans la trousse de vis de remplacement de Pulmonetic Systems num ro de pi ce 11149 pour d terminer l emplacement le type et la longueur des vis de montage d accessoires ou des vis d
153. curs when e The ventilator is put into Standby using the On Standby button e The ventilator power sources both external and internal are insufficient to operate the ventilator e A Vent Inop alarm sounds An audible alarm sounds continuously when the ventilator enters the Vent Inop state and may be silenced by pushing the Silence Reset button While in the Vent Inop state the ventilator is set to a safe state allowing the patient to breathe spontaneously from room air 3 Non Invasive Positive Pressure Ventilation Page 7 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 8 MONITORED DATA This section describes each of the monitored data displays and how the data is calculated Monitored data is shown in the Display Window and is actively updated whenever alarms and extended features are not displayed NOTE Some monitored data depends on valid transducer calibrations If valid calibration data is not available the monitored data display will be replaced with the message NO CAL REMARQUE Certaines donn es surveill es d pendent de la validit du calibrage du transducteur Si des donn es de calibrage valides ne sont pas disponibles le donn es surveill es affich es seront remplac es par le message NO CAL WARNING NO CAL Condition Operation of the LTV 1200 ventilator under a NO CAL condition may result in inaccurate pressure and volume measurements Should this condition occur disc
154. d in non volatile memory The settings retained in non volatile memory may be used when the ventilator is next powered up 11 See Chapter 10 Extended Features Control Unlock for more information 12 Non volatile memory is memory that is not erased when the ventilator is turned off or disconnected Page 5 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 6 CONTROLS This section explains how each of the LTV 1200 ventilator front panel controls work Assist Control SIMV CPAP NPPV This button toggles between Assist Control SIMV CPAP and NPPV modes of ventilation Each press of the button advances or confirms your selection as follows e One press selects the first mode in the series Assist Control and the associated LED flashes A second press confirms the selection and the associated LED lights solid e If you press the button again the SIMV CPAP LED flashes Pressing again confirms and causes the SIMV CPAP LED to light solid green e Press once more to select NPPV mode and the NPPV LED flashes To confirm NPPV mode you must press again but be aware that the NPPV LED will continue to flash until the IPAP and EPAP values have been set e For more information see Procedure for NPPV Mode Set Up in Chapter 12 Operating Procedure NOTE When Assist Control is selected the ventilator will be in Control or Assist Control mode depending on the Sensitivity setting e f Sensitivity is set
155. d low side proximal sense lines The narrow scale transducer is only used for differential pressures between 0 35 cmH20 and 0 35 cmH20 approximately 15 Lpm to 15 Lpm FTb xx xx Lpm Flow in Lpm calculated from the differential pressure measured at the patient wye using the bi directional transducer Transducer count display is not available for this item 5 For more information see the LTV Series Ventilator s Service Manual p n 10665 Page 10 32 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Display LEAK xx xx Lpm Real Time Data Leak flow calculated from the differential pressure transducer measured at the patient wye during exhalation This value will be approximately 0 0 when the ventilator is autocycling Eliminate autocycling by turning the sensitivity off before reviewing this measurement FTw xx xx Lpm or FTn xx xx Lpm Flow in Lpm calculated from the differential pressure measured at the patient wye When the value is calculated using the wide scale differential pressure FTw is displayed When the value is calculated using the narrow scale differential pressure FTn is displayed When Leak Compensation is on FTw xx xx and FTn xx xx Lpm values are offset by the value of LEAK xx xx Lpm Transducer count display is not available for this item FVd xx xx mH20 Differential pressure as measured across the flow valve FV xx xx Lpm Flow valve flow in Lpm calcu
156. d on its internal battery to the point that the internal battery is completely depleted the ventilator will shut down If the ventilator remains in this state the internal battery may recharge slightly within a few seconds minutes and cause the ventilator to automatically restart and operate for a short period of time This cycle may repeat several times depending on the condition of the internal battery Page 7 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Battery Level cont WARNING Battery run time When the battery reaches the BAT LOW level the ventilator will only run for approximately 10 minutes before generating a battery empty alarm BAT EMPTY The approximate times shown here are based on tests using the nominal settings a new battery and a full 8 hour charge cycle as specified in Appendix A Ventilator Specifications Actual run time may be more or less depending on ventilator settings patient demand and battery age or condition It is highly recommended that an alternate power source is secured PRIOR to the ventilator reaching the BAT EMPTY alarm condition to ensure continuous uninterrupted patient ventilation AVERTISSEMENT Dur e d utilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS le ventilateur fonctionne pendant environ 10 minutes avant d mettre une alarme de batterie faible BAT INT VIDE Cette dur e approximative est bas e sur des tests avec des param
157. damage ATTENTION Les nonc s ATTENTION informent le lecteur de situations dangereuses qui si elles ne sont pas vit es peuvent causer des dommages l quipement NOTE NOTE statements contain additional information to assist in the proper operation of the LTV 1200 ventilator REMARQUE Les nonc s REMARQUE contiennent des informations suppl mentaires pour aider l op ration ad quate des ventilateurs de la LTV 1200 Page 1 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Warnings WARNING Untrained Personnel Only properly trained personnel should operate the ventilator The LTV 1200 ventilator is a restricted medical device designed for use by Respiratory Therapists or other properly trained and qualified personnel under the direction of a physician and in accordance with applicable state laws and regulations Leak Testing the Patient Breathing Circuit The patient circuit must be leak tested in the VENT CHECK mode before connection to the patient In addition the Ventilator Checkout mode should be used to check for correct operation of the ventilator alarm displays and controls Harm to the patient or ineffective ventilation may result from failure to leak test the patient breathing circuit before connection to a patient When using a heated humidifier include it in the circuit when performing leak testing Adjustable and Critical Alarms For safety purposes a
158. dant 30 minutes e S chage dans un s choir st rile pendant plus de 1 heure ou a 140 F 59 C Gaz ETO e Temp rature 131 F 55 C Entretien de la soupape d expiration La soupape d expiration est une pi ce fragile et peut tre endommag e si e Des pr cautions ne sont pas prises lors de sa manipulation ou de son nettoyage e Des instruments de nettoyage ou des corps trangers sont ins r s dans celle ci e Des pistolets de gaz haute pression sont utilis s pour l ass cher Ports de pression diff rentielle Une source de gaz d bit faible moins de 10 ppm doit tre utilis e pour le nettoyage des fluides et de d bris des ports de pression diff rentielle Installation de la soupape d expiration Apr s le nettoyage installez la soupape d expiration dans le circuit du patient de sorte que les lignes de d tection soient align es vers le haut pendant l op ration Page 13 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G For purposes of cleaning or disinfecting the patient circuit tubing and all accessories must be detached from the ventilator 1 Detach the patient circuit from the ventilator 2 Detach the various components from the patient circuit CAUTION Keep sense lines 22mm Inspiratory pointing upwards connector Limb DO NOT REMOVE y Luer Fittings 1 gt D TO VENTILATOR gt TO PATIENT lt a 4 t S ND Patient SN Wye yrs y
159. data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the LMV LPPS OFF message 1 Push any front panel button or turn the Set Value knob Page 9 34 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G LMV OFF The LMV OFF message is displayed when e The Low Minute Volume alarm is turned off by being set to dashes and e The LPP alarm is set to ALL BREATHS This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the LMV OFF message 1 Push any front panel button or turn the Set Value knob LO PEEP OFF The LO PEEP OFF message is displayed when e The Low PEEP alarm is turned off by being set to LO PEEP OFF and e The High Breath Rate alarm HIGH f is turned on set to a value This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the LO PEEP OFF message 1 Push any front panel button or turn the Set Value knob LOCKED The LOCKED message is displayed when a button is pushed while the controls are locked No audible alarm is given When a LOCKED message is displayed e The LOCKED message is flashed in the display window for 5 seconds or until the controls are unlocked e C
160. de compounds more than 2 glutaraldehyde phenols or abrasive cleaners Ventilator Immersion Do not immerse the ventilator in liquids Exhalation Valve Cleaning Do not pour or spray liquid cleaners into the exhalation valve Front Panel Cleaning Do not pour or spray liquid cleaners onto the front panel ATTENTION St rilisation du ventilateur Afin d viter des dommages irr parables au ventilateur de la 1200 LTV ne tentez pas de st riliser ce dernier Produits de nettoyage Afin d viter d endommager les composants plastiques et le panneau frontal du ventilateur n utilisez pas des produits de nettoyage contenant chlorure d ammonium compos s de chlorure plus de 2 de glutarald hyde ou ph nol Immersion du ventilateur Ne pas immerger le ventilateur dans des liquides incluant les produits st rilisants Nettoyage de la soupape d expiration Ne pas asperger une solution nettoyante dans la soupape d expiration Nettoyage du panneau frontal Ne pas asperger des solutions nettoyantes ou les laisser s couler sur le panneau frontal Operator s Manual LTV 1200 Ventilator Page 13 1 p n 18247 001 Rev G Cleaning or replacing the Fan Filter To clean the fan filter 1 Using a small screwdriver detach the fan filter grill from its housing 2 Remove the fan filter by squeezing the foam filter gently with your fingers and pulling it out NOTE Hardware Fault If you touch the fan blades while removing th
161. default values e Language Time Date Format and Com settings are not reset to default values when the SET DEFAULTS option is used in Extended Features When a DEFAULTS SET alarm is generated e The DEFAULTS SET message is flashed in the display window e The audible alarm is sounded To reset the DEFAULTS SET alarm 1 Push the Silence Reset button twice 2 Select and return the control s and extended features settings to the desired settings NOTE Be sure to check all Controls Alarms and Extended Features options and return them to the desired settings REMARQUE Assurez vous de proc der a la v rification de toutes les options de contr les d alarmes et de caract ristiques tendues et de les retourner aux r glages souhait s 3 See Chapter 10 Extended Features Set Defaults for additional information 49 See Chapter 9 Ventilator Alarms DEFAULTS for factory set default values Operator s Manual LTV 1200 Ventilator Page 9 9 p n 18247 001 Rev G DISC SENSE When the ventilator detects one of the following conditions the DISC SENSE alarm is generated e When a sense line is pinched or blocked e When a sense line has become disconnected e When a sense line is occluded e g excessive condensation in the line The ventilator detects circuit pressure during the beginning of each inspiration If an appropriate pressure change is not detected a DISC SENSE alarm occurs While the DISC SENSE alarm is activ
162. e the ventilator cannot sense the circuit pressure so the breath is terminated When a DISC SENSE alarm occurs e Inspiration is immediately terminated and exhalation begins e The DISC SENSE message is flashed in the display window e The audible alarm is sounded To reset the DISC SENSE alarm 1 Push the Silence Reset button to silence the alarm 2 Push the Silence Reset button to reset the alarm Page 9 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G HIGH f When the Total Breath Rate f exceeds the high breath rate and time period alarm values the HIGH f alarm is generated e To prevent nuisance alarms the HIGH f alarm is suspended for the first 60 seconds of ventilator operation after power up and passing the Power On Self Tests When a HIGH f alarm occurs e The HIGH f message is flashed in the display window e The audible alarm is sounded To reset the HIGH f alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm silences the audible alarm and clears the flashing display e When the HIGH f alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the HIGH f alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice It is not enabled when the HIGH f alarm is automatically silenced reset because the patient
163. e LOW PRES alarm 1 Push the Silence Reset button twice WARNING Patient Circuit Accessories The use of accessories such as Speaking Valves Heat Moisture Exchangers and Filters create additional patient circuit resistance and in the event of a disconnection may impede the generation of a Low Pressure alarm Ensure that the Low Pressure alarm settings accommodate these types of accessories when used in combination with patient circuits AVERTISSEMENT Accessoires du circuit du patient L utilisation d accessoires tels que les membranes vocales les changeurs thermohydriques et les filtres produit une r sistance additionnelle dans le circuit de patient et en cas de d branchement elle risque d emp cher la g n ration de l alarme de basse pression S assurer que les param tres de l alarme de basse pression s adaptent ces types d accessoires lorsqu ils sont utilis s avec les circuits du patient Operator s Manual LTV 1200 Ventilator Page 9 21 p n 18247 001 Rev G NO CAL DATA NO CAL Monitor Display When the ventilator detects invalid or missing calibration records on power up the NO CAL DATA alarm is generated When this happens default calibration values are used and although the ventilator will continue to operate the accuracy of volumes and pressures may be reduced A NO CAL message is posted in place of affected monitored values when the ventilator is operating without valid transducer calibration data
164. e O Source button do not display message when pushed Wrong model selected in maintenance mode Immediately contact a certified Pulmonetic Systems service technician Leak Test Leak test fails Circuit connections or accessories are leaking Wye is not properly capped Reseat or replace the leaking circuit parts accessories or connections Verify the wye is securely capped Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Leak Test Leak test fails with LEAK FAIL message Vent Inop Alarm Test Audible alarm too soft Internal problem with the turbine Alarm sounder blocked Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Check the alarm sounder opening in the right side of the ventilator to verify the opening is not blocked Immediately contact a certified Pulmonetic Systems service technician Vent Inop Alarm Test Alarm does not sound Alarm sounder blocked Check the alarm sounder opening in the right side of the ventilator to verify the opening is not blocked Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Vent Inop Alarm Test The Vent Inop LED is not illuminated Internal problem with the ventilator Immediately contact a certified Pulmon
165. e et de courant lectrique diff rent peut causer un incendie Temp rature d entreposage L entreposage du ventilateur de la 1200 LTV des temp ratures sup rieures 60 C 140 F durant des p riodes prolong es peut endommager la pile interne et causer l usure pr matur e de la pile Connecteur d appel d aide aux patients Ne mettez pas plus de 25 V efficace ou 32 V c c au connecteur d appel d aide aux patients Tests de v rification du ventilateur Les tests de v rification du ventilateur doivent tre effectu s avant de relier le patient au ventilateur Effectuez les tests lors de doutes relativement l op ration ad quate du ventilateur Bouton de d clenchement Pour viter d endommager le ventilateur ou le connecteur d alimentation appuyer sur le bouton de d clenchement situ sur le connecteur avant de le retirer du port d alimentation du ventilateur ou du raccord de queue de cochon du port d alimentation Ne recouvrez pas le ventilateur Afin d viter tout risque de dommages au ventilateur ne le recouvrez pas pendant son fonctionnement et positionnez le de mani re ce que son fonctionnement ou son rendement ne puisse tre g n par d autres objets Assurez vous qu un espace suffisant existe autour du ventilateur pendant son utilisation afin de permettre une bonne circulation des gaz Operator s Manual LTV 1200 Ventilator Page 1 15 p n 18247 001 Rev G Symbols Symbol Compliance
166. e fan filter grill or filter a HW FAULT may occur This is normal Clear the HW FAULT alarm by using the Silence Reset button REMARQUE Si vous touchez les pales du ventilateur en enlevant le grillage du filtre ou le filtre du ventilateur une alarme HW FAULT se produira C est une situation normale Effacez l alarme HW FAULT l aide du bouton Silence Remise z ro 3 Gently bathe the filter in a solution of mild detergent and warm water 4 Rinse thoroughly in warm water 5 Examine the filter for excessive wear or damage Discard and replace with a new filter if necessary 6 Allow the filter to thoroughly air dry before reinstallation 7 Reinstall the filter 8 Reposition the filter grill over the filter and apply light pressure until it fully seats clicks into the filter housing CAUTION Wet or Damp Filters Do not install a wet or damp filter into the LTV 1200 ventilator This could damage the ventilator ATTENTION Filtres mouill s ou humides Ne pas installer des filtres mouill s ou humides dans les ventilateurs de la 1200 LTV Cela pourrait endommager le ventilateur Page 13 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Cleaning or replacing the Inlet Filter To clean the Inlet Filter 1 Remove the Inlet Filter by squeezing the foam filter gently with your fingers and pulling it out 2 Gently bathe the filter in a solution of mild detergent and warm water 3
167. e full 15 second duration e The Vent Inop LED illuminated continuously for the full 15 second duration 5 Ifa Patient Assist Call System or Remote Alarm is connected via the ventilator s Patient Assist Port verify the device also activates audible visual as specified by its manufacturer 6 Silence the alarm by pressing the Silence Reset button 7 Verify the following e Aconfirming audible chirp occurred after the alarm was silenced If the Inop Alarm fails the test discontinue use of the ventilator and immediately contact a certified Pulmonetic Systems service technician Operator s Manual LTV 1200 Ventilator Page 11 11 p n 18247 001 Rev G Exit To exit the vent check mode and return to normal ventilation mode at any point proceed as follows Display Area EXIT is displayed LT V 200 all NAS Select Button Pressure cmH 0 Breath Rate Tidol Yane ms ond he Time Pres Soppan bpa P 01 omH 0 l0 Flush hin Insp Exp Monvol Low Pressure Control On Stondby Ve Peu 0 el Breath 0 Source Lock 0 0000 guy Cw Enter normal ventilation mode 1 Turn the Set Value knob to scroll through the main menu entries VENT OPS ALARM OPS VENT CHECK etc until EXIT is displayed 2 Push the Select button while EXIT is displayed 3 Alternatively push the Control Lock button until normal ventilation mode is restored POST will be performed and the ventilator will begin
168. e is flashed in the display window e The audible alarm is sounded To reset the LOW PEEP alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm silences the audible alarm and clears the flashing display e When the LOW PEEP alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the LOW PEEP alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice The suspension is not enabled when the LOW PEEP alarm is automatically silenced reset because the patient s PEEP no longer exceeds the set LOW PEEP alarm value 4 The Low PEEP alarm suspension is only available with software version 05 07 or higher installed Page 9 20 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G LOW PRES When the peak inspiratory pressure for a selected breath is less than the Low Pressure setting the LOW PRES alarm is generated The Low Pressure alarm can be set to apply to all breaths ALL BREATHS or to Volume Control VC and Pressure Control PC breaths only For information on selecting breath types see Chapter 10 Extended Features Low Peak Pressure Alarm When a LOW PRES alarm occurs e The LOW PRES message is flashed in the display window e The Low Pressure control display is flashed e The audible alarm is sounded To reset th
169. e processor e A problem is detected with the EEPROM memory e A problem is detected writing data to the EEPROM during system shutdown e A problem is detected with the audible alarm circuitry e A problem is detected with the alarm sounder The HW FAULT alarm may occur as a result of ESD or other transient causes If the problem is temporary the alarm will automatically silence when the condition clears If the problem persists or you experience repeated HW FAULT alarms immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems e To determine the type of hardware fault detected by the ventilator see Appendix E Event Trace When a HW FAULT alarm occurs e The HW FAULT message is flashed in the display window e The audible alarm is sounded To reset the HW FAULT alarm 1 Push the Silence Reset button twice 2 Ifthe alarm occurs again immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems NOTE Repeated or continuous HW FAULT alarms may indicate a hardware failure that could prevent the ventilator from performing within its specifications Remove the ventilator from service and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems REMARQUE Des erreurs HW FAULT r p titives ou continuelles peuvent indiquer une panne mat rielle qui pourrait emp cher le ventilateur de fonctionner l int rieur des limites sp
170. e remplacement pour accessoires utiliser lors de la d pose ou de l change d accessoires externes sur un ventilateur de la s rie LTV Page 1 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G AVERTISSEMENT Utilisation des vis de montage Vous pourriez causer des dommages internes au ventilateur si des vis de montage de mauvaise longueur sont utilis es lors de l installation ou de la d pose des accessoires externes Accessoires du circuit du patient L utilisation d accessoires tels que les membranes vocales les changeurs thermohydriques et les filtres produit une r sistance additionnelle dans le circuit de patient et en cas de d branchement elle risque d emp cher la g n ration de l alarme de basse pression S assurer que les param tres de l alarme de basse pression s adaptent ces types d accessoires lorsqu ils sont utilis s avec les circuits du patient R glages du contr le de volume bas par minute Le contr le du volume bas par minute doit tre ajust la plus haute valeur clinique appropri e Si l alarme de volume bas par minute doit tre ajust e des valeurs inf rieures ou mise l arr t pour satisfaire aux besoins cliniques effectuer une valuation clinique afin de d terminer si l utilisation d un autre moniteur c d sphygmo oxym tre muni d une alarme sonore ou un moniteur cardio respiratoire s av re pertinente Le syst me RM conditionnelle LTV 1200 est
171. e source alternative d oxyg ne soit disponible en permanence To modify the O Cylinder Duration settings 1 Push the Select button while O2 CYL DUR is displayed and CYL TYPE is displayed 2 Push the Select button while CYL TYPE is displayed and SIZE xxx is displayed 3 Turn the Set Value knob until the applicable O cylinder size is displayed volume in compressed Liters push the Select button and the cylinder size is set e Range 75 9 900 compressed Liters in increments of 1 e This setting is retained by the ventilator through shut downs and power ups until re set by an operator and used to calculate the remaining oxygen e After changing this or any ventilation setting wait approximately 20 seconds before selecting CALCULATE to allow the ventilator to monitor the oxygen flow that will be used in the calculation and display of the remaining usable time of the external O cylinder Operator s Manual LTV 1200 Ventilator Page 10 21 p n 18247 001 Rev G O Cylinder Duration cont 4 5 Turn the Set Value knob until CYL PRES is displayed push the Select button and xxx psi is displayed Turn the Set Value knob until the applicable cylinder pressure is displayed push the Select button and the cylinder pressure is set Range 100 2300 psi in increments of 25 or Range 5 150 bar in increments of 1 if the selected language uses the bar unit of measurement This setting is not retained by the ve
172. e tates eee tener as 10 32 Chapter 11 Ventilator Checkout Tests 11 1 Alarm Test aviation NP 11 3 Display Tee site Sante as 11 4 Control BES SN MAN AN N a A E N yy a S 11 6 Eda K bAn ade Acts daye den ah ane dan Pel Neco den ke r QE A k DR nr a DA DR NA kan je Atta o tae 11 8 Vent In p Al rm Test nina perl l y ke nana abal yk pa sh kec a a kesk wek a x kev ne kek 11 10 l ee eee title te 11 12 Chapter 12 Operating ProcedUure ssssnenns 12 1 To Turn the Ventilator ON cuina ii a bedi rer tdci 12 1 Before Connecting the Ventilator to a Patient 12 2 Procedure for Control Mode Set Up sise 12 4 Procedure for Assist Control Mode Set Up 12 5 Procedure for SIMV Mode Set Up 12 6 Procedure for CPAP Mode Set Up sise 12 7 Procedure for NPPV Mode Set UP ico sms a rin sin san ne hi disen datar nasa cia 12 8 So Turn the Ventilator Off ee Main etienne tin ais 12 9 LTV Ventilator settings Ghecklist A RUE kk cek A aa dr dite Un 12 10 Chapter 13 Cleaning Disinfecting and Sterilizing 13 1 Cleaning the Ventilators ssh init tes nan en er M na ne a nie 13 1 Cleaning or replacing the Fan Filter sis 13 2 Cleaning or replacing the Inlet FIS rererangi bna Kik SE n n b n n dak bbe CENGE YA GA 13 3 Cleaning or Replacing the O Inlet Filter sis 13 4 Cleaning the Exhalation Valve and Reusable Patient Circuit
173. e the leaking parts or connections See page 11 8 for instructions Check high and low pressure sense lines to be sure they are correctly attached and securely seated at both the ventilator and wye ends Check the luer fitting connections for leaks Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched Page 15 7 Symptoms Possible Causes What to Do continued Monitored volume is low Delivered volume is low Exhalation drive line leaking or loose Exhalation valve leaking during inspiration Sense lines are reversed Leak Compensation is not on Failed calibration or internal problem with the ventilator Failed autozero Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Verify the exhalation valve is not leaking during inspiration If it is leaking open the exhalation valve and remove the diaphragm Reseat the diaphragm See page 13 10 for a diagram of correct exhalation valve assembly If necessary replace the exhalation diaphragm or exhalation valve with a new one The sense lines are not designed to be removed from either the wye or the luer fittings If the sense lines have been removed and replaced incorrectly they may not seal correctly when replaced Replace the patient wye and sense lines with a known good ass
174. ea mode exited APNEA 07 N A 08 HIGH DIS High side disconnect DISC SENSE 09 LOW DIS Low side disconnect DISC SENSE 10 DISC 0 Circuit disconnect exited DISC SENSE 11 BATMPT1 Internal battery empty occurred BAT EMPTY 12 BATMPTO Internal battery empty exited BAT EMPTY 13 BATLOW1 Internal battery low occurred BAT LOW 14 BATLOWO Internal battery low exited BAT LOW 15 EXT LST1 External power lost occurred POWER LOST 16 EXT LSTO External power lost exited POWER LOST 17 EXT LOW1 External power low occurred POWER LOW 18 EXT LOWO External power low exited POWER LOW 19 XDC FLT1 XDCR fault occurred XDCR FAULT 20 XDC FLTO XDCR fault exited XDCR FAULT 21 O2 LOW 1 O pressure low occurred LOW O2 PRES 22 O2 LOW 0 O pressure low exited LOW O2 PRES 23 O2 HI 1 O pressure high occurred HIGH O2 PRES 24 O2 HI 0 O pressure high exited HIGH O2 PRES 25 DEFAULTS Defaults or Set Defaults occurred DEFAULTS DEFAULTS SET 26 NO CAL No calibration data found NO CAL DATA 27 FAN FLT1 Fan fault occurred HW FAULT 28 FAN FLTO Fan fault exited HW FAULT 29 N A 30 N A 31 INTRRPT1 Spurious interrupt occurred ms RESET 1 32 INTRRPT2 Spurious interrupt occurred Is RESET 1 33 AD MMTCH ADC mismatch HW FAULT 34 AD MTCH1 ADC mismatch occurred HW FAULT 35 AD MTCHO ADC mismatch cleared HW FAULT 36 SYNCER1 Stepper motor lost sync occurred HW FAULT Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page E 3
175. eading sections with related symptoms For information on resolving problems that are not listed here contact Pulmonetic Systems Operator s Manual LTV 1200 Ventilator Page 15 1 p n 18247 001 Rev G Displays and Buttons Some of the symptoms listed in this section are part of the normal operation of the ventilator and do not indicate any problem with the ventilator They are included here for completeness Symptoms Possible Causes What to Do Pres Control display flashing Pressure Control breath terminated by flow PC FLOW TERM is set to on Pressure Control breaths are normally terminated when the set inspiratory time expires Flow termination of Pressure Control breaths is allowed when PC FLOW TERM is set to ON see page 10 11 When a Pressure Control breath is terminated by flow instead of time the Pres Control display is flashed Pres Support display flashing Pressure support breath terminated by time set under TIME TERM Pressure support breaths are normally terminated when the flow drops below the set percentage of the peak flow Pressure support breaths may also terminate on time when the variable time limit is reached before the flow drops to the set level See pages 10 9 and 10 10 for an explanation of the FLOW TERM and TIME TERM features When a pressure support breath is terminated based on time the Pres Support display is flashed High Pres Limit display flashing
176. ed at both the ventilator and wye ends High or low sense lines Check the luer fitting connections for leaks are occluded Check the elbow connectors at the wye to be High or low sense ports sure they have not loosened or been broken in the wye are loose occluded Verify lines are not occluded or pinched Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Pressure Control or Verify the control values are appropriately set Pressure Support set below PEEP Failed autozero Perform an autozero under XDCR ZERO See page 10 28 for more information Leak Compensation is Verify that the Leak Compensation extended not on features option is set to On default setting is on See page 10 12 for instructions Failed calibration or Immediately contact a certified Pulmonetic internal problem with Systems service technician the ventilator 02 is high O inlet pressure too Verify the low pressure O inlet has been Operator s Manual p n 18247 001 Rev G high when Low O Source selected O inlet flow too high when Low O Source selected LTV 1200 Ventilator correctly calculated and set using the Input O Flow Chart see page 6 15 Pulmonetic Systems recommends the use of an O monitor to verify delivered 02 Adjust the entrained O flow so the monitored value shows the desired FIO See pages 6 13 and 6 18 for information on using the Low
177. el qualifi doit constamment surveiller les patients qui sont reli s un ventilateur Le personnel doit tre en mesure de s occuper des d fectuosit s de fonctionnement de l quipement ainsi que des circonstances o ce dernier devient inop rant Une forme de ventilation alternative doit tre disponible tous les patients reli s au ventilateur et le personnel qualifi devrait tre pleinement familier avec les proc dures de ventilation d urgence Ventilation alternative ll est recommand qu un moyen alternatif de ventilation soit disponible en tout temps et que tous les op rateurs de ventilateur soient pleinement familiers avec les proc dures de ventilation d urgence Feu ou explosion L op ration des ventilateurs de la 1200 LTV en pr sence de gaz inflammables peut causer un feu ou une explosion Le ventilateur ne doit tre op r sous aucune circonstance en pr sence de gaz La pr sence d oxyde nitreux ou d anesth siques inflammables repr sente un danger pour le patient et l op rateur D branchement du circuit respiratoire du patient Le d branchement accidentel du circuit respiratoire du patient peut s av rer dangereux Alarmes critiques Le d faut de d finir les alarmes critiques telles que l alarme basse ventilation minute et l alarme basse pression peut causer une non d tection absence d alarme pour un d branchement du tube de d tection inf rieur ou du tube d entra nement de la soupape d expirati
178. elect button HOUR xx is displayed Turn the Set Value knob until the desired hour is displayed Push the Select button MIN xx is displayed Turn the Set Value knob until the desired minute is displayed Push the Select button to accept the new date The seconds are automatically reset to 00 N 9 O1 BR O STE Z N Range 00 00 00 23 59 59 Date Format Use the Date Format option to select the display format for the current date To modify the Date Format 1 Push the Select button while DATE FORMAT is displayed MM DD YYYY or the currently selected date format is displayed Turn the Set Value knob until the desired format is displayed AOON Push the Select button Options MM DD YYYY DD MM YYYY YYYY MM DD Page 10 18 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G PIP LED Use the PIP LED option to turn the display of the PIP LED on the airway display on or off When the PIP LED is on the Airway Pressure display LED representing the Peak Inspiratory Pressure of the previous breath remains lit during exhalation To modify the PIP LED Setting 1 Push the Select button while PIP LED is displayed PIP LED ON or PIP LED OFF is displayed 3 Turn the Set Value knob until the desired setting is displayed Push the Select button Options ON or OFF Model Number Serial Number Use the Model Number Serial Number option to view the LTV s model or serial number and to verify
179. elect button while f is displayed and HIGH f OFF or f xx bpm is displayed 3 Turn the Set Value knob until the desired setting is displayed push the Select button and the high breath rate alarm value is set e Range 5 80 bpm in increments of 1 HIGH f OFF 4 Turn the Set Value knob until TIME is displayed push the Select button and xx sec is displayed 5 Turn the Set Value knob until the desired setting is displayed and push the Select button The high breath rate time period alarm value is set e Range 0 60 seconds in increments of 10 High PEEP Use this menu item to set a high PEEP alarm When the current PEEP value exceeds the set high PEEP alarm value an audible alarm will be sounded and a flashing HIGH PEEP message will be displayed To modify the HIGH PEEP alarm value 1 Push the Select button while HIGH PEEP is displayed 2 HI PEEP OFF or PEEP XX cmH0 is displayed 3 Turn the Set Value knob until the desired setting is displayed 4 Push the Select button Range PEEP 3 through PEEP 20 cmH 0 HI PEEP OFF Low PEEP Use this menu item to set a low PEEP alarm When the current PEEP value is less than the set low PEEP alarm value an audible alarm will be sounded and a flashing LOW PEEP message will be displayed To modify the LOW PEEP alarm value 1 Push the Select button while LOW PEEP is displayed LO PEEP OFF or PEEP XX cmH 0 is displayed Turn the Set Value knob until the desired setting is d
180. em The Over Pressure Relief Valve provides an independent mechanical means to limit the maximum inspiratory pressure Both of these functions are physically included in the Flow Valve Body The Airway Pressure Transducer measures pressure at the patient airway and is used for a feedback signal during the delivery of pressure breaths This transducer also monitors airway pressure to trigger alarms The transducer is autozeroed to ambient pressure and the sense lines are purged to prevent moisture migration into the transducer Page D 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix E EVENT TRACE The Event Trace is a list of events recorded by the ventilator These events may be normal conditions such as turning the ventilator on or off or alarm conditions such as HW FAULT or HIGH PRES e Initial occurrences of events are recorded the first time they occur after power up along with the date time and associated data if any e A second occurrence of the same type of event same event code will be recorded as a separate line item along with the latest date time and associated data The quantity of occurrences is increased by one 1 i e a quantity of two 2 will be displayed e Additional occurrences 3 or more of the same type of event will update the secondary occurrence line items with the latest date time and associated data The quantity of occurrences will be increased by one 1 for each addit
181. embly Verify that the Leak Compensation extended features option is set to On default setting is on See page 10 12 for instructions Perform an autozero under XDCR ZERO See page 10 28 for more information Immediately contact a certified Pulmonetic Systems service technician Delivered volume is half the set volume VHome setting does not match flow valve Immediately contact a certified Pulmonetic Systems service technician Delivered pressure is low PEEP is low ventilator is autocycling Delivered pressure is low Monitored pressure is low Page 15 8 Circuit leak LTV 1200 Ventilator Run a leak test and reseat or replace the leaking parts or connections See page 11 8 for instructions Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do Continued Delivered pressure is low PEEP is low ventilator is autocycling Delivered pressure is low Monitored pressure is low High or low side sense line or elbow at patient wye loose or leaking High or low sense lines are occluded High or low sense ports in the wye are occluded Exhalation drive line leaking or loose Exhalation valve leaking during inspiration Sense lines are reversed Leak Compensation is not on Failed autozero Failed calibration or internal problem with the ventilator Check high and low pressure sense lines to be sure they are
182. entify and correct audible alarm situations may result in serious patient injury Equipment Malfunction or Failure The LTV 1200 ventilator has alarms to notify operators of certain conditions and to cease operating upon detecting possible danger In the event of equipment failure all ventilator operators should have an alternative method of ventilation available and be fully familiar with emergency ventilation procedures Improperly Functioning Ventilator Operation of a ventilator that does not appear to be working properly may be hazardous If the ventilator is damaged fails Ventilator Checkout tests or malfunctions in any way discontinue its use and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems Ventilator Checkout Tests Be aware that gas is not delivered to the patient during these tests Disconnect the patient from the ventilator and ventilate the patient using an alternative method before running the Ventilator Checkout tests Ventilator Checkout and Maintenance Modes The LTV 1200 ventilator does not deliver gas during the Ventilator Checkout mode VENT CHECK or Ventilator Maintenance mode VENT MTNCE and should not be used to ventilate a patient during these tests Inspired Oxygen FIO2 Concentration If the patient has a variable respiratory rate his her minute ventilation will fluctuate If exact concentrations of inspired oxygen FIO are required to be delivered to the
183. entilation see SBT Spontaneous Breathing Trial Operations in Chapter 10 Extended Features When a SBT lt f Vt alarm is generated The SBT lt f Vt message is flashed in the display window e The audible alarm is sounded To reset the SBT lt f Vt alarm 1 Push the Silence Reset button twice e When the SBT lt f Vt alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the SBT lt f Vt alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice It is not enabled when the SBT lt f Vt alarm is automatically silenced reset because the patient s breath rate is no longer lower than the set LOW f Vt alarm value e When an SBT alarm has been active in excess of 5 minutes the SBT mode of ventilation is terminated the ventilator clears the alarm status silences the audible alarm and returns to its previous mode of ventilation settings To remove the flashing SBT alarm message from the display window push the Silence Reset button Operator s Manual LTV 1200 Ventilator Page 9 29 p n 18247 001 Rev G SBT gt f Vt When the Spontaneous Breathing Trial SBT mode of ventilation is on and the monitored f Vt Total Breath Rate divided by the Average Exhaled Tidal Volume is greater than the HIGH f Vt setting high limit of the f Vt range for 30 seconds the SBT gt f Vt alarm is generated For addition
184. eous Breathing Trial SBT mode of ventilation is terminated the SBT OFF alarm is generated For additional information concerning the Spontaneous Breathing Trial SBT mode of ventilation see SBT Spontaneous Breathing Trial Operations in Chapter 10 Extended Features When a SBT OFF alarm is generated e The SBT OFF message is flashed in the display window e The audible alarm is sounded for 3 seconds To clear the SBT OFF flashing display 1 Push the Silence Reset button Operator s Manual LTV 1200 Ventilator Page 9 31 p n 18247 001 Rev G XDCR FAULT When a transducer autozero test fails the XDCR FAULT alarm is generated Transducer autozeros are scheduled at periodic intervals during ventilator operation This allows the ventilator to adjust the zero pressure readings as the ventilator warms up and environmental conditions change If an autozero test fails it will be automatically rescheduled to run again on the next breath The XDCR FAULT alarm will remain active until a valid autozero can be done If the XDCR FAULT persists remove the ventilator from service and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems When a XDCR FAULT alarm occurs e The autozero for the transducer is rescheduled to run again on the next breath e The XDCR FAULT message is flashed in the display window e The audible alarm is sounded To reset the XDCR FAULT alarm 1 Push the Silence Reset but
185. erator s Manual LTV 1200 Ventilator Page 4 1 p n 18247 001 Rev G SIMV Mode SIMV mode is selected when SIMV CPAP is selected and the Breath Rate is set between 1 and 80 In SIMV mode machine assist and patient breaths may be given For the first patient trigger detected within a breath period an assist breath is given For all subsequent patient triggers within the same breath period spontaneous patient breaths or pressure support if set are given At the beginning of a breath period if no triggered breaths were given in the previous breath period a machine breath is given If there was a patient trigger in the previous breath cycle the ventilator will not give a machine breath in the current breath period unless the set Apnea Interval is exceeded Machine i Machine Assist Pressure Assist Pressure Pressure Assist Patient Triggers Pressure Control Machine and Assist Breaths and Pressure Support Breaths NOTE LTV ventilators provide an Apnea Backup mode of ventilation When the set Apnea Interval maximum time allowed between the beginning of one breath and the beginning of the next breath is exceeded the APNEA alarm is generated and the ventilator will enter Apnea Backup ventilation mode REMARQUE Les ventilateurs LTV procurent un mode de ventilation de secours pour l apn e Lorsque l intervalle de l apn e tabli dur e maximum allou e entre le d but d une respiration et le d but de la respiration
186. es blocs piles externes ne peuvent tre recharg s qu en utilisant le chargeur de piles externe Pulmonetic Systems Le bloc piles externe doit tre d branch du ventilateur de la 1200 LTV afin d tre branch au chargeur de piles externe Il faut 8 heures pour recharger compl tement le bloc piles externe Consultez la feuille de directives incluse avec le chargeur de piles externe pour obtenir des renseignements sur la fa on de configurer ad quatement le chargeur selon la tension alternative et la fr quence dont vous disposez La batterie externe est une batterie l acide sans entretien Certains tats et pays exigent que l on dispose de ces piles par l entremise d un centre autoris de recyclage ou de mati res dangereuses Pour conna tre les proc dures appropri es communiquez avec l agence concern e Page 14 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G For more detailed information on using or charging the external batteries or for information on replacing battery box or bag fuse see the LTV External Battery Kit Operator s Manual The battery may be set and operated from any position but always secure the battery box in place and keep the battery box in a stable accessible position near the LTV ventilator Keep all cords away from footpaths and moveable equipment and tie them to unmoving surfaces such as the ventilator stand or bed post Refer to your LTV External Battery Kit Operator
187. es with ASTM Specification F 1246 Operator s Manual LTV 1200 Ventilator Page 12 3 p n 18247 001 Rev G Procedure for Control Mode Set Up Set any desired Extended Features options and 1 Push the mode Select button twice to toggle the modes between Assist Ctrl and SIMV CPAP Select the Assist Ctrl mode 2 Push the mode Select button twice to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired 3 Establish the Breath Rate 4 If Volume ventilation is selected establish the Tidal Volume The calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed 5 If Pressure ventilation is selected establish the Pressure Control 6 Establish the Inspiratory Time The calculated peak flow Vcalc is displayed in the window while Inspiratory Time is being changed Vcalc only applies to volume ventilation 7 Set the desired percentage of oxygen to be delivered by the ventilator 8 Set the Sensitivity to dashes 9 Set the High Pres Limit alarm 10 Set the Low Pressure alarm 11 Set the Low Min Vol alarm 12 Set the PEEP Airway Pressure cmH 0 mure LEVi200 Chorge Status V ASYS Battery Level HCARE Pres Control Insp Time Pres Support 01 cmH0 PEEP sec cmH 0 PEEP 02 Hush Insp Exp Manual flow Pressure Hold Breath 02 Source En 3 425 1 6 7 8 9 10 11 12 Page 12 4 LTV 1200 Ventilator Operator s Manual p n 18247 001
188. escribes the purpose of the LED indicators on the front panel that do not have associated front panel controls 27 See Chapter 9 Ventilator Alarms and Chapter 6 Controls Silence Reset for more information on how to clear alarm displays 8 See Chapter 10 Extended Features for more information on how to use the Extended Features Menus 2 See Chapter 8 Monitored Data and Chapter 6 Controls Select for more information on displaying monitors Operator s Manual LTV 1200 Ventilator Page 7 1 p n 18247 001 Rev G Battery Level The Battery Level indicator shows the level of available internal battery power while running from the internal battery When the ventilator is running from an external power source the Battery Level indicator is off When running from the internal battery at the nominal settings shown below the indicator shows the following levels Alarm e R Battery Level Approximate Battery Time Total time 60 mins Green Internal battery level is acceptable 45 minutes BAT LOW Amber Internal battery level is low 10 minutes BAT EMPTY Red Internal battery level is critically low 5 minutes Nominal Settings Mode Assist Control Volume Peep 5 cmH O Breath Rate 15 bpm 0 21 Tidal Volume 800 ml Lung Compliance 50 ml cmH 0 Inspiratory Time 1 5 sec ET Tube Resistance 5 87 cmH2O L s Sensitivity 2 Ipm Battery Temperature 25 C When an LTV 1200 ventilator is operate
189. et any desired Extended Features options and 1 Push the Assist Control SIMV CPAP mode button until the NPPV LED flashes Press the button once more to confirm The NPPV LED continues to flash and SET IPAP displays The Pres Support control display is bright and all other controls dim 2 Turn the Set Value knob to adjust the IPAP value shown in the Pres Support LED window Press the Pres Support button to confirm SET EPAP will display The PEEP control display is bright and all other controls are dim 3 Turn the Set Value knob to adjust the EPAP value shown in the PEEP LED window Press the PEEP button to confirm 4 The PEEP button push confirms NPPV operation and LED then turns solid 5 Set the desired percentage of oxygen to be delivered by the ventilator 6 Set the High Pres Limit alarm Airway Pressure cmH20 o o w 2 30 4 v o 70 80 w w LIV oS ere Rate Tidol Pres EE Insp Time Pres Support 0 High Pres Limit ter Presa Low Vol Vent nt Inop mH 0 Pf sec cmH 0 PEEP 02 Flush Reset P Control On Stondby Volume Me ol Sore lod O 14 2 5 6 3 Page 12 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G To Turn the Ventilator Off 1 Disconnect the ventilator from the patient 2 Push and hold the On Standby button for 3 seconds The ventilator ceases operating the audible alarm sounds continuously and the Vent Inop LED is lit 3 Stop the audib
190. etic Systems service technician Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 15 25 Symptoms Vent Inop Alarm Test Confirming audible chirp does not sound Possible Causes Audible alarm did not sound long enough before test was terminated What to Do Repeat the Vent Inop Alarm Test and allow audible alarm to sound for at least 15 seconds before pushing the Silence Reset button See Chapter 11 Vent Inop Alarm Test for instructions Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Test Lung Operations Symptoms Possible Causes What to Do Delivered pressure higher than set pressure on test lung Pressure gt 40 cmH 0 used on small test lung Pulmonetic Systems or Siemens 190 The compliance characteristics of some small test lungs Pulmonetic Systems or Siemens 190 cause incorrect readings when high pressures are used For these lungs use pressures under 40 cmH20 or change to a larger lung Monitored volumes very high on test lung Test lung with small aperture connected directly to wye Very small ET tube connected directly to wye Some test lungs have a narrow opening or a restrictor which may cause jetting and cause the flow differential to be read incorrectly To reduce the jetting effect add a short extension between the test lung and the wye
191. fy that the Leak Compensation extended features option is set to On default setting is on See page 10 12 for instructions Failed calibration or internal problem with the ventilator High or low sense lines are occluded High or low sense ports in the wye are occluded Defective purge solenoids Immediately contact a certified Pulmonetic Systems service technician Verify lines are not occluded or pinched and or clear the lines with a low flow less than 10 Ipm gas source Immediately contact a certified Pulmonetic Systems service technician Ventilator is on gas is not delivered and turbine is running Failed calibration or internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Ventilator makes a high pitched noise when in Standby Battery charge circuit running When the battery charge circuit is running in bulk charge the Charge Status LED is amber the ventilator may emit a high pitched sound that some people can hear This is normal Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 15 13 Symptoms Possible Causes What to Do Ventilator gets excessively hot Patient circuit leaks ventilator must run harder to maintain instructions PEEP Internal problem with the ventilator Perform a Leak Test and reseat or replace the leaking parts or connections See page 1
192. g more than 2 glutaraldehyde Pasteurization e A 30 minute warm water detergent and a 30 minute 165 F 74 C hot water cycle e Drying in a sterile drier for more than 1 hour or 140 F 59 C Gas ETO e Temperature 131 F 55 C Differential Pressure Ports A low pressure air nozzle with flow less than 10 liters per minute should be used for cleaning the differential pressure ports Exhalation Valve Cleaning Do not pour or spray liquid cleaners into the exhalation valve Patient Wye Installation After cleaning install the patient wye in the patient circuit so the proximal sense lines are oriented up while operating Page 1 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G CAUTION Care of the Exhalation Valve The exhalation valve is a delicate assembly and may be damaged if e Care is not exercised when handling or cleaning it e Cleaning instruments or foreign bodies are inserted into it e High pressure gas nozzles are used to dry it Front Panel Cleaning Do not pour or spray liquid cleaners onto the front panel Care of Bacterial Filters If bacterial filters are used in conjunction with the LTV 1200 ventilator comply with all procedures as specified by the filter manufacturer Wet or Damp Filters Do not install a wet or damp filter into the LTV 1200 ventilator This could damage the ventilator Oxygen Supply Contamination The accuracy of the oxygen delivery capabilities of
193. ge 9 25 p n 18247 001 Rev G RESET RESET 1 A RESET or a RESET 1 alarm occurs if the ventilator restarts following a condition other than being shut down by pressing the On Standby button The ventilator runs an ongoing set of self tests to verify that it is operating correctly If the ventilator detects a condition that makes safe ventilator operation uncertain it reinitializes itself to allow the more sophisticated Power On Self Tests POST to be performed If the POST does not detect any further problems the ventilator will resume operation and a RESET or a RESET 1 alarm is posted If the POST detects a problem that could cause continued operation to be unsafe a ventilator INOP will occur Conditions that could cause a RESET or a RESET 1 alarm e Operating the ventilator on the internal battery until it is fully depleted e Electrostatic Discharge ESD e Other transient causes When a RESET or a RESET 1 alarm is generated e An error code is written to the Event Trace indicating the type of problem detected e The ventilator resets itself and performs the Power On Self Tests POST If no further problems are detected the ventilator resumes operation e The RESET or RESET 1 message is flashed in the display window e The audible alarm is sounded To reset the RESET or a RESET 1 alarm 1 Push the Silence Reset button twice NOTE When a RESET or RESET 1 alarm has occurred check the Event Trace for more information abo
194. harging the internal battery Clear the alarm Reduce static causing conditions in the operating environment If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Immediately contact a certified Pulmonetic Systems service technician Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 15 21 Symptoms Possible Causes What to Do DEFAULTS alarm Event Log shows DEFAULTS Electro static discharge ESD Internal problem with the ventilator Some or all control settings were found to be invalid or out of range on power up and were restored to the default settings Clear the alarm Reduce static causing conditions in the operating environment If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Repeated HIGH f alarms Total Breath Rate f exceeds the set HIGH f alarm values Patient Circuit leak causing autocycling Internal problem with the ventilator Check HIGH f alarm values See page 10 5 for instructions Do a Leak test and reseat or replace the leaking parts or connections See page 11 8 for instructions If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Repeated HIGH PEEP Monitored PEEP exceeds the alarms set HIGH PEEP alarm value Patient circuit and or Exhalation valve occluded Inter
195. he Control Lock button for 3 seconds These controls are not affected by the Control Lock and operate even when the Control Lock is on Manual Breath Silence Reset Select 13 See Chapter 10 Extended Features Control Unlock for more information Operator s Manual LTV 1200 Ventilator Page 6 3 p n 18247 001 Rev G High Pressure Limit Use the High Pressure Limit to establish the maximum pressure permitted the patient circuit When this limit is reached e A HIGH PRES alarm is displayed e The audible alarm is sounded e Inspiration is terminated and exhalation begins The turbine is stopped to allow the circuit pressure to evacuate when the high pressure condition persists for more than four times the set inspiratory time or more than 3 0 seconds whichever is less To set the High Pressure Limit 1 Push the High Pres Limit button 2 Change the setting using the Set Value knob Range 5 100 cmH20 Page 6 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Inspiratory Expiratory Hold Pushing the Insp Exp Inspiratory Expiratory Hold control button causes the ventilator to toggle between the following messages in the display window Each push causes the next item in sequence to be displayed INSP HOLD EXP HOLD Normal monitor display While INSP HOLD or EXP HOLD is displayed e The Insp Exp Hold control button LED will flash on and off e If the Insp Exp Hold control button is not pushed within 60
196. he level of external power while the ventilator is operating from an external power source When the ventilator is running from the internal battery the External Power indicator is off When running from external power the indicator shows the following levels See Chapter 7 Battery Level for approximate battery time LED Color Power Level Green External Power level is acceptable Amber External Power level is low External power may be provided by connecting the ventilator to an external DC power source external battery or to the LTV AC Power Adapter CAUTION AC Power Source When connecting the ventilator to an AC power source use only the approved LTV AC Power Adapter External DC Power Source or External Battery When connecting the LTV 1200 ventilator to an external DC power source or external battery use only the approved method and connectors specified in Chapter 14 Power and Battery Operation Internal Battery Use The internal battery is intended for use during short periods while switching between external power supply connections emergency situations or short duration transports The length of time the ventilator will operate on internal power is a function of many factors such as settings charge level and condition or age of the battery therefore the use of the internal battery as a standard operating practice is not recommended ATTENTION Source d alimentation c a Lorsque vous branchez le ventilateur
197. he patient It is important that this manual be read and understood in its entirety before operating the ventilator Warnings and Cautions Section Read the section on Warnings and Cautions carefully before operating the LTV 1200 ventilator Use and Maintenance Any questions regarding installing operating or maintaining the LTV 1200 ventilator should be directed to a certified Pulmonetic Systems service technician or Pulmonetic Systems Avis important Fonctionnement dangereux L op ration d un ventilateur de la LTV 1200 sans une excellente compr hension de ses attributs est dangereuse et risque de blesser le patient Il est tr s important de lire et de comprendre enti rement ce manuel avant de faire fonctionner le ventilateur Section Avertissements et Attention Lire attentivement la section Avertissements et Attention avant de proc der l op ration des ventilateurs de la LTV 1200 Utilisation et entretien En cas de questions concernant l installation l op ration ou l entretien des ventilateurs de la s rie LTV veuillez vous adresser un technicien de service certifi de Pulmonetic Systems ou directement Pulmonetic Systems Page iv LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Contents Waranty nn rer i Ou eee ead ae eee ee eed ii Notices sera chat stile eh le lates tai ef Re nr De oe okt uted ates N iii Chapter 1 Introduction Susini kk kkkkk kk kk kk kak AKA KAKA KAKA KAKA KA
198. he patient circuit and all accessories replace any excessively worn or damaged components and reassemble 4 Reconnect the exhalation valve drive line the sense lines and the inspiratory limb to the mating ports on the side of the ventilator see Patient Breathing Circuit Connection Instructions in Appendix C Installation and Checkout for detailed instructions 5 Leak test the patient breathing circuit WARNING Leak Testing Patient Circuits Leak test the patient circuit with all accessories connected before connection to the patient Failing to do this can result in ineffective ventilation and possible harm to the patient Refer to Leak Test in Chapter 11 Ventilator Checkout Tests for detailed instructions AVERTISSEMENT Essais de fuite du circuit du patient Faire un essai de fuite du circuit du patient une fois que tous les accessoires sont en place avant de faire le raccordement final au patient L omission de cette tape peut entrainer une ventilation inefficace et pourrait blesser le patient Pour obtenir les consignes d taill es consulter Essai de fuite dans le Chapitre 11 Tests de v rification du ventilateur Operator s Manual LTV 1200 Ventilator Page 13 11 p n 18247 001 Rev G Page 13 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 14 POWER AND BATTERY OPERATION The LTV 1200 ventilator operates on Direct Current 11 to 15 VDC supplied by an external AC t
199. he problem is corrected When an alarm occurs e A flashing alarm message appears in the display window e An audible alarm sounds e Any associated control displays flash e Depending on the alarm other actions may be taken such as terminating an inspiration or opening the exhalation valve When an alarm condition clears e The audible alarm is silenced e The alarm message continues to flash in the display window e Any associated control displays continue to flash WARNING Adjustable and Critical Alarms For safety purposes all adjustable alarms and all critical alarms must be checked to insure proper operation Audible Alarms Failure to immediately identify and correct audible alarm situations may result in serious patient injury AVERTISSEMENT Alarmes r glables et critiques Pour assurer la s curit et obtenir un fonctionnement ad quat toutes les alarmes r glables et critiques doivent tre v rifi es Alarmes sonores L chec a identifier et corriger dans l imm diat les situations d alarmes sonores peut causer des blessures au patient The following sections describe what alarms can occur on the LTV 1200 ventilator and how to correct them Operator s Manual LTV 1200 Ventilator Page 9 1 p n 18247 001 Rev G A arms APNEA APNEA xx bpm When the time since the start of the last breath is longer than the set Apnea Interval the APNEA alarm is generated When an Apnea alarm occurs t
200. he ventilator will enter Apnea Backup ventilation mode For more information on Apnea Backup mode see Chapter 4 Ventilation Modes Apnea Backup For more information on the variable Apnea Interval see Chapter 10 Extended Features When an APNEA alarm occurs e Any inspiration in progress is terminated e The ventilator changes to Apnea Backup ventilation e The APNEA xx bpm backup ventilation breath rate is displayed e Control displays used while in Apnea Backup mode are illuminated and all other control displays are dimmed e The audible alarm is sounded While in Apnea Backup mode the alarm will continue to sound and the alarm message and breath rate will be flashed in the display window Apnea backup mode will continue until the operator resets the alarm or the patient triggers 2 consecutive breaths When the APNEA alarm is reset by 2 consecutive triggered breaths e Apnea Backup Ventilation terminates and the ventilator returns to the previous mode e The APNEA alarm message remains flashing in the window but the breath rate is no longer displayed e Control displays used in the selected ventilation mode are illuminated and all other control displays are dimmed e The audible alarm is silenced To reset the APNEA alarm and exit Apnea Backup ventilation 1 Push the Silence Reset button twice Page 9 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G BAT EMPTY When the ventilator is operating on intern
201. hieved Pressure Support Breaths may also be terminated by an operator set maximum time or by exceeding 2 breath periods Pressure Trigger PSIG A patient effort in which the pressure below PEEP is less than the Sensitivity setting A pressure trigger will result in a delivered breath Pounds per Square Inch Gauge A unit for measuring pressure rpm Revolutions per minute Turbine speed is measured in rpm Scrolling monitored data display Displays the monitored values statically or allows for automatic scroll ing While scrolling is active each monitored value will be displayed for 3 seconds then the next value will be automatically displayed SIMV Synchronized Intermittent Mandatory Ventilation SIMV mode A ventilation mode where a minimum number of machine or assist breaths are given and the patient is allowed to trigger additional Patient breaths Available breath types are volume control pressure control pressure support and spontaneous Spontaneous breath A breath which the patient starts and cycles Spontaneous breaths are cycled at 10 of peak flow set variable time termination or when they exceed 2 breath periods Spontaneous Breathing Trial SBT A ventilation mode used to temporarily minimize ventilatory support and perform clinical assessments of a patient s dependence on or ability to be removed from positive pressure ventilation Tidal volume monitored Vte Tot
202. hm series resistor Devices connected to the Patient Assist port must be IEC 60601 1 1 certified e See Chapter 10 Extended Features Alarm Operations for instructions on setting the Patient Assist Port output signal for use with single or dual tone remote alarm systems Because the ventilator does not include an internal series resistor in the Patient Assist output a special cable has been designed which incorporates the resistor into the cable assembly itself The series resistor allows the remote alarm to detect and report both ventilator alarms and a disconnected remote alarm cable Do not apply more than 120 Volts AC VAC to a remote alarm when it is connected to the ventilator CAUTION Remote Alarm Always verify that the remote alarm properly reports the LTV ventilator alarms before use Remote Alarm Always follow the remote alarm manufacturer s usage and maintenance requirements to guarantee proper function of the device ATTENTION Alarme a distance Assurez vous toujours que l alarme distance indique de fa on ad quate les alarmes du ventilateur LTV avant d utiliser le ventilateur Alarme distance Suivez toujours les exigences d utilisation et d entretien du fabricant de l alarme distance afin d assurer le fonctionnement ad quat de l appareil To connect the ventilator to the remote alarm 1 Plug the cable s modular jack into the Patient Assist port on the side of the ventilator 2 If
203. ial pressure transducer Narrow XDC FLT1 channel fault XDCR WID 62 Differential pressure transducer Wide XDC FLT1 channel fault Page E 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix F GLOSSARY TERM AC DEFINITION Alternating Current Airway circuit The airway tubing that connects the ventilator and the patient Airway pressure The airway pressure measured at the exhalation valve Airway pressure display A bar graph type display composed of 60 LEDs This display shows the real time airway circuit pressure from 10 cmH20 to 108 cmH 0 Alarm An audible and visual announcement that an alarm condition has been met Audible notification includes an oscillating or continuous tone Visual notification may include flashing displays illuminated LEDs and text messages shown in the display window Apnea Apnea happens when the time between breath starts exceeds the set apnea interval Apnea backup ventilation Apnea interval Apnea Backup Ventilation begins when an apnea alarm occurs and continues until the patient initiates 2 consecutive breaths or the alarm is canceled by an operator Apnea Backup Ventilation is given in the Assist Control mode The maximum period of time allowed between breath starts If the time between breath starts exceeds this interval an Apnea alarm occurs Assist Control mode Assist breath A mode of ventilation where the patient
204. ic Systems or a service facility designated by Pulmonetic Systems shipping prepaid by the Buyer LIMITATION OF WARRANTY Ordinary maintenance as specified in the LTV 1200 Ventilator Operator s and Service Manuals is not covered under the foregoing warranty The foregoing warranty does not apply to defects or damage to the unit resulting from e Improper use or misuse e Improper or inadequate maintenance The foregoing warranty is in lue of any implied e Unauthorized modifications or repairs e Use of the unit with unauthorized accessories e g external battery or AC adapter e Use or storage outside the specified environment NO IMPLIED WARRANTIES This warranty is exclusive There are no other warranties expressed or implied LIMITATION OF LIABILITY Pulmonetic Systems shall not be liable for loss of profits loss of use consequential damages or any other claim based on breach of warranty Pulmonetic Systems liability for damages of any kind shall be limited to the purchase price of the defective unit Page ii LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Notices The LTV 1200 ventilator complies with limitations as specified in IEC 601 1 2 for Medical Products It does however use and radiate radio frequency energy The function of this machine may be adversely affected by the operation of other nearby equipment such as high frequency surgical diathermy equipment short wave therapy equipment defibrill
205. ilator generate a POWER LOST alarm and switch the ventilator s power source to the internal battery Unauthorized Parts or Accessories Serious harm to the patient may result from the use of unauthorized parts or accessories Only items expressly approved by Pulmonetic Systems may be used in conjunction with the LTV 1200 ventilators Unapproved Adapters Only Pulmonetic Systems Accessories should be used to connect the ventilator to Patient Assist Call Systems These accessories incorporate safety features to reduce the risk of shock Do not attempt to modify these accessories in any way Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist Call connector Ventilator Service and Repair All servicing or repair of the LTV 1200 ventilator must be performed only by a service technician certified by Pulmonetic Systems Patient Circuits Pulmonetic Systems Patient Circuits Exhalation Valve Assemblies and Water Traps are shipped clean not sterile Ultra Violet Light Sensitivity The material used in the tubing of the Reusable Patient Circuits is not UV stable Avoid exposure of the tubing to UV light Mounting Screws Refer to the information contained in Pulmonetic Systems Replacement Screws Kit P N 11149 to determine the appropriate accessories mounting screws or accessories replacement screws location type and length to use when removing or exchanging external accessories on an LT
206. iled information concerning specific Features Feature Default Alarm Volume 85 dBA Apnea Interval 20 sec Com Setting Data Control Unlock Easy Date Format MM DD YYYY High f Alarm High f Off High f Alarm Delay 30 sec High PEEP Alarm PEEP 5 cmH20 HP Alarm Delay No Delay Language English Leak Compensation On Low PEEP Alarm PEEP 5 cmH 0 LPP Alarm All Breaths NPPV Mode Off O Conserve Off O Cylinder Duration 2000 psi or 138 bar O Cylinder Duration 622 liters O Flush Period 3 min Feature Patient Assist Patient Query Patient Size PC Flow Termination PIP LED Rise Time Profile SBT Display f Vt Alarm SBT FIO SBT High f Alarm SBT High f Vt Alarm SBT Low f Alarm SBT Low f Vt Alarm SBT Mode SBT Mode Run Time SBT PEEP SBT Pressure Support Variable Flow Termination Variable Time Termination Default Normal On INFANT Off On 4 Off 21 35 bpm 105 f Vt 10 bpm 70 f Vt Off 20 min 0 cmH20 10 cmH 0 25 1 5 sec 38 This feature is not reset to default values when the SET DEFAULTS option is used in Extended Features Page 9 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G DEFAULTS SET The DEFAULTS SET alarm is generated when the LTV 1200 ventilator is first powered up after the SET DEFAULTS option has been used to reset all controls and extended features settings to their factory set
207. ine breath starts or apnea alarms that were held off will resume NOTE Breath period timing and apnea timing will be suspended while the maneuver is performed As a result the apnea alarm will not alarm during the maneuver REMARQUE La synchronisation de la p riode de respiration et la synchronisation de l apn e sont interrompues pendant la manoeuvre Ainsi l alarme d apn e ne se d clenche pas au cours de la man uvre Range P Exp 0 100 cmH20 AutoPEEP 0 100 cmH20 17 AutoPEEP is calculated as P Exp at end of Expiratory Hold maneuver minus P Exp at end of normal exhalation monitored PEEP Page 6 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G NOTE The ventilator will not perform an Expiratory Hold maneuver during Pressure Support or Spontaneous breaths If the button is held during inspiration or during Pressure Support or spontaneous exhalation e The associated LED will be blinking e All buttons that are not lockable will operate normally e All buttons that are lockable will be ignored If the button is released before the expiration is complete the display will return to EXP HOLD Once the maneuver is completed if any buttons are touched or an alarm occurs the AutoPEEP display will be cleared After 60 seconds the AutoPEEP display will be cleared REMARQUE Le ventilateur n effectue pas une man uvre de maintien de l expiration au cours du soutien de pression ou de ventilations spo
208. ional occurrence i e the quantity of 2 will be increased to 3 NOTE Event log entries are only one of many diagnostic tools used to troubleshoot the ventilator Additional information is often required to accurately identify the root cause of a problem See Chapter 15 Troubleshooting for more information REMARQUE Les entr es du journal d v nements ne repr sentent que l un des nombreux outils de diagnostic utilis s pour localiser les pannes du ventilateur Des informations suppl mentaires sont souvent n cessaires pour identifier de fa on pr cise la source d un probl me Reportez vous au Chapitre 15 D pannage pour de plus amples informations To view the events 1 Enter the Extended Features menu by pushing and holding the Select button for 3 seconds 2 Turn the Set Value knob until EVENT TRACE is displayed 3 Push the Select button while EVENT TRACE is displayed e xx eventname is displayed e xx is the chronological number of the event occurrence e eventname is the name of the event 4 Push the Select button e xx EyCz is displayed e xx is the chronological number of the event occurrence e yis the event code number of the event e zis the quantity of occurrences since power up 82 The maximum number of occurrences recorded is 255 Operator s Manual LTV 1200 Ventilator Page E 1 p n 18247 001 Rev G 5 Push the Select button e xx eventdate is displayed e xx is the chronological number
209. iration is complete the display will return to INSP HOLD Once the maneuver is completed if any buttons are touched or an alarm occurs the A Pres C Static or P Plat display will be cleared After 60 seconds the display will be cleared REMARQUE Le ventilateur n effectue pas une man uvre de maintien de l inspiration au cours du contr le de pression du soutien de pression et de ventilations spontan es Lorsque le bouton est maintenu pendant l exhalation ou toute inspiration sans volume e Le LED correspondant demeure allum en continu e Tous les boutons non verrouillables fonctionnent normalement e Tous les boutons verrouillables sont ignor s Lorsque le bouton est rel ch avant la fin de l inspiration l affichage indique INSP HOLD Au terme de la man uvre l actionnement d un bouton ou le d clenchement d une alarme entra nent l effacement de l affichage A Pres ou C Static L affichage est effac e apr s 60 secondes Flow delivered in taper waveform Breath cycles at i end of maneuver Vv Paw i Set Insp _ Time Inspiratory Hold on Volume Control Breath Operator s Manual LTV 1200 Ventilator Page 6 7 p n 18247 001 Rev G Expiratory Hold An Expiratory Hold maneuver holds the expiratory phase of a delivered breath for a duration sufficient to determine the AutoPEEP of a patient To perform the Expiratory Hold maneuver 1 Push the Insp Exp Inspiratory Expiratory Hold button
210. is displayed NO DELAY DELAY 1 BRTH or DELAY 2 BRTH is displayed Turn the Set Value knob until the desired setting is displayed Push the Select button amp N Options NO DELAY DELAY 1 BRTH DELAY 2 BRTH Low Peak Pressure Alarm Use the LPP ALARM item to select the type of breaths that the Low Pressure alarm applies to When ALL BREATHS is selected the Low Pressure alarm setting applies to all breath types Volume Control Pressure Control Pressure Support and Spontaneous When the peak pressure during any breath does not exceed the Low Pressure setting the LOW PRES alarm will occur When VC PC ONLY is selected the Low Pressure alarm setting applies only to Volume Control and Pressure Control breaths It does not apply to Pressure Support and Spontaneous breaths When the peak pressure during any Volume Control or Pressure Control breath does not exceed the Low Pressure setting the LOW PRES alarm will occur Options ALL BREATHS VC PC ONLY Page 10 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G High f Use this menu item to set the high breath rate and time period alarm values When the Total Breath Rate f exceeds the set high breath rate and time period alarm values an audible alarm will be sounded and a flashing HIGH f message will be displayed To set the high breath rate and time period alarm values 1 Push the Select button while HIGH f is displayed and f is displayed 2 Push the S
211. isplayed Push the Select button AOON Range PEEP 3 through PEEP 20 cmH20 LO PEEP OFF Operator s Manual LTV 1200 Ventilator Page 10 5 p n 18247 001 Rev G Patient Assist Use the PNT ASSIST menu item to configure the Patient Assist port output signal to be generated for use with remote alarm systems e Allows for the changing of the patient assist alarm output signal used with remote alarm systems which in turn will allow users a means of distinguishing the high pressure alarm HIGH PRES from other alarms To select the Patient Assist output signal 1 Push the Select button while PNT ASSIST is displayed 2 NORMAL or PULSE is displayed e When NORMAL is selected the ventilator sets the Patient Assist Port output signal continuously on for all alarms and is for use with single tone remote alarm and patient assist call systems NORMAL is the factory set default setting e When PULSE is selected the ventilator sets the Patient Assist Port output signal continuous on for the HIGH PRES alarm cycles the Patient Assist output signal on off for all other alarms and is for use with dual tone remote alarm systems 3 Turn the Set Value knob until the desired setting is displayed 4 Push the Select button Range PULSE or NORMAL Exit To return to the top of the ALARM OP menu 1 Push the Select button while EXIT is displayed Page 10 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Vent Operation
212. k in EASY mode push the Control Lock button To unlock in HARD mode push and hold the Control Lock button for 3 seconds See page 10 15 for an explanation of the CTRL UNLOCK feature and Control Lock button Control is not selected Controls are limited Internal problem with the ventilator Before a control value can be changed the control must be selected To select a control push the associated button When a control is selected it is displayed at normal intensity and all other controls are dimmed See page 5 2 for an explanation of how to use the controls A control s value may be limited by the current settings of other controls To change the value of the current control change the value of the flashing controls See page 5 5 for an explanation of Control Limiting Do acontrol test see page 11 6 for instructions If the control does not operate immediately contact a certified Pulmonetic Systems service technician Operator s Manual LTV 1200 Ventilator Page 15 3 p n 18247 001 Rev G Symptoms Possible Causes What to Do Can t unlock the controls Volume Pressure mode button does not operate both LEDs are off Two unlock methods are available on the LTV ventilator See pages 5 6 and 10 15 for an explanation of CTRL UNLOCK To unlock in EASY mode push the Control Lock button To unlock in HARD mode push and hold the Control Lock button for 3 seconds Hard unlock me
213. l the number of minutes preset in the SBT OP MINUTES menu have elapsed When this preset time has elapsed the SBT mode of ventilation is terminated an SBT OFF alarm is generated and the ventilator returns to the previously set modes settings xxx f Vt xx f During a Spontaneous Breathing Trial SBT when DISPLAY ON has been selected in the SBT DISPLAY f Vt menu the monitor displays the current values of the Total Breath Rate divided by the Average Exhaled Tidal Volume f Vt and the Total Breath Rate f e _f Vtis computed every time the Total Breath Rate f or Total Minute Volume VE is calculated At the completion of the SBT mode of ventilation the final values of the Total Breath Rate divided by the Average Exhaled Tidal Volume f Vt and Total Breath Rate f are displayed and retained for an additional five minutes V calc is only displayed while Inspiratory Time is selected if Volume Mode is selected Vcalc is displayed any time Tidal Volume is selected regardless of the current ventilation mode Page 8 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 9 VENTILATOR ALARMS When conditions requiring immediate operator interaction are detected by the LTV 1200 ventilator an alarm is generated Some alarms can reset themselves for instance a high pressure alarm that is caused by a cough Other alarms require some action from the operator and the audible and visual alarms will continue until t
214. lable at this time Page 10 16 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Set Date Use the Set Date option to view or set the current date stored in the ventilator To view the Date 1 Push the Select button while SET DATE is displayed 2 The current date is displayed in the currently selected date format 3 Push the Control Lock button to exit To modify the Date 1 Push the Select button while SET DATE is displayed 2 The current date is displayed in the currently selected date format MM DD YYYY DD MM YYYY or YYYY MM DD Push the Select button YEAR xxxx is displayed Turn the Set Value knob until the desired year is displayed Push the Select button MONTH xx is displayed Turn the Set Value knob until the desired month is displayed Push the Select button DAY xx is displayed Turn the Set Value knob until the desired day is displayed Push the Select button to accept the new date OO N 9 9 FW TT ST TZ Range 1 1 1998 12 31 2097 Operator s Manual LTV 1200 Ventilator Page 10 17 p n 18247 001 Rev G Set Time Use the Set Time option to view or set the current time stored in the ventilator To view the Time 1 Push the Select button while SET TIME is displayed 2 The current time is displayed 3 Push the Control Lock button to exit To modify the Time 1 Push the Select button while SET TIME is displayed The current date is displayed as hh mm ss Push the S
215. lated from the differential pressure measured across the flow valve Transducer count display is not available for this item STEP xxxx Commanded flow valve motor step position Transducer count display is not available for this item TS xxxx rpm O2 xx xx PSI The monitored speed of the turbine in rpms Oxygen inlet pressure in PSIG as measured at the inlet pressure transducer BV xx xx VOLTS Internal battery voltage EV xx xx VOLTS External power voltage PPP xx xx H O Pressure in the PEEP accumulator PEEP Pilot Pressure Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 10 33 Page 10 34 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 11 VENTILATOR CHECKOUT TESTS This chapter details five test procedures accessed through the Vent Check menu and used to verify the proper operation of the LTV 1200 These tests should be performed as shown in the schedule in Appendix B Set Up Maintenance for periodic maintenance and testing of the ventilator The five test procedures are Test Test used to Alarm Test Verify that the audible alarm is working correctly Display Test Verify that the ventilator displays are working correctly Control Test Verify that the buttons and the Set Value knob are working correctly Leak Test Test the patient circuit for leaks Vent Inop Alarm Test Verify that the Vent Inop alarm is working
216. lbow at patient wye loose or leaking High or low sense lines are occluded High or low sense ports in the wye are occluded Sense lines are reversed Failed autozero Failed calibration or internal problem with the ventilator VHome setting does not match flow valve Check high and low pressure sense lines to be sure they are correctly attached and securely seated at both the ventilator and wye ends Check the luer fitting connections for leaks Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched The sense lines are not designed to be removed from either the wye or the luer fittings If the sense lines have been removed and replaced incorrectly they may not seal correctly when replaced Replace the patient wye and sense lines with a known good assembly Perform an autozero under XDCR ZERO See page 10 28 for more information Immediately contact a certified Pulmonetic Systems service technician Immediately contact a certified Pulmonetic Systems service technician Monitored volume is low Delivered volume is low Operator s Manual p n 18247 001 Rev G Circuit leak High or low side sense line or elbow at patient wye loose or leaking High or low sense lines are occluded High or low sense ports in the wye are occluded LTV 1200 Ventilator Do a leak test and reseat or replac
217. le Normally Open P N 10780 e f your patient assist system is Normally Closed use Patient Assist Cable Normally Closed P N 10779 To connect the ventilator to the patient assist system 1 Insert the telephone jack connector RJ11 4 into the port labeled PATIENT ASSIST on the left hand side of the ventilator 2 Connect the jack on the other end of the cable to your patient assist system TO PATIENT ASSIST CALL JACK Ca 3 Test the connection by performing an Alarm test see Chapter 11 Ventilator Checkout Tests or by causing an alarm and verifying the patient assist call activates WARNING Unapproved Adapters Only Pulmonetic Systems Accessories should be used to connect the ventilator to Patient Assist Call Systems These accessories incorporate safety features to reduce the risk of shock Do not attempt to modify these accessories in any way Patient Assist Call Connector Do not apply more than 25V rms or 32VDC to the Patient Assist Call connector AVERTISSEMENT Accessoires non approuv s L utilisation d accessoires qui ne sont pas express ment approuv s par Pulmonetic Systems pourrait entra ner des conditions dangereuses Seuls les accessoires de Pulmonetic Systems devraient tre utilis s pour brancher les ventilateurs aux syst mes d aide aux patients Ces accessoires comportent des caract ristiques de s curit pour r duire les risques de choc N essayez pas de modifier ces accessoires
218. le alarm from sounding by pushing the Silence Reset button e Verify a confirming audible chirp sounds immediately after the alarm is silenced 4 The ventilator continues to charge the internal battery as long as it is connected to an external power source NOTE The Vent Inop LED will remain lit for a minimum of 5 minutes and does not affect battery life REMARQUE La DEL Vent Inop restera allum e durant au moins 5 minutes et n affecte en rien la dur e de vie de la batterie 5 The audible Chirp occurs after the Inop Alarm sounds for longer than 0 8 seconds and is then silenced Operator s Manual LTV 1200 Ventilator Page 12 9 p n 18247 001 Rev G LTV Ventilator Settings Checklist The LTV 1200 Ventilator Settings Checklist may be used by caregivers as a reminder that all appropriate controls on the ventilator were properly set adjusted and or recorded Patient Name Ordered By Date Controls Fill in x x or Confirm X Check up Volume Mode or Pressure Mode By Date Assist Control Mode Or SIMV CPAP Mode By Date or NPPV Mode Breath Rate bpm By Date Tidal Volume ml By Date Pressure Control cmH 0 By Date Inspiratory Time Seconds By Date Pressure Support cmH20 By Date Sensitivity Lpm By Date PEEP cmH20 By Date Alarms Fill in x x or Confirm X Check up High Pressure Limit cmH20 By Date L
219. lease button on the connector before removing it from the ventilator power port or the power port pigtail connector ATTENTION Bouton de d clenchement Pour viter d endommager le ventilateur ou le connecteur d alimentation appuyer sur le bouton de d clenchement situ sur le connecteur avant de le retirer du port d alimentation du ventilateur ou du raccord de queue de cochon du port d alimentation To run the ventilator from an automobile cigarette lighter 1 With the ventilator NOT connected to the outlet start the automobile 2 Connect the Automobile Cigarette Lighter Adapter to the automobile cigarette lighter or power outlet on the vehicle and verify the LED on the adapter shows green e Do not use a DC extension cord between the automobile cigarette lighter adapter and the automobile cigarette lighter or power outlet port petting a n n d n a Q a LED is s Green When Connected Ce LITT TTT 3 Attach the power connector of the adapter to the ventilator External Power Connection To Power Outlet Y Page 14 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 4 Verify the ventilator is being powered by the vehicle battery through the Automobile Cigarette Lighter Adapter e The vehicle battery is powering the ventilator if the External Power LED shows green e An amber External Power LED and or a POWER LOW alarm indicates the external power level is low I
220. leshooting for the LTV 1200 ventilator Some problems can result from improper operation and can easily be corrected without any modification to the ventilator Other problems may require that the ventilator be recalibrated or have parts replaced Do not attempt to repair or replace any part of the ventilator unless you are trained and authorized for service on the LTV 1200 ventilator This chapter is organized into five sections Displays and Buttons See page 15 2 Includes problems with control and window displays and with setting controls Ventilator Performance See page 15 6 Includes problems with delivered or monitored pressure volume or PEEP accuracy sensitivity and triggering Power and Battery Operation Includes problems with turning the ventilator on See page 15 15 operating from external power sources battery operation or duration and vent inops Alarms See page 15 17 Includes problems with recurring alarms Checkout Test Failures See page 15 24 Includes problems detected while performing the VENT CHECK tests Test Lung Operation See page 15 26 Includes problems encountered when operating the ventilator with a test lung The troubleshooting tables are organized by symptom then by possible causes and methods of diagnosing and resolving the problem If you do not find the symptom you are looking for under one section you may find it listed under another section or you may be able to diagnose the problem by r
221. liters VE Minute Volume Liters l E l E Ratio Smaller unit normalized to 1 l Ecalc Calculated l E ratio based on Breath Rate and Smaller unit normalized to 1 Inspiratory Time Vcalc Calculated Peak Flow for Volume Breaths Liters Per Minute SBT min Remaining time for SBT mode of ventilation Minutes ft f Total Breath Rate divided by the Average f Vt and Breaths Per Minute Exhaled Tidal Volume and the Total Breath Following the displayed monitored data the Alarm Informational Messages listed below when applicable will be displayed for 3 seconds NOTE While automatic scrolling is active and when applicable the following messages will also be displayed along with the monitored data LMV OFF HI f Vt OFF SBT HI f OFF HIGH f OFF LO PEEP OFF LPPS OFF LO f Vt OFF SBTLOfOFF HIPEEP OFF H amp L PEEP OFF LMV LPPS OFF SBT f Vt OFF SBT f OFF f PEEP OFF REMARQUE Lorsque le d filement automatique est actif et en fonction du contexte les messages suivants seront galement affich s avec les donn es surveill es Vmin ARRET f Vt max NON VST fmax NON f HTE ARRET PEP MIN OFF PminAl ARRET f Vt min NON VST fmin NON PEPmax ARRET AL PEP ARRET Vm Pmin NON VST f Vt NON VST f NON f PEP ARRET 31 SBT min is only displayed during the Spontaneous Breathing Trial SBT mode of ventilation 32 FIVE f is only displayed during and for five minutes after the Spontaneous Breathing Trial SBT
222. ll adjustable alarms and all critical alarms must be checked to insure proper operation Alarms Function Verification All alarms must be verified as functioning properly on a daily basis If any alarm malfunctions immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems Patient Monitoring Patients who are dependent on a ventilator should be constantly monitored by qualified personnel Such personnel should be prepared to address equipment malfunctions and circumstances where equipment becomes inoperative An alternative method of ventilation should be available for all patients dependent on the ventilator and qualified personnel should be fully familiar with emergency ventilation procedures Alternative Ventilation It is recommended that an alternative means of ventilating the patient be available at all times and that all ventilator operators be fully familiar with emergency ventilation procedures Fire or Explosion Operation of the LTV 1200 ventilator in the presence of flammable gases could cause a fire or explosion Under no circumstances is the ventilator to be operated when explosive gases are present The presence of nitrous oxide or flammable anesthetics presents a danger to the patient and operator Patient Breathing Circuit Disconnection Inadvertent disconnection of the patient from the patient breathing circuit can be dangerous Critical Alarms Failure to set the critical alarms
223. lve Sense lines occluded or pinched Internal problem with the ventilator Open the exhalation valve and remove the diaphragm Reseat the diaphragm and snap the valve cap back in place See page 13 10 for a diagram of correct exhalation valve assembly Check high and low pressure sense lines to be sure they are correctly attached and securely seated at both the ventilator and wye ends Verify lines are not occluded or pinched Immediately contact a certified Pulmonetic Systems service technician Failed calibration or internal problem with the ventilator Set pressure not reached and turbine is humming Turbine sounds like inspiration even during exhalation Immediately contact a certified Pulmonetic Systems service technician Monitored volume is Very small ET tube high connected directly to Delivered volume is wye high Page 15 6 LTV 1200 Ventilator A very small ET tube connected directly to the wye may cause turbulence that causes the flow differential to be read incorrectly To reduce this turbulence add a short larger bore extension between the ET tube and wye In this case the monitored volume is high but the delivered volume is accurate Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do continued Monitored volume is high Delivered volume is high Delivered volume is twice the set volume Low side sense line or e
224. m incorrectly seated in exhalation valve Diaphragm installed backwards Run a leak test and reseat or replace the leaking parts or connections See page 11 8 for instructions Open the exhalation valve and remove the diaphragm Reseat the diaphragm and snap the exhalation valve in place See page 13 10 fora diagram of correct exhalation valve assembly LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do Continued High side sense line or Check high and low pressure sense lines to be PEEP not working elbow at patient wye sure they are correctly attached and securely PEEP low loose or leaking seated at both the ventilator and wye ends PEEP Sar during Check the luer fitting connections for leaks exhalation Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched Failed calibration or internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Ventilator won t trigger at sensitivity setting of 1 Lpm Condensation in sense lines Patient effort inadequate Some very small patients and patients with very weak inspiratory efforts may not be able to generate a 1 Lpm effort Failed autozero Leak Compensation is not on Perform an autozero under XDCR ZERO See page 10 28 for more information Veri
225. me Assist Ctrl 2 A Low Press O Off Exhaled Tidal Volume 383 to 633 ml Breath Rate 12 Tidal Volume 500 Insp Time 1 sec Total Breath Rate 12 bpm LE Ratio 1 3 8 to 1 4 2 O 21 Sensitivity 3 Total Minute Vol 4 6 to 7 6 L High Pressure Limit 100 Low Pressure Alarm 5 Low Min Vol 1 0 No alarms PEEP 0 Page C 20 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Procedure Set the O2 control to 22 C 18 LOW O2 PRES alarm activates after a short 2 B pause Reset O2 to 21 and clear the C 18 alarm Set the Low Min Vol alarm 2 C LOW MIN VOL alarm activates to 10L Reset the Low Min Vol alarm to C 18 1 0 and clear the alarm 2 D LOW PRES alarm activates Set the Low Pressure alarm to 60 Set the Low Pressure alarm to 5 C 18 and clear the alarm 2 E Set the High Pres Limit to 10 HIGH PRES alarm activates cmH 0 below the Peak Inspiratory Pressure Reset the High Pres Limit alarm to C 18 100 and clear the alarm 2 F Disconnect the high pressure sense C 19 DISC SENSE alarm activates on the next line from the ventilator 2 G breath Reconnect the high pressure sense C 19 line and clear the alarm 2 H Change control settings as follows C 19 Selected Monitors should read as follows Mode Pressure Assist Cntl 2 1 Pressure Control 20 PIP 36 to 44 cmH20 PEEP 20 PEEP 17 to 23 cmH20 No alarms activate Discon
226. measurement were up to 2 53 a minimum sensitivity of three 3 would be appropriate A pressure trigger occurs when e The O Conserve feature is ON CONSERVE ON Backup pressure triggers are enabled when the setting is any value other than a dash A backup pressure trigger occurs when e The Sensitivity is set to any value from 1 to 9 e And the ventilator is in exhalation phase e And the minimum exhalation time has expired e And the airway pressure drops below 3 cmHO When a trigger is detected the Patient Effort LED is illuminated briefly NOTE Triggers are disabled when the Sensitivity setting is set to REMARQUE Les amorces sont d sactiv es lorsque le r glage de la sensibilit est r gl sur To set Sensitivity 1 Push the Sensitivity button 2 Change the setting using the Set Value knob Range 1 9 1 is the most sensitive 9 is the least sensitive and is off Operator s Manual LTV 1200 Ventilator Page 6 25 p n 18247 001 Rev G Set Value Knob Use the Set Value knob to establish control values and navigate extended features menus Variable Controls To change the setting for a variable control 1 Push the button for the control to be modified 2 Turn the Set Value knob clockwise to increase the value or 3 Turn the Set Value knob counter clockwise to decrease the value To change the setting by small increments turn the knob slowly To change the setting
227. mmediately reconnect the ventilator to an alternate power source i e the AC Adapter or External Battery until the cause of the problem Automobile Cigarette Lighter Adapter cable connection or the vehicle battery or power outlet has been identified and corrected pr ood A O External j mm Patient Effort ITV A a Power mmm Extemal Power 1200 q LED p m z Charge Status gt VIASYS m Battery Level HEALTHCARE Al g te Low Pressure dl ta meanest Front of Ventilator e POWER LOST alarm indicates external power voltage has dropped below the usable level and the ventilator has switched to internal power Immediately reconnect the ventilator to an alternate power source i e the AC Adapter or External Battery until the cause of the problem Automobile Cigarette Lighter Adapter cable connection or the vehicle battery or power outlet has been identified and corrected NOTE The Automobile Cigarette Lighter Adapter contains a fuse and is designed to protect the LTV ventilator from typical automobile power transients The green LED on the adapter indicates the adapter is connected and operating correctly If the LED does not light the adapter may not be properly seated in the outlet or the fuse may be blown Try reseating or turning the adapter to create a better connection or change the fuse see Chapter 14 Replacing the Automobile Adapter Fuse REMARQUE L adaptateur pour allume
228. n Pour plus de d tails sur l tat ALARME PMAX reportez vous au chapitre 15 Troubleshooting Alarms Immediate or delayed audible alarms for high pressure conditions can be selected using the Extended Features If immediate notification is selected the audible alarm will sound on every high pressure occurrence If Delayed notification is selected the audible alarm will sound on the second or third consecutive breath terminated by the HIGH PRES alarm The audible alarm will sound anytime a high pressure condition persists which stops the turbine NOTE The High Pressure alarm output signal is generated by the ventilator s Patient Assist Port for use with Remote Alarm systems This signal is dependent on the selected setting NORMAL or PULSE in the Extended Features PNT ASSIST menu See Chapter 10 Extended Features Alarm Operations for instructions on setting the Patient Assist Port output signal for use with single or dual tone Remote Alarm systems REMARQUE Le signal de sortie correspondant l alarme de pression lev e est g n r sur le port d assistance au patient pour une utilisation avec des syst mes d alarme a distance Ce signal d pend du r glage choisi NORMAL ou IMPULSION dans le menu Fonctions avanc es PNT ASSIST Reportez vous au chapitre 10 Extended Features Alarm Operations pour plus de d tails sur le r glage du signal de sortie sur le port d assistance au patient et sur son utilisation avec des
229. n asterisk appears the pass fail indicator is removed from the display and the autozero test is scheduled for the next breath After the autozero is run on the next breath the new autozero value and the pass fail indicator are displayed If the autozero fails it will be automatically rescheduled for the next breath Operator s Manual LTV 1200 Ventilator Page 10 29 p n 18247 001 Rev G Exhalation Flow Transducer Differential Autozero Narrow Use this item to view the Exhalation Flow Transducer Differential Autozero Narrow results and schedule the Exhalation Flow Transducer Differential Autozero Narrow to be run To view the Exhalation Flow Transducer Differential Autozero Narrow results 1 The previous results FDn xxxx P are displayed The final P indicates the previous zero results were within the required tolerance and the previous autozero passed If a final F is displayed the previous zero results were outside the required tolerance and the autozero failed An asterisk indicates that an autozero is scheduled for the next breath 2 Turn the Set Value knob to display the EXIT option 3 Push the Select button To schedule the Exhalation Flow Transducer Differential Autozero Narrow 1 The previous results FDn xxxx P are displayed 2 Push the Select button An asterisk appears the pass fail indicator is removed from the display and the autozero test is scheduled for the next breath 3 After the auto
230. n on the Calibration procedure see the LTV 1200 1150 Ventilator Service Manual p n 18603 001 Page 9 22 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G POWER LOST When the ventilator is powered up without an external source of power or is operating on external power and switches to the internal battery the POWER LOST alarm is generated e The change to internal battery is made when the external power voltage drops below the usable level There is no interruption in ventilation When a POWER LOST alarm occurs e The POWER LOST message is flashed in the display window e The External Power and Charge Status LEDs are turned off e The Battery Level LED is lit showing the internal battery charge level e The ventilator begins operating from the internal battery e The audible alarm is sounded e After 60 seconds the displays are turned off to conserve battery power To reset the POWER LOST alarm 1 Push the Silence Reset button twice 6 To turn the displays on push any button or turn the Set Value knob Operator s Manual LTV 1200 Ventilator Page 9 23 p n 18247 001 Rev G POWER LOW When the ventilator is operating on external power and the voltage drops to the low level the POWER LOW alarm is generated When a POWER LOW alarm occurs e The POWER LOW message is flashed in the display window e The External Power LED is displayed amber e The audible alarm is sounded To reset the POWE
231. nal problem with the ventilator Check HIGH PEEP alarm value See page 10 5 for instructions Disassemble clean and reassemble the Patient Circuit and Exhalation Valve See page 13 10 for a diagram of correct exhalation valve assembly If problem reoccurs immediately contact a certified Pulmonetic Systems service technician Remote Alarm System does not work with the ventilator Defective or improper connections Defective Remote Alarm cable Defective Remote Alarm System Internal problem with the ventilator Check the Remote Alarm cable connection between the ventilator s Patient Assist Port and the Remote Alarm System See page C 16 for instructions Replace Remote Alarm cable See page C 16 for instructions Contact Remote Alarm System manufacturer or service personnel Immediately contact a certified Pulmonetic Systems service technician Remote Alarm System single tone system generates a pulsating tone and manufacturers instructions indicate it should be a continuous tone PNT ASSIST option set to PULSE Defective Remote Alarm System Internal problem with the ventilator Set PNT ASSIST option to NORMAL See page 10 6 for instructions Contact Remote Alarm System manufacturer or service personnel Immediately contact a certified Pulmonetic Systems service technician Page 15 22 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G
232. nce Reset button twice to reset the alarm silences the audible alarm and clears the flashing display e When the SBT lt f alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the SBT lt f alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice It is not enabled when the SBT lt f alarm is automatically silenced reset because the patient s breath rate is no longer less than the set SBT LOW f alarm value e When an SBT alarm has been active in excess of 5 minutes the SBT mode of ventilation is terminated the ventilator clears the alarm status silences the audible alarm and returns to its previous mode of ventilation settings To remove the flashing SBT alarm message from the display window push the Silence Reset button Operator s Manual LTV 1200 Ventilator Page 9 27 p n 18247 001 Rev G SBT gt f When the Spontaneous Breathing Trial SBT mode of ventilation is on and the Total Breath Rate f is greater than the SBT HIGH f setting high limit of breath rate range for 30 seconds the SBT gt f alarm is generated For additional information concerning the Spontaneous Breathing Trial SBT mode of ventilation see SBT Spontaneous Breathing Trial Operations in Chapter 10 Extended Features When a SBT gt f alarm is generated The SBT gt f message is flashed in the display window The a
233. nect AC Adapter from C 19 POWER LOST alarm activates Ventilator at pigtail cable connector 2 J Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Battery Level LED illuminates showing the charge level Ventilator continues to operate from the internal battery Page C 21 Page C 22 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Appendix D PRINCIPLES OF OPERATION Overview The LTV 1200 ventilator utilizes an electromechanical pneumatic system under the control of a microprocessor to deliver patient ventilation The following diagram and description illustrates the major components of the ventilator and their respective functions Microprocessor Control System Airway Pres Xducer Exhalation Valve o Accumulator a n A SR Silencer ow Wye and Flow Sensor Compressor Turbine Over Pres Subambient Relief Relief Valve Valve Room air enters the ventilator through a flexible foam Inlet Filter After exiting the filter the air enters an Accumulator Silencer where it mixes with oxygen delivered from the Oxygen Blender In addition this chamber provides acoustic silencing to reduce the Rotary Compressor input noise Mixed gas then enters the Rotary Compressor where energy is added to the gas stream as required to meet the pressure and flow delivery requirements of the current ventilation settings Gas exiting the Rotary Compressor output port enters an
234. ng the appropriate accessories mounting screws or accessories replacement screws location type and length to use when removing or exchanging external accessories on an LTV ventilator Page C 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G e ltem 5 4 40 X 1 4 Flat head mounting screw 1 P N 10430 e Item 6 Finish Washers 8 P N 10191 19119 001 or 19119 002 e Item 7 4 40 X 1 2 Flat head mounting screws 6 P N 10338 e Item 8 4 40 X 3 8 Flat head mounting screws 2 P N 10474 5 Insert and thread two 4 40 X 1 2 flat head mounting screws 7 with finish washers 6 through the screw holes in the sides of the upper boot as indicated in the illustration 6 Torque tighten the mounting screws to these specified values do not over tighten to avoid damage to the finish washers e Torque tighten the screws in the legs of the boot to 60 in oz 0 42 Nm e Torque tighten the screws in the sides of the boot to 20 in oz 0 14 Nm 7 Contained in Pulmonetic Systems Replacement Screws kit P N 11149 Operator s Manual LTV 1200 Ventilator Page C 7 p n 18247 001 Rev G To Install the Lower Protective Boot 1 Sink gt Lay the ventilator down front up and use a Phillips head screwdriver to remove the four flat head mounting screws in the ventilator s side panels as indicated in the illustration e Do not remove the mating finish washers Orient the lower
235. ng using the Set Value knob Range 1 80 bpm NOTE When SIMV CPAP is selected the ventilator will be in SIMV or CPAP mode depending on the Breath Rate setting e If Breath Rate is set to dashes the ventilator will be operating in CPAP mode e f Breath Rate is set to any other value the ventilator will be operating in SIMV mode REMARQUE Lorsque le mode SIMV CPAP est s lectionn le ventilateur sera en mode SIMV ou CPAP selon le r glage du d bit respiratoire e Si le d bit respiratoire est r gl sur Traits le ventilateur fonctionnera en mode CPAP e Si le d bit respiratoire est r gl sur toute autre valeur le ventilateur fonctionnera en mode SIMV Page 6 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Control Lock The LTV 1200 ventilator front panel controls may be locked so that settings are not accidentally changed Two different levels of difficulty can be set for control unlocking Easy and Hard Easy unlocking is the default and this setting is changed using the Extended Features menus For more information on using the Control Lock see Chapter 5 Control Locking To turn the Control Lock on 1 Push the Control Lock button The Control Lock LED is on whenever the front panel controls are locked To turn the Control Lock off with Easy unlocking 1 Push the Control Lock button To turn the Control Lock off with Hard unlocking 1 Push and hold t
236. noid Manifold Replace the Flow Valve Replace the Rotary Switch Assembly Replace the O Blender Replace the Fan Assembly Replace all Silicone Tubing Check the Thermo Pads for compression and replace if necessary To check the number of hours the ventilator has been in service see Chapter 10 Extended Features Usage Meter If the battery is deeply discharged it may take several charge and discharge cycles before it can be fully charged 8 40 000 hour two year and or 30 000 hour six year Extended Maintenance and ventilator repair must be performed by a Pulmonetic Systems factory trained service technician s Replacement at 10 000 hours or 2 years is based on normal use of up to 200 charge cycles The battery may need to be replaced more frequently if it is being charged more often The battery should also be replaced any time it fails to reach a full charge or if the ventilator runs for less than amp hour on a fully charged battery 7 The LTV Internal Battery P N 18608 001 is contained in LTV Internal Battery Replacement Kit P N 18634 001 Operator s Manual LTV 1200 Ventilator Page B 1 p n 18247 001 Rev G Service Assistance For assistance in servicing the LTV 1200 ventilator contact a certified Pulmonetic Systems service technician or Pulmonetic Systems 17400 Medina Rd Suite 100 Minneapolis Minnesota 55447 1341 Phone 763 398 8300 Customer Care Center 800 754 1914 Fax 763
237. ntained in good condition and connected to a properly wired and grounded electrical power outlet Do not cover the ventilator To avoid damage to the ventilator do not cover while operating or position relative to other objects such that the operation or performance of the ventilator may be adversely affected Ensure that sufficient space exists around the ventilator while in use to allow free circulation of gases Electrostatic Discharge The use of electrically conductive hoses and tubing is not recommended The use of such materials may result in damage to the ventilator from electrostatic discharge External DC Power Source or External Battery When connecting the LTV 1200 ventilator to an external DC power source or external battery use only the approved method and connectors specified in Chapter 14 Power and Battery Operation AC Power Source When connecting the ventilator to an AC power source use only the approved LTV AC Power Adapter AC Power Earth Ground Validity If the validity of the AC power earth ground connection is in doubt use the internal battery an external battery or an external DC power source to operate the LTV 1200 ventilator Fuse Fire Hazard Replacement of existing fuses with fuses with different voltage or electrical current ratings may cause a fire Storage Temperature Storing the LTV 1200 ventilator at temperatures above 60 C 140 F for long periods can damage the internal battery
238. ntan es Lorsque le bouton est maintenu pendant l inspiration le soutien de pression ou des ventilations spontan es e Le LED correspondant demeure allum en continu e Tous les boutons non verrouillables fonctionnent normalement e Tous les boutons verrouillables sont ignor s Lorsque le bouton est rel ch avant la fin de l expiration l affichage indique EXP HOLD Au terme de la man uvre l actionnement d un bouton ou le d clenchement d une alarme entra nent l effacement de l affichage AutoPEEP L affichage AutoPEEP est effac e apr s 60 secondes Next Scheduled Breath Bg Set Pressure Set Insp Time Set Insp Time i Expiratory Hold on Pressure Control Breath Operator s Manual LTV 1200 Ventilator Page 6 9 p n 18247 001 Rev G Inspiratory Time This control sets the length of the inspiratory period for Volume Controlled and Pressure Controlled breaths The Insp Time setting along with the Volume control setting are used to determine the peak flow for Volume controlled breaths While the Inspiratory Time is being updated the Calculated Peak Flow will be displayed in the display window To set the Inspiratory Time 1 Push the Insp Time button 2 Change the setting using the Set Value knob Range 0 3 9 9 sec Page 6 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Low Minute Volume The Low Minute Volume alarm sets the minimum expected exhaled Minute Vol
239. ntilator through shut downs and power ups will be reset to the factory set default value if the Language setting is changed and will need to be reviewed reset by the operator each time the O Cylinder Duration option is used After changing this or any ventilation setting wait approximately 20 seconds before selecting CALCULATE to allow the ventilator to monitor the oxygen flow that will be used in the calculation and display of the remaining usable time of the external O cylinder Turn the Set Value knob until CALCULATE is displayed and push the Select button To obtain an accurate duration time estimate the current cylinder pressure must be entered prior to each calculation After changing any ventilation setting wait approximately 20 seconds before selecting CALCULATE to allow the ventilator to monitor the oxygen flow that will be used in the calculation and display of the remaining usable time of the external O cylinder When CALCULATE is selected the ventilator uses the current ventilation values and settings to calculate the remaining usable time of the external O cylinder specified and displays O2 DUR hh mm O duration in hours and minutes for 60 seconds or until the message is acknowledged by pushing the Select or Control Lock button or by rotating the Set Value knob on the front panel Breath to breath variations may cause slightly different results in consecutive calculations Page 10 22 LTV 1200 Ventilator Operato
240. nual LTV 1200 Ventilator Page 11 9 p n 18247 001 Rev G Vent Inop Alarm Test Use the Vent Inop Alarm Test to verify that the Vent Inop alarm is working correctly To run the Vent Inop Alarm Test 1 Torun the Vent Inop Alarm Test the ventilator must be on running for at least 60 seconds and the Ventilator Checkout menu must be enabled When the Ventilator Checkout menu is enabled VENT CHECK ALARM DISPLAY CONTROL LEAK or EXIT is displayed in the ventilator display area 2 Turn the ventilator off by pressing and holding the On Standby button for a minimum of 3 seconds DO NOT push the Silence Reset button Display Area VENT CHECK ALARM DISPLAY CONTROL LEAK or EXIT is displayed a LT V 200 al VASS Airway Pressure cmH 0 Breath Rate Tidol Views Pres Control Insp Time Pres Support ont m0 PEER p Manual Low Pressure Fen Insp Ex On Stondby Vie hereee at ow Hold Breath 0 Source On Standby Button Silence Reset Button Press and hold for minimum of 3 seconds DO NOT press 3 Observe the ventilator for 15 seconds e Listen for the alarm tone e Watch the Vent Inop LED Page 11 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Vent Inop Alarm Test cont Vent Inop LED illuminated TV 00 mul VASS Airway Pressure cmH 0 4 For all ventilators verify that both of the following conditions existed e The alarm tone sounded continuously for th
241. ny residual fluid Sterilization Sterilization of the patient circuit components and water traps should follow individual institution processes or guidelines To reassemble the exhalation valve and patient circuit 1 Insert the side of the diaphragm with the scalloped edge into the mating cavity on the inside of the valve cap NI Small IN Extrusion YN Notch Open Edge of J Diaphragm Valve Cap Tab Cavity lt MEC Exhalation Valve Body Exhalation Valve Cap CAUTION Valve assembly If the diaphragm is inserted backwards when assembling the valve it may adversely affect the operation of the ventilator Be sure to insert the side of the diaphragm with the scalloped edge into the mating cavity on the inside of the valve cap ATTENTION Assemblage de la valve Si le diaphragme est ins r l envers lors de l assemblage de la valve il peut entraver le fonctionnement du ventilateur S assurer d ins rer le c t du diaphragme dont le bord est festonn dans la cavit commune l int rieur du couvercle de la valve Page 13 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 2 Align the tab on the valve body with the notch on the valve cap and press until the cap and body snap together NOTE Be careful not to dislodge the diaphragm when snapping the parts together REMARQUE S assurer de ne pas d placer le diaphragme lors de l assemblage des pi ces 3 Inspect t
242. o DC power adapter an external battery or other suitable external DC power source such as the Pulmonetic Systems Universal Power Supply or Transport Battery System The ventilator can also be powered for short periods of time by its own internal battery see note below e When the ventilator is connected to an appropriate external power source the ventilator s internal battery is continuously charged and will reach 90 charge status within 8 hours e When the power connector on the ventilator is connected to the AC power adapter the ventilator is isolated from the power supply mains e If an LTV 1200 ventilator is allowed to operate on its internal battery to the point that the internal battery is completely depleted the ventilator will shut down If the ventilator remains in this state the internal battery may recharge slightly within a few seconds minutes and cause the ventilator to automatically restart and operate for a short period of time This cycle can repeat several times depending on the condition of the internal battery NOTE The Charge Status LED is illuminated green when the internal battery is charged to gt 90 of its capacity If the Charge Status LED is red is flashing amber for more than 1 hour or does not show a green Charge Status indication after 24 hours the battery is defective and should be replaced Please immediately contact a certified Pulmonetic Systems service technician Internal Battery Use The in
243. ob Operator s Manual LTV 1200 Ventilator Page 9 33 p n 18247 001 Rev G H amp L PEEP OFF The H amp L PEEP OFF message is displayed when e The High Breath Rate alarm HIGH f is turned on set to a value and e Both the High PEEP and Low PEEP alarms are turned off This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the H amp L PEEP OFF message 1 Push any front panel button or turn the Set Value knob HIGH f OFF The HIGH f OFF message is displayed when e The High Breath Rate alarm is turned off by being set to HIGH f OFF and e The High PEEP alarm HIGH PEEP is turned on This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the HIGH f OFF message 1 Push any front panel button or turn the Set Value knob The HIGH f OFF message is not displayed during SBT mode LMV LPPS OFF The LMV LPPS OFF message is displayed when e The Low Minute Volume alarm is turned off by being set to dashes and e The LPP alarm is set to VC PC ONLY When this setting is selected the Low Pressure alarm applies only to Volume Control and Pressure Control breaths This is an informational message only The message is displayed at power up when monitored
244. ocedure for SIMV Mode Set Up Set any desired Extended Features options and 1 2 3 4 5 6 7 8 9 Push the mode Select button twice to toggle the modes between Assist Ctrl and SIMV CPAP Select the SIMV CPAP mode Push the mode Select button twice to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired Establish the Breath Rate If Volume ventilation is selected establish the Tidal Volume The calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed If Pressure ventilation is selected establish the Pressure Control Establish the Inspiratory Time The calculated peak flow Vealc is displayed in the window while Inspiratory Time is being changed Vcalc only applies to volume ventilation Set the Pressure Support if desired Set the desired percentage of oxygen to be delivered by the ventilator Set the Sensitivity to a setting from 1 to 9 10 Set the High Pres Limit alarm 11 Set the Low Pressure alarm 12 Set the Low Min Vol alarm 13 Set the PEEP Airway Pressure cmH20 mure LT 200 al VIASYS HE HCARE Pres Control Insp Time Pres Support 02 Sensitivity High Pres Limit Low Pressure Low Min Vol Vent Inop cmb0 PEEP sec cmH0 PEEP 0 Flush cmH0 cm0 L Low Pressure Control 02 Source Enam Page 12 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Procedure for CPAP Mode Set Up
245. of the event occurrence e eventdate is the date of the first occurrence 6 Push the Select button e xx hh mmiss is displayed e xx is the chronological number of the event occurrence e hh mm ss is the time of the first occurrence 7 Push the Select button e xx data is displayed e xx is the chronological number of the event occurrence e data is the data associated with the first occurrence of this event For some events the data field will be blank 8 Push the Select button to return to the initial display 9 Turn the Set Value knob clockwise or counterclockwise to view other events 10 To exit the EVENT TRACE turn to EXIT and push the Select button or push Control Lock For more information about how these codes are used see the LTV 1200 1150 Ventilator Service Manual P N 18603 001 or contact a certified Pulmonetic Systems service technician 83 Date is displayed in the currently selected date format Page E 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Event Codes This section includes a list of the event codes that can be recorded in the Event Trace Event Codes by Code Code Event Name Event Associated Alarm 01 VENT 1 Power on None 02 VENT 0 Power off None 03 HOUR MTR Set hour meter None 04 VENT CHK Set vent check Entered VENT CHECK mode 05 APNEA 1 Apnea mode entered APNEA 06 APNEA 0 Apn
246. ol is turned off or is not available in the current ventilation mode Control Limiting Variable control settings may be limited to less than their specified range for any of the following reasons e To prevent inverse I E ratios of greater than 4 1 e To ensure a minimum inspiration time of 300 ms e To ensure a minimum exhalation time of 346 ms e To ensure a minimum initial flow of 10 lpm for Volume Controlled breaths e To ensure a maximum initial flow of 100 lpm for Volume Controlled breaths When you are updating a control and have reached a limited condition the following things happen e The control stops updating and will remain displayed at the highest or lowest allowed value e The control display will flash e The displays for other controls involved in the limited condition will flash To set the control to a value outside the limited range you will need to change the settings for other controls involved in the limit condition For instance if the Breath Rate is set to 12 the maximum allowed Inspiratory Time is 4 0 seconds To set the Inspiratory Time to more than 4 0 seconds you must first decrease the Breath Rate Operator s Manual LTV 1200 Ventilator Page 5 5 p n 18247 001 Rev G Control Locking The front panel controls may be locked so that settings cannot be accidentally changed When the controls are locked the Control Lock LED will be on If you try to select or change a control while the Control Lock
247. on Diaphragme de la soupape d expiration Une ventilation inefficace ou dangereuse pour le patient peut r sulter si le diaphragme de la soupape est endommag ou us Le diaphragme de la soupape d expiration doit tre v rifi quotidiennement et remplac au besoin Alarme ALARME PMAX continue Dans des conditions d alarme de haute pression prolong es ALARME PMAX la turbine du ventilateur s arr te et le gaz n est plus transmis au patient D branchez le patient du ventilateur et utilisez une autre m thode de ventilation Pour plus de d tails sur l tat ALARME PMAX reportez vous au chapitre 15 Troubleshooting Alarms Page 1 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G AVERTISSEMENT Dur e d utilisation de la batterie Lorsque la batterie atteint le niveau BAT INT BASS le ventilateur fonctionne pendant environ 10 minutes avant d mettre une alarme de batterie faible BAT INT VIDE Cette dur e approximative est bas e sur des tests avec des param tres nominaux une nouvelle batterie et un cycle de chargement complet de 8 heures tel que sp cifi dans l Annexe A Sp cifications du ventilateur La dur e d utilisation r elle pourrait tre sup rieure ou inf rieure selon les param tres du ventilateur la demande du patient et l ge ou l tat de la batterie Il est fortement recommand qu une source d alimentation alternative soit connect e AVANT que le ventilateur n atteigne l
248. on the condition of the internal battery Page 9 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G DEFAULTS All controls and extended features on the LTV 1200 ventilator have factory set default values When the operator makes changes to the controls or extended features settings the ventilator stores the new settings in non volatile memory During POST the ventilator checks the stored settings If the ventilator detects an invalid stored setting the DEFAULTS alarm occurs and the affected settings are set to the default values When a DEFAULTS alarm is generated e An audible alarm is sounded e The DEFAULTS message is flashed in the display window e All affected controls or features are set to their default values To reset the DEFAULTS alarm 1 Push the Silence Reset button twice 2 Select and return the control s or features to the desired settings NOTE Be sure to check all Controls Alarms and Extended Features options and return them to the desired settings Repeated occurrences of the DEFAULTS alarm may indicate a problem with the ventilator s non volatile memory Please immediately contact a certified Pulmonetic Systems service technician Control values are re set to default values each time the ventilator is turned on only if an invalid stored setting is detected during POST REMARQUE Assurez vous de proc der a la v rification de toutes les options de contr les d alarmes et de ca
249. onnect the patient from the ventilator provide an alternative method of ventilation and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems AVERTISSEMENT Condition NO CAL L op ration continue du ventilateur de la 1200 LTV sous condition NO CAL peut r sulter en mesures de pression et de volume erron es Si cette condition se pr sente le ventilateur doit tre retir du service et vous devez imm diatement contacter votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems Operator s Manual LTV 1200 Ventilator Page 8 1 p n 18247 001 Rev G Automatic or Manual Data Display Scrolling The monitored data displays may be automatically or manually scrolled To cycle through the available monitored data automatically from a halted scan 1 Push the monitor Select button twice within 0 3 seconds 2 Pushing the Select button once while scan is active will halt scanning and the currently displayed data will remain in the display window 3 Each time you push the button once the next data item in the list will be displayed 4 To resume scan push the Select button twice The monitored data is displayed for 3 seconds in the following order Display Monitored Data Units PIP Peak Inspiratory Pressure cmH 0 MAP Mean Airway Pressure cmH 0 PEEP Positive End Expiratory Pressure cmH 0 f Total Breath Rate Breaths Per Minute Vte Exhaled Tidal Volume Milli
250. ont panel button or turn the Set Value knob SBT f OFF The SBT f OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when e The SBT High Breath Rate alarm is turned off by being set to SBT HI f OFF and e The SBT Low Breath Rate alarm is turned off by being set to SBT LO f OFF This is an informational message only The message is displayed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the SBT f OFF message 1 Push any front panel button or turn the Set Value knob Page 9 36 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT f Vt OFF The SBT f Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when e The SBT High f Vt alarm is turned off by being set to HI f Vt OFF and e The SBT Low f Vt alarm is turned off by being set to LO f Vt OFF This is an informational message only The message is displayed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the SBT f Vt OFF message 1 Push any front panel button or turn the Set Value knob SBT HI f OFF The SBT HI f OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when the SBT High Breath Rate alarm is turned off by being set to SBT HI f OFF This is an informational message only The message is displa
251. ontrol settings may not be changed There are two methods for unlocking the controls EASY and HARD The unlock method is selected under the Extended Features menus To unlock the controls with EASY unlocking 1 Push the Control Lock button To unlock the controls with HARD unlocking 1 Push and hold the Control Lock button for 3 seconds 47 See Chapter 10 Extended Features Control Unlock for more information Operator s Manual LTV 1200 Ventilator Page 9 35 p n 18247 001 Rev G LO f Vt OFF The LO f Vt OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when the SBT Low f Vt alarm is turned off by being set to LO f Vt OFF This is an informational message only The message is displayed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the LO f Vt OFF message 1 Push any front panel button or turn the Set Value knob LPPS OFF The LPPS OFF message is displayed when e The LPPS alarm is set to VC PC ONLY when this setting is selected the Low Pressure alarm applies only to Volume Control and Pressure Control breaths and e The LMV alarm is not set to dashes This is an informational message only The message is displayed at power up when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the LPPS OFF message 1 Push any fr
252. or to the SAME PATIENT menu option message If no controls are activated for three 3 seconds while either the SAME PATIENT or NEW PATIENT options are being displayed an audible alert sounds Activation of any control resets the 3 second delay of the audible alert If QUERY OFF is selected when the ventilator is powered up and passes POST it will begin ventilation appropriate alarms enabled using the settings in use during the last power cycle Selecting Patient Size After entering the Extended Features menu turn the Set Value knob until PRESETS is displayed Press the Select button Turn the Set Value knob until PATIENT SIZE is displayed and press the Select button Turn the Set Value knob until the desired patient type is displayed INFANT PEDIATRIC or ADULT and press the Select button to set the Presets values appropriate for the patient type selected Operator s Manual LTV 1200 Ventilator Page 10 23 p n 18247 001 Rev G LTV 1200 Presets Table Feature Function Infant Pediatric Adult gt 5 kg lt 10 kg 10 40 kg gt 40 kg Alarm volume 85 85 85 HP delay NO DELAY NO DELAY NO DELAY LPP alarm ALL BREATHS ALL BREATHS ALL BREATHS High f alarm 80 bpm 30 sec 60 bpm 30 sec 40 bpm 30 sec High PEEP alarm PEEP 5 cmH20 PEEP 5 cmH 0 PEEP 5 cmH20 Low PEEP alarm PEEP 3 cmH 0 PEEP 3 cmH 0 PEEP 3 cmH O Rise Time 5 4 4 FLOW
253. osition for the valve installed in the ventilator The home position is determined by the revision of the flow valve and is set when the ventilator is manufactured or when the flow valve is replaced by a certified Pulmonetic Systems service technician Set Defaults The SET DEFAULTS option is only displayed and accessed through the Ventilator Checkout menu VENT CHECK or Ventilator Maintenance menu VENT MTNCE and is used to reset user settable Controls and Extended Features settings to their factory set default values See Chapter 9 Ventilator Alarms DEFAULTS for factory set default values To enable the Ventilator Checkout menu To enable the Ventilator Checkout menu the patient must be disconnected from the ventilator ventilate the patient using an alternative method of ventilation the ventilator must be turned off and a special power on sequence used to turn it back on See Chapter 11 Ventilator Checkout Tests for important information and instructions prior to proceeding To set the default values 1 When the VENT CHECK menu is displayed turn the Set Value knob until VENT OP is displayed and push Select 2 Turn the Set Value knob until DEFAULTS is displayed and push Select SET DEFAULTS will be displayed 3 Push Select while SET DEFAULTS is displayed DEFAULTS will be displayed e Except for the Language selected and the Date Time settings and format all user settable Controls and Extended Features options are rese
254. other Silencer This chamber dampens acoustic noise from the Rotary Compressor Upon exiting the silencing chamber the gas flow splits in two paths Gas flow for ventilation diverts to the Flow Valve while excess flow is recirculated through the Bypass Valve to the inlet Accumulator Silencer The Bypass Valve maintains Flow Valve inlet pressure high enough above Flow Valve outlet pressure to ensure a positive differential pressure across the valve yet low enough to ensure that excess energy is not wasted when operating from batteries Operator s Manual LTV 1200 Ventilator Page D 1 p n 18247 001 Rev G Ventilation flow enters the Flow Valve which controls all inspiratory gas flow to the patient The valve is driven by a rotary actuator and translates circular motion to a poppet position which in turn meters flow to the patient The valve is characterized such that gas flow is a known function of differential pressure across the valve and actuator position Differential Pressure Transducer is provided to measure the differential flow valve pressure Ventilation gas exiting the Flow Valve is connected to the Exhalation Valve by a patient circuit The Exhalation Valve provides the following functions 1 Closes the exhalation port during inspiration to divert gas to the patient 2 Opens the exhalation port during exhalation to allow patient gases to be exhausted to the atmosphere 3 Measures the exhaled flow using a fixed orifice ty
255. ow Pressure Limit cmH20 By Date Low Minute Volume Liters By Date Extended Features Alarms Fill in x x or Confirm X Check up Apnea Interval Seconds By Date High f aa f eps Bpm Seconds By Date High PEER a or cmH 0 By Date a eee Or cmH 0 By Date High Pressure Delay No Delay 1 BRTH or 2BRTH By Date LPP Alarm All Breaths or VC PC Only By Date Extended Features Ventilator Fill in x x or Confirm X Check up Rise Time Profile 1 to 9 By Date Flow Termination 10 40 of Peak Flow By Date es ime Seconds By Date lawen x nl Flow YES Or NO By Date Leak Compensation ON or OFF By Date Page 12 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 13 CLEANING DISINFECTING AND STERILIZING Cleaning the Ventilator All ventilator external surfaces should be cleaned prior to initial use before and after each patient use and as may be required To clean the ventilator 1 Wipe the exterior surfaces of the ventilator with a clean damp cloth The use of an anti bacterial cleaning solution is recommended Be sure to wipe away any residual cleaner CAUTION Ventilator Sterilization To avoid irreparable damage to the LTV 1200 ventilator do not attempt to sterilize it Cleaning Agents To avoid damaging the ventilator s plastic components and front panel do not use cleaning agents containing ammonium chloride other chlori
256. pacity battery and hard case with a fuse and power cable and is pre wired with a locking quick connector The Small External Battery Pack includes a medium capacity battery soft bag and power cable with fuse and locking quick connector CAUTION External Battery Pack The External Battery Pack should only be connected to the LTV 1200 ventilator using the Pulmonetic Systems External Battery Cable PN 10802 This cable is pre wired and properly terminated to ensure safe connection of the External Battery Pack to the ventilator Release Button To avoid damaging the ventilator or the power connector push the release button on the connector before removing it from the ventilator power port or the power port pigtail connector ATTENTION Bloc piles externe Le bloc piles externe ne doit tre branch qu aux ventilateurs de la 1200 LTV l aide du c ble pour piles externes de Pulmonetic Systems N pi ce 10802 Ce c ble est pr c bl et ses terminaisons assurent une connexion s curitaire entre le bloc piles externe et le ventilateur Bouton de d clenchement Pour viter d endommager le ventilateur ou le connecteur d alimentation appuyer sur le bouton de d clenchement situ sur le connecteur avant de le retirer du port d alimentation du ventilateur ou du raccord de queue de cochon du port d alimentation To run the ventilator from an external battery 1 Connect the battery cable quick connector to the port on the ex
257. patient it is recommended that an accurate oxygen analyzer with alarms be used O Cylinder Duration Information The accuracy of the displayed useable amount of oxygen remaining in an external O cylinder 02 DUR hh mm is dependant on the precision of the pressure gauge used on the O cylinder and the accuracy of the information provided by the operator in the O2 CYL DUR menu settings The calculated displayed useable amount of oxygen information is to be used for reference purposes only Page 1 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G WARNING Ventilation Variables and O2 Consumption Variations in the patients minute ventilation l E ratio and or ventilator setting changes or equipment status i e circuit leaks affect the consumption rate of oxygen When warranted by a patients condition it is recommended that a back up cylinder or alternative source of oxygen be available at all times Before Using Automobile Cigarette Lighter or Power Outlets Before using Automobile Cigarette Lighter or Power Outlets as a power source for the LTV 1200 assure that the ventilator s internal battery is in good condition and fully charged Poor cigarette lighter or power outlet connections electrical system defects battery charging system etc or use of vehicle accessories air conditioner high current lights high power audio equipment etc could result in less than the required voltage being delivered to the vent
258. pe transducer Transducer sensor ports are located between the patient and ventilator connection ports The Solenoids Pilot in and Pilot out are used to control the pressure in the new pressure accumulator that is used to control the exhalation valve on the patient circuit The activation of the exhalation circuit controls the PEEP positive end expiratory pressure at the patient wye during the expiratory phase A PEEP Transducer is used to monitor the pilot pressure in the accumulator This pilot pressure is used in conjunction with the airway pressure transducer by the LTV software to control delivered PEEP A Differential Pressure Transducer is provided to measure the delta pressure developed across the flow transducer at the patient wye This transducer also monitors volume and flow to trigger alarms The transducer is autozeroed to ambient pressure and the sense lines are purged to prevent moisture migration into the transducer The Oxygen Blender accepts pressurized oxygen from an external source and as directed by the control system meters the oxygen flow to meet the requirements of the current O setting and ventilation flow demand The O Pressure Transducer measures inlet pressure and is used by the blender control system to compensate the oxygen delivery for variations in oxygen inlet pressure The Sub Ambient Relief Valve allows the patient to inspire spontaneously from room air in the event of a failure of the main ventilator syst
259. placement Screws Kit P N 11149 to determine the appropriate mounting screws or replacement screws location type and length to use when removing or exchanging external accessories on an LTV ventilator AVERTISSEMENT Utilisation des vis de montage Vous pourriez causer des dommages internes au ventilateur si des vis de montage de mauvaise longueur sont utilis es lors de l installation ou de la d pose des accessoires externes Vis de montage des accessoires Voir les renseignements fournis dans la trousse de vis de remplacement de Pulmonetic Systems num ro de pi ce 11149 pour d terminer l emplacement le type et la longueur des vis de montage d accessoires ou des vis de remplacement pour accessoires utiliser lors de la d pose ou de l change d accessoires externes sur un ventilateur de la s rie LTV Page C 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Protective Boot Removal Supplies Tools Required e Replacement Screws Kit P N 11149 e Torque wrench 20 in oz 0 14 Nm to 60 in oz 0 42 Nm range e Phillips head screwdriver To Remove the Upper Protective Boot 1 Carefully place and support the disconnected ventilator in an upright position on a clean dry surface 2 Using a Phillips screwdriver remove the two flat head mounting screws and finish washers in the legs of the upper boot 1 and the two flat head mounting screws and finish washers in the sides of the upper boot as indica
260. play Test Use the Display Test to verify that the ventilator displays are working correctly To run the Display Test 1 Push the Select button while DISPLAY is displayed 2 All segments of the 7 segment control displays all dots of the dot matrix window displays and all LEDs are illuminated Display Area DISPLAY is displayed LTVi200 mim VIASYS Botiery Love Select Button Airwoy Pressure cmH20 D 10 Flush nr Rote Tidal eo po Le ii Time Hen Support MO4PEEP a a a a Gs 86 Set Volue wy su Insp Exp Manual Low Pressure Control On Stondby We hene ow Hold Breath Or Source Lock 008 00 PEEP emt NOTE The display states for the External Power Vent Inop and Charge Status LEDs are not tested in the Display Test e The External Power and Charge Status LEDs are tested and verified when the AC adapter is connected to the ventilator see page 11 2 e The Vent Inop LED is tested and verified during the Vent Inop Alarm Test see page 11 11 REMARQUE Ce test d affichage ne comprend pas l tat d affichage des DEL External Power Vent Inop et Charge Status e Les DEL External Power et Charge Status sont test s et v rifi s lorsqu on branche l adapteur CA au ventilateur voir page 11 2 e Le DEL Vent Inop est test et v rifi en m me temps que l avertisseur du Vent Inop voir page 11 11 Page 11 4 LTV 1200 Ven
261. pour l ass cher Entretien des filtres bact riens Les filtres bact riens ne devraient pas tre immerg s dans un liquide Un autoclave vapeur devrait tre utilis pour le nettoyage des filtres bact riens Page 13 6 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G CAUTION Cleaning the Water Trap Do NOT use KlenZyme to clean Pulmonetic water traps It will cause deterioration of the water trap material Reusable Patient Circuit Components To avoid degradation of the reusable patient circuit components do not exceed the following constraints e 50 cleaning cycles or 1 year whichever comes first Steam Autoclave e Pressure 20 PSIG e Temperature 275 F 135 C e Time 6 minutes Liquid Sterilizing Agent Do not use any of the following solutions to clean disinfect or sterilize the patient circuit Ketone e Chlorinated solutions Phenol gt 5 Chlorinated hydrocarbons Inorganic acids Aromatic hydrocarbons Formaldehyde Hypochlorite Liquid agents containing more than 2 glutaraldehyde Pasteurization e 30 minute warm water detergent and 30 minute 165 F 74 C hot cycle e Drying in a sterile drier for more than 1 hour or 140 F 59 C Gas ETO e Temperature 131 F 55 C Care of the Exhalation Valve The exhalation valve is delicate and may be damaged if e Care is not exercised when handling or cleaning it e Cleaning instruments or foreign bodies are inserted into it e High p
262. prevent nuisance alarms the LOW MIN VOL alarm is suspended for the first 20 seconds of ventilator operation after power up and passing the Power On Self Tests When a LOW MIN VOL alarm occurs e The LOW MIN VOL message is flashed in the display window e The Low Min Vol control display is flashed e The audible alarm is sounded To reset the LOW MIN VOL alarm 1 Push the Silence Reset button twice WARNING Low Minute Volume Control Settings The Low Min Vol control should be set to its highest clinically appropriate value If there is a clinical need to set the Low Minute Volume alarm to lower values or off perform a clinical assessment to determine if an alternative monitor i e a Pulse Oxymeter with an audible alarm or a Cardio Respiratory Monitor should be used AVERTISSEMENT R glages du contr le de volume bas par minute Le contr le du volume bas par minute doit tre ajust la plus haute valeur clinique appropri e Si l alarme de volume bas par minute doit tre ajust e des valeurs inf rieures ou mise l arr t pour satisfaire aux besoins cliniques effectuer une valuation clinique afin de d terminer si l utilisation d un autre moniteur c d sphygmo oxym tre muni d une alarme sonore ou un moniteur cardio respiratoire s av re pertinente Page 9 18 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G LOW O PRES When the average oxygen inlet pressure is
263. r Patient breath according to the ventilation mode fIVt Total Breath Rate divided by the average Exhaled Tidal Volume fIVtf Total Breath Rate divided by the average Exhaled Tidal Volume and the Total Breath Rate l E ratio monitored l E ratio calculated The ratio of the inspiration period to the expiration period for a breath The lesser value is normalized to 1 Calculated Inspiratory Expiratory ratio based upon the Inspiratory Time setting and the Breath Rate setting Inspiratory hold A maneuver which holds the inspiratory phase of a volume delivered breath for a duration sufficient to determine A Pres pressure and static lung compliance of the patient IPAP Inspiratory Positive Airway Pressure The positive gas pressure in the patient circuit during breath inhalation L Liters Leak compensation Page F 2 Leak Compensation improves triggering when a circuit leak is present LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G TERM DEFINITION LED Light Emitting Diode An indicator that is illuminated on the front panel lpm Liters Per Minute Flow rate Machine breath A volume or pressure breath that is started by the operator or the ventilator and is controlled and cycled by the ventilator Machine Breaths may occur in Control and Assist Control modes The operator may cause a machine breath in any mode using the Manual Breath Button Manual breath A Machine B
264. r is designed to withstand shock and vibration in accordance with relevant requirements set forth in the following standards IEC 68 2 27 Shock IEC 68 2 6 Vibration IEC 68 2 34 Vibration MIL STD 810E Shock Ground Transport and Helicopter Transport Vibration Spillage The ventilator resists fluid spillage when tested in accordance with the relevant standards specified in IEC 601 1 Clause 44 3 External Surface Temperature External surfaces lt 50 C ambient temperature of 35 C n a Communications Port Connector Specification Communications RS232 DB9 connector Protocol Options Data Monitor Printer Modem Patient Assist Call RJ11 4 Closed contact resistance lt 1 ohm Remote Alarm Equipment Classification Classification The ventilator is rated as Class Il equipment per IEC 601 1 Clause 6 11 Type The ventilator is specified as Type BF equipment per IEC 601 1 Clause 6 11 Operator s Manual LTV 1200 Ventilator Page A 7 p n 18247 001 Rev G Power Feature Range Tolerance Indicators Input Voltage 11 to 15 VDC External Power AC Adapter Input 100 to 250 VAC 2 5 50 to 60 Hz Output 13 VDC Full Power Voltage gt 11 5 V 2 Green LED Low Power Voltage lt 11 0V and gt 9 5V 2 Amber LED External Power Off Voltage lt 9 5V 2 LED off switch to battery Hysteresis Ventilator shall not resume 2 external power operation unless voltage is 11 5V Nominal Current Startup 5 5 amps Draw
265. r is greater inspiratory exhalation times l E Ratio Calculated 1 99 to 4 0 1 based on set 5 breath rate and inspiratory time Mean Airway Pressure 0 to 99 cmH 0 2 cmH 0 or 10 whichever is greater O Cylinder Duration 0 99 hours and 59 minutes 0 40 Peak Inspiratory 0 to 120 cmH 0 2 cmH O or 5 whichever is greater Pressure PEEP 0 to 99 cmH 0 2 cmH20 or 10 whichever is greater Total Breath Rate 0 to 250 breaths per minute 1 bpm or within 5 of the breath period whichever is greater Total Minute Volume 0 to 99 9 liters 15 or the measured total breath rate times 15 ml whichever is greater SBT Minutes 15 120 minutes 0 1 seconds f Vt 0 4000 20 and f 0 250bpm Total breath rate 1 bpm or within 5 of breath period whichever is greater Button Controls Display Function Control Lock Locks front panel controls can be set to Easy or Hard unlocking Manual Breath Generates a machine breath Standby On Puts ventilator in On or Standby state Low Pressure O Source Selects Low Pressure O Source Silence Reset Silences and resets alarms Operator s Manual LTV 1200 Ventilator Page A 5 p n 18247 001 Rev G Displays Display Range Tolerance Airway Pressure 10 to 108 cmH20 3 cmH20 or 5 whichever is greater Display Window 12 characters n a Patient Effort Green LED n a Vent Inop Red LED n a External Power Amber Green LED n a Charge Status Red Amber Green LED n
266. r s Manual p n 18247 001 Rev G Presets Use the Presets section of the Extended Features menu to Turn the Patient Query feature on or off Select the Patient Size so that the ventilator settings and Extended Features menu settings are adjusted to accommodate the type of patient infant pediatric or adult Turning Patient Query on or off 1 2 3 After entering the Extended Features menu turn the Set Value knob until PRESETS is displayed and press the Select button Turn the Set Value knob until PTNT QUERY is displayed press the Select button and either QUERY ON or QUERY OFF is displayed Turn the Set Value knob until the desired setting is displayed and press the Select button If QUERY ON is selected when the ventilator is next powered up and passes POST ventilation and alarm activation are suspended and the message SAME PATIENT is displayed e To enable the suspended alarms and begin ventilation with the settings in use during the last power cycle press the Select button while SAME PATIENT is displayed OR e To enable the suspended alarms and begin ventilation with Presets values appropriate for a new patient turn the Set Value knob until NEW PATIENT is displayed and press the Select button Then turn the Set Value knob until the desired patient type is displayed INFANT PEDIATRIC or ADULT and press the Select button e Turning the Set Value knob until EXIT is displayed and pressing the Select button returns the ventilat
267. r to dry completely before replacing it in the ventilator 5 Inspect the filter for damage If the filter is not intact shows signs of damage or cannot be completely cleaned replace it with a new O Inlet Filter P N 14313 and O Ring P N 10609 available from Pulmonetic Systems 6 Replace the filter by sliding it back into the O inlet port Replace the O Ring making sure it is completely tucked under the retaining lip on the inside of the O inlet port 7 Reconnect the high pressure O line or the barbed adapter and low pressure O line CAUTION Wet or Damp Filters Do not install a wet or damp filter into the LTV 1200 ventilators This could damage the ventilator ATTENTION Filtres mouill s ou humides Ne pas installer des filtres mouill s ou humides dans les ventilateurs de la 1200 LTV Cela pourrait endommager le ventilateur Operator s Manual LTV 1200 Ventilator Page 13 5 p n 18247 001 Rev G Cleaning the Exhalation Valve and Reusable Patient Circuit WARNING Patient Circuits Pulmonetic Systems Patient Circuits Exhalation Valve Assemblies and Water Traps are shipped clean not sterile The reusable patient circuit should be cleaned prior to initial use and after each patient use Ultra Violet Light Sensitivity The material used in the tubing of the Reusable Patient Circuits is not UV stable Avoid exposure of the tubing to UV light AVERTISSEMENT Circuits du patient Les circ
268. ract ristiques tendues et de les retourner aux r glages souhait s L occurrence r p titive des alarmes PAR DEFAUT peut indiquer un probl me avec la m moire non volatile du ventilateur Veuillez contacter imm diatement un technicien de service certifi de Pulmonetic Systems Les valeurs de contr le sont r tablies leurs valeurs par d faut chaque fois que le ventilateur est allum seulement si un param tre en m moire non valable est d tect au moment du diagnostic automatique de mise sous tension 37 Non volatile memory is memory that is not erased when the ventilator is turned off or disconnected Operator s Manual LTV 1200 Ventilator Page 9 7 p n 18247 001 Rev G DEFAULTS cont The factory set default Control settings are e See Chapter 6 Controls for detailed information concerning specific Controls Control Default Breath Rate 12 bpm Control Lock On Data Display Scrolling Auto On High Pressure Limit 20 cmH O Inspiratory Expiratory Hold Off Inspiratory Time 1 5 sec Low Minute Volume 2 5 Lpm Low Pressure 5 cmH 0 Low Pressure O Source Off The factory set default Extended Features settings are Control Default O O gt Flush 21 PEEP 0 cmH 0 Pressure Control 1 cmH O Pressure Support 1 cmH 0 Sensitivity 2 Lpm Tidal Volume 500 ml Ventilation Mode Assist Control Volume Pressure Mode Volume e See Chapter 10 Extended Features for deta
269. rature 275 F 135 C e Dur e 6 minutes Agent de st rilisation liquide Il ne faut utiliser aucune des solutions suivantes pour nettoyer d sinfecter ou st riliser le circuit du patient C tone Solutions contenant du chlore Ph nol gt 5 Hydrocarbures contenant du chlore Acides inorganiques Hydrocarbures aromatiques Formald hyde Hypochlorite Les agents liquides contenant plus de 2 de glutarald hyde Pasteurisation e Un cycle avec d tergent l eau ti de pendant 30 minutes et l eau chaude a 165 F 74 C pendant 30 minutes e S chage dans un s choir st rile pendant plus de 1 heure ou 140 F 59 C Gaz ETO e Temp rature 131 F 55 C Ports de pression diff rentielle Une source de gaz a d bit faible moins de 10 ppm doit tre utilis e pour le nettoyage des fluides et de d bris des ports de pression diff rentielle Nettoyage de la soupape d expiration Ne pas asperger une solution nettoyante dans la soupape d expiration Installation de la soupape d expiration Apr s le nettoyage installez la soupape d expiration dans le circuit du patient de sorte que les lignes de d tection soient align es vers le haut pendant l op ration Entretien de la soupape d expiration La soupape d expiration est une pi ce fragile et peut tre endommag e si Des pr cautions ne sont pas prises lors de sa manipulation ou de son nettoyage Des instruments de nettoyage ou des corps trangers
270. rce off when external power is removed Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 15 15 Problem Possible Causes What To Do Battery doesn t reach full charge Battery depletes too Internal battery deeply discharged Charge the internal battery for 24 hours by connecting the external AC adapter and plugging it into a good AC source If the battery is deeply quickly discharged it may take several cycles of charging and discharging for the battery to reach a maximum charge Defective internal Immediately contact a certified Pulmonetic battery or internal Systems service technician problem with the ventilator Battery Charge Internal battery The Charge Status LED flashes amber while the Status LED is flashing amber charging battery charging circuit evaluates the battery as a part of the charge cycle If the battery is found to be OK the Charge Status LED will change to solid amber while the battery is charging The internal battery charges any time the ventilator is connected to an external power source If the battery is deeply discharged the Charge Status LED may flash amber for up to an hour Defective internal battery or internal problem with the Immediately contact a certified Pulmonetic Systems service technician
271. reath initiated by the operator pushing the Manual Breath Button MAP Mean airway pressure monitored Mean Airway Pressure The average airway pressure over a series of breaths Minimum exhalation time The minimum time required for exhalation is 346 msec Control settings are limited to ensure the Minimum Exhalation Time is provided Breaths may not be triggered during the Minimum Exhalation Time Minimum inspiratory time Minute volume monitored VE The minimum time required for inspiration is 300 msec Control settings are limited to ensure the Minimum Inspiratory Time is provided The total volume exhaled by the patient for the last 60 seconds VE is refreshed at the conclusion of each breath and is based on the last 8 breaths MR Conditional A designation given to an item that has been demonstrated to pose no known hazards in a specified magnetic resonance MR environment with specific conditions of use A designation given to an item that poses no known hazards in all MR environments MR Safe MR Unsafe A designation given to an item that is known to pose hazards in all MR environments msec Millisecond One one thousandth of a second Non volatile memory Memory that is retained when ventilator is in Standby mode or powered off O Oxygen Patient breath A Pressure Support or Spontaneous breath that is started by the patient controlled by the ventilator and c
272. ressure Control Flow Termination SBT FIO2 Leak Compensation Minutes O2 Conserve High f Vt O2 Flush Low f Vt Control Unlock SBT High f Display Language SBT Low f Software Version Display f Vt Usage Meter Exit Communications Protocol Set Date Set Time Date Format PIP LED Format Model Number Serial Number Valve Home Position Set Defaults displayed accessed through Vent Check menu 02 Cyclinder Duration Alarm Operations Ventilator Operations Transducer Autozero and Real time Transducers are covered in this chapter The other items are covered in Chapter 11 Ventilator Checkout Tests Appendix E Event Trace and in the LTV 1200 1150 Ventilator Service Manual P N 18603 001 Operator s Manual LTV 1200 Ventilator Page 10 1 p n 18247 001 Rev G Navigating the Extended Features Menus To enter the Extended Features menu in normal ventilation mode Push and hold the Select button for three seconds To view the next item in a menu Turn the Set Value knob clockwise To view the previous item Turn the Set Value knob counterclockwise To enter a menu item or select a setting Push the Select button To exit a menu Turn the Set Value knob until the EXIT option is displayed then push the Select button To toggle the state of an option on or off Push the Select button NOTE You cannot enter the Extended Features menu when
273. ressure gas nozzles are used to dry it Differential Pressure Ports A low pressure air nozzle with flow less than 10 liters per minute should be used for cleaning the differential pressure ports Patient Wye Installation After cleaning install the patient wye in the patient circuit so the proximal sense lines are oriented up while operating Operator s Manual LTV 1200 Ventilator Page 13 7 p n 18247 001 Rev G ATTENTION Nettoyage du pi ge eau NE PAS utiliser KlenZyme pour nettoyer les pi ges eau Pulmonetic Le cas ch ant le mat riau composant le pi ge eau se d t riorera Composants r utilisables du circuit du patient Pour viter la d gradation des composants r utilisables du circuit du patient ne d passez pas les limites suivantes e 50 cycles de nettoyage ou 1 an le premier des deux pr valant Autoclave a vapeur e Pression 20 Ib po e Temp rature 275 F 135 C e Dur e 6 minutes Agent de st rilisation liquide Il ne faut utiliser aucune des solutions suivantes pour nettoyer d sinfecter ou st riliser le circuit du patient C tone Solutions contenant du chlore Ph nol gt 5 Hydrocarbures contenant du chlore Acides inorganiques Hydrocarbures aromatiques Formald hyde Hypochlorite Les agents liquides contenant plus de 2 de glutarald hyde Pasteurisation e Un cycle avec d tergent l eau ti de pendant 30 minutes et l eau chaude a 165 F 74 C pen
274. ries are fully charged For more information about the SprintPack see the SprintPack Li lon Power System Operator s Manual P N 18415 001 Operator s Manual LTV 1200 Ventilator Page 14 11 p n 18247 001 Rev G Caring for the Internal Battery The LTV 1200 ventilator uses a rechargeable sealed lead acid internal battery To preserve maximum battery life e Fully recharge the battery every 2 months while the ventilator is in storage Recharge the battery by plugging the ventilator into an AC power source for 24 hours If the battery Charge Status LED is not illuminated green within 24 hours or if it is illuminated red immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems e Store the ventilator at temperatures less than 60 C 140 F CAUTION Storage Temperature Storing the LTV 1200 ventilator at temperatures above 60 C 140 F for long periods can damage the internal battery and cause expected battery duration to degrade Internal Battery Use The internal battery is intended for use during short periods while switching between external power supply connections emergency situations or short duration transports The length of time the ventilator will operate on internal power is a function of many factors such as settings charge level and condition or age of the battery therefore the use of the internal battery as a standard operating practice is not recommended ATTENTIO
275. rom Pulmonetic Systems Page 6 18 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G O O Flush cont ATTENTION Contamination de la r serve d oxyg ne La pr cision de la capacit d alimentation en oxyg ne des ventilateur 1200 LTV peut tre compromise par la pr sence de corps trangers dans le syst me d alimentation en oxyg ne Afin de diminuer le risque de pr sence d agents contaminants atmosph riques dans le ventilateur assurez vous que la r serve d oxyg ne reli e au ventilateur est propre et filtr e de mani re ad quate et que le bouchon de l orifice d alimentation en oxyg ne est correctement install chaque fois que le ventilateur n est pas reli une source d oxyg ne externe NOTE The Oxygen Inlet High Pressure alarm at 85 PSIG and Oxygen Inlet Low Pressure alarm at 35 PSIG are only active when Low Pressure O Source is off and the O2 O Flush setting is greater than 21 REMARQUE L alarme de haute pression d entr e de l oxyg ne r gl e sur 85 PSIG et l alarme de basse pression d entr e de l oxyg ne r gl e sur 35 PSIG ne seront actives que lorsque la source de basse pression O est d sactiv e et que le r glage du 02 O Flush est sup rieur 21 When the Oxygen Blending option is not enabled 02 O Flush is only available when the oxygen blending option is enabled Oxygen may still be supplied through the low pressure low flow inlet but the Low
276. rovided by the operator in the O2 CYL DUR menu settings The calculated displayed useable amount of oxygen information is to be used for reference purposes only Ventilation Variables and O Consumption Variations in the patient s minute ventilation l E ratio and or ventilator setting changes or equipment status i e circuit leaks affect the consumption rate of oxygen When warranted by a patients condition it is recommended that a back up cylinder or alternative source of oxygen be available at all times AVERTISSEMENT Informations sur la dur e d utilisation restante de la bouteille d oxyg ne La pr cision de l affichage de la quantit d oxyg ne utilisable restante dans une bouteille d oxyg ne externe 02 DUR HH MM d pend de la pr cision de la jauge de pression utilis e sur la bouteille et de l exactitude des informations fournies par l op rateur dans les param tres du menu DUREE CYL O2 Les informations calcul es et affich es sur la quantit d oxyg ne utilisable ne doivent tre utilis es qu titre indicatif Variables de ventilation et consommation d oxyg ne Les variations dans la ventilation par minute du patient et dans le rapport inspiration expiration la modification des param tres ou l tat du mat riel fuite dans le circuit par exemple modifient le taux de consommation de l oxyg ne Lorsque la situation du patient le permet il est recommand qu une bouteille d oxyg ne de secours ou toute autr
277. rs of Service Maintenance Required Prior to initial use e Charge the Internal Battery by plugging the ventilator into an AC power source for 24 hours e Setup the ventilator accessories per Appendix C Installation and Checkout e Check the ventilator for proper operation per Appendix C Installation and Checkout While in storage e Recharge the Internal Battery by plugging the ventilator into an AC power every two months source for 24 hours Daily e Check the Inlet Filter clean if necessary e Check the Fan Filter clean if necessary If in use a minimum Check the ventilator per Chapter 11 Ventilator Checkout Tests While of once a month the ventilator is off patient perform the Power external disconnect test e Verify Vte or VE monitor e Verify airway pressure or PIP monitor e Verify delivered O concentration if not using an oxygen analyzer continuously See Appendix A Ventilator Specifications for accuracy tolerances Use existing patient settings or example settings as shown in Appendix C Installation and Checkout Every 10 000 hours Replace the Internal Battery only with Pulmonetic Systems battery P N or two years 18608 001 Calibrate the Transducers Replace the Motor Board Clean or replace the Interior Air Inlet Filter Clean or replace the O Inlet Filter Every 30 000 hours or six years whichever comes first Replace the Turbine Manifold Assembly Replace the Sole
278. s Use the Vent Operations menu to set up ventilator controls and options that are not available directly from front panel controls The menu is set up as follows VENT OP RISE TIME FLOW TERM TIME TERM PC FLOW TERM LEAK COMP O2 CONSERVE O2 FLUSH CTRL UNLOCK LANGUAGE VER xx xx USAGE xxxxx x COM SETTING SET DATE SET TIME DATE FORMAT PIP LED LTV xxxx XXXXXX VHome xxx SET DEFAULTS accessed through Vent Check menu O2 CYL DUR EXIT Operator s Manual LTV 1200 Ventilator p n 18247 001 Rev G Page 10 7 Variable Rise Time Use the Variable Rise Time option to select the rise time profile for Pressure Control and Pressure Support breaths The rise time profiles are numbered 1 through 9 where 1 is the fastest rise time and 9 is the slowest rise time Starting with the fastest rise time each time is 33 longer than the previous one Pressure Pressure Control Control PEEP PEEP Paw Paw Profile 1 Faster Rise Time Profile 9 Slower Rise Time To modify the Rise Time Profile 1 Push the Select button while RISE TIME is displayed PROFILE x is displayed Turn the Set Value knob until the desired Rise Time Profile is displayed WO N Push the Select button S Range 1 to 9 where 1 is the fastest and 9 is the slowest Page 10 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Variable Flow Termination Use the Variable Flow Termination to select the percentage of peak flo
279. s Manual p n 18247 001 Rev G PEEP Control The PEEP control establishes the Positive End Expiratory Pressure To set the PEEP 1 Push the PEEP control button 2 Change the setting using the Set Value knob Range 0 20 cmH 0 The LTV 1200 has PEEP Compensated Pressure Support and Pressure Control On the left waveform breath the ventilator is set to deliver Pressure Support or Pressure Control of 20 cmH20 with no PEEP The span or delta is 20 cmH20 On the right waveform the vent is set to deliver Pressure Support or Pressure Control of 20 cmH0 Note that 5 cmH20 of PEEP have been added This ventilator compensates for the added PEEP by automatically increasing the Pressure Support or Pressure Control in order to maintain the same span or delta of 20 cmH 0 cmH20 cmH20 To view the measured PEEP in the display window 1 Use the Select button to display the measured PEEP in the display window PEEP Control in NPPV Mode When NPPV mode is selected the PEEP control is used to set the EPAP value Operator s Manual LTV 1200 Ventilator Page 6 21 p n 18247 001 Rev G Pressure Control This control establishes the target pressure above the PEEP setting for Pressure Control breaths NOTE Pressure Control and Pressure Support breaths do compensate for PEEP Delivered pressure is controlled by the Pressure Control setting and is affected by the PEEP setting For example a Press
280. s affichages et des commandes du ventilateur Le d faut de v rifier l tanch it du circuit respiratoire du patient avant le raccordement un patient peut tre nocif pour le patient ou provoquer une ventilation inefficace Lorsqu un humidificateur chauffant est employ il convient de l inclure dans le circuit en proc dant la v rification de l tanch it Operator s Manual LTV 1200 Ventilator Page 11 1 p n 18247 001 Rev G To enable the Ventilator Checkout menu 1 Disconnect the patient from the ventilator and ventilate the patient using an alternative method 2 Turn the ventilator off 3 Ensure that the AC Adapter is connected to a valid AC power source and verify that the External Power and Charge Status LEDs are illuminated 4 Push and hold the Select button Continue to hold the Select button and press the On Standby button REMOVE PTNT should be displayed if not power down the ventilator and repeat steps 2 through 4 5 An audible alarm alternating on off tone will sound while REMOVE PTNT is displayed Select Button Display Area Press and hold first REMOVE PTNT is displayed ny Pressure cmH 0 LTVi200 Chorge Seh imi VANS Low Pressure Control Or Source Lock On Standby Button Press second 6 Clear the alarm by pressing the Silence Reset button The audible alarm silences and the display changes to VENT CHECK Display Area VENT CHECK is displayed Airway Pressure cmH20 Pa
281. sec 3 to 20 cmH 0 above set PEEP 3 to 20 cmH20 below set PEEP 5 to 100 cmH2O0 No Delay 1 Breath 2 Breaths 0 1 to 99 liters 1 to 60 cmH20 All Breaths VC PC Only Off 70 900 f Vt Off 5 90 f Vt Off 15 80 bpm Off 1 40 bpm LTV 1200 Ventilator 0 5 seconds 1 bpm or within 5 of breath period whichever is greater 0 1 seconds 2 cmH 0 or 10 whichever is greater 2 cmH 0 or 10 whichever is greater 5 to 20 cmH20 2 cmH20 21 to 100 cmH O 4 cmH 0 Only audible portion of alarm notification is delayed 15 or the measured total breath rate times 15 ml whichever is greater 2 to 20 cmH 0 2 cmH 0 21 to 60 cmH 0 4 cmH 0 Select breath types Low Pressure alarm applies to 2 cmH 0 or 10 whichever is greater 2 1 bpm or within 5 of the breath period whichever is greater 1 bpm or within 5 of the breath period whichever is greater Page A 3 Fixed Alarms Control Range Tolerance Indicators Default Settings EEPROM problem detected DISC SENSE Positive exhaled airway flow Low Pressure Sense during first 200 ms of Line Disconnect inspiration and exhaled tidal volume Vte of previous breath is more than 4000 ml DISC SENSE Airway pressure changes by lt 0 5cmH O High Pressure Sense 1 cmH 0 during 200 ms after Line Disconnect inspiratory start OR After initial 200 ms of inspiration airway pressure drops belo
282. sp cifi comme un ventilateur LTV 1200 P N 18888 2XX circuit de patient LTV 1200 de 4 6 m 15 pi sans danger pour la RM P N 19189 001 support de plancher a RM conditionnelle P N 14982 001 et un adaptateur LTV aca P N 18053 001 Ajouter des pi ces ou accessoires non approuv s pourrait mener a des dangers au patient et ou l op rateur Operator s Manual LTV 1200 Ventilator Page 1 9 p n 18247 001 Rev G Cautions CAUTION Ventilator Sterilization To avoid irreparable damage to the LTV 1200 ventilator do not attempt to sterilize it Cleaning Agents To avoid damaging the ventilator s plastic components and front panel do not use cleaning agents containing ammonium chloride other chloride compounds more than 2 glutaraldehyde phenols or abrasive cleaners Ventilator Immersion Do not immerse the ventilator in liquids Reusable Patient Circuit Components To avoid degradation of the reusable patient circuit components do not exceed the following constraints e 50 cleaning cycles or 1 year whichever comes first Steam Autoclave e Pressure 20 PSIG e Temperature 275 F 135 C e Time 6 minutes Liquid Sterilizing Agent Do not use any of the following solutions to clean disinfect or sterilize the patient circuit Ketone Chlorinated solutions Phenol gt 5 Chlorinated hydrocarbons Inorganic acids Aromatic hydrocarbons Formaldehyde Hypochlorite Liquid agents containin
283. spiratory J Expiratory ON zeis da tddi inter Prends 6 5 Inspiratory Hold viana A tan 6 6 Expiratory Hold oyin na an Re ee M Pa Sen Oana TAA TEE Ea 6 8 Inspiratory Times a ett r ae i cette 6 10 Low Minute Volume serran rien ie ramener dire AAEren Veke KE W n nen KEK durent rt 6 11 EW Press UTE e ab b ba saya D nicho deca tite 6 12 Low PreSSUTe O SOUPCE iia ee ad AN ere da 6 13 Manual Bro at wis ck D tit tidad 6 17 Os OREA DD ies Ree A rr RE ee 6 18 On Standb Visa AM DY ENDE ND MADA DD e T 6 20 AANE E A E E a eee ee ee eae 6 21 PEEP Control in NPPV Mode sienne 6 21 Pressure Gontrol sci scesce dond Rad ae Apes ama ne a nasa 6 22 PReSSUNE SUPPOMN 22 5 Ur rela r _e_ rw 6 23 Pressure Support in NPPV Mode se 6 23 DOLCE in tec se MS Made Rene O ds 6 24 SENS seat y tin G ayak S dar kah A dt S ha Kan e n Zan dq auf 6 25 SetVali e Knob wise d dadi eet Mae cle eke ace Sea A daw kab a dka naka 6 26 silence R SOL nr a A Ma a ee ae ee a een ae ee 6 27 Tidal Volume ssh ne ne erent ocean olan ee netted elena ata teil ae as 6 28 Volume Pressure Mode rr rai ne ss ope Matt sente anne dead a e added ise tnt k kan ee tite 6 29 Chapter 7 Displays and Indicators kk kk kk A kk A kK KAKA KAKA 7 1 Away Pressure VD DD DD rr r r e 7 1 Display WINGOW ND DD r EEEREN OEA REAA RENEE RT 7 1 LEA EEES EREE E A E TEE E E E EEE 7 1 Battery Level sursaut ri a aka n deaa Ek duel daye
284. splay Control setting is A control s value may be limited by the current flashing when setting limited settings of other controls See page 5 5 for an a control explanation of Control Limiting A display or LED Internal problem with Do a display test see page 11 4 for instructions does not illuminate the ventilator If the display or LED does not illuminate immediately contact a certified Pulmonetic Systems service technician Ventilator is running Displays are blanked but displays are while on battery power turned off To conserve battery life while running from the internal battery most of the displays are turned off when no changes are made to the control settings for 60 seconds To turn the displays back on touch any control or button or turn the Set Value knob Internal problem with the ventilator Do a display test see page 11 4 for instructions If the display or LED does not illuminate immediately contact a certified Pulmonetic Systems service technician A control doesn t Control not active in operate selected mode Set Value knob doesn t operate Controls are locked If a control is dimmed it is not active in the currently selected mode and changing it s setting does not affect ventilation See page 5 4 for an explanation of Bright Dim and Blank Control Displays If the controls are locked a LOCKED message will be displayed when a control is selected To unloc
285. splayed REMARQUE Le test de fuites ne peut s ex cuter tant que le ventilateur n a pas fonctionn durant 60 secondes Si vous tentez d ex cuter un test de fuites avant que la p riode de r chauffement ne soit compl t e un message WARMUP xx sera affich Lorsque la p riode de r chauffement est compl t e les l ments du menu Test de fuites sont de nouveau affich s Page 11 8 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Leak Test cont 5 To perform the Leak Test the ventilator does the following a Closes the exhalation valve and sets the flow valve to a near closed state The display briefly shows HOMING VALVE b Elevates the turbine motor speed The display shows SET TURBINE If the display shows LEAK xx x FAIL see Chapter 15 Troubleshooting for more information c Elevates the circuit pressure The display shows PRES xx x cmH 0 where xx x is the real time airway pressure d Sets the flow valve to a near closed position The display shows FLOW xx x Lpm where xx x is the flow through the flow valve e After several seconds the display shows LEAK xx x PASS or LEAK xx x FAIL indicating the Leak Test results The Leak Test will fail if the flow through the flow valve is greater than 1 Lpm 6 To exit the Leak Test push the Select button again and the next menu item is displayed If the ventilator fails the Leak Test see Chapter 15 Troubleshooting for more information Operator s Ma
286. suivante est exc d l alarme APNEA est g n r e et le ventilateur entre en mode de ventilation de secours pour l apn e Page 4 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G CPAP Mode CPAP mode is selected when SIMV CPAP is selected and the Breath Rate is set to dashes In CPAP mode when a patient trigger is detected a patient breath is given Breaths will be Pressure Support or Spontaneous breaths according to the Pressure Support setting Pressure Pressure Pressure Pressure Pressure Pressure Pressure Support Support Support Support Support Support Support Patient Triggers Pressure Support Patient Breaths Spontaneous Breaths Spontaneous Patient Breaths NOTE LTV ventilators provide an Apnea Backup mode of ventilation When the set Apnea Interval maximum time allowed between the beginning of one breath and the beginning of the next breath is exceeded the APNEA alarm is generated and the ventilator will enter Apnea Backup ventilation mode REMARQUE Ventilateur LTV procurent un mode de ventilation de secours pour l apn e Lorsque l intervalle de l apn e tabli dur e maximum allou e entre le d but d une respiration et le d but de la respiration suivante est exc d l alarme APNEA est g n r e et le ventilateur entre en mode de ventilation de secours pour l apn e Operator s Manual LTV 1200 Ventilator Page 4 3 p n 18247 001 Rev G
287. sur une source d alimentation c a utilisez l adaptateur c a LTV approuv Source de courant continu ou pile externe Lorsque vous branchez les ventilateurs de la 1200 LTV sur une source de courant continu ou sur une pile externe utilisez seulement les m thodes et les connecteurs approuv s sp cifi s au chapitre 14 Alimentation et op ration avec pile Utilisation de la batterie interne La batterie interne est con ue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de plusieurs facteurs tels la configuration le niveau de la charge et la condition ou l ge de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e Operator s Manual LTV 1200 Ventilator Page 7 5 p n 18247 001 Rev G NPPV The NPPV indicator LED is lit when NPPV mode is selected For more information on NPPV mode see NPPV Mode in Chapter 4 Ventilation Modes and Procedure for NPPV Mode Set Up in Chapter 12 Operating Procedure Patient Effort This LED is lit briefly each time a patient trigger is detected See Chapter 6 Controls Sensitivity for more information on patient triggers Vent nop The Vent Inop LED is lit any time the ventilator is in the Inop state This oc
288. systemes d alarme a distance a fr quence simple ou double For more information on selecting the High Pressure Alarm Delay see Chapter 10 Extended Features Page 9 14 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G High PRES cont The HIGH PRES alarm becomes inactive and is automatically silenced using the following criteria r A Circuit Pressure at which HIGH PRES alarm is silenced 31 to 100 cmH20 Less than 25 cmH20 8 to 30 cmH20 More than 5 cmH20 lower than current High Pressure Limit Setting 5 to 7 cmH20 Less than 2 cmH20 When a HIGH PRES alarm occurs e Inspiration is immediately terminated and exhalation begins e The HIGH PRES message is flashed in the display window e The High Pressure Limit control display is flashed e The audible alarm is sounded To reset the HIGH PRES alarm 1 Push the Silence Reset button to silence the alarm 2 Resolve the high pressure problem 3 Push the Silence Reset button to reset the alarm Operator s Manual LTV 1200 Ventilator Page 9 15 p n 18247 001 Rev G HW FAULT When the ventilator detects one of the following hardware faults the HW FAULT alarm is generated e The cooling fan is not operating or the fan filter may be blocking the fan see page 13 2 for cleaning and installation instructions e A problem is detected with the analog to digital converters e A problem is detected with the flow valve e A problem is detected with th
289. t least 5kg 11 Ibs who require the following types of ventilatory support e Positive Pressure Ventilation delivered invasively via endotrach tube or trach tube or non invasively via mask or nasal prongs e Assist Control SIMV CPAP or NPPV modes of ventilation The ventilator is suitable for use in institutional home or transport settings The MR Conditional LTV 1200 System is suitable for use in both 1 5 and 3 0 Tesla not to exceed 3 0 Tesla static magnetic field shielded magnetic scanners see Chapter 16 MR Conditional System for more information CAUTION Federal law restricts this device to sale by or on the order of a physician Page 2 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Power Supplies Required To operate the LTV 1200 ventilator you will need the following e Power source Pulmonetic Systems P N 10537 11537 or 18053 001 110V or 220V AC power source or 11V to 15V DC power source This may be an external battery or a DC power system e For enriched FIO High pressure oxygen source providing between 40 PSIG and 80 PSIG or Low flow low pressure oxygen source providing less than 10 PSIG WARNING Untrained Personnel Only properly trained personnel should operate the ventilator The LTV 1200 ventilator is a restricted medical device designed for use by Respiratory Therapists or other properly trained and qualified personnel under the direction of a physician
290. t to their factory set default values e A DEFAULTS event is recorded in the Event Trace log see Appendix E Event Trace for additional information along with the date and time the settings were reset To exit the Ventilator Checkout menu and enter normal ventilation mode 1 Turn the Set Value knob through the Ventilator Operations sub menus until EXIT is displayed and push the Select or Control Lock button VENT OP will be displayed 2 When VENT OP is displayed turn the Set Value knob until EXIT is displayed and push the Select or Control Lock button e POST will be performed the ventilator will begin ventilation using the factory set default settings and a DEFAULTS SET alarm will be generated see Chapter 9 Ventilator Alarms DEFAULTS SET for additional information and instructions to reset the DEFAULTS SET alarm Page 10 20 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G O Cylinder Duration Use the O Cylinder Duration option to calculate the approximate remaining usable time in hours and minutes of an external O cylinder e To obtain an accurate duration time estimate the current cylinder pressure must be entered prior to each calculation WARNING O Cylinder Duration Information The accuracy of the displayed useable amount of oxygen remaining in an external O cylinder 02 DUR hh mm is dependant on the precision of the pressure gauge used on the O cylinder and the accuracy of the information p
291. tate Left ROTATE LEFT Set Value knob rotate Right ROTATE RIGHT PEEP PEEP 4 Test the Set Value knob by turning it clockwise and counterclockwise Verify that the direction of rotation is displayed in the display window 5 To exit the control test push the Select button again and the next menu item is displayed Ifthe Control Test fails see Chapter 15 Troubleshooting for more information Operator s Manual LTV 1200 Ventilator p n 18247 001 Rev G Page 11 7 Leak Test Use the Leak Test to test the patient circuit for leaks To run the Leak Test 1 Attach all patient circuit accessories such as water traps heated circuits and humidifiers to the patient circuit 2 Connect the patient circuit to the ventilator 3 With a clean gloved hand or 4 X4 gauze pad occlude the proximal end of the patient circuit Display Area LEAK is displayed Ze LTV 200 Dune VOS Select Button 01 we 10 Flash nd Rote Tidal me the Mom lt a Time me Suppor 0 PEEP tea su insp Exp Manwal Low Pressure Control On Stondby dew E Hold Breath 0 Source Lock 0000 4 Push the Select button while LEAK is displayed NOTE The Leak Test cannot be run until the ventilator has been running for 60 seconds If you attempt to run the leak test before the warm up period has completed a WARMUP xx message will be displayed When the warm up period is complete the Leak Test menu item is redi
292. te within their normal tolerances During this warm up period the ventilator will not allow you to run the leak test or calibration If you select an option that is not available during the warm up period the WARMUP xx message is displayed When the warm up period has expired the message is removed When a WARMUP message occurs e The WARMUP message and the remaining warm up time are displayed in the window e The ventilator does not allow the restricted functions to be performed To reset the WARMUP message 1 The WARMUP message will automatically reset when the warm up period has expired Page 9 38 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 10 EXTENDED FEATURES This section describes the options and features available under the Extended Features Menus and how to access them The Extended Features menus shown below are representative of the LTV 1200 ventilator Extended Features Alarm Operations Presets Real time Event Ventilator Alarm Volume Patient Size Transducer Data Trace Maintenance Apnea Interval Patient Query High Pressure Alarm Delay Ventilator Checkout Tests LPP Alarm Autozero Alarm Test Display Test High f High PEEP Low PEEP PNT Assist Control Test Leak Test Vent Inop Alarm Test not displayed Ventilator Operations Spontaneous Breathing Trial Variable Rise Time SBT Start Variable Flow Termination Pres Support Variable Time Termination PEEP P
293. ted in the illustration on the next page 3 Remove the upper boot and insert and thread two 4 40 pan head mounting screws into the screw holes in the ventilator s back panel as indicated in the illustration e Requires the use of the 1 4 pan head mounting screw 4 4 Insert and thread two 4 40 X 1 4 flat head mounting screws 5 with finish washers 6 into the screw holes in the ventilator s side panels as indicated in the illustration e Finish washers 6 should be already in place 5 Torque tighten the mounting screws to these specified values do not over tighten to avoid damage to the finish washers e Torque tighten the screws in the back panel of the ventilator to 60 in oz 0 42 Nm e Torque tighten the screws in the sides of the ventilator to 20 in oz 0 14 Nm 71 Refer to Appendix C Installation and Checkout for information concerning the appropriate accessories mounting screws or accessories replacement screws location type and length to use when removing or exchanging external accessories on an LTV ventilator Operator s Manual LTV 1200 Ventilator Page C 3 p n 18247 001 Rev G Protective Boot Upper 1 P N 19033 001 Purple Protective Boot Lower 1 P N 19032 001 Purple e Item 1 e item 2 e Item 3 4 40 X 3 16 Pan head screw 1 P N 10438 e item 4 4 40 X 1 4 Pan head mounting screws 2 P N 10435 e Item 5 4 40 X 1 4 Flat head mounting screws 6 P
294. tement install chaque fois que le ventilateur n est pas reli une source d oxyg ne externe 72 In addition to the existing internal O Inlet filter P N 14313 an External In Line Oxygen Filter P N 14470 is available from Pulmonetic Systems Page C 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G For Operation from a High Pressure Oxygen Source To operate from a high pressure 40 80 PSIG oxygen source connect an oxygen hose to the female DISS oxygen inlet fitting labeled O2 INLET on the left side of the ventilator High pressure O2 hose N For Operation from a Low Pressure Oxygen Source For operation from a low pressure oxygen source such as an oxygen concentrator attach the low pressure adapter to the inlet fitting labeled O2 INLET located on the left side of the ventilator Then attach the oxygen supply line to the hose barb on the adapter Low Pressure O2 adapter An NIST adapter P N 10702 for this connection is available from Pulmonetic Systems upon request Operator s Manual LTV 1200 Ventilator Page C 13 p n 18247 001 Rev G Patient Assist Call System Connection Instructions The ventilator is configured to interface with a Patient Assist Call system requiring either normally closed or normally open contact sets Devices connected to the Patient Assist port must be IEC 60601 1 1 certified e f your patient assist system is Normally Open use Patient Assist Cab
295. ternal battery hard case or the soft bag ur gt To Battery Box To LTV 7 Pulmonetic Systems External Battery P N 10787 and Case P N 10790 Pulmonetic Systems External Battery Cable P N 10802 Pulmonetic Systems External Battery Charger P N 10801 Operator s Manual LTV 1200 Ventilator Page 14 3 p n 18247 001 Rev G 2 Connect the power connector on the battery cable to the power port on the left side of the ventilator as shown here Verify the External Power LED shows green or amber External Battery Connection Power Port Pigtail Connector Battery A7 Connector To gt External Battery While the ventilator is connected to the external battery the internal battery is being continuously charged NOTE The External Battery Packs can only be recharged using the Pulmonetic Systems External Battery Charger The External Battery Pack must be disconnected from the LTV 1200 ventilator before connecting to the External Battery Charger The External Battery Pack can be fully recharged in 8 hours See the instruction sheet that comes with the External Battery Charger for information on how to properly configure the charger for your AC voltage and frequency The external battery is a sealed lead acid battery Some states and countries require that these batteries must be disposed of through an authorized recycling or hazardous materials center Contact the proper agency for appropriate disposal procedures REMARQUE L
296. ternal battery is intended for use during short periods while switching between external power supply connections emergency situations or short duration transports The length of time the ventilator will operate on internal power is a function of many factors such as settings charge level and condition or age of the battery therefore the use of the internal battery as a standard operating practice is not recommended REMARQUE Le voyant du DEL Charge Status est vert lorsque la pile interne est charg e a plus de 90 de sa capacit Si le voyant du DEL Charge Status est rouge qu il est jaune et clignote pendant plus d une heure ou qu il n affiche pas un Charge Status vert apr s 24 heures la pile est d fectueuse et il faut la changer Veuillez communiquer imm diatement avec un technicien de service certifi par Pulmonetic Systems Utilisation de la batterie interne La batterie interne est con ue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de plusieurs facteurs tels la configuration le niveau de la charge et la condition ou l ge de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e Operator s Manual LTV 1200 Ventilator Page 14 1 p n 18247 001 Rev G
297. tests de v rification du ventilateur Modes V rification et Entretien du ventilateur Le ventilateur de la s rie LTV ne transmet pas le m lange de gaz en mode V rification du ventilateur VENT CHECK ou en mode Entretien du ventilateur VENT MTNCE il ne devrait donc pas tre utilis pour ventiler un patient durant l ex cution de ces tests Operator s Manual LTV 1200 Ventilator Page 1 7 p n 18247 001 Rev G AVERTISSEMENT Concentration d oxyg ne inspir FIO Si la fr quence respiratoire du patient est variable sa ventilation minute va fluctuer Lorsqu une concentration exacte d oxyg ne inspir FIO2 est n cessaire pour une transmission au patient il est recommand d utiliser un analyseur de niveau d oxyg ne pr cis comportant des alarmes Informations sur la dur e d utilisation restante de la bouteille d oxyg ne La pr cision de l affichage de la quantit d oxyg ne utilisable restante dans une bouteille d oxyg ne externe 02 DUR hh mm d pend de la pr cision de la jauge de pression utilis e sur la bouteille et de l exactitude des informations fournies par l op rateur dans les param tres du menu DUREE CYL O2 Les informations calcul es et affich es sur la quantit d oxyg ne utilisable ne doivent tre utilis es qu titre indicatif Variables de ventilation et consommation d oxyg ne Les variations dans la ventilation par minute du patient et dans le rapport inspiration expiration l
298. teur et pourrait endommager l adaptateur ou le ventilateur Puissance nominale des prises d allume cigare Le branchement d un ventilateur une prise d allume cigare qui ne poss de pas la tension suffisante moins de 20 amp res peut faire griller un fusible de l automobile causant ainsi l arr t du ventilateur et ventuellement celui d autres accessoires de l automobile Adaptateur pour allume cigare Ne faites pas fonctionner le ventilateur l aide de l adaptateur pour allume cigare lorsque vous d marrez le v hicule ou lorsque vous faites une connexion provisoire de la batterie d un v hicule Vous pourriez ainsi endommager le ventilateur Embout adaptateur pour allume cigarette d automobile Apr s l utilisation d brancher l adaptateur pour allume cigarette d automobile avec pr caution car son embout peut tre chaud Prise d allume cigare d automobile Selon la condition de la batterie de l automobile si le moteur est coup d marr ou est en marche les prises d allume cigare d une automobile peut g n rer des niveaux de tension vari s sur certains mod les la prise ne fonctionne que si le moteur est en marche V rifier la source d alimentation utilis e par le ventilateur indiqu e par la DEL External Power du ventilateur Operator s Manual LTV 1200 Ventilator Page 14 7 p n 18247 001 Rev G CAUTION Release Button To avoid damaging the ventilator or the power connector push the re
299. th cycle CPAP mode A ventilation mode where the patient triggers all breaths Available breath types are Pressure Support and Spontaneous Display window A set of 12 dot matrix displays used to show monitored data alarm messages and Extended Feature menu items EEPROM Electrically Erasable Programmable Read Only Memory Nonvolatile electronic memory that is used by the ventilator to maintain calibration data control setting and other data when power is not applied to the ventilator EPAP Expiratory Positive Airway Pressure The positive gas pressure in the patient circuit during breath exhalation Event Any condition noted in the ventilator s event trace This may include both error conditions and normal operational events Exhaled tidal volume See Tidal Volume Expiratory hold A maneuver which holds the expiratory phase of a delivered breath for a duration sufficient to determine the AutoPEEP of a patient Extended features A set of ventilator controls and options that are not associated with front panel controls Extended Features are accessed through a menu shown in the display window f See Total Breath Rate monitored Flow The velocity of gas delivery to the patient quantified in lpm Flow trigger A patient effort in which the amount of bias flow routed into the patient s lungs exceeds the Sensitivity setting A flow trigger will result in delivery of an Assist o
300. the controls are locked REMARQUE Vous ne pouvez pas acc der au menu Fonctions avanc es lorsque le verrouillage est activ Page 10 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Alarm Operations Use the Alarm Operations menu to set up alarm conditions that are not available directly from front panel controls The menu is set up as follows ALARM OP ALARM VOL APNEA INT HP DELAY LPP ALARM HIGH f HIGH PEEP LOW PEEP PNT ASSIST EXIT A arm Volume Use this menu item to set the loudness of the audible alarm To modify the Alarm Volume 1 Push the Select button while ALARM VOL is displayed 2 VOL xx dBA is displayed 3 Turn the Set Value knob until the desired setting is displayed 4 Push the Select button Range 60 85 dBA NOTE Fixed Volume Alarms The volume of the Battery Empty alarm cannot be lowered For patient safety this alarm always sounds at full volume If the battery depletes to point that the ventilator goes INOP the Vent Inop audible alarm sounds at maximum volume for a minimum of 5 minutes The Vent Inop audible alarm is capacitor driven and the volume is therefore not user modifiable REMARQUE Alarmes a volume fixe Le volume de l alarme de batterie faible ne peut tre r duit Pour la s curit des patients le volume de cette alarme est toujours fort Si la batterie est suffisamment d charg e pour que le voyant INOP du ventilateur s active l alarme sonore Vent
301. the displays are turned off The display window 7 segment control displays and LEDs are turned off Anytime an alarm occurs or if an alarm message is already displayed the display window will remain active The Airway Pressure display is always active e To turn the displays back on push any button or turn the control knob e When an option such as oxygen blending is not installed e When acontrol feature is not available such as during Ventilator Checkout tests Page 5 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Flashing Controls Variable controls and alarms will be displayed solid or flashing A flashing control means one of the following things e If you are changing a control setting and the display flashes you have reached a limited value for the control Control Limiting is covered later in this section e If an alarm display flashes it indicates that an alarm has occurred or is occurring See Chapter 9 Ventilator Alarms for more information on this e If a control display flashes it indicates a special condition such as time termination of a pressure support breath For more information see Chapter 6 Controls e If the Control Lock LED flashes it indicates you have tried to change the control settings while the front panel controls are locked For more information see Chapter 6 Controls Control Lock Dashes If a control display is set to dashes it indicates that contr
302. the remote alarm has a female BNC plug connect the cable directly to the remote alarm s input cable or connector and twist to secure A E Alarm Cable Page C 16 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G 3 Ifthe remote alarm has a male BNC plug insert the included BNC adapter into the cable s connector and twist to secure Then connect the adapter to the remote alarm s input cable or connector Push in and turn gt LW M E Optional Alarm Cable Adapter 4 Create an alarm condition at the ventilator and verify that the remote alarm reflects the alarm state properly 5 Clear the ventilator alarm condition and verify that the remote alarm reflects the alarm state properly Operator s Manual LTV 1200 Ventilator Page C 17 p n 18247 001 Rev G Checking the Ventilator for Proper Operation 1 Verify that the ventilator is functioning properly by performing the Ventilator Checkout Tests 2 Disconnect the patient from the ventilator and ventilate the patient using an alternative method before running the Ventilator Checkout tests Connect the AC adapter to a valid AC power source Connect the patient circuit to the ventilator and to a test lung with a compliance of 10 ml cmH20 and a resistance of 5 cm L sec Do not connect the Oxygen supply Turn the ventilator on and proceed with the checkout as defined in the following table Ventilator Settings and Procedure A F Configure the
303. thod selected under CTRL UNLOCK Wrong model selected in maintenance mode Immediately contact a certified Pulmonetic Systems service technician Pres Control button does not operate associated display is off Wrong model selected in maintenance mode Immediately contact a certified Pulmonetic Systems service technician O O Flush button does not operate associated display is off Wrong model selected in maintenance mode Immediately contact a certified Pulmonetic Systems service technician Low Pressure O Source button associated LED does not operate LMV OFF is displayed Immediately contact a certified Pulmonetic Systems service technician Wrong model selected in maintenance mode Low Minute Volume alarm is turned off This is an informational message only see Chapter 9 LMV OFF for an explanation of this feature LMV LPPS OFF is Low Minute Volume This is an informational message only see displayed alarm is turned off and Chapter 9 LMV LPPS OFF for an explanation of the LPP ALARM has this feature been set to VC PC ONLY LPPS OFF is LPP ALARM has been This is an informational message only see displayed set to VC PC ONLY Chapter 9 LPPS OFF for an explanation of this feature f PEEP OFF is The High Breath Rate This is an informational message only see displayed and High PEEP alarms Chapter 9
304. tient Circuit Failed autozero Delivered flow is high Delivered flow is low Failed calibration or internal problem with the ventilator Verify lines are not occluded or pinched Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Perform an autozero under XDCR ZERO See page 10 28 for more information Immediately contact a certified Pulmonetic Systems service technician Bias flow is 20 Ipm or 5 Ipm instead of 10 lpm VHome setting does not match flow valve Immediately contact a certified Pulmonetic Systems service technician Page 15 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes What to Do Sensitivity does not appear to be Circuit leak Run a leak test and reseat or replace the leaking parts or connections See page 11 8 for accurate instructions Ventilator is Sense lines are The sense lines are not designed to be removed autocycling reversed from either the wye or the luer fittings If the sense lines have been removed and replaced incorrectly they may not seal correctly when replaced Replace the patient wye and sense lines with a known good assembly High or low side sense Check high and low pressure sense lines to be line or elbow at patient sure they are correctly attached and securely wye loose or leaking seat
305. tient Effort mar TV 200 El VENT CHECK al MISS Breoth Rote Tidal Kwe Pres Lae ery Insp Time Pres Suppor On Standby ee Pears eo h ka joa a Silence Reset Button Press momentarily 7 Push the Select button The first Ventilator Checkout Test ALARM is displayed Page 11 2 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Alarm Test Use the Alarm Test to verify that the audible alarm is working correctly To run the Alarm Test 1 Push the Select button while ALARM is displayed 2 Verify that the audible alarm is sounded e Ifa Patient Assist Call System or Remote Alarm is connected via the ventilator s Patient Assist Port verify the device also activates audible visual as specified by its manufacturer 3 When the alarm has sounded for at least 2 seconds push the Select button again e The audible alarm is silenced and the next menu item is displayed 4 Verify a confirming audible chirp occurs after the alarm is silenced Display Area ALARM is displayed Select Button ay Pressure cmH 0 Pollet EF LTVi2 ALARM Zm VASS Breath Rate Tidal Volume Pres Control Insp Time he Support 01 bpm mh PEEP se OPEP 10 Aash Insp Exp Manuol Low Pressure Da On Stondby SS ot W Hold Breath Source a 8 8 88 u If the Alarm Test fails see Chapter 15 Troubleshooting for more information Operator s Manual LTV 1200 Ventilator Page 11 3 p n 18247 001 Rev G Dis
306. tilator Operator s Manual p n 18247 001 Rev G Display Test cont Verify displays are illuminated in the following colors Display Color Display Color Airway Pressure Display Green Assist Control Mode LED Green Display Window Red SIMV CPAP Mode LED Green Breath Rate Green NPPV Mode LED Green Tidal Volume Green Inspiratory Expiratory Green Pressure Control Green Manual Breath LED Green Inspiratory Time Green Low Pressure O Source LED Green Pressure Support Green Control Lock LED Green O Oz Flush Green PEEP Green Sensitivity Green Patient Effort LED Green High Pressure Limit Alarm Red External Power LED Not tested Low Pressure Alarm Red Charge Status LED Not tested Low Minute Volume Alarm Red Battery Level LED Amber On Standby LED Green Vent Inop LED Not tested Volume Mode LED Green Silence Reset LED Red Pressure Mode LED Green 3 To end the display test push the Select button again and the next menu item is displayed If the Display Test fails see Chapter 15 Troubleshooting for more information Operator s Manual p n 18247 001 Rev G LTV 1200 Ventilator Page 11 5 Control Test Use the Control Test to verify that the ventilator buttons and the Set Value knob are working correctly To run the Control Test 1 Push the Select button while CONTROL is displayed Display Area CONTROL is displayed LTV 00 Call MIASYS
307. tilator Page 9 5 p n 18247 001 Rev G BAT LOW cont NOTE Internal Battery Use The internal battery is intended for use during short periods while switching between external power supply connections emergency situations or short duration transports The length of time the ventilator will operate on internal power is a function of factors such as settings charge level and condition or age of the battery therefore the use of the internal battery as a standard operating practice is not recommended REMARQUE Utilisation de la batterie interne La batterie interne est con ue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de plusieurs facteurs tels la configuration le niveau de la charge et la condition ou l ge de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e When an LTV 1200 ventilator is operated on its internal battery to the point that the internal battery is completely depleted the ventilator will shut down If the ventilator remains in this state the internal battery may recharge slightly within a few seconds minutes and cause the ventilator to automatically restart and operate for a short period of time This cycle may repeat several times depending
308. tionn Page 6 28 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Volume Pressure Mode Use this button to toggle between Pressure control and Volume control modes of ventilation To toggle between the modes 1 Push the mode button once The associated LED will flash for 5 seconds 2 To confirm the mode change push the mode button again while the LED is flashing The ventilator will begin operating in the new mode as soon as the mode change is complete Operator s Manual LTV 1200 Ventilator Page 6 29 p n 18247 001 Rev G Page 6 30 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 7 DISPLAYS AND INDICATORS This section describes each of the LTV 1200 ventilator front panel displays Airway Pressure The Airway Pressure display is a bar of 60 LEDs that is used to display the real time airway circuit pressure The displayed pressures range from 10 cmH 0 to 108 cmH 0 in increments of 2 cmH 0 In addition to displaying the real time airway pressure a single LED is lit showing the Peak Inspiratory Pressure of the previous breath Display Window The display window is a 12 character 5x7 dot matrix array that is used to display alarms monitored data and Extended Features menu items Messages are displayed with the following priorities highest to lowest e Alarm Messages e Extended Features Menu Items e Monitored Data Indicators The following section d
309. ton Controls Alarm Silence Reset Silence audible alarms Clear visual alarms Operator s Manual LTV 1200 Ventilator Page 5 1 p n 18247 001 Rev G Setting a Control There are 5 kinds of controls on the LTV 1200 ventilator They are Variable Controls Controls and alarms that have front panel displays Buttons Push buttons that select an option or perform a function Set Value Knob Used to set control values and navigate extended features menus Extended Features Ventilation options that do not have front panel controls but are available through a special menu Mechanical Controls Controls such as Over Pressure Relief that are hardware regulated and not operator adjustable The following sections describe how to set each kind of control Variable Controls To set a variable control 1 Select the control by pushing the associated button The display for the selected control will be displayed at normal brightness but the remaining control displays will dim 2 Change the control value by rotating the Set Value knob Rotate clockwise to increase and counter clockwise to decrease the value Turning the control knob slowly will change the setting by a small increment Turning the control knob more quickly will change the setting by a larger increment 3 Deselect the control by e Waiting 5 seconds or e Pushing the selected button again or e Selecting another control or e Pushing the Control Lock button When
310. ton twice WARNING XDCR FAULT alarm Continued operation of the LTV 1200 ventilator with an activated XDCR FAULT alarm may result in inaccurate flow and volume measurements Should this condition occur disconnect the patient from the ventilator provide an alternative method of ventilation and immediately contact a certified Pulmonetic Systems service technician or Pulmonetic Systems AVERTISSEMENT Alarme XDCR FAULT L op ration continue du ventilateur de la 1200 LTV avec une alarme XDCR FAULT activ e peut r sulter en mesures de d bit et de volume erron es Si cette condition se pr sente le ventilateur doit tre retir du service et vous devez imm diatement contacter votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems NOTE Repeated or continuous XDCR FAULT alarms may indicate a problem with the ventilator that could prevent the ventilator from performing within its specifications Discontinue use of the ventilator and immediately contact a certified Pulmonetic Systems service technician REMARQUE Des alarmes XDCR FAULT r p titives ou continuelles peuvent indiquer un probl me qui pourrait emp cher le ventilateur de fonctionner l int rieur des limites sp cifi es Retirer le ventilateur du service et contactez imm diatement un technicien de service certifi de Pulmonetic Systems Page 9 32 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Alarm Status Mess
311. tor Immediately contact a certified Pulmonetic Systems service technician Alarm Test Alarm does not sound Alarm sounder blocked Check the alarm sounder opening in the right side of the ventilator to verify the opening is not blocked Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Alarm Test Confirming audible chirp does not sound Page 15 24 Audible alarm did not sound long enough before test was terminated LTV 1200 Ventilator Repeat the Alarm Test and allow audible alarm to sound for at least 2 seconds before pushing the Select button See Alarm Test in Chapter 11 for instructions Operator s Manual p n 18247 001 Rev G Symptoms Possible Causes Internal problem with the ventilator What to Do Immediately contact a certified Pulmonetic Systems service technician Display Test A display or LED fails to light Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Control Test Correct message is not displayed when Set Value knob is turned or incorrect message is displayed Internal problem with the ventilator Immediately contact a certified Pulmonetic Systems service technician Control Test Volume Pressure Mode button Pres Control button O2 O2 Flush button or Low Pressur
312. tor leaking Verify the exhalation valve is not leaking during inspiration If it is leaking open the exhalation valve and remove the diaphragm Reseat the diaphragm See page 13 10 for a diagram of correct exhalation valve assembly If necessary replace the exhalation diaphragm or exhalation valve with a new one Immediately contact a certified Pulmonetic Systems service technician Repeated XDCR FAULT alarms HW FAULT alarm Internal problem with the ventilator Electro static discharge ESD Immediately contact a certified Pulmonetic Systems service technician Clear the alarm Reduce static causing conditions in the operating environment Fan was bumped or temporarily stopped while cleaning fan filter Clear the alarm No further action required if alarm does not reoccur Internal problem with the ventilator If problem reoccurs immediately contact a certified Pulmonetic Systems service technician RESET alarm occurs after ventilator is operated on internal battery until it is fully depleted RESET CRC STACK POST or RUNAWAY alarms NO CAL DATA alarm NO CAL displayed in place of monitored values Internal battery depleted Electro static discharge ESD Internal problem with the ventilator Failed or missing calibration records This is a normal Clear the alarm and charge the internal battery see page 14 11 for instructions on c
313. tor Page 15 9 Symptoms Possible Causes What to Do Delivered pressure is high Monitored pressure is high Diaphragm is incorrectly seated in exhalation valve High or low side sense line or elbow at patient wye loose or leaking High or low sense lines are occluded High or low sense ports in the wye are occluded Failed autozero Failed calibration or internal problem with the ventilator Delivered pressure increases towards end of inspiration VHome setting does not match flow valve Open the exhalation valve and remove the diaphragm Reseat the diaphragm and snap the exhalation valve in place See page 13 10 fora diagram of correct exhalation valve assembly Check high and low pressure sense lines to be sure they are correctly attached and securely seated at both the ventilator and wye ends Check the luer fitting connections for leaks Check the elbow connectors at the wye to be sure they have not loosened or been broken loose Verify lines are not occluded or pinched Check the exhalation drive line at both the ventilator and exhalation valve ends Verify the line is securely seated and not leaking Perform an autozero under XDCR ZERO See page 10 28 for more information Immediately contact a certified Pulmonetic Systems service technician Immediately contact a certified Pulmonetic Systems service technician Disconnected Exhalation Drive Line Leaks in the Pa
314. ts the bias flow to 0 Ipm and selects pressure triggering Certain patients may experience difficulty triggering a breath with a bias flow of 0 lpm e Delivered FIO can be lower than the set value when tidal volumes are less than 100 ml AVERTISSEMENT O Conserver Quand CONSERVE ON est s lectionn e LeLTV 1200 r gle automatiquement le flux O lpm et s lectionne le d clencheur de pression Certains patients peuvent prouver des la difficult d clencher une respiration avec un flux de O l min e Le FI02 peut diminuer la valeur s lectionn e quand le volume courant est de moins de 100 ml Operator s Manual LTV 1200 Ventilator Page 10 13 p n 18247 001 Rev G O Flush Use the O Flush option to elevate the delivered FIO to 100 for a preset period of time To initiate an O2 Flush 1 Push and hold the O O Flush button FIO on the ventilator front panel for three seconds to initiate the elevation ramp up of delivered FIO to 100 for the preset number of minutes e The FIO percentile displayed will change to 100 and the O Flush maneuver will start immediately regardless of the current ventilation mode breath rate or phase e OQ Flush will not be initiated if Low Pressure O Source is selected e O Flush will stop when the preset minutes have elapsed or the O O Flush button is pushed again e When stopped the delivered FIO percentile will return ramp down to the preset O
315. ttery fault The internal battery cannot be charged CAUTION Charge Fault If the Charge Status LED indicates a charge fault contact a certified Pulmonetic Systems service technician immediately Internal Battery Use The internal battery is intended for use during short periods while switching between external power supplies in emergencies or for short duration transports The length of time the ventilator will operate on internal power is a function of factors such as settings charge level and condition of the battery therefore the use of the internal battery as a standard operating practice is not recommended ATTENTION Erreur de charge Si le DEL de l tat de charge indique une erreur de charge veuillez contacter imm diatement un technicien de service certifi Pulmonetic Systems Utilisation de la batterie interne La batterie interne est con ue pour tre utilis e sur de courtes p riodes pendant la commutation entre des connexions d alimentation externe les situations d urgence ou les transports de courte dur e La dur e pendant laquelle le ventilateur fonctionnera sur l alimentation interne d pend de facteurs tels la configuration le niveau de la charge et la condition de la batterie l utilisation de la batterie interne pour l op ration normale n est donc pas recommand e Page 7 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G External Power The External Power indicator shows t
316. tures e AC DC Converter e Backup Battery Charger e Power and Charge Status LED e Audible and visual alarms to indicate loss of mains power The Universal Power supply provides an AC derived DC power source which is backed up by a rechargeable 12 volt sealed lead acid battery It can power the ventilator and the graphics monitor For more information refer to the UPS Operator s Manual P N 14492 The Transport Battery System TBS The TBS is a portable re chargeable external power source for the LTV ventilators It has the following features e Two no maintenance re chargeable Lithium lon batteries providing up to six hours of mobile power for the LTV ventilator e The TBS is easy and convenient to set up and operate and the system includes a battery charger for use when the TBS has been disconnected from the ventilator For more information about the TBS see the Transport Battery System Operator s Manual P N 17216 001 Page 14 10 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G The SprintPack Li lon Power System The SprintPack is a portable re chargeable external power source It accepts external LTV power sources and has the following features e Two no maintenance high capacity HotSwap re chargeable Lithium lon batteries providing up to six hours of mobile power for the LTV ventilator e Ability to act as an Uninterruptible Power Supply UPS when an approved power source is connected and the batte
317. twice and the display widow will toggle from normal monitor display to EXP HOLD 2 Push and hold the Insp Exp Inspiratory Expiratory Hold button during a Volume or Pressure Control exhalation and the ventilator will perform an Expiratory Hold at the end of that exhalation Exhalation will proceed normally with the exhalation valve open and normal bias flow All buttons that are not lockable will operate normally All buttons that are lockable will be ignored The breath will remain in exhalation phase If a Patient Effort is detected the maneuver will be terminated and the appropriate breath will be given e DISC SENSE and HIGH PRES alarms will terminate the maneuver 3 Continue holding the button until P Exp with a numeric value is displayed or the next breath is scheduled to begin either due to Breath Rate or a Manual Breath button push During the maneuver e The exhalation valve will be closed e Flow will be set to 0 LPM e P Exp xxx will be displayed in the display window where xxx is the real time circuit pressure e The breath will remain in expiration phase e DISC SENSE and HIGH PRES alarms will terminate the maneuver If a Patient Effort is detected the maneuver will be terminated and the appropriate breath will be given 4 Release the button or when 6 0 seconds elapse whichever comes first e Anormal inspiration phase will begin e AutoPEEP xxx will be displayed where xxx is the autoPEEP e Any mach
318. uctions H Reconnect the high pressure sense line and clear the alarm Il Change control settings as follows Mode Pressure Assist Cntl Pressure Control 20 PEEP 20 J Disconnect AC Adapter from Ventilator at pigtail cable connector breath Selected Monitors should read as follows e PIP 36 to 44 cmH20 e PEEP 17 to 23 cmH20 e No alarms activate e POWER LOST alarm activates e Battery Level LED illuminates showing the charge level e Ventilator continues to operate from the internal battery Operator s Manual LTV 1200 Ventilator Page C 19 p n 18247 001 Rev G Ventilator Proper Operation Worksheet SERIAL NUMBER CONDUCTED BY DATE TEST PAGE MEAS REQUIREMENT PASS DESCRIPTION STEP VALUE FAIL Ventilator Checkout Tests Chapter 11 Alarm Test 11 3 Audible alarm must activate for minimum 2 sec s Confirming audible Chirp must activate after alarm is silenced Display Test 11 4 All displays must light except Vent Inop Control Test 11 6 Correct messages displayed in window Leak Test 11 8 X X PASS Record value displayed Vent Inop Alarm Test 11 10 Alarm sounded and Inop LED illuminated 15 sec s Confirming audible Chirp must activate after alarm is silenced Checking the Ventilator for Proper Operation Appendix C Installation and Checkout Ventilator Settings Settings C 18 Selected Monitors should read as follows Mode Volu
319. udible alarm is sounded To reset the SBT gt f alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm silences the audible alarm and clears the flashing display e When the SBT gt f alarm is reset Silence Reset button pushed twice the alarm is suspended for the next 60 seconds e The 60 second suspension of the SBT gt f alarm is only enabled when the alarm is manually silenced reset by pushing the Silence Reset button twice It is not enabled when the SBT gt f alarm is automatically silenced reset because the patient s breath rate is no longer greater than the set SBT HIGH f alarm value e When an SBT alarm has been active in excess of 5 minutes the SBT mode of ventilation is terminated the ventilator clears the alarm status silences the audible alarm and returns to its previous mode of ventilation settings To remove the flashing SBT alarm message from the display window push the Silence Reset button Page 9 28 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT lt f Vt When the Spontaneous Breathing Trial SBT mode of ventilation is on and the monitored f Vt Total Breath Rate divided by the Average Exhaled Tidal Volume is less than the LOW f Vt setting low limit of the f Vt range for 30 seconds the SBT lt f Vt alarm is generated For additional information concerning the Spontaneous Breathing Trial SBT mode of v
320. uits du patient du Pulmonetic Systems les valves expiratoires et les collecteurs d eau sont exp di s propres mais pas st riles Le circuit du patient r utilisable doit tre nettoy avant la premi re utilisation et apr s chaque utilisation Sensibilit la lumi re ultraviolette Les mat riaux utilis s pour la tubulure des circuits du patient ne sont pas stables sous rayons UV Eviter d exposer la tubulure la lumi re UV CAUTION Proximal Sense Lines Do not remove the proximal sense lines from the patient wye Care of the Exhalation Valve The exhalation valve is a delicate assembly and may be damaged if e Care is not exercised when handling or cleaning it e Cleaning instruments or foreign bodies are inserted into it e High pressure gas nozzles are used to dry it Care of Bacterial Filters If bacterial filters are used in conjunction with the LTV 1200 ventilator comply with all procedures as specified by the filter manufacturer ATTENTION Conduites de d tection N enlevez pas les conduites de d tection qui se trouvent sur les divisions en Y du circuit du patient Entretien de la soupape d expiration La soupape d expiration est une pi ce fragile et peut tre endommag e si e Des pr cautions ne sont pas prises lors de sa manipulation ou de son nettoyage e Des instruments de nettoyage ou des corps trangers sont ins r s dans celle ci e Des pistolets de gaz a haute pression sont utilis s
321. uled for the next breath Operator s Manual LTV 1200 Ventilator Page 10 31 p n 18247 001 Rev G Real Time Transducers Use the Real Time Transducer data to view the real time activity in the ventilator The real time transducer menu is set up as follows RT XDCR DATA AP XX XX FDb XX XX FDw xx xx FDn XX XX Sm H20 mH20 mH20 mH20 FTw or FTn xx xx Lpm FTb X XX LEAK xx xx FVd XX XX FV XX XX STEP xxxx TS XXXX O2 XX XX BV XX XX EV XX XX PPP xx xx RT EXIT Lpm Lpm nH20 Lpm rpm PSI VOLTS VOLTS HO Each item displays real time activity in the displayed units For some items transducer counts can also be displayed Pushing Select while the item is displayed displays additional transducer data Display Real Time Data AP xx xx mH20 Airway pressure as measured at the patient wye using the high side proximal sense line FDb xx xx nH20 Flow differential pressure as measured at the patient wye using the bi directional transducer Differential pressure is measured between the high and low side proximal sense lines FDw xx xx nH20 FDn xx xx H20 Flow differential pressure as measured at the patient wye using the wide scale transducer Differential pressure is measured between the high and low side proximal sense lines Flow differential pressure as measured at the patient wye using the narrow scale transducer Differential pressure is measured between the high an
322. ume The exhaled Minute Volume is recalculated after every breath If the Minute Volume does not meet or exceed the Low Minute Volume setting e ALOW MIN VOL alarm is displayed e The audible alarm is sounded To set the Low Minute Volume alarm 1 Push the Low Min Vol button 2 Change the setting using the Set Value knob Range Off 0 1 99 L WARNING Low Minute Volume Control Settings The Low Min Vol control should be set to its highest clinically appropriate value If there is a clinical need to set the Low Minute Volume alarm to lower values or off perform a clinical assessment to determine if an alternative monitor i e a Pulse Oxymeter with an audible alarm or a Cardio Respiratory Monitor should be used AVERTISSEMENT R glages du contr le de volume bas par minute Le contr le du volume bas par minute doit tre ajust la plus haute valeur clinique appropri e Si l alarme de volume bas par minute doit tre ajust e des valeurs inf rieures ou mise l arr t pour satisfaire aux besoins cliniques effectuer une valuation clinique afin de d terminer si l utilisation d un autre moniteur c d sphygmo oxym tre muni d une alarme sonore ou un moniteur cardio respiratoire s av re pertinente Operator s Manual LTV 1200 Ventilator Page 6 11 p n 18247 001 Rev G Low Pressure The Low Pressure alarm can be set to apply to All breaths or to Volume Control and Pressure
323. un dispositif m dical restreint con u pour tre utilis par les inhaloth rapeutes ou autres personnes qualifi es et par le personnel qualifi sous la supervision d un m decin et en conformit avec les lois et r glements applicables Contr le de l tanch it du circuit respiratoire du patient L tanch it du circuit respiratoire du patient v rification de ventilation doit tre v rifi e en mode VENT CHECK avant le raccordement au patient En outre on doit utiliser le mode Ventilator Checkout v rification du ventilateur afin de s assurer du fonctionnement ad quat de l alarme des affichages et des commandes du ventilateur Le d faut de v rifier l tanch it du circuit respiratoire du patient avant le raccordement un patient peut tre nocif pour le patient ou provoquer une ventilation inefficace Lorsqu un humidificateur chauffant est employ il convient de l inclure dans le circuit en proc dant la v rification de l tanch it Alarmes r glables et critiques Pour assurer la s curit et obtenir un fonctionnement ad quat toutes les alarmes r glables et critiques doivent tre v rifi es V rification du fonctionnement des alarmes Toutes les alarmes sonores et visuelles doivent tre v rifi es quotidiennement Si une des alarmes fonctionne de fa on inad quate contactez votre technicien de service certifi de Pulmonetic Systems ou Pulmonetic Systems Surveillance du patient Un personn
324. upport 1 Push the Pres Support button 2 Change the setting using the Set Value knob Range 1 60 cmH20 Pressure Support breaths may be terminated by flow or by time Flow Termination Pressure Support breaths are flow terminated when the flow decreases to a set percentage of the peak flow delivered for that breath Time Termination Pressure Support breaths are time terminated when the inspiratory time exceeds two breath periods or when the inspiratory time exceeds the set Time Termination Limit before the flow termination criteria is reached The Pres Support display will flash briefly after each time terminated breath The Rise Time profile for Pressure Support breaths may be selected under Extended Features Pressure Support in NPPV Mode When NPPV mode is selected the Pres Support control is used to set the IPAP value 24 See Chapter 10 Extended Features to set the Variable Flow Termination for Pressure Support breaths Only Pressure Support breaths are flow and or time terminated Time Termination must be enabled 25 See Chapter 10 Extended Features to set the Variable Time Termination or Flow Rise Time profile Operator s Manual LTV 1200 Ventilator Page 6 23 p n 18247 001 Rev G Select Use this button to change the monitor in the display window and to select items in the Extended Feature menus Monitored Data The monitored data displays may be automatically or manually scrolled
325. ure Control setting of 20cmH20 and a PEEP setting of 10cmH 0 results in a Peak Inspiratory Pressure PIP of 30cmH20 REMARQUE Le contr le de la pression et la pression de support des respirations compensent la PEP La pression administr e est contr l e par le r glage du contr le de la pression et elle d pend du r glage PEP Par exemple un r glage du contr le de la pression de 20 cmH 0 et un r glage PEP de 10 cmH O donnent une pression inspiratoire maximale Plmax de 30 cmH 0 The inspiratory time for the Pressure Control breath is determined by the Inspiratory Time setting Pressure Control Pressure Control PEEP PEEP Paw Paw Profile 1 Faster Rise Time Profile 9 Slower Rise Time The ventilator controls inspiratory flow to maintain the set circuit pressure for the set time To set the Pressure Control level 1 Push the Pres Control button 2 Change the setting using the Set Value knob To select Pressure Control 1 Toggle the Volume Pressure mode to select Pressure ventilation Range 1 99 cmH20 Flow Termination for Pressure Control breaths may be enabled under Extended Features If flow termination is enabled the Pres Control display will flash briefly after each flow terminated breath The Rise Time profile for Pressure Control breaths may be selected under Extended Features 2 See Chapter 6 Controls for more information on how to select Pressure ventilation 2 See Chapter 1
326. ut the problem See Appendix E Event Trace for more information about events Repeated occurrences of the RESET or RESET 1 alarm may indicate a problem with the ventilator s hardware Please immediately contact a certified Pulmonetic Systems service technician REMARQUE Lorsqu une alarme RESET ou RESET 1 se produit v rifiez le suivi de l v nement pour obtenir plus d informations sur le probl me Consultez l Annexe E Suivi de l v nement pour plus d informations propos de l v nement Des occurrences r p titives de l alarme RESET ou RESET 1 peuvent indiquer un probl me mat riel avec le ventilateur Veuillez contacter imm diatement un technicien de service certifi de Pulmonetic Systems Page 9 26 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G SBT lt f When the Spontaneous Breathing Trial SBT mode of ventilation is on and the Total Breath Rate f is less than the SBT LOW f setting low limit of breath rate range for 30 seconds the SBT lt f alarm is generated For additional information concerning the Spontaneous Breathing Trial SBT mode of ventilation see SBT Spontaneous Breathing Trial Operations in Chapter 10 Extended Features When a SBT lt f alarm is generated The SBT lt f message is flashed in the display window e The audible alarm is sounded To reset the SBT lt f alarm 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Sile
327. ventilation using the previously stored settings Page 11 12 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 12 OPERATING PROCEDURE This section describes how to turn the LTV 1200 ventilator on and off and how to set up the ventilation modes NOTE Before operating the MR Conditional LTV 1200 System in the MR environment MR Suite see Chapter 16 MR Conditional System for additional safety and setup information In the absence of an external power source the ventilator automatically begins operation using the internal battery Do not operate the LTV 1200 exclusively on the internal battery as a standard operating practice The internal battery should be used for emergency situations only or for short periods while switching between external power supply connections REMARQUE e Avant d utiliser le syst me MR Conditional LTV 1200 dans un milieu de RM Suite RM reportez vous au Chapitre 16 syst me MR Conditional pour d autre information sur l installation et la s curit Sil n y a pas de source d alimentation externe le ventilateur s alimente automatiquement de la pile interne Ne pas utiliser le LTV 1200 exclusivement avec la batterie interne en tant que proc dure d exploitation normale La batterie interne doit tre r serv e aux situations d urgence seulement ou pour de courtes p riodes de temps pendant le transfert entre des sources d alimentation externes To
328. w 0 125 cmH20 and can t be raised more than 0 5 cmH 0 in next 500 ms External Power Lost lt 9 5 V Hardware Fault Hardware problem detected Internal Battery Empty lt 11 5V Battery Level LED Red and full volume audible alarm Internal Battery Low lt 11 9V 2 Battery Level LED Amber Oxygen Inlet Pres High High pres source 85 PSIG 2 PSIG Low pres source 10 PSIG 1 PSIG Oxygen Inlet Pres Low lt 35 PSIG 2 PSIG Reset Processor problem detected n a Transducer Fault Autozero value outside n a manufacturer s specifications SBT Off End of an SBT period n a SBT Time Two minutes remaining in an n a SBT period Volume Alarm Volume 60 to 80 dBA at one meter 5 dBA Inop Ventilator Inop Immediately upon a Ventilator INOP condition the audible indicator will begin sounding with a steady tone and the Vent Inop LED shall illuminate Depressing the alarm Silence Reset button will silence the audible indicator Page A 4 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Mechanical Controls Control Range Tolerance Over Pressure Relief lt 125 cmH 0 N A Sub Ambient Relief Pressure Drop lt 5 cmH O at 50 lpm Internal Compliance Monitors Monitor Range Tolerance Calculated Peak Flow 10 to 100 Ipm 2 Ipm or 10 whichever is greater Exhaled Tidal Volume 0 to 4000 ml 15 or 15 ml whichever is greater l E Ratio Measured 99 1 and 1 99 Accuracy for times are 50 ms or 5 Based on the measured whicheve
329. w used for cycling Pressure Support breaths Pressure Support breaths are cycled from inspiration to exhalation when the flow reaches the set percentage of the peak flow or when flow goes below 2 Ipm When Pressure Control Flow Termination is enabled the Variable Flow Termination setting is used for flow termination of Pressure Control breaths as well Peak Peak Flow i High Flow j Z ot y Percentage Percentage of of Peak Flow Peak Flow e o V V Inspiratory Inspiratory Flow Flow To modify the Variable Flow Termination 1 Push the Select button while FLOW TERM is displayed 2 OF PEAK xx is displayed 3 Turn the Set Value knob until the desired Variable Flow Termination percentage is displayed 4 Push the Select button Range 10 to 40 Operator s Manual LTV 1200 Ventilator Page 10 9 p n 18247 001 Rev G Variable Time Termination Use the Variable Time Termination to select the maximum inspiratory time for cycling Pressure Support breaths Pressure Support Breaths are cycled from inspiration to exhalation if this time is reached before the flow reaches the set percentage of the peak flow When a breath is cycled based on the time setting the Pres Support display is flashed briefly Peak Flow j i Set Percentage of E i Peak Flow Set Time Termination To modify the Variable Time Termination 1 Push the Select button while TIME TERM is displayed 2 TERM x x sec is displayed
330. x E Event TIr C6 Susanne uen E 1 Event CodeS tin see MEK ar A A A A A A r ne N a E 3 Event Codes by Code ni fi atabedesssantessesadtesdoatabedevesanteansualtepeosiavegnedanesacesia ren xm mnx m m E 3 Event Codes by Event Names ia el amenant za E 6 Appendix F Glossary s c s4sncccncanniek nd KAKA KAKA KAKA AA KAKA KAKA KAKA KA KK KAK AA F 1 Appendix G Indisa ss nn G 1 Page x LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Chapter 1 INTRODUCTION This Operator s Manual contains detailed information and instructions which when adhered to ensure the safe and effective set up use and simple maintenance of the LTV 1200 ventilator It is designed for use by Respiratory Therapists or other qualified and trained personnel under the direction of a physician and in accordance with applicable state laws and regulations It contains the following e Ventilator Overview e Installation and Checkout e Using the Controls and Indicators e Monitored Data e Ventilator Alarms e Extended Features e Ventilator Checkout tests e Operating Procedure e Troubleshooting e Cleaning Disinfecting and Sterilizing e Set Up Maintenance e Power and Battery Operation Service tests calibration and major maintenance operations are described in the LTV 1200 1150 Ventilator Service Manual P N 18603 001 NOTE Pressure Support and Pressure Control breaths on the LTV 1200 are compensated for PEEP Delivered pressure
331. y be hot Automobile Cigarette Lighter Outlet Depending on the condition of the automobile battery whether the automobile is turned off being started or running automobile cigarette lighter outlets can provide varying levels of voltage in some the outlet only operates when the vehicle is running Verify which power source the ventilator is using by checking the External Power LED on the ventilator Remote Alarm Always verify that the remote alarm properly reports the LTV 1200 ventilator alarms before use Remote Alarm Always follow the remote alarm manufacturer s usage and maintenance requirements to guarantee proper function of the device 1 In addition to the existing internal O Inlet filter P N 14313 an External In Line Oxygen Filter P N 14470 is available from Pulmonetic Systems Operator s Manual LTV 1200 Ventilator Page 1 11 p n 18247 001 Rev G CAUTION External Battery Pack The External Battery Pack should only be connected to the LTV 1200 ventilator using the Pulmonetic Systems External Battery Cable PN 10802 This cable is pre wired and properly terminated to ensure safe connection of the External Battery Pack to the ventilator Electrical Grounding In the event of a loss of electrical protective ground touching the ventilator could result in electrical shock To ensure grounding and avoid this danger use only the unmodified power cord originally supplied with the LTV 1200 ventilator mai
332. ycled by the patient Patient breaths may occur in SIMV and CPAP ventilation modes Patient effort Inspiratory effort by the patient Peak inspiratory pressure monitored PIP The maximum circuit pressure occurring during the inspiration and first 300 ms exhalation phase of a breath PIP is measured at the patient wye PEEP Operator s Manual p n 18247 001 Rev G Positive End Expiratory Pressure LTV 1200 Ventilator Page F 3 TERM PIP DEFINITION Peak Inspiratory Pressure Positive end expiratory pressure monitored PEEP The circuit pressure measured at the end of exhalation POST Power On Self Tests A set of self tests the ventilator performs when turned on to verify the operational integrity of the Processor Displays Audible alarm Confirming Audible Chirp SRAM Program Memory and EEPROM some tests require operator visual and or audible verification PreSet A feature allowing ventilator parameters to be preset for an infant pediatric or an adult patient Pressure control breath A machine or assist breath where the circuit pressure is elevated to a operator set pressure for a operator set period of time Pressure Control breaths have an optional flow termination criteria Pressure support breath A patient breath where the circuit pressure is raised to an operator set pressure and maintained until flow decreases to an operator set percentage of the peak flow ac
333. ycled by the ventilator when a set time or delivered volume has been reached or when an alarm condition such as a high pressure limit has been reached Breath Types Breaths are defined by how they are initiated limited and cycled The breath types are Machine Assist and Patient Machine Assist Patient Initiated By Ventilator Patient Patient Limited By Ventilator Ventilator Ventilator Cycled By Ventilator Ventilator Patient Breaths may be given in any of the following forms Volume Control Pressure Control Pressure Support and Spontaneous These breaths are given as described in the sections below In addition the following parameters apply to all breaths e The Minimum Inspiratory Time is 300 ms e The Minimum Exhalation Time is 346 ms e When patient triggers are enabled triggers are detected during exhalation after the Minimum Exhalation Time has expired 8 Pressure Support or Spontaneous Operator s Manual LTV 1200 Ventilator Page 3 1 p n 18247 001 Rev G Volume Control Breaths For Volume Control breaths the set Tidal Volume is delivered over the set Inspiratory Time and flow is delivered in a decelerating taper flow waveform Peak flow is calculated based on the Tidal Volume and Inspiratory Time and the final flow is 50 of the peak flow Volume breaths may be machine or assist type breaths _ Flow delivered in Breath cycles at Peak Flow 50 of taper waveform set Insp Time 7 Vcalc Peak Flow
334. yed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the SBT HI f OFF message 1 Push any front panel button or turn the Set Value knob SBT LO f OFF The SBT LO f OFF message is only displayed during the Spontaneous Breathing Trial mode of ventilation when the SBT Low Breath Rate alarm is turned off by being set to SBT LO f OFF This is an informational message only The message is displayed when monitored data is being scrolled automatically and when no front panel activity is detected for 60 seconds To clear the SBT LO f OFF message 1 Push any front panel button or turn the Set Value knob Operator s Manual LTV 1200 Ventilator Page 9 37 p n 18247 001 Rev G SBT TIME The SBT TIME message is displayed during the Spontaneous Breathing Trial mode of ventilation when only two 2 minutes of SBT mode of ventilation remain This is an informational message only When a SBT TIME message is generated e The SBT TIME message is flashed in the display window e The audible alarm is sounded To reset the SBT TIME message 1 Push the Silence Reset button once to silence the audible alarm 2 Push the Silence Reset button twice to reset the alarm status message silences the audible alarm and clears the flashing display WARMUP xx When the ventilator is first powered up the transducers require up to 60 seconds of warm up time before they will opera
335. ystem Conditions for Operation naar nn nr nana narco 16 2 Appendix A Ventilator Specifications cccccceeeeeeeeneeeeeeeeeeeeeeeeeeeeeeeeeeeeees A 1 Appendix B Set Up Maintenance sise B 1 Recommended Maintenance Schedule ss B 1 Service ASSISTANCE aeie a a et fn Ade e e YE ne KE YA K erek ee R e e era Een ne B 2 Appendix C Installation and Checkout ssss C 1 Installation and Setupscenk ey aki N n salana R K l bika dard A wa e eh A et ates C 1 Unpacking the Ventilator Instructions C 1 Protective BOOLS 552 2 244 453 aora C 2 Protective Boot Removal 4 sedl k l k ds kelek k td a does C 3 Protective Boot Installation sieste ias sada a r te hald nen ab s nee ch y n ena Geb nan H x n bid n C 6 Patient Breathing Circuit Connection Instructions EL uu EEE nana C 10 Oxygen Lines Connection Instructions C 12 Patient Assist Call System Connection Instructions C 14 Communications Por sise Se nan nt ner ne tnt C 15 LTMT Graphics MOnitor 2223882 24 2eme ne 1ata dak ten k 2 n wan e EW K Ke a latte C 15 Using the Remote Alarm Cable sise C 16 Checking the Ventilator for Proper Operation C 18 Ventilator Proper Operation Worksheet nn nn kk kk kk nn kK KK KA A KA C 20 Appendix D Principles of Operation D 1 OVER EE AE data rate canal A rte dant etes Patate ets One AAA D 1 Appendi
336. zero is run on the next breath the new autozero value and the pass fail indicator are displayed If the autozero fails it will be automatically rescheduled for the next breath Page 10 30 LTV 1200 Ventilator Operator s Manual p n 18247 001 Rev G Exhalation Flow Transducer Differential Autozero Wide Use this item to view the Exhalation Flow Transducer Differential Autozero Wide results and schedule the Exhalation Flow Transducer Differential Autozeros Wide to be run To view the Exhalation Flow Transducer Differential Autozero Wide results The previous results FDw xxxx P are displayed The final P indicates the previous zero results were within the required tolerance and the previous autozero passed If a final F is displayed the previous zero results were outside the required tolerance and the autozero failed An asterisk indicates that an autozero is scheduled for the next breath Turn the Set Value knob to display the EXIT option Push the Select button To schedule the Exhalation Flow Transducer Differential Autozero Wide 1 2 3 The previous results FDw xxxx P are displayed Push the Select button An asterisk appears the pass fail indicator is removed from the display and the autozero test is scheduled for the next breath After the autozero is run on the next breath the new autozero value and the pass fail indicator are displayed If the autozero fails it will be automatically resched

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