ZOLL AEV, Operator'S Manual

Page 1: ...ZOLL Ventilator Operator s Guide Models EMV AEV Eagle II 906 0731 01 05 Rev C ...

Page 2: ...to provide continuous pulse oximeter and heart rate monitoring and is covered under one or more of the following U S A patents 5 758 644 5 823 950 6 011 986 6 157 850 6 263 222 6 501 975 and other applicable patents listed at www masimo com patents htm Limited Copyright Release Permission is hereby granted to any military governmental agency to reproduce all materials furnished herein for use in a...

Page 3: ...reviations 8 ZOLL Ventilator Indications for Use 9 Ventilation 9 Pulse Oximetry SpO2 9 Features 10 Warnings 11 General 11 Ventilator 11 Pulse Oximeter 12 Batteries 13 Operator Safety 13 Patient Safety 14 Ferromagnetic Equipment 14 Cautions 15 FDA Tracking Requirements 16 Notification of Adverse Events 16 Software License 17 Limited Warranty 18 Service 19 Chapter 2 Product Overview ZOLL Ventilator ...

Page 4: ...xygen Supply Optional 3 3 Inspect Fresh Gas Intake Filters 3 4 Connect Fresh Gas Intake Attachments 4 5 Select the Ventilator s Power Source 5 Connecting the Power Supply 6 6 Power On the Ventilator 7 7 Select Start Up Default Values 8 8 Select Operating Mode Optional 10 9 Change Parameter Values 11 10 Change Ventilator Settings 11 11 Perform Operational Test 12 12 Attach the Pulse Oximeter Probe ...

Page 5: ...n Alarm Configuration Menu 23 Chapter 5 Alarms Alarm Overview 2 Alarm Priorities 4 Muting Alarms 5 Alarms Types 5 Alarm Groups 6 High Priority Alarms 8 Medium Priority Alarms 12 Low Priority Alarms 18 Pop Up Messages 26 Chapter 6 Operating Environments Using the ZOLL Ventilator in Harsh Environments 1 Airborne Particulates 1 Extreme Temperature Environments 2 Altitude 3 Rain and Snow 4 Using the Z...

Page 6: ...1 Pulse Oximeter 3 Device Classification 4 Appendix B Accessories Appendix C Pulse Oximeter Principles Appendix D Patient Circuits Pediatric Adult Single Limb Wye Patient Circuits 2 Intended Use Pediatric Adult Patient Circuits 2 Specifications 2 Directions for Use Pediatric Adult Patient Circuits 4 Troubleshooting Pediatric Adult Patient Circuits 5 Infant Pediatric Single Limb Wye Patient Circuit...

Page 7: ...regarding FDA tracking requirements and the product s warranty and software license How to contact ZOLL Medical Corporation for service to this product Product Description The ZOLL Ventilator is a small extremely durable full featured portable mechanical ventilator designed to operate in hospitals or severe and under resourced environments It can be used in prehospital field hospital and hospital ...

Page 8: ...cked for mechanical and electrical integrity If the contents are incomplete if there is mechanical damage or if the ventilator does not pass its Self Test U S A customers should call ZOLL Medical Corporation 1 978 421 9655 Customers outside of the U S A should contact the nearest ZOLL authorized representative If the shipping container is damaged also notify the carrier If there is no apparent sig...

Page 9: ...cal device Serial Number Numbers following SN indicate the serial number Defibrillation Proof Indicates the degree of protection against electrical shock BF Symbol Protection against electric shock Type B with floating F type parts MR Symbol Identifies the use of the device s ability to perform in a MRI environment Power Input Orientation Locates the DC input identifying its point of insertion Man...

Page 10: ...dentifies the button that when pressed displays a menu of options that you can select to configure the ventilator High Pressure O2 Connector top faceplate icon Exhalation Valve top faceplate icon Exhaust Do Not Occlude top faceplate icon Transducer top faceplate icon Gas Output Patient Circuit Connector top faceplate icon Symbol Description 280 600 kPa 40 87 PSIG O2 HAUST NOT OCC ...

Page 11: ...ation that the pulse oximeter is in use Alarm Bell Identifies the number of off screen alarms Alarm Bell Outline Identifies alarm limit settings Identifies the on screen alarms O2 reservoir mode is in use Leak Compensation LC feature is ON Leak Compensation Feature is OFF Patient Detect Mode Backup Ventilation Started Not receiving a reading Attention High Priority Alarm Active Caution Medium Prio...

Page 12: ...l Power Indicates the unit is operating without an external power source Internal Battery Provides indication of battery capacity and charging Indicates that an external battery is powering the ventilator No Internal Battery Indicates when internal battery is not an available power source Head with Mask the unit is in Non invasive Positive Pressure Ventilation NPPV mode Feature OFF feature or alar...

Page 13: ... type for example Press the CONFIRM SELECT button This guide uses uppercase italics for text messages displayed on the screen for example LEAD FAULT Warning Warning statements alert you to conditions or actions that can result in personal injury or death Caution Caution statements alert you to conditions or actions that can result in damage to the unit Search Standby Symbol Description srch stby ...

Page 14: ...re BPM Breaths per Minute PEEP Positive End Expiratory Pressure cm H2O Centimeters of Water PIP Peak Inspiratory Pressure CPAP Continuous Positive Airway Pressure PPV Positive Pressure Ventilation CPR Cardiopulmonary Resuscitation PS Pressure support CPU Central Processor Unit psig Pounds per Square Inch Gage dBA Decibel RF Radio Frequency DISS Diameter Index Safety System RGA Returned Goods Autho...

Page 15: ...ed with an MRI conditional label ZOLL Ventilators are suitable for use in an MRI environment with appropriate precautions ZOLL Ventilators are not intended to operate in explosive environments ZOLL Ventilators are intended for use by skilled care providers with knowledge of mechanical ventilation emergency medical services EMS personnel with a basic knowledge of mechanical ventilation and by first...

Page 16: ... easy transport Rechargeable battery provides over 10 hours of operation at factory default with pulse oximeter operating Operating temperature range for extreme conditions 25 to 49 C Altitude compensation from 2 000 to 25 000 ft Self contained system able to operate with or without external oxygen Gas manifold design allows operation with both high and low pressure oxygen sources All oxygen is de...

Page 17: ...d immunity of this device Portable and mobile RF communication equipment may affect the performance of this device We describe the EMC performance for this device in the Specifications section of this operator s guide The ventilator may cause radio interference or may disrupt the operation of nearby equipment It may be necessary to take mitigation measures such as re orienting or relocating of the...

Page 18: ...s not seem reasonable first check the patient s vital signs by alternate means and then check the pulse oximeter for proper functioning Inaccurate measurements may be caused by Incorrect sensor application or use Significant levels of dysfunctional hemoglobin e g carboxyhemoglobin or methemoglobin Intravascular dyes such as indocyanine green or methylene blue Exposure to excessive illumination suc...

Page 19: ...se the patient cables in water solvents or cleaning solutions the patient cables are not waterproof Do not sterilize by irradiation steam or ethylene oxide See the cleaning instructions in the directions for reusable Masimo patient cables Do not use the pulse oximeter sensor during magnetic resonance imaging MRI scanning Inducing current could potentially cause burns The pulse oximeter may affect ...

Page 20: ...ce and patient while in the MRI Environment You must visually monitor the ventilator for alarms at all times during imaging the alarms may not be audible beyond the area immediately adjacent to the MRI Danger Possible Missile Projection DO NOT position any person between the bore entrance and an unsecured cart or device Lock the wheels when the rolling stand is in place We recommend that you tethe...

Page 21: ... cmH20 Ensure that the ventilator is able to maintain PEEP for patients with short expiratory times the additional tubing length of the 12 ft circuit may affect system behavior Cautions Inspect the circuit very day to ensure that there is no damage or wear that could affect its performance Remove Fluid or other biological material from the circuit or replace the circuit following the local standar...

Page 22: ...n and or organization if known and different from originator s organization company name address contact name and contact phone number 4 Date when the change took effect Please address the information to ZOLL Medical Corporation Attn Tracking Coordinator 269 Mill Road Chelmsford MA 01824 04105 Fax 978 421 0007 Telephone 978 421 9655 Notification of Adverse Events As a health care provider you may ...

Page 23: ...f and all rights and interests in the system software and all copies thereof remain at all times vested in the manufacturer and Licensors to ZOLL Medical Corporation and they do not pass to purchaser 3 Assignment Purchaser agrees not to assign sublicense or otherwise transfer or share its rights under the license without the express written permission of ZOLL Medical Corporation 4 Use Restrictions...

Page 24: ...the damage was caused by incorrect off label use negligence or an accident Batteries which by their nature are consumable and subjected to environmental extremes will be warranted only for a period of ninety 90 days Accessories also consumable in usage such as connecting hose and breathing circuits are not warranted DISCLAIMER OF IMPLIED OTHER WARRANTIES THE PRECEDING WARRANTY IS THE EXCLUSIVE WAR...

Page 25: ...ed on the return authorization form Pack the unit with its cables in the original containers if available or equivalent packaging Be sure the assigned service request number appears on each package For customers In the U S A For customers outside the U S A Telephone Fax 1 978 421 9655 800 348 9011 Toll free US 1 978 421 0010 Call the nearest authorized ZOLL Medical Corporation representative To lo...

Page 26: ...ions The nearest authorized ZOLL Medical Corporation representative To locate an authorized service center contact the International Sales Department at ZOLL Medical Corporation 269 Mill Road Chelmsford MA 01824 4105 Telephone 1 978 421 9655 For customers Return the unit to ...

Page 27: ...suscitating by providing continuous positive pressure ventilation See Indications for Use in Chapter 1 This chapter describes the ZOLL Ventilator models providing a list of common features and attributes as well as descriptions of each model This chapter also provides more detailed descriptions of the following ventilator features Controls and Indicators Display Screen Pneumatic Design Fresh Gas I...

Page 28: ...al for use in emergency vehicle and air transport of patients It has a wide range of ventilation modes such as AC SIMV CPAP and BL The Eagle II ventilator adapts the design of for the EMV for use by emergency departments and intra hospital transport Its design also allows it to be mounted onto walls or onto specified boom arms and roll stands as well as gurneys The ZOLL ventilators have been appro...

Page 29: ...on features Rugged design Weight 10 lbs 10 hour battery life Rapid charger to achieve 90 battery capacity in 2 hours High performance internal compressor Smart Help messages Integral SpO2 Masimo Airworthiness Release Daylight visible display Oxygen efficient Supports infant pediatric and adult patients Limited 1 year warranty ...

Page 30: ...PRODUCT OVERVIEW 2 4 www zoll com 906 0731 01 05 Rev C ZOLL Ventilator Device Description The following illustration shows the ZOLL Ventilator s main features 1 2 3 4 5 10 6 7 8 9 11 ...

Page 31: ...unit to a USB drive or USB compatible device 5 Pulse Oximeter Connector Connects the unit to a Pulse Oximeter sensor Front 6 LCD Display Displays the unit s settings patient data and alarm information 7 Alarm Message Center Displays active alarms and mitigation information 8 Control Panel Access to the unit settings Bottom 9 Battery Compartment Contains the unit s rechargeable lithium ion battery ...

Page 32: ...ays the main menu 4 Selection dial changes the value of the highlighted parameter value 5 Mute Cancel button mutes audible alarm indicators and cancels parameter entries 6 Accept Select button accepts parameter value entries Pop Up conditions or menu selections 7 Manual Breath P Plat Plateau Pressure button issues a manual breath and for the EMV and Eagle II models provides the ability to conduct ...

Page 33: ...cessary to facilitate a parameter adjustment the message area displays both the plot and the parameter s context menu Alarms When an alarms occur the message area displays Smart Help messages that identify the alarms and describe possible causes and actions that you can take in response Popup Windows Display information that assists you when adjusting parameter values Parameter Windows Parameter w...

Page 34: ...hat indicate Power source external power or internal battery Battery Charge Status Oxygen Supply attached Alarm Muted Audible Auxiliary Parameter Boxes Some parameters have values that the ventilator displays in the parameter boxes at the bottom of the display screen You can adjust these values using the parameter s context menu ...

Page 35: ...upply pressure and barometric readings The wye circuit is part of the ventilator s pneumatic system The inspiratory side of the wye circuit provides gas to the patient The expiratory side exhausts directly to atmosphere without returning to the ventilator The ventilator pneumatically controls the exhalation valve and a transducer within the ventilator measures the airway pressure The following ima...

Page 36: ...cteria viral or a chemical biological filter depending on ambient conditions ZOLL provides an O2 Reservoir Kit to allow for low flow oxygen supply to the ventilator An oxygen concentrator source provides oxygen to the O2 reservoir Top Panel The ZOLL Ventilator s top panel appears as follows The oxygen hose ventilator circuit external power and pulse oximeter attach to the top panel of the ventilat...

Page 37: ...nected the gas pressure must be at least 41 psig 2 psig when the device performs Self Check after you power on the unit High Pressure Oxygen Supply Hose A standard 6 foot oxygen hose is available to make the connection to the high pressure oxygen source The hose is has compatible fittings between the device an the source identified for use Also see Chapter 6 Operating Environments Hoses are availa...

Page 38: ... circuit attaches to the device using three ports on the top of the device Gas Output connects to the ventilator circuit using 22 mm ID corrugated hose The connector is a 22 mm male conical connection Transducer Patient Airway Pressure connects to the ventilator circuit using a 3 16 inch ID transducer tubing The barb type connector is colored a green blue to distinguish it from the other connector...

Page 39: ...lve connects to the ventilator circuit using 1 4 inch ID exhalation valve tubing The barb type connector is clear anodized aluminum to distinguish it from the other connectors the 1 4 inch ID ventilator circuit exhalation valve tubing is clear Ventilator Circuit Connections ...

Page 40: ...ts ZOLL provides the following circuit types Pediatric Adult 6 ft REF 820 0106 XX Infant Pediatric 6 ft REF 820 0107 XX Pediatric Adult 12 ft REF 820 0130 XX Infant Pediatric 12 ft REF 820 0131 XX Caution Always dispose of the circuit after single patient use following the institutional guidelines for biologically contaminated material Reusing the circuit can result in cross contamination between ...

Page 41: ... device when provided with a 400 Hz input You should only use the external power supply provided with the ventilator when connecting to AC power This power supply provides both Class I and Class II protection Operating Using External DC Power The ZOLL Ventilator can also operate using external DC power When connected to a standard vehicle DC outlet using either the 12 or 28 VDC Power Cable that ZO...

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Page 43: ...the patient To set up the ZOLL Ventilator you must perform the following tasks 1 Attach the Ventilator Circuit 2 Attach the High Pressure Oxygen Supply Optional 3 Inspect Fresh Gas Intake Filters 4 Connect Fresh Gas Intake Attachments 5 Select the Ventilator s Power Source 6 Power on the Ventilator 7 Select Start Up Default Values 8 Select Operating Mode Optional 9 Change Parameter Values 10 Chang...

Page 44: ...ntilator circuit for the patient and environment as we describe in the previous chapter Always follow the instructions included with the circuit Attach the ventilator circuit to the ventilator s top panel Connect The 22 mm corrugated hose to the ventilator s gas output The green blue 3 16 inch ID airway pressure line to the pressure transducer The clear 1 4 inch ID exhalation valve control line to...

Page 45: ...source Note Use only with medical grade USP oxygen When using with an oxygen cylinder the cylinder must be secured Note The O2 Hose is either colored green or white depending on country specifications 3 Inspect Fresh Gas Intake Filters The fresh gas intake is the gas source for the ventilator s internal compressor The ventilator normally operates with two built in filters 1 Removable Foam Filter R...

Page 46: ...ttach an Oxygen Reservoir Bag Assembly REF 704 0004 00 Bacterial Viral BV Filter If the ventilator will operate in an environment where the patient is at risk from cross contamination or airborne pathogens you may choose to attach a BV filter See Chapter 6 Using the ZOLL Ventilator in Hazardous Environments Chemical Biological C2A1 Filter If the ventilator will operate in a contaminated environmen...

Page 47: ...en 11 8 to 30 0 VDC 4 An external battery The ZOLL Ventilator uses external power when available rather than its internal battery pack When an acceptable external power source is present the ventilator automatically charges the internal battery while the unit operates When an external power failure occurs the unit automatically switches to its internal battery for operating power and activates the...

Page 48: ...ion Do not twist the power cable connection plug Pinch the plug and slide up to release the safety latches Failure to do so may damage the power connection plug and prevent it from functioning Warning If the power supply power cable or power connection plugs are damaged or become damaged during use immediately disconnect the power cable from external power and the power supply assembly Power Suppl...

Page 49: ...ks for preexisting alarm conditions and the operation of the pneumatic system internal communications and power system After completing the Self Check the ventilator begins to operate immediately and monitors the presence of alarms continuously During start up the ventilator s alarms are disabled for 120 seconds to allow you to properly adjust the patient circuit pulse oximeter and ventilator sett...

Page 50: ...saved in a previous session Last Settings Values set for the patient last using the device before powering down Note The ventilator can may be configured to automatically select the Adult parameter defaults at start up Adult Default Parameter Values The Adult default parameter values are as follows Adult Parameter Default Values Pediatric Default Parameter Values The Pediatric default parameter va...

Page 51: ...tings always work from the lowest parameter button Mode to the highest button HR The values that you select in a lower parameter window may affect the values that appear in higher parameter windows Warning Never use the Noninvasive Positive Pressure Ventilation NPPV modes on a patient that is NOT spontaneously breathing and or may stop spontaneously breathing CPAP and BL are intended for ventilato...

Page 52: ...settings to assist patients breathing spontaneously a higher inhalation pressure IPAP and a lower exhalation pressure EPAP To select the operating mode press the Mode parameter button turn the selection dial to highlight the mode you want to use and press the Accept Select button When transitioning from active ventilation to NPPV modes or from NPPV Modes to active ventilation modes the following p...

Page 53: ... or Press and hold the parameter button to display the parameter s context menu Use the selection dial to adjust the highlighted parameter Press the Accept Select button to implement the change 10 Change Ventilator Settings The Menu button displays the Main Menu which allows you to change various Ventilator settings such as the contrast or brightness of the unit s Display Screen LCD Contrast LCD B...

Page 54: ...uring inhalation and that the High Airway Pressure Limit is set to 35 cm H2O or less After a breath or two release the patient port while allowing the ventilator to operate The PATIENT DISCONNECT alarm should activate Partially close the patient port to reset the PATIENT DISCONNECT alarm With no other alarms occurring remove external power from the ventilator The EXTERNAL POWER LOW DISCONNECT alar...

Page 55: ...nector on the top of the ventilator as shown in the following illustration Connecting the Pulse Oximeter Sensor The monitoring function begins automatically when a valid patient signal is detected for 10 seconds For more information about the Masimo pulse oximetry technology that the ZOLL Ventilator uses see Appendix C Pulse Oximeter Principles 13 Attach Patient After you confirm that the ventilat...

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Page 57: ...describes how to use the ZOLL Ventilator Effective operation of the ventilator requires understanding of the following information The ZOLL Ventilator Interface and Parameter Windows Changing Parameter Values Selecting Ventilation Mode Options Using the Pulse Oximeter Managing Pop Up Messages Managing Alarms ...

Page 58: ...r button Single Press chooses primary parameter Multiple Presses chooses the secondary parameter and alarm limits Press and Hold chooses the context menu To prevent setting of parameter values that are outside the typical clinical range of settings the ZOLL Ventilator displays Pop Up messages that ask if you are sure you would like to set the parameter beyond the typical range We describe Pop Up m...

Page 59: ...d flow or supported using Pressure Support BL Bi Level the ventilator provides two pressure settings to assist patients breathing spontaneously a higher inhalation pressure IPAP and a lower exhalation pressure EPAP Press the Mode parameter button to highlight the current ventilation mode Press the Mode parameter button again to select volume or pressure targeting which is shown as either V for vol...

Page 60: ...o avoid nuisance alarms in patients with active leaks Leak Compensation suppresses he following alarms Incomplete Exhalation Alarm 3091 Insufficient Flow Alarm 2095 The following table lists the ventilator modes and their availability in the ZOLL ventilator models and gives the options and ranges for the ventilation mode parameters Parameter Window Options Range Availability Notes Models Primary V...

Page 61: ...adjust the time it takes to reach PIP You can specify an index of 1 shortest to 10 longest The device uses the PIP waveform as a reference when selecting the Rise Time for the patient You should reassess and readjust the Rise Time settings after the patient is placed on the ventilator and initially stabilized To minimize patient s work of breathing and potential for pressure overshoots you must ta...

Page 62: ...onds instead of flow cycle if the leak flow is higher than 25 of the peak flow the cycle threshold is never crossed If there is no leak increasing the Cycle Off parameter causes breaths to cycle sooner and deliver less volume If you set the Cycle Off parameter too high the breath ends early relative to patient effort which may lead to the triggering of a second breath Spont Ti Limit Parameter The ...

Page 63: ...t menu Con trol Parameter All Ti 0 1 to 5 0 or I E 4 1 to 1 99 Inverse I E EMV Eagle II Alarm Limits High breath rate 20 to 99 off Low breath rate 2 to 40 Measured Value Minute Volume Vmin ml 0 to 99 9 BPM Context Menu Control Parameter Default I E 1 1 to 1 99 0 3 to 3 The control value is shown in the Parameter window the dependent value is shown in the Auxiliary Box All Ti 0 1 to 5 0 or I E 1 to...

Page 64: ...ndication that the patient is not able to adequately spontaneously ventilate The ventilator circuit is part of the breathing system of the ventilator Tubing compliance of the circuit is a physical property that affects the tidal volume delivered to the patient The ZOLL Ventilator allows you to adjust the compliance value of the circuit see Chapter 6 for more information Note In the CPAP NPPV the V...

Page 65: ...ing Set the Vt alarms to bracket average tidal volume so that the unit detects pending respiratory failure low tidal volumes and excessive leaks high tidal volumes Spontaneous Assisted Breath Trigger The Spontaneous Assisted Breath Trigger is preset to 2 0 cm H2O and can be adjusted from 6 0 to 0 5 cm H2O below the baseline PEEP pressure In order to initiate a spontaneous or assisted breath the pa...

Page 66: ...USING THE ZOLL VENTILATOR 4 10 www zoll com 906 0731 01 05 Rev C Plateau Pressure Press and hold the Manual Breath Plateau Pressure button to perform a plateau pressure maneauver ...

Page 67: ... require the operator to perform a separate confirmation All Secondary Value PEEP 0 to 30 AC Modes ACV SIMV CPAP BL Modes All 3 to 30 PS 0 to 60 Spontaneous Breaths SIMV and CPAP EPAP 3 to 30 Spontaneous Breaths BL All IPAP 6 to 60 Alarm Limits High PIP 20 to 100 PEEP cannot be within 5 cm H2O of the PIP High Limit setting All Low PIP 3 to 35 Off All Measured Value Mean Airway Pres sure MAP 0 to 9...

Page 68: ...nit to support the patient at the current settings O2 Reservoir mode is indicated on the display with a plus sign next to the FIO2 value when this mode is active The O2 Use value does not include oxygen use in the O2 Reservoir The following table lists the options and ranges for the FIO2 parameter 1 O2 Use FIO2 0 21 0 79 Minute Volume where FIO2 is represented as a fraction and minute volume is th...

Page 69: ...y as the one with a SpO2 sensor attached The patient has hypotension severe vascoconstriction severe anemia or hypothermia There is an arterial occlusion proximal to the sensor The patient is in cardiac arrest or is in shock The SpO2 display is active only when the pulse oximeter is connected The pulse oximeter is in standby and displays stby in the parameter window when No SpO2 sensor is connecte...

Page 70: ...R Context Menu Pulse Ox Default Standby Standby Off On All Fast SAT Default Off Off On Fast SAT enables rapid tracking of arterial oxygen saturation changes by minimizing the averaging This mode is clinically applicable during procedures when detecting rapid changes in SpO2 is paramount such as induction intubation and sleep studies Sensitivity Norm Max Norm adjusts the pleth signal sensitivity Ma...

Page 71: ... Value 0 to 20 Current signal strength value not adjustable A value of zero indicates that no measurement is available This value helps clinicians place sensors on optimal sites Signal IQ Measured Value Bar Graph Bar graph displays the relative reliability of the pulse oximeter signal ...

Page 72: ...the Low Heart Rate Alarm limit and enables its value to be changed Both limits are adjustable by 1 b min The default value at start up for the high alarm limit is 120 BPM Beats Per Minute the low alarm limit is 40 BPM The following table gives the options and ranges for the HR parameter Parameter Window Options Range Availability Notes Models Primary Value HR 0 to 240 Measurement Heart Icon blinks...

Page 73: ...l range When a message occurs you are asked to press the Accept Select button before you can adjust a parameter beyond the typical range Pop Up messages are also used to alert you that certain settings are not permitted In addition Pop Up messages can call for you to press Accept Select to acknowledge that you are entering configurations where certain alarms are being suppressed turned off and or ...

Page 74: ... multiple alarms occur the unit prioritizes alarms and displays those alarms that indicate the greatest risk to the patient first Smart Help Example The previous illustration provides an example of what the device displays when there are several alarms The displayed Alarm message corresponds to the dark alarm bell at the bottom of the display You can cycle through the various alarms by turning the...

Page 75: ...r failure The Alarm Name appears at the top of the AMC When more than one alarm occurs at the same time the unit prioritizes them based on patient safety b Mitigation Resolution Instructions Instructions for the operator as to how the alarm state may be resolved c If not Resolved Instructions area Instructions for the operator on what to do if they cannot resolve the alarm state The instruction is...

Page 76: ...button mutes Medium Priority alarms for 30 seconds If after 30 seconds the alarm causing condition still exists the audible alarm recurs until it is muted again for another 30 second period or resolves Low Priority Advisory Safe mechanical ventilation is active but there is a fault that the operator must be aware of to ensure safe management of the patient and or ventilator Low Priority alarms pre...

Page 77: ...y adjusted without nuisance alarms Note During this preemptive mute of this audible alarm the LED alarm light and alarm message are still indicated There is a countdown timer located under the muted alarm symbol showing how much time of the 120 seconds is remaining The alarms that have this preemptive mute are Service Code Alarm Name 2062 Exhalation Fault 2070 Airway Pressure High 2071 Low Airway ...

Page 78: ...m has been turned off and is then modified but is not accepted then the alarm parameter is set to the values indicated in the following table This is done to ensure patient safety in the event of an inadvertent value change You can change these values following the parameter change procedures described above 3300 SpO2 Shutdown MS 11 Failure Monitor Not In Use 3301 SpO2 Shutdown Communication Failu...

Page 79: ...larms which have not occurred since turn on are indicated with a 3 Canceled alarms are not be saved in the User Settings for the next session 4 All canceled alarms reappear if appropriate when the unit is next turned on As an example the Self Check Fault calibration due Alarm 3120 reappears in the next operating session You may cancel the following alarms in the Alarm Configuration Menu 1 Self Che...

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Page 81: ...rovides a detailed description and comprehensive reference for the ZOLL Ventilator s alarms and Pop Up Messages This chapter Describes the display format of ZOLL s Smart Help messages in detail Describes alarm types and priorities Provides a comprehensive list of alarms and Pop Up messages ...

Page 82: ...sk to the patient and always presents the alarm with the greatest risk to the patient first All messages are context based and suggest what is causing the alarm and how it can be resolved The Alarm Message Center AMC contains the information and instructions for all active alarms as in the following example Smart Help Alarm Display a Alarm Name describes the type or cause of the alarm The Alarm Na...

Page 83: ...rent waveform to better assess the nature of the failure A maximum of six alarms can be displayed without the plot icon e Service Code Each alarm has a 4 digit number associated with it which helps the operator indicate the specific alarm when communicating with technical support The service codes appear in the following format 1 High Priority Alarm 2 Medium Priority Alarm 3 High Priority Alarm f ...

Page 84: ...til you mute it again for another 30 second period or the alarm is resolved Low Priority Advisory Safe mechanical ventilation is active but there is a fault that you must be aware of to ensure safe management of the patient or ventilator Low priority alarms present with both an audible and yellow LED alarm signal alerting you to the condition Pressing the Mute button cancels the audible signal If ...

Page 85: ...the alarm is retriggered and any parameter changes you are attempting are canceled as the alarm retriggers Alarms Types The ZOLL Ventilator s alarm types provide a framework for you to see the scope and range of the alarms that the device uses The alarm types are Patient Safety Patient Safety Alarms address the ventilation of the patient and their respiratory effort Pulse oximetry monitoring and c...

Page 86: ...nal Power Current High DC Power Reversed High Low Disconnect Firmware Mismatch AutoPEEP Gas Intake Blocked Restricted Internal Comm Fault Failures Breath Rate BPM High Low O2 Supply High Low Disconnect Pneumatic Sensor Airway Autocal Pneumotach Transducer Exhalation Fault Failure Pneumatic System Compressor O2 Valve Heart Rate HR High Low Power Cycle Needed Inspiratory Demand Preventive Maintenanc...

Page 87: ... 01 05 Rev C ZOLL Ventilator Operator s Guide 5 7 SpO2 Low Disconnect Defective Sensor Not Connected Invalid Sensor Light Contamination Low Perfusion Search Tidal Volume High Low Tubing Compliance Alarm Groups ...

Page 88: ... opens the exhalation valve to prevent pressure from accumulating in the circuit and ventilation stops Mitigation Info Pneumatic System O2 Valve Manually Ventilate Patient Contact Service Center 1011 Self Check Failure Alarm occurs when the signal to the O2 valve is not delivering the required flow rate and the compressor is not available to provide ventilation Mitigation Info Pneumatic System O2 ...

Page 89: ...ommunication between the airway pressure sensor and SPM is lost When this happens manually ven tilate the patient replace the ventilator and contact the service center for additional information Mitiga tion Info Pneumatic Sensor Airway Pressure Manually Ventilate Patient Contact Service Center 1060 Exhalation System Failure Alarm occurs when the PIP fails to return to the baseline pressure for 3 c...

Page 90: ...occurs the LCD blanks no power for operation the audible alarm pulses rapidly and the visual alarm flashes rapidly This alarm will last approximately two minutes If the device can be recharged after the failure and there are no other issues it can be returned to service If there are any questions contact the ser vice center for additional information 1430 Drained Battery Alarm triggers when the in...

Page 91: ...te Patient Contact Service Center 1475 Self Check Failure Alarm triggers when the device has lost communication with the contrast control and in most instances the content of the LCD is not visible When this occurs ventilation continues at the current settings or the backup mode setting and the high priority alarm sounds The user should manually ventilate the patient replace the ventilator and con...

Page 92: ...2 to 100 Moni 2011 Self Check Fault Alarm triggers when the signal to the O2 valve is outside of the calibration range for the required flow rate and the compressor is available to provide ventilation The medium priority alarm will continue until the user acknowledges that ventilation is being provided using the compressor by setting the FIO2 to 21 At this time the alarm priority changes to low pr...

Page 93: ...larm 2053 Self Check Fault Alarm triggers when the expiratory time is 170 ms for 3 consecutive breaths When this occurs the device attempts to reestablish a baseline by momentarily setting PEEP to 0 cm H2O and suspending triggered breaths This interruption lasts no longer than 2 breath cycles The user should also check for leaks in the hose and tubes patient airway and exhalation valve If recalibr...

Page 94: ...tly The user should check for kinks or blockage of the breathing circuit or patient airway In some instances the cause can be an accumulation of secretions in the airway which will require suctioning to clear The user should also assess if the patient is fighting the ventilator asynchrony or if the PIP target is set too low Mitigation Info Check Circuit For Kinked Hose Tube Check For Airway Obstru...

Page 95: ... passing the minimum pressure While resolving the alarm condition the user should be sure to manually ventilate the patient Mitigation Info Check Patient Connection Check Circuit for Loose Hose Tube Check Exhalation Valve Check Patient Replace Circuit Manually Ventilate Patient 2110 Patient Detected An alarm triggers when you connect the patient to the ventilator while the Start Menu is still acti...

Page 96: ...ser must turn off the pulse oximeter monitor to end the alarm condition through the SpO2 Context menu while also removing the probe from the device When this is done stby appears in the parameter win dows for SpO2 and HR as those parameters are no longer available When appropriate the user should replace the ventilator and contact the service center for additional information Mitigation Info Inter...

Page 97: ... alarm though a low priority alarm will remain until the internal battery has recharged so that the device can provide 30 minutes of operating time This will take approximately 5 to 10 minutes If recharging the battery does not resolve the issue contact the service center for additional information Mitigation Info 5 Minutes Operation Connect External Power Ensure Ability to Manually Ventilate Con ...

Page 98: ...t Alarm triggers when the signal to the O2 valve is outside of the calibration range for the required flow rate the compressor is available to provide ventilation and the user has acknowledged that ventilation is being provided using the compressor by setting the FIO2 to 21 While operating in this state the user should monitor the SpO2 to ensure that adequate oxygenation is maintained If low flow ...

Page 99: ...be sure to keep the Fresh Gas Emergency Air Inlet clear and ensure that external filters are checked regularly Mitigation Info Pneumatic Sensor Ventilator Operating Unable to Detect Inlet Obstruction Contact Ser 3041 High O2 Supply Fault Alarm triggers when the high pressure O2 supply is 80 psig 552 kPa and 87 psig 600 kPa The alarm automatically cancels when the supply pressure is 80 psig 552 kPa...

Page 100: ...the Main Menu Mitigation Info Preventive Maintenance Due Ventilator Functioning with No Faults When Appropriate Con 3121 Power Cycle Need This alarm occurs when the device has been running continuously for 30 days In order to check the flow pneu motach which is done a startup the user should manually ventilate the patient and cycle the power Once this is done the user can select the Last Settings ...

Page 101: ...this occurs the device is no lon ger able to detect if it is operating outside of the allowable temperature range If operating inside of the stan dard temperature range 25 C to 49 C 13 F to 120 F there is no effect on operation If operating outside this range the user should monitor the device continuously When appropriate the user should replace the ven tilator and contact the service center for ...

Page 102: ...uspend pulse oximetry monitoring by placing it in standby stby Mitigation Info Please Wait Acquiring Signal Check Sensor Placement Change Placement of Probe Mini mize Patient Movement Check Sensor Operation Replace Turn Off Pulse Ox Monitoring 3313 Pulse Ox Signal Interference Alarm triggers when an outside signal or energy source prevents accurate reading by the device When this occurs the patien...

Page 103: ...ne when no other alternatives are available Mitigation Info Battery Power Not Available DO NOT Remove External Power Maintain External Power Contact Service Center 3423 Battery Charging Fault Alarm triggers when the battery charging circuit fails When this alarm is active the battery cannot be charged The device can only run with external power If power is lost ventilator will stop and a high prio...

Page 104: ...tion Shading the patient and ventilator from direct sunlight may also help reduce the battery temperature Mitigation Info Battery Within 5 C of High Limit Remove Padded Case Continue External Power Operation Shade Patient and Ventilator Move To Cooler Location 3451 Battery Discharge Fault Alarm triggers when the battery temperature reaches 75 C 167 F and external power is connected Dis charging th...

Page 105: ...terface Module PIM When this occurs the user should monitor operation continuously replace the ventilator when possible and ensure the ability to manually ventilate the patient Contact the service center for additional information Mitigation Info Power System Power Management Fault Ensure the Ability to Manually Ventilate the Patient Monitor Power Source Replace Service Ventilator 3480 Self Check ...

Page 106: ...ination requires a flow that is less than the flow capabil ity of the O2 valve Resolution involves changing a setting to increase the flow required from the O2 valve if possible Note this condition is only possible with infant setting and for FIO2 25 Message Increase FiO2 increase BPM reduce I Time or increase Vt Requested O2 Flow Too High Popup triggers when the user attempts to adjust the ventil...

Page 107: ...empts to adjust the ventilator so that flow from the compressor is 100 l min Message Cannot exceed 100 LPM total flow I Time Range Exception Popup triggers when the user attempts to SET inspiratory time I Time 5 seconds during inverse I E ratio ventilation Message I Time cannot exceed 5 seconds with inverse I E I Time Range Exception Popup triggers when the user attempts to set an inspiratory time...

Page 108: ... the Accept button and then continue to set a value 60 cm H2O followed by Accept again to confirm the set ting change Message Confirmation required press accept key to exceed 60 cmH2O PIP Setting Conflict Popup triggers when the user attempts to set the PIP target 5 of PEEP pressure Message Cannot adjust PIP target to less than 5 more than PEEP PIP Setting Conflict Popup triggers when the user att...

Page 109: ...P 60 cm H2O To do this the user must press the Accept button and then continue to set a PIP 60 cm H2O followed by Accept again to confirm the setting change Message Confirmation required press accept key to exceed 60 cmH2O PIP Limit Conflict Popup triggers when the user attempts to set the PIP High limit the PIP Low limit Message Cannot adjust high limit lower than low limit PIP Limit Backup Setti...

Page 110: ... accept to confirm use of adult circuit Insufficient Volume for Adult Ped Circuit Popup triggers when the user attempts to set a Vt 200 ml when the tubing compliance compensation is set to Adult Message Press accept to confirm use of infant circuit High PEEP Setting Popup triggers during CPAP mode when the user attempts to set the PEEP 15 cm H2O To do this the user must press the Accept button and...

Page 111: ...ain to confirm the setting change Message Confirmation required press accept key to allow IPAP above 30 cmH2O High PEEP PS Setting Popup triggers CPAP mode when the user attempts to set the combination of PEEP PS 30 cm H2O To do this the user must press the Accept button and then adjust PEEP or PS to the desired value and press Accept again to confirm the setting change Message Confirmation requir...

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Page 113: ...e unit continuously monitors environmental conditions temperature and ambient pressure and when it detects extreme environments the unit alerts you with a Low Priority alarm which defines the operating condition and prompts your actions Low Priority alarms are advisory and you should remember that the device is operating as designed Airborne Particulates Under normal operating conditions the inter...

Page 114: ...ture limit of 49 C Compliance is a physical characteristic of the ventilator that varies with temperature The circuit becomes more compliant as the temperature rises The ZOLL ventilator allows you to increase the compliance value when operating in hot environments When operating at high temperatures you should remove the unit from its padded case which allows the unit to pass heat into the surroun...

Page 115: ...onitor the peak inspiratory pressure PIP and adjust the tidal volume to maintain the PIP and monitor breath sounds and chest excursion to assure the unit maintains adequate ventilation The tidal volume increases as altitude increases so you should look to prevent over pressurization of the lung when the altitude increases beyond 25 000 feet If changes are made above 25 000 feet you should revert t...

Page 116: ...comes from either a pressurized medical grade oxygen source and or filtered ambient air entrained through the Fresh Gas Emergency Air Intake You can chose between a bacterial viral filter and a chemical biological filter based on the direction of the Medical Control Officer To prevent the patient from breathing contaminated ambient air in the event of a ventilator failure the unit contains an inte...

Page 117: ...A complete description of this standard can be found in BS EN 148 1 1999 Respiratory protective devices Threads for face pieces Check Valve on Breathing Circuit when in Hazardous Environments When operating in a Hazardous Situation where a chemical biological filter is in use you should use a Check Valve REF 704 0700 01 to prevent hazardous gas from entering the patient s breathing circuit The exh...

Page 118: ... single limb circuits A Check Valve 704 0700 01 is required with these breathing circuits when operating in a hazardous environment The correct mating of the Check Valve with the breathing circuit is shown below Operators who anticipate use in these environments should also stock the Check Valve Check Valve Connection To Breathing Circuit ...

Page 119: ...IV Support Arm REF 820 0124 00 To securely mount the ventilator tighten the knob on the back plate of the roll stand to hold the ventilator in position then lock the roll stand wheels we also recommend that you tether the rolling stand in place 731 Series Ventilator Mounted On MRI Rolling Stand With IV Support Arm Before using the ventilator in an MRI environment it is important that you read and ...

Page 120: ...ing Use only ZOLL s EMV and Eagle II Ventilators marked with the MR symbol in the MRI environment Caution The use of longer breathing circuits may increase the risk of self triggering ventilator breaths Reducing the pressure trigger sensitivity may solve this problem ...

Page 121: ...g the ZOLL Ventilator You should perform the following physical inspections of the ZOLL Ventilator on a regular basis Ensure that the ventilator is clean and free of visible damage Inspect all accessories and connectors for signs of damage or excessive wear Replace worn or defective items Examine high pressure hoses for cracking discoloration or disfigurement Examine end connection fittings for da...

Page 122: ...gular intervals and maintain up to date records of inspections cleaning and maintenance Take care to prevent liquids from entering the ventilator Never submerge the ventilator and avoid using excessive amounts of water that might enter the unit Dry all exposed parts following usage in wet environments Clean the unit s housing and hose connections with a damp soapy cloth For general decontamination...

Page 123: ...esh gas intake located on the right side of the ventilator has a two stage filtering system an easily accessible foam filter protects a second disk filter As we describe in Chapter 6 Operating Environments additional filter protection may be necessary when operating the unit in extreme environments Inspecting and Replacing the Foam Filter When used in dusty environments you should inspect and repl...

Page 124: ...ilter and do not operate the internal compressor without a filter in place Replacing the ZOLL Ventilator s Filters Tools needed Hemostat or tweezers Phillips Head screwdriver Warning Before attempting to replace filters make sure that external power is disconnected and that the ventilator s power switch is set to OFF Replacing the Foam Filter The Foam Filter is located inside the Compressor Inlet ...

Page 125: ...flat on the shoulder in its recessed area 4 Set the lower segment of the Compressor Inlet Fitting Assembly into the unit making sure that its alignment pin mates 5 Set the upper segment of the Compressor Inlet Fitting Assembly into the lower segment making sure that its alignment pin mates 6 Secure the Compressor Inlet Fitting Assembly to the device by equally tightening each of the four 4 8 32 x ...

Page 126: ...ring continuous uninterrupted use 100 hours you should disconnect the ventilator from AC power for 30 seconds to allow the battery to run diagnostics while the battery is discharging Note The ZOLL Ventilator continuously monitors the available power sources occasionally a false Low Priority power alarm can be triggered for approximately 1 second These false alarms immediately clear themselves Whil...

Page 127: ...life 3 If long term storage non use is common recharge the unit every six months this ensures that the battery charge is maintained at 80 capacity or better 4 When batteries are in extended storage you should charge them at recommended intervals when not continuously connected to an external power source Note When charging in the storage case be advised that the battery may stop charging if ambien...

Page 128: ...tional and international regulations before transporting a Lithium Ion battery Transporting an end of life damaged or recalled battery may in certain cases be specifically limited or prohibited Calibration Checks The ZOLL Ventilator continuously performs a self check to monitor the pneumatic system You should always check the ventilator s calibration as part of the annual service procedure You sho...

Page 129: ...al parts from becoming live should the basic insulation fail Protective grounding testing typical for many medical devices is applicable only to Class I equipment The ventilator s electrical safety design is not dependent on earth grounding as the means of protection Troubleshooting You can quickly address common problems by following the alarm mitigation instructions Should this device fail to op...

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Page 131: ...PM 1 BPM over the interval Setting Resolution 1 BPM Measurement 1 to 90 BPM 1 BPM over the interval Inspiratory Time Ti Setting 0 to 3 s for I E ratio 1 1 0 0 to 5 s for E I ratio 1 0 1 Setting Resolution 0 05 s Tidal Volume Setting 50 to 2000 ml ATPD 5 ml 10 setting Setting Resolution 10 ml Measurement 0 to 9999 ml ATPD 5 ml 10 setting FIO2 21 to 100 3 of full scale 10 of setting PEEP EPAP Settin...

Page 132: ...inute Volume 0 to 99 9 lpm 0 1 lpm 8 of reading LED Status Alarm Indicator Red Yellow and Green Alarm Volume 82 dBA 1 meter Noise Level 60 dBA when measured at 1 meter operating at default settings using the compressor only Operating Voltages AC Supply 100 to 240 VAC 50 60 and 400 Hz use only the AC DC power supply that ZOLL provides with the device DC Supply Nominal 12 5 to 28 0 VDC accepts DC vo...

Page 133: ...unspecified Pulse Rate bpm During No Motion Conditions Adults Pediatric Neonates 25 to 240 3 digits Pulse Rate bpm During Motion Conditions Adults Pediatric Neonates 25 to 240 5 digits Resolution Saturation SpO2 1 Pulse Rate bpm 1 Low Perfusion Performance 0 02 Pulse Amplitude Saturation SpO2 2 digits and Transmission 5 Pulse Rate 3 digits Interfering Substances Carboxyhemoglobin may erroneously i...

Page 134: ...Harmful Ingress of Water IPX4 Splash proof equipment rating include Padded case with rain flap Bacterial viral filter to protect the compressor Method of Sterilization or Disinfection O2 Supply hoses and connections should be wiped with a damp soapy cloth and thoroughly dried with a lint free cloth The unit s housing should also be cleaned as necessary with a damp soapy cloth and throughly dried w...

Page 135: ...ironment guidance Electrostatic discharge ESD IEC 61000 4 2 6 kV contact 8 kV air 6 kV contact 8 kV air Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast transient burst IEC 61000 4 4 2 kV for power supply lines 1 kV for input output lines 2 kV for power supply lines 1 kV for input output lines M...

Page 136: ... of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters m b Field strengths from fixed RF transmitters as determined by an electromagnetic site surveyc should be less than the compliance level in each frequency range d Interference may occurring the vicinity of equipment marked with the following symbol Note 1 At 80 MHz and 80...

Page 137: ...t Rated maximum output power of transmitter W Separation distance according to frequency of transmitter m 150 kHz to 80 MHz outside ISM bands d 1 17 150 kHz to 80 MHz in ISM bands d 1 12 80 MHz to 800 MHz d 0 6 800 MHz to 2 5 GHz d 1 15 0 01 0 117 0 12 0 06 0 115 0 1 0 37 0 38 0 19 0 36 1 1 17 1 2 0 6 1 15 10 3 7 3 8 1 9 3 6 100 11 7 12 6 11 5 For transmitters rated at a maximum output power not l...

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Page 139: ... Contact factory for complete part number for each country 708 0041 XX Cordset 6 IEC 60320 C5 Plug to Country Specific Connector Contact factory for complete part number for each country 402 0032 00 Padded Carry Case Tan for Ventilator and Accessories 465 0024 00 Filter Bacterial Viral B V 465 0025 00 Filter HME B V Heat and Moisture Exchanger 465 0027 01 Filter Disk B V Emergency Air Intake repla...

Page 140: ... Sensor to DB9 Male Note All LNCS Masimo cables are approved for use with the ZOLL ventilators 708 0046 00 Cable 6ft BS 546 UK SA Plug Right Angle 708 0047 00 Cable 3ft Masimo SET Oximeter LNCS Type Inf Inf 3 Infant Sensor to DB9 Male 708 0052 00 Cable 3ft Pulse Oximeter Reusable Finger Sensor Pediatric 708 0053 00 Cable 18 Pulse Oximeter Disposable Finger Sensor Adult 708 0054 00 Cable 18 Pulse O...

Page 141: ...l Spanish Model 731 906 0731 07 Operator s Guide Commercial Portuguese Model 731 909 0731 07 CD format Operator s Guide Commercial Portuguese Model 731 906 0731 08 Operator s Guide Commercial Polish Model 731 909 0731 09 CD format Operator s Guide Commercial Polish Model 731 816 0731 00 Non MRI Rolling Cart 816 0731 01 MRI conditional Rolling Cart 704 0731 09 IV support arm for Rolling Cart alumin...

Page 142: ...k CPAP 1 Small Infant 712 0004 00 Mask CPAP 4 Child with harness 712 0004 20 Mask CPAP 4 Child with Harness Case of 20 712 0004 50 Mask CPAP 4 Child with Harness Case of 50 712 0002 00 Mask CPAP 5 Adult with Harness 712 0002 20 Mask CPAP 5 Adult with Harness Case of 20 712 0002 50 Mask CPAP 5 Adult with Harness Case of 50 712 0003 00 Mask CPAP 6 Large Adult with Harness 712 0003 20 Mask CPAP 6 Lar...

Page 143: ...red light emitting diodes LEDs in oximetry sensors serve as the light sources a photodiode serves as the photodetector Traditional pulse oximetry assumes that all pulsations in the light absorbance are caused by oscillations in the arterial blood volume This assumes that the blood flow in the region of the sensor passes entirely through the capillary bed rather than through any arterio venous shun...

Page 144: ...en S 660 S 905 x R which is the same relationship for traditional pulse oximeter The equation for the noise reference is based on the value of R the value being sought to determine the SpO2 The MS board software sweeps through possible values of R that correspond to SpO2 values between 1 and 100 and generates an N value for each of these R values The S 660 and S 905 signals are processed with each...

Page 145: ... D 1 Appendix D Patient Circuits This appendix describes the ZOLL Ventilator s Patient Circuits Specifically this appendix provides the following information about patient circuits Intended Use Specifications Directions for use Troubleshooting procedures ...

Page 146: ...es from a ventilator to a patient inhalation and from a patient to atmosphere exhalation The pediatric adult patient circuits are intended for use when delivering tidal volume from 200 ml to Adult Specifications Pediatric Adult 6 ft Patient Circuit The Pediatric Adult 6 ft patient circuit REF 820 0106 XX has the following specifications Internal Diameter 22 mm RINSP 30 Lpm 0 02 hPa l min REXP 30 L...

Page 147: ...ith heated humidification 40 C to 70 C 40 F to 158 F Caution During use circuit may come into contact with biohazard material Handle carefully to avoid cross contamination Contents of Pediatric Adult 6 ft patient circuit package 144 3 65 m Ventilator Wye Breathing Circuit with cut to size tube and exhalation valve Exhalation drive line Clear with connector Pressure line Green with connector Warnin...

Page 148: ...ion valve line to the exhalation valve fitting on the ventilator Cut off the cuff connector on the green pressure line as shown in the following figure and connect securely to the transducer fitting 4 Verify that all tubing and hose connections are securely tight 5 Cycle the ventilator in accordance with operating instructions with the ventilator connected to a test lung prior to patient use check...

Page 149: ...ssible volume for a given breath VC VC CT x PIP PEEP Add the compressible volume to the set tidal volume to compensate for the gas volume loss in the tubing Note ZOLL Medical Corporation recommends that on a daily basis you examine the patient circuit for damage or wear such as cracking discoloration or disfigurement If there is any sign of physical degradation or if the unit is indicating breathi...

Page 150: ...one diaphragm with your fingers ensuring that there are no longer any kinks this usually takes a few seconds If the diaphragm has a hole or cuts replace the patient Circuit Figure D 4 Examining the Patient Circuit s Silicone Diaphragm 3 Carefully re seat the silicone diaphragm in the exhalation valve seat Tap around the silicone diaphragm lightly to ensure that kinks do not develop when closing th...

Page 151: ... C ZOLL Ventilator Operator s Guide D 7 Figure D 5 Closing Exhalation Valve Cover 5 Test the patient circuit with a test lung before using it with a patient SNAP the exhalation valve cover in place to secure a tight seal ...

Page 152: ...ed for use when delivering tidal volume from 50 ml to 300 ml Specifications Infant Pediatric 6 ft Patient Circuit The Infant Pediatric 6 ft patient circuit REF 820 0107 XX has the following specifications Internal Diameter 10 mm RINSP 15 Lpm 0 11 hPa l min REXP 15 Lpm 0 17 hPa l min CT 60 hPa 0 5 ml hPa Deadspace 4 2 ml Maximum Working Pressure 100 hPa cm H2O Complies with ISO 5367 Breathing Tube ...

Page 153: ...ution During use circuit may come into contact with biohazard material Handle carefully to avoid cross contamination Contents of Infant Pediatric 12 ft patient circuit package 144 3 65 m Ventilator Wye Breathing Circuit with cut to size tube and exhalation valve Exhalation drive line Clear with connector Pressure line Green with connector Warning Compressible volume can significantly decrease the ...

Page 154: ...sure line as shown in the following figure and connect securely to the transducer fitting 4 Verify that all tubing and hose connections are securely tight 5 Cycle the ventilator in accordance with operating instructions with the ventilator connected to a test lung prior to patient use check for leaks and occlusions Ensure that gas properly flows through the exhalation valve Note ZOLL Medical Corpo...

Page 155: ...ollowing procedure 1 Using a hemostat or a tongue blade carefully open the exhalation valve as we show in the following illustration Remove the top cover first and then remove the silicon diaphragm Place the silicon diaphragm in a clean area Figure D 8 Removing Silicon Diaphragm Infant Pediatric Patient Circuit 2 Examine the silicon diaphragm for kinks cuts holes or inconsistencies in the material...

Page 156: ...e exhalation valve taking care not to touch the silicone diaphragm Ensure that the barbed with tubing is pointing into the FLOW direction Apply enough pressure to snap the exhalation valve cover in place Figure D 10 Closing Exhalation Valve Cover 5 Test the patient circuit with a test lung before using it with a patient Examine both sides of Silicone Diaphragm Relax silicone with opposing pressure...