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Manual de Usuario Ventilador Marca Event Medical Inspiration7i English
Manual de Usuario Ventilador Marca Event Medical Inspiration7i English
US Version
Inspiration 7i
®
Ventilator
© 2011 eVent Medical, Inc. All rights reserved. No part of this User Manual may be reproduced or stored in a
database or retrieval system, or transmitted, in any form or by any means, electronic, photocopying,
recording, or otherwise, without the prior written permission of eVent Medical.
This manual is intended to provide the necessary information required to operate and maintain the
eVent Medical Inspiration 7i Ventilator System. The ventilator should be operated, serviced, and calibrated
by trained professionals. US Federal Law restricts this device to sale by or on the order of a physician.
Intended for use with the Inspiration 7i Ventilator System, this manual is subject to technical modification and
may be revised or replaced by eVent Medical at any time without prior notice. We recommend you have the
most current version of this manual. Nothing in this manual shall limit or restrict in any way eVent Medical’s
right to revise or otherwise change or modify, without notice, the equipment (including its software) described
herein. In the absence of an express, written agreement to the contrary, eVent Medical has no obligation to
furnish any such revisions, changes, or modifications to the owner or user of the equipment (including its
software) described herein.
Nothing in this manual shall limit or restrict in any way eVent Medical’s right to revise or otherwise change or
modify, without notice, the equipment (including its software) described herein. In the absence of an express,
written agreement to the contrary, eVent Medical has no obligation to furnish any such revisions, changes, or
modifications to the owner or user of the equipment (including its software) described herein.
This manual and its illustrations apply to the Inspiration 7i Ventilator System: PN F730000-7i
Installed software / firmware versions are displayed upon power up on the initial screen. Smart Sigh, Smart
Nebulizer, CLININET, VIRTUAL REPORT and MiniWeb are trademarks of eVent Medical. Inspiration and
eVolution are registered trademarks of eVent Medical.
eVent Medical will provide upon request certain technical, operation, sales and marketing information that
will assist clinicians and trained service professionals.
Installed software / firmware versions are displayed upon power up on the initial screen.
0120
eVent Medical, Inc. Parkmore Business Park West
971 Calle Amanecer, Suite 101 Galway, Ireland
San Clemente, CA 92673
United States
www.event-medical.com
Table of contents
This section briefly describes the Inspiration 7i Ventilator System, safety information, and ventilator controls and
indicators.
Reference this manual and the Inspiration 7i Ventilator System Service Manual when performing any
maintenance on the ventilator.
Touch screen
Knob
1.2 Specifications
This section provides specifications for the Inspiration 7i Ventilator System.
Pressures are shown on the Inspiration in cmH2O, mbar and Hectopascals (hPa). mbar and hpa are used by some
institutions instead. Since 1 mbar equals 1 hPa, which equals 1.016 cmH2O, the units may be used interchangeably.
Time (apnea) 20 s
Rise time Based on IBW setting
Trigger Flow 2 l/min (if flow sensor On)
Trigger Pressure 2 cmH2O
Infant Apnea Backup Default settings
Ventilation Mode P–CMV
Trigger type Flow (if flow sensor On)
Pressure
Resp rate Based on IBW setting
Vt Based on IBW setting
Flow Based on IBW setting
Flow Pattern Decel
Pause 0.0 s
PEEP Based on IBW setting
Oxygen % (FiO2) 10 % above setting
Apnea Backup On or Off
Ti (inspiratory time) Based on IBW setting
Pcontrol Based on IBW setting
Psupport Based on IBW setting
Time (apnea) 20 s
Rise time Based on IBW setting
Trigger Flow 1 l/min (if flow sensor On)
Trigger Pressure 2 cmH2O
Smart Nebulizer™ User selected interval and
1.2.8 Special Screen Settings
duration
FiO2 and volume
compensated
Smart Sigh™ User defined: Frequency
and multiples of sighs
Amplitude of sighs (0 to 50
% of volume or pressure
setting)
Special Screen Settings
Main gas supply Air or Heliox
(continued)
Heliox: 0 to 79%
Humidity type None, HME, Warm
Humidified
SPAP Type Cycle + Time
Cycle + Ratio
Time only
Screen setting Lock or Unlock
Brightness settings Numerical setting
Trending time settings (WBM) 1 to 72 hrs
Device ID Numerical setting
(user selectable) 0 to 99
Basic
1.2.12 Monitored / Displayed patient
values Ppeak 0 to 120 cmH2O
(peak pressure during a breath) Accuracy: ± (2 cmH2O + 4%)
Pmean 0 to 120 cmH2O
(averaged mean pressure) Accuracy: ± (2 cmH2O + 4%)
PEEP 0 to 120 cmH2O
(pressure at end exhalation) Accuracy: ± (2 cmH2O + 4%)
Vti 0 to 5000 ml
(tidal volume delivered) Accuracy: 0 to 40 ml ± (2ml + 5%);
41 to 5000 ml ± (10 ml + 5%)
Vti/kg 0.0 to 50.0 ml/kg
(tidal volume delivered/weight) Normalized to IBW
Vte 0 to 5000 ml
(exhaled tidal volume) Accuracy: 0 to 40 ml ± (2ml + 5%);
41 to 5000 ml ± (10 ml + 5%)
Displayed as Vte--- if proximal flow
sensor is disabled.
Vte/kg 0.0 to 50.0 ml/kg
(exhaled tidal volume/weight) Normalized to IBW
Ve 0.0 to 50.0 l/min
(exhaled minute volume) Accuracy: ± (0.01 l/min + 5%)
Displayed as Vi if proximal flow
sensor is disabled.
Ve/kg 0.0 to 999 ml/kg
(exhaled minute volume/weight) Normalized to IBW
Ve Spont 0.0 to 50.0 l/min
(spontaneous exhaled minute volume) Accuracy: ± (0.01 l/min + 5%)
Displayed as Vi Spont if proximal
flow sensor is disabled.
Rate 0 to 300 b/min
(measured mandatory and spontaneous Accuracy: 0 to 100 b/min (± 1
breaths per minute) b/min), > 100 b/min + 2%
Rate Sp. 0 to 300 b/min
(measured spontaneous breaths per minute) Accuracy: 0 to 100 b/min (± 1
b/min), > 100 b/min + 2%
Advanced
Ti 0.10 to 99.9 sec
(inspiration time) Accuracy: ± 0.01 sec
Te 0.10 to 99.9 sec
(expiratory time) Accuracy: ± 0.01 sec
PF 0.0 to 300 l/min
(peak inspiratory flow)
Leak 0 to 100%
(averaged calculated leak (1–Vte/Vti))
O2 15 to 103%
(oxygen concentration) Displayed if O2 sensor is disabled.
HeO2 15 to 103%
(heliox concentration)
Spont% 1h 0 to 100 %
(percentage of spontaneous breaths for the
last 1 hour)
Spont% 8h 0 to 100 %
(percentage of spontaneous breaths for the
last 8 hours)
Mechanics
Auto PEEP 0 to 100 cmH2O
(Total PEEP minus Set PEEP)
Volume Alarms
Vti Limit High Adult: 0 to 2500 ml or Off
Pediatric: 0 to 700 ml or Off
Infant: 0 to 300 ml or Off
Vte High Adult: 5 (or 5 > Vte Low) to 2500 ml or Off
Pediatric: 2 (or 2 > Vte Low) to 700 ml or Off
Infant: 1 (or 1 > Vte Low) to 300 ml or Off
Vti High is displayed if proximal flow sensor is disabled.
Vte Low Adult: 0 to 2495 (or 5 < Vte High) ml or Off
Pediatric: 0 to 700 (or 2 < Vte High) ml or Off
Infant: 0 to 300 (or 1 < Vte High) ml or Off
Vti Low is displayed if proximal flow sensor is disabled.
Ve High 0.10 (or 0.10 > Ve Low) to 50.0 l/min
Vi High is displayed if proximal flow sensor is disabled.
Ve Low 0.0 to 50.0 l/min (or 0.10 < Ve High)
Vi Low is displayed if proximal flow sensor is disabled.
Respiratory Rate Alarms
Resp rate High 2 (or 1 > Resp rate Low) to 200 b/min
Resp rate Low 1 to 199 (or 1 < Resp rate High) b/min
Oxygen Delivery Alarm Automatic Setting
High FiO2 22 to 101 %
Ventilator software automatically sets alarm
limit to 7% above Oxygen % setting.
Alarm Limit Settings Low FiO2 20 to 99 %
(continued) Ventilator software automatically sets alarm
limit to 7% below Oxygen % setting.
Other Alarms
Apnea (interval) 3 to 60 sec
Apnea (setting) On or Off
Leak rate 20 to 100 %
AUTO SET automatically sets upper and lower alarm limits based on monitored
data (section 4.5). AUTO SET does not change alarm limits that are Off.
High Priority Alarms
1.2.14 Alarm Priority
Battery Flat Disconnection
Internal Pressure Low Air Supply
High Minute Volume Technical Fault
High Oxygen High Pressure
High Tidal Volume Low Minute Volume
Occlusion Low Oxygen
Apnea Low Tidal Volume
Oxygen Supply Low Pressure
Medium Priority Alarms
Check Flow Sensor Tubing Pressure Is Being Limited
P Op High – Volume not delivered High External Voltage
Low Frequency High Leak Rate
Informational messages
Prox. Line On Right Side Port? Vti Limit Reached
Memory CPU not protected Nebulizer not available
Memory sensor not protected Logbook Cleared
Memory power not protected Flow trigger not available
100% O2 not available Flow calibration not available
AC input 100 to 240 VAC (50/60 Hz)
1.2.15 Power and Gas Supply
Power consumption 120 VA (W)
DC input 24 VDC +/- 10%
Battery Backup on compressor < 120 min
Battery Backup off compressor > 120 min
(with fully charged battery)
Battery Backup when the Inspiration is combined with the Deluxe and / or
Transport plus battery.
Power and Gas Supply Battery Backup On compressor > 240 min
(continued)
Battery Backup off compressor > 600 min (with fully charged battery)
Oxygen inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry, and
oil-free medical grade
Oxygen inlet supply flow 180 l/min (STPD, dry required)
Air inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry, and
oil-free medical grade
Air inlet supply flow 180 l/min (STPD, dry required)
Heliox inlet supply pressure 29 to 86 psi (2 to 6 bar) clean, dry, and
* Heliox gas source oil-free 80% / 20% Only
On/Off/Standby key
% O2 Increase key
DC –Input:
24VDC
DC input connector
90W
3.75A
AC –Input:
100 -240VAC
50/60 Hz
120VA AC input connector
100V: 1.4A
240V: 0.5A
Fuse: 3.15AT
Indicates WEEE (Waste Electrical and Electronic Equipment) Registration per EU WEEE
Reg. No. IE 00761, Directive, 2002/96/EC
1.5 Safety
The symbols below are used to draw your attention specifically to the remaining dangers associated with
proper use and to emphasize important technical requirements.
Information or directions/warnings intended to prevent potential damage to the patient,
caregiver, or device.
Explanatory notes and comments relevant to the Inspiration 7i Ventilator System.
The ventilator is intended for use in the electromagnetic environment specified below. The user of the ventilator
should assure that it is used in such an environment.
The ventilator is intended for use in the electromagnetic environment specified below. The user of the ventilator
should assure that it is used in such an environment.
Electrical Fast +/- 2kV for power +/- 2kV for power Mains power quality should be that of a typical
Transient/burst supply lines. supply lines. hospital environment
+/- 1kV +/- 1kV differential Mains power quality should be that of a typical
Surge differential mode mode hospital environment
Voltage dips, short <5% Ut <5% Ut Mains power quality should be that of a typical
interruptions and (>95% dip in Ut ) (>95% dip in Ut ) hospital environment. If the user of the ventilator
voltage variations for a 0.5 cycle for a 0.5 cycle requires continued operation during power mains
on power supply interruptions, it is recommended that the ventilator be
input lines. 40% Ut 40% Ut powered from an external battery.
(60% dip in Ut) for (60% dip in Ut) for
IEC 61000-4-11 5 cycles 5 cycles
70% Ut 70% Ut
(30% dip in Ut) for (30% dip in Ut) for
25 cycles 25 cycles
5% Ut 5% Ut
(>95% dip in Ut ) (>95% dip in Ut )
for 5 sec for 5 sec
Power Frequency
(50/60 Hz) magnetic Power frequency magnetic fields should be at levels
field. 3 A/m 3 A/m characteristic of a typical location in a typical hospital
environment.
IEC 61000-4-8
* Note Ut is the a.c. mains voltage prior to application of the test level.
The ventilator is intended for use in the electromagnetic environment specified below. The user of the ventilator
should assure that it is used in such an electromagnetic environment.
Conducted
RF Recommended separation distance:
IEC
3 Vrms 150
61000-4-6
kHz to 80 MHz 3 Vrms
outside ISM
bands (a)
10 Vrms
10 Vrms
150 kHz to
80 kHz in
Radiated RF 10 V/m
10 V/m
IEC 61000-4-
3 80 MHz to
2.5 GHz
where P is the maximum output power rating 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 survey. (c) should be less than
the compliance level in each frequency range (d)
Interference may occur in the vicinity of equipment marked with the following symbol.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
(a) The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz;
13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
(b) The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range
of 80 MHz to 2.5 GHz are intended to decrease the likelihood that mobile/portable communication equipment could
cause interference if it is inadvertently brought in to the patient areas. For this reason, an additional factor of 10/3
is used in calculating the recommended separation distances for transmitters in these ranges.
(c ) Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land
mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey
should be considered. If the measured field strength in the location in which the ventilator is used exceeds the
applicable RF compliance level above, the ventilator should be observed to verify normal operation. If abnormal
performance is observed, additional measures may be necessary, such as re-orienting or relocating the ventilator.
(d) Over the frequency range of 150 kHz to 80 MHz, field strengths should be less than 1V/m.
Recommended Separation distances Between Portable and Mobile RF Communications Equipment and the
Inspiration 7i Ventilator System
The ventilator is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
The use of the ventilator can help to prevent electro-magnetic disturbances by maintaining the minimum distance
between portable and mobile RF communications equipment prior (transmitters) and the ventilator as recommended
below, according to the maximum output of power of the communications equipment.
150 kHz to 80 150 kHz to 80 80 MHz to 800 800 MHz to 2.5 GHz
Rated MHz Outside ISM MHz in ISM MHz
Maximum Bands Bands
Output of
Power of
Transmitter
(watts)
100 12 12 12 12
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in
meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the
maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
NOTE 2: The ISM (industrial, scientific and medical) bands between 150 Hz and 80 MHz are 6.765 MHz to 6.795
MHz; 13.553 MHz to 13.567 MHz; 26..957MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz
An additional factor of 10/3 is used in calculating the recommended separation distance for transmitters in
NOTE 3: the ISM frequency bands between 150 KHz and 80 MHz and in the frequency range 80MHz to 2.5 GHz to
decrease the likelihood that mobile/portable communications equipment could cause interference if it is
advertently brought into patient areas.
NOTE 4: These guidelines may not apply in all situations. Electromagnetic propagations affected by absorption and
reflection from structures, objects and people.
This section describes ventilator setup, including attaching the ventilator to the cart, connecting to power,
connecting to gas supplies, attaching other devices to the ventilator, and attaching the patient breathing circuit.
Only trained and qualified professionals should assemble, operate, or test the ventilator.
Two people are required to assemble the ventilator on its cart: one to support the
ventilator, and another to attach the ventilator to the cart. Ensure that the flex arm is
positioned toward the front of the ventilator.
Ventilator
Cart
Power cords must be secured using the retaining clip to prevent inadvertent disconnection
of the power cord from the ventilator.
Do not compromise the AC power cord grounding protection by using an ungrounded
extension lead.
Fuses must comply with IEC 60127-2/5, and power cords must comply with IEC 245 Code 53
or IEC 227 Code 53.
Fuse drawer
Retaining clip
The gas supply hoses used for oxygen and air must be approved for at least 147 psi (10
bar) pressure. The permissible gas supply operating pressure range is 29 to 86 psi (2 to 6
bar).
Use medically pure oxygen only.
Oil impairs the individual ventilator components' ability to operate. Air and oxygen
supplies must be completely oil-free. Fault-free operation cannot otherwise be guaranteed.
Warning: pure oxygen combined with oil is highly explosive!
2.3.1 Heliox
The Inspiration 7i Ventilator System can accommodate heliox using an approved heliox adapter or regulator to
connect to the ventilator (Figure 5). Once an adapter or regulator is attached, connect an 80/20 heliox tank.
1. Select the heliox gas type when configuring the ventilator (section 3). The Gas Type button is not displayed
if patient type is Infant. The heliox icon appears on the status bar when heliox is enabled.
2. Allow the ventilator to run with heliox for 5 minutes, then perform the system test and proximal flow sensor
calibration (section 6.2).
Perform a system test and proximal flow sensor calibration to ensure precise delivery
and measurement of tidal volumes before delivering heliox.
Heliox inlet
adapter
iggering nection
Ethernet connector
Ethernet
activity
LED
RS232 connector
Ethernet
Nurse call connector link
LED
To prevent possible cross contamination, always use a bacteria filter that complies with
ASTMF1100-90, F1054-87 and ISO 5356-1 (such as the Puritan Bennett D/Flex or Re/Flex
filters) on the inspiratory limb of the patient circuit.
Do not use antistatic or electrically conductive tubing.
Use the ventilator only with standard breathing circuits (single patient use or reusable) that comply with
international standards ASTMF1100-90, F1054-87, ISO 5356-1, EN794-1, EN1281-1 and EN12342.
oFor nasal prong systems that hFor nasal prong systems whose pressure port is not centrally located.
attach to a patient wye, Connect pressure line to the port and place pressure port on exhalation
connect the proximal pressure side of the breathing circuit, between nasal prongs and exhalation valve.
line to the wye.
Connect the proximal pressure line from the nasal prongs to the right-side silver port:
connecting to a different port causes the ventilator to alarm.
Because internal ventilator transducers are not separate from the proximal flow sensor
circuit, it is important to orient the flow sensor with tubing pointing up. This allows the
purge flow to keep the tubing clear and help prevent internal ventilator contamination.
2.5.5 Nebulizer
Use the ventilator only with standard small volume jet nebulizers (single patient use or reusable) and disk filter
that comply with international standards ASTMF1100-90, F1054-87, ISO 5356-1, EN794-1, EN1281-1, and
EN12342.
1. Place the nebulizer in the inspiratory limb of the patient circuit based on clinical judgment and manufacturer
recommendations, and use the nebulizer according to manufacturer instructions.
2. Attach nebulizer jet driveline and disk filter attach to the Nebulizer nipple connector on the ventilator front
panel (Figure 12).
Nebulizer connector
The Nebulizer outlet provides a pressure of 14 to 22 psi, which typically generates a nebulizer flow of
6 to 8 l/min. When the nebulizer is active, gas delivery to the patient is compensated to ensure that breath
parameters (volume, flow and FIO2) are not affected.
If flow triggering was active before nebulizer activation, the ventilator uses pressure triggering during
nebulization, and resumes flow triggering when nebulization is complete.
To start nebulization, select Smart Nebulizer On from the ventilator Config tab (section 3).
The nebulizer function is not available during Infant ventilation or when delivered flow
drops below 10 l/min.
The user configuration screens allow you to set ventilator configurations including:
• Humidification type: humidifier, heat-moisture exchanger (HME), or none.
• Smart Nebulizer: on/off and nebulization time.
• Graphics settings: waveforms or loops and number of displays.
• Trend data settings: number of displays.
• Monitored data: number of displays.
• Proximal flow sensor and oxygen sensor: on/off.
• Special: gas type, keyboard, CliniNet trend time.
• Audio/LCD levels: audio level, screen clicks on/off, LCD brightness.
Only trained users should change ventilator configuration: changing the configuration
can have serious consequences for subsequent ventilation.
Provide an alternate form of oxygen monitoring if turning off the internal oxygen sensor.
If power on self test (POST) detects an error, ventilation is not possible until it is
corrected. Contact a qualified service technician.
Changes to configuration do not take effect until the ventilator is restarted.
2. When POST is complete, the screen prompts you to select a new or previous patient (Figure 14).
Select Previous
then ACCEPT
Standby
screen Config tab
Buttons select
user
configuration
screens
This section describes how to use the Inspiration 7i Ventilator System, including turning the ventilator on and
off, using the screen, ventilator controls, starting ventilation, selecting settings, setting alarm limits, displaying
monitored data, and using special ventilator functions.
The Inspiration 7i ventilator must only be operated by clinicians qualified to assess the
patient’s clinical condition and treatment.
Before connecting the ventilator to a patient, perform the System Test and alarms test
procedures (section 6).
Connect the ventilator to AC power whenever possible (even if the ventilator is turned off)
to allow the internal batteries to recharge.
Availability of some settings depends on applicable regulatory clearances and ventilator
configuration. Check ventilator configuration (section 3) to enable available features, or
contact a qualified service technician.
On/Off/Standby key
2. The ventilator performs power on self test (POST), a complete check of the ventilator (Figure 17).
Scratching the touch screen can affect its function. Use a finger or a rounded pointer to
touch the surface. The touch screen works if you are wearing gloves. Do not pencils,
ballpoint pens, or fingernails on the touch screen.
Before the installation the ventilator and touch screen are fully calibrated for precise
operation. If required, touch screen calibration must be performed by a qualified service
technician as described in the Inspiration 7i Ventilator System Service Manual.
Use the touch screen and rotary knob to select, change, and activate ventilator parameters. Touch the
parameter to change, turn the knob to adjust the value, then touch the parameter again or push the knob.
Figure 19 shows an example of how to change a setting.
Rotary knob
Touch screen
To prevent accidental or unaccepted changes, any unaccepted change reverts to its previous value after 10
seconds or if you touch another field before accepting the change.
A setting that displays the eVent logo indicates that it is linked to one or more other setting(s). For example
(Figure 20), nebulizer time is linked to whether the nebulizer is on or off. Nebulizer time cannot be selected if
the nebulizer is off.
If you enter the IBW only, the New Patient startup screen reflects that the other patient parameters are not
entered (Figure 23).
8. Press ACCEPT. The display shows proposed mode and settings (Figure 24). Review the settings and
change them if necessary. The ventilator remains in Standby mode until you press ACTIVATE to start
ventilation.
Cycles Cycles sets the number of times per minute the ventilator cycles from low PEEP to high PEEP.
(SPAP mode) Transitions between high and low PEEP levels are synchronized with spontaneous breaths.
Esens Exhalation sensitivity sets the percent of peak inspiratory flow at which the ventilator cycles from
(Spontaneous inspiration to exhalation. Increasing the Esens setting shortens inspiratory time.
breaths)
Flow Peak (maximum) inspiratory flow setting. Available if ventilator is configured for US philosophy
(Mandatory breaths (see the Inspiration 7i Ventilator System Service Manual for more information).
in V-CMV and V-
SIMV)
Flow-Pat. Flow pattern for volume control mandatory breaths. The flow pattern and is unaffected by patient
(Volume control back pressure or other factors as long as the peak inspiratory flow and pressure limit are not
mandatory breaths) exceeded. Flow patterns include square, decelerating ramp, and decelerating ramp 50%.
Ftrig Flow trigger sets the patient inspiratory flow that triggers a breath. Applies to all breaths when
pressure triggering is selected (see Trigger setting).
When flow triggering is selected, the ventilator generates a continuous base flow from the
inspiratory outlet to the expiratory outlet. The base flow is 2 l/min above the flow trigger setting.
NOTE: Adjusting Ftrig changes ventilator sensitivity to patient effort. In case of auto-triggering,
check the ventilator and breathing circuit before increasing the Ftrig setting.
Turning Auto Control on automatically turns Apnea backup off, and turning Auto Control off automatically turns
Apnea backup on.
Turning Auto Control on automatically turns Apnea backup off, and turning Auto Control off automatically turns
Apnea backup on.
Ventilator software automatically sets high and low oxygen % alarm limits to 7% above and
below the O2 setting, and is not adjustable.
Minimize or maximize
display
To minimize or maximize the Trend data display, select the arrow button at the upper left corner.
To adjust the time (horizontal) or value (vertical) axis, touch the axis to view available scales. Changing the
time scale on one display automatically makes the same change to other trended parameters.
Unfreeze icon
Cursor
Numeric value at
cursor position
To enter a comment, select the User Comment event marker: Use the onscreen keyboard to enter the
comment, then select ACCEPT to enter the marker or BACK to cancel (Figure 32).
To select a parameter for display, select a displayed parameter, then select the parameter to display in its place
(Figure 33).
Figure 33: Selecting Trend Data Parameters (Vti and Rate Selected)
Minimize or
maximize Numeric value at cursor position
display
Cursor
Unfreeze icon
Save Loops
Ref. Loop
button
button
Saved loop
Ref. Loop
button
Reference
loop
Current loop
To delete a reference loop display, touch and hold for 2 seconds (red x appears):
To delete a saved loop display, touch and hold the saved loop for 2 seconds until a red circled x appears on the
folder icon. Touch the folder again to delete, or touch the time and date information to cancel the delete.
Pressing the key again during the 5-minute interval returns the oxygen concentration to its original level. When the %O2
increase is active an onscreen indicator displays the actual delivered oxygen concentration.
Nebulizer
settings
Select
Smart Nebulizer
Smart Sigh
settings
Select
Smart Sigh
Monitoring bar
Alarm mute
Settings bar indicator area
ACTIVATE, LOCK,
UNLOCK buttons
Alarms Up to three active alarm indicators can be displayed simultaneously on user screens:
HIGH PRIORITY ALARMS
MEDIUM PRIORITY ALARMS
INFORMATION MESSAGES
Monitoring bar Displays monitored parameters. The number of monitored parameters displayed is set
using the Config tab (section 3).
Settings bar Displays the commonly-adjusted settings that apply to the current or proposed mode,
providing quick access for adjusting them.
ACTIVATE button This button appears at startup when a proposed mode is selected.
LOCK/UNLOCK The LOCK button appears once a mode is activated. Touching LOCK locks the screen
button except for the O2 setting.
The UNLOCK button appears once the screen is locked. Touch UNLOCK to unlock the
screen.
This icon indicates that alarm mute is silencing current alarms, and appears above the
ACTIVATE, LOCK, or UNLOCK buttons when Alarm mute (section 5.1.1) is active.
This icon indicates that 2-minute alarm pre-silence is active, and appears above the
ACTIVATE, LOCK, or UNLOCK buttons when Alarm mute (section 5.1.1) is active.
Once ventilation begins, select the Main tab o displays the selected graphics on the main screen (Figure 39: Main
Screen Graphics During Ventilation
Figure
40
Monitored
data
parameters
Touch to toggle
between F/V loop, Touch to toggle
P/V loop, and Man. between Volume,
(maneuvers) Flow, and Pressure
Ventilator
settings Touch to protect
against inadvertent
settings changes
(toggles between
Lock and Unlock)
Spontaneous breath
Mandatory breath
(green = inspiration,
(red = inspiration,
blue = exhalation) light blue = exhalation)
The color of the waveforms and loops indicate breath type and phase: mandatory (red= inspiration, blue =
exhalation) or spontaneous (green = inspiration, light blue = exhalation).
Select a monitored data parameter to view that all the data parameters in the same category (basic, advanced
and mechanics)Select the parameter button again to return to the graphics display.
To adjust a ventilator setting without changing the mode, touch the setting button (below the graphics) to
highlight, adjust the value, and touch again to activate the new setting.
If the new setting affects breath timing, the left panel displays the I:E ratio, Ti, and Te that would result from the
new setting.
Select the Lock/Unlock button to protect against inadvertent settings changes.
To adjust the time (horizontal) or value (vertical) axis, touch the axis to view available scales. Changing the
time scale on one display automatically makes the same change to other trended parameters.
To minimize or maximize the waveform display, select the arrow button at the upper left corner (Figure 41).
Available on Inspiration 7i Ventilator Only
Minimize display
Unfreeze icon
Cursor
Numeric value at
cursor position
Use the Graph Settings button on the Config tab to change the format of the main screen display (section 3).
4.9 Maneuvers
To access respiratory maneuvers, touch the left panel button to select Man (Figure 42)
Touch to toggle to
Man. (maneuvers)
5 Alarm Handling
This section describes audible and visual alarm signals, alarm mute, the alarm log, and alarm handling for the
ventilator.
To silence active alarms and any new alarm that occurs during the 2-minute alarm silence: Hold down the Alarm
Mute key on the front panel until the red alarm silence symbol appears. This allows you to “pre-silence” alarms
under circumstances when new alarms would otherwise occur (for example, during suctioning).
Figure 45: Viewing the Event Log from the Alarms Tab
Battery flat High priority alarm. Internal battery voltage depleted. Ventilation 1. Connect to AC power and
continues; opens to ambient air if AC power fails. ensure that battery
recharges.
2. Check battery cable
connections.
3. Replace battery.
Battery low Medium priority alarm. Low internal battery voltage. Ventilation 1. Connect to AC power and
continues. ensure that battery
recharges.
2. Check battery cable
connections.
3. Replace battery.
Battery not Information message. The internal battery is not available. Battery 1. Connect to AC power and
available voltage depleted, battery missing, or battery not properly connected. ensure that battery
Ventilation continues. recharges.
2. Check battery cable
connections.
3. Replace battery.
Check Medium priority alarm. Pcontrol setting exceeds Ppeak alarm limit. Adjust Pcontrol and/or
Pcontrol/Pmax (Pcontrol must be < Ppeak limit). Ventilation continues. Ppeak High settings.
Check Medium priority alarm. Psupport + PEEP exceeds Ppeak alarm limit. Adjust Psupport, PEEP, and or
Psupport/Pmax (Psupport + PEEP setting must be < Ppeak limit). Ventilation Ppeak High settings.
continues.
Compressor Medium priority alarm. Compressor failure (if installed). Ventilation Connect to functional air supply
continues with oxygen if possible. and contact service technician.
Disconnection High priority alarm. Possible leak or disconnect in circuit. Ventilation 1. Check circuit connections.
continues. 2. Perform system test.
3. Replace circuit.
FIO2 and delivery Information message. Oxygen calibration not available or was 1. Check oxygen supply
can vary interrupted. connections.
2. Check oxygen supply
pressure.
3. Retry oxygen sensor
calibration.
Flow cal. not Information message. Flow sensor Off in configuration, cannot be Turn flow sensor On and retry
available calibrated. Flow calibration interrupted. flow sensor calibration.
Flow trigger not Information message. Flow trigger not available. Flow sensor 1. Check flow sensor
avail attached incorrectly and requires calibration, or the ventilator is connections.
running on internal compressor (pediatric or adult patient types). 2. Retry flow sensor calibration.
Ventilation continues with pressure triggering.
3. Replace flow sensor.
High leak rate Medium priority alarm. Possible circuit leak exceeds Leak alarm limit. 1. Check circuit connections.
Ventilation continues. 2. Perform system test.
3. Replace circuit.
High minute High priority alarm. Expiratory minute volume exceeds Ve alarm limit. Check patient and ensure that
volume (Alarm occurs only if flow sensor is On in configuration). Ventilation ventilator settings are appropriate
continues. for patient condition.
AUTO SET alarm limits: + 50% of setting in pressure ventilation, 50%
of setting in volume ventilation.
High oxygen High priority alarm. Inspiratory oxygen concentration exceeds 1. Perform oxygen sensor
ventilator-set alarm limit. Alarm occurs only if oxygen sensor is On in calibration.
configuration. Ventilation continues. 2. Replace oxygen sensor.
3. Contact service technician.
High pressure High priority alarm. Pressure exceeds Ppeak alarm limit. Ventilator 1. Check patient and ensure
immediately switches to exhalation for one second without PEEP. that ventilator settings are
Ventilation continues but is pressure-limited. appropriate for patient
AUTO SET alarm limit: +50% of setting. Alarm limit increases to condition.
correspond to % increase during sigh breaths. 2. Check for circuit occlusions.
High temperature Medium priority alarm. Internal ventilator temperature too high. Contact service technician.
Ventilation continues.
High tidal volume High priority alarm. Expiratory volume above Vte alarm limit. Check patient and ensure that
Ventilation continues. ventilator settings are appropriate
AUTO SET alarm limits: + 50% of setting in pressure ventilation, 50% for patient condition.
of setting in volume ventilation. Alarm limit increases to correspond to
% increase during sigh breaths.
Increase O2 not Information message. 100% oxygen not available. Oxygen supply not 1. Check oxygen supply
avail available or oxygen sensor calibration in progress. Ventilation connections.
continues. 2. Check oxygen supply
pressure.
Int press High priority alarm. Ventilator tank pressure too low. Ventilation Ensure that ventilator is securely
low/Disconnect continues, nebulization not available. connected to air and oxygen
supplies.
Inverse ratio set Information message. Settings that determine rate and inspiratory Verify that the setting change and
time result in inverse ratio (inspiratory time exceeds expiratory time). inverse ratio are appropriate for
patient condition.
Logbook cleared Information message. Event log cleared. Not applicable.
Low minute High priority alarm. Expiratory minute volume below Ve alarm limit. Check patient and ensure that
volume Ventilation continues. ventilator settings are appropriate
AUTO SET alarm limits: + 50% of setting in pressure ventilation, 50% for patient condition.
of setting in volume ventilation.
Low oxygen High priority alarm. Inspiratory oxygen concentration below ventilator- 1. Perform oxygen sensor
set alarm limit. Alarm occurs only if oxygen sensor is On in calibration.
configuration. Ventilation continues. 2. Replace oxygen sensor.
3. Contact service technician.
Low pressure High priority alarm. Pressure cannot be attained in the breathing 1. Check circuit connections.
circuit, possible leak or disconnect. Ventilation continues.
2. Perform system test.
AUTO SET alarm limit: +50% of setting.
3. Replace circuit.
Low tidal volume High priority alarm. Expiratory volume below Vte alarm limit. Check patient and ensure that
Ventilation continues. ventilator settings are appropriate
AUTO SET alarm limits: + 50% of setting in pressure ventilation, 50% for patient condition.
of setting in volume ventilation.
Mem CPU not Information message. Internal ventilator electronics (CPU board) not Contact service.
protected configured for write protect.
Mem power no Information message. Internal ventilator electronics (power board) not Contact service.
protect configured for write protect.
Mem sensor no Information message. Internal ventilator electronics (sensor board) Contact service.
protect not configured for write protect.
Nebulizer not avail Information message. Nebulizer disabled or Infant patient type Enable nebulizer or change
selected. Ventilation continues without nebulization. patient type if appropriate.
O2 sensor not Information message. Oxygen sensor is depleted or disconnected. 1. Check to make sure the O2
avail sensor cable is connected
and undamaged.
2. Replace O2 sensor
O2 supply High priority alarm. Oxygen supply not available. Ventilation continues 1. Check oxygen supply
with air. connections.
2. Check oxygen supply
pressure.
Occlusion High priority alarm. Patient circuit occluded, ventilator opens to 1. Check patient and ensure
ambient air. that ventilator settings are
appropriate for patient
condition.
2. Check for circuit occlusions.
3. Provide alternate ventilation
and contact service
technician.
P Op High – V not Medium priority alarm. Volume limited by Ppeak alarm limit (Ppeak 1. Check patient and ensure
deliver High – 5 cmH2O). Volume-limited ventilation continues. that ventilator settings are
appropriate for patient
condition.
2. Check for circuit occlusions.
P. Line on Right High priority alarm. Single proximal airway line connected to incorrect Reconnect the proximal airway
Side? ventilator port. line to the right side (silver) port
on the flow sensor pressure ports
Pmean low Medium priority alarm. Mean circuit pressure below Pmean alarm 1. Check circuit connections.
limit. Possible leak or disconnect. Ventilation continues. 2. Perform system test.
AUTO SET alarm limit: -10 cmH2O of setting. 3. Replace circuit.
Pressure is being Medium priority alarm. Inspiratory pressure limited by Ppeak alarm 1. Check patient and ensure
limited limit. Pressure-limited ventilation continues. that ventilator settings are
appropriate for patient
condition.
2. Check for circuit occlusions.
Speaker fault High priority alarm. Main alarm speaker failure. Continuous alarm Provide alternate ventilation and
sounds, ventilation continues. contact service technician.
TF xxx High priority alarm. Technical fault (xxx is the specific code). Provide alternate ventilation and
Ventilator opens to ambient air. contact service technician.
Volume is being High priority alarm: Pressure exceeds Ppeak alarm limit. Ventilator 1. Check patient and ensure
limited immediately switches to exhalation for one second without PEEP. that ventilator settings are
Ventilation continues but cannot deliver selected Vt. appropriate for patient
condition.
2. Check for circuit occlusions.
Vti limit reached High priority alarm. Inspiratory tidal volume exceeds Vti alarm limit for Check patient and ensure that
two consecutive breaths. Ventilation continues but cannot deliver ventilator settings are appropriate
selected Vt. for patient condition.
This section describes maintenance procedures including, cleaning and inspection, calibrations, preventive
maintenance, alarms testing, and disposal.
Touch screen Dampen a soft cloth with isopropyl alcohol or a nonabrasive glass cleaner and wipe the hard-coat
side of the screen. Do not use vinegar-based solutions. Handle the touch screen with care to
avoid scratches.
Ventilator Wipe with an appropriate bactericidal agent before each patient use. Do not use alcohol as a
exterior disinfectant: it does not harm the ventilator but is not proven to be an effective bactericidal or
bacteriostatic agent.
Includes housing, cart, basket, tray, gas supply hoses, power cords, communications adapters
and cables. Do not attempt to clean ventilator interior.
Patient Clean and sterilize reusable patient circuit components according to manufacturer
breathing recommendations. Replace and dispose of single patient use items between patients according to
circuit and manufacturer instructions.
nebulizer
Use only patient circuits and nebulizers that comply with relevant international standards
(ASTMF1100-90, F1054-87, ISO 5356-1, EN794-1, EN1281-1 and EN12342).
Humidification Clean and sterilize reusable active humidifiers according to manufacturer recommendations.
device Replace and dispose of single use passive humidification devices according to manufacturer
recommendations.
Use only humidification devices that comply with relevant international standards (EN 8185 1, ISO
9360 ASTMF1100-90, F1054-87, ISO 5356-1, EN794-1, EN1281-1 and EN12342).
Mask (silicone Steam autoclave, chemically disinfect, or ETO sterilize reusable accessories between patients -
rubber) Clean and sterilize according to manufacturer recommendations. Deflate air cushion before steam
autoclaving to prevent possibility of explosion
Avoid exposure to grease, oil, silicone-based lubricants, organic solvents (benzene, ether, ketone,
and chlorinated hydrocarbons), acids, concentrated alkaline cleaning products, and phenols and
derivatives.
EZ-Flow Reusable EZ-Flow sensor: Follow standard institutional operating procedure to clean then
proximal flow autoclave using 250 °F (121 °C) or 275 °F (134 °C), or cold sterilize between patients.
sensor Replace the flow sensor if damaged or after 50 sterilization cycles.
Remove and discard flow sensor tubing before cleaning the reusable sensor.
Single patient use (SPU) EZ-Flow sensor: replace and discard between patients. The SPU
EZ-Flow sensor and tubing are single use items: do not attempt to reuse or sterilize.
The flow sensor is designed for single-patient use. It is delivered clean and ready for patient
use.
If the sensor must be decontaminated, do not use hard brushes, pointed instruments, or
rough materials. These can damage the flow sensor membrane.
Exhalation Steam autoclave, chemically disinfect, or ETO sterilize the Exhalation
valve cover exhalation diaphragm between patients. Follow standard diaphragm
institutional operating procedure to autoclave at 250 °F
(121 °C) or 275 °F (134 °C).
Replace if damaged or after 100 autoclave cycles.
Solutions such as Medizyme, Pyroneg, Control 3,
Solution 2, and CIDEX® have been tested according
to the manufacturers’ guidelines. Other brand names
with similar active ingredients may also be suitable.
Do not autoclave if medications containing chlorinated Exh Cover
or aromatic hydrocarbons are used.
Exhalation Steam autoclave, chemically disinfect, or ETO sterilize the exhalation valve cover between
diaphragm patients. Follow standard institutional operating procedure to autoclave at 250 °F (121 °C) or
275 °F (134 °C).
Inspect the membrane for damage; replace if necessary.
Replace the diaphragm if damaged or after 10 autoclave cycles.
6.2 Calibrations
The ventilator provides a Calibrations option at the patient startup screen (Figure 46). Use Calibrations to
calibrate the proximal flow sensor, patient tubing system compliance/leak, or to calibrate the oxygen sensor,
Figure 46: Selecting Calibrations from Patient Startup Screen (Previous Patient Shown)
The Calibrations screen (Figure 47) allows you to select which calibration to perform, and displays the
calibration current calibration status.
Calibration status
The proximal flow sensor calibration requires at least one high-pressure gas
source.
Before performing a flow sensor calibration, select the humidity type in use (Warm Humidifier or Other). The
screen show status messages as it performs the calibration and when the calibration is complete.
If there is an error at any step during the calibration, the calibration stops and the ventilator displays the
appropriate error number and message. Check the flow sensor and circuit verify correct installation and repeat
the calibration. If the problem persists, contact a qualified service technician.
The screen show status messages as it performs the system test. The ventilator displays a message prompting
you to block the wye: use an appropriate stopper to block the wye and press OK to continue. If all steps are
successful, the calibration is complete.
If there is an error at any step during the calibration, the calibration stops and the ventilator displays the
appropriate number and message. Re-run the test verifying that the circuit is closed and the wye is open and
closed as prompted. If the problem persists, contact a qualified service technician.
The oxygen sensor calibration requires high-pressure sources of air and oxygen.
The screen show status messages as it performs the calibration and when the calibration is complete.
If there is an error at any step during the calibration, the calibration stops and the ventilator displays the
appropriate error number and message. Verify that the oxygen sensor is enabled and that all connections are
secure and repeat the calibration. If the problem persists, contact a qualified service technician.
Follow these instructions to test ventilator operation and the below alarms before attaching the ventilator to a
patient.
In addition to the alarms test, perform the System Test calibration (section 6.2.2) to verify breathing circuit
integrity. Correct any test failures and rerun tests before starting ventilation.
1. Select these settings and alarms:
2. High pressure alarm test: Allow the ventilator to cycle at the above settings with a test lung
(Puritan-Bennett part number 612 or equivalent) attached. Change the Ppeak high alarm limit to 6 cmH2O.
Verify that the high pressure alarm sounds after two breaths, and that patient pressure is limited to
6 cmH2O. Change the Ppeak High alarm setting back to 40 cmH2O.
6.5 Disposal
To dispose of the ventilator and its components and accessories:
Deliver the device, free of charge and duty paid, to the manufacturer for disposal, or
Surrender the device to a licensed private or public collection company, or
Properly recycle or dispose of the parts.
All disposals must comply with applicable local regulations. Consult the responsible authorities for guidance
and requirements. Recycling and disposal procedure must not:
Pose risk to human health.
Damage the environment.
Cause a noise or odor nuisance.
Damage the surroundings or landscape.
The internal batteries and galvanic oxygen sensor cell contain lead and acid. Dispose of
these materials according to hospital procedures and local governing ordinances.
Risk of electrocution! Some of the device’s electronic components carry AC mains
voltage.
Always disconnect the mains plug and remove the internal battery before opening the
ventilator...
This section describes ventilation modes, monitored values, and gas mixing for the Inspiration 7i
Ventilator SystemVentilation Modes
The Inspiration 7i Ventilator System offers these ventilation modes:
V–CMV (volume controlled continuous mandatory ventilation)
V–SIMV (volume controlled synchronized intermittent mandatory ventilation)
PRVC–CMV (pressure regulated volume control continuous mandatory ventilation)
PRVC–SIMV (pressure regulated volume control synchronized intermittent mandatory ventilation)
P–CMV (pressure controlled continuous mandatory ventilation)
P–SIMV (pressure controlled synchronized intermittent mandatory ventilation)
SPONT (spontaneous ventilation, CPAP + PS) and NIV (noninvasive ventilation, CPAP + PS)
VS (volume support, volume targeted ventilation)
SPAP (spontaneous positive airway pressure ventilation, dual PEEP mode)
NCPAP+ (nasal continuous positive airway pressure with rate and base flow control)
V-CMV settings include Rate, Vt, PEEP, O2, Flow Pat., I:E (European philosophy) or Flow (US philosophy),
Tplateau, Trigger (Ftrig or Ptrig).
The ventilator automatically limits the setting range for Rate, I:E, Peak Flow and Plateau to ensure that:
Inspiration time is never less than 100 ms or 10 % of the breath.
Exhalation time is never less than 200 ms or 20 % of the breath.
During the spontaneous phase, peak inspiratory flow is the criterion for switching from inspiration to exhalation
(breaths are not time-controlled). When inspiratory flow drops to the set exhalation sensitivity (a percentage of
peak flow), exhalation begins.
In SIMV, the rate setting determines the number of mandatory breaths per minute. The I:E and peak flow
settings apply to the mandatory breaths.
SIMV settings include Rate, Vt, PEEP, O2, Flow Pat. I:E (European philosophy) or Flow (US philosophy),
Tplateau, Trigger (Ftrig or Ptrig), Psupport, Esens, and Rise Time.
The ventilator automatically limits the setting range for Rate, I:E, Peak Flow and Plateau to ensure that:
Inspiration time is never less than 10 % of the breath.
Exhalation time is never less than 20 % of the breath.
Maximum peak flow is 180 l/min (3 l/second).
P-CMV settings include Rate, PEEP, O2, I:E (European philosophy) or Flow (US philosophy), Ti, Pcontrol,
Trigger (Ftrig or Ptrig), and Rise Time.
The ventilator automatically limits the setting range for Rate, I:E, I time and Rise Time to ensure that:
Inspiration time is never less than 10 % of the breath.
Exhalation time is never less than 20 % of the breath.
Pcontrol is greater than or equal to PEEP + 5 cmH20.
ed
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P-SIMV settings include Rate, PEEP, O2, I:E (European philosophy) or Flow (US philosophy), Ti, Pcontrol,
Psupport, Trigger (Ftrig or Ptrig), Esens, and Rise Time.
SPONT mode settings include PEEP, O2, Psupport, Trigger (Ftrig or Ptrig), Esens, and Rise time.
During NCPAP+, ensure that a qualified caregiver observes the patient at all times. Due to
the high resistance of infant nasal prongs and large leaks that are typical of infant
ventilation, it is possible for no alarm to occur if the nasal prongs are attached to the
circuit but are out of the patient’s nose.
Ensure that the proximal pressure line is properly connected to the circuit (central to the
nasal prongs or on the exhalation side) and the ventilator (right-most port of the Flow
sensor connector).
If using the proximal flow sensor, ensure that the flow sensor calibration is performed on
an infant flow sensor.
For safety reasons a redundant backup pressure trigger of 2 cmH20 is always active. Flow triggering is disabled
if the flow sensor is incorrectly calibrated, or a flow sensor alarm is active.
Pressure
Flow
triggering
triggering
If gas supplies fail, the gas mixing system tries to maintain tank pressure if possible so that ventilation can
continue at the defined settings. The optional internal compressor automatically starts if the wall air supply
pressure drops below 29 psi (2 bar).
Oxygen and air supplies normal Gas mixture accuracy ± 1% FIO2 full scale. None.
Oxygen supply normal, compressor on Ventilator switches to compressor operation Air supply alarm.
(air supply failure) when air supply fails. Gas mixture accuracy ± 5%
FIO2 full scale.
Compressor operation is only available if
compressor backup is installed and enabled.
Flow sensor calibration and nebulizer function are
not available.
Oxygen supply normal, air supply and Ventilator supplies 100% oxygen. Air supply alarm.
compressor failure Compressor operation is only available if
compressor backup is installed and enabled.
Oxygen supply failure, air supply normal Ventilator supplies 100% air. O2 supply alarm.
Oxygen supply failure, compressor on Ventilator supplies 100% air from the O2 supply alarm.
(air supply failure) compressor.
Compressor operation is only available if
compressor backup is installed and enabled.
Oxygen supply failure, air supply and No gas delivery. Air supply, O2 supply alarms.
compressor not installed
Oxygen supply failure, air supply and No gas delivery. Air supply, O2 supply alarms.
compressor failure
This section describes the ventilator nurse call and RS232 serial communication ports.
Pin Function
1 Not in use
2 NC (Normal Closed)
3 NO (Normal Open)
4 Not in use
5 Common
6 1
Not in use
6
Pin Function
The MISCA command response is designed to be compatible with the MISCA command
response from Puritan-Bennett Ventilators, including the 7200, 700 Series, and 800 Series.
In the fields where the command response differs from Puritan-Bennett ventilators, the
field description describes the difference.
1 MISCA (5 characters)
103 <CR>
Abbreviation Definition
A Ampere
AC Alternating current
ATPD Actual temperature and pressure, dry
Auto control A setting that allows automatic transition between mandatory and spontaneous mode settings
b/min Breaths per minute
BTPS Body temperature and pressure, saturated
c/min Cycles per minute (SPAP mode setting)
CB Clinical bulletin
–3
cmH2O Centimeter of water pressure (1 cmH2O = 10 bar)
Cstat Static compliance
Cstat/kg Static compliance normalized to IBW
DC Direct current
Decel Decelerating flow pattern (ramp)
Decel 50% Decelerating 50% flow pattern (ramp)
Esens Exhalation sensitivity
F/V Flow-volume loop
FIO2 Fraction of inspired oxygen (oxygen concentration)
FRC Functional residual capacity
Ftrig Flow trigger level
GUI Graphical user interface
H:L Ratio of time at high to low PEEP levels (SPAP mode setting and monitored value)
HME Heat-moisture exchanger
Hz Hertz (1 Hz = 1 cycle/sec )
I:E Ratio of inspiratory to expiratory times
ID Internal diameter
l Liter
l/min Liters per minute
LCD Liquid crystal display
Leak Calculated leak
–3
ml Milliliter (1 ml = 10 l)
ms Millisecond
NCPAP+ Nasal continuous positive airway pressure plus with rate and base flow
NIV Noninvasive ventilation
O2 Oxygen
P-CMV Pressure control continuous mandatory ventilation
P/V Pressure-volume loop
Pcontrol Control pressure, inspiratory pressure during a pressure based breath
PEEP Positive end expiratory pressure
Abbreviation Definition
PF Peak flow
PFe Peak expiratory flow
Phigh High PEEP level (SPAP mode setting)
Plow Low PEEP level (SPAP mode setting)
Pmean Mean inspiratory pressure
Ppeak Peak inspiratory pressure
Pplateau Plateau (inspiratory hold) pressure
Prox Proximal
PRVC Pressure regulated volume control
PRVC-CMV Pressure Regulated Volume Control Continuous Mandatory Ventilation (a VTV mode)
PRVC-SIMV Pressure regulated volume control synchronized intermittent mandatory ventilation, a VTV mode
PS Pressure support
psi Pressure per square inch (1 bar = 14.50 psi)
P-SIMV Pressure control synchronized intermittent mandatory ventilation
Psup high Level of pressure support in addition to high PEEP (SPAP mode setting)
Psup low Level of pressure support in addition to low PEEP (SPAP mode setting)
Psupport Pressure support
Ptrig Pressure trigger level
Rate Measured total (mandatory and spontaneous) breaths per minute
Rate Sp Rate of spontaneous breathes per minute
Rate/Vt Calculated respiratory rate divided by tidal volume (rapid shallow breathing index)
Rinsp Inspiratory resistance
RS232 Serial interface
RSBI Rapid shallow breathing index (a monitored value)
S second
SPAP Spontaneous Positive Airway Pressure
SPONT Spontaneous Ventilation
Square Square wave flow pattern
STPD Standard temperature and pressure, dry
Tapnea Apnea alarm limit
Te Expiratory time
TF Technical fault
Thigh Time at high PEEP level (SPAP mode setting)
Ti Set inspiratory time
Ti Monitored inspiration time
Ti/Ttot Calculated inspiratory time divided by total cycle time
TIB Technical Information Bulletin
Tlow Time at low PEEP level (SPAP mode setting)
TS Touch screen
UI User interface
Abbreviation Definition
V Volt
V-CMV Volume Control Continuous Mandatory Ventilation
V-SIMV Volume Control Synchronized Intermittent Mandatory Ventilation
VA Volt-ampere (watt)
VAC Volt, alternating current
VDC Volt, direct current
Ve Exhaled minute volume
Ve Spont Spontaneous minute volume
Ve/Kg Minute volume normalized to IBW
VS Volume Support (a VTV mode)
Vte Exhaled tidal volume
Vte/Kg Exhaled tidal volume normalized to IBW
Vti Inspired tidal volume
VTV Volume targeted ventilation
W Watt
WBM Web based monitoring
μA Microampere