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H-046-021084-00 SV70 Operator's Manual (EN) - V1.0
H-046-021084-00 SV70 Operator's Manual (EN) - V1.0
Ventilator
Operator’s Manual
© 2021 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of
the information in this manual in any manner whatsoever without the written permission of Mindray
is strictly forbidden. Release, amendment, reproduction, distribution, rental, adaptation, translation or
any other derivative work of this manual in any manner whatsoever without the written permission
of Mindray is strictly forbidden.
All information contained in this manual is believed to be correct. Mindray shall not be liable for
errors contained herein or for incidental or consequential damages in connection with the furnishing,
performance, or use of this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
• all installation operations, expansions, changes, modifications and repairs of this product are
conducted by Mindray authorized personnel;
• the electrical installation of the relevant room complies with the applicable national and local
requirements; and
• the product is used in accordance with the instructions for use.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other
charges or liability for direct, indirect or consequential damages or delay resulting from the improper
use or application of the product or the use of parts or accessories not approved by Mindray or
repairs by people other than Mindray authorized personnel.
Tel: 0049-40-2513175
Fax: 0049-40-255726
These events, include device-related death and serious injury or illness. In addition, as part of our
Quality Assurance Program, SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. requests to
be notified of device failures or malfunctions. This information is required to ensure that SHENZHEN
MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. provides only the highest quality products.
This manual is based on the maximum configuration and therefore some contents may not apply to
your product. If you have any question, please contact us.
This manual is an integral part of the product. It should always be kept close to the equipment so that
it can be obtained conveniently when needed.
Intended Audience
This manual is geared for clinical professionals who are expected to have a working knowledge of
medical procedures, practices and terminology as required for monitoring of critically ill patients.
Illustrations
All illustrations in this manual serve as examples only. They may not necessarily reflect the setup or
data displayed on your ventilator.
Conventions
• Italic text is used in this manual to quote the referenced chapters or sections.
• [ ] is used to enclose screen texts.
• → is used to indicate operational procedures.
Password
A password is required to access different menus within the ventilator.
Table of Contents
Intellectual Property Statement.......................................................................................................................................................................................................................1
Responsibility on the Manufacturer Party..................................................................................................................................................................................................1
Warranty..........................................................................................................................................................................................................................................................................2
Exemptions ...................................................................................................................................................................................................................................................................2
Customer Service Department.........................................................................................................................................................................................................................2
Notification of Adverse Events..........................................................................................................................................................................................................................2
Preface..............................................................................................................................................................................................................................................................................3
Table of Contents......................................................................................................................................................................................................................................................5
Safety.................................................................................................................................................................................... 1 - 1
Safety Information .............................................................................................................................................................................................................................................. 1 - 2
WARNING .................................................................................................................................................................................................................................................... 1 - 2
CAUTION...................................................................................................................................................................................................................................................... 1 - 5
NOTE............................................................................................................................................................................................................................................................... 1 - 7
Device Symbols.................................................................................................................................................................................................................................................... 1 - 7
Symbols on the Ventilator/Package/Labeling ..................................................................................................................................................................... 1 - 7
Interface Symbols................................................................................................................................................................................................................................... 1 - 9
The Basics ............................................................................................................................................................................ 2 - 1
Introduction............................................................................................................................................................................................................................................................ 2 - 2
Intended Use............................................................................................................................................................................................................................................. 2 - 2
Product Description.............................................................................................................................................................................................................................. 2 - 2
Product Appearance ......................................................................................................................................................................................................................................... 2 - 4
Front View................................................................................................................................................................................................................................................... 2 - 4
Rear View ..................................................................................................................................................................................................................................................... 2 - 6
Side View ..................................................................................................................................................................................................................................................... 2 - 8
Installations......................................................................................................................................................................... 3 - 1
Install Main Unit.................................................................................................................................................................................................................................................... 3 - 2
Connect Power Supply.................................................................................................................................................................................................................................... 3 - 3
Connect O2 Supply............................................................................................................................................................................................................................................ 3 - 3
Connect High-pressure O2 Supply ............................................................................................................................................................................................. 3 - 4
Connect Low-pressure O2 Supply............................................................................................................................................................................................... 3 - 5
Install Backup Gas Cylinder ........................................................................................................................................................................................................................... 3 - 6
Install IV Pole .......................................................................................................................................................................................................................................................... 3 - 7
Install Support Arm ............................................................................................................................................................................................................................................ 3 - 8
Install Humidifier.................................................................................................................................................................................................................................................. 3 - 9
Install Nebulizer.................................................................................................................................................................................................................................................... 3 - 10
Install Patient Tubing ........................................................................................................................................................................................................................................3 - 10
Install O2 Sensor .................................................................................................................................................................................................................................................. 3 - 12
Install Auxiliary Pressure Monitoring Accessories ........................................................................................................................................................................... 3 - 13
Install O2 Therapy Accessories.................................................................................................................................................................................................................... 3 - 13
Install CO2 Monitoring Accessories ......................................................................................................................................................................................................... 3 - 13
Install SpO2 Monitoring Accessories....................................................................................................................................................................................................... 3 - 13
Interface ............................................................................................................................................................................... 4 - 1
Display Control ..................................................................................................................................................................................................................................................... 4 - 2
Waveforms............................................................................................................................................................................................................................................................... 4 - 3
Measured Values.................................................................................................................................................................................................................................................. 4 - 4
Big Numeric ............................................................................................................................................................................................................................................................ 4 - 5
History ........................................................................................................................................................................................................................................................................ 4 - 5
Graphic Trend........................................................................................................................................................................................................................................... 4 - 6
Tabular Trend............................................................................................................................................................................................................................................ 4 - 7
Setting Trends .......................................................................................................................................................................................................................................... 4 - 8
Event Logbook......................................................................................................................................................................................................................................... 4 - 8
Freeze ......................................................................................................................................................................................................................................................................... 4 - 9
Enter Freeze Status................................................................................................................................................................................................................................ 4 - 9
Exit Freeze Status.................................................................................................................................................................................................................................... 4 - 9
Screenshot............................................................................................................................................................................................................................................................... 4 - 9
Lock Screen............................................................................................................................................................................................................................................................. 4 - 9
System Setup ...................................................................................................................................................................... 5 - 1
Export via USB ....................................................................................................................................................................................................................................................... 5 - 2
Export Screenshot.................................................................................................................................................................................................................................. 5 - 2
Export Data................................................................................................................................................................................................................................................. 5 - 2
Transfer Settings ..................................................................................................................................................................................................................................... 5 - 2
Basic Settings ......................................................................................................................................................................................................................................................... 5 - 3
Set IBW/Height ........................................................................................................................................................................................................................................ 5 - 3
Set Increase O2% During O2 ↑.................................................................................................................................................................................................... 5 - 3
Set O2 Sensor Monitoring................................................................................................................................................................................................................. 5 - 3
Set O2 Supply Type............................................................................................................................................................................................................................... 5 - 4
Interface Settings................................................................................................................................................................................................................................................. 5 - 4
Screen Brightness Adjustment ...................................................................................................................................................................................................... 5 - 4
Key Volume Adjustment.................................................................................................................................................................................................................... 5 - 4
Screen Setup ............................................................................................................................................................................................................................................. 5 - 4
Color Setup ................................................................................................................................................................................................................................................ 5 - 4
System Setup......................................................................................................................................................................................................................................................... 5 - 5
Time and Date Setup ........................................................................................................................................................................................................................... 5 - 5
Language Setup...................................................................................................................................................................................................................................... 5 - 5
Unit Setup ................................................................................................................................................................................................................................................... 5 - 5
Minimum Alarm Volume Setup .................................................................................................................................................................................................... 5 - 5
Change Password .................................................................................................................................................................................................................................. 5 - 6
Set Ventilator Location........................................................................................................................................................................................................................ 5 - 6
Patient Management........................................................................................................................................................................................................................... 5 - 6
Default Value Management............................................................................................................................................................................................................. 5 - 6
Nurse Call Setup...................................................................................................................................................................................................................................... 5 - 7
Network Setup ......................................................................................................................................................................................................................................... 5 - 7
View System Information .................................................................................................................................................................................................................. 5 - 9
View Open Source information..................................................................................................................................................................................................... 5 - 9
Manufacturer Service Setup ......................................................................................................................................................................................................................... 5 - 9
Start Ventilation ................................................................................................................................................................. 6 - 1
Start System............................................................................................................................................................................................................................................................ 6 - 2
Patient Management........................................................................................................................................................................................................................................ 6 - 2
Set Patient Information on the Ventilator............................................................................................................................................................................... 6 - 2
Get Patient Information from ADT Server............................................................................................................................................................................... 6 - 2
Select Mask/ET ...................................................................................................................................................................................................................................................... 6 - 3
Whether to Connect Exhalation Port...................................................................................................................................................................................................... 6 - 3
Ventilation Mode................................................................................................................................................................................................................................................. 6 - 3
Ventilation Mode and Parameter Setup .................................................................................................................................................................................. 6 - 4
Continuous Positive Airway Pressure (CPAP) Ventilation Mode ............................................................................................................................... 6 - 4
Spontaneous/Timed (S/T) Ventilation Mode ........................................................................................................................................................................ 6 - 5
Spontaneous (S) Ventilation Mode ............................................................................................................................................................................................. 6 - 6
Timed (T) Ventilation Mode ............................................................................................................................................................................................................. 6 - 7
Pressure-Assist/Control (P-A/C) Ventilation Mode ............................................................................................................................................................ 6 - 8
Volume Assured Pressure Support (VAPS) Ventilation Mode..................................................................................................................................... 6 - 9
Proportional Pressure Ventilation (PPV) Mode..................................................................................................................................................................... 6 - 10
Spontaneous/Timed Ventilation Plus (S/T+) Ventilation Mode ................................................................................................................................ 6 - 12
O2 Therapy................................................................................................................................................................................................................................................. 6 - 13
Ventilation Additives .........................................................................................................................................................................................................................................6 - 16
Backup Ventilation Mode.................................................................................................................................................................................................................. 6 - 16
Leakage Compensation ..................................................................................................................................................................................................................... 6 - 16
Adaptive EPAP.......................................................................................................................................................................................................................................... 6 - 17
Pressure Relief........................................................................................................................................................................................................................................... 6 - 17
EasySync™ ................................................................................................................................................................................................................................................... 6 - 17
Ramp.............................................................................................................................................................................................................................................................. 6 - 18
Alarm Limit Setup ............................................................................................................................................................................................................................................... 6 - 19
Start Ventilation.................................................................................................................................................................................................................................................... 6 - 19
Ventilation Parameters..................................................................................................................................................................................................................................... 6 - 20
Enter Standby Mode ......................................................................................................................................................................................................................................... 6 - 21
Power off System................................................................................................................................................................................................................................................. 6 - 22
CO2 Monitoring .................................................................................................................................................................. 7 - 1
Overview................................................................................................................................................................................................................................................................... 7 - 2
Prepare for Measurement.............................................................................................................................................................................................................................. 7 - 3
CO2 Setup................................................................................................................................................................................................................................................................ 7 - 4
Set CO2 Monitoring.............................................................................................................................................................................................................................. 7 - 4
Set BTPS Compensation..................................................................................................................................................................................................................... 7 - 4
Set Null for 30s from Zeroing.......................................................................................................................................................................................................... 7 - 5
Set CO2 Unit .............................................................................................................................................................................................................................................. 7 - 5
Influencing Factors of Measurement...................................................................................................................................................................................................... 7 - 5
Troubleshooting .................................................................................................................................................................................................................................................. 7 - 6
Zero the Sensor .................................................................................................................................................................................................................................................... 7 - 6
Calibrate the Sensor .......................................................................................................................................................................................................................................... 7 - 6
SpO2 Monitoring................................................................................................................................................................ 8 - 1
Overview................................................................................................................................................................................................................................................................... 8 - 2
Safety Information .............................................................................................................................................................................................................................................. 8 - 3
Monitoring Steps................................................................................................................................................................................................................................................. 8 - 3
SpO2 Setup ............................................................................................................................................................................................................................................................. 8 - 4
Set SpO2 Monitoring ........................................................................................................................................................................................................................... 8 - 4
Set Sensitivity............................................................................................................................................................................................................................................ 8 - 4
Set Pulse Volume.................................................................................................................................................................................................................................... 8 - 4
Set Sweep Speed.................................................................................................................................................................................................................................... 8 - 4
Influencing Factors of Measurement...................................................................................................................................................................................................... 8 - 4
Special Functions ............................................................................................................................................................... 9 - 1
O2 ↑ .......................................................................................................................................................................................................................................................................... 9 - 2
Auxiliary Pressure................................................................................................................................................................................................................................................. 9 - 2
Connect Auxiliary Pressure Monitoring Accessories ........................................................................................................................................................ 9 - 3
Turn on or off Auxiliary Pressure ................................................................................................................................................................................................... 9 - 3
Zero Auxiliary Pressure........................................................................................................................................................................................................................ 9 - 3
Alarms.................................................................................................................................................................................10 - 1
Introduction......................................................................................................................................................................................................................................................... 10 - 2
Alarm Types ......................................................................................................................................................................................................................................................... 10 - 2
Alarm Priority ...................................................................................................................................................................................................................................................... 10 - 2
Alarm Signals ...................................................................................................................................................................................................................................................... 10 - 2
Alarm Lamps .......................................................................................................................................................................................................................................... 10 - 3
Audible Alarms ..................................................................................................................................................................................................................................... 10 - 3
Alarm Messages ................................................................................................................................................................................................................................... 10 - 3
Flashing Alarm Parameters ........................................................................................................................................................................................................... 10 - 3
Alarm Status Icon ................................................................................................................................................................................................................................ 10 - 3
Set Alarm Volume ............................................................................................................................................................................................................................................ 10 - 4
Safety Information....................................................................................................................................................................................1-2
Device Symbols .........................................................................................................................................................................................1-7
CAUTION — Indicates a potential hazard or unsafe practice that, if not avoided, could result in minor
personal injury, product fault, damage or property loss.
NOTE — Highlights important precautions and provides descriptions or explanations for better use
of this product.
1.1.1 WARNING
WARNING: The ventilator must be operated and used by authorized and well-
trained medical personnel only. Unauthorized or untrained personnel
shall never be allowed to perform any operations. The ventilator must
be operated strictly following the Operator's Manual.
WARNING: The equipment, cables and accessories must be inspected before use to
guarantee their proper and safe operation.
WARNING: To avoid the risk of electric shock, this equipment must be connected to
a properly installed power outlet with protective earth terminal only.
Do not use the power outlet if it is not connected to a protective earth
terminal. Use the lithium ion batteries temporarily to supply power to
the equipment.
WARNING: Use external power source (AC power) before the batteries are
depleted.
WARNING: Do not place the ventilator adjacent to any barrier, which may prevent
cold air from flowing, resulting in equipment overheat.
WARNING: Do not open the case of the equipment, as you may suffer an electric
shock. All servicing and upgrading operations of the equipment must
be carried out by the service personnel trained and authorized by the
manufacturer only.
WARNING: Set alarm volume and alarm limits based on the patient’s actual
condition. Do not rely exclusively on the audible alarm system for
patient monitoring. Adjustment of alarm volume to a low level may
result in a hazard to the patient. Always keep an eye on the patient's
actual clinical situations.
WARNING: All staff should be aware that disassembling or cleaning some parts of
the ventilator can cause risk of infection.
WARNING: The service mode can only be accessed when the equipment is
disconnected from the patient.
WARNING: Do not use antistatic or conductive masks or patient tubings when high
frequency surgical equipment is in use as this may cause burns.
WARNING: All analog or digital devices connected to this system must be certified
to specified standards (such as IEC 60950-1 for data processing
equipment and IEC 60601-1 for medical electrical equipment). All
configurations shall comply with the valid version of IEC 60601-1. The
personnel connecting the optional equipment to the I/O signal port
shall be responsible for medical system configuration and system
compliance with IEC 60601-1 as well.
WARNING: Do not touch the patient when connecting the peripheral equipment
via the I/O signal ports or replacing the O2 sensor, to prevent patient
leakage current from exceeding the requirements specified by the
standard.
WARNING: When the ventilator's gas supply input system fails or has faults, please
contact the manufacturer immediately for service by specified
personnel.
WARNING: The ventilator shall not be used with helium or mixtures with helium.
WARNING: Remove the support arm and IV pole before moving the ventilator to
prevent the ventilator from tipping.
WARNING: The oxygen and air gas mixer of the ventilator contains no grease and
thus no de-grease process is needed. Do not use lubricants that contain
oil or grease, and rubber hose assembly should not be contaminated
with grease. Oil- or grease-containing lubricants may burn up or
explode when exposed to a high O2 concentration.
WARNING: The maximum pressure of hose is 1.4 MPa@21ºC and please check
whether its gas supply pressure meets hose requirements before
usage.
WARNING: Hose connectors adopt standardized gas terminal connector with gas
nature. Different types of gas and gas with different pressures shall not
be exchanged with each other.
WARNING: The ventilator arm could bear 1kg maximally and do not hang over 1kg
goods.
WARNING: After the ventilator is installed or the main control board is replaced,
please set the altitude again. After the altitude setting is modified,
please perform flow calibration (factory).
WARNING: Do not block the air intake on the rear of the ventilator.
WARNING: Ensure that the ventilator is securely fixed to the trolley or placed on a
safe and steady surface to prevent personal injury and equipment
damage.
WARNING: Keep the brake down when the ventilator is moved into place to
prevent unexpected movement of and damage to the equipment.
WARNING: Avoid the use of polluted air. When the equipment uses air as gas
source for ventilation, if the air is polluted, harmful substance may
enter the patient tubing.
WARNING: When a [Technical Error **] alarm is triggered, remove the equipment,
record the error code and contact the Customer Service Department
immediately to prevent damage to the patient caused by equipment
faults.
WARNING: Do not splash liquid onto the ventilator to prevent ventilator faults.
WARNING: Blower fan could cause gas to be heated. To reduce the temperature of
gas inside the patient tubing and prevent patient injury accordingly,
ensure that the length of patient tubing from the humidifier to patient-
end port is greater than 1.2 meters.
WARNING: Check whether the alarm limits have been appropriately set before
starting ventilation.
WARNING: Stop using the ventilator immediately and contact the Customer
Service Department when the buzzer sounds an alarm.
WARNING: Use the power cord provided by the manufacturer to prevent power
failure or poor contact.
WARNING: Hazard can exist if different alarm presets are used for the same or
similar equipment in any single area. Please read the manual to confirm
alarm presets for the ventilator before use.
WARNING: This ventilator is a high flow device and should only be connected to a
pipeline installation that allows for the indicated required flow at the
terminal outlets, in order to avoid exceeding the pipeline flow
capabilities and to minimize the risk that the ventilator interferes with
adjacent equipment operation.
1.1.2 CAUTION
CAUTION: The ventilator must be inspected and serviced regularly by trained
service personnel.
CAUTION: Always have a dedicated person attend and monitor the operations on
the equipment once the ventilator is connected to the patient.
CAUTION: Use only the accessories specified in this manual to ensure patient
safety.
CAUTION: Dispose of the equipment and its accessories that approach the end of
service life in compliance with applicable local laws and regulations or
hospital regulations.
CAUTION: Ensure that the voltage and frequency of the power supply fall into the
specified ranges on the equipment's label or in this manual before
connecting the equipment to a power supply.
CAUTION: Always install or transfer the equipment carefully to prevent the it from
fall, collision, violent vibration or other damage from external
mechanical force.
CAUTION: Check whether the reusable patient tubing is damaged or leaky before
use. If so, do not use it.
CAUTION: Disconnect the power plug to electrically isolate the ventilator tubings
from all electrodes of the input power. Do not position the Ventilator so
that it is difficult to operate the plug.
CAUTION: To minimize the risk of fire, do not use the gas supply hose assemblies
that are worn or contaminated with combustible materials (such as
grease or oil).
CAUTION: Clinicians are responsible for ensuring that all ventilator settings are
appropriate.
CAUTION: Ensure that the ventilator is set up for appropriate patient type with the
proper patient tubing to prevent possible patient injury.
CAUTION: Perform pressure zeroing before use of the ventilator, or when the
measured values have deviations.
CAUTION: Ensure that the ventilator's ventilation parameters have been properly
set before starting ventilation to prevent patient injury.
CAUTION: Do not force open the O2 cell or throw it into fire to reduce the risk of
explosion.
CAUTION: When ventilating with a mask, avoid high airway pressure, which may
lead to gastric distension.
CAUTION: Use only hoses that have been approved to serve medical purposes and
for connection with oxygen supplies and ventilators to reduce the risk
of fire.
CAUTION: Ensure the ventilation at the rear side of the ventilator to reduce the
risk of fire.
CAUTION: Switch off the oxygen supply when the ventilator is not in a ventilating
status to reduce the risk of fire.
CAUTION: Avoid storing the ventilator in an environment that is higher than 50°C
in temperature for a long time. Such environment may damage or
shorten the battery lives of internal battery and O2 cell.
CAUTION: Use only the specified fuses or the fuses of the same type, rated
voltage, and rated current with the current fuses to prevent the risk of
fire. Contact the Customer Service Department when it is necessary to
replace the fuse.
CAUTION: Before moving the ventilator, ensure that the casters and brakes can
work properly, and the main unit is locked on the trolley.
CAUTION: Please use dry and clean medical oxygen as gas supply. Moisture in the
gas supply may lead to equipment faults.
1.1.3 NOTE
NOTE: Put the ventilator and its components in a location that facilitates
observation, operation and maintenance.
NOTE: Keep this manual close to the equipment so that it can be obtained
conveniently when needed.
NOTE: The software of the equipment was developed in compliance with the
IEC 62034, with potential risks from program errors minimized.
NOTE: This manual describes the product for the purpose of fully covering its
functions and configuration options, and the product you have
purchased may not support part of these functions or configuration
options.
Caution! WARNING
Fuse Equipotentiality
Protective earth
Stand-by
(ground)
Oxygen supply
Nurse call connector
connector
Oxygen sensor
Ventilator gas outlet
connector
Atmospheric pressure
Keep dry
limitation
Stacking limit by
Recyclable
number: n = 5
European community
Serial number
representative
Degree of protection
IP21 against harmful ingress Inspiration connector
of water
Defibrillation-proof type
Pushing prohibited
BF applied part
The following definition of the WEEE label applies to EU member states only.
This symbol indicates that this product should not be treated as household
E
waste. By ensuring that this product is disposed of correctly, you will help
prevent bringing potential negative consequences to the environment and
human health. For more detailed information with regard to returning and
recycling this product, please consult the distributor from whom you purchased
it.
* For system products, this label may be attached to the main unit only.
Freeze Screenshot
Blower needs to be
Blower
maintained
Day mode
Introduction .................................................................................................................................................................................................2-2
Product Appearance...............................................................................................................................................................................2-4
2.1 Introduction
2.1.1 Intended Use
2.1.1.1 Intended Purpose Statement
The ventilator is intended for providing ventilation assistance and breathing support for patients.
2.1.1.5 Contraindications
There is no absolute contraindication for this product. For some special diseases, however, some
necessary treatments shall be taken for ventilator mechanical ventilation, or special ventilation
modes shall be adopted to prevent possible patient injury.
2.1.1.6 Side-effects
None.
The ventilator is applicable to the patient environment. Connect the patient to the ventilator via the
patient tubing. Applied parts of the ventilator include the SpO2 module accessories, CO2 module
accessories, auxiliary pressure monitoring accessories, patient tubings and masks.
10
2 11
3 12
13
5
6
7
1 8
2
3 9
4 10
11
1 4
5
2
A. Main unit
B. Unlock key of the trolley
Installation steps:
Place the main unit securely on the trolley, with the main unit aligned to locating pins.
To remove the main unit off the trolley, press the unlock key of the trolley and then lift up the main
unit with both hands.
WARNING: Inspect the O2 supply connector carefully and ensure that there is no
leakage. High leakage may result in the oxygen concentration around
the equipment higher than the normal atmospheric level to create an
oxygen-enriched environment that contains potential hazards.
WARNING: Place the O2 supply hose carefully and avoid its exposure to the
environment in which possible damage to the O2 supply hose is easily
caused by cut or heating.
WARNING: To reduce the risk of fire, do not use a low-pressure O2 supply that
delivers a flow greater than 15 L/min.
CAUTION: Do not use the humidifier and oxygen generator together when the
oxygen generator is used as a gas supply of ventilator. If the oxygen
generator is equipped with a humidifier, drain the water away from the
humidifier or remove the humidifier before using the ventilator.
CAUTION: The setting of oxygen concentration is invalid when using the low-
pressure O2 supply. To prevent possible patient injury, use the low-
pressure O2 supply only when it can provide sufficient oxygen.
CAUTION: Before starting ventilation, ensure that the oxygen supply is correctly
set. Set the high-pressure oxygen or low-pressure oxygen according to
the actual situation. Refer to (page 5-4) 5.2.4 “Set O2 Supply Type”to
read the setting method.
CAUTION: The low-pressure oxygen hose assembly shall comply with the
requirements of ISO 5359.
1. Check if the sealing ring at the gas supply connection is intact before connecting the gas supply
hose. If the sealing ring is damaged, do not use the hose. Replace the sealing ring to prevent
leakage.
2. Insert the connector into the high-pressure O2 supply inlet on the rear of the ventilator.
3. Ensure that the gas supply hose is properly connected to the gas supply inlet and tighten the
hose nut by hand.
To connect the low-pressure O2 supply, align the low-pressure O2 supply hose with and insert it into
the low-pressure O2 supply connector. When a click is heard, it indicates that the gas supply hose is
inserted in place. Depress the metal dome on the low-pressure O2 supply connector to remove the
gas supply hose.
A. IV pole
B. Locking nut
Installation steps:
Align the IV pole to the installing hole and tighten the locking nut.
E
D
C F
G
B
1. Align the support arm to the installing hole and tighten the locking nut.
2. Adjust the support arm.
a. Loosen the handle on Joint A, C or E of the support arm.
b. Adjust the support rod to the desired position and tighten the handle on the joint.
3. Hang the patient tubing on the tube hook.
WARNING: To prevent possible patient injury and equipment damage, ensure the
humidifier is set to appropriate temperature and humidity.
NOTE: The humidifier shall comply with the requirements of ISO 80601-2-74.
Refer to the humidifier accompanying directions for use to install and
use the humidifier. The humidifier assembly and its installation steps
described in this section are only for reference.
C
A
D
1. Align the humidifier to the fixing seat of the humidifier bracket and slide the humidifier in.
2. Tighten the screws.
WARNING: Keep the electronic nebulizer upright while attaching to the patient
tubing. This orientation helps prevent patient secretions and
condensate from contaminating the aerosol generator of the nebulizer
and ensures proper nebulization.
CAUTION: The remaining nebulized drug will affect the ambient air.
NOTE: Do not use a Heat & Moisture Exchange (HME) in the patient tubing
during nebulization.
NOTE: Connecting the nebulizer between the patient connector and the
endotracheal tube increases dead space ventilation.
CAUTION: The patient tubing shall comply with the requirements of ISO 5367.
CAUTION: The bacteria filters shall comply with the requirements of ISO 23328-1
and ISO 23328-2.
CAUTION: The Heat & Moisture Exchange (HME) shall comply with the
requirements of ISO 9360-1 and ISO 9360-2.
F
A G
B H
A. Mask
B. Exhalation port
C. Patient tubing
D. Proximal pressure monitoring sampling line
E. Watertrap
F. Bacteria filter
G. Proximal pressure monitoring port
H. Proximal filter
Installation steps:
1. Install the bacteria filter onto the inspiratory port of the ventilator.
2. Connect the bacteria filter to the humidifier inlet via the patient tubing.
3. Connect the humidifier outlet to the watertrap via the patient tubing.
4.
• If the oro-nasal mask (non-vented) or the ET/Trach tube is used, the exhalation port is
needed. Connect the watertrap to the exhalation port via the tubing, then connect the
exhalation port and mask or ET/Trach tube.
• If the oro-nasal mask (vented) or total face/nasal mask is used:
• If the exhalation port is not used, connect the watertrap to the face/nasal mask via the tubing.
• If the exhalation port is used, connect the watertrap to the exhalation port via the tubing, then
connect the exhalation port to the face/nasal mask.
5. Connect the proximal pressure monitoring sampling line to the proximal pressure monitoring
port.
6.
• If the exhalation port is used, connect the proximal pressure monitoring sampling line to the
exhalation port.
• If the exhalation port is not used, connect the proximal pressure monitoring sampling line to
the face/nasal mask.
7. Place the patient tubing onto the support arm hook.
CAUTION: To reduce the risk of explosion, do not burn the O2 cell or force it open.
NOTE: The service life of the O2 cell is about one year in normal use at ICU. The
service life of O2 cell is an approximate specification only. The actual
service life depends on the operating environment. Operation at higher
temperatures or higher oxygen concentrations shortens the life.
NOTE: Handle and dispose of the O2 cell in accordance with related biohazard
regulations. Do not burn it.
NOTE: The O2% measurement accuracy drift shall meet the requirements of
the ISO 80601-2-55.
NOTE: Periodical pressure that increases to 10 kPa (100 cmH2O) does not
impact the monitoring accuracy of O2%.
A
D
E
B
A. Fixing seat
B. Connecting cord of O2 sensor
C. O2 sensor connector
D. O2 sensor cover
E. O2 sensor
Installation steps:
Display Control...........................................................................................................................................................................................4-2
Waveforms ....................................................................................................................................................................................................4-3
Measured Values .......................................................................................................................................................................................4-4
Big Numeric..................................................................................................................................................................................................4-5
History..............................................................................................................................................................................................................4-5
Freeze...............................................................................................................................................................................................................4-9
Screenshot ....................................................................................................................................................................................................4-9
Lock Screen ..................................................................................................................................................................................................4-9
6 3
5 4
The control unit is composed of a small number of operating components. Main operating
components are listed below.
4.2 Waveforms
1 2 3 4 5 6 7 8 9 10 11 12 13
16 15 14
4.5 History
Select the icon to open the interface as shown in FIGURE 4-5. You can view tabular trend, graphic
trend, setting trends and event logbook in the interface.
Event marker. A colored dotted line indicates that some parameter alarm event
happens at the time point. A parameter alarm event is marked with a dotted line in
the color matching the alarm level. If multiple events happen, the line is in the color
matching the highest alarm level.
4.5.1.2 Zoom
In the Graphic Trend interface, you can set [Zoom] to [5 min], [10 min], [15 min], [30 min], [1 Hour], or
[2 Hour].
Cursor
Parameter
4.5.2.2 Interval
In the Tabular Trend interface, you can set [Interval] to [1 min], [5 min], [10 min], [15 min], [30 min], [1
Hour], or [2 Hour].
Ventilation
mode and Cursor
settings
parameters
Event Logbook
details
NOTE: The system can store up to 10,000 events. After the number of
events exceeds 10,000, the earliest event will be overwritten by
the latest event.
4.5.4.2 Filter
In the Event Logbook interface, you can filter [High Alarms], [Med Alarms], [Low Alarms], [Operation
Information], [All Events] and [All Alarms].
4.6 Freeze
The freeze function pauses real-time refreshes of waveforms on the screen to facilitate a brief review
of the patient's data for more in-detail examination of the patient's conditions within the period of
time. The data for review is the waveform for the 60 seconds prior to the freeze action.
4.7 Screenshot
Tap the key in the interface and the system automatically takes a screenshot of the current
interface and saves the screenshot as an image. The system can store up to 50 screenshots.
NOTE: To enable the export function, you need to be granted the required
permissions, or you can contact the Customer Service Department for
help.
1. Insert a USB flash drive into the USB port of the ventilator. The icon in the interface is
highlighted.
2. Choose the icon to open the [Data Transfer] interface.
3. Choose the [Export Screenshot] tab in the interface that appears and then select the [Export
Screenshot] key. The system will check the USB flash drive space to ensure it is enough. If there is
sufficient space, the system will start to export the screenshots.
4. After the export process is completed, select [Remove USB Device] to remove the USB flash
drive.
1. Insert a USB flash drive into the USB port of the ventilator. The icon in the interface is
highlighted.
2. Choose the icon to open the [Data Transfer] interface.
3. Choose the [Export Data] tab in the interface that appears and then select the [User Export] key.
The system will check the USB flash drive space to ensure it is enough. If there is sufficient space,
the system will start to export the data such as the patient's ventilation information, the current
settings and parameters, the current alarm limits, and historical data. The exported data is in the
html format.
4. If you need to export other data such as the calibration data, the event logbook, and the system
selftest logbook, select the [Factory Export] tab and then enter the system password, and the
system will check the USB flash drive space to ensure it is enough. If there is sufficient space, the
system will start to export data. The exported data is encrypted in the format of “blg”.
5. After the export process is completed, select [Remove USB Device] to remove the USB flash
drive.
NOTE: To view the content of a blg file, please contact the Customer Service
Department for help.
To export settings:
2. Insert a USB flash drive into the USB port of the ventilator. The icon in the interface is
highlighted.
3. Choose the icon to open the [Data Transfer] interface.
4. Choose the [Transfer Settings] tab in the interface that appears, enter the system password and
select the [Export Settings] key. The system will check the USB flash drive space to ensure it is
enough. If there is sufficient space, the system will save the current settings and machine
defaults to the USB device.
5. After the export process is completed, select [Remove USB Device] to remove the USB flash
drive.
To import settings:
NOTE: The system total response time for oxygen concentration monitoring is
23 seconds.
NOTE: It takes around three minutes from your powering on the ventilator to
the ventilator's reaching the O2% monitoring performance specified in
(page B-7) B.7 “Ventilator Accuracy” of this manual.
COLOR WAVEF
SETUP ORM PARAMETER ALARM LIMIT
Pressure Paw Ppeak, PEEP, PEEPi, PEEPi+PEEP Paw
Flow Flow TVe, MVe, ftotal, PEF, Pt.leak, Tot.leak, Pt.Trig, Ti/Ttot, TVe, MVe, ftotal
TVe/IBW
Volume Volume / /
TABLE 5-1 Color Setup
O2 / FiO2 FiO2
CO2 CO2 EtCO2 EtCO2
SpO2 Pleth SpO2, PR, PI SpO2, PR
Paux Pes, Ptp PesE, PesI, ΔPes, ΔPtp, PtpI, PtpE, PTPes, PTPes/min /
TABLE 5-1 Color Setup
2. Set [Minimum Alarm Volume] to a desired level. indicates a lower volume level, and
indicates a higher volume level.
1. Choose [Menu] → [System], enter the system password, and choose [Defaults].
2. Select [Use Current Settings] to save the current settings as user defaults.
1. Choose [Menu] → [System], enter the system password, and choose [Defaults].
2. Select [Restore Factory Defaults] to restore user defaults to factory defaults.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [Central Station Setup] to set related items in the interface that appears.
• Set [Network disconnection alarm]: (ON) or (OFF). When this function is enabled,
the ventilator will give an alarm when the ventilator is disconnected from the CMS, e-
Gateway or the monitor.
• Set [Select CMS]: (ON) or (OFF). When this function is enabled, the central
monitoring system can be selected for the ventilator.
• Select [Add Central Station] to set the relevant items of the central station to be added in the
interface that appears.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [Device Discover] to set related items and check the network connection status in the
interface that appears.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [ADT] to set related items in the interface that appears.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [SNTP] to set related items in the interface that appears. After the settings are done, you
can select [Test] to test the connection status.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [HL7] to set related items in the interface that appears. After the settings are done, you
can select [Test] to test the connection status.
1. Choose [Menu] → [System], enter the system password, and choose [Interface].
2. Select [Serial] to set [Protocol] and other items in the interface that appears.
Start System..................................................................................................................................................................................................6-2
Patient Management .............................................................................................................................................................................6-2
Select Mask/ET............................................................................................................................................................................................6-3
Whether to Connect Exhalation Port ...........................................................................................................................................6-3
Ventilation Mode ......................................................................................................................................................................................6-3
Alarm Limit Setup.................................................................................................................................................................................. 6-19
Start Ventilation ...................................................................................................................................................................................... 6-19
Ventilation Parameters ....................................................................................................................................................................... 6-20
Enter Standby Mode............................................................................................................................................................................ 6-21
Power off System ................................................................................................................................................................................... 6-22
NOTE: The system checks whether alarm tones and alarm lamps function
properly during the start-up of the ventilator. If they function properly,
the alarm indicator flashes yellow and red once in turn, and the speaker
and buzzer sound the system check tone respectively. Otherwise, do
not use the equipment and contact the Customer Service Department
immediately.
• If you select [Last Patient], you can set [Gender], [Height] or [IBW] in this menu. Additionally,
the ventilation duration can be viewed in this menu. [Height] or [IBW] is influenced by (page
5-3) 5.2.1 “Set IBW/Height”.
• If you select [New Patient], you can set [Gender], [Height] or [IBW] in this menu. [Height] or
[IBW] is influenced by (page 5-3) 5.2.1 “Set IBW/Height”.
• Select [More] to set Room No., Bed No., Patient ID, Visit Number, Last Name, Mid Name, First
Name, Race, Weight, DOB, Age, or Paced in the menu that appears. You can also input
custom information. The setting items are influenced by (page 5-6) 5.4.7 “Patient
Management”.
NOTE: The IP addresses of ADT and LAN must be on the same subnet.
WARNING: Check the alarm limit settings after you switch from mask ventilation to
ET/Trach tube ventilation.
NOTE: If exhalation port calibration fails, check the patient tubing for leaks. If
the failure persists, the ventilator will not be able to monitor the
patient for leaks.
WARNING: Do not occlude the expiratory port; otherwise, apnea and repeated
carbon dioxide inhalation may occur.
WARNING: Remove the breathing mask from the patient without ventilation, as
this may result in repeated carbon dioxide inhalation.
NOTE: In the expiratory phase, the ventilator will not automatically generate
negative pressure, but may cause negative pressure because of the
patient's spontaneous inhalation.
NOTE: In the inspiratory phase, set the higher pressure alarm limit. The high
alarm of [Paw Too High] will be triggered when the pressure reaches
the higher pressure alarm limit, and the ventilator will switch to the
expiratory phase until the airway pressure reaches the preset PEEP
value. Set the higher pressure alarm limit properly to ensure patient
safety.
NOTE: During ventilation, if the waveforms in the inspiratory phase turn into
red, it indicates that the patient has spontaneous breathing or
triggered the pressure support ventilation.
3 4
1 2
1. In the ventilation mode field, select the desired ventilation mode key and the available
ventilation parameters for the mode will be displayed in the interface that appears.
2. Select the keys of the desired ventilation parameters.
3. Rotate the master control knob to set the parameters to an appropriate value.
4. Press the master control knob to confirm the settings.
5. Follow the same approach to set other parameters as needed.
6. Select the [Ok] key after parameter settings are done.
A quick setting method of ventilation parameters is as follows.
1. In the parameter setup shortcut field, select the desired ventilation parameter.
2. Rotate the master control knob to set the parameters to an appropriate value.
3. Press the master control knob to confirm the settings.
4. Follow the same approach to set other parameters as needed.
Pressure
Spontaneous Backup
breathing Ventilation
Pbackup
CPAP
Tslope Time
Flow
Time
Apnea time
Tinsp
60/fbackup
Pressure
E-Cycle
Trigger
Time
Tinsp
Pressure
E-Cycle
Trigger
Time
Inspiration time of
backup ventilation
Pressure
IPAP EPAP
Time
Flow Tslope
Time
Tinsp
Pressure
Tslope
IPAP
EPAP Trigger
Time
Tinsp
60/f
Flow
Trigger
Time
VAPS is volume assured pressure support ventilation mode, which means that the system will adjust
the support pressure of inspiratory phase based on the tidal volume set by the user. When the system
finds that the inspiratory effort of the patient reaches the preset [Trigger], the system starts a
spontaneous ventilation. The inspiratory pressure is adjusted according to the tidal volume set by the
user. At the beginning of the inspiratory phase, the patient's airway pressure increases to the preset
pressure level within the preset time, and is held at this pressure level until the patient's inspiratory
flow is discovered to have reached the [E-Cycle]. If the system finds that the patient's respiratory cycle
exceeds the maximum respiratory cycle set by the user, the ventilator will start a volume-guaranteed
timed ventilation. The inspiratory pressure is adjusted according to the tidal volume set by the
patient, and the inspiratory time and breathing frequency are set by the user.
Pressure
Spontaneous
Timed ventilation
Pmax
ventilation
↑△ Paw ≤ 3 cmH2O
Pmin
EPAP Trigger
E-Cycle
Trigger
Time
Tinsp
60/f
WARNING: Pmax and TVmax limits are not alarm limits. When using PPV mode for
ventilation, set appropriate alarm limits and pay attention to relevant
alarm information.
NOTE: To achieve the optimal PPV use, please properly evaluate the patient's
lung compliance and airway resistance, and set the corresponding Max
E and Max R parameters. Please regularly assess the ventilation effect
according to the patient's condition.
PPV is proportional pressure ventilation mode, which means the system will provide a certain
proportion of support ventilation according to the patient's inspiratory effort. When the system finds
that the inspiratory effort of the patient reaches the preset [Trigger], the system starts a spontaneous
ventilation. The inspiratory pressure is adjusted according to the tidal volume set by the user. The
inspiratory pressure stops changing until the patient's inspiratory flow is discovered to have reached
the [E-Cycle]. If the system finds that the patient's respiratory cycle exceeds the maximum respiratory
cycle set by the user, the ventilator will start a timed ventilation.
Trigger EPAP
Added inspiration effort Tslope Time
Flow
E-Cycle
Time
Tinsp
60/f
Volu TVmax
Time
Pressure Timed
ventilation
Spontaneous Spontaneous
ventilation ventilation
E-Cycle
Trigger
Time
Tinsp
6.5.10 O2 Therapy
O2 therapy is a method to increase O2 concentration in the airway at normal pressure through simple
tube connections. O2 therapy is a medical measure which can increase O2 concentration in the
alveolar gas and facilitate O2 diffusion so as to increase PaO2 and SpO2 saturation and relieve or
correct hypoxia by increasing O2 concentration in the inspired gas. O2 therapy is a way for hypoxia
prevention or treatment, providing O2 concentration higher than that in the air.
WARNING: During O2 therapy, all physiological alarms are shielded except O2%
physiological alarms.
WARNING: Use SpO2 monitoring for patients who are dependent only on an
increased defined O2%. Otherwise, a deterioration in the patient's
condition may not be recognized.
WARNING: Only use oxygen masks or nasal cannulas for O2 therapy. The patient
may be at risk if unsuitable masks are used.
WARNING: This ventilator is a high flow device. Its maximum oxygen consumption
can reach at 80 L/min during O2 therapy. Ensure the high-pressure O2
supply is sufficient so as not to affect the operation of other devices.
A E
C F
A. Mask
B. Patient tubing
C. Humidifier outlet
D. Watertrap
E. Bacteria filter
F. Humidifier inlet
Installation steps:
1. Install the bacteria filter onto the inspiratory port of the ventilator.
2. Connect the bacteria filter to the humidifier inlet via the tubing.
3. Connect the humidifier outlet to the watertrap via the tubing.
4. Connect the watertrap with the mask via the tubing.
5. Place the patient tubing onto the support arm hook.
C
E
1. Install the bacteria filter onto the inspiratory port of the ventilator.
2. Connect the bacteria filter to the humidifier inlet via the tubing.
3. Connect the humidifier outlet to the nasal cannula via the tube with heated-wire.
1. In the ventilation mode field, select the [O2 Therapy] key and the ventilation parameters for the
mode will be displayed in the interface that appears.
2. Set [Flow] and [O2%] to an appropriate value as needed.
ROX
6.5.10.3 ROX
The ROX index is the ratio of oxygen saturation to inspired oxygen concentration divided by the
patient's spontaneous breathing rate, calculated as (SpO2/FiO2)/fspn. When the ventilator is able to
obtain SpO2 and FiO2 monitoring, ROX monitoring is provided. When the ventilator is connected with
an external monitor, you can choose the monitoring parameter [fspn] and set [Obtain fspn from
monitor] to (ON) in the interface that appears. In this case, the ventilator can obtain the
monitored value of [fspn] from the monitor to calculate ROX.
1. Select the icon and set [ROX Threshold Prompt] to (ON) in the interface that appears.
2. Select the high or low threshold setting box on the right, and rotate the master control knob to
set the parameter to an appropriate value.
The backup ventilation mode provided by this ventilator is pressure controlled ventilation (PCV)
mode. After entering backup ventilation, the ventilator performs ventilation in P-A/C mode with the
set EPAP, f, and Tinsp of the backup ventilation (other parameter settings remain the same).
The leakage from the patient tubing and mask may cause that the gas volume delivered to the
patient's lung is lower than the setting value. The leakage also may cause the false inspiratory trigger
or difficult switching between inspiratory and expiratory.
The ventilator provides leakage compensation and the amount of leakage can be used for the
calculation of real-time leakage flow in next breathing cycle. The real-time leakage flow rate is
proportionally related to airway pressure. The higher the airway pressure, the higher the leakage flow
rate.
In the expiration stage, the ventilator automatically increases the gas supply flow rate to compensate
for the leakage in order to prevent the expiratory pressure drop caused by leakage. In order to
prevent the false inspiratory trigger, the flow trigger working mechanism is based on the
compensated flow.
The ventilator primarily maintains the preset pressure and increases the delivered flow to
compensate for leakage until the ventilator's maximum delivery capacity is reached.
The waveform of flow and volume, and the monitoring parameter of TV and MV displayed on the
ventilator are all values compensated by leakage.
You need to set the following parameters for the Adaptive EPAP function.
You need to set the following parameters for the pressure relief function.
6.6.5 EasySync™
EasySync™ synchrony enhancement technology enables patient-ventilator synchrony in the
inspiratory and expiratory triggering phases, covering the entire ventilation cycle phase. This
technology combines the characteristics of the patient's respiratory system to adjust parameters of
[Trigger] and [E-Cycle], reducing the frequently adjustment of ventilator settings during ventilation,
alleviating the workload of medical staff and improving the patient ventilator synchrony.
The synchrony of inspiratory trigger refers to the ventilator, which is under the ventilation mode with
[Trigger], the allowance of inspiratory trigger and the startup of EasySync™, can trigger inspiration
according to real time monitoring patient inspiratory effort by waveform analysis. It can reduce the
triggering delay, the work of triggering, ineffective triggering and auto triggering.
The synchrony of expiratory trigger refers to the ventilator, which is under the ventilation mode with
[E-Cycle] and the startup of EasySync™, when the synchronous enhancement function is enabled,
monitors the patient's expiratory effort according to the waveform characteristics in real time and
triggers expiration. It can improve the synchronization of expiration switching, and reduce the time
of premature or delayed termination.
6.6.6 Ramp
The Ramp function is to increase the inspiratory pressure or expiratory pressure to the target pressure
within the preset time to improve the comfort of the patient's first use of the ventilator.
Pressure
NOTE: All the parameters are calculated based on the real-time flow and
pressure waveform data. For real-time flow and pressure data, low pass
filter is adopted at an original sampling rate of 1 KHz and cut-off
frequency of 20 Hz.
SETTING
PARAMETERS DESCRIPTION
O2% The volume percentage of oxygen in the gas mixture supplied to the
patient.
CPAP Pressure is maintained in the pressure-controlled mode.
IPAP The inspiratory pressure in the pressure-controlled mode is an absolute
value.
Psupp Support pressure in the pressure-controlled mode is an absolute value.
Pbackup Inspiratory pressure in the backup ventilation mode is an absolute value.
EPAP Expiratory pressure level.
TV The volume of gas that the patient inhales or exhales during resting
breathing.
Flow Flow rate delivered to the patient in O2 therapy mode.
f Number of mechanical breaths per minute.
fbackup Breathing frequency set in backup ventilation mode.
Tinsp Inspiratory time in one breathing cycle.
Pmin Minimum inspiratory pressure limit.
Pmax Maximum inspiratory pressure limit.
TVmax Maximum volume of gas that the patient is allowed to inhale or exhale
during resting breathing.
PPV% Proportional ventilation percentage based on the patient inspiratory
efforts.
Max E Patient's pulmonary elastance.
Max R Patient's airway viscous resistance.
EPAPmin Minimum expiratory pressure limit in the Adaptive EPAP function.
EPAPmax Maximum expiratory pressure limit in the Adaptive EPAP function.
Tramp Set the time interval for the pressure delay to rise to the target pressure.
Tslope Speed at which the airway pressure rises to the target pressure. The
higher the value is, the slower the pressure rises.
Trigger Trigger sensitivity. The larger the value, the more sensitive the trigger.
E-Cycle Expiratory cycle sensitivity. The larger the value, the more sensitive the
trigger.
P-Flex Pressure relief level setting during switching phase. The greater the value
is, the more the pressure relieves.
AE Switch of Adaptive EPAP function.
MONITORED
PARAMETERS DESCRIPTION
FiO2 The percentage of oxygen in the patient's inspired gas.
Ppeak The maximum pressure value in one breathing cycle.
PEEP Positive end-expiratory pressure.
PEEPi The end-expiratory intrapulmonary pressure minus the airway pressure
(the PEEPi displayed on the ventilator does not include PEEP).
TVe Expiratory tidal volume in one cycle.
TVe/IBW Delivered tidal volume per ideal body weight.
MVe The accumulated expired tidal volume in one minute.
ftotal The accumulated number of breaths in one minute.
Pt.leak Accumulated patient leakage volume in one minute (excluding the
active leakage caused by the mask and exhalation port).
Tot.leak Total leakage volume in one minute.
Pt.Trig This parameter specifies the percentage of patient-triggered cycles
within one minute.
Ti/Ttot The ratio of the inspiratory time to the total time.
PEF The maximum expiratory flow of the patient in the expiratory phase.
ROX ROX index, ROX= (SpO2/FiO2)/fspn.
PtpI Transpulmonary pressure at the end of inspiratory phase.
PtpE Transpulmonary pressure at the end of expiratory phase.
ΔPtp ΔPtp = PtpI - PtpE.
PesI Oesophageal pressure at the end of inspiratory phase.
PesE Oesophageal pressure at the end of expiratory phase.
ΔPes Wobble value of oesophageal pressure at the end of inspiratory phase.
PTPes Oesophageal pressure time product of 1 breath. It indicates the patient's
inspiratory effort.
PTPes/min The accumulation of PTPes in one minute.
EtCO2 The concentration of CO2 measured at the end of expiration.
SpO2 Oxygen saturation (SpO2).
PR Pulse frequency.
PI Perfusion index.
WARNING: Ensure that an alternative ventilation option is available for the patient
and no patient is connected to the ventilator before putting the
equipment to the Standby mode to prevent patient injury due to lack of
ventilatory support.
WARNING: Turn off the humidifier before putting the ventilator to the Standby
mode to prevent patient injury or damage to the patient tubing due to
overheated gas.
When the ventilator is in a non-Standby mode, select the hard key and the system will prompt
[Please enter Standby mode to shut down the system.]. Select [Ok] and the system will remain in the
non-Standby mode. Then select the [Standby] key and enter the Standby interface after confirmation.
Select the hard key again to power off the ventilator system.
Overview ........................................................................................................................................................................................................7-2
Prepare for Measurement....................................................................................................................................................................7-3
CO2 Setup .....................................................................................................................................................................................................7-4
Influencing Factors of Measurement ...........................................................................................................................................7-5
Troubleshooting........................................................................................................................................................................................7-6
Zero the Sensor..........................................................................................................................................................................................7-6
Calibrate the Sensor................................................................................................................................................................................7-6
7.1 Overview
The CO2 module configured for the ventilator adopts the infrared (IR) absorption technology to
measure the CO2 concentration in the patient’s airway. The principle is based on the CO2 molecule’s
ability to absorb IR light of a specific wavelength. The amount of absorbed light is directly related to
the CO2 concentration. When the IR light emitted by the infrared source penetrates through the gas
samples containing CO2, part of IR light will be absorbed by the CO2 molecules in the gas. Use a
photodetector on the other side of the IR light source to measure the remaining energy of the IR light
and convert it into an electrical signal. After comparing and adjusting the energy of the electrical
signal and the IR light source, the photodetector can accurately reflect the CO2 concentration in the
gas sample.
The rated respiration rate range of CO2 module is 0 to 150 bpm, and the data sample rate is 100 Hz.
Besides, the EtCO2 concentration reading uses the maximum value of the CO2 waveform
corresponding to the respiratory cycle.
To measure the rated respiration rate range, utilize a valve to switch between two sampling gases at
different frequencies (simulating specified respiration rates) and record the EtCO2 values for the
specific frequencies. By drawing the coordinate diagram which indicates the corresponding
relationship between end tidal value and breathing frequency, the range of breathing frequency of
EtCO2 measurement accuracy complying with the specification can be obtained.
The CO2 module of this ventilator are configured with automatic atmospheric pressure
compensation function.
1 2
1. CO2 graphic trend: records the trend of parameter value changes at specified time and
describes the change of CO2 measurement results with a curve.
2. CO2 waveform.
3. End-tidal CO2 (EtCO2) concentration: the CO2 concentration measured at the end of the
expiration phase.
WARNING: Please ensure the cardiopulmonary condition is stable to get the most accurate CO2
measurement result.
NOTE: CO2 cannot be measured in the aerosol drug environment. Power off
the monitoring function of the CO2 module during nebulization.
CO2 watertrap
Watertrap
fixing seat
Sampling
line
2. After start-up is finished, the [CO2 Warm-up] message is displayed. The CO2 module is in ISO
accuracy mode. If you perform CO2 measurements during warm-up, the measurement accuracy
may be compromised.
3. After warm-up is finished, the module enters full accuracy mode.
CAUTION: The CO2 watertrap is used to collect water drops condensed in the
sampling line to prevent water drops from entering the module. When
the water collected reaches a certain amount, pour it out to avoid
blocking the airway. Dispose of accumulated fluids in accordance with
the hospital policy or local regulations.
CAUTION: The CO2 watertrap contains filter material to prevent bacterium, vapor
and patient secretions from entering the module. After a long-term use,
dust or other substances reduce the permeability of the filter material
in the watertrap, and even block the airway. In this case, replace the
CO2 watertrap. Replacing it once a month is recommended. Or, replace
the it when it is detected leaky, damaged or contaminated.
NOTE: When the CO2 monitoring function is not used, it is recommended not
to connect a CO2 watertrap, and set the CO2 module to standby mode to
extend the service life of the watertrap and module.
NOTE: The gas sampled by the sidestream CO2 module of this ventilator is a
mixture of air and oxygen, and the gas can pass through the gas outlet
into the operating environment.
NOTE: The vent of the CO2 module is used to discharge the sample gas. Do not
block it.
The standby mode of CO2 module is relevant to the Standby status of ventilator:
• If the ventilator enters Standby status, the CO2 module also enters standby mode.
• If the ventilator exits Standby status, the CO2 module is restored to the CO2 operating mode
before standby mode.
• The CO2 module entering or exiting the Standby mode do not impact the ventilator.
To manually enter or exit the Standby mode, select [Menu] → [Setup] → [CO2] and set [Monitoring]
to (OFF) or (ON).
In standby mode, the working components of the CO2 module, such as gas pump and infrared light
source, are automatically turned off to extend the service life of the module.
Where:
PCO 2 = CO2 partial pressure, vol % = CO2 concentration, Pamb = ambient pressure,
and the unit is in mmHg.
For CO2 module, BTPS compensation is switched on or off based on the actual situations. The settings
method is as follows:
• When EtCO2 is within specification for breath rate ≤60 /min and I/E ratio ≤1:1, the precision
of the EtCO2 measurement meets the defined specification.
• When EtCO2 is within specification for breath rate ≤30 /min and I/E ratio ≤2:1, the precision
of the EtCO2 measurement meets the defined specification.
7.5 Troubleshooting
When the sampling system of the CO2 module works abnormally, check if the sampling line is kinked.
If not, remove the sampling line from the CO2 watertrap. If a prompt message indicating airway
malfunction appears on the screen, it means that the CO2 watertrap is occluded. In this case, you
must replace the CO2 watertrap. If no such prompt message is displayed, it means that the sampling
line is occluded. Then you must replace the sampling line.
For CO2 module, a zero calibration is carried out automatically if necessary. You can also start a
manual zero calibration when it is necessary. In Standby mode, select [Menu] → [Calibration] →
[CO2 Maintenance], and then select [Zero] button. It is unnecessary to disconnect the senor from the
breathing system when performing the zeroing.
Overview ........................................................................................................................................................................................................8-2
Safety Information....................................................................................................................................................................................8-3
Monitoring Steps ......................................................................................................................................................................................8-3
SpO2 Setup...................................................................................................................................................................................................8-4
Influencing Factors of Measurement ...........................................................................................................................................8-4
8.1 Overview
SpO2 monitoring is a non-invasive technique, used to measure the amount of oxygenated
haemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light
generated in the sensor passes through the tissue and is converted into electrical signals by the
photodetector in the sensor. The SpO2 module processes the electrical signal and displays a
waveform and digital values for SpO2 and pulse rate.
1. Pleth waveform (Pleth): visual indication of patient’s pulse. The waveform is not normalized.
NOTE: A functional tester or SpO2 simulator can be used to assess the pulse
rate accuracy.
WARNING: Do not use SpO2 sensors when an MRI device is in use because the
induced current may seriously burn the patient.
WARNING: When monitoring the patient for a long period of time, check the
position of the SpO2 sensor every 2 hours and move it properly when
the skin changes or every 4 hours. Some patients may require more
frequent examinations, such as newborns, patients with impaired
perfusion, or patients with sensitive skin. Prolonged continuous
monitoring may increase unpredictable skin changes such as allergy,
reddening, blistering or pressure necrosis.
WARNING: Check whether the SpO2 probe is intact before use. If it is damaged, do
not use it. Otherwise, patient injury may occur.
WARNING: Please check the compatibility of the ventilator, SpO2 sensor and probe
extension cable before use to avoid injuries to patients. Otherwise,
patient injury may occur.
• Ambient light
• Physical movement (active or passive movement of patient)
• Diagnostic testing
• Low perfusion
• Electromagnetic interference, such as MRI device
• Electrosurgical device
• Dysfunctional haemoglobin, such as carboxyhemoglobin (COHb) and methemoglobin (MetHb)
• Presence of certain dyes, such as methylene and indigo carmine
• Inappropriate positioning of the SpO2 sensor, or use of incorrect SpO2 sensor
• Drop of arterial blood flow to immeasurable level caused by shock, anemia, low temperature or
vasoconstrictor.
O2 ↑ ...................................................................................................................9-2
Auxiliary Pressure ......................................................................................................................................................................................9-2
9.1 O2 ↑
O2 ↑ refers to ventilating a patient with the O2% higher than the normal level within a period of
time.
Press the [O2 ↑ Flush] key, and the ventilator starts oxygen enrichment. At this time, the [O2 ↑
Flush] key displays the remaining oxygen enrichment time. O2 ↑ can be active for a maximum of
two minutes. During oxygen enrichment, the currently set oxygen concentration is displayed in the
[O2%] parameter setup shortcut key field.
When the two-minute period of oxygen enrichment is up or the [O2 ↑ Flush] key is pressed again,
the ventilator terminates oxygen enrichment.
NOTE: When O2 supply type is low-pressure, pressing the [O2 ↑ Flush] key
will not activate oxygen enrichment, and the prompt message [Fail to
Start with Low Pressure O2 Supply] will be displayed.
NOTE: When the [O2 Supply Failure] alarm is triggered, pressing the [O2 ↑
Flush] key will not activate oxygen enrichment, and the prompt
message [Fail to Start. O2 Supply Failure.] will be displayed.
NOTE: If the [O2 Supply Failure] alarm is triggered during the O2 ↑ process,
the O2 ↑ function will be terminated.
FIGURE 9-1 Install Auxiliary Pressure Monitoring Accessories (Gastric Tube with Balloon)
10.1 Introduction
Alarms refer to the alerts provided by the ventilator to health care professionals in sounds or other
forms when the patient that the ventilator is used on suffers an exceptional change in vital signs, or
when the ventilator suffers a fault that prevents its proper functioning.
WARNING: A potential hazard can exist if different alarm presets are used for the
same or similar equipment in any single area, e.g. an intensive care unit
or cardiac operating room.
NOTE: The system checks whether alarm tones and alarm lamps function
properly during the start-up of the ventilator. If they function properly,
the alarm indicator flashes yellow and red once in turn, and the speaker
and buzzer sound the system check tone respectively. Otherwise, do
not use the equipment and contact the Customer Service Department
immediately.
NOTE: If more than one alarm of the same level are triggered simultaneously,
the alarm messages will be displayed in the sequence of alarms
triggered.
• Physiological Alarms:
A physiological alarm is usually triggered when a physiological parameter value of the patient
exceeds the preset alarm limits, or the patient suffers a physiological abnormality. Physiological
alarm messages are displayed in the alarm message field on the screen.
• Technical Alarms:
A technical alarm, also called system error message, is triggered when a system function fails or
the monitoring result presents distortion because of improper operation or system faults.
Technical alarm messages are displayed in the alarm message field on the screen.
• Prompt messages:
Strictly speaking, prompt messages are not alarms. They are the messages about the system
status apart from physiological and technical alarms, and prompt messages usually do not
involve the patient's vital signs. Prompt messages are displayed in the prompt message field on
the screen.
• Alarm lamps
• Audible alarms
• Alarm messages
• Flashing parameters
Specifically, alarm lamps, audible alarms and alarm messages distinguish the priority of alarm in
different ways.
• Position of the operator: 1 meter in front of and 1.5 meters above the ventilator.
• A-weighted sound pressure level: not less than 45 dB and not greater than 85 dB. The high
priority alarm volume is not less than 60 dB at the default alarm volume.
• : Indicates that the alarm tone is paused and the alarm system is in the AUDIO PAUSED
state.
• : When the number of alarms is displayed before an alarm message, it indicates that
multiple alarm messages exist. The system uses different background colors to distinguish
priorities of alarm messages: The red color indicates that the highest priority of the multiple
alarm messages is high priority, and the yellow color indicates that the highest priority of
the multiple alarm messages is medium priority. You can view active alarms by selecting the
alarm message field.
• : Indicates that there is an inactivated alarm for which the alarm triggering condition has
disappeared. Tap the icon and you can view the recent inactivated alarms in the interface
that appears. Or you can select the [Reset] key to clear recent inactivated alarms.
• : Indicates that the alarm of a parameter has been turned off and the alarm signal is in
the ALARM OFF state.
WARNING: Do not rely exclusively on the audible alarm system when using the
ventilator. Setting the alarm volume to a low level may result in a
hazard to the patient. Always keep an eye on the patient's actual
clinical situations.
NOTE: An alarm will be triggered when a parameter value is higher than the
high alarm limit or lower than the low alarm limit.
NOTE: During equipment use, pay frequent attention to the alarm limits of
parameters to ensure that they are appropriately set.
Select [Alarms] → [Vent Limits], [Module Limits] or select the monitored value that flashes because of
an alarm to open the alarm limits setup menu and set the ventilation and module related alarm
limits.
WARNING: Pay close attention to the patient and ventilator to ensure that no alarm
messages are overlooked during the AUDIO PAUSED period. When the
alarm triggering condition remains for long without any
countermeasures taken, the patient or equipment may be subject to
hazards.
NOTE: In the AUDIO PAUSED state, all the other alarm methods function
properly except audible alarms.
NOTE: After exiting the Standby mode, the system automatically enters the
AUDIO PAUSED state and alarms are muted for 30 seconds.
A B C
WARNING: Switching off alarms can endanger the patient. Handle with care.
1. After the ventilator system is started normally, connect the ventilator to a test lung and start
ventilation.
2. Set the ftotal high alarm limit to be less than the current ftotal. Verify that the [ftotal Too High]
alarm is activated.
10.11.11 Apnea
1. After the ventilator system is started normally, connect the ventilator to a test lung and start
ventilation.
2. Set the Tapnea alarm limit to 15s.
3. Set the f to be 3/min. Verify that the [Apnea] alarm is activated.
3. After CO2 warm-up is completed and the CO2 module enters operating mode, deliver 3% to 7%
of CO2 standard gas to the sampling port of sidestream CO2 module. Set the EtCO2 low alarm
limit to be greater than the standard gas concentration.
4. Verify that the [EtCO2 Too Low] med priority alarm has been activated.
The nurse call function is activated only when the following conditions are met:
1. Select [Menu] → [System] → enter the system password → [Interface] → [Nurse Call].
2. Set [Switch].
• : indicates to enable the nurse call function.
• : indicates to disable the nurse call function.
3. Set [Signal Type].
• [Pulse]: indicates that the output nurse call signals are the impulse signals lasting for one second.
When multiple alarms exist, only one impulse signal is output; if a new alarm is triggered before
the current alarm is resolved, another impulse signal will be output.
• [Continuous]: indicates that the duration of the output nurse call signal is the same as that of the
alarm, that is, from the occurrence of the alarm to the end of the alarm.
4. Set [Contact Type].
• [Normally Open]: Normally open signals are used to trigger the nurse call function.
• [Normally Closed]: Normally closed signals are used to trigger the nurse call function.
5. Set alarm level: to select the alarm level to trigger a nurse call signal.
6. Set alarm type: to select the alarm type to trigger a nurse call signal.
If no selection is made for alarm level or alarm type, no alarms will trigger a nurse call signal.
WARNING: Do not rely exclusively on the nurse call system for alarm notification.
Remember that the most reliable alarm notification combines audible
and visual alarm indications with the patient’s clinical condition.
WARNING: Use the specified nurse call cable when connecting with the hospital’s
nurse call system through the nurse call connection port. Failure to do
so may burn the machine and cause electric shock hazard.
WARNING: Inspect the ventilator alarm signals periodically when using the nurse
call function.
CAUTION: Contact the Customer Service Department if the alarm persists without
obvious cause.
WARNING: Read the material safety data sheet for each cleaning agent.
WARNING: Read the operation and service instructions for all disinfection
equipment.
WARNING: Wear safety gloves and glasses. A damaged O2 cell may cause leakage
or fire (containing potassium hydroxide).
WARNING: Ingress of liquid into the control assembly may damage the equipment
or cause personal injury. Ensure that no liquid enters the control
assembly and that the equipment is always disconnected from the AC
power supply during cleaning of casings.
WARNING: Reconnect the equipment to the power supply after the cleaned
components are fully dry.
WARNING: Do not use talc, zinc stearate, calcium carbonate, corn starch, or similar
materials to prevent sticky residuals. These materials may enter the
patient's lungs and airways and cause irritation or injury.
CAUTION: To reduce the risk of electrical shock, disconnect electrical power from
the ventilator before cleaning and disinfection.
NOTE: Clean and disinfect the ventilator as needed before the first use of the
equipment. See this chapter for the cleaning and disinfection methods.
NOTE: If you have any questions regarding the cleaning agent, see the data
provided by the manufacturer to prevent damage to the equipment.
NOTE: Do not use abrasive cleaning agents (such as steel wool, silver polish, or
cleaner).
NOTE: The pH value of cleaning solutions must be within the 7.0~10.5 range.
NOTE: After the cleaning and disinfection processes are completed, run a
system check before using the equipment. Use the equipment only
when the system check is passed.
NOTE: After the cleaning and disinfection processes are completed, check
whether the components have any damage or cracks. If so, replace the
component timely.
The following table lists the recommended cleaning and disinfection methods for ventilator
components, including the methods for the first use and for repeated use.
Cleaning Disinfection
Recommended
Component C.
Interval ① ② A. Wipe B. Soak Ultraviolet
Wipe Soak
radiation
External surface
of ventilator
(including the
main unit
Each patient ① A or C
casing, the
power cord and
the gas supply
hose)
Trolley, support
Each patient ① A or C
arm, and IV pole
Touch screen Each patient ① A or C
Every four
Air inlet dust
weeks/as ② B
filter
necessarya
Each patient/ Refer to the cleaning and disinfection methods
SpO2 sensor
weekly provided in the attached instruction book.
SpO2 sensor Each patient/ Refer to the cleaning and disinfection methods
cable weekly provided in the attached instruction book.
Each patient/ Refer to the cleaning and disinfection methods
Nebulizer
weekly provided by the nebulizer manufacturer.
Cleaning Disinfection
Recommended
Component C.
Interval ① ② A. Wipe B. Soak Ultraviolet
Wipe Soak
radiation
Each patient/ Refer to the cleaning and disinfection methods
Humidifier
weekly provided by the humidifier manufacturer.
How to clean:
① Wipe: Wipe with a damp cloth immersed in alkalescent detergent (soap water, etc.) or
alcohol solution, and then wipe off the remaining detergent with a dry lint-free cloth.
② Soak: Rinse with water first and then soak the components in an alkalescent cleaning agent
(soap water, etc.) (with the solution temperature recommended to be 40 ºC) for around three
minutes. Finally, rinse with clear water and dry completely.
How to disinfect:
A. Wipe: Wipe components with a damp cloth immersed in a moderately or highly efficient
disinfectant and then wipe off the remaining disinfectant with a dry lint-free cloth.
B. Soak: Soak components in a moderately or highly efficient disinfectant (for more than 30
minutes as recommended), and then rinse with clear water and dry completely.
C. Ultraviolet radiation for 30 to 60 minutes as recommended.
a. As necessary: shorten the cleaning and disinfection intervals if the equipment is used in dusty environment to
ensure that the equipment surface is not covered by dust.
The table below lists the cleaning agents and disinfectants applicable to the ventilator.
Name Category
Ethanol (75%) Moderately efficient disinfectant
Isopropanol (70%) Moderately efficient disinfectant
Glutaraldehyde (2%) Highly efficient disinfectant
Ortho-phthalaldehyde disinfectant (such as
Highly efficient disinfectant
Cidex®OPA)
Soap water (pH value of 7.0~10.5) Cleaning agent
Clean water Cleaning agent
FIGURE 11-1 HEPA Filter Components and Air Intake Dust Filter
A. HEPA filter
B. Air intake dust filter
C. Main unit air inlet baffle
To disassemble:
1. Pull the two snaps on the main unit air inlet baffle to remove the baffle.
2. Pull the snap on the HEPA filter to take it out. If it is necessary to remove the air intake dust filter,
pinch the dust filter with two fingers and take it out.
To install:
1. Align the HEPA filter with the corresponding slot, and push in the direction the HEPA filter is the
HEPA Filter installed. Fasten the snap of the HEPA filter.
2. Check the snap on the HEPA filter and make sure it is fastened in place.
3. Install the air intake dust filter.
4. Install the main unit air inlet baffle.
CAUTION: Install the specified HEPA filter and air intake dust filter.
CAUTION: Do not operate the ventilator if the ventilator is not equipped with a
HEPA filter. Otherwise, the inspiration end of the device and patient
tubing will be contaminated.
CAUTION: The patient tubing shall comply with the requirements of ISO 5367.
CAUTION: The bacteria filters shall comply with the requirements of ISO 23328-1
and ISO 23328-2.
CAUTION: The Heat & Moisture Exchange (HME) shall comply with the
requirements of ISO 9360-1 and ISO 9360-2.
CAUTION: When removing the reusable patient tubing, disconnect the tubes from
the ventilator connectors instead of pulling the tubes.
F
A G
B H
A. Mask
B. Exhalation port
C. Patient tubing
D. Proximal pressure monitoring sampling line
E. Watertrap
F. Bacteria filter
G. Proximal pressure monitoring port
H. Bacteria filter
To disassemble:
To install:
1. Install the bacteria filter onto the inspiratory port of the ventilator.
2. Connect the bacteria filter to the humidifier inlet via the tubing.
3. Connect the humidifier outlet to the watertrap via the tubing.
4. If the oro-nasal mask (non-vented) or the ET/Trach tube is used, the exhalation port is needed.
Connect the watertrap to the exhalation port via the tubing, and then connect the exhalation
port and mask.
5. If the ET/Trach tube is used, the exhalation port is needed. Connect the watertrap to the
exhalation port via the tubing, and then connect the exhalation port and ET/Trach tube.
6. If the oro-nasal mask (vented) or total face/nasal mask is used:
• If the exhalation port is not used, connect the watertrap with the face/nasal mask via the
tubing.
• If the exhalation port is used, connect the watertrap to the exhalation port via the tubing,
then connect the exhalation port to the face/nasal mask.
7. Connect the proximal pressure monitoring sampling line to the proximal pressure monitoring
port.
8. Install the bacteria filter.
9. If the exhalation port is used, connect the proximal pressure monitoring sampling line to it.
10. If the exhalation port is not used, connect the proximal pressure monitoring sampling line to the
face/nasal mask.
11. Place the patient tubing onto the support arm hook.
11.2.3 Humidifier
WARNING: To prevent possible patient injury and equipment damage, ensure the
humidifier is set to appropriate temperature and humidity.
WARNING: To prevent possible patient injury and equipment damage, ensure the
humidifier is set to appropriate temperature and humidity.
NOTE: The humidifier shall comply with the requirements of ISO 8185ISO
80601-2-74. Refer to the humidifier accompanying directions for use to
install and use the humidifier. The humidifier assembly and its
installation steps described in this section are only for reference.
C
A
D
1. Align the humidifier mounting plate to the fixing seat of humidifier bracket, and slide the
humidifier in.
2. Tighten the screws.
WARNING: Do not use the lubricants that contain oil or grease which may burn or
explode when exposed to a high O2 concentration.
Do not use malfunctioning equipment. Try to seek help from a service representative authorized by
the manufacturer for all necessary servicing operations. Or you can seek help from a qualified
professional for the replacement and servicing of the parts listed in this manual.
After servicing, test the equipment to ensure that it functions properly in accordance with the
specifications.
NOTE: Please abide by the local applicable laws and regulations or the
hospital's waste disposal systems for disposing of accessories and
replaced parts and never discard them at random.
NOTE: Contact the Customer Service Department if you need any service or
support.
NOTE: For further information about the product, contact the Customer
Service Department. Documents for some components can be provided
depending on the actual situation.
Patient tubing
Each patient (including mask,
Use disinfected components or new disposable
or as inspiratory filter
components.
necessary and exhalation
port)
Calibrate the CO2 module when the measured CO2
CO2 calibration value has a great deviation. Refer to (page 12-5) 12.6
“CO2 Maintenance”.
As necessary Replace the exhalation port if it is damaged. Refer to
(page 11-6) 11.2.2 “Patient Tubing” for detailed
Exhalation port
installation and disassembly methods of the exhalation
port.
COMPONENT/
INTERVAL ACCESSORY MAINTENANCE
1. Select [Menu] → [Calibration] → [Zero] and select the [Start] key on the right side. After
pressure zero is started, the system will display a prompt message: [Zero calibration runnning].
2. If the zero is successful, the system will display a prompt message: [Zero calibration succeed.].
Otherwise, the system will prompt a zero failure. In this case, zero the system again.
NOTE: Ensure that the system is in Standby mode. If not, press the [Standby]
key to enter standby screen.
NOTE: The O2% measurement accuracy drift shall meet the requirements of
ISO 80601-2-55.
Calibrate the oxygen concentration when the measured oxygen concentration has a great deviation
from the setting, or when the O2 sensor is replaced. Follow these steps to calibrate the oxygen
concentration:
NOTE: Handle and dispose of the O2 cell in accordance with related biohazard
policies. Do not incinerate.
1. Check the airway and ensure that there is no occlusion or leakage. Ensure that the CO2 module
is already warmed up or started.
2. Select [Menu] → [Calibration] → [CO2 Maintenance], and select the [Zero] key.
3. After zeroing, connect the gas cylinder with the sampling line via a T-shape connector as shown
below. Check the airway and ensure that there is no leakage.
Sampling line
Pressure
relief valve
CO2 module
Gas
cylinder
4. Expose the sampling line to standard CO2 by opening the cylinder pressure relief valve.
5. Select the [Continue] key, input the applied CO2 concentration in the entry box of the interface.
6. The measured CO2 concentration is displayed. After the measured CO2 concentration becomes
stable, select [Calibration] to calibrate the CO2 module. The message [Calibrating] will be
displayed.
7. After a successful calibration, the screen displays [Calibration succeed.]. Otherwise, the system
will prompt a message [Calibration Failure! Please try again.]. In this case, calibrate the system
again.
NOTE: Use the batteries at least once a month to extend their service lives.
Charge the batteries before the battery power runs up.
NOTE: Please check and replace the batteries regularly. The service lives of the
batteries depend on how frequently they are used and how long they
have been in service. For a properly maintained and stored lithium
battery, the service life is approximately three years. Improper use of
the battery may shorten its service life.
The ventilator has built-in rechargeable batteries to ensure proper functioning of the ventilator even
in the case of power failures. When the ventilator is connected to an external power supply, the
batteries are charged regardless of whether the ventilator is on or off. In the event of a sudden power
failure, the system will automatically switch to battery power supply without interrupting the
operation of the ventilator. When the external power supply resumes within a specified period of
time, the system will terminate battery power supply and automatically switch to external power
supply to ensure continuous operation of the ventilator.
The battery icon in the power icon field on the screen indicates the battery status:
Please note the following instructions to ensure the maximum battery capacity:
• Check the battery performance once every six months. Check the battery performance
before the ventilator receives a service or when a battery-caused fault is suspected.
• Optimize the batteries after every three months of use or when the battery life is significantly
reduced.
NOTE: Optimize the batteries after every three months of use or when the
battery life is significantly reduced.
NOTE: The actual battery capacity will reduce after the batteries have been
used for some time. For an old battery, the battery full icon does not
indicate the compliance of the battery capacity or the battery life with
the manufacturer specifications. Please replace the batteries if the
battery life is significantly reduced during optimization.
1. Disconnect the ventilator from the patient and power off the ventilator.
2. Connect the ventilator to an external power supply to charge the batteries uninterruptedly for
at least 10 hours.
3. Disconnect the external power supply to power the ventilator with the batteries until the
ventilator is powered off.
4. Reconnect the ventilator to the external power supply to charge the batteries uninterruptedly
for at least 10 hours.
5. The battery optimization is now completed.
1. Disconnect the ventilator from the patient and power off the ventilator.
2. Connect the ventilator to an external power supply to charge the batteries uninterruptedly for
at least 10 hours.
3. Disconnect the external power supply to power the ventilator with the batteries until the
ventilator is powered off.
4. The battery life length reflects the battery performance.
If the battery life is significantly shorter than that specified in the specifications, please replace the
batteries or contact the service personnel.
NOTE: If the battery life is too short after being fully charged, the batteries
may already be damaged or faulty.
Storing the batteries in a cool environment can delay battery ageing. Ideally, the batteries should be
stored in a cool environment of 15°C (60°F). Do not store the batteries in an environment out of the
range specified in (page B-2) B.2 “Environment Specifications”.
Remove the batteries from the ventilator if the ventilator is not to be used for a long time. Otherwise
the batteries may be over-discharged, which can significantly extend the batteries’ charging time.
Partially charge any stored batteries once every two months to keep their battery levels at 40% to
60%. Fully charge the batteries before use.
NOTE: Remove the batteries from the equipment if the equipment is not to be
used for a long time.
NOTE: Storing the batteries in an environment of above 35°C (95°F) for a long
time may greatly shorten the expected service lives of the batteries.
• Normal polarity
• Reverse polarity
• Normal polarity with open neutral
• Reverse polarity with open neutral
Verify that the maximum leakage current does not exceed 500 μA (0.5 mA) in the first two
tests. While for the last two tests, verify that the maximum leakage current does not exceed
1000 μA (1 mA).
3. Perform the following patient leakage current tests:
• Normal polarity
• Reverse polarity
• Normal polarity with open neutral
• Reverse polarity with open neutral
• Normal polarity with open earth
• Reverse polarity with open earth
• Normal polarity with mains on AP
• Reverse polarity with mains on AP
4. Verify the maximum leakage current of the BF-type applied part does not exceed 100 μA (0.1
mA) in the first two tests. For the mid four tests, verify that the maximum leakage current does
not exceed 500 μA (0.5 mA). While for the last two tests, verify that the maximum leakage
current does not exceed 5000 μA (5 mA).
WARNING: Please use the accessories specified in this chapter only. Using other
accessories may lead to inaccurate measured values or equipment
faults.
WARNING: Disposable accessories shall be used only once. Repeated use may lead
to performance degradation or cross-infection.
WARNING: All the accessories in contact with human bodies meet the
biocompatibility requirements in the ISO 10993-1 standard and are
expected to cause no adverse reactions when in contact with human
bodies.
WARNING: Please do not use an accessory that shows signs of damage in its
package or itself.
WARNING: Please abide by the local applicable laws and regulations or the
hospital’s waste disposal systems for disposing of accessories and
never discard them at random.
WARNING: When the device and its accessories reach their service life, they must
be disposed of in accordance with the guidelines for managing the
disposal of such products and local regulations for contaminated and
biologically hazardous items.
NOTE: The accessories listed in the following table are applicable to the
ventilator. The hospital is responsible for ensuring that the ventilator is
compatible with accessories. Incompatibility between the ventilator
and accessories can degrade the ventilator performance.
*:
The pulse oximeter probes and probe cable extenders listed for this device have been validated and
tested for compliance with ISO 80601-2-61.
The SpO2 sensor material that contacts patients or other staff has undertaken the bio-compatibility
test and is verified to be in compliance with ISO 10993-1.
Wavelength emitted by the sensors intended for Mindray SpO 2 module: red light: 660 nm, infrared
light: 905 nm.
The maximum photic output consumption of the sensor is less than 18 mW.
The information about the wavelength range and maximum photic output consumption can be
especially useful to clinicians, for example, clinicians performing photodynamic therapy.
ᐕ⨶
A.1 Pneumatic
≄䐟⨶ Circuit Principle
A.1.1 Pneumatic
≄䐟⨶മ Circuit Diagram
3
3 26
SYMBOL NAME
Ambient air Ambient air
Low-pressure oxygen Low-pressure oxygen supply
High-pressure oxygen High-pressure oxygen supply
F1 Air inlet filter
F2 Air filter
P1 Air inlet pressure sensor
P2 Oxygen inlet pressure sensor
PSOL1 Proportional solenoid valve
Q1 O2 flow sensor
Blower Turbine blower
OS O2 sensor
Q2 Main flow sensor
P3 Ventilator-side pressure sensor
P4 Patient-side pressure sensor
EP Patient tubing and accessories
Patient Patient
The turbine blower sucks in oxygen and air for mixed pressurization. The pressurized mixed gas is
monitored by the main flow sensor, and the pressure and oxygen concentration of the mixed gas are
monitored by bypass at the front of the flow sensor. The mixed gas is transported to the inspiratory
port of the ventilator through the main flow sensor.
The gas output by the ventilator is delivered to the patient through main filters and patient tubing. A
pressure sensor is connected to the patient tubing near the patient's end to monitor the inspiratory
pressure of the patient during the breathing process. CO2 and other gases produced by the patient's
respiration are exhausted through the expiratory port on the pipeline to reduce the repeated
inhalation of CO2 and ensure the effective removal of CO2.
B5
S15
B6
S0 S1 B2
S2 S3
B1
B4 S4
S2
S5
B8
S6
S7
S14
S7 B3
B7
S8
B9
S9
S10
B10
S12
B11 S11
S13
S15 B12
The ventilator has integrated the expiratory volume monitor and pressure measurement device. It
has built-in alarm system, SpO2 monitor, O2 monitor and CO2 monitor. Where:
• The expiratory volume monitor, pressure measurement device and pressure release device
comply with the ISO 80601-2-12;
• The alarm system complies with the IEC 60601-1-8;
• The SpO2 monitor complies with the ISO 80601-2-61;
• The O2 monitor complies with the ISO 80601-2-55;
• The CO2 monitor complies with the ISO 80601-2-55;
• The gas supply hose assembly should comply with the ISO 5359 & ISO 18082 standard.
INTERNAL BATTERIES
Number of batteries 1 or 2
Battery type Lithium-ion battery
Battery capacity 6,600 mAh per battery
10 min at least (powered by new fully charged batteries after the first
Time to shutdown
low battery alarm)
180 minutes (powered by one piece aged fully-charged battery
according to ISO 80601-2-12)
360 minutes (powered by two pieces aged fully-charged batteries
Battery running time according to ISO 80601-2-12)
365±10mm
260±10mm
200±10mm
390±10mm
1380±10mm
Dimensions
1016±10mm
213±10mm
m
m
± 10
530
545±10mm
DISPLAY
Type TFT LCD
Size 15.6"
Resolution 1920*1080
Brightness Adjustable
LED INDICATOR
Alarm LED One (red for high alarms, yellow for medium and low alarms)
Power LED One (green. Lit when an external power supply is connected.)
One (green. Lit when a battery is installed and an external power
Battery LED supply is connected; flashing when powered by batteries;
extinguished when no battery is installed)
AUDIO INDICATOR
Gives off alarm tones and key tones; supports multi-level tone
Speaker modulation. The alarm tones comply with the requirements of
IEC60601-1-8.
Buzzer Gives off auxiliary audio alarm in case of speaker malfunction.
CONNECTOR
LOW-PRESSURE O2 SUPPLY
Gas supply pressure range ≤ 100 kPa
Input connector Quick connector which supports self sealing
Flow ≤ 15 L/min
INSPIRATION MODULE
External connector of the
Coaxial 15 mm/22 mm conical connector
inspiratory end
Safety pressure of the The airway pressure is less than 125 cmH2O in normal or a single fault
breathing system condition.
Response time to change
in FiO2 setting from
21% to 90% O2 ≤ 90 s for TV=500 mL, f=10 /min, I:E=1:2
(measured at the patient ≤ 120 s for TV=150 mL, f=20 /min, I:E=1:2
wye)
SYSTEM COMPLIANCE AND RESISTANCE
Disposable tubing (including adult disposable patient tubing and
Compliance excluding expiratory port): ≤ 4 mL/cmH2O;
Reusable tubing (including adult reusable patient tubing and
excluding expiratory port): ≤ 2 mL/cmH2O.
Not greater than 6 cmH2O at 60 L/min flow (including adult patient
tubing and expiratory port)
Inspiratory resistance
Not greater than 6 cmH2O at 30 L/min flow (including adult patient
tubing and expiratory port)
Not greater than 6 cmH2O at 60 L/min flow (including adult patient
tubing and expiratory port)
Expiratory resistance
Not greater than 6 cmH2O at 30 L/min flow (including adult patient
tubing and expiratory port)
MAXIMUM GAS SUPPLY RATE
LEAKAGE
Not greater than 200 mL/min@50 cmH2O
Leakage
Not greater than 100 mL/min@40 cmH2O
MONITORED PARAMETERS
Parameter Range Resolution Unit
Ppeak 0 to 100 Absolute value < 10: 0.1; cmH2O
PEEP 0 to 100 Absolute value ≥ 10: 1 cmH2O
O2% 15 to 100 1 vol.%
TVe 0 to 3500 (BTPS) 1 mL
O2 therapy flow 0 to 100 0.1 L/min
MVe 0 to 100 (BTPS) 0.1 L/min
MONITORING ACCURACY
Ppeak ±(2 cmH2O + 4% of actual reading)
PEEP ±(2 cmH2O + 4% of actual reading)
O2% ±(2.5 vol.% + 2.5% of actual reading)
TVe ±10 mL or ±15% of actual reading, whichever is greater.
±5 L/min or ± 15% of actual reading, whichever is greater
O2 therapy flow
(BTPS).
MVe ±0.3 L/min or ± 15% of actual reading, whichever is greater.
ftotal ±1 /min or ± 5% of actual reading, whichever is greater.
0 L/min to 100 L/min: ±5 L/min or ± 20% of actual reading,
Pt.leak whichever is greater.
Not defined above 100 L/min.
0 L/min to 100 L/min: ±5 L/min or ± 20% of actual reading,
Tot.leak whichever is greater.
Not defined above 100 L/min.
Pt.Trig ±10% (absolute error)
Ti/Ttot ±5% (absolute error)
PEF ±5 L/min or ± 20% of actual reading, whichever is greater.
ROX ±2 or ±10% of actual value, whichever is greater.
PesI ±(2 cmH2O + 4% of actual reading)
PesE ±(2 cmH2O + 4% of actual reading)
ΔPes ±(2 cmH2O + 4% of actual reading)
PtpI ±(2 cmH2O + 4% of actual reading)
Paux PtpE ±(2 cmH2O + 4% of actual reading)
ΔPtp ±(2 cmH2O + 4% of actual reading)
PTPes ±10 cmH2O*s or ±20% of actual value, whichever is greater.
±10 cmH2O*s/min or ± 20% of actual value, whichever is
PTPes/min
greater.
PEEPi ±(2 cmH2O + 4% of actual reading)
B.8 Alarms
B.8.1 Settable Alarms
ALARM SETTINGS
Adjustment
Parameter Range Note
step
High alarm limit 10cmH2O to 55 cmH2O
Paw 1 cmH2O
Low alarm limit OFF, 1 cmH2O to 50 cmH2O
High alarm limit OFF, 50mL to 4000 mL
TVe 5 mL Set the high alarm
Low alarm limit OFF, 10 mL to 3995 mL limit to be greater
High alarm limit OFF, 2 /min to 120 /min than low alarm
ftotal 1 /min limit.
Low alarm limit OFF, 1 /min to 119 /min
High alarm limit OFF, 1 L/min to 100 L/min
MV 0.1 L/min
Low alarm limit OFF, 0.5 L/min to 99.5 L/min
High alarm limit
(low-pressure 20 vol.% to 100 vol.% Set the high alarm
oxygen) limit to be greater
O2% 1 vol.%
Low alarm limit than low alarm
(low-pressure 18 vol.% to 98 vol.% limit.
oxygen)
Time range for apnea alarms: OFF, 5s to 60s; step: 1s; error: ±1 s.
Refreshing rate ≤2
*Studies were performed to validate the accuracy of Pulse Oximeter with SpO2 sensors by contrast
with a CO-Oximeter. The statistical analysis of data of this study shows the accuracy (Arms) is within
the stated accuracy specification. Please see the following table.
SENSOR TYPE TOTAL DATA ARMS
512F (adult, finger type, reusable) 10 (4 male&6 female) 200 pairs 1.91%
512H (pediatric, finger type, reusable) 10 (0 male&10 female) 200 pairs 1.95%
The Pulse Oximeter with neonatal SpO2 sensors was also validated on adult subjects.
PR
Measurement range 20 1/min to 300 1/min range:
Resolution 1 1/min
Accuracy ±3 1/min
PI
Measurement range 0.05% to 20%
0.05% to 9.99%: 0.01%
Resolution
10.0% to 20.0%: 0.1%
Update cycle SpO2 (70% to 100%): ≤ 30 s
PR (20 1/min to 300 1/min): ≤ 30 s
EMC ...................................................................................................................................................................................................................C-2
Radio Regulatory Compliance ..........................................................................................................................................................C-6
C.1 EMC
This equipment is compliance with IEC 60601-1-2: 2014 for EMC.
The essential performance verified during the immunity testing comprise of TVi control accuracy, TVi
monitoring accuracy, CO2 monitoring accuracy, O2 control accuracy, O2 monitoring accuracy, PEEP
control accuracy, PEEP monitoring accuracy, and SpO2 monitoring accuracy.
NOTE: Using accessories other than those specified may result in increased
electromagnetic emission or decreased electromagnetic immunity of
the equipment.
NOTE: The ventilator needs special precautions regarding EMC and needs to
be installed and put into service according to the EMC information
provided below.
WARNING: Use of accessories, transducers and cables other than those specified or
provided by the manufacturer of this equipment could result in
increased electromagnetic emissions or decreased electromagnetic
immunity of this equipment and result in improper operation.
WARNING: Use of this equipment adjacent to or stacked with other device should
be avoided because it could result in improper operation. If such use is
necessary, this equipment and the other device should be observed to
verify that they are operating normally.
WARNING: Other devices may interfere with this equipment even though they
meet the requirements of CISPR.
WARNING: When the input signal is below the minimum amplitude provided in
technical specifications, erroneous measurements could result.
TABLE C-2
NOTE: At 80 MHz and 800 MHz, the higher frequency range applies.
NOTE: At 80 MHz and 800 MHz, the higher frequency range applies.
WARNING: Keep a distance of at least 20cm away from the ventilator when WiFi
function is in using.
Physiological Alarms..............................................................................................................................................................................D-2
Technical Alarms ......................................................................................................................................................................................D-5
• Column P stands for the default alarm level: H for high, M for medium and L for low.
• Corresponding actions are given for each alarm message. If the problem persists after the
actions have been taken, contact a service personnel.
Paw Too Low H 1. Check the patient and ventilation parameter settings.
2. Check the patient tubing for leakage or disconnection.
3. Click the button to adjust the Paw low alarm limit if
necessary.
The triggering period adopts the dynamic delay strategy
(different delay periods are set according to the difference
between the MVe monitored value and the MV high alarm
limit), and the MVe monitored value can last for at most 4
MVe Too High H mechanical ventilation cycles and is greater than the MV high
alarm limit.
1. Check the patient and ventilation parameter settings.
2. Click the button to adjust the MV high alarm limit if
necessary.
The triggering period adopts the dynamic delay strategy
(different delay periods are set according to the difference
between the MVe monitored value and the MV low alarm
limit), and the MVe monitored value can last for at most 4
mechanical ventilation cycles and is lower than the MV low
MVe Too Low H alarm limit.
1. Check the patient and ventilation parameter settings.
2. Check the patient tubing for leakage or occlusion.
3. Click the button to adjust the MV low alarm limit if
necessary.
The triggering period adopts the dynamic delay strategy
(different delay periods are set according to the difference
between the TVe monitored value and the TVe high alarm
limit), and the TVe monitored value can last for at most 6
TVe Too High M mechanical ventilation cycles and is greater than the TVe high
alarm limit.
1. Check the patient and ventilation parameter settings.
2. Click the button to adjust the TVe high alarm limit if
necessary.
TABLE D-1 Physiological Alarms
EtCO2 Too High M 1. Check the patient and ventilation parameter settings.
2. Click the button to adjust the EtCO2 high alarm limit if
necessary.
TABLE D-1 Physiological Alarms
EtCO2 Too Low M 1. Check the patient and ventilation parameter settings.
2. Click the button to adjust the EtCO2 low alarm limit if
necessary.
The SpO2 value is greater than the high alarm limit.
1. Check the patient and ventilation parameter settings.
SpO2 Too High M 2. Check the patient’s inspiratory O2%.
3. Click the button to adjust the SpO2 high alarm limit if
necessary.
The SpO2 value is lower than the low alarm limit.
1. Check the patient and ventilation parameter settings.
SpO2 Too LOW M 2. Check the patient’s inspiratory O2%.
3. Click the button to adjust the SpO2 low alarm limit if
necessary.
The SpO2 value is lower than the Desat alarm limit.
1. Check the patient and ventilation parameter settings.
SpO2 Desat H 2. Check the patient’s inspiratory O2%.
3. Click the button to adjust the Desat high alarm limit if
necessary.
PR value exceeds the high alarm limit.
PPV TV Too High H 1. Check the patient and ventilation parameter settings.
2. Check the patient tubing for leakage or disconnection.
3. Adjust PPV%, Max E or Max R if necessary.
The target pressure is greater than the Pmax setting in VAPS
VAPS: Target TV mode.
Not Achieved. L
Insufficient Pmax 1. Check the patient's condition.
2. Adjust Pmax if necessary.
The target pressure is less than the Pmin setting in VAPS
VAPS: Target TV mode.
Exceeded. Pmin L
Too High 1. Check the patient's condition.
2. Adjust Pmin if necessary.
TABLE D-2 Technical Alarms
E.2 Setup
ITEM DEFAULTS
Menu: Setup: Ventilation: IBW/Height Height
Menu: Setup: Ventilation: Increase O2% during O2 ↑ 60 vol.%
Menu: Setup: O2 Sensor: Monitoring ON
Menu: Setup: CO2: Monitoring ON
Menu: Setup: CO2: BTPS Comp OFF
Menu: Setup: SpO2: Monitoring ON
ITEM DEFAULTS
Menu: Setup: SpO2: Sensitivity Med
Menu: Setup: SpO2: Sweep Speed 25 mm/s
Menu: Setup: SpO2: Beat Volume 1
Menu: Screen: Brightness/
Day
Volume
Menu: Screen: Screen Setup: Waveform Count 3
Menu: Screen: Screen Setup: Waveform Type Curve
Menu: Screen: Screen Setup: Layout Setup Switch ON
Menu: System: Setup: Language/Unit: Language CHINESE
Menu: System: Setup: Language/Unit: Pressure Unit cmH2O
Menu: System: Setup: Language/Unit: CO2 Unit mmHg
Menu: System: Setup: Language/Unit: Height Unit cm
Menu: System: Setup: Language/Unit: Weight Unit Kg
Menu: System: Interface: Nurse Call: Switch OFF
Menu: System: Interface: Nurse Call: Signal Type Continuous
Menu: System: Interface: Nurse Call: Contact Type Normally Closed
High Alarms, Med
Menu: System: Interface: Nurse Call: Alarm Level
Alarms
Phys. Alarm, Tech.
Menu: System: Interface: Nurse Call: Alarm Type
Alarm
Menu: System: Interface: Network Type: Network Type LAN
Menu: System: Interface: LAN Setup: IP Config. Static
Menu: System: Interface: Central Station Setup: Network
OFF
disconnection alarm
Menu: System: Interface: Central Station Setup: Select CMS OFF
Menu: System: Interface: Information Security: Encryption Only Private
Connection Type Encryption
Menu: System: Interface: Serial: Protocol None
E.3 Alarms
ITEM DEFAULTS
Alarms: Vent Limits: Paw High Limit 50 cmH2O
Alarms: Vent Limits: Paw Low Limit OFF
Alarms: Vent Limits: MV High Limit OFF
Alarms: Vent Limits: MV Low Limit OFF
Alarms: Vent Limits: TVe High Limit OFF
Alarms: Vent Limits: TVe Low Limit OFF
Alarms: Vent Limits: ftotal High Limit 30 /min
Alarms: Vent Limits: ftotal Low Limit 10 /min
ITEM DEFAULTS
Alarms: Vent Limits: Tapnea 15 s
Alarms: Module Limits: FiO2 High Limit 100 vol.%
Alarms: Module Limits: FiO2 Low Limit 21 vol.%
Alarms: Module Limits: EtCO2 High Limit 50 mmHg
Alarms: Module Limits: EtCO2 Low Limit 15 mmHg
Alarms: Module Limits: SpO2 High Limit 100%
Alarms: Module Limits: SpO2 Low Limit 90%
Alarms: Module Limits: PR High Limit 120 1/min
Alarms: Module Limits: PR Low Limit 50 1/min
Alarms: Module Limits: Desat 80%
E.4 History
ITEM DEFAULTS
History: Graphic: Zoom 10 min
History: Graphic: Display Group All
History: Tabular: Interval 1 min
History: Tabular: Display Group All
History: Event Logbook: Filter All Events
E.5 Other
ITEM DEFAULTS
Menu: System: Setup: Date & Time Setup: Date Format YYYY-MM-DD
Menu: System: Setup: Date & Time Setup: 24 h ON
Menu: System: Setup: Date & Time Setup: DayLight Savings OFF
Ramp: Tramp 10 min
Paux: Paux OFF
F.1 Abbreviations
ABBREVIATIONS DESCRIPTION
AE Adaptive EPAP
BTPS Body Temperature and Pressure Saturated
CO2 Carbon Dioxide
CPAP Continuous Positive Airway Pressure
Desat Desaturation
E-Cycle Expiratory Cycle Sensitivity
EPAP Expiratory Positive Airway Pressure
EPAPmax The maximum EPAP
EPAPmin The minimum EPAP
EtCO2 End-tidal Carbon Dioxide
f Breathing Frequency
fbackup Backup Breathing Frequency
FiO2 Inspired Oxygen Concentration
Flow Flow
fspn Spontaneous Frequency
ftotal Total Breathing Frequency
I:E Inspiratory Time : Expiratory Time Ratio
IPAP Inspiratory Positive Airway Pressure
Max E Maximum Elastance
Max R Maximum Resistance
MVe Expired Minute Volume
O2 Oxygen
P-A/C Pressure-Assist/Control Ventilation
Paw Airway Pressure
Paw Airway Pressure
Pbackup Backup Pressure
PEEP Positive End-Expiratory Pressure
PEEPi Intrinsic PEEP
PEF Peak Expiratory Flow
ΔPes ΔOesophageal Pressure
PesE Expiratory Oesophageal Pressure
PesI Inspiratory Oesophageal Pressure
PI Perfusion Index
Pmax The maximum pressure to be applied
Pmin The minimum pressure to be applied
Ppeak Peak Inspiratory Pressure
PPV Proportional Pressure Ventilation
PPV% Percentage of PPV assist or gain
ABBREVIATIONS DESCRIPTION
PR Pulse Rate
Psupp Support Pressure
ΔPtp ΔTranspulmonary Pressure
PtpE Expiratory Transpulmonary Pressure
PTPes Oesophageal Pressure Time Product of 1 Breath
PTPes/min Oesophageal Pressure Time Product of 1 Minute
PtpI Inspiratory Transpulmonary Pressure
Pt.leak Patient Leak
Pt.Trig Percent of patient-triggered breaths
S Spontaneous Ventilation
S/T Spontaneous/Timed Ventilation
S/T+ Spontaneous/Timed Ventilation Plus
SpO2 Blood Oxygen Saturation
T Timed Ventilation
Ti max Maximum Time of Inspiration
Tinsp Time of Inspiration
Ti/Ttot Inspiration Time/Total Cycle Time
TVe/IBW Expired Tidal Volume Per Ideal Body Weight
Tot.leak Total Leak
Tslope Time of Pressure Rising
TV Tidal Volume
TVe Expired Tidal Volume
TVmax The maximum volume to be delivered
Trigger Trigger Sensitivity
VAPS Volume Assured Pressure Support Ventilation
F.2 Symbols
SYMBOL DESCRIPTION SYMBOL DESCRIPTION
- minus, negative > greater than
% percentage ≤ smaller than or equal to
/ per, divided by, or ≥ greater than or equal to
≈ approximately ± plus or minus
^ power × multiplied by
+ plus, positive © copyright
= equal to ™ trademark
< smaller than ® registered trademark