Respironics V60 Ventilator - Frank's Hospital Workshop
Respironics V60 VentilatorUser Manual
For Technical Support and Customer Service, contact:USA and Canada: 800-345-6443 or 724-387-4000Respironics Europe, Africa, Middle East: 33-1-47-52-30-00Respironics Asia Pacific: 852-3194-2280Facsimile: 1-724-387-5012USARespironics California, Inc.2271 Cosmos CourtCarlsbad, CA 92011Email and web w.philips.com\healthcareAuthorized European representativeRespironics Deutschland GmbHGewerbestrasse 17D-82211 HerrschingGermany 49-8-15-29-30-60 2009 Respironics and its affiliates.All rights reserved.This work is protected under Title 17 of the United States copyright code and is the sole property of Respironics.No part of this document may be copied or otherwise reproduced, or stored in any electronic informationretrieval system, except as specifically permitted under United States copyright law, without the prior writtenconsent of Respironics.
Table of contents1.Warnings, cautions, and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .First-time installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-11-11-31-51-51-51-61-71-72.Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-93.General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .About CO2 rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Potential side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .General description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Physical description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Patient circuits, masks/patient interfaces, and accessories . .Ventilator unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Graphical user interface . . . . . . . . . . . . . . . . . . . . . . . . . .4.3-13-13-13-23-23-43-43-63-9Principles of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1System operational overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1Pneumatic system operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Breath delivery characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Control variable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Triggering, cycling, and leak adaptation . . . . . . . . . . . . . . . . . . . . 4-2Baseline pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2Pressure rise time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Negative pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Oxygen concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Auto-Trak Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Cycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3Leak adaptation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7CPAP mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8PCV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9S/T mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10AVAPS mode (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-111047358 Rev ARespironics V60 Ventilator User Manualiii
Table of contents5.Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Connecting external devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Connecting oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1Installing the patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2Connecting to AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4About the optional backup battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4Starting up the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6Shutting down the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6Navigating the graphical user interface . . . . . . . . . . . . . . . . . . . . . . . . . 5-7Preoperational check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Required materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10High Inspiratory Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10Low Tidal Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10Patient Disconnect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11Patient Circuit Occluded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-116.Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1Changing the mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2Changing control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3Making batch setting changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3Changing individual ventilator settings . . . . . . . . . . . . . . . . . . . . . . 6-4Using the Ramp Time function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5Changing alarm settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6Selecting the mask and exhalation port . . . . . . . . . . . . . . . . . . . . . . . . . 6-7Running the exhalation port test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Other functions: the Menu window . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Mask/Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Vent Info (ventilator information) . . . . . . . . . . . . . . . . . . . . . . . . . 6-11Screen Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12Help function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14Table of modes and control settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-157.Patient monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1Display conventions . . . . . . . . . . . .Table of monitored parameters . . . .Scaling the waveform axes . . . . . . .Freezing and unfreezing waveforms .iv.Respironics V60 Ventilator User Manual.7-17-27-27-31047358 Rev A
Table of contents8.Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1Responding to alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Setting alarm loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Silencing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Manually resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Clearing autoreset alarms from the Alarms list . . . . . . . . . . . . . . . .Hiding/displaying alarm messages . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alarms and other messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9.Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1Decontamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Ventilator exterior . . . . . . . . . . . . . . . . . . . . . . . . .Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Bacteria filter, patient circuit, and other accessoriesPreventive maintenance . . . . . . . . . . . . . . . . . . . . . . . .Replacing the air inlet filter . . . . . . . . . . . . . . . . . .Cleaning or replacing the cooling fan filter . . . . . . .Removing and replacing the battery . . . . . . . . . . . .Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Repacking and shipping . . . . . . . . . . . . . . . . . . . . . . . .10.9-19-19-29-29-39-49-59-69-69-69-69-6Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1Control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Menu window settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Operator-accessible diagnostic mode functions . . . . . . . . . . . .Physical characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . .Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . .Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . .Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -410-510-510-510-6First-time installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1Unpacking and inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1Mounting the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2Installing the optional battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3Installing oxygen inlet connector and AC power cord (Outside the USA and Japan only) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6Installing the oxygen manifold kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7Configuration and screen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . A-71047358 Rev ARespironics V60 Ventilator User Manualv
Table of contentsB.Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1RS-232 serial and analog I/O port . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2Pinout of connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2Communications protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3Commands and transmission conventions . . . . . . . . . . . . . . . . . . . B-3Remote alarm port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-12C.Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1One-year warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1Warranty limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1D.Parts and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1Adult masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Pediatric masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Exhalation ports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Patient breathing circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Bacteria filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Operator maintenance parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Other parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .E.D-1D-3D-3D-4D-4D-4D-5Regulatory compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1F.Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1Entering the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1System settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-3Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-4Date/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-6Pressure Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-7Restore Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-8Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-9Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-10Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-11Significant Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-11Touchscreen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-13Exiting the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-13Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1viRespironics V60 Ventilator User Manual1047358 Rev A
Chapter 1. Warnings, cautions, and notesBefore using the Respironics V60 Ventilator on a patient, familiarize yourselfwith this user manual, particularly the safety considerations listed. Be aware,however, that this manual is a reference only. It is not intended to supersedeyour institution’s protocol regarding the safe use of assisted ventilation.DefinitionsGeneral1047358 Rev AWARNING:Alerts the user to the possibility of injury, death, or other serious adversereactions associated with the use or misuse of the device.CAUTION:Alerts the user to the possibility of a problem with the deviceassociated with its use or misuse, such as device malfunction, devicefailure, damage to the device, or damage to other property.NOTE:Emphasizes information of particular importance.WARNING:An alternative means of ventilation shall be available whenever theventilator is in use. If a fault is detected in the ventilator, disconnect thepatient from it and immediately start ventilation with such a device. Theventilator must be removed from clinical use and serviced by Respironicsauthorized service personnel.WARNING:Use the Respironics V60 Ventilator on spontaneously breathing patientsonly. It is an assist ventilator and is intended to augment the ventilation ofa spontaneously breathing patient. It is not intended to provide the totalventilatory requirements of the patient.WARNING:We do not recommend you use the Respironics V60 Ventilator on patientswho require ventilation at predetermined tidal volumes. The ventilatorprovides continuous positive airway pressure (CPAP) and positivepressure ventilation (S/T, PCV, and AVAPS) and is indicated for assistedventilation only. These modes do not provide ventilation with guaranteedtidal volume delivery.WARNING:We do not recommend you use AVAPS on patients who require rapid andfrequent IPAP adjustments to maintain a consistent tidal volume. AVAPS, avolume targeted mode, changes the IPAP setting in order to achieve thetarget tidal volume. During AVAPS setup, there may be a period of timebefore the target tidal volume is achieved. AVAPS is ideal for morestabilized patients.Respironics V60 Ventilator User Manual1-1
Chapter 1Warnings, cautions, and notes1-2WARNING:To reduce the risk of CO2 rebreathing, make sure EPAP pressures andexhalation times are sufficient to clear all exhaled gas through theexhalation port. In noninvasive ventilation continuous air flow through theport flushes exhaled gases from the circuit. The ability to completelyexhaust exhaled gas from the circuit depends on the EPAP setting and I:Eratio. Higher tidal volumes further increase the volume of CO2 rebreathedby the patient.WARNING:To reduce the risk of CO2 rebreathing, monitor the patient for changes inrespiratory status at the start of ventilation and with each change inventilator settings, circuit configuration, or patient condition. Payattention to ventilator alarms that warn of increased CO2 rebreathing risk.WARNING:Be aware of the possibility of contamination from patient exhalate beingexhausted into the room through the exhalation port.WARNING:To ensure accuracy of oxygen administration and to monitor for thepresence of contamination (incorrect gas connected), use an externaloxygen monitor to verify the oxygen concentration in the delivered gas.WARNING:To reduce the risk of fire, use the ventilator in well-ventilated areas awayfrom flammable anesthetics. Do not use in a hyperbaric chamber or othersimilarly oxygen-enriched environments. Do not use near an open flame.WARNING:To reduce the risk of electric shock from liquid entering the device, donot put a container filled with a liquid on the ventilator.WARNING:To reduce patient risk of hypoxemia, keep free-flowing oxygen away fromair inlet of ventilator.WARNING:The nurse call/remote alarm should be considered a backup to theventilator’s primary alarm system.WARNING:To ensure that the alarm will be heard, make sure the alarm loudness isadequate and avoid blocking the alarm speakers beneath the ventilator.CAUTION:Federal law (USA) restricts this device to sale by or on the order of aphysician.CAUTION:The Respironics V60 Ventilator is designed to operate in thetemperature range of 5 to 40 ºC (41 to 104 ºF). To minimize the riskof overheating the device, do not operate adjacent to heaters or otherheat sources.NOTE:The displays shown in this manual may not exactly match what yousee on your own ventilator.NOTE:Pressures are indicated on the ventilator in cmH2O. Millibars andhectopascals (hPa) are used by some institutions instead. Since1 millibar equals 1 hPa, which equals 1.016 cmH2O, the units maybe used interchangeably.NOTE:The ventilator is not intended for use as an ambulance transportventilator or as an Automatic Transport Ventilator as described by theAmerican Hospital Association and referenced by the FDA. It isintended to allow the patient to be transported within the hospitalsetting using a cart to move the ventilator.NOTE:When attachments or other components or subassemblies are addedto the ventilator breathing system, the pressure gradient across theventilator breathing system, measured with respect to the ventilatoroutlet, may increase.Respironics V60 Ventilator User Manual1047358 Rev A
Chapter 1Warnings, cautions, and notesPreparing forventilation1047358 Rev ANOTE:To ensure the correct performance of the ventilator and the accuracyof patient data, we recommend you use only Respironics-approvedaccessories with the ventilator. See Appendix D, “Parts andaccessories”.NOTE:This Respironics V60 Ventilator and its recommended accessoriesthat have patient contact are free of latex.NOTE:If an alarm persists for no apparent reason, discontinue ventilator useand contact Respironics.NOTE:If you detect any unexplained changes in the performance or visualdisplays of the ventilator, discontinue ventilator use and contactRespironics.NOTE:The Respironics V60 Ventilator does not support automatic recordkeeping.WARNING:Connect the ventilator to an appropriate medical-grade oxygen sourceonly. The source must be able to deliver 100% oxygen regulated to 276to 600 kPa (40 to 87 psig).WARNING:To reduce the risk of hypoxia, connect only oxygen to the high-pressureconnector at the rear of the ventilator.WARNING:To reduce the risk of fire, do not use a high-pressure oxygen hose that isworn or contaminated with combustible materials like grease or oil.WARNING:Always check the status of the oxygen cylinders before using theventilator during transport.WARNING:To prevent possible asphyxia and to reduce the risk of CO2 rebreathing,take these precautions with respect to mask and exhalation port use:WARNING:Use only a mask with an exhalation port or a nasal mask for noninvasiveventilation.WARNING:Do not occlude the exhalation port.WARNING:Turn on the ventilator and verify that the port is operational beforeapplication. Pressurized gas from the ventilator should cause acontinuous flow of air to exhaust from the leak port, flushing exhaled gasfrom the circuit.WARNING:Never leave the mask on the patient while the ventilator is not operating.When the ventilator is not operating, the exhalation port does not allowsufficient exhaust to eliminate CO2 from the circuit. Substantial CO2rebreathing may occur.WARNING:To ensure normal air circulation and exchange, do not cover or block theports on the ventilator or ventilator circuit. Do not block the air inlet panelon the right side of the ventilator.WARNING:To prevent possible patient injury and possible water damage to theventilator, make sure the humidifier is set to appropriate temperature andhumidification settings.Respironics V60 Ventilator User Manual1-3
Chapter 1Warnings, cautions, and notes1-4WARNING:To prevent the possibility of inadequate humidification, pay closeattention to the humidifier’s functioning when operating the ventilator atan ambient temperature 30 ºC (86 ºF). The ventilator warms the airdelivered to the patient above ambient temperature, which may impair thehumidifier’s performance.WARNING:To reduce the risk that the patient will aspirate condensed water from thebreathing circuit, position any humidifier lower than both the ventilatorand the patient.WARNING:To prevent possible patient injury and equipment damage, do not turn thehumidifier on until the gas flow has started and is regulated. Starting theheater or leaving it on without gas flow for prolonged periods may resultin heat build-up, causing a bolus of hot air to be delivered to the patient.Circuit tubing may melt under these conditions. Turn the heater powerswitch off before stopping gas flow.WARNING:To reduce the risk of fire, use only patient circuits intended for use inoxygen-enriched environments. Do not use antistatic or electricallyconductive tubing.WARNING:To prevent patient or ventilator contamination, we recommend you use aRespironics-approved main flow bacteria filter on the patient gas outletport. Filters not approved by Respironics may degrade systemperformance.WARNING:To reduce the risk of bacterial contamination or damage, handle bacteriafilters with care.WARNING:Any additional accessories in the patient circuit may substantiallyincrease flow resistance and impair ventilation.WARNING:To reduce the risk of strangulation from patient tubing, use a tubingsupport arm and secure the proximal pressure line with clips.WARNING:To reduce the risk of electric shock, connect the ventilator to an ACsupply mains with protective earth only.WARNING:Do not use extension cords, adapters, or power cords with the ventilatorthat are not approved by Respironics.WARNING:To prevent unintentional disconnection of the power cord, always use thecorrect, Respironics-supplied power cord and lock it into place with thepower cord retainer before you switch the ventilator on. The retainer isdesigned to hold the connector end of the Respironics-supplied cordsecurely in place.WARNING:To reduce the risk of electric shock, regularly inspect the AC power cordand verify that it is not frayed or cracked.WARNING:To reduce the risk of strangulation, route the power cord to avoidentanglement.WARNING:To reduce the risk of power failure, pay close attention to the battery’scharge level. The battery’s operation time is approximate and is affectedby ventilator settings, discharge and recharge cycles, battery age, andambient temperature. Battery charge is reduced at low ambienttemperatures or in situations where the alarm is continuously sounding.Respironics V60 Ventilator User Manual1047358 Rev A
Chapter 1Warnings, cautions, and notesWARNING:To ensure the ventilator’s safe operation, always run the fullpreoperational check described in “Preoperational check” on page 5-8before using the ventilator on a patient. If the ventilator fails any tests,remove it from clinical use immediately. Do not use the ventilator untilnecessary repairs are completed and all tests have passed.WARNING:To prevent possible patient injury, disconnect the patient from theventilator before running the preoperational check. Make sure anothersource of ventilatory support is available.WARNING:To prevent possible patient injury due to nonannunciating alarms, verifythe operation of any remote alarm device before use.WARNING:To prevent possible patient injury, always return alarm settings tohospital-standard values after the preoperational check.CAUTION:To prevent possible damage to the ventilator, ensure that theconnection to the oxygen supply is clean and unlubricated, and thatthere is no water in the oxygen supply gas.CAUTION:For 120 V equipment, grounding reliability can only be achievedwhen it is connected to an equivalent receptacle marked “hospitalonly” or “hospital grade.”OperationWARNING:To prevent possible patient injury, avoid setting alarm limits to extremevalues, which can render the alarm system useless.Alarms and messagesWARNING:If AC power fails and the backup battery is not installed or is depleted, anaudible and visual alarm annunciates for at least 2 minutes. Immediatelydiscontinue ventilator use and secure an alternative means of ventilation.As in most ventilators with passive exhalation ports, when power is lost,sufficient air is not provided through the circuit and exhaled air may berebreathed.Care andmaintenanceWARNING:To reduce the risk of electric shock, power down the ventilator anddisconnect it from AC power before cleaning or servicing it.WARNING:To prevent patient or ventilator contamination, inspect and replace themain flow bacteria filter between patients and at regular intervals (or asstated by the manufacturer).WARNING:To prevent possible patient injury, inspect and verify the proper operationof the exhalation port regularly during use.WARNING:To reduce the risk of fire, explosion, leakage, or other hazard, take theseprecautions with respect to the battery:1047358 Rev ARespironics V60 Ventilator User Manual1-5
Chapter 1Warnings, cautions, and notes- Do not attempt to disassemble, open, drop, crush, bend or deform,insert foreign objects into, puncture, or shred the battery pack; modifyor remanufacture it; immerse or expose it to water or other liquids;expose it to fire, excessive heat (including soldering irons); or put it ina microwave oven.- Replace the battery only with another battery specified by themanufacturer.- Follow all instructions for proper use of the battery.- Do not short-circuit the battery or allow metallic or conductive objectsto contact the battery connector housing.- Use the battery with the Respironics V60 Ventilator only.First-time installation1-6CAUTION:Do not attempt to sterilize or autoclave the ventilator.CAUTION:To prevent possible damage to the ventilator, use only those cleaningagents l
NOTE: The ventilator is not intended for use as an ambulance transport ventilator or as an Automatic Transport Ventilator as described by the American Hospital Association and referenced by the FDA. It is intended to allow the patient to be transported within the hospital sett
1047358 Rev C Respironics V60 Ventilator User Manual 1-1 Chapter 1. Warnings, cautions, and notes Before using the Respironics V60 Ventilat or on a patient, familiarize yourself with this user manual, particularly the safety considerations listed. Be aware, however, that this manual is a reference only. It is not intended to supersede
1052987 Rev F Manual del usuario del ventilador Respironics V60 1-1 Capítulo 1. Advertencias, precauciones y notas Antes de usar el ventilador Respironics V60 con un paciente, familiarícese con este manual de usuario, especialmente en lo relativo a las consideraciones de seguridad indicadas. Sea consciente, en cualquier caso, de que este manual
Table of Contents REF 580-1000-02 H Respironics V200/Esprit Ventilator Service Manual Respironics, Inc. vii 8.7.12Test 12: Neonatal Option Test .
REF 1057983 A Respironics V200 Ventilator Operator’s Manual 1-1 Chapter 1. Introduction and Intended Use The Respironics V20
Puritan-Bennett 7200 Ventilator Bracket Cat. No. 386-73 Hill Rom Rail Mounting Bracket Cat. No. 386-78 Puritan-Bennett 2800 Ventilator Bracket Cat. No. 386-82 Puritan-Bennett 840 Ventilator Bracket Cat. No. 386-79 CONCHA Mini Reservoir Bracket Cat. No. 386-75 Siemens ADVENT, PB, Respironics Esprit Ventilator Bracket Cat. No. 386-81 Cat. Nos .
testers are ideal for voltage withstand (Hipot) testing on a wide variety of electrical equipment and components. The Vitrek V60 series is a family of four automatic voltage withstand testers. The functions they provide include AC Hipot, DC Hipot, Insulation Resistance plus continuity. Function Model AC DC IR V60 X V61 X X V62 X X
need to contact Respironics directly, call the Respironics Customer Service department at 1-800-345-6443 (U.S. and Canada only) or 1-724-387-4000. You can also use the following address: 1001 Murry Ridge Lane Murrysville, PA 15668 www.respironics.com Respironics and EverGo are a registered trademark and trademark, respectively, of
Spring Lake Elementary Schools Curriculum Map 2nd Grade Reading The following CCSS’s are embedded throughout the year, and are present in units applicable: CCSS.ELA-Literacy.SL.2.1 Participate in collaborative conversations with diverse partners about grade 2 topics and texts with peers and adults in small and larger groups. CCSS.ELA-Literacy.SL.2.2 Recount or describe key ideas or .
