Manuais de utilizador para Philips V200

índice analítico

• Chapter 1. Introduction and Intended Use

  9
• Chapter 2. Warnings, Cautions, and Notes

  11
  • Summary of Warnings, Cautions, and Notes

    11
    • Warnings

      11
    • Cautions

      15
    • Notes

      18
• Chapter 3. Symbols

  23
• Chapter 4. Getting Started

  29
  • Unpacking

    29
    • Unpacking Instructions

      30
  • Inspection

    30
  • List of Parts and Accessories

    30
  • Repacking

    31
    • Repacking Instructions

      31
  • Ventilator Positioning

    32
  • Backup Battery

    32
    • Backup Battery Removal and Installation

      33
    • Backup Battery Operation

      42
    • Battery Capacity

      42
    • Battery Charging

      43
    • Warranty

      43
  • Inspiratory Bacteria Filter Installation

    44
    • Inspiratory Bacteria Filter Installation Instructions

      45
  • Heated Expiratory Bacteria Filter Installation

    46
    • Heated Expiratory Bacteria Filter Installation Instructions

      46
  • Oxygen Source Connection

    48
    • Oxygen Source Connection Instructions

      49
  • Patient Circuit Flex Arm Installation

    50
    • Patient Circuit Flex Arm Installation Instructions

      50
• Chapter 5. Setup

  51
  • Back Panel Connections and Controls

    51
  • Connecting AC Power Cord

    53
    • Connecting AC Power Cord Instructions

      54
  • Power On/Off

    54
    • Turning the Ventilator On

      55
    • Turning the Ventilator Off

      55
  • Entering Diagnostic Mode

    55
    • Entering Diagnostic Mode

      56
  • User Configuration Screen

    57
    • Date and Time

      57
    • Setting Date and Time Format

      57
    • Altitude

      59
    • Setting Altitude

      59
    • Enabling/Disabling Tubing Compliance

      60
  • Backup Battery

    61
  • Extended Self Test (EST)

    62
• Chapter 6. Connecting Additional Equipment

  63
  • Communication Interface

    63
  • Connecting Serial Communications Devices

    64
  • Connecting Remote Alarm Port

    64
  • Connecting Humidifier

    65
  • Connecting the Patient Circuit

    67
  • Connecting the Analog Port

    69
• Chapter 7. Operating Theory

  71
  • Introduction

    71
  • System Overview

    71
  • Ventilator Breath Types

    71
    • Volume Control Ventilation (VCV)

      71
    • Pressure Control Ventilation (PCV)

      72
  • Ventilation Modes Common to VCV and PCV

    73
    • Assist Control Ventilation (A/C)

      73
    • Synchronized Intermittent Mandatory Ventilation (SIMV)

      73
    • Continuous Positive Airway Pressure (CPAP)

      74
    • Pressure Support Ventilation (PSV)

      74
    • Positive End Expiratory Pressure (PEEP)

      75
    • Rise Time Setting

      75
    • Patient Initiated Breath Triggering

      75
    • Patient Leak Display

      76
  • Ventilation Modes Common to NPPV

    76
    • Non-Invasive Positive Pressure Ventilation (NPPV)

      76
    • Spontaneous Ventilation Mode (Spont)

      76
    • Spontaneous/Timed Ventilation Mode (Spont/T)

      76
  • Emergency Modes of Ventilation

    77
    • Apnea Ventilation

      77
    • Safety Valve Open (SVO)

      78
• Chapter 8. Operating Instructions

  79
  • Overview

    79
  • The Front Panel

    81
    • Alarm Status Indicators

      83
    • Power Status Indicators

      84
    • Front Panel Keys

      86
    • Front Panel Level Controls

      88
  • Ventilator Screens

    89
    • Front Panel Touch Display

      89
    • Common Ventilator Screen Components

      89
  • Settings Screens

    92
    • Selecting Settings

      93
    • Selecting Alarm Limits

      94
    • Selecting Waveforms (VCV only)

      97
    • Selecting Adult/Pediatric Buttons

      98
    • Selecting the Inspiratory Trigger (I-Trigger)

      99
    • Settings with Calculated Values

      99
    • Rate and Apnea Rate Settings Relationship

      100
    • Changing IPAP or EPAP in NPPV

      101
  • Selecting a New Ventilation Breath Type (VCV, PCV, or NPPV)

    101
  • Selecting the Mode (A/C-SIMV-CPAP or Spont-Spont/T)

    104
  • Apnea Ventilation

    105
  • Patient Data Screen

    106
  • Monitor Screen

    107
  • Special Procedures

    109
    • Auto-PEEP Calculation

      109
  • Preoperational Procedure

    110
  • Alarm Testing Procedure

    112
  • Where To Go For Help

    112
• Chapter 9. Alarms

  113
  • Introduction

    113
  • Visual Alarms

    113
  • Audible Alarms

    114
    • Alarm Silence

      114
  • Alarm Reset

    115
    • Automatic Alarm Reset (Auto-Reset)

      115
    • Operator-Initiated Alarm Reset

      115
    • Alarm Reset Terminates Alarm Silence

      115
    • Alarm Volume Control

      116
  • Alert Messages

    116
  • Alarm Indicators

    121
    • Normal

      121
    • Alarm High

      121
    • Alarm Med/Low

      121
    • Vent Inop

      121
    • Safety Valve

      122
    • Alarm Silence

      122
• Chapter 10. Care and Maintenance

  123
  • General Information

    123
  • Cleaning

    123
  • Sterilization

    124
    • Steam Autoclaving

      124
    • Chemical Disinfecting

      124
    • Ventilator Exterior

      125
    • Patient Circuit Support Arm

      125
    • O2 Gas Supply Filter/Water Trap

      125
    • Reusable Patient Circuit Tubing, Couplings, and Connectors

      126
    • Reusable In-line Water Traps

      126
  • Bacteria Filters

    126
    • Removing and Replacing Inspiratory Bacteria Filter

      127
    • Removing and Replacing Expiratory Bacteria Filter

      127
  • Periodic Maintenance

    129
    • Removing Cooling Filter

      130
    • Removing and Replacing O2 Input Filter Element

      131
    • Removing and Replacing Internal Air Source Inlet Filter

      132
  • Storage

    132
  • Repairs

    132
• Chapter 11. Diagnostics

  133
  • Entering Diagnostic Mode

    134
  • Diagnostic Functions

    135
    • Short Self Test (SST)

      135
  • Extended Self Test (EST)

    136
    • Hardware

      136
    • Software

      136
    • User Config

      137
    • Diagnostic Codes

      137
    • Information

      141
    • Option

      141
  • Self Test

    142
    • Introduction

      142
    • Self-Test Hardware

      142
    • Power On Self Test (POST)

      142
    • Built-In Test

      143
    • Restart

      143
• Chapter 12. Technical Specifications

  145
  • Breath Types

    145
  • Modes

    145
  • Volume Ventilation Settings, Ranges and Resolution

    145
  • Pressure Control Ventilation Settings, Ranges and Resolution

    146
  • Non-Invasive Positive Pressure Ventilation Settings, Ranges and Resolution

    147
  • Apnea Ventilation

    147
  • Value Entry Message

    148
  • Patient Data Screen

    149
  • Front Panel Keys

    150
  • Level Controls

    151
  • Calculated Values from Expiratory Hold Maneuver

    151
  • Interface Ports

    151
  • Environmental Specifications

    152
  • Environmental Protection

    152
  • Alarms

    152
  • Connectors

    153
  • Filters

    154
  • Measuring and Display Devices

    154
  • AC Power and Battery Indicators

    154
  • Leakage Current

    155
  • Compliance and Approvals

    155
  • Power Requirements

    155
  • Dimensions and Weights

    156
  • Electromagnetic Compatibility Declaration

    156
  • Pneumatic System

    161
  • Labels

    162
• Chapter 13. Options and Accessories

  165
  • Introduction

    165
  • Assemble O2 Sensor

    167
    • MSA MiniOX O2

      167
    • Analytical Industries Inc.

      167
  • Attaching the Sensor to the Ventilator

    168
  • Warranty

    169
  • O2 Sensor Tee

    169
  • Installation

    172
  • Power Consumption Sequence

    172
  • External Battery/ Backup Battery Operation

    172
  • Battery Capacity

    174
  • Battery Charging

    174
  • Testing

    175
  • Battery Specifications

    175
  • Warranty

    176
  • Kit Contents

    177
  • Assembly Instructions

    178
  • Replacement Parts:

    181
  • Using the Manifold

    181
    • To Use Wall Supply Oxygen

      181
    • To Use O2 Cylinders

      181
    • Transport Use

      181
  • Starting Graphics

    183
  • Using Graphics

    183
  • Replotting and Scrolling

    184
  • Rescaling the Display

    184
  • Freeze Feature

    186
  • Save and Overlay Features

    187
  • Inspiratory Area

    188
  • Alarms During Graphics

    189
  • Print Screen

    191
    • Connecting to a Printer

      191
    • Printing a Screen

      192
    • Canceling a Print Screen Request

      192
    • Print Screen Messages

      192
  • VueLink Compatibility

    193
    • Connecting to the VueLink Module

      193
  • Configuring the VueLink Module

    194
    • Configuration Overview

      194
    • Changing modes

      194
    • Preselecting Devices

      195
    • Information Sent to the VueLink System

      196
  • Analog Output (Chart Recorder)

    200
  • RS-232 Configuration

    203
  • Commands Transmitted to the Ventilator

    204
  • Transmission of Data from the Ventilator

    204
  • SNDA<CR>, Send Variable Length Ventilator Settings Report

    204
  • Accessing Respiratory Mechanics Data

    215
  • Vital Capacity Maneuver

    216
  • MIP/P0.1 Maneuver

    218
  • Static C and R Maneuver

    220
  • Alarms and Error Messages

    222
  • Compliance (C) and Resistance (R) Computations

    229
    • Dynamic Compliance

      229
    • Dynamic Resistance

      230
    • Static C and R

      230
  • Accessing Trending Data

    233
  • Selecting Parameters for Display

    236
  • Using the Manual Rescale Function

    238
  • Changing the Cursor Position

    238
  • Selecting the Time Scale

    239
  • Using the +2 Hrs/-2 Hrs buttons

    240
  • Using the Zoom Function

    240
  • Using the Rescale Button

    240
  • Using the View 1/ View 2 buttons

    241
  • Using the Clear button

    241
  • Alarms during Trending

    241
  • PCMCIA Card

    241
  • Trending Not Available

    242
  • Specifications

    242
  • On the Screen

    248
  • Breath Delivery

    249
  • Inspiratory Hold

    249
  • Respiratory Mechanics

    249
  • Alarms

    250
  • System Requirements

    251
    • Communications

      252
  • Hardware Setup

    252
  • RS-232 Communications

    255
    • Information Transferred from the Respiratory Profile Monitor to the Ventilator

      255
    • Information Transferred from the Ventilator to the Respiratory Profile Monitor

      256
  • Trended NICO Data

    256
  • Troubleshooting

    260
  • System Requirements

    261
  • Changing Patient Types

    262
    • Selecting Neonatal Patient Type

      262
    • Heated Filter Test

      263
    • Initial Neonatal Settings

      264
  • Percent Leak

    265
  • Patient Leak Values

    266
  • Warnings, Cautions, and Notes

    267
    • Warnings

      267
  • Patient Preparation

    268
  • Settings

    270
  • Starting Speaking Mode

    270
  • Alarms

    273
    • Disabled Alarms

      273
    • Mode-Specific Alarms

      274
  • Displayed Data

    275
  • Trended Data

    276
    • Speaking Mode Trended Data

      276
  • Discontinue Speaking Mode

    279
  • Introduction

    281
  • Compatible Patient Interfaces

    281
  • How to Select Auto- Trak

    282
  • Turning Auto-Trak Off

    285
  • Triggering and Cycling with Auto- Trak

    285
    • Triggering

      285
    • Cycling

      285
  • Leak Detection and Compensation

    285
• Appendix A. RS-232 Communications Protocol

  287
  • RS-232 Configuration

    287
  • Commands Transmitted to the Ventilator

    287
  • Transmission of Data from the Ventilator

    287
  • Ventilator Report Command and Response (VRPT)

    287
  • Volume Control Ventilation Settings Report (VCVS)

    297
  • Pressure Control Ventilation Settings Report (PCVS)

    300
  • Non-Invasive Positive Pressure Ventilation Settings Report (NPVS)

    302
  • Patient Data Report (PTDT)

    304
  • Alarm Status Report (ALRM)

    307
  • Unrecognized Commands

    310
• Appendix B. Customer Service & Warranty

  311
  • Customer Service

    311
  • Warranty

    311
    • Two Year Warranty

      311
    • Exclusions

      311
    • Warranty Limits

      311
  • Options and Accessories

    312
• Appendix C. Alarm Testing Procedure

  313
  • Setup

    313
  • High Inspiratory Pressure Alarm Test

    314
  • Low Volume Alarm Test

    314
  • Low O2 Alarm Test

    314
  • Power Fail Alarm Test

    314
  • Apnea Alarm Test

    315
  • Abbreviations

    317
  • Definitions

    320
• Index

  325