Ньюпорт е360 руководство по эксплуатации

• 47, Newport e360 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 3-12 3 Unpacking, Assembly, and Safety Check NOTE:Theowsensorshouldbecalibratedwheneveryoususpect thattheexpiratorytidal/minutevolumesaresignicantlydifferent thanexpected(suchas±25%).Ifthesensorfailstocalibrate,even…

• 121, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 7-8 7 Explanation of Modes, Breath Types and Special Functions In SIMV, mandatory and spontaneous breaths may be delivered to the patient. The user may choose to Pressure Control, Volume Control,BiphasicPressureReleaseorVolumeTargetPressure Control the mandatory breaths. Mandatory breaths may be time or patient-triggered.InVolumeControl,PressureCo…

• 83, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 5-9 Alarms 5 Alarm or Device Alert Message • Priority • Type • Lamp Color Description and/or Criteria Remedy Check Vent Fan • Medium • Ventilator • Yellow Fan inside of the unit fails. Contact a qualied service representative to replace vent fan. NOTE: Message cannot be cleared with the Reset button. C Internal System • High • Device…

• 101, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 6-4 6 Cleaning and Maintenance 3. Disconnect the flow sensor cable from the plastic body of the sensor by pulling the cable connector straight out. Do not twist. 4. To reconnect the cable connector to the sensor body: Take care to line up the notch in the cable connector with the notch in the connector on the sensor body. Press together. Do not twist. See Figure 6-…

• 16, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 1-4 1 Introduction Caution A Caution describes a condition that can cause damage to equipment. NOTE: A Note emphasizes information that is important or adds convenience. Software Version This manual applies to software version 7.0 and later for the e360 Ventilator System. The software version is listed at the top of the Event History Lo…

• 112, Explanation of Modes, Breath Types and Special Functions Section 7: Explanation of Modes, Breath Types and Functions
  …

• 110, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 6-13 Cleaning and Maintenance 6 Frequency Ventilator Component Recommended Maintenance If the Sensor fails to calibrate, even after it has been cleaned and sterilized, discard the sensor in accordance with local regulations and replace with a new sensor. Clean/sterilize: With no expiratory fil…

• 149, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR 36 0 US H0711 I-4 Index Mean- Pmean, 8-11 Peak- Ppeak, 8-11 PEEP, 8-10 Plateu- Pplat, 8-11 Pressure Bar Graph, 8-11, F-4 item 7 Pressure Control Breath Type, 7-3 Pressure Limit In VTPC, 7-4 In VTPS, 7-5 Setting, 2-4 Specications, 8-11 Pressure Limit Below PEEP Message, 5-20, 8-11 Pressure Support Descriptio…

• 15, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 1-3 Introduction 1 Section 1- Introduction This section contains information about the safe use of the e360 Ventilator system, information about this manual, general warnings and cautions, and warranty information. Section 2- Ventilator Overview This is the road map and directions for getting where you need to go. This section summarizes the elements of the ventilator system, control…

• 85, Newport e360 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 5-11 Alarms 5 Alarm or Device Alert Message • Priority • Type • Lamp Color Description and/or Criteria Remedy Device Alert (If message display is possible) Unsilence- able audible alarm. Device Alert indicator flashes if possible. • High • Device Alert • Red Ventilator malfunction…

• 136, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 8-10 8 Specifications Item Location and/or Function Range and Resolution or Description O2 3 Min Control Panel When pressed delivers 100% oxygen for 3 minutes. Pressing button again turns off 100% oxygen delivery. Indicator lights when O 2 3 min is in effect. O2 Sensor GUI-Sensors Can perform an oxygen sensor calibration by delivering 100% oxygen to the system…

• 1, Newport Medical Instruments, Inc. Newport e360 Ventilator Operating Manual For Model e360S-US OPR360US Rev. H 07/11 0344 Newport Medical Instruments, Inc. 1620 Sunflower Ave. Costa Mesa, CA 92626 Tel: 1.714.427.5811 Tel: 1.800.451.3111 (USA Only) Fax: 1.714.427.0489 Customer Service ext. 282 www.ventilators.com email: [email protected]
  …

• 55, OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 4-4 4 Setting Up For Patient Use 1. Touch the Sensors button and then touch the Flow Sensor button. 2. Touch Calibrate to start the calibration procedure or touch Exit to terminate the process. 3. Upon successful calibration, touch Exit. The message display will indicate if the sensor passed or failed the calibration. If the calibration fails or shows an error message, the sensor…

• 70, Newport e360 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360U A0509 5-1 5 OPR360US H0711 4-19 Setting Up For Patient Use 4 Save Feature The Save Feature is available from these screens: Waves, Loops, Trends, Numeric, Extended Functions, P0.1, NIF, Alarms setting, Alarm History and Event History. Screens that have been saved can be accessed from the Technical screen for download. Screen image files are saved in .bmp format and Event History files are saved…

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• Page 1
  Newport Medical Instruments, Inc. Newport e360 Ventilator Operating Manual For Model e360S-US OPR360US Rev. H 07/11 Newport Medical Instruments, Inc. 1620 Sunflower Ave. Costa Mesa, CA 92626 Tel: 1.714.427.5811 Tel: 1.800.451.3111 (USA Only) Fax: 1.714.427.0489 Customer Service ext. 282 www.ventilators.com 0344 email: Info@ventilators.com…
• Page 2
  Manual Revision History Rev A April 2004 New release Rev B July 2006 Update to software USR1.1 Rev C February 2008 Update company logo and remove CE/EU representative information Rev D March 2008 Update manual to include Addendum Document (DOC360-ADD-4-US) for software release USR3.1 Rev E May 2008…
• Page 3
  © Copyright 2011 Newport Medical Instruments, Inc. All rights reserved. The Newport e360 Ventilator system is manufactured in accordance with Newport Medical Instruments, Inc. proprietary information. The Newport e360 is covered under patent # 6,439,229. The information in this manual is the sole property of Newport OPR360U A0509 Medical Instruments, Inc.
• Page 4
  USB Connection Remote Alarm Connection Cooling Fan Alarm Speaker Equipotential Ground Stud External Alarm Silence AC Power Connection On/Off Power Switch Fuse Drawer RS232 Connection External Battery Connection Figure F-2: Newport e360 Rear Panel Figure F-3: GUI Navigation Map OPR360US H0711…
• Page 5
  ADULT 05-01-2008 15:30 Hours 999999.7 VTPC-SPONT Check power on). Do not use a test lung to block the patient wye for the circuit check test. OPR360US H0711…

• Page 6: Device Description

  Table of Contents Introduction Device Description Intended Use Information About this Manual Typing Conventions Software Versions Service Guidelines Regular Service Complete Service Records Disclaimers Warnings General Warnings Filter Warnings Power Supply Warnings Gas Warnings Auxiliary Equipment Warnings Cautions Warranty Information Responsibility for Patient Safety Limitation of Liability Overview…

• Page 7
  Table of Contents Unpacking, Assembly, and Safety Check Unpack the Ventilator List of Package Contents Assembly Exhalation Valve Compartment Connect Air, Oxygen and AC Power Install the Breathing Circuit System Safety Check Procedure Setup and Inspection Emergency Intake Valve Circuit Check Gas Supply Alarms AC Power Loss/Battery Backup Alarm High/Low Airway Pressure Alarm/Circuit Disconnect Alarm/…
• Page 8
  Table of Contents Screen Files Event History Files Ventilator Controls Guide Ventilator Settings in Advanced Data Set Slope/Rise Expiratory Threshold Pause Flow Waveform Volume Target Open Exhalation Valve Inspiratory and Expiratory Hold Maneuvers P0.1 Measurement Function Negative Inspiratory Force (NIF) Maneuver Waves and Loops Display Adjusting Scale Auto Scale…

• Page 9: Cleaning And Maintenance

  Table of Contents Cleaning and Maintenance Introduction Use of Filters Inspiratory (To Patient) Port Expiratory (From Patient) Port Disassembly and Reassembly Procedures Rear Panel Fan Filter Exhalation Manifold Exhalation Flow Sensor Exhalation Valve Inspiratory Manifold Oxygen Sensor Fuses Cleaning Sterilizing Autoclave Sterilization EtO Sterilization Guide to Cleaning and Sterilizing…

• Page 10: Specifications

  Alarms Settings in NIV Specifications Alarms, Controls, Monitored Data, Setup & Calibration Physical Specifications Foldout Diagrams Front e360 Ventilator System and Accessories e360 Rear Panel Graphical User Interface (GUI) Navigation Map Control (Front) Panel Circuit Check Screen Rear Main Screen…

• Page 11
  Section 1: ntroduction…

• Page 12: Table Of Contents

  Section 1: ntroduction Device Description ……….1-1 Intended Use Information ……1-2 About this Manual ……….1-2 Typing Conventions ……….1-3 Software Versions ……….1-4 Service Guidelines ……….1-4 Regular Service ……….. 1-4 Complete Service Records ……1-4 Disclaimers …………1-4 Warnings …………1-5 General Warnings ………1-5 Filter Warnings ……….

• Page 13
  Introduction Device Description The e360 Ventilator is a high performance ventilator that is easy to use and maintain. The e360 features a dual servo gas delivery system, a servo controlled active exhalation valve, a simple to use interface and a touch screen graphics monitor. The electronically-controlled inlet gas…

• Page 14: Intended Use Information

  The e360 Ventilator System is for use by prescription only. Only those who are professional healthcare providers with training in the use of this ventilator system and experience with providing ventilator support should use it.

• Page 15: Typing Conventions

  Section 7- Explanation of Modes, Breath Types and Special Functions This is the “how does it work” reference section of the manual to give you a general description of the e360 breath types, modes and special functions. Section 8- Specifications This is where you will find ranges, physical dimensions, and information about settings, controls, alarms, and displays.

• Page 16: Software Versions

  Disclaimers Newport Medical has no responsibility for the safe operation of the e360 Ventilator System if the intended use, intended user, and intended use environment requirements specified in this document are not followed. Newport Medical has no responsibility for the safe operation of the…

• Page 17: Warnings

  Ventilator is in use on a patient. Have an alternate method of oxygen monitoring with high and low alarms available for use when using the e360, in the event the built-in oxygen monitor is unavailable due to a disabled, defective or missing oxygen sensor.

• Page 18: Filter Warnings

  The regularly scheduled maintenance should only be done by a qualified service technician using the e360 Ventilator Service Manual. Filter Warnings At all times during patient use, keep clean, dry filters in the following locations to protect the patient and the ventilator: 1.

• Page 19: Power Supply Warnings

  Introduction Do not submerge filters in liquids of any kind. Between uses, reusable filters must be steam autoclaved and then checked for resistance, according to the manufacturer’s instructions. Power Supply Warnings To maintain grounding integrity, connect the ventilator only to a hospital-grade receptacle.

• Page 20: Gas Warnings

  Oxygen source gas must be medical grade, 100% oxygen. Auxiliary Equipment Warnings Newport Medical cannot warrant or endorse the safe performance of third party humidifiers for use with the e360 Ventilator. Contact the manufacturers/distributors of third party humidifiers about the compliance and performance characteristics of their products.

• Page 21: Warranty

  Please register your ventilator online at www.ventilators.com. Warranty The Newport e360 Ventilator System is warranted to be free of defects for a period of two (2) years from invoice date of purchase. The following are exceptions to this warranty: •…

• Page 22: Responsibility For Patient Safety

  The above is the sole warranty provided by Newport Medical. No other warranty expressed or implied is intended. Representatives of Newport Medical are not authorized to modify the terms of this warranty. Federal Law and Regulations in the United States and Canada restrict this device to sale by or on the order of a physician.

• Page 23: Limitation Of Liability

  Newport Medical shall not be liable for, nor shall the buyer be entitled to recover, any special incidental or consequential damages or any liability incurred by buyer to any third party in any way arising out of or relating to the goods.
• Page 24
  Section 2: verview…

• Page 25: Table Of Contents

  Section 2: verview Ventilator System Overview ……..2-1 Control Panel Layout and Labeling ……2-1 Graphical User Interface Display (GUI) and Controls …………..2-1 Navigation Map for GUI Menus ……2-1 Lower Front Panel Layout ……..2-1 Rear Panel Layout ……….2-2 Navigating the Control Panel ……..2-2 Using Touch — Turn — Accept ……2-2 Selecting Mandatory Breath Type &…

• Page 26: Ventilator System Overview

  When there is a difference between the measured value and the target value, e360 adjusts gas delivery so that the target value is achieved. The system uses two gas modules. When air and…

• Page 27: Rear Panel Layout

  15 seconds before powering ON the ventilator. Navigating the Control Panel Refer to Foldout F-4 for a full view of the e360 Control Panel functions described here. OPR360U A0509…

• Page 28: Selecting Mandatory Breath Type & Mode

  To activate the NIV function in any mode or breath type, press the Non Invasive button (the indicator will light) and then press Accept. Non Invasive always reverts to OFF when e360 is powered down (the setting is not retained). See Section 7 for more information on Non Invasive function.

• Page 29: Patient Triggering Methods

  Overview Patient Triggering Methods Refer to Foldout F-4, item 8. The ventilator offers the clinician the choice of flow or pressure (P) triggering for patient-initiated breaths in all modes of ventilation. To select Flow or P, press the Trig button (LED lights) and then press Accept.

• Page 30: Alarm Silence Button

  Overview (3 min) Button Refer to Foldout F-4, item 11. Press the O (3 min) button to start a timed delivery of 100% oxygen, regardless of the current F setting. The indicator on the O min) button lights when this function is activated. F returns to the set value and the indicator turns off after three minutes or when the button is pushed a second time, whichever comes first.

• Page 31: Main Screen

  Overview Main Screen Refer to Foldout F-4, item 6. Press the Main Screen menu button on the Control Panel to reveal five GUI menu buttons: Waves, Loops, Numeric, Trends and Freeze. When Freeze is selected the Adjustment knob will move a cursor across the screen and display data and time relevant to the point the cursor is crossing.

• Page 32: Internal Battery

  After 10 seconds the hour meter will disappear. Internal Battery The e360 Ventilator is equipped with an internal battery that when fully charged can support approximately one hour of ventilator function at the following settings: Adult, SIMV with RR 15, V 500, t insp 1.0 seconds, F…

• Page 33
  AC power) after a 5 hour charge on AC power, the internal battery may need to be replaced. The standard replacement schedule for the e360 internal battery is every 24 months. Refer to the e360 Ventilator Service Manual for replacement procedure.
• Page 34
  Section 3: npacking, Assembly, and Safety Check…
• Page 35
  Section 3: npacking, Assembly, and Safety Check Unpack the Ventilator and Accessories ….3-1 List of Package Contents ……3-1 Assembly …………..3-1 Exhalation Valve Compartment ….3-5 Connect Air, Oxygen and AC Power… 3-5 Install the Breathing Circuit System ..3-6 Safety Check Procedure ……..3-8 Setup and Inspection ……..
• Page 36
  • Accessory Basket for Cart Assembly Refer to Foldout F-1 or Figure 3-1 for complete view of e360 assembled on the cart. 1. Set aside the disposable breathing circuit filters and store the spare exhalation flow sensor in a convenient location.
• Page 37
  Unpacking, Assembly, and Safety Check OPR360U A0509 Figure 3-1 Mounting Accessories to Cart OPR360US H0711…
• Page 38
  Unpacking, Assembly, and Safety Check Figure 3-2 External Monitor OPR360U A0509 5. Optional: Install External Monitor (instructions are provided with the monitor). See Figure 3-2. OPR360US H0711…
• Page 39
  Unpacking, Assembly, and Safety Check Main Screen Extended Functions Setup & Calibration F O2 Tidal Volume Flow I Insp Resp Rate A/CMV A/CMV A/CMV Pressure Support Pressure Limit PEEP/CPAP Flow Manual Inflation Inactive Manual Accept Inflation Figure 3-3 Mounting Expiratory Filter Heater 6.
• Page 40
  Unpacking, Assembly, and Safety Check Exhalation Valve Compartment Open the Exhalation Valve Compartment and check to make sure that the exhalation valve and flow sensor are fitted securely. See Figure 3-4. Close the compartment door. Refer to Section 6 for removal and cleaning instructions.
• Page 41
  Unpacking, Assembly, and Safety Check Figure 3-6 Air, O and AC Power Connections Ensure that the AC power cord is connected to the fitting on the back of the ventilator. Tighten the retaining clamp as needed to secure the cord. See Figure 3-6, B. Caution Periodically inspect the air and oxygen inlet water traps and drain water from the bowls as necessary by pressing the pin at the bottom of the bowl.
• Page 42
  Patient connection Figure 3-9 Non-heated Breathing Circuit with HME OPR360U A0509 NOTE: The e360 can be used with a reusable or disposable two limb breathing circuit. No proximal line or external exhalation valve is required. WARNING! Do not use electronically conductive breathing circuits.
• Page 43
  Use the e360 Safety Check Record at the end of this section to record the results of each check. Do not use the e360 ventilator if it does not pass the Safety Check Procedure. Setup and Inspection 1.
• Page 44
  Circuit Check 1. Connect the high pressure oxygen and air hoses from the oxygen and air inlet water traps on the back of the Newport e360 to 50 ± 10 psig gas sources provided by gas cylinders, wall outlets or air compressor.
• Page 45
  Int Battery (Internal Battery) indicator lights and the message AC Power Loss Battery Back Up appears in the window. The e360 issues a short beep every five (5) minutes while running on internal battery.
• Page 46
  Unpacking, Assembly, and Safety Check 8. Press the Reset button to clear the High Paw alarm message and visual indicators. Minute Volume / Back Up Ventilation / Apnea Alarms 1. Adjust the Resp Rate to 20 b/min. Verify that both audible and visual indicators for High MV (Exhaled Minute Volume) alarms are activated within 30 seconds.
• Page 47
  Shut Down Alarm 1. Switch the e360 power to OFF. Verify that the audible Shut Down alarm activates. 2. Press the Alarm Silence button. Verify that the alarm is silenced.
• Page 48
  NOTE: Make copies of this form to record the results of safety checks. Newport e360 Ventilator Safety Check Record Newport Medical recommends that you perform a complete Safety Check prior to A) The initial use of the ventilator; and, B) At least at every Preventative Maintenance interval.
• Page 49
  Section 4: etting Up For Patient Use…
• Page 50
  Section 4: etting Up For Patient Use Power Conditions …………..4-1 Shutdown Alarm …………4-1 Overview: Preparing For Patient Ventilation ….4-1 Setup & Calibration Menu ……….. 4-2 Circuit Check …………4-2 Oxygen and Flow Sensors ……..4-3 Exhalation Flow Sensor, Calibration ….4-3 (Oxygen) Sensor, Calibration ……4-4 Sensor, Disable ……….4-4 Patient Setup ………….4-5…
• Page 51
  Ventilation Controls Guide ……….4-8 Ventilation Settings in Advanced Data Set …… 4-10 Slope/Rise …………..4-10 Expiratory Threshold ……….4-10 Pause ……………. 4-10 Flow Waveform …………4-10 Volume Target …………4-10 Open Exhalation Valve ……….4-10 Inspiratory and Expiratory Hold Maneuvers ….4-10 P0.1 Measurement ………….
• Page 52
  OFF. Cancel the Shutdown alarm by pressing the Alarm Silence button. NOTE: Make sure that the e360 is completely shutdown before the power switch is turned on again. If the power switch is turned off and then on too quickly and the screen does not load correctly, turn the power off and wait 15 seconds before powering ON the ventilator.
• Page 53
  Setup & Calibration menu screens. Circuit Check Refer to Foldout F-5. The Circuit Check is available in Standby condition after the e360 is turned ON. It requires that the e360 be connected to a compressed air gas source. Perform the Circuit Check: •…
• Page 54
  Setting Up For Patient Use a. Confirm the integrity and tightness of connections for all breathing circuit components such as tubing, filters and humidifier chamber, as well as the exhalation valve components. b. Repeat the test. 7. The results of the Circuit Check are logged in the Event History. NOTE: Circuit Check function is only available in the standby condition.
• Page 55
  NOTE: The Exhalation Flow Sensor Calibration is automatically performed as part of the Circuit Check. Make sure to perform the Circuit Check each time you set up the e360 Ventilator for patient use. (Oxygen) Sensor, Calibration Refer to Figure 4-1.
• Page 56
  Setting Up For Patient Use To Disable the O Sensor 1. Touch the Sensors button, then touch the O Sensor button. 2. Touch Disable to disable the O sensor, then touch Yes to confirm. 3. Touch Exit. Figure 4-2. Basic Data Set Bar indicating that the O sensor and F alarms are disabled…
• Page 57
  Leak Comp (Leak Compensation) Select Leak Comp ON or OFF. When Leak Compensation is turned ON, the e360 automatically adjusts the bias flow between 3 and 8 L/min for Ped/Infant selection and 3 and 15 L/min for Adult, in order to maintain an end expiratory base flow of 3 L/min.
• Page 58
  Comm (Communication) Protocol Select the RS232 communication protocol that corresponds with the monitoring system that is connected to the e360 Ventilator. Touch the button to select from Newport, Newport 2, and Vuelink. Contact Newport Technical Service for more details regarding the communication port protocol.
• Page 59
  Setting Up For Patient Use NOTE: See “Save Feature” and “Download Feature” on following pages in this section for details on saving Screen and Event History files. Ventilation Controls Guide The following table shows the ventilation parameters that are active in each mode/breath type.
• Page 60
  Setting Up For Patient Use WARNING! Always ensure that ventilator settings that are not in use (their displays are dimmed) are set at appropriate, safe levels in case of accidental breath type or mode changes. NOTE: When Freeze is activated, the Freeze button turns to “Start” and all other menu buttons are dimmed and not functional until Start is pressed.
• Page 61
  1. Press the Extended Functions menu button. 2. Touch and hold the Insp Hold button on the right of the display. The e360 will perform the hold and measure the static pressure. The maneuver is terminated by releasing your finger from the button or when 15 seconds elapse.
• Page 62
  Setting Up For Patient Use The Mechanics data set will show Plateau Pressure, Total PEEP, Static Compliance, Inspiratory and Expiratory Resistance. If the maneuver does not succeed in providing a stable static pressure (patient effort is present) or other exclusion criteria is not met, the related calculated values will not be displayed.
• Page 63
  Ventilation continues per user settings. • Backup ventilation is disabled for one minute. • When the e360 detects a patient trigger, it imposes a 100 millisecond delay before delivering inspiratory flow to the patient. • Normal operation resumes after the first patient trigger or after one minute if no trigger is detected.
• Page 64
  (See Figure 4-5) 4. Touch and hold the NIF (menu button) to perform the maneuver. The e360 will temporarily cease all flow delivery while the button is being touched. 5. Upon release of the NIF button, choose the ideal NIF value by using the adjustment knob to move the cursor to the appropriate point on the pressure waveform.
• Page 65
  Setting Up For Patient Use Explanation of NIF Maneuver Function Conditions After the NIF Measurement is turned ON the following condition occurs; • Ventilation continues according to user settings but a 3-minute timing window opens within which the user may touch the NIF button.
• Page 66
  Setting Up For Patient Use Adjusting Scale To adjust scales: Touch the GUI screen at the X or Y axis of the desired scale to be adjusted. A blue indicator bar appears on the screen to identify the parameter selected for scale change. Use the Adjustment knob to increase or decrease the scale and press the Accept button to confirm the change.
• Page 67
  Setting Up For Patient Use Event History Screen Refer to Foldout F-9 From the Extended Functions menu touch the Event History button to access the Event History Log. This log records the 1000 most recent occurrences of alarm violations and settings, ventilator setting changes, sensor calibration results and power On/Off sequences with the date and time of each event.
• Page 68
  Numeric screen files. Trends Screen The e360 ventilator can display two trends screens, each screen displays four trended parameters containing up to 24 hours of trended data. Touch the Trends button from the Main Screen menu to choose between the two trend screens.
• Page 69
  Setting Up For Patient Use Data Sets Refer to Figure 4-7 Figure 4-7 Data Sets Selected sets of data may be viewed on the GUI during ventilation utilizing the Data Sets button at the bottom of the GUI screen. Three different monitored data subsets and one settings subset are accessed by touching the tabs at lower right corner of the display.
• Page 70
  A maximum of 200 Screen or Event (and Alarm) History files can be saved. After 200 of either type are saved, the OPR360U A0509 oldest file is deleted. When the Save function is complete, e360 emits a short, two-tone beep. 4-19 OPR360US H0711…
• Page 71
  Setting Up For Patient Use Waves, Loops, Trends, Numeric and Extended Functions Screens (see Figure 4-7) Touch the “Freeze” button. “Save” and “Start” buttons will appear. Touch the “Save” button to store the screen image or touch the “Start” button to exit the Freeze screen and resume normal plotting. Figure 4-7 Waveform Save and Start Buttons Alarm Setting Screen Touch the Save button to store a screen image of the current alarm settings.
• Page 72
  Setting Up For Patient Use Download Feature Touching Screen Files and Event History Files buttons on the Technical screen allows retrieval and downloading of the stored images and spreadsheet files to an external flash drive via the USB port on the rear of the ventilator (See Figure 4-8). 1.
• Page 73
  Section 5: larms…
• Page 74
  Section 5: larms Introduction …………5-1 Visual Alarm Displays ……….5-1 360˚ Alarm Lamp ……….5-1 Alarm and Message Display ……5-1 Device Alert LED ……….5-2 GUI Alarms Screen Environment ……5-3 Alarm Settings Screen ……..5-3 Saving the Alarm Settings Screen ….. 5-3 Ajustable Alarms ………
• Page 75
  The 360˚ Alarm Lamp Refer to Foldout F-4, item 4. Located at the top center of the e360 front panel, the 360˚ Alarm Lamp flashes yellow and/or red when an alarm is violated. The lamp remains lit in a steady state to show a latched alarm until the Reset button is pressed.
• Page 76
  Alarms Disconnect as well as all messages are displayed in the center section of the status bar in the Graphical User Interface (GUI). These messages flash while active then remain in a steady state (latched) after the alarm violation has been corrected until the Reset button is used to clear the alarm.
• Page 77
  Alarms WARNING! If a Device Alert alarm occurs, ventilation ceases and the emergency intake relief valve and exhalation valve opens. GUI Alarms Screen Environment Alarm Settings Screen See Figure 5-1 or Foldout F-8. Press the Alarms Screen menu button to open the Alarm Settings screen on the GUI.
• Page 78
  Alarms Figure 5-2 Alarm History Log Saving the Alarm History Log See Figure 5-2. Touch the Save Alarm History button to save the Alarm History Log for later download as a spreadsheet file in comma-separated format (.csv). Refer to Section 4 for instructions on downloading files that are saved to memory.
• Page 79
  Alarms Alarm Tones See Figure 5-4. Touch the Alarm Tones button to open the screen. Use the Adjustment knob to select one of three unique sets of sounds that will be activated when an alarm is violated. Press Accept to confirm the change. Figure 5-4 Alarm Tones Exiting Alarm Screens Touch any menu button on the control panel to exit any alarm screen.
• Page 80
  Alarms Suction Disconnect Feature Press and hold the Alarm Silence button for one second or longer (until the ventilator sounds a short tone) to enable the Suction Disconnect feature. With this feature enabled the ventilator will automatically silence all patient and disconnect alarms, display the message Ventilation Suspended, disable automatic leak compensation, and deliver a bias flow of 10 L/min for Adult or 5 L/ min for Ped/Infant patient types if the ventilator senses that the…
• Page 81
  Alarms Alarm Violation and Remedy Guide The following table lists alarm and informational messages alphabetically. The alarm priority, type (ventilator/patient problem differentiation), violation message or criteria (what causes the alarm to be activated) and remedy (possible corrective actions) are included in this guide.
• Page 82
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Check patient. Evaluate settings/readjust as necessary. Check trigger sensitivity. Check that the breathing circuit is intact and securely connected. The alarm is recovered •…
• Page 83
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Contact a qualified service representative to replace • Medium vent fan. Check Vent Fan inside of • Ventilator the unit fails. • Yellow NOTE: Message cannot be cleared with the Reset button.
• Page 84
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Check patient and provide an alternate source of • High Control CPU Control CPU ventilation. • Device Alert Failed Failure • Red Contact a qualified service representative.
• Page 85
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Check patient and provide Ventilator Device Alert an alternate source of malfunction. (If message ventilation. Also activated display is if less than possible) If the alarm is due to 10% of the Unsilence-…
• Page 86
  Calibrate the O sensor O2 Low • Ventilator inactive if the by pressing the O 3 min • Red e360 detects a button or by accessing O disabled or Sensor calibration button defective in Setup & Calibration. oxygen sensor, or oxygen…
• Page 87
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Sensor is disconnected Check flow sensor from cable. connection and recalibrate. Ventilator is • High Flow Sensor unable to • Ventilator Clean or replace sensor Error calibrate the •…
• Page 88
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria A High Paw Make sure exhalation alarm violation valve is functioning terminates the correctly. current breath Evaluate ventilator settings • High and cycles to and readjust if necessary.
• Page 89
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria in an inspiratory time greater than 5 seconds, Insp Time • Medium including any and Pause settings and Too Long • Ventilator pause time, so readjust as necessary.
• Page 90
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria NOTE: The ventilator continues to operate normally until the battery is depleted, at which time a Device Alert alarm occurs. capacity has • High Low Battery dropped WARNING! To ensure…
• Page 91
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Set Low Paw Change alarm limit to Low Paw Informational Alarm level is greater than the set PEEP Below PEEP Message less than set level.
• Page 92
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Random Access Memory • High that is used Monitor RAM • Device Alert by the monitor Failed (cont.) • Red processor on the main PCB is damaged.
• Page 93
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria Reconnect the O sensor. The O Sensor Informational NOTE: Always use an Sensor is Disconnect Message external O monitor with disconnected. alarms while ventilating with this message.
• Page 94
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria (The e360 may have been powered by the Power • High internal battery Failure • Device Alert until it was (cont.) • Red…
• Page 95
  Alarms Alarm or • Priority Description Device Alert • Type and/or Remedy Message • Lamp Color Criteria WARNING! Ventilation and triggering are suspended, the exhalation valve and the Sustained emergency High • High relief valve open Baseline • Ventilator as needed for Pressure •…
• Page 96
  Section 6: leaning and Maintenance…
• Page 97
  Section 6: leaning and Maintenance Introduction …………….6-1 Use of Filters …………….. 6-1 Inspiratory (To Patient) Port ……..6-1 Expiratory (From Patient) Port ……… 6-1 Disassembly and Reassembly Procedures ……. 6-2 Rear Panel Fan Filter ……….6-2 Exhalation Manifold ……….6-3 Exhalation Flow Sensor ……..6-3 Exhalation Valve ………..6-5 Inspiratory Manifold ……….
• Page 98
  Gas that enters the Expiratory (From Patient) Port on the ventilator from the breathing circuit may be moist and contain pathogens. Newport Medical strongly recommends the use of a dry, clean filter in this location for three reasons: 1. To protect the expiratory manifold from potential contaminants in exhaled gases;…
• Page 99
  The following diagram and instructions are for removal and reinstallation of the fan filter. 1. Gently pry the fan cover from the back panel of the e360 (a coin can be used). 2. Remove the fan filter from the cover.
• Page 100
  Cleaning and Maintenance Figure 6-1 Fan Filter Exhalation Manifold Exhalation Flow Sensor The following diagram and instructions are for the removal and reinstallation of the exhalation flow sensor. 1. Open the front panel door on the lower left front of the ventilator to expose exhalation valve and flow sensor.
• Page 101
  Cleaning and Maintenance Figure 6-3 Remove Flow Sensor 3. Disconnect the flow sensor cable from the plastic body of the sensor by pulling the cable connector straight out. Do not twist. 4. To reconnect the cable connector to the sensor body: Take care to line up the notch in the cable connector with the notch in the connector on the sensor body.
• Page 102
  Cleaning and Maintenance and will depend on observance of safe handling precautions and the ability to calibrate the sensor. Always make sure that the flow sensor is completely dry before installation. Exhalation Valve The following diagram and instructions are for removal and reinstallation of the exhalation valve.
• Page 103
  Cleaning and Maintenance Figure 6-6 Exhalation Valve Assembly Caution Proper orientation of the various components is critical. Failure to reassemble the exhalation valve correctly will result in leaks in the exhalation system. 7. To re-assemble and reinstall the valve, reverse these steps taking care to align the guide pin on the valve cap with the slot in the valve body See Figure 6-7.
• Page 104
  Cleaning and Maintenance Inspiratory Manifold The following diagram and instructions are for removal and reinstallation of the inspiratory manifold. 1. Using a flat screwdriver or a coin, unscrew the two screws on the lower right front panel section and remove it to expose the inspiratory manifold.
• Page 105
  The following diagram and instructions are for the removal and reinstallation of fuses. The fuses are located in the top of the AC power module on the rear of the e360. 1. Set the power switch to the OFF position and disconnect the OPR360U A0509 ventilator from AC power and gas supplies.
• Page 106
  Cleaning and Maintenance Figure 6-10 Remove Fuses 4. Reinstall the fuse drawer. NOTE: Refer to the e360 Ventilator Service Manual for fuse specifications. Cleaning Definition of clean: the removal of all foreign material (for example, soil or organic matter) from objects. Cleaning is normally accomplished by washing with running water, mechanical action, or enzymatic products.
• Page 107
  Cleaning and Maintenance Caution Do not sterilize the entire ventilator. Standard sterilization techniques, including EtO and formalin, may cause damage. NOTE: Follow the cleaning and sterilization instructions provided by the manufacturer of each assembly as well as your facility’s policy. Autoclave Sterilization: 1.
• Page 108
  Cleaning and Maintenance Ventilator/ Cleaning and Sterilization Additional Component Methods Information Accessory e360 fan filter Wash filter in mild detergent Replace if solution, rinse thoroughly, allow damaged. to air dry. Inspiratory filter Single patient use: discard. Replace with each Expiratory filter Reusable: dry, then autoclave.
• Page 109
  Monitor for water accumulation, drain and panel air and clean as necessary. Replace the bowl if oxygen high there is any sign of wear/damage. If inlet…
• Page 110
  Newport whichever parts authorized service technician following comes first the instructions found in the e360 Ventilator Service Manual. Discard and replace the Oxygen (O Every 2 Sensor every two years or when the years or as…
• Page 111
  Caution Do not store the ventilator on its side or back. Repackaging the Ventilator Use the original packing carton and material to ship the ventilator, or contact your Newport representative to order replacement packing material. See Contact Information at the front of this manual. OPR360U A0509…
• Page 112
  Section 7: xplanation of Modes, Breath Types and Special Functions…
• Page 113
  Section 7: xplanation of Modes, Breath Types and Special Functions Introduction …………..7-1 Settings Functions …………7-1 Timing Limitations to Ventilation Controls ….7-1 Control Retention …………7-1 Control Range …………. 7-1 Mandatory Breath Types ……….7-1 Volume Control …………7-2 Pressure Control …………
• Page 114
  Control Retention All ventilation control settings, except Noninvasive and Scale setting, are retained when e360 is powered OFF. When the ventilator is powered ON, the control settings that are retained in memory are the initial Start Ventilating ventilation and alarm settings unless the user selects new settings.
• Page 115
  Explanation of Modes, Breath Types and Special Functions Mandatory Control Panel Advanced Advanced Breath Type Selection Selection- Selection- Open Exhalation Volume Target Pressure Pressure Control Control Volume Volume Target Control or Pressure Pressure Control Control (VPTC) Biphasic Pressure Pressure Control Release (BPRV) Table 7-1 Control Selections for Mandatory Breaths…
• Page 116
  When Open Exhalation Valve is ON, the e360 Ventilator actively controls the exhalation OPR360U A0509 valve so that excess pressure is vented out, the degree of pressure overshoot is minimized and airway pressure is maintained close to the target pressure.
• Page 117
  Spontaneous Breath Management in SIMV and SPONT Modes There are two forms of spontaneous breath assistance on the e360 ventilator in SIMV and SPONT modes, Pressure Support and Volume Target Pressure Support.
• Page 118
  Explanation of Modes, Breath Types and Special Functions patient spontaneous efforts that trigger the ventilator, e360 delivers breaths with a constant pressure equal to PEEP/CPAP + Pressure Support until the end of patient inspiration which is determined by the attainment of one of the three cycling off thresholds. The breaths are delivered according to the user-selected settings for Pressure Support, Slope/Rise, and PEEP/CPAP.
• Page 119
  Explanation of Modes, Breath Types and Special Functions spontaneous breaths in the Volume Targeted Pressure Control SPONT and SIMV modes, the ventilator delivers breaths with a constant pressure in the breathing circuit at a pressure equal to a ventilator selected level between PEEP/CPAP + 5 cmH O/mbar and the pressure limit, until the end of patient inspiration which is determined by the attainment of one of the three cycling off…
• Page 120
  If the patient doesn’t breathe or if the patient’s efforts don’t cause airway pressure or airway flow to reach the Trig threshold, the e360 Ventilator delivers the number of time-triggered breaths each minute selected via the Resp Rate setting.
• Page 121
  Explanation of Modes, Breath Types and Special Functions In SIMV, mandatory and spontaneous breaths may be delivered to the patient. The user may choose to Pressure Control, Volume Control, Biphasic Pressure Release or Volume Target Pressure Control the mandatory breaths. Mandatory breaths may be time or patient-triggered.
• Page 122
  Advanced Features & Special Functions Bias Flow When e360 is in standby or ventilating condition, it provides 3 L/ min of mixed-gas (when both air and oxygen source gases are connected) Bias Flow during the exhalation period. Exceptions to this Bias Flow level are described below.
• Page 123
  The Leak Comp (Automatic Leak Compensation/ Baseline Pressure Management) function allows the user to select whether or not they want the e360 to compensate for leaks over and above the 3 L/min bias flow. Leak Comp is factory preset to ON and the selection is retained after power down.
• Page 124
  Non Invasive Ventilation (NIV) The e360 Ventilator can be used for invasive (intubated patient) or noninvasive (mask) ventilation. When the Non Invasive button is activated on the front panel (LED lights), e360 tailors the ventilator’s…
• Page 125
  Section 8: pecifications…
• Page 126
  Section 8: pecifications Alarms, Controls, Monitored Data, Setup & Calibration .. 8-1 Physical Specifications …………. 8-18 OPR360U A0509…
• Page 127
  Specifications Alarms, Controls, Monitored Data, Setup & Calibration Table 8-1 Location and/or Range and Resolution or Item Function Description GUI- For any message not shown here All Other Informational refer to Section 5, Alarms for more Messages Message information. Alarm History GUI-Alarms See Event History Range: 1 to 10 (55 — 75 dbA)
• Page 128
  Specifications Location and/or Range and Resolution or Item Function Description Changing any ventilation setting that affects mode, breath timing, flow/volume, pressure, or trigger Back Up sensitivity suspends back up Ventilation ventilation for 60 seconds. It is also (BUV) suspended for 60 seconds following (Results from Suction Disconnect function with low MVE Alarm…
• Page 129
  4. Test Lung = no humidification, no heat. NOTE: Circuit Type selection affects the accuracy of monitored values for expiratory flow, expiratory tidal volume and expiratory minute volume. Range: Newport, Newport 2, Vuelink Comm. Allows user to select protocol to GUI-Technical Protocol communicate with patient monitoring systems via the RS232 port.
• Page 130
  Specifications Location and/or Range and Resolution or Item Function Description Data Read Software type is read invalid from both Alarms-Non Failure Contact the EEPROM on the main board and a Adjustable Service Alarm stored file on the compact flash card. LED on Control Panel lights (if possible).
• Page 131
  Specifications Location and/or Range and Resolution or Item Function Description Contains a list of the last 200 saved Event and Alarm History logs (.csv files). Files are assigned an 8-digit file Event History GUI-Technical name that includes a letter for file type Files (H for history, etc), the last 4 digits of the serial number, and a 3 digit…
• Page 132
  Specifications Location and/or Range and Resolution or Item Function Description Freeze: Suspends plotting of graphs (waveforms, loops, or trends) and GUI-Main holds the current display for extended Freeze/Start/ and Extended viewing. Save Functions Start: Resumes plotting of graphs. Save: Captures current screen image for later downloading.
• Page 133
  Specifications Location and/or Range and Resolution or Item Function Description Ideal Body GUI-Patient Range: 2-2202 lb (1-999 kg) Weight Setup Range: Up to 15 seconds Generates an Inspiratory Hold Inspiratory GUI-Extended maneuver at the end of a mandatory Hold Functions breath inspiration for as long as the button is pushed.
• Page 134
  Specifications Location and/or Range and Resolution or Item Function Description When the monitored proximal pressure </= low baseline pressure Low Baseline Alarms-Non criteria for more than 0.5 seconds for Pressure Adjustable two consecutive breaths. Accuracy: ±1 cmH O/mbar Unsilenceable audible alarm sounds Alarms-Non Low Battery when internal battery capacity has…
• Page 135
  Specifications Location and/or Range and Resolution or Item Function Description Ped/Inf: 0.00 to 9.99 L (resolution 0.01 L) Adult: 10.0 to 99.9 L (resolution 0.1 L) Accuracy: ±10% or ±0.3 L, whichever (cont.) is greater NOTE: The display will not be updated if the exhalation flow sensor is disconnected.
• Page 136
  Specifications Location and/or Range and Resolution or Item Function Description When pressed delivers 100% oxygen for 3 minutes. Pressing button again 3 Min Control Panel turns off 100% oxygen delivery. Indicator lights when O 3 min is in effect. Can perform an oxygen sensor calibration by delivering 100% oxygen Sensor GUI-Sensors…
• Page 137
  Specifications Location and/or Range and Resolution or Item Function Description Range: Ped/Infant: 0 to 30 cmH O/mbar PEEP/CPAP (resolution 1 cmH O/mbar) (Baseline Control Panel Adult: 0 to 45 cmH O /mbar Pressure-Set) (resolution 1 cmH O/mbar) Accuracy: ±10% or ±1 cmH O/mbar, whichever is greater.
• Page 138
  Specifications Location and/or Range and Resolution or Item Function Description Pressure Bar Displayed range: –10 to 120 cmH Control Panel Graph mbar Range: Ped/Infant: 0 to 70 cmH O/mbar (resolution 1 cmH O/mbar) Pressure Limit Control Panel Adult: 0 to 80 cmH O/mbar (resolution 1 cmH O/mbar)
• Page 139
  Specifications Location and/or Range and Resolution or Item Function Description Range: Ped/Infant: 1 to 120 b/min (resolution Resp Rate 1 b/min) (Respiratory Control Panel Adult: 1 to 80 b/min (resolution 1 b/ Rate) min) Accuracy: ±1 b/min or ±10% of breath period, whichever is less Displayed range: 0 to 999.9 cmH mbar/L/s…
• Page 140
  Specifications Location and/or Range and Resolution or Item Function Description Range: ON or OFF In Volume Control A/CMV or SIMV delivers 1 sigh breath every 100 GUI-Patient Sigh breaths at tidal volume x 1.5. Setup During a sigh breath flow remains at set value and inspiratory time is lengthened.
• Page 141
  Specifications Location and/or Range and Resolution or Item Function Description Adult: 100 to 995 mL (resolution 5 mL), 1.00 to 3.00 L (resolution 0.01 L) Accuracy: ±10% or ± 2 mL, whichever is greater Tidal Volume * Control Panel (cont.) * Gas delivery is Body Temperature Pressure Saturation compensated: Body temperature 37 ºC, steam…
• Page 142
  Specifications Location and/or Range and Resolution or Item Function Description breath type for all mandatory breaths and Volume Target Pressure Support for all spontaneous breaths. Minimum pressure control/support Volume Target GUI-Advanced is PEEP + 5 cmH O/mbar, maximum (cont.) Data Set pressure control/support is Pressure Limit setting.
• Page 143
  Specifications Physical Specifications Table 8-3 Description AC input range: 100 to 240 VAC, 250 VA maximum, 50/60 Hz (±10%), 2A for 125 VAC, 1A for 250 VAC Internal battery: Fully charged battery can support approximately one (1) hour of complete ventilator function at the following standard settings: Adult, VC/ SIMV, VT 500, FiO .30, Insp Time 1.0 s, Resp Rate 15,…
• Page 144
  RS232C monitoring systems. Output for external display monitor Output for connecting a data storage device External Input for optional Newport external alarm silence cable Alarm Silence External 3-pin DIN input for external power, 10 VDC to +14 VDC Battery Patient circuit…
• Page 145
  Event History Screen Event History OPR360US H0711…
• Page 146
  Index Open Exhalation Valve, 8-10 Breath Type A/CMV- See Modes Description, 7-1, 7-4, 8-2 AC Power Loss/Battery Backup Display, 2-7 Alarm, 5-7 Selection, 2-3 AC Power- See Power Breathing Circuit, Installation, 3-6 Accept Button, 2-3, F-4 item 10 Adjustable Alarms, 5-3 Adjustment Knob, 2-3, F-4 item 10 Advanced Data Set, 4-10, F-4 C Internal System Alarm, 5-9…
• Page 147
  Index Download, 4-21 Flow Sensor Error Alarm, 5-13 Dual RAM Failed Alarm, 5-11 Flow Trigger, See Trigger Flow Waveform, 4-10, 8-5 Freeze- See Waves and Loops EEPROM Read Error Alarm, 5-11 Fuses, Removal, 6-8 Event History Downloading, 4-17 Files, 4-7, 8-4 Gas Supply Alarm, 8-6 Saving, 4-17 Graphical User Interface (GUI), 2-1…
• Page 148
  Index Specifications, 8-7 (3min), 2-5, 8-9, F-4 Loops- See Waves and Loops Sensor Low Baseline Pressure Alarm, 5-15, Calibration, 4-4 Disable, 4-4 Low Battery Alarm, 5-15, 8-8 Removal, 6-8 Low M Alarm (Expiratory Minute Replacement, 6-13 Volume), 5-16, 8-8 Specification, 8-9 Low Paw Alarm, 5-16, 8-8 Sensor Disconnect Alarm, 5-19 Low Paw Below PEEP Message ,…
• Page 149
  Index Mean- Pmean, 8-11 Alarms, 3-10 Peak- Ppeak, 8-11 Minute Volume Alarm, 3-11 PEEP, 8-10 Setup and Inspection, 3-8 Plateu- Pplat, 8-11 Shut Down Alarm, 3-12 Pressure Bar Graph, 8-11, F-4 item 7 Trigger / Pressure Support, 3-11 Pressure Control Breath Type, 7-3 Volume/Flow/Rate Accuracy Pressure Limit Test, 3-11…
• Page 150
  Index Trigger and Leaks, 7-8 and Non-Invasive, 7-11 Indicator, 2-7 Selecting Flow or Pressure, 2-4 Specifications, 8-15 Ventilation Controls, 2-4 Ventilation Controls Guide, 4-8 Ventilation Standby Condition, 4-1 Ventilation Suspended Message, 5-21, 8-15 Volume Control Breath Type, 7-2 Volume Target, 8-15 Volume Target Not Met Alarm, 5-21 Volume Target Pressure Control (VTPC)