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Respironics V200 Ventilator
Operator’s Manual
1057983 50
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For Technical Support and Customer Service, contact: USA and Canada: 1-800-345-6443 or 724-387-4000 Respironics Europe, Africa, Middle East: +33-1-47-52-30-00 Respironics Asia Pacific: +852-3194-2280 Facsimile: 724-387-5012 USA Respironics California, Inc. 2271 Cosmos Court Carlsbad, CA 92011 Email and web addresses service@philips.com clinical@philips.com www.philips.com\healthcare Authorized European address EC REP Respironics Deutschland GmbH Gewerbestrasse 17 D-82211 Herrsching Germany +49-
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Table of Contents 1. Introduction and Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 2. Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 Summary of Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 3. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1 4. Getting Started . . . . . . . . . . . . . . . . . .
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Contents 8. Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 The Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3 Ventilator Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-11 Settings Screens . . . . . . . .
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Contents Patient Data Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5 Front Panel Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6 Level Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7 Calculated Values from Expiratory Hold Maneuver. . . . . . . . . . . . . . . . . . . . . . 12-7 Interface Ports . . . . . . . . . . . . . . . . . . . .
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Contents Graphics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-19 Starting Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-19 Using Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-19 Replotting and Scrolling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-20 Rescaling the Display. . . . . . . . . .
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Contents ® Flow-Trak Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-83 On the Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-84 Breath Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-85 Inspiratory Hold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-85 Respiratory Mechanics . . . . . . . . .
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Contents A. RS-232 Communications Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 RS-232 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Commands Transmitted to the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Transmission of Data from the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Ventilator Report Command and Response (VRPT) . . . . . . . . . . . . .
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Chapter 1. Introduction and Intended Use The Respironics V200 Ventilator is a microprocessor-controlled, electrically powered mechanical ventilator. It is intended for use by qualified medical personnel to provide continuous or intermittent ventilatory support for adult, pediatric, and neonatal patients as prescribed by a physician. The ventilator is intended for use in either invasive or non-invasive applications in institutional environments. The Respironics V200 Ventilator meets applicab
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Chapter 1 Introduction and Intended Use (This page is intentionally blank.) 1-2 Respironics V200 Ventilator Operator’s Manual REF 1057983 A
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Chapter 2. Warnings, Cautions, and Notes Throughout this manual the following definitions apply: WARNING: A condition that could cause injury to a patient or operator if the operating instructions in this manual are not followed correctly. CAUTION: A condition that could cause damage to, or shorten the service life of, the Respironics V200 Ventilator. NOTE: Important information concerning the construction or operation of the Respironics V200 Ventilator. Additional Warnings, Cautions, and N
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Chapter 2 Warnings, Cautions, and Notes ventilator power before removing the heated expiratory bacteria filter. Exercise caution when handling the filter housing. � All oxygen connections should be carefully inspected to ensure that leaks are not present. Excessive leaks can result in higher than normal ambient oxygen concentrations and create a potentially hazardous oxygen-enriched environment. � Worn/frayed oxygen hoses or oxygen hoses contaminated by hydrocarbon greases or oils should no
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Chapter 2 Warnings, Cautions, and Notes � When using the Remote Alarm Port be sure to fully test the Remote Alarm Port and cable by: � Verifying that annunciated alarms on the ventilator are also annunciated on the remote alarm. � Verifying that disconnecting the cable from the Remote. Alarm port results in an alarm notification at the Remote Alarm. � Verifying that disconnecting the cable from the remote alarm results in an alarm notification at the Remote Alarm. � Ensure that an alternative m
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Chapter 2 Warnings, Cautions, and Notes � Disposable or single-patient filters must be discarded between patients. Do not chemically disinfect or expose single patient use bacteria filters to ETO gas. � The patient must be disconnected from the ventilator before entering the Diagnostic Mode since normal ventilation is suspended. � Do not use a ventilator that has failed SST without verifying operational readiness by other means. Doing so may place a patient at risk. � Never initiate SST wh
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Chapter 2 Warnings, Cautions, and Notes � Backup battery operating life may be affected by battery age and the number of times it has been discharged and recharged. Over time the battery will degenerate and will not provide the same amount of operating time per charge that is available from a fully charged new battery. Use only the Respironics backup battery P/ N 1059956. � Titrate the EPAP level such that the masks air entrainment valve (if present) remains closed to room air. Always eval
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Chapter 2 Warnings, Cautions, and Notes ventilator to lose power. For further information, consult a service technician or a trained biomedical technician. � The ventilator is shipped with a power cord that complies with electrical safety standards. Do not use substitute power cords unless specifically instructed to do so by an authorized distributor or qualified personnel. Do not modify the power cord or connect it with electrical extension cords or outlet adapters. � To prevent the risk o
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Chapter 2 Warnings, Cautions, and Notes � Follow the detergent manufacturer’s instructions. Exposure to detergent solution stronger than necessary can shorten the useful life of the product. Rinse parts thoroughly to remove all detergent residues. Wipe parts dry. Detergent residue can cause blemishes or fine cracks, especially on parts exposed to elevated temperatures during sterilization. � Autoclavable parts will withstand repeated steam autoclaving at temperatures not to exceed 135° C (
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Chapter 2 Warnings, Cautions, and Notes Notes � Follow the setup instructions in this manual before placing the Respironics V200 Ventilator into service. If you have questions, contact Respironics Customer Service at 1-800-345-644 � Save the shipping container in case the backup battery has to be returned to Respironics. � We recommend that before using the ventilator for the first time, wipe the exterior clean and disinfect or sterilize its components according to the instructions in Chapt
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Chapter 2 Warnings, Cautions, and Notes � To disconnect the ventilator from MAINS power, remove the AC plug from the wall power receptacle. The MAIN switch/circuit breaker is covered to prevent unintentional ventilator turn off. � If the operator sets the %O setting to 100%, the 100% O 2 2 indicator does not light. The 100% O indicator only lights when 2 the 100% O front panel key has been pressed. 2 � The ventilator selects its power source based on the following prioritization: AC power (
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Chapter 2 Warnings, Cautions, and Notes � If the EXP HOLD key is held continuously, and the expiratory hold maneuver exceeds 5 seconds, the ventilator automatically terminates the expiratory hold maneuver and begins a new inspiratory period. � If Auto PEEP as calculated in Equation 1: Auto-PEEP = Expiratory Pause Pressure – End Expiratory Pressure, is negative, Auto-PEEP will be displayed as “—.” � All components of the patient circuit must not have leaks in order to pass SST. � If time is