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CLINICAL MANUAL
REF 1054728
1072919
JH 6/7/10
CLINICAL MANUAL
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FOR CLINICIAN’S USE ONLY Accessing Prescription Setting Screens WARNING The information on this page is ONLY for health care professionals. Remove this page from the manual before giving the manual to the patient! Full Menu Access Mode The ventilator has two levels of menu access, Full and Limited. Full Note: The Full Menu Access key Menu Access allows you to alter all available settings. Limited Menu sequence can be performed access permits the user to alter only those prescription par
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REF 1054728 1072919 JH 6/7/10
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© 2010 Koninklijke Philips Electronics N.V. All rights reserved.
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i Trilogy200 clinical manual Table of Contents FOR CLINICIAN’S USE ONLY Accessing Prescription Setting Screens ................................................... i Chapter 1. Introduction....................................................................................................................................... 1 Package Contents .................................................................................................................1 Intended Use ..........................
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ii Chapter 3. Modes, Features, and Alarms......................................................................................................19 Therapy Modes ....................................................................................................................19 Breath Types.................................................................................................................20 Therapy Mode Table .........................................................................
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iii High Vti Alarm .............................................................................................................44 Low Vti Alarm .............................................................................................................44 High Respiratory Rate Alarm .................................................................................44 Low Respiratory Rate Alarm ..................................................................................44 High Inspiratory
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iv Battery Disposal..........................................................................................................56 First Time Use ..............................................................................................................56 Connect the Breathing Circuit to the Ventilator ......................................................57 Connect a Water Trap .......................................................................................................60 Connect Sup
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v Viewing the Event Log .............................................................................................90 Viewing Device Information ..................................................................................90 Updating Prescriptions Using the SD Card ...............................................................91 Changing and Viewing Settings in Limited Menu Access Mode .......................94 Activating Your Primary or Secondary Prescription ...........................
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vi Chapter 10. System Checkout Procedures ................................................................................................139 Tools Required .................................................................................................................. 139 Visual Inspection .............................................................................................................. 139 Initial Setup ............................................................................
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1 Trilogy200 clinical manual 1. Introduction This chapter provides an overview of the Trilogy200 device. P ack age C on t en ts The Trilogy200 system may include the following components. Some components are optional accessories that may not be packaged with the device. Package Contents Reusable Gray Foam Filters In-Use Bag Trilogy200 Clinical Manual Disposable Active Circuit, No Water Trap Secure Digital (SD) Card Disposable Passive Circuit, No Water Trap Detachable (pre-installed) Flexible
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2 Intended Use The Philips Respironics Trilogy200 system provides continuous or intermittent ventilatory support for the care of individuals who require mechanical ventilation. Trilogy200 is intended for pediatric through adult patients weighing at least 5 kg (11 lbs.). The device is intended to be used in home, institution/hospital, and portable applications such as wheelchairs and gurneys, and may be used for both invasive and non-invasive ventilation. It is not intended to be used as a
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3 Warnings and Cautions Caution: U.S. federal law restricts this device to sale by or on the order of a physician. Warnings A warning indicates the possibility of injury to the user or operator. Patient Monitoring Prior to placing a patient on the ventilator, a clinical assessment should be performed to determine: • The device alarm settings • Needed alternative ventilation equipment • If an alternative monitor (i.e., an alarming Pulse Oximeter or Respiratory Monitor) should be used Alterna
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4 Personnel Trilogy200 is a restricted medical device designed for use by Qualifications Respiratory Therapists or other trained and qualified caregivers under the supervision of a physician. The prescription and other device settings should only be changed on the order of the supervising physician. The operator of the ventilator is responsible to read and understand this manual before use. Modes of The device can provide therapies typically associated with both Ventilation ventilator depe
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5 Operating Do not use this device if the ambient temperature is warmer than and Storage 40˚ C (104˚ F). If the device is used at room temperatures warmer than Temperatures 40˚ C, the temperature of the airflow may exceed 43˚ C. This could cause system alarms, thermal irritation, or injury to the patient’s airway. Bacteria Filter Philips Respironics recommends that a main line outlet bacteria filter (Part Number 342077) be used whenever the device is used for invasive therapy or if the ven
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6 Remote Alarms When using a remote alarm, make sure you fully test the remote alarm connector and cable by verifying that: – Annunciated alarms on the ventilator are also annunciated on the remote alarm. – Disconnecting the remote alarm cable from the ventilator or from the remote alarm results in an alarm notification at the remote alarm. The remote alarm should be tested daily. Oxygen When administering fixed-flow supplemental oxygen, the oxygen concentration may not be constant. The ins
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7 Alarms Respond immediately to any alarm. It may indicate a potentially life-threatening condition. Refer to the Alarms and Troubleshooting chapters for more information. Visually monitor the patient and ventilator at all times during an Alarm Silence period. Allowing alarms to continue without intervention may result in harm to the patient. If the high priority “Low Internal Battery” message appears, immediately connect the ventilator to an alternate power source. If no alternate power s
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8 Maintenance Follow the service recommendations provided in Chapter 7 of this manual. Periodically inspect electrical cords, cables, and the detachable battery pack for damage or signs of wear. Discontinue use and replace if damaged. Repairs and adjustments must be performed by Philips Respironics- authorized service personnel only. Unauthorized service could cause death or injury, invalidate the warranty, or result in costly device damage. Cleaning To avoid electrical shock, always unplug
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9 Operating The device may only be operated at temperatures between 5˚ C and and Storage 40˚ C (41˚ F and 104˚ F). Temperatures Do not operate the device in direct sunlight or near a heating appliance because these conditions can increase the temperature of the airflow delivered to the patient. Prolonged operation or storage at elevated temperatures may reduce the service life of the battery and other internal components of the ventilator. The ventilator has an internal and detachable Lith
