Philips Trilogy 200 manual

CLINIC AL MANUAL CLINIC AL MANUAL REF 1054728 1072919 JH 6/7/10[...]

FOR CLINICIAN’ S USE ONL Y A cc essing Pr escription Setting Screens F ull Menu Ac cess Mode The ventilat or has two levels of menu access , F ull and Limited. F ull Menu Access allo ws you to alter all a vailable settings. Limited Menu access permits the user to alter only those pr escription parameters that aect patient comf ort, such as R i[...]

REF 1054728 1072919 JH 6/7/10[...]

© 2010 Koninklijke Philips Electronics N.V . All rights reser ved.[...]

[...]

T able of Contents i FOR CLINICIAN’S USE ONL Y Accessing P rescription Setting S creens ................................................... i Chapter 1. Introduction....................................................................................................................................... 1 P ackage Contents ...........................[...]

T rilogy200 clinical manual ii Chapter 3. Modes, F eatures, and Alarms......................................................................................................19 Therapy Modes ....................................................................................................................19 Breath T ypes ............................[...]

T able of Contents iii High Vti Alarm .............................................................................................................44 Low Vti Alar m ............................................................................................................. 44 High Respiratory R ate Alarm ...........................................[...]

T rilogy200 clinical manual iv Battery Disposal..........................................................................................................56 F irst Time Use ..............................................................................................................56 Connect the Breathing Circuit t o the Ventilator ................[...]

T able of Contents v Viewing the Ev ent Log .............................................................................................90 Viewing Device Information ..................................................................................90 Updating Pr escriptions Using the SD Card ........................................................[...]

T rilogy200 clinical manual vi Chapter 10. Syst em Checkout Proc edures ................................................................................................ 139 T ools Required .................................................................................................................. 139 Visual Inspection ........................[...]

Chapter 1 Introduction 1 This chapter pro vides an overview of the T rilogy200 device. P ackage C ontents The T rilogy200 system may include the f ollowing components . Some components are optional acc essories that may not be packaged with the device. Clinical Manual AC Po wer Co rd Fl exible T ubing Universal Po rting Block Reusable Gray F oam F [...]

T rilogy200 clinical manual 2 Intended U se The Philips Respironics T rilogy200 system pr ovides continuous or intermittent v entilatory suppor t for the care of individuals who require mechanical v entilation. T rilogy200 is intended for pedia tric through adult patients w eighing at least 5 kg (11 lbs.). The device is intended t o be used in home[...]

Chapter 1 Introduction 3 W arnings and Cautions Caution: U .S. federal la w restric ts this device t o sale by or on the order of a ph ysician. W arnings A warning indic ates the possibility of injur y to the user or operat or . Pa tient Monitoring Prior to placing a patien t on the ventilator , a clinical assessment should be per formed to det erm[...]

T rilogy200 clinical manual 4 Personnel Qualications T rilogy200 is a restricted medical device designed for use by Respiratory Therapists or other trained and qualied careg ivers under the super vision of a phy sician. The prescription and other device settings should only be changed on the order of the supervising physician. The operator of[...]

Chapter 1 Introduction 5 Operating and Storage T emperatures Do not use this device if the ambient temperatur e is warmer than 40˚ C (104˚ F). If the device is used at room temperatur es warmer than 40˚ C, the temperatur e of the air ow may ex ceed 43˚ C. This could cause system alarms, thermal irritation, or injury to the patient’ s air w[...]

T rilogy200 clinical manual 6 Remote Alarms When using a remote alarm, make sur e you fully test the remot e alarm connector and cable by verifying that: – Annunciated alarms on the ventila tor are also annunciated on the remot e alarm. – Disconnecting the remote alarm cable from the ventilator or fr om the remote alarm r esults in an alarm not[...]

Chapter 1 Introduction 7 Alarms Respond immediately to an y alarm. It may indicate a potentially life-threatening condition. Refer t o the Alarms and Tr oubleshooting chapters for mor e information. Visually monitor the pa tient and ventilator a t all times during an Alarm Silence period. Allowing alarms to c ontinue without intervention may result[...]

T rilogy200 clinical manual 8 Maintenance F ollow the ser vice rec ommendations provided in Chapt er 7 of this manual. P eriodically inspect elec trical cords, cables , and the detachable batter y pack for damage or signs of w ear . Discontinue use and replace if damaged. Repairs and adjustments must be per formed by P hilips Respironics- authorize[...]

Chapter 1 Introduction 9 Operating and Storage T emperatures The device may only be oper ated at temperatur es bet ween 5˚ C and 40˚ C (41˚ F and 104˚ F). Do not operate the device in dir ect sunlight or near a heating appliance because these conditions can increase the t emperature of the air ow deliver ed to the patient. Pr olonged operati[...]

T rilogy200 clinical manual 10 Pa tient Circuit Exhalation valves , patient circuits , and water traps ar e shipped clean, not sterile. Cleaning and disinf ection of these par ts should follow individual institution processes and conf or m to guidelines pro vided by Philips Respironics with each accessory . External DC Pow er Do not use the same ex[...]

Chapter 1 Introduction 11 C ontraindica tions If the patient has any of the follo wing conditions, consult their health care prof essional befor e using the device in a non-invasiv e mode: • Inability to maintain a patent airway or adequately clear secretions • At risk for aspira tion of gastric contents • Diagnosed with acute sinusitis or ot[...]

T rilogy200 clinical manual 12 Symbols The follo wing symbols appear on the device. F ront P anel Symbol Description Therapy Start/Stop Alarm Indicator/Audio P ause ~ AC P ower Indicator Rear and Side P anels Symbol Description ~ AC P ower Connector Secure Digital (SD) Car d Slot Serial Port Connector Remote Alarm Connector Ethernet Connector DC P [...]

Chapter 1 Introduction 13 Drip Proof E quipment F or Airline Use. C omplies with RTCA-D0160F section 21, category M. How to C ontact Philips Respironics T o hav e your device serviced, contact Philips Respironics C ustomer Ser vice department at 1-724-387-4000 or 1-800-345-6443.[...]

T rilogy200 clinical manual 14[...]

Chapter 2 Sy stem Description 15 This chapter describes the front and r ear panel device contr ols and featur es. F ront P anel Fea tures The front panel c ontains the control butt ons, visual indicators , and display screen. Buttons The follo wing buttons are included on the fron t panel of the device. 1. Start/Stop Button This button turns the ai[...]

T rilogy200 clinical manual 16 4. Left and Right Buttons These buttons allow y ou to select display options or per form certain ac tions specied on-screen. V isual Indicators Several pow er and alarm indicators appear on the front panel . 5. A C Po wer LED In the lower right corner of the front panel , a green LED ( ~ ) indicates that A C power [...]

Chapter 2 Sy stem Description 17 1 2 3 Right Side Panel 4 Left Side Panel Side and Rear P anel F eatures The ventilat or ’ s side and rear panels contain the following connectors and featur es, shown at right. 1. AC P ower Inlet Y ou can plug the AC power cord in to this connector , located on the right side of the ventilator . 2. Breathing Cir c[...]

T rilogy200 clinical manual 18 9 5 7 8 6 10 11 12 Rear Panel 5. Serial Connector Y ou can use this connector to c onnect the device to a computer running PC Direct or Sleepware software or to other Philips Respironics devices such as Alice 5 and A OM. Use the T rilogy RS232 Serial Cable to connect the ventilator t o the external device or computer [...]

Chapter 3 Modes, F eatures, and Alarms 19 Ther apy Modes The device pro vides Pr essure Contr ol Ventilation (PCV ) and V olume Contr ol V entilation ( VCV ) for non-in vasive and inv asive patients. Pr essure Contr ol ventilation deliv ers a prescribed pressure t o the patient accor ding to set breath ra te and set inspiration time parameters. Thi[...]

T rilogy200 clinical manual 20 Breath T ypes There ar e four breath types that apply to the V olume Control and Pr essure Contr ol ventilation therap y modes: • Spontaneous • Mandatory • Assisted • Sigh Spontaneous Breath A Spontaneous breath is triggered b y the patient. Brea ths are initiated by the patient’ s inhalation e ort, and a[...]

Chapter 3 Modes, F eatures, and Alarms 21 Therap y Mode T able The following table summarizes all of the ther apy modes and the settings available in each mode. Some settings in the table are dependent upon other settings. F or instance, if the circuit type is set to Active with F low , then the Flow T rigger Sensitivity, Leak Compensation, and F l[...]

T rilogy200 clinical manual 22 Pr essure Con trol V entilation Therapy Modes Pr essure Contr ol ventilation modes deliv er a prescribed pressure t o the patient. Continuous P ositive Airway Pressur e (CP AP) Mode In the Continuous P ositive Airway Pr essure (CP AP) mode, the device delivers a continuous pr essure to the patient a t all times. All b[...]

Chapter 3 Modes, F eatures, and Alarms 23 Spontaneous/Timed (S/T) M ode In Spontaneous/Timed (S/T ) mode, the device delivers bi-level pressure support. This mode provides Spontaneous and Mandatory breaths. A Mandat or y breath is deliv ered if the patient does not spontaneously breathe within the pr escribed Breath Rate (BPM) setting. This ensures[...]

T rilogy200 clinical manual 24 Timed (T ) M ode In Timed ( T ) mode, the device delivers bi-level pressur e suppor t. This mode delivers Mandatory breaths only . A Mandator y breath is delivered ac cording to the pr escribed BPM and inspiratory time settings. This also means that the ventilat or will not respond to patient eort. In this mode, an[...]

Chapter 3 Modes, F eatures, and Alarms 25 Pressur e Contr ol (PC) Mode In Pressur e Control (PC) mode, the device deliv ers bi-level pressur e support. T his mode delivers Assist and Mandatory breaths. This mode is identical to S/T mode, e xcept that all br eaths have a x ed inspiratory time. = Mandato ry Breath = Assist Breath IP AP = 26 cm H 2[...]

T rilogy200 clinical manual 26 During the time window , if patient eort is detec ted, either a Spontaneous or an Assist breath is deliv ered f or the rst eort. If the last breath deliver ed was Mandatory , then a Spontaneous breath is delivered f or the rst patient eort of the window . If the last breath delivered was an A ssist or S[...]

Chapter 3 Modes, F eatures, and Alarms 27 V olume Control V entilation Therap y Modes V olume Contr ol ventilation modes deliver a pr escr ibed inspired tidal volume accor ding to a set Breath Rate and a set Inspiratory Time. Contr ol Ventila tion (CV ) Mode In Control Ven tilation (CV ) mode, the device delivers volume c ontrol therapy . This mode[...]

T rilogy200 clinical manual 28 Assist Contr ol (A C ) Mode In Assist Control ( AC) mode, the device deliv ers volume contr ol therapy . This mode pro vides Assist and Mandatory breaths. An Assist breath is started when there is patient e or t, but it is ended when the Inspiratory T ime setting has been met. A Mandatory breath is delivered if the[...]

Chapter 3 Modes, F eatures, and Alarms 29 During the time window , if patient eort is detec ted, either a Spontaneous or an Assist breath is deliv ered f or the rst eort. If the last breath deliver ed was Mandatory , then a Spontaneous breath is delivered f or the rst patient eort of the window . If the last breath delivered was an A[...]

T rilogy200 clinical manual 30 Ther apy Mode F eatures The device has sever al additional features tha t enhance patient comfort. Fle x Comf or t F eature The device consists of a special comf or t feature called F lex. T he device provides the F lex feature in CP AP mode and S mode. This featur e is only available when Aut o- T rak is enabled. C-F[...]

Chapter 3 Modes, F eatures, and Alarms 31 Bi-Flex In S mode, the Bi-Flex a ttribute adjusts therapy by inserting a small amount of pressure r elief during the latter stages of inspiration and during the beginning part of exhalation. I n the follo wing diagram, the bold lines represent Bi-F lex in comparison to the dashed line representing normal Bi[...]

T rilogy200 clinical manual 32 Rise Time In S, S/T , PC, T , PC-SIMV , and SIMV modes, rise time is the amount of time it takes the device to change from the e xpiratory pressure setting to the inspiratory pressure setting . Rise time levels of 1, 2, 3, 4, 5, or 6 progr essively reect slowed r esponse of the pressure increase that will take plac[...]

Chapter 3 Modes, F eatures, and Alarms 33 IP AP Ma x IP AP Mi n EP AP TIME 15 30 45 60 TIME 15 30 45 60 PRESSURE T arget V olume VOLUME Flo w Patt ern T ypes T wo ow patterns are av ailable in V olume Contr ol ventilation therap y modes: • Square • Ramp Square With a squar e wave patt ern, air ow is generally constant thr oughout inspirat[...]

T rilogy200 clinical manual 34 Ramp With a ramp o w pattern, the air ow starts high and decreases throughout inspiration of the br eath. 50% of Peak Fl ow FL OW TIME F or the active circuit in volume modes , peak ow is required t o be a minimum of 20 l/min. The wave form ma y be attened when the combination of Inspiratory Time and Tidal[...]

Chapter 3 Modes, F eatures, and Alarms 35 Sigh F eature The sigh featur e is available f or V olume ventilation modes only . When the sigh featur e is enabled, the ven tilator delivers a sigh brea th in place of every 100th mandatory or assisted breath delivered regardless of the mode of oper ation (i.e., A C, CV , and SIMV ). The Sigh breath is de[...]

T rilogy200 clinical manual 36 T riggering The device can be set to trigger br eaths using the Auto- T rak or Flow T rigger sensitivit y fea tures. Digital Auto- T rak Sensitivity An important charac teristic of the device is its ability to r ecognize and compensate f or unintentional leaks in the system and t o automatically adjust its trigger and[...]

Chapter 3 Modes, F eatures, and Alarms 37 Auto- T rak Sensitivit y An essential featur e of the device while operating in all modes is its ability to eectively sense spontaneous breathing e or ts, which causes the ventilator t o trigger to inspiration and cycle to expiration. Because no preset sensitivity threshold can assure patien t and mac[...]

T rilogy200 clinical manual 38 A sudden change in patient flow will cr oss the shape signal, causing the pressure lev el to change. Pr essure Fl ow IP AP EP AP Shape Signal Estimate d Pa tient Fl ow Tr igger to IP AP Crossove r Point Cy cle to EP AP Crossove r Point T rack ing the patient’ s flow patt ern with the Shape Signal provides a sensit[...]

Chapter 3 Modes, F eatures, and Alarms 39 Spontaneous Expiratory Threshold (Inspiration to Expiration): A second method used to cycle to expiration during spontaneous breathing in all modes ex cept T , CV , AC, and SIMV , is called Spontaneous Expiratory Threshold (SET ). The SET rises in propor tion to the inspiratory flow rate on each br eath. W[...]

T rilogy200 clinical manual 40 V olume Contr ol Cy cle (Inspiration to Expiration) (Only a vailable during Volume Control Therap y) An Inspiratory T ime setpoint limits the time spent in inspiration during breathing in all modes. Onc e the time limit is reached, the unit automatically cycles to expiration. Flow T rigger Flow trigger pr ovides a man[...]

Chapter 3 Modes, F eatures, and Alarms 41 BTPS C ompensation All ows and v olumes used in Trilogy ar e expressed in BTPS - Body T emperatur e atmospheric Pr essure Saturated with H 2 O. All pressures ar e expressed r elative to atmospheric pressur e. V entilat or Alarms This section describes all of the ventilator alarms and informational messag[...]

T rilogy200 clinical manual 42 Check Circuit Alarm This is a high priority alarm. I t occurs when the device detects a problem with the patient cir cuit, such as pinched or detached tubing, water condensation in the pr oximal pr essure lines, or pr oblems with the active exhalation device. Low C ircuit Leak A larm This is a high priority alarm that[...]

Chapter 3 Modes, F eatures, and Alarms 43 Circuit Disconnect Alarm This is a high priority alarm. I t occurs when the brea thing circuit is disconnected or has a large leak. The device con tinues to operate . The alarm will automatically terminate when the circuit is reconnected or the leak is xed . Apnea Alarm This is a high priority alarm. I t[...]

T rilogy200 clinical manual 44 High Vti Alarm This is a high priority alarm. I t occurs when the deliver ed tidal volume is gr eater than the High Vti alarm setting for three consecutive br eaths. The device continues to oper ate. The alarm will automatically terminate when a br eath occurs in which the deliver ed tidal volume does not reach the Hi[...]

Chapter 3 Modes, F eatures, and Alarms 45 F or pressure modes , the alarm occurs when the delivered pr essure exceeds the tar get patient pressur e by 5 cmH 2 O or more during the inspiratory phase. The device will automatically cycle to the expiratory phase and continue to operate . The alarm will automatically terminate when the deliv ered pressu[...]

T rilogy200 clinical manual 46 Low Ba ttery Alarm The Lo w Battery alarm occurs when the last batter y available is low or nearly depleted. This alarm occurs in two stages. When approxima tely 20 minutes of battery run time remains, a medium priority alarm is generated, and the device continues t o operate. If no action is taken and the batter y co[...]

Chapter 3 Modes, F eatures, and Alarms 47 If the problem is not corrected, the device will gener ate a reminder message once per day , or whenever power is cycled, un til the issue is corrected. A dditionally , if the device is powered o , a reminder message will immediately appear when the device is turned on again. A C Po wer Disconnected Alar[...]

T rilogy200 clinical manual 48 Check External Battery I nfo Message This info message oc curs when a bad connection exists to the external battery or the ex ternal battery failed. The device continues to operate using po wer from the detachable batt er y , if available, or the internal battery . Battery Depleted Info Message This info message oc cu[...]

Chapter 4 V entilator Setup 49 This chapter pro vides instructions on how to assemble the ventilator . It includes the following setup information: • Pr operly positioning the device • Installing the air lter • Supplying power to the devic e • Connecting the breathing circuit • Connecting a water trap (optional) • Connecting a remote[...]

T rilogy200 clinical manual 50 P osition the Devic e Place the ventila tor on a at, level surface. Or , as an alternative , you can place the device in the optional in-use bag . The in-use bag is required f or portable use in order to properly secure the ventila tor . Do not operate the ventila tor while on its side, upside- down, or in any othe[...]

Chapter 4 V entilator Setup 51 Note: This device is activ ated (i. e., ‘ powered on ’) when the AC power cord is c onnected or any of the three battery sources is available . Pressing the Start/Stop button turns the airflow on or o. CAUTION The device may only be operated at temperatures between 5˚ C and 40˚ C (41˚ F and 104˚ F). W ARNI[...]

T rilogy200 clinical manual 52 Securing the Pow er Cord Using the C ord Retainer CAUTION Do not use the same external battery to operate both the ventilator and any other equipment such as power chairs. CAUTION An external batter y should only be connected to the ventilator using the Philips Respironics T rilogy External Batter y Cable. This cable [...]

Chapter 4 V entilator Setup 53 Detachable Battery Pack Philips Respironics oers a detachable Lithium-Ion ba ttery pack . T o use the detachable battery pack , snap the battery into place on the back of the ventilator , as shown in the following illustration. When the device is not connected to an A C power sourc e or an external battery, the det[...]

T rilogy200 clinical manual 54 One side of the detachable battery has a set of LEDs that indicate the amount of charge left on the battery . Y ou can press the button below the LEDs to view how much charge r emains: LED Battery Capacity All 5 LEDs are lit 80-100% capacity 4 LEDs are lit 60-79% capacity 3 LEDs are lit 40-59% capacity 2 LEDs are lit [...]

Chapter 4 V entilator Setup 55 DC Po wer Indicators The internal, detachable , and ex ternal battery symbols that will display on the Monitoring screen are sho wn below . The detachable and external battery symbols will only appear on-screen if a detachable or external battery is attached to the device. Battery Symbol Internal Battery Detachable Ba[...]

T rilogy200 clinical manual 56 DC Po wer Indicator Description Red Low Batt er y Indicator When the device detects that an in-use battery ’ s charge is nearly depleted (has appro ximately 10 minutes of charge left), the inside of the box surrounding the batt er y symbol turns red . In addition to the battery indicator on the Monitoring screen, a [...]

Chapter 4 V entilator Setup 57 C onnec t the Brea thing Circuit t o the V entilator Complete the f ollowing steps to set up y our patient circuit. 1. If you are using a bacteria lter , connect one end of the exible tubing to the outlet of the bacteria lter , and connect the bacteria lter inlet to the breathing cir cuit connection locate[...]

T rilogy200 clinical manual 58 b. If your circuit type is Active P AP: 1. Connect the exible tubing to an active exhalation device with proximal pr essure . A. C onnec t the active exhalation device with pro ximal pressure t o the exible tubing that attaches to the ventilator and t o the patient interface (e.g., the tracheostomy tube). 2. Con[...]

Chapter 4 V entilator Setup 59 Universal Po r ting Block Exhalation Valv e Line Exhalation Valv e Po rt Pr oximal Pr essure Line Pr oximal Pr essure Po rt Exhalation Valv e Po rt on Universal Po r ting Bloc k Tr ilogy Universal Ac tive P AP Tu be Ad apte r Refer to the instructions included with the Active Exhalation Device for more inf or mation. [...]

T rilogy200 clinical manual 60 C. Connect the ow lines and the exhalation valv e line to the Universal P or ting Block on the ventilator as shown below . • Connect the White Striped F low Line to the top , striped por t on the Universal P or ting Block on the device. • Connect the other Flow Line t o the middle port on the Universal por ting[...]

Chapter 4 V entilator Setup 61 C onnec t Supplemental O x ygen ( O ptional) T o attach supplemental o xygen to the device: 1. Connect the oxygen tubing to the Oxygen Inlet Quick Connect. Then, connect the Quick Connect to the Oxygen Inlet on the back of the ventilator . Ox ygen Inle t Ox ygen Source T ubing Ox ygen Inle t Quick Connec t 2. Make sur[...]

T rilogy200 clinical manual 62 C onnec t the Remote A larm ( Optional) Y ou can use a r emote alarm as a nurse call system or in-house remot e alarm system. It can generate an alarm at a distance of up to 91 meters (300 feet) fr om the ventilator . An audible t one sounds and a red light blinks to indicat e that an alarm condition exists. The remot[...]

Chapter 5 V iewing and Changing Settings 63 This chapter explains how t o scroll through the v entilation screens and change ventilation settings . It also describes how to connect the ventilator t o the patient once the settings are c omplete. Ke ypad Lock F eature There is a Keypad L ock featur e that users can enable from the Options menu. It is[...]

T rilogy200 clinical manual 64 Ac cessing the Star tup and Monitor Screens 1. After you press the button to begin therap y , the Star tup screen appears momentarily , indicating the device name and the software version. 2. The next screen that appears is the Monitor screen. The appearance of this scr een will vary, depending on how y ou set up the [...]

Chapter 5 V iewing and Changing Settings 65 Monitor Screen – Detailed Vie w On If Detailed V iew is tur ned on in the Options menu, the Monitor screen will look like the screen sho wn below . Monitor Panel Measured Settings Panel Status P anel This screen con tains more detailed information about the therapy . – The t op Monitor panel contains [...]

T rilogy200 clinical manual 66 Monitor Screen Indicators This section describes the following indicators: • Monitor P anel Indicators • Measured Settings Panel Indicators • Status P anel Indicators Monitor Panel Indicat ors All of the indicators that may appear on the Monitor P anel are described in detail in the following table . Indicator D[...]

Chapter 5 V iewing and Changing Settings 67 Indicator Description Low P ressure Indicator L If you enable a volume therapy mode , this indicator appears below the manometer bar , indicating the low pr essure alarm setting. High Pressur e Indicator H If you enable a volume therapy mode , this indicator appears below the manometer bar , indicating th[...]

T rilogy200 clinical manual 68 Measured Settings Panel All of the indicators that may appear on the Measur ed Settings panel (available only in Detailed view), are described in the f ollowing table. Indicator Description PIP Peak Inspiratory Pr essure displays the maximum pr essure delivered t o the patient during the previous breath. I:E Ratio Dis[...]

Chapter 5 V iewing and Changing Settings 69 Status P anel Indicators All of the indicators that may appear on the S tatus P anel are described in the following table . Indicator Description Indicates that the device is in F ull Menu Access mode, which means you can adjust all prescription settings . Philips Respironics recommends that y ou change t[...]

T rilogy200 clinical manual 70 Indicator Description A black box display s around the battery that is currently supplying power to the v entilator when A C power is not a vailable. (In the status panel shown above , the external battery is in use, so the symbol displays.) A yellow lightning bolt symbol displa ys with the Detachable or Internal batt[...]

Chapter 5 V iewing and Changing Settings 71 On-Screen Button P anel The illustration below sho ws the on-screen button panel on the Main Menu screen, in relation to the butt ons on the front of the device . On-Screen Button Panel At the very bottom of the display screen is the on-scr een button panel. This panel corresponds with the contr ol button[...]

T rilogy200 clinical manual 72 Changing and V iewing S ettings in F ull Menu Ac cess Mode Clinicians can view and change settings using the Menu screens when the device is in F ull Menu Access mode. T o enter the Menu screens from the Monitor scr een, press the Up button on the ventilator . The Main Menu screen sho wn below appears. C hoose from th[...]

Chapter 5 V iewing and Changing Settings 73 Changing the Device Settings and Alarms F rom the Main Menu screen, use the Up/Down button to highlight the Settings and Alarms menu, and press the Right button to select the menu. Device Settings Common t o All Therapy Modes Some of the settings on this menu will var y depending on the therapy mode you s[...]

T rilogy200 clinical manual 74 Note: See Chapter 3 for detailed information about each therapy mode. Note: Refer to the chart in Chapter 3 to easily review all of the settings available in each therapy mode . Note: This chapter describes how to enable all of the device settings, including device alarms. F or detailed information about each alarm, p[...]

Chapter 5 V iewing and Changing Settings 75 The P assive circuit pr ovides leak compensation. When using the P assive circuit in Volume V entilation, the set V ti is deliver ed to the patient above the calculat ed circuit and cu (or mask) leak. This is dier ent from traditional active circuit v entilation where the cu (or mask) leak reduce[...]

T rilogy200 clinical manual 76 Note: The High and L ow Vte alarms are available when the Passiv e or Active Flo w Circuit is selected. Note: The High and L ow Vti alarms are only available when the Active P AP Circuit is selected . Low Vte This setting enables or disables the Lo w Vte alarm. The alarm activates when the estimated exhaled tidal volu[...]

Chapter 5 V iewing and Changing Settings 77 Low M inute V entilation This setting enables or disables the Lo w Minute V entilation alarm. The alarm activates when the calculated minute ven tilation is less than or equal to this setting. Y ou can choose O to disable this alarm, or you can increase or decrease the setting fr om 0.1 l/min to 99 l/m[...]

T rilogy200 clinical manual 78 Low Inspir atory Pressure This setting congures the L ow I nspirat or y Pr essure alarm. It is only user-settable in CV , AC, and SIMV modes. It cannot be set lower than PEEP + 2 cm H 2 O or higher than the High Inspirator y Pr essure. F or passive circuits , you can increase or decr ease the Low Inspirat or y Pr e[...]

Chapter 5 V iewing and Changing Settings 79 When T rigger Type is set t o Flow T rigger , Flow T rigger Sensitivity Leak C ompensation, and Flow C ycle Sensitivity become ac tive , and the trigger initiates based on the Flo w T rigger Sensitivity setting. 3. Flow T rigger Sensitivity If you set the T rigger T ype to Flow T rigger , the Flow T rigge[...]

T rilogy200 clinical manual 80 Note : The Ramp Start Pressure setting will not display if the Ramp L ength is set to O or if the CP AP pressure is set to 4 cm H 2 O. Note : Ramp Start Pressure is less than or equal to CP AP - 1 cm H 2 O in CP AP mode. Note: In CP AP mode, F lex is only available when CP AP is greater than 4 cm H 2 O. Note: In S [...]

Chapter 5 V iewing and Changing Settings 81 2. IP AP The IP AP setting displays if A V APS is O. Y ou can incr ease or decrease the Inspiratory Positive A ir way P ressure (IP AP) from 4 to 50 cm H 2 O in increments of 1. IP AP is limited to a maximum of 25 cm H 2 O when Flex is enabled . Y ou cannot set the IP AP setting lower than the EP AP se[...]

T rilogy200 clinical manual 82 Note: The Rise Time setting only displays if Flex is disabled . If Flex is enabled, the device will use a rise time of 3. Note: In S/T , T , PC, PC-SIMV , SIMV , CV , and AC modes , the Apnea Rate is greater than or equal to the Breath Rate and is limited by the current Inspir atory Time setting to maintain a minimum [...]

Chapter 5 V iewing and Changing Settings 83 Pressure Contr ol (PC) Mode All of the settings available in S/T mode ar e available in PC mode, except f or the Flow Cy cle Sensitivity setting (when Flow T r igger is enabled). Please ref er to the descriptions in the S and S/T Mode sections of this chapter for detailed information on the PC mode settin[...]

T rilogy200 clinical manual 84 Note: The Flo w Pattern setting might be limited to only Ramp or Square based on the Tidal V olume, Inspiratory Time, and Breath Rate settings to maintain the minimum and maximum peak ows. 3. PEEP The P ositive End Expirat or y Pr essure (PEEP) setting can be increased from 0 t o 25 cm H 2 O in active circuits and [...]

Chapter 5 V iewing and Changing Settings 85 Assist Control (A C ) Mode The AC mode c ontains the following settings described in the S, S/T , PC-SIMV , and CV mode sec tions in this chapter . Please ref er to the descriptions in those sections for detailed information. • Tidal V olume • Breath Rate • Inspiratory Time • Flow P attern • PEE[...]

T rilogy200 clinical manual 86 V iewing and Changing Options Menu Items F rom the Main Menu screen, select the Options item. The Options menu appears, sho wn in the screen below . The follo wing settings are available on the Options menu . • Menu Acc ess – Y ou can select F ull or Limited menu access. F ull menu access allows oper ators to acc [...]

Chapter 5 V iewing and Changing Settings 87 All pressure units on the scr eens will display in the unit of measure selected here . • Alarm V olume – Y ou can adjust the volume of the device alarms using this setting. Select either Loud or Soft as the alarm volume options. • Keypad L ock – Y ou can enable or disable the Keypad Lock f eature,[...]

T rilogy200 clinical manual 88 - Dim: The display ’ s backlight is decreased, so tha t the display is still visible but not as bright. If enabled, the screen sav er will display after 5 minutes of no keypad activity. P ressing an y button on the device will exit the screen sav er . And, any alarm or inf ormational message will also exit the scree[...]

Chapter 5 V iewing and Changing Settings 89 • Operational Hours – The operational hours display s the total number of hours that the device blow er has been on since the last time this value was reset . Y ou can reset this value to z ero (0) if desired (e .g., each time you give the device t o a new patient). This value helps you determine how [...]

T rilogy200 clinical manual 90 V iewing the Ev ent Log F rom the Main Menu screen, you can select Event L og to access the Event L og screen. The event log displa ys a list of all events that ha ve occurred , such as ventilator setting changes , ventilator inoperative conditions , alar ms, etc., in chr onological order with the most rec ent events [...]

Chapter 5 V iewing and Changing Settings 91 Updating Pr escriptions Using the SD C ard With the T rilogy200 , you can updat e the patient’ s prescription using the SD Card . This feature lets you upda te a single prescription or both prescriptions if the dual prescription fea ture is enabled. The prescription update can occur either when the v en[...]

T rilogy200 clinical manual 92 Note: Make sure y ou closely review the prescription and conrm that all settings are correct. Note: If both prescriptions of a dual prescription are being updated, you m ust accept the primary prescription using the OK button before being able to review the secondary prescription. Both prescriptions have to be acce[...]

Chapter 5 V iewing and Changing Settings 93 Message Cause Action Pr escription Change F ailed Displa yed when an error occurs during the prescription update. This is caused by an attempt to set a value f or a prescription parameter that is not valid for the therap y mode or an attempt to set a prescription parameter to an invalid value . Remove the[...]

T rilogy200 clinical manual 94 Changing and V iewing S ettings in Limited Menu Ac cess Mode After you press the button and access the Monitor scr een, you can view and change settings using the Menu screens. T o enter the Menu scr eens from the Monitor screen, pr ess the Up button on the ventilat or . The Main M enu screen appears , shown below . Y[...]

Chapter 5 V iewing and Changing Settings 95 Note: The Options, Alarm L o g, and Information items are discussed in detail earlier in this chapter , in the “Changing and Viewing Settings in Full Men u Acc ess Mode” section. Note: If you are currently using the primary prescription, the menu option will say “Switch t o Secondary S ettings. ” [...]

T rilogy200 clinical manual 96 V iewing and Changing My Settings Menu Items T o view or change the therapy settings a vailable on the My Settings screen, use the Up/Down (Naviga te) button to highlight the My Settings option on the Main Menu, and press the Right (Select) button. The My Settings Menu screen appears. F ollow the general instructions [...]

Chapter 5 V iewing and Changing Settings 97 If your health care prof essional has enabled Ramp on your ventila tor , you can adjust the Ramp Star t P ressure setting. The setting can be adjusted from 4.0 t o your prescription pressur e setting in increments of 1. • Flex – The optional Flex fea ture allows y ou to adjust the level of air pressur[...]

T rilogy200 clinical manual 98 C onnec ting the V entilat or to the P atient After you hav e nished adjusting your ventila tor settings, perform the following st eps to connect the ventilator to the pa tient. 1. P er form S ystem Check out Do not connect the ventilator to the patien t until you perform the system checkout proc edures dened in[...]

Chapter 6 V entilator Alarms 99 This chapter describes the ventila tor alarms and what you should do if an alarm occurs. There ar e three types of alarms: • High Priority – Require immediate response by the operator • Medium Priority – Require prompt response b y the operator • Low P r iority – Require operator a wareness. These alarms [...]

T rilogy200 clinical manual 100 Audible and V isual Alarm Indicators When an alarm condition occurs: • The alarm LED indicator on the Alarm Indicator/Audio P ause button lights • The audible alarm sounds • A message appears on the screen describing the type of alarm • The remote alarm (if applicable) is activated Each of these is described [...]

Chapter 6 V entilator Alarms 101 Note: F or the alarm indicators noted throughout this manual , each “ dot ” represents an audible beep. Audible Indicators An audible indicator sounds whenever a po wer failure or a high, medium, or low priority alarm is detected. Additionally , an audible indicator sounds for inf or mational messages and to con[...]

T rilogy200 clinical manual 102 • Informational Messages and Conrmation Audible Indicators – When an informational message appears on screen, a brief , 1- beep audible indicator sounds. Additionally , when the device detects that a certain action has been completed (for example , when the Start/Stop button is pressed to start therapy , or wh[...]

Chapter 6 V entilator Alarms 103 The Alarms and Messages Screen will automatically display in plac e of the Monitor screen when exiting from the menu sy stem using the Exit soft key when an alarm is displayed in the menu banner . If an alarm is manually reset by the user or self-cancels, the menu banner on-screen befor e the alarm occurred will rea[...]

T rilogy200 clinical manual 104 T o turn the ventila tor o from a Ven tilator Inoperative condition, use the normal power o sequence . When the Star t/Stop button is selected, the following scr een will display . Select the R ight button (Y es) to turn the ventilator o and stop the audible alarm. Selecting the Left button (No) will return [...]

Chapter 6 V entilator Alarms 105 Audio P ause and Alarm Reset F eatures This section describes the Audio P ause and Alarm Reset features . Audio P ause When an alarm occurs, y ou can temporarily silence the audible indicator by pr essing the Alarm Indicator/Audio P ause button. The alarm is silenced for 60 seconds and then will sound again if the c[...]

T rilogy200 clinical manual 106 Alarm V olume Control As explained in Chapter 5, y ou can adjust the Alarm V olume from the Options menu. Y ou can select Loud or Soft, depending on your prefer ence. What t o Do When An Alarm Oc curs Complete the f ollowing steps when an alarm occurs: 1. Whenever an alarm occurs , rst always observe the patient a[...]

Chapter 6 V entilator Alarms 107 Alarm Summar y T able The follo wing table summarizes all of the high, medium, and low priority alarms and informational messages. Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Loss of P ower High • • Red ashing button; Blank screen Shuts down User : [...]

T rilogy200 clinical manual 108 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction V entilator Service Required High • • • • • Red ashing button; “Ventilator Service Required” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left ([...]

Chapter 6 V entilator Alarms 109 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Low Cir cuit Leak High • • • • • Red ashing button; “Low Cir cuit Leak” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button to res[...]

T rilogy200 clinical manual 110 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction High Internal Oxygen High • • • • • Red ashing button; “High Internal Oxygen ” message Continues to operate when internal oxygen concentration reaches 5% above ambient levels. User : Pr ess Alarm [...]

Chapter 6 V entilator Alarms 111 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction High Vte High • • • • • Red ashing button; “High Vte” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button to reset alarm. Continue[...]

T rilogy200 clinical manual 112 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction High Respiratory Rate High • • • • • Red ashing button; “High Respiratory Rate” message Operates User : Press Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button [...]

Chapter 6 V entilator Alarms 113 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Low Inspiratory Pressur e High • • • • • Red ashing button; “Low Inspiratory Pressur e” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Rese[...]

T rilogy200 clinical manual 114 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Low Battery Escalates from Medium to High • • • (Medium - when approx. 20 minutes remains) • • • • • (High - when approx. 10 minutes remains) Medium Priority- Y ellow ashing button. “Low Detac[...]

Chapter 6 V entilator Alarms 115 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Replace Detachable Battery Low or High, depending on cause of alarm • • for Lo w • • • • • for High “Replace Detachable Battery ” message appears. If battery is nearing end of useful life, messa[...]

T rilogy200 clinical manual 116 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Keypad Stuck Lo w • • Solid yellow butt on; “Keypad Stuck” message. Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button to reset alarm. Check the ke[...]

Chapter 6 V entilator Alarms 117 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Battery Not Charging Due to T emperature In fo • “Batt Not Charging – T emp. ” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button to reset[...]

T rilogy200 clinical manual 118 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Check External Battery In fo • “Check External Battery ” message Operates User : P ress Alarm Indicator/ Audio P ause button to silence alarm. Or , press Left (Reset) button to reset alarm. Check connection [...]

Chapter 6 V entilator Alarms 119 Alarm Priority Audible Visual (A larm Indicator Button and Display) Device Action User/Clinician A ction Detachable Battery Disconnected In fo • “Detachable Batt Disconnected” message, and a box appears around battery in use. Switches to alternate power sourc e User : Check connection of the detachable battery[...]

T rilogy200 clinical manual 120[...]

Chapter 7 Cleaning and Maintenance 121 Cleaning the V entilator The ventilat or ’ s ex terior surface and the ex terior of the detachable battery pack (if using) should be cleaned before and after each patient use, and mor e often if needed. 1. Unplug the device and clean the front panel and exterior of the enclosure as needed using a clean cloth[...]

T rilogy200 clinical manual 122 Cleaning and Replacing the Air Inlet F ilter Under normal usage, you should clean the gr ay foam lt er at least once every two weeks and replace it with a new lter ev ery six months or sooner if needed. 1. If the device is operating, st op the air ow by pr essing the button. Disconnect the device from the po[...]

Chapter 7 Cleaning and Maintenance 123 Replacing the Air Inlet P ath F oam F ollow your institution ’ s protoc ol for how often you r eplace the air inlet path foam. T o replac e the foam, complete the st eps below . 1. Using a screw driver , remove the air inlet pa th cover b y unscrewing the four scr ews as shown below . 2. Remove the gr ay foa[...]

T rilogy200 clinical manual 124 3. Inser t the new air inlet path foam in the slot, lining the lar ge circular cutout on the f oam up with the circular connection at the top of the air inlet path compartment on the device. Make sure the air inlet path f oam is securely in place. 4. Replace the air inlet path cov er , using a screwdriver t o secure [...]

Chapter 7 Cleaning and Maintenance 125 5. Place the circuit on a clean t owel to dry . D o not wipe dry. The circuit must be completely dry before st oring. 6. Reassemble the circuit when dry. St ore in a plastic bag or dust- free area. 7. Inspect components for deterioration prior to use . Cleaning the Exhalation Devices Disassemble the exhalation[...]

T rilogy200 clinical manual 126 4. Connect the patient circuit. F it the ventilator-end of the exible tubing onto the bacteria lter . Pre ven tive Main tenance Y our new Philips Respir onics Trilogy v entilator includes a blank P M Ser vice Due label axed t o the bottom of your device . The label is blank, which allows you to document when[...]

Chapter 7 Cleaning and Maintenance 127 The follo wing table provides inf ormation on recommended periodic maintenance f or your device. Time / H ours of Ser vice Recommended Maintenanc e Prior to initial use on a patien t • Charge Internal and Detachable Batteries to 100% capacity by plugging ventilat or into an AC po wer source f or up to 8 hour[...]

T rilogy200 clinical manual 128[...]

Chapter 8 T roubleshooting 129 The ventilat or is designed to respond t o most issues with an appropriate alarm or information message. These messages appear on the display screen. Chapter 6 describes man y of the alarms and what action you should take when the alarms occur . This chapter pro vides additional troubleshooting information f or other [...]

T rilogy200 clinical manual 130 Issue Wh y It Happened Wha t T o Do The batt eries are not charging . The device is plugged in, but the detachable (if installed) and internal batteries are not showing full capacity and are not charging . The batteries may not char ge if the device is too hot or too cold or is operating at an ambient temperatur e ou[...]

Chapter 8 T roubleshooting 131 Issue Wh y It Happened Wha t T o Do Exc essive W arm Air Out of Mask The air out of the mask is much warmer than usual. The air lter may be dirty . Or , the device may be operating in direct sunlight or near a heater . Clean or replace the air lter as described in Chapter 7. The temperatur e of the air may vary [...]

T rilogy200 clinical manual 132 Issue Wh y It Happened Wha t T o Do Dryness The patient has throa t or nose dryness. The air is too dry . This only applies to non-invasiv e therapy and will not occur during invasive ther apy . Increase the room humidity . Consult with the patient’ s health care prof essional about using a humidier with the dev[...]

Chapter 9 Ac cessories 133 There ar e several accessories y ou can use with the ventilator . Adding a Humidier Use of a humidier may reduc e nasal dr yness and irritation by adding moisture to the airow . If you are using a humidier with the ventila tor , refer t o the instructions provided with the humidier for complet e setup infor[...]

T rilogy200 clinical manual 134 Supplemental Oxygen W arnings • When administering xed-o w supplemental oxygen, the oxygen concentr ation may not be constant. The inspired oxygen c oncentration will vary , depending on the pressures , patient ows and cir cuit leak. Substantial leaks may reduce the inspir ed oxygen concen tration to less [...]

Chapter 9 Ac cessories 135 Using a Nurse C all Sy stem Y ou can use an institutional Nurse Call sy stem with your device . There ar e several Philips Respironics cables a vailable to connect a nurse call system to the device . R efer t o the instructions included with your cable assembly if you ha ve questions on how to c onnect it to the device. U[...]

T rilogy200 clinical manual 136 2. Push the SD car d completely into the car d slot until the card clicks into place . T o remo ve the SD card , select the “Safely Remov e SD Card” option from the main menu. After the “Remove SD Car d” conrmation message appears, remo ve the card by pushing the car d in until the card clicks to r elease.[...]

Chapter 9 Ac cessories 137 T r av eling with the Syst em When trav eling, the carrying case is for carr y-on luggage only . The carr ying case will not protect the system if it is put thr ough checked baggage. F or your con venience at security stations, ther e is a note on the bottom of the device stating that it is medical equipment and is suitab[...]

T rilogy200 clinical manual 138[...]

Chapter 10 Sy stem Checkout Pr ocedures 139 This chapter details the test pr ocedures that should be performed by the clinician prior to connecting the device to the patient. T est the Active P AP , Active F low , and Passive cir cuit types if you want to do a complete checkout on the device . The tests should be per formed as described in order to[...]

T rilogy200 clinical manual 140 2. V erify that the device handle, SD C ard door , and detachable battery are secure and in good working order . 3. V erify that the rubber feet ar e on the bottom of the device. Initial Setup 1. Connect the power cor d to the device and then to an A C outlet. 2. Attach the test lung to the pa tient connection end of[...]

Chapter 10 Sy stem Checkout Pr ocedures 141 Setting V alue T rigger T ype (passive circuit type) Auto- T rak Flow T rigger Sensitivity (Active P AP or Active F low circuit type) 6.0 l/min Leak C ompensation (Active Flow cir cuit type) On Flow C ycle Sensitivity (Active P AP or Active F low circuit type) 20% Rise Time 1 Ramp Length O All other al[...]

T rilogy200 clinical manual 142 2. V erify the High Tidal V olume Alarm This procedur e veries that the High Tidal V olume alar m is working properly . For P assive and Active Flo w circuits, this will v erify the High Vte alarm. For A c tive P AP circuits, this will verify the High Vti alar m. It assumes that you hav e attached the test lung , [...]

Chapter 10 Sy stem Checkout Pr ocedures 143 E. Restore V entilator Settings Modify the ventilator settings and change the f ollowing value shown in T able 5. Setting V alue High Vte/High V ti O 3. V erify the Low T idal V olume Alarm This procedur e veries that the L ow Tidal V olume alar m is working properly . For P assive and Active Flo w [...]

T rilogy200 clinical manual 144 D . V erify Reset W ait 40 seconds and verify the f ollowing auto-reset conditions: • The High Priority audible indicator has stopped sounding • The red light on the Alarm Indicator/A udio P ause button has stopped ashing E. Restore V entilator Settings Modify the ventilator settings and change the f ollowing [...]

Chapter 10 Sy stem Checkout Pr ocedures 145 • The Circuit Disc onnect alarm condition appears on the screen, highlighted in r ed D . Reconnect T est Lung Reconnect the test lung to the circuit. E. Verify Reset W ait at least 40 seconds and verify the f ollowing auto-reset conditions: • The High Priority audible indicator has stopped sounding ?[...]

T rilogy200 clinical manual 146 Setting V alue PEEP 4 cm H 2 O Sigh O Circuit Disconnect O Low Inspirat or y Pr essure 6 cm H 2 O High Inspirator y Pr essure 10 cm H 2 O Apnea O All other alarms O B. Verify the Alarm Wait up to 40 seconds and v erify the following alarm signals: • The Medium Priority audible indicator sounds • A yel[...]

Chapter 10 Sy stem Checkout Pr ocedures 147 A. Change Ventilator Settings Modify the ventilator settings and change the f ollowing values shown below in T able 13. Setting V alue Mode CV Tidal V olume 500 ml Breath Rate 12 BPM Inspiratory Time 1.0 seconds Flow P attern Ramp PEEP 4 cm H 2 O Sigh O Circuit Disconnect O Low Inspirat or y Pr essu[...]

T rilogy200 clinical manual 148 D . V erify Reset W ait 40 seconds and verify the f ollowing auto-reset conditions: • The High Priority audible indicator has stopped sounding • The red light on the Alarm Indicator/A udio P ause button has stopped ashing Battery F unc tion V erication Make sure the batteries are functioning properly and fu[...]

Chapter 10 Sy stem Checkout Pr ocedures 149 E. Disconnec t the detachable battery pack from the device. • V erify that the Detach Batt Disconnected alarm message appears on the display . Press Reset. • V erify that the internal battery symbol shows the same level of charge as noted in S tep C and the device continues to oper ate. • V erify th[...]

T rilogy200 clinical manual 150 Alarm and E vent L o g Clean-Up 1. In the Setup Menu, selec t Alarm L og . A. Pr ess Clear to clear the log le. B. P ress Ye s to conrm. C. Pr ess Finish t o complete. 2. In the Setup Menu, selec t Ev ent Log . A. Pr ess Clear to clear the log le. B. P ress Ye s to conrm. C. Pr ess Finish t o complete. Re[...]

Chapter 11 T echnical Specications 151 En vironmental Operating Stor age T emperature 41° F to 104° F (5° C to 40° C) -4° F to 140° F (-20° C to 60° C) Relative Humidity 15 to 95% (non-condensing) 15 to 95% (non-condensing) Atmospheric P ressure 110 kP a to 60 kPa N/A The operating range f or the charging of the internal and detachable b[...]

T rilogy200 clinical manual 152 Elec trical AC Voltage Sour ce: 100 to 240 V AC, 50/60 Hz, 2.1 A Detachable Battery : V oltage: 14.4 VDC Capacity : 4176 mAh Chemistry t ype: Lithium-Ion Internal Battery : V oltage: 14.4 VDC Capacity : 4176 mAh Chemistry t ype: Lithium-Ion T ype of Protection Against Electric Shock: Class II/Internally P owered E qu[...]

Chapter 11 T echnical Specications 153 C ontrol A ccuracy Par ameter Range Ac curacy IP AP 4 to 50 1 cm H 2 O 2 Greater of 2 cm H 2 O or 8% of setting EP AP 0 t o 25 cm H 2 O for Active Cir cuits 4 to 25 cm H 2 O for P assive Circuits Greater of 2 cm H 2 O or 8% of setting CP AP 4 to 20 cm H 2 O Great er of 2 cm H 2 O or 8% of setting PEEP 0 to [...]

T rilogy200 clinical manual 154 Measured P atient P arameters Par ameter Range Accuracy Vte/Vti 0 to 2000 ml Greater of 15ml or 15% of r eading Minute V entilation 0 to 99 l/min Calculation based on measured Vte or Vti and Respiratory R ate Estimated Leak Rate 0 to 200 l/min N/A Respiratory R ate 0 to 80 BPM Greater of 1 BP M or 10% of reading P ea[...]

Chapter 12 Glossary 155 The follo wing terms and acronyms appear thr oughout this manual. T erm/Acronym Denition AC P ower Alternating Curr ent power AC Assist Contr ol therapy mode; A C mode delivers Assisted and Mandatory breaths with a user-dened inspired tidal volume. This is a Volume Contr ol mode. Apnea A condition marked by the tempor [...]

T rilogy200 clinical manual 156 T erm/Acronym Denition BTPS Body T emperature and P ressure Satura ted; A standardization for lung volumes and o ws to barometric pr essure at sea level , body temperatur e, and saturat ed with water vapor reecting the condition of air in the lung. CP AP Continuous Positiv e Air way P ressure CV Control V en[...]

Chapter 12 Glossary 157 T erm/Acronym Denition Mandatory Breath A Mandatory Breath is completely contr olled by the ventila tor . Breaths are initia ted by the ventila tor accor ding to the breath Rate (BPM) setting. Br eaths are c ycled acc ording to the Inspiratory time setting. MAP Mean Air way P ressure . This is the average airway pressure [...]

T rilogy200 clinical manual 158 T erm/Acronym Denition PEEP P ositive End Expiratory Pressure Pr essure Contr ol V entilation (PCV ) V entilation in which breaths ar e controlled by operator-dened Pr essure, Inspiratory Time, and Rise Time. PS Pressure Support Ramp A featur e that may increase patien t comfort when therapy is started. The ram[...]

Chapter 12 Glossary 159 T erm/Acronym Denition Spontaneous (S) Mode Therapy mode in which all br eaths are spontaneous . The ventilator supports breathing with user-dened Pr essure Support (PS) and Rise Time values . Spontaneous/Timed (S/T ) M ode Therapy mode that is similar t o S mode, ex cept that it can also deliver a mandatory breath if [...]

T rilogy200 clinical manual 160[...]

Chapter 13 EMC Information 161 Guidance and Manufacturer ’ s Declara tion - Elec tromagnetic Emissions This device is intended f or use in the elec tromagnetic en vironment specied below . The user of this device should make sure it is used in such an en vironment. Emissions T est Complianc e Electromagnetic Environment - Guidance RF emissions[...]

T rilogy200 clinical manual 162 Guidance and Manufacturer ’ s Declara tion - Elec tromagnetic Immunity This device is intended f or use in the elec tromagnetic en vironment specied below . The user of this device should make sure it is used in such an en vironment. Immunity T est IEC 60601 T est Leve l Complianc e Lev el Electromagnetic Envir [...]

Chapter 13 EMC Information 163 Guidance and Manufacturer ’ s Declara tion - Elec tromagnetic Immunity This device is intended f or use in the elec tromagnetic en vironment specied below . The user of this device should make sure it is used in such an en vironment. Immunity T est IEC 60601 T est Leve l Complianc e Lev el Electromagnetic Environ[...]

T rilogy200 clinical manual 164 Recommended Separa tion Distances between P or table and Mobile RF Communica tions Equipment and This De vice The device is intended f or use in an elec tromagnetic en vironment in which radiat ed RF disturbances are contr olled. The customer or the user of this device can help prev ent electromagnetic interference b[...]

Index 165 T rilogy200 clinical manual Index A AC P ower 51 AC P ower Inlet 17 Air F ilter Installation 50 Air Inlet Air Inlet Filter Cleaning 122 Replacing 123 Air Inlet Path Replacing 123 Alarm and Event L og Clean-Up 148 Alarm Log 89 Alarms 102 Alarm Indicators 104 Alarm Messages 104 Alarm Reset 105 Alarm Volume Contr ol 106 P atient Alarms High [...]

T rilogy200 clinical manual 166 DirectView Software 134 E EMC Information 159 EP AP 81 Ethernet Connector 18 Event L og 90 Exhalation Devices Cleaning 125 Exhalation P or ting Block 18 F Flex 97 Flex C omfort Featur e 30, 80 Bi-Flex 30 C-Flex 30 Flow C ycle Sensitivity 79 Flow P attern 84 Ramp 33 Square 33 Flow T rigger Sensitivit y 79 F ront P ane[...]

Index 167 P P assive Exhalation Device 57 P atient Circuit Cleaning 124 PC-SIMV Mode 25, 83 P ositive End Expiratory Pressur e (PEEP) 84 Pr essure Contr ol Mode 24 Pr essure Contr ol Ventilation 85 Pr essure Setting 83 Pr essure Support 83 Pr essure Units 86 R Ramp Featur e 31 Ramp Length 79 Ramp Star t Pr essure 80, 96 Remote Alarm 62, 104 Remote [...]

T rilogy200 clinical manual 168[...]

Limited W arranty 169 Respironics, Inc. warran ts that the T rilogy200 system shall be free from def ec ts of workmanship and materials and will perform in accordance with the product specications f or a period of two (2) years from the date of sale b y Respironics, Inc. to the dealer . If the product fails to perform in accordance with the prod[...]

T rilogy200 clinical manual 170 T o ex ercise your rights under this warran ty , contact your local authorized Respironics, Inc. dealer or con tact Respironics, Inc. at: 1001 Murr y Ridge Lane Murr ysville, P ennsylvania 15668-8550 1-724-387-4000[...]