Philips V200 manual

1057983 50 Respir onics V200 V entilator Operator’ s Manual[...]

For T echnical Support a nd Customer Service, contac t: USA and Canada: 1-8 00-345-6443 or 7 24-387-4000 Respironics Europe, Africa, Middle East : +33-1-47-52-30-00 Respironics Asia Pacific: +852-319 4-2280 Facsimile: 724-387-5012 USA Respironics California, Inc. 2271 Cosmos Court Carlsbad, CA 92011 Email and web ad dresses service@philips.co m cli[...]

REF 1057983 A Respironics V200 Ventilator Operator’s Manual iii T able of Content s 1. Introduction and Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1 2. Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1 Summary of Warnings, Cautions, and Notes . . . . . . . .[...]

iv Respironics V200 Ventilator Operator’s Manual REF 1057983 A Contents 8. Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1 The Front Panel. . . . . . . . . . . . . . . [...]

REF 1057983 A Respironics V200 Ventilator Operator’s Manual v Contents Patient Data Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5 Front Panel Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6 Level Controls . . . . . . . . . . . . . . . . . . . .[...]

vi Respironics V200 Ventilator Operator’s Manual REF 1057983 A Contents Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-19 Starting Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-19 Using Graphics . . . . . . . . . . . . . . . . [...]

REF 1057983 A Respironics V200 Ventilator Operator’s Manual vii Contents Flow-Trak ® Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-83 On the Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-84 Breath Delivery . . . . . . . . . . . . . . . . .[...]

viii Respironics V200 Ventilator Operator’s Manual REF 1057983 A Contents A. RS-232 Communications Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 RS-232 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1 Commands Transmitted to the Ventil ator . . . . . . . . . . .[...]

REF 1057983 A Respironics V200 Ventilator Operator’s Manual 1-1 Chapter 1. Introduction and Intended Use The Respironics V200 Ventilator is a microprocessor -controlled, electrically powered mechani cal ve ntilator . It is intended for use by qual ified medical personnel to provid e continuous or inte rmittent ven ti latory support for ad u lt, p[...]

Chapter 1 1-2 Respironics V200 Ventilator Operator’s Manual REF 1057983 A Introduction and Intended Use (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-1 Chapter 2. W arnings, Cautions, and Notes Throughout th is manual the fol lowing definitions apply: Additional W arnings, Cautions, and Notes pertaini ng to options and accessories are included in the docume ntation for each option or accessory . Refer to Chapter 13, “O ptions and[...]

Chapter 2 2-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes ventilator power before removi ng the heated expiratory bacteria filter . Exercise caution when handling the filter h ousing. • All oxygen connections should be care fully inspected to ensure that leaks are not present. Excessi ve leaks ca[...]

Chapter 2 Wa rnings, Cautions, and Notes REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-3 • When using the Remote Alarm Port be sure to fully test th e Remote Alarm Port and cable by: • V erifying that annunciated alar ms on the ventil ato r are also annunciated on the remote alarm. • V erifying that disconnecting the cable [...]

Chapter 2 2-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes • Disposable or si ngle-patient f il ters must be discarded between patients. Do not chemically disinf ect or expose single patient u se bacteria filters to ETO gas. • The patient m ust be discon nect ed from the ventilator before enteri[...]

Chapter 2 Wa rnings, Cautions, and Notes REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-5 • Backup battery operating life may be affected by battery age and the number of ti me s it has been discharged and recharged. Over time the battery will degenerate and wil l not provi de the same amount of operating time per charge that is[...]

Chapter 2 2-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes ventilator to lose powe r . For furt her information, consul t a service technician or a trained bio medical technician. • The ventilator is shipped with a power cor d that complies wi th electrical safety standards. Do not use substitute [...]

Chapter 2 Wa rnings, Cautions, and Notes REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-7 • Follow the de te rgent manufa cturer’ s in str uctions. Expo sur e to detergent soluti on stronger than necessary can sho rten the useful life of the prod uct. Rinse part s thoroughly to re move all deter gent residues. W ipe parts dry [...]

Chapter 2 2-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes Notes • Follow the setup in structions in th is ma nual before pl aci ng the Respironics V200 V entilator into se rvice. If you have questions, contact Respironics Customer Service at 1-800-345-6 44 • Save the shipping container in case [...]

Chapter 2 Wa rnings, Cautions, and Notes REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-9 • T o disconnect the ventilator fr om MAINS power , remove the AC plug from the wall power recepta cle. The MAIN switch/circuit breaker is covered to prevent un intent ion al ventilator tu rn off. • If the operator sets the %O 2 setting t[...]

Chapter 2 2-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes • If the EXP HOLD key is held cont inuously , and the expirato ry hold maneuver exceeds 5 seconds, the ventilator automatically terminates th e exp iratory hold maneuver and begins a new inspiratory period. • If Auto PEEP as calculated [...]

Chapter 2 Wa rnings, Cautions, and Notes REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 2-11 • Medical electrical equipment n eeds spe cial precautions regarding EMC and needs to be installed and put into service according to the EMC information provided in Chapte r 12, “ T echnical Specifications” . • Speaking Mod e is ava [...]

Chapter 2 2-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Warnings, Cautions, and Notes (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 3-1 Chapter 3. Symbols The following symbols appear on the Re spironics V200 V entilator , accessories, documentation, and packaging. Additional symbols pe rtaining to options and accessories are included in the docume ntation for each option or accessory . Refer to Chapter 13, “O pti[...]

Chapter 3 3-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Symbols DC BA TTERY CONNECTION HOT SURF ACE warning EUROPEAN CONFORMITY REMOTE ALARM connection RS-232 serial output P ARALLEL PORT printer connection ALARM SILENCE (Silences alarm for two m inutes) BRIGHTNESS ADJUST AUDIO ALARM VOLUME CONTROL ACCEP T ALARM RESET 100% OX[...]

Chapter 3 Symbols REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 3-3 MANUAL BREA TH EXPIRA TORY HOLD SCREEN LOCK (Symbol version of the front panel on ly) Illuminates yellow to indicate backup battery IN USE (backup) (Symbol version of the front panel only) lllum inates yellow to indicate backup battery CHARGING (Symbol version of t[...]

Chapter 3 3-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Symbols The product must be disposed of in accordance with the WEEE directive. SEALED, NON-SPILLABLE LEAD A CID BA TTERY . MUST BE RECYCLED SEALED, NON-SPILLABLE LEAD-A CID BA TTERY . MUST BE RECYCLED RECYCLE THIS SIDE UP A T LEAST TWO PEOPLE ARE REQU IRED TO LIF T THE V[...]

Chapter 3 Symbols REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 3-5 STORE A T 10%-95% RELA TIVE HUMIDITY Do not stack > 2 high Symbols (Continued) Symbol Description T able 3-1: Symbols (Shee t 5 of 5) % 10-95 2[...]

Chapter 3 3-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Symbols (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-1 Chapter 4. Getting Started Unpacking The Respironics V200 Ventilator has be en carefully packaged to assure safe shipping. In addition, the packing con tainer has been designed for easy unpacking. Do not dis card pack ing materials. Before unpacking the ventilato r , examin e the sh[...]

Chapter 4 4-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Unpacking Instruction s Refer to Figure 4-1. • T ools Required : Box knife 1. Using a box knife, cut a slit in packagin g tape on top of shi pping carton. 2. Remove accessories box and optional flex arm box (not shown). 3. Remove top f oam insert from i[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-3 Repacking Should the ventilator need to be retu rned to Respi ronics for servicing, or shipped elsewhere for any reason, instru ction s for repacking ar e listed below . The following instructions should be fo llowed closely to av oid da mage to the ventila[...]

Chapter 4 4-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started V entilator Positioning For informat ion about mountin g the ventil ator on a tabl e to p, see the Esprit Operator’ s Manual (580-10 00-01). If the ventilator is on a cart, lock the car t wheels as needed as shown in Figure 4-2. Figure 4-2: Locking V en[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-5 Backup Battery Remo val and Installation Required T ool: Philips screwdriver Remove the backup battery from the inte rnal packaging mate rial and shipping bag. Do not discard packing material s until the backup battery has been installed on the ventilator a[...]

Chapter 4 4-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Figure 4-4: Disconnecting the Bat tery Cable 2. Remo ve the rear cable chan nel cover f rom the ca rt by gentl y prying i t back from the top of the center co lumn, freeing it from the column. Figure 4-5: Removing the Rear Cable Channel Cover Rear cable c[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-7 3. Loosen the ventilator mounting sc rews (4) from the undersid e of the cart, and remove the ventilator from th e cart. WARNING: One person alone should no t attempt to lift the ventil ator or remove it from the shipping carton or the cart. At least two pe[...]

Chapter 4 4-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started 4. Remove the screws (4) holdin g the battery tray to t he cart. Figure 4-7: Removing the Battery T ray 5. Gently pull up the battery tray and remove it from the cart. Figure 4-8: Removing the Battery T ray Battery tray mounting screws[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-9 6. If a battery is present in the batt ery tray , disconnect the old battery from the battery tray’ s cable. Figure 4-9: Disconnecting the Old Ba ttery from the Batter y T ray’ s Cable 7. Und o th e straps, remove th e old ba ttery if present, and place[...]

Chapter 4 4-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started 8. Position the D ring on the straps as shown below . NOTE: If the D rings ar e not positioned pr operly , the excess strap will interfere with the tray’ s channel guide. Figure 4-11: Positioning the D Rings on t he Battery Straps 9. Connect the batter[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-11 Figure 4-13: Installing the Battery T ray 11. Slide the battery halfwa y down the center column, and insert the circular right angle battery connect or into the cutout. Pull the c able downward as the tray is fully inse rted into the cart's center col[...]

Chapter 4 4-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started 12. Faste n the battery tra y to t he cart using the 4 screws used when the tray was removed. Figure 4-15: Battery T ray Mounting Screws 13. Set the ventila tor back on the cart, ensuring that the four ventil ator feet meet the four ci rcular recesses on[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-13 14. Routing the backup battery cable fr om the tray between the rear of the ventilator and the rear handle of the cart, connect the cable to the circular battery connector on the bac k of the ventilator . Snap the rear channel cover back into place. Figure[...]

Chapter 4 4-14 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Backup Battery Operation When the backup battery is attached and the Respironics V200 V entilator is op- erating in norm al ve ntilat ion mo de an ytim e there is a loss of AC power , the ven- tilator will autom atic a lly sw itch to battery pow er and c[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-15 Battery Charging When the venti lator is p lugged in to a viable A C supply , it will charge t he backup battery if the Mains Circuit Breake r is on and the machine is operating as a ventilator , or in diagnostic mode or the Power ON/OFF switch is OFF ( ) [...]

Chapter 4 4-16 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Inspiratory Bacteria Filter Installation The inspiratory bacteria fi lter (4) in Figure 4-19 , mounts on the gas outl et port (1) located in th e lower right corn er on the front of th e ven tilator . If th e optional O 2 sensor (2) will b e used, it wil[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-17 Inspiratory Bacteria Filte r Installation Instructions Refer to Figure 4-19. 1. Locate the gas outlet port (1) on the front panel. 2. If the optional O 2 sensor (2) will be used, co nnect it to the gas outlet port (1). 3. Remove the inspiratory bacteria f [...]

Chapter 4 4-18 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Heated Expiratory Bacteria Filter Installation Figure 4-20 : Installing Ex piratory Bacteria Filter Heated Expiratory Bacteria Filter Installation Instructions Refer to Figure 4-20. WARNING: The expiratory filter housing ma y be hot if removed from the v[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-19 1. Locate the heated expi ratory bacteria filt er (1) and receiving compartmen t (6) in the lowe r cen ter of front pa nel. 2. T urn knob (2) counterclockwise to unlatch retaining bracket (3). 3. Open retaining bracket (3) b y pulling it out and away from [...]

Chapter 4 4-20 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Oxygen Source Connection Figure 4-21: O 2 Gas Connections and Filter WARNING: All oxygen connections should be ca refully inspected to ensure that leaks are not present. Excessive leaks can re sult in higher than nor mal ambient oxygen concentrations and[...]

Chapter 4 Getting Started REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 4-21 Oxygen Source Connection Instructions Refer to Figure 4-21. 1. Locate the O 2 filter wi th water trap (1) located in the lower left corner of the rear panel. 2. Ensur e that the O 2 filter and water trap (1) are properly attached to the ventilator . Inspec[...]

Chapter 4 4-22 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Getting Started Patient Circuit Flex Arm Installation A patient circui t flex arm is provide d for use on the ventilator . The patient circuit flex arm may be installed on either the l eft or ri ght side rail on the car t. Figure 4-22: Patient Circuit Flex Arm Installat[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-1 Chapter 5. Setup Back Panel Connections and Controls Figure 5-1: Back Panel 1. 232 Serial Port : Connection source for devices capable of serial communicat ion. Refe r to Chap te r 6, “Connecting Additional Equipment”. 2. Remote Alarm Nurse Call : Connection source for remote al[...]

Chapter 5 5-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup 5. Analog Port : Pin 12 signals an unsilenced hig h or me dium urgency alarm. Other pins are used by th e Communicati ons Option. Refer to Chapter 13, “Options and Accessories”. 6. DC Battery Connector : Connec tio n source for batter y power cord. 7. AC Inlet [...]

Chapter 5 Setup REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-3 Connecting AC Power Cord Figure 5-2: AC Power Cord Retaining Bracket NOTE: All volumes entered into the vent ilator are assumed to be BTPS (Body T emperature atmospheric Pressure Saturated (with H 2 O)) volumes unless otherwise noted. All volume s reported by the ven[...]

Chapter 5 5-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup Connecting AC Power Cord Instructions Refer to Figure 5-2. • T ools Required: Small Phillips screwdri ver 1. Ensure that the ventilator is proper ly positioned on a secure ta ble to p, wall mount, or pe destal. 2. Connect the AC Po wer Cord (1) to the AC inlet (3[...]

Chapter 5 Setup REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-5 T urning the V e ntilator On 1. Ensure that the Mains Circuit Breaker (refer to Figure 5-1), located on the ventilator back panel, is in the ON ( ) position. 2. For 120V applications, if a hu m idifier is attach ed to the ventilator , ensure that the Hu midifier AC C[...]

Chapter 5 5-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup Entering Diagnosti c Mode 1. T o access the Diagnostic Mode, simultaneously press the ALARM RESET and 100% O 2 keys on the front panel for approximately five seconds while turning the ventilator power on. The follow ing message will appear on the screen: Figure 5-4[...]

Chapter 5 Setup REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-7 User Configuration Screen The buttons acro ss the top and bottom b a rs are used to select the Diagnostic Mode functio ns. T o set up the m achine for the fir st time for ope rat ion as a ventilator , USER CONFIG should be selected. When this button is pressed, the f[...]

Chapter 5 5-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup 3. Press the ACCEP T button to conf irm the change and return to the User Config screen. Pr ess the CANCEL but ton to leave the value unchanged. Figure 5-7: Setting the Date Figure 5-8: Setting the T ime 4. After the date and time values have been set, the c hanges[...]

Chapter 5 Setup REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-9 Figure 5-9: User Configuration Screen After Date and T ime are Set 6. The 24 HR CLOCK bu tt on allows the operator or technician to set the displayed time in an AM /PM (e.g., 1:15 PM) or 24 Hr . (e.g., 13:15) format. Wh en the 24 HR CLOC K butt on has a white backgro[...]

Chapter 5 5-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup 4. Press ACCEP T to accept the changed value. Press the CANCEL button to leave the value unchanged. Figure 5-10: Setting Altitude Enabling/Disabling T ubing Compliance The operator can activate or deactiva t e “tubing compliance compensation” in the User Confi[...]

Chapter 5 Setup REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 5-11 Y ou can have the ventilator compensat e the volumes deli vered in volume controlled, mandatory breaths with the tubing compliance volume by activating the COMPLIANCE button (F igure 5-11). Circuit complianc e is activated when this button has a whit e background. W[...]

Chapter 5 5-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Setup Press the OK but ton to clear the m ess age from the screen. Y ou may continue to use the ventilator wi thout the b ackup ba ttery or po wer off the ventilator and reconnect the backup battery . T o turn this feature off, enter Diagno stic Mo de and deactivate the[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 6-1 Chapter 6. Connecting Additional Equipment Communication Interface The ventilator provides three communications interfaces: one serial RS-232 port, an analog output port, and a parallel port. (The parallel port is reserved for use by the Comm unications Option.) Figure 6-1: Ports an[...]

Chapter 6 6-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Connecting Additional Equipment Connecting Serial Communications Devices The serial port is designed to transmit data on a one device to one device serial communications channel. In the conn ection between the two devi ces, the ventilator assumes the “slave” role and[...]

Chapter 6 Connecting Additional Equipment REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 6-3 T able 6-1: Remote Alarm Cable Kits Connecting Humidifier W e rec ommend only those h umidifiers that comply with ISO 8 1 85 for use on the ventilator . Y ou should consult with the manufacturer(s ) of the active humi dification system (humi[...]

Chapter 6 6-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Connecting Additional Equipment WARNING: V ent Inop is a serious condition, wh ich is indicated by both visual and audible alarms. If the ventilator is attached to a patient when Vent Inop occurs, the patient must be supported with another means of life s upport ventilat[...]

Chapter 6 Connecting Additional Equipment REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 6-5 3. Run any test procedu res recommend ed by the humidifie r manufacturer before the ventilat or and humidifier are used on a patient. Connecting the Patient Circuit 1. The humidifier should be connected between the inspiratory bacteria filte[...]

Chapter 6 6-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Connecting Additional Equipment Figure 6-6: Humidifier Outl et to Patient Wye Connection Figure 6-7: Expiratory Limb of Patient Ci rcuit to W ater T rap Connection (Shows Down T ube between Ventilator and W ater T rap)[...]

Chapter 6 Connecting Additional Equipment REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 6-7 When connecting a patient circuit withou t a humi difie r (for example, when using a heat and moisture exchanger), refer to Figure 6-8. Figure 6-8: Patient Circuit Connections Without Humidifier Connecting the Analog Port The analog output p[...]

Chapter 6 6-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Connecting Additional Equipment The Communications option provides additi onal signals on this port. Refer to Chapter 13, “Options and Accessories”. Figure 6-9: Analog Port Analog Port (Circuit breaker cove r not shown)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 7-1 Chapter 7. Operating Theory Introduction This chapter describes t he ventilator’ s br eath delivery capabilit ies. It includes a system overview and descriptions of the ventilation mo des and available breath types. For de scriptions of bu tton settings and general operating instr[...]

Chapter 7 7-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Theory Figure 7-1: V olume Control Ventilation (VCV) W aveform Pressure Control V entilation (PCV) In Pressure C ontrol Ventilation, breaths may be controlled by the ventilator (mandatory) or by the patient (spontaneo us). When controlled by the ventilator , br[...]

Chapter 7 Operating Theory REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 7-3 V entilation Modes Common to VCV and PCV In V olume Control V entilation and Pres sure Contro l V entila tion, the operator can select between ventilation modes of Assist/Control, S IMV , and CP AP . Assist Control V entilation (A/C) With the Assist/Contro[...]

Chapter 7 7-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Theory Continuous Positive Airway Pressure (CP AP) CP AP is a spontaneous mode of vent ilation. No mandatory breaths are delivered. Thro ughout the br eath cycle, an operator se t pressur e is provided. The level of pressure delivered during CP AP is the baseli[...]

Chapter 7 Operating Theory REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 7-5 Positive End Expiratory Pressure (PEEP) The PEEP pressure is the operator set baseline pressure maintain ed during exhalati on. All brea ths are re ferenced to th is baseline pressure and t he resulting pressure is in addition to the baselin e pressure. Re[...]

Chapter 7 7-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Theory Patient Leak Display Estimated patient l eak (Pt Leak) is di splayed in LPM and u pdated at each breath. Pt Leak is the average leak ra te during a breath (delive red volume minus exhaled volume divi ded by the breat h time). Pt Leak is estimated breath [...]

Chapter 7 Operating Theory REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 7-7 Figure 7-7: Spont/T Mo de Emergency Modes of V entilation The ventilator has the following two emer gency modes of ventila tio n that are entered in respon se to certain alarm conditions: • Apnea Ventilation • Safety V alve Open Apnea V entilation Apne[...]

Chapter 7 7-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Theory The ventilator will reset out of Apnea V e ntilatio n if the op erator presses the Alarm Reset button, or if the pati ent triggers two successive breaths. Safety V alve Open (SVO) Safety valve open is an emergency mode of ventilation that allows the pati[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-1 Chapter 8. Operating Instructions Overview There are three vent ilation br eat h types: • V olume Control V entilation ( VCV) • Pressure Co nt rol V entilation (PC V ) • Non-Invasive V entilation (NPPV) Each has mandatory or machine contr oll ed breaths and each has patient co[...]

Chapter 8 8-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-1: Entering Settings and Alarm Parameters 2. Press th e INCREASE bar or DECREASE bar until the desired value appears in the digital window , or us e the front panel control knob to increase or decrease the displayed value. 3. Press th e AC[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-3 The Front Panel The text version of the ventilator’ s fr ont panel includes the i ndicators and controls shown in Figure 8-2. The symbol versio n of the front panel is shown in Figure 8-3. Figure 8-2: Front Panel — T ext Ver sion Inop Ve n t Safe[...]

Chapter 8 8-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-3: Front Panel — Symbol V ersion Inop Ve n t Safety Valv e Alarm Status Indicators T ouch Dis play Power Status Indicators Front Panel Keys Power On/Off Switch Level Controls[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-5 Alarm Status Indicators The alarm status indicators located at the top of the ventilator alert you to the ventilator’ s alarm conditions. (Refer to Ch apter 9, “Alarm s” fo r more detailed descriptions.) Figure 8-4: Ala rm Status Indicators Ala[...]

Chapter 8 8-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Power Status Indicators Power status indicators alert you to the status of the backup ba ttery . The text version of the power status indicat ors is shown in Fi gure 8-5. The symbol version of the power status indicat ors is shown in Fi gure 8-6. N[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-7 Mains Green The ventilator is connected to an AC power source and the rear panel Mains circuit breaker is on ( I ). Ext. Battery Y ellow Continuously illuminated when the external battery is in use. NOTE: The external battery is an optional accessory[...]

Chapter 8 8-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Front Panel Key s The front panel keys enable you to initia te ventilator functi ons. The keys that include an indicator ( ) also provide oper ationa l status of the function that it performs. The text ver s ion of the front panel keys is shown in [...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-9 Alarm Silence Function : Disables the audio alarm for two minutes. When Alarm Silence is pressed before the end of a two-minu te period, the two-minut e timer is reset. Alarms that cannot be silenced are listed in T able 9-1: “Alarm Alert Messages?[...]

Chapter 8 8-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Front Panel Leve l Controls The front panel level c ontrols enable you to a djust ventilator sett ings, brightness, and vol ume. Manual Breath Function : Delivers an operator -initiated, mandatory (OIM) breath. Delivery of the breath is based on t[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-11 V entilator Screens Front Panel T ouch Display The front panel displ ay allows you to sele ct ventilation mod es, breath types, settings, alarms, and access patient data . The front panel display is a touch screen that lets you select settings and d[...]

Chapter 8 8-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-10 shows th e top bar and desc ri bes its buttons. Figure 8-10: T op Bar (common to all operational screens) Figure 8-11 shows th e bottom bar an d describes its b u ttons. Figure 8-11: Bottom Bar (common to all operational screens) Butto[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-13 Figure 8-12 shows th e real time mano meter displays. Figure 8-12: Manometer (common to operatio nal screens) T able 8-5: “Breath Indicator” de scribes the breath indicator . Zero pressure line Upper limit of real time display determined by High[...]

Chapter 8 8-14 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Pressing the HIP ind ic ator on the screen (Figure 8-12) will immediately allow the operator to mo dify th e high pressure li mit for VCV or PCV . In NPPV , the high pr essur e limit is automa tically set to 10 cmH 2 O (hPa) above IP AP . The HIP [...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-15 Figure 8-13: VCV Settings Screen (VCV active) Selecting Settings Follow these steps to adjust ventilator control settings: 1. Push V CV SETTINGS, PCV SETTINGS, or NPPV SETTINGS. 2. Push the button for th e co ntrol settings you want to select. The v[...]

Chapter 8 8-16 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-14: Changing a Setting When a value is entered, as shown in Figure 8-14, the ventilator checks to assure that the value has been accepted by the operator , is within limits, and will not cause other settings to be out of limits. If the ne[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-17 Figure 8-15: Setting Alarm Limits That Are Currently Active The High Pressure Alarm Setting may be acc essed through the Alarms Settings Screen or throu gh the HIP Indicat or adjacent to the m anometer in the PCV and VCV Settings, Alarm Settings, Pa[...]

Chapter 8 8-18 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-16: PCV Se tting while NPPV is the activ e breath type 2. From the control settings screen , push the ACTIV A TE button. Refer to Figure 8-16. The vent ilator displays a prompt inser t (Figure 8-17) . Figure 8-17: Change Breath T ype Inse[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-19 Figure 8-18: Setting Alarm Limits That Are Not Currently Active Selecting Waveforms (VCV only) T wo inspiratory flow waveforms for mandatory VCV breaths are availabl e: descending ramp and square wave (Fi g ure 8-19). The select ed waveform is highl[...]

Chapter 8 8-20 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-19: Selecting W aveforms (descending ramp selected) Selecting Adult/Pediatric Buttons Y ou can configure ventilati on for adult or pediatric patients (Figure 8-20) from the active ventilation type scree n. Selecting adult or pediatric tai[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-21 Selecting the Inspiratory T rigger (I-T rigger) The I-T rigger setting determine s how inspiratory effort is detected (by measuring a drop in airway pressure or an increase in patient inspiratory flow) and when inspiration begins. • In VCV and PCV[...]

Chapter 8 8-22 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions displayed, the calculated value for the I: E ratio that will result fr om the PCV rate value is also displayed. When the settin g window insert for VCV Apnea Rate is displayed, the calculated minute ventilatio n that will exist if the ventilator g[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-23 Changing IP AP or EP AP in NPPV When changing the IP AP or EP AP settings in NPPV , t he differen ce between IP AP and EP AP is displayed in the window insert as PSV . Figure 8-23: Changing IP AP or EP AP in NP PV Selecting a New V entilation Breath[...]

Chapter 8 8-24 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-25: Settings Screen (PCV settings, PCV not currently active) 3. Press the ACT IVA TE button . The prompt in Figure 8-26 is displayed on the screen. Figure 8-26: Prompt when Activate is pressed and PCV settings selected 4. At t his prom pt[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-25 Figure 8-27: Destination Screens after Activate Pr ompt If the REVIEW ALARMS button is pressed the ventilator immediately displays the screen shown in Figure 8-27(b) appear s. If the CANCEL button is pressed, the ve ntilator returns to the settings [...]

Chapter 8 8-26 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions 6. If the operator reviews alarm se ttings and then activates the new breath type, the ventilator uses the new breath ty pe and displays the alarm settings of the new breath ty pe (Figure 8-29 ). Figure 8-29: Alarm Limits Screen (PCV inactive) Sel[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-27 The ventilation mode b uttons are the selected/not-selected type. Follow these steps to select the mode: 1. Press th e button for th e mode you want to select (the active mode is highlighted) from the to p b ar: • If VCV or PCV br eath types are a[...]

Chapter 8 8-28 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Patient Data Screen Y ou can vie w th e patient data scr een (Figure 8- 3 3) by pressing the P A TIENT DA T A but ton in th e to p b ar . The f or ma t of th is s cr een is t he sa me i n V CV , PCV , and NPPV . T able 8-7: “Patient Data De fini[...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-29 Monitor Screen The monitor scree n (F igure 8-34) is th e default screen, and is automati call y displayed if the screen has not been to uched for 15 minutes. The screen can also be viewed by pressing the MONI TOR bu tton. The scr een is sho w n in [...]

Chapter 8 8-30 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-34: Monitor Screen Monitor Screen Settings Di splayed V entilation Breath T ype Monitor Screen Settings Displayed VCV Rate, Peak Flow , T idal V olume, PEEP , %O 2 , Pres sure Supp ort PCV Rate, Inspiration T ime, Pressure, PEEP , %O 2 , [...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-31 Special Procedures Auto-PEEP Calculation The ventilator allows the operator to ca lculate Auto-PEEP from an expiratory hold procedu re . This functio n is active only at the end of a mandatory breath and is not available in th e emergency ventilatio[...]

Chapter 8 8-32 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Preoperational Procedure The preopera tio nal procedure verifies that the ven tilator is rea dy fo r use on a patient. Follow these steps: 1. Follow the setup procedures in Chapter 5, “Setup”, to prepare the ventilator for use. 2. Connect the [...]

Chapter 8 Operating Instructions REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 8-33 7. Push USER CONF IG to check time, time format, date and altitude and set compli ance compen sation as required ( Figure 8-3 7). 8. Press ST AR T SST to begin Sho rt Se lf T est, and follow the screen prompts. Use a cap to plug the pati ent port of[...]

Chapter 8 8-34 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Operating Instructions Figure 8-38: User Config Screen 10. Once yo u have reviewed all the para meters on the User Config screen, the ventilator is ready for patient use. T urn th e ventilat or off, then on, without holding down any front pane l keys. 11. Ventilator set[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 9-1 Chapter 9. Alarms Introduction The Respironics V200 Ventilator provides an easy-to-use hierarchical alarm system that includes both visual and audible alarms. When the ventilator detects an operating condition that requi res attention, it gen erates an alarm. The alarm system commun[...]

Chapter 9 9-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Alarms Figure 9-2: Alarm Alerts Audible Alarms When an alarm condition exists, the ve ntilator will gene rate a sequence of audible tones to alert the operator . Th e sequence varie s according to the urgency and priority level of the alarm: • High Urgency : The ventil[...]

Chapter 9 Alarms REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 9-3 message is higher priority than one of the curr ently di splayed messages. The highest three priority messages will be displayed. ALARM SILENCE is immediately terminat ed if ALARM RESET is pr essed. Any medium or high priority alarm that is active will immediately b[...]

Chapter 9 9-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Alarms Alarm V olume Control Under the left hand bottom edge of the front panel is a partial ly exposed round control that enables you to control the vo lume of audible alarms (Figure 9-3). Figure 9-3: Alarm V olume Control The volume control can be adjusted between a mi[...]

Chapter 9 Alarms REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 9-5 Alarm Alert Messages Alert Message Description Air Source Fault A high urgency alarm indicates the internal air source is not functioning properly , patient ventilation continues using the 100% O 2 gas source if ava ilable. Call for service. Cannot be silenced or ma[...]

Chapter 9 9-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Alarms High Minute V olume Indicates total minute ventilation (VE) measured in exhalation is higher than the set limit. This alarm is available in V olume Control and Pressure Control modes. It is elevated to high urgency after one minute. High O 2 A high urgency alarm i[...]

Chapter 9 Alarms REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 9-7 Low Insp Pressure If the peak airway pres sure during any ma ndatory inhalation is less than the Low Insp Pressu re limit, the ventilator will immediately signal a high priority alarm. Note: If an inspiration is tri ggered im mediately after the mandatory minimum ex[...]

Chapter 9 9-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Alarms Low Vt Mandatory The ventilator triggers a medium urgency alarm to indicate that the VCV or PCV mandatory ti dal volume is less than the set limit. It is elevated to high urgency after one minut e. Note: A Low Vt setting of zero (0) will disable this alarm. Note: [...]

Chapter 9 Alarms REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 9-9 Alarm Indicators Figure 9-4: Alarm and Status Indicators Normal The Normal indicator remains lit with a steady green light as long as there are no active or auto reset alarm conditions present. Alarm High The Alarm High indicator visually indicates a high priority a[...]

Chapter 9 9-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Alarms When a ventilator inoperative condition is detec te d, the V ent Inop indic ato r will display a steady re d light, and the ve ntilator will sound a five-tone audible alarm sequ ence. The V ent Inop alarm cannot be reset by an operator . It cannot be auto-reset o[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 10-1 Chapter 10. Care and Maintenance General In format io n Procedures for ventil ator cleaning, sterilizing, and periodic m aintenanc e must be performed to ensure consiste nt ventilator op eration. Institu ti onal policies may also provide guidelines, procedur es, and schedules for c[...]

Chapter 10 10-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Care and Maintenance Sterilization Do not clean, disinfect, sterilize or reuse disposable products. Steam Autoclaving The O 2 sensor tee (P/N 10017 36) and the O 2 sensor coup ling (P/N 1002505) may be steam autoclaved. The PVC O 2 sensor tee, P/N 8-100498-00 (gray in [...]

Chapter 10 Care and Maintenance REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 10-3 1. Separately imme rse ea ch part in the chemical disinfecta nt, i.e. ammonia (15% solution), bleach (10% solution) or commercial, hospital grade disi nfectan t, etc. Follo w the disinfecta nt manufactu rers directions for the soluti on concentr atio[...]

Chapter 10 10-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Care and Maintenance Reusable Patient Ci rcuit T ubing, Couplings, an d Connectors Disassemble and cl ean ma nually follow ed by steam-autoclave. Follow all institutiona l gu idelines for autocla ving. Visually inspect tubi ng for nicks, c uts and hole s prior to use w[...]

Chapter 10 Care and Maintenance REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 10-5 Removing and Replacing In spiratory Bacteria Filter Follow the steps o utlined below to r emove and replace the inspiratory bacteri a filter . Figure 10-2: Removing and Replacing Inspiratory Bacteria Filter 1. Disconnect circuit tubi ng (1) from in s[...]

Chapter 10 10-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Care and Maintenance Figure 10-3: Removing and Replacing Expiratory Bacteria Filter 1. Disconnect circuit tubing from filter inlet (not shown). 2. Unscrew knob (1) to unlat ch retaining bracket (2). 3. Open retainin g bracket (2). 4. Use tabs (3) to gently remove heat [...]

Chapter 10 Care and Maintenance REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 10-7 Periodic Maintenance This sectio n include s deta iled operator maintenance. Schedule for Periodic Maint enan ce Frequency Component Maintenance During ventilator setup • Inspiratory bacteria filter • V entilator and patie nt circuit components ?[...]

Chapter 10 10-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Care and Maintenance T able 10-1: Schedule for Periodic Maintenance Removing Cooling Filter Figure 10-4: Removing Cooling Filter Refer to Figure 10-4. 1. Remove black filter retain in g br acket (1). (Pry off if necessary .) 2. W ash filter (2) in soapy water . 3. Dry [...]

Chapter 10 Care and Maintenance REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 10-9 Removing and Replacin g O 2 Input Filter Element Figure 10-5: Removing and Replacing O 2 Input Filter Element Refer to Figure 10-5. 1. Disconnect O 2 Hose (1). 2. Unscrew filter housing (3 ). 3. Unscrew filt er element retaini ng screw (4). 4. Remove[...]

Chapter 10 10-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Care and Maintenance Removing and Replacing Intern al Air Source Inlet Filter Figure 10-6: Removing and Replacing Internal Air Source Inlet Filter Refer to Figure 10-6. Figure 10-6 show s exploded view of the duct (2) and filter (1), but it does not hav e to be disass[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-1 Chapter 11. Diagnostics The Diagnostic Mode allows you to: • Run short self test (SST) • Run extended self t est (EST) • Run hardware diagnostics to help you tr oubleshoot SST or EST failures • Check the software revision of the ventilator • Set user configuration, includ[...]

Chapter 11 11-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics Entering Diagnostic Mode T o enter Diagnostic Mode, hold down the ALARM RESET and 100% O 2 keys for approximately 5 seco nds while you turn on the ventilator . A message appears on the ventilator prompting you to confir m that the patient is disconnected be[...]

Chapter 11 Diagnostics REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-3 Diagnostic Functions Short Self T est (SST) SST verifies the integrity of the patien t circuit tubing by mea s uring its l eak rate and co mpliance. SST also t ests critica l hardwar e componen ts, includi ng the safety valve, flow sensors, and au tozero sole[...]

Chapter 11 11-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics Extended Self T e st (EST) EST verifies the overall functional inte grity of the ventilat or by test ing all critical hardware subsystems and comp onents. Perform EST between pat ients as part of preventive maintenance, a performa nce verific ation, or if t[...]

Chapter 11 Diagnostics REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-5 User Config The User Config f unction allows you t o: • Set the date and time when first setting up th e ventilator . • Set the altitude for the location of th e ventilator . This setting allows for more accurate tidal volume delivery . • Enable or disa[...]

Chapter 11 11-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics Diagnostic codes associated with EST an d SST are only recorded the first time the failure is encountered. The log holds the last 20 diagnostic co des. The screen can only display 10 codes at a time. Press NEXT P AGE button to see the next group of codes or[...]

Chapter 11 Diagnostics REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-7 2134 Cannot Calibrate Air Flow Senso r 2135 Cannot Calibrate O 2 Flow Sensor 2136 Cannot Calibrate Exh Flow Se nsor 2137 V erify Failure—Air Flow Se nsor Cal 2138 V erify Failure—O 2 Flow Sensor Cal 2139 V erify Failure—Exh Flow Sensor Cal 2140 Cannot E[...]

Chapter 11 11-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics 3123 O 2 Va lve Cracking Flow Outside Range 3124 O 2 Valve Full Flow Outside Range 3125 Air Flow Sensor/Exh Flow Se nso r Disagreeme nt or Inhalation Pressure /Exhalation Pressure Disagr eement 3126 O 2 Flow Sensor/Exh Flow Sensor Disa gr eement 3127 Heated[...]

Chapter 11 Diagnostics REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-9 Information The Information f unction is reserved fo r future expansion . Option The Option functi on is reserved for future expansion. 3158 Exhalation V alve initial pressure —Outside Range 3159 Exhalation V alve final pressure —Out side Range 3160 Exhal[...]

Chapter 11 11-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics Self T est Introduction The Respironics V200 ventilator has an extensive system of checks designed into the system to ensure that it opera tes safely and detec ts fa ult condition s that can compromise the performance of the system as a ventilator . These [...]

Chapter 11 Diagnostics REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 11-11 Built-In T est When the Respironics V200 ventilator is operating as a ventilator , it is constantly making reasonablene ss checks on the operati on of the hardware to ensure that failures have not occurred and that the hardware appears to be operating normal[...]

Chapter 11 11-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Diagnostics (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-1 Chapter 12. T echnical Specifications Breath T ypes Modes V olume V entilation Settings, Ranges and Resolution Resolution is one unit unle ss otherwise noted (cmH 2 O is considered numerically equivalent to hPa). Breath T ypes V olume Controlled V entilation VCV Pressure Controlled[...]

Chapter 12 12-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Pressure Control V entilation Settings, Ranges and Resolution Resolution is one unit unle ss otherwise noted (cmH 2 O is considered numerically equi vale nt to hPa). Inspiratory T rigger (I-trigger) Pressure Sensitivity Flow Sensitivity -20 to [...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-3 Non-Invasive Positive Pressure V entilation Settings, Ranges and Resolution Resolution is one unit unle ss otherwise noted (cmH 2 O is considered numerically equivalent to hPa). Maximum del ivered flow dur ing pressure con trolled breaths i n NP[...]

Chapter 12 12-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications V alue Entry Message If you enter a value that is outside the operational limi ts of the ventilator , you will be shown a message window on the screen. Once you acknowledge the message, the ventilato r returns to the value modificati on display[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-5 Patient Data Screen Monitored pa tient data is displayed when Patie nt Data is pressed. Patient data ranges, resolution, units, and accuracy speci fications are prov ided in the table below . Minute volume data is ba sed on an eight breath avera[...]

Chapter 12 12-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Front Panel Keys I:E 9.9:1 to 1 :99 none 0.1 for 9. 9:1-1:9. 9; 1 for 1:10-1:9 9 ±10% Peak Inspiration Pressure -20.0 to 130 cmH 2 O (hPa) 1 for 100-13 0; 0.1 for -20.0 to 99 .9 ±10% End Inspiration Pressure (Pi End) -20.0 to 130 cmH 2 O (hPa[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-7 Level Controls Calculated V alues from Expiratory Hold Maneuver Interface Ports Level Controls Control Adjustment Display Brightness (underneath front panel keys) Continuous (min to max) Alarm V olume (underneath front panel key Continuous (54 t[...]

Chapter 12 12-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Environmental Specifications Environmental Protection Alarms Environmental Speci fica tio ns T emperature/Humidity Operating 10º to 40ºC ( 50º to 104ºF) 10 to 95% R.H . (non-condensin g) Storage -20º to 60ºC (-4º to 140 º F) 10 to 100% [...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-9 Connectors Alarm Settings High Inspiratory Pressure 10 to 105 cmH 2 O (hPa) Low Inspiratory Pressure 3 to 105 cmH 2 O (hPa) Low PEEP Pressure 0 to 35 cmH 2 O (hPa) High Respiratory Rate 0 to 150 Bpm Low Exhaled Mandatory T idal Vo l u m e 0 mL t[...]

Chapter 12 12-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Filters Measuring and Display Devices AC Power and Battery Indicators Filters Inspiratory See filter instruction sh eets for complete spe cif ica tion. Bacterial Filter Efficiency: 99.99 9+% Viral Filtration Effic iency: 99.99+% Expiratory See[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-11 Leakage Current Compliance and Approvals Power Requirements Leakage Current V entilator Earth Leakage Current 10 0 to 240VAC; 300µA maximum Enclosure/Patie n t Le akage Current 1 00 to 240VAC; 100µA maximum T able 12-22: Leakage Current WARNI[...]

Chapter 12 12-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Dimensions and W eights Electromagnetic Compatibility Declaration NOTE: The humidifier power connection is available only on 100-120V AC ventilators. Dimensions and Weights V entilator Cart Height 17inches (42 cm) 42 inches (107 cm) Width 15 i[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-13 Guidance and Manu facturer's Declaration - Electromagnetic Immunity The ventilator is intended for use i n the electr omagnetic environment spec ified below . The user of the venti lator should assure that it is used in such an enviro nmen[...]

Chapter 12 12-14 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Guidance and Manu facturer's Declarat ion - Electromagnet ic Immunity The ventilator is intended for use in the e lectromagnet ic environmen t specified below. The user of the ventilator should assure that it is us ed in such an electroma[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-15 NOTE 1 At 80 MH z and 800 MHz, th e higher frequency range applies. NOTE 2 These guid elines may not apply in all sit uations. Electr omagnetic pro pagation is affect ed by absorption and re flection from stru ctures, objects and people . a The[...]

Chapter 12 12-16 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications T able 12-29: EMC Declaration - Recommended Distances Recommended Sep aration Distances Between Portable and Mobile RF Commu nications Equipment and the Respironics V200 Ventilator The ventilator is intende d for use in an electromagnetic envi[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-17 Pneumatic Sy stem Figure 12-1: Pn eumatic System To P a t i e n t From Patient Internal Blower Heated Exhalation Filter Assy User Interface Inspiratory Module w/SV and PRV Expiratory Gas to Atmosphere Exhalation Val v e Assembly Oxygen Assembly[...]

Chapter 12 12-18 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Labels V e ntilator Labels Label Description On/Off Switch Label Heated Expiratory Filter Label Gas Return Label Gas Outlet Label Serial Port, Remo te Alarm Nurse Call, parallel pr inter port Label Keep Covered Label Analog port Potential Equa[...]

Chapter 12 T echnical Specifications REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 12-19 Oxygen Inlet Label Emergency Air Intake Label Cooling Inlet Label Date of Manuf ac tu re/Manufacture r Label Manufacturer Label Mercury disposal warning label W arning Label Attention Label Hot and Attention Label V e ntilator Labels (Con tinue[...]

Chapter 12 12-20 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Technical Specifications Air Intake Label Protective Eart h (Ground) Label V e ntilator Labels (Con tinued) WARNING: Air Intake - Do Not Obstruct![...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-1 Chapter 13. Options and Accessories Introduction This chapter lists and describes the Re spironics V200 ventilator options and accessories. Options and Accessories Software Options Page Reference Pa rt Number Communications 13-27 1010525 Flow-T rak 13-83 1019 026 Graphics 13-19 100[...]

Chapter 13 13-2 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Remote Alarm Cable Kit (Normally Op en Protocol) 1003741 Remote Alarm Cable Kit (Normally Closed Protocol) 1003742 Remote Alarm Cable Kit — Re spironics (LifeCare) 1003743 T est Lung 1001737 Reusable Items Reusable Ex halation Bacteria Filter [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-3 Chapter 13 Oxygen Sensor Option The optional Oxygen sensor (O 2 sensor) may be installed to allow monitoring of delivered O 2 to the inspiratory limb of the patient circuit. The ventilator will accept the MSA MiniOX ® O 2 and Analytical Industri es Inc. sen[...]

Chapter 13 13-4 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Attaching the Sensor to the V entilator The O 2 sensor attaches to the gas outlet port located bel ow the front pane l on the ventilator’ s lower right corner . Figure 13-2: O 2 Sensor Orientation 1. Rotate the sensor assembly so that the sens[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-5 Chapter 13 4. Con nect inspirator y limb of patien t ci rcuit (5) to ba cteria filter (4). 5. Ensure that all connections are tig ht. W arranty Respironics warrants the O 2 sensor to be free from de fects in materia l and workmanship for a period of one year[...]

Chapter 13 13-6 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-7 External Battery Option The V200 External Battery is designed fo r use with a Respironics V200 V entilator equipped with a backup battery . F i g u r e 1 3 - 5 : Ventilator wit h External Battery I n s t a l l e d External battery[...]

Chapter 13 13-8 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Installation Contact Respironics Customer Service at 1-800-345-6443 to arrange installation or refer to the installat ion section of the V entilat or External Battery Service Instructions (10 13569). Power Consumption Sequence When AC power beco[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-9 Chapter 13 Figure 13-6: External Battery On/Off Switch When the e xternal bat tery is in us e, the External Bat tery indicator ( ) is continuously illu minated. If the vent ilator switches to backup ba ttery operation, the In Use (text ve rsion of the fr ont[...]

Chapter 13 13-10 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Battery Capacity The external b attery is used with t he backup battery . Under optimal running conditions, both batteries together can op erate the ventilator for up to fo ur hours. However , ventilator power consumption varies a ccording to e[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-11 Chapter 13 Te s t i n g The external battery should be test ed during the regular preventative maintenance cycle of the ve ntilator or as required by your insti tutional procedures. Perform the External Batter y V erification Procedure included in the Exter[...]

Chapter 13 13-12 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories W arranty Respironics warrants the Respiron ics V 200 external battery to be free from defects in mate ria l and workmansh ip for a period of twelve months from the date of installa tion, provid ed that the unit is opera ted under co nditions o[...]

REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-13 Oxygen Manifold Option The oxygen manifold allows two O 2 cylinders and one wall oxyge n supply line to be used as inputs to the ventilator . Each of the three inlets has a check- valve that prevents pressure loss wh en disconnecting from the wall or cylinders. This allows quick, [...]

Chapter 13 13-14 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Assembly Instructions 1. Lock the front wheels of the ventilator . Figure 13-9: Locking V entilator Wheel WARNING: The Oxygen M anifold is for o xygen use only. WARN ING: Maximum inlet pressure: 90 PSIG Minimum inlet pressure: 50 PS IG at 200 S[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-15 Chapter 13 2. Att ach the oxygen ma nifold assembl y to the ventilato r by threading the adapter fitt ing onto the oxygen inlet elbow fitti ng. Using the ma nifold for leverage, ro tat e the oxygen inlet el bow fitting until the manifold assembly is vertica[...]

Chapter 13 13-16 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories 3. Posit ion the manifo ld support bracket so th at the W all O 2 connection of the manifold fits snugly into the mani fold support bracke t grommet. Using the Allen wrench, attach the bracket to the cart using the two M6 x 10mm screws. Figure [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-17 Chapter 13 5. When using oxygen from a wall supp ly , attach a wall oxyge n hose (not included) to the center inlet of the oxygen ma nifold assembly . Replacement Parts: The following repl ace ment parts ca n be orde red from Respiro ni cs: • Check V a lv[...]

Chapter 13 13-18 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-19 Chapter 13 Graphics The Graphics software enhances the displa y screens with graphical data of the patient’ s flow , pressure, and vol ume. The Graphics software offers a choice of screens: • The W aveform screen displays two windows displaying pressure[...]

Chapter 13 13-20 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-14: W aveform Screens Replotting and Scrolling Y ou can select one of two pl otting methods for waveforms: • Replotting selects a waveform that is drawn from left to right, then clears and restarts from the left edge (similar to an [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-21 Chapter 13 Figure 13-16 sho w s wavef orms before and aft er r escaling. Figure 13-16: W aveforms Screen (a) Before and (b) After Rescale Follow these steps to change scales manually: 1. T ouch the upper or lower portion of t he scale you want to change. 2 [...]

Chapter 13 13-22 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-17: Manually Adjusting a Scale Freeze Feature The F R E E Z E button (Figure 13-18) pauses the W aveforms or Loops windows for extended viewing when t he wav efor m wind ow is f ull. Figure 13-18: Freeze Button Once the Freeze feature[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-23 Chapter 13 Figure 13-19: Frozen Loops Display with Num eric Data Windows Save and Overlay Features Follow these steps to save a frozen loop for later reference against future data (for example, before and af ter bronchodila tor therapy): 1 . Press the F R E[...]

Chapter 13 13-24 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-20: L oops Display w ith Overlay Feature Active Inspiratory Area The Loops screen includes a window fo r the inspiratory area (Figure 13-21F). This window displays a nu me ric value that represents the ventilator imposed work of breat[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-25 Chapter 13 Alarms During Graphics If an alarm occurs during Graphics, an Alerts window (Figure 13-22) l ists the active alarms. Figure 13-22: Graphics Sc reen with Alerts window[...]

Chapter 13 13-26 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-27 Chapter 13 Communications Option (Com1) The Communications option allows th e Respir onics V200 Ventilator to: • Print out th e ventilat or's screen contents. • Communicate with a Philips/Agilent/H P VueLink module. • Connect another device, such[...]

Chapter 13 13-28 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-24: Connecting th e V entilator to a Printer Printing a Screen T o print a scre en, touch the printer icon in the lower right corner of the screen. While the ventilator processes the print screen request, the screen freezes (typical f[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-29 Chapter 13 V ueLink Compatibility The Communications option allows the ventilator to communicate with a Philips/Agilent/HP Component Monito ring System (CMS) via the VueLink module M1032A #A02. Once the vent ilator and V ueLink module are connected, the Vue[...]

Chapter 13 13-30 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-25: Connecting a Ventilator to a V ueLink Module Configuring the V ueLink Module A VueLink V entilator Module M1032A #A02, is required f or communication with the ventilator . The VueLink Module can communicate to three different prot[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-31 Chapter 13 2. Press " Monitor Setu p" on a Standa rd Control Pa nel, or "Instr ument Config." on a Classic Control Panel of the Component Monitoring System (CMS). 3. Highlight "Operating Modes" on the displa yed window and pres[...]

Chapter 13 13-32 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories NOTE: If "On/Off Preselect" is presse d a second time, the preselection is switched off. NOTE: If there are alrea dy three devices preselected, one of the preselected devices must be turned "o ff" before adding a new one. 7.[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-33 Chapter 13 X FI O_2 %O2 Measured oxygen percentage ( fractional inspired oxygen). sPkFl set Peak Flow Set peak flo w . RiseT i Rise T ime Set r ise time. sA WRR set Rate Set (air way) respi ratory ra te. SpAWRR Spont Rate Measured spon ta neo us respiratory[...]

Chapter 13 13-34 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories X A WF Flow Delivered flow . X A WP Pressure Delivered pressure. A WV V olume Delivered volume. sIP AP set IP AP Set inspiratory positive airway pressure. sEP AP set EP AP Set expira tory positi ve airway pressure. X P IP PIP Measured peak insp[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-35 Chapter 13 XH I G H LEAK RA TE High Leak Rate High leak alarm limit violation. Y e llow Alarm. XL O W E X H MAND TV Low Vt Mandatory Low mandatory tidal volume li mit violation. Y ellow Alarm. X HIGH EXH MV High Minute Vo l u m e High exhaled minute volume [...]

Chapter 13 13-36 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Analog Output (Chart Recorder) The Communicatio ns-Print opti on enables the ventilator to send ventilator data to a chart record er or similar devi c e usi ng the analog output port. Data displayed via the chart recorder is for reference purpo[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-37 Chapter 13 T able 13-3: Ventilator Analog Output Port Pinout 13 Nebulizer (0 V = exhalation phase, 5 V = inhalation or plateau phase) 14 No data 15 No data NOTE: All analog outputs = 0 V at power up. V oltages have a linear relationship to the corresponding[...]

Chapter 13 13-38 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-39 Chapter 13 RS-232 Communications Option 2 (Com2) The Respironics V200 Ventilator allows the transmission of data from the ventilator to the RS-232 commu nication s interface. The Com2 opt ion allows the ventilator to communicate with data systems The ventil[...]

Chapter 13 13-40 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Commands T ransmitted to the V entilator Commands are transmitted as a series of four ASCII characters followed by a carriage return. V alid commands will be stored and response transmissions will be sent in the order the corresp onding command[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-41 Chapter 13 Not used  N/A N/A N/A Outputs example value. Date FEB  23  1997  N/A N/A N/A 12 c haracter fiel d, MMM  DD  YYYY  Mode setting CMV  N/A CMV  SIMV  CP A P  N/A Assist /Control = CMV[...]

Chapter 13 13-42 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories VCV Apnea Respiratory R ate setting 12.0  0.1 or 1 1.0 – 9.0 10 – 80 BPM Apnea Peak Flow setting (same as Peak Flow setting) 5  1 3 – 140 LPM Outputs VC V Peak Flow setting VCV Apnea Oxygen Concentrat ion setting (sam[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-43 Chapter 13 Measured peak inhalation pressure 0.0  0.1 or 1 0.0 – 99.9 100 – 130 cm H 2 O Outputs  when ventilation mode is CP AP or Spont and No Apnea alarm is present. Measured mean airway pressure 0.9  0.1 or 1 0.0 [...]

Chapter 13 13-44 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Low Exhaled Mandatory T idal Vo lume Alarm setting 0.00  0.01 0.00 – 2.50 L F o r VCV and PCV types of ventilation, set to Low Exhaled Mandatory T idal V olume alarm limit (for A/C and Apnea) and Low Exhaled Spontane ous T idal V olume [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-45 Chapter 13 Low Exhaled Mandatory/ Spontaneous T idal Vo lume Alarm status NORMAL N/A NORMAL, RESET  ALARM  N/A Outputs ALA RM when any of the following alarms are active: Low Mandatory T idal V olume Alarm, or Low Spontaneous T idal V olume Alarm, or [...]

Chapter 13 13-46 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Date FEB  23  1997  N/A N/A N/A 12 c haracter fiel d, MMM  DD  YYYY  Static Compliance 0  1 0 - 350 ml/ cm H 2 O Outputs  when Mechanics option is not installed or no maneuver was performed. St[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-47 Chapter 13 Flow trigg er setting 2  1 1 – 20 LPM Outputs Flow trigger setti ng o f active ventilation type. Not used  N/A N/A N/A Outputs example value. Not used  N/A N/A N/A Outputs example value. Not us[...]

Chapter 13 13-48 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories PCV Inhalation T ime Setting 0.10  0.0 1 0.10 – 9.90 se c Outputs PCV Inhalation T ime when PCV or VCV is active, NPPV Inhalation T ime when NPPV is active PCV or NPPV Apnea Interval Sett ing 10  1 10 – 60 sec Outputs PCV [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-49 Chapter 13 Occlusion Alarm Status or SM Occlusion Alarm Status or I-T ime T oo Long Alarm Status NORMAL N/A NORMAL, RESET  ALARM  N/A Not used  N/A  N/A Outputs example value. Not used  N/A ?[...]

Chapter 13 13-50 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-51 Chapter 13 Respiratory Mechanics Option The Respiratory Mechanics option al lows the Respironics V2 00 V entilator to perform respi ra tory mechan ics mane uvers, including: • Vital Capacity (VC): Th e VC mane uver measures the patient’ s lung capacity [...]

Chapter 13 13-52 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories When you touch the Mechanics icon button, th e Patient Status screen appears, see Figure 13-28. Th is sc re en di splays pati ent dat a and includes der ived lu ng mechanics results, weaning parameters, ventilator settings, maneuver date and ti[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-53 Chapter 13 3. At the end of a successful maneuv e r , a pop-up scre en displays the result of the maneuver and asks you to accept or reject the results by touching t he Accept or Reject button. 4. At the end of the maneuver (whe ther successful or cancelled[...]

Chapter 13 13-54 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories MIP/P0.1 Maneuver The MIP/P0.1 screen (F igure 13.J4) allows you to perfor m a Maximum Inspiratory Pressure (MIP) or occlusion pressure at 100 m s (P0.1) maneuver . It displays the maneuver r esults graphi cally and n umerically . The MIP maneu[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-55 Chapter 13 5. At the end of the maneuver (whe ther successful or cancelled), the Stop button changes to Contin ue. While the Continue button is displayed, the graph is fr ozen and can be rescaled. T ouch Contin ue or exit the screen to unfreeze the display [...]

Chapter 13 13-56 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Static C and R Maneuver The Static C and R screen (Figure 13-31) allows you to perform a static compliance and resistance maneuver a nd displays the maneuver results. The maneuvers are carried out on machine or operator initiated breaths. If th[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-57 Chapter 13 3. At the end of a successful maneuv e r , a pop-up scre en displays the result of the maneuver and asks you to accept or reject the results by touching t he Accept or Reject button. 4. At the end of the maneuver (whe ther successful or cancelled[...]

Chapter 13 13-58 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Alarms and Error Messages If an alarm occurs during Respiratory Mechanics, an Alerts window lists the active alarms. Any active maneuvers ar e cancelled if a high-priority alarm occurs. If there is a preexisting alarm of any priority when you a[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-59 Chapter 13 Maneuver Error Messages T em porarily Disabled Alarms VC Measurement out of range Measured volume exceeds 9999 mL. Vital Capacity unavailable due to alarm condition Alarm condition exists when maneuver requeste d. Maneuver cancelled Operator pres[...]

Chapter 13 13-60 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories P0.1 Measurement out of range Measured pressures exceed –100 t o +200 cmH 2 O. P0.1 unavailable due to alarm condit ion Alarm condition exists when maneuver requeste d. Maneuver cancelled Operator presse s Stop button and no P0.1 maneuver bre[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-61 Chapter 13 Static C and R Measurement out of range. Check t ubing system for leaks Static compliance ex ceeds 0 to 3 50 mL/ cmH 2 O or static resist ance exceeds 0 to 400 cmH 2 O/L/s: Static C & R unavailable due to alarm condition Alarm condition exist[...]

Chapter 13 13-62 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Parameter Descript ion Vital Capacity (VC) maneuver Procedure : The clinician instructs the patient to inhale to maximum capacity at the next inspir ation, th en exhale completely , followed by a normal inspiration. The ma neuver automatically [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-63 Chapter 13 Occlusion pressure at 100 ms (P0.1) maneuver Procedure : No instructions to the p atient are required. Available in VCV and PCV . Not available in NPPV . During the maneuver : Settings do not change during the P0.1 maneuver . The ventilator brief[...]

Chapter 13 13-64 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Static compliance and resistance (static C and R) maneuver Procedure : Patient participation is not re quired, and patien t interf erence can affect the accurac y of the maneuver . If the patient initiates a breath when a maneuver breath is sch[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-65 Chapter 13 Compliance (C) and Resistance (R) Computations Dynamic C and R are estimated during ventilator and operator initiated breaths. St atic C and R a re esti mated during a Static C and R maneuver . Dynamic Compliance Dynamic compliance is calcul ated[...]

Chapter 13 13-66 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Dynamic Resistance Dynamic resistance is calcu lated usin g t his equation. Where: n = Number of samples taken du rin g for the calculation i = Sample number Q i = Patient flow V i = Lung volum e for the / th sample number P i = Pressure sensor[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-67 Chapter 13 C L = The value of the combined compliance of th e lungs and chest wall R L = The value of th e combined resistance eleme nts between the patient wye and the alveoli of the lungs V = Lung volume P eplat = E n d of plateau pressur e V plat = Lung [...]

Chapter 13 13-68 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-69 Chapter 13 T rending Option The T rending option allows the ventila tor to store and di splay ventilator information for intervals from 2 to 7 2 hours. T rende d data inclu de s: • Patient data. • V entilator settings. • Lung mechanics data (most of t[...]

Chapter 13 13-70 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-32: VCV Settings Screen In the Patient Data screen (Figure 13-33) or Gr aphics screen (no t shown), touch the T rending button to display the T rending screen (Figure 13-34). Figure 13-33: Patient Data Screen Patient Data button Graph[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-71 Chapter 13 The T rending screen (Figure 13-34) displays thre e trending waveforms as well as a summary of ventilator settings and patient data. Y ou can ch ange the waveforms and ti me scale at any time. Figure 13-34: T rending Screen Summary of T rending S[...]

Chapter 13 13-72 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Selecting Parameters for Display On the T rending screen ( Figure 13-3 5), a Para meter select button above each waveform shows the name of the curren tly displayed p ara meter . T o choose a different parameter for display , pre ss the button [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-73 Chapter 13 •T h e Pt Data category includes measured and calculated patient data parameters . •T h e Settings category includes ventilator settings. •T h e Mech category includes lung me chanics data (most of the Mech parameters are available only if [...]

Chapter 13 13-74 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Using the Manual Rescale Function The Manual rescal e buttons (Figure 13-36) allow you to ad just the vertical scale for most wavefo rms. Press the top half of the scale to change the upper limit, and the bo t tom half of the scal e to change t[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-75 Chapter 13 Figure 13-37: Changing Cursor Position on the T rending Screen Selecting the T ime Scale The selected time scale (Figure 13-38) applies to all three waveforms on th e T rendi ng screen. T o choose a different scale, press the T ime scale button: [...]

Chapter 13 13-76 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-38: Selecting the T ime Scale for the T rending Screen Using the +2 Hrs/-2 Hrs buttons The +2 Hrs and –2 Hrs buttons shift all thre e waveforms forward or backward by two hours without changing the time scale. If you press and hold [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-77 Chapter 13 Using the Vie w 1 / Vi e w 2 buttons The View 1 and Vie w 2 buttons make it possi ble for the user to store three trending waveforms and a time scale and reca ll them with a press of a button. A highlighted View button indicates that a presel ect[...]

Chapter 13 13-78 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories T rending Not A vailable This T rending No t Available message indicates a problem with T rending opti on data storage. This message may appear if: • the PCMCIA c ard installed fo r the T rendi ng option is remo ved, • the PCMCIA card inclu[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-79 Chapter 13 T rended data The T r ending option simultaneously trends 32 parameters fro m four categories: pa tient data, settin gs, lung mech anics ( Mech ) and (NICO). Parameters that are not c urre ntly displayed are stored in memor y fo r viewing. T rend[...]

Chapter 13 13-80 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories T rended data: Pt Data (continued) Alarm (alarm occurre nc e) %O2 (percentage of oxygen delivered) F / Vt (rapid shallow breathin g inde x) T i/Ttot (the ratio of inspir atory time to to tal respiratory cycle time for spontaneous breaths) Peak [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-81 Chapter 13 T rended data: Mech Static C (static complianc e maneuver , only availa ble if Mechanics option is installed) Static R (static resista nce maneuver , only availa ble if Mechanics option is inst alled) VC (vital capacit y maneuver , only availa bl[...]

Chapter 13 13-82 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-83 Chapter 13 Flow-T rak ® Option Flow-T rak provides additional flow to V o lume Control Ventilation (VCV) brea ths. It allows the patien t to draw additio nal flow or volume a s desir ed. V entilators with Flow-T rak installed are iden ti fied by the op tio[...]

Chapter 13 13-84 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories NOTE: If the Ftrak On button is grayed out in the settings wind ow ( Figure 13-41) then the Flow-T rak Option has not been installed. Cont act Respironics Customer Service Within t he U.S.A. 1-800-345-6443 Outside the U.S.A. 724- 387-4000 Figur[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-85 Chapter 13 Breath Delivery The Flow-T rak option allows the ventilator to give additional flow to patients who are not receiving the flows or vol u mes they desire by monitoring the pressure during a mandatory or assist br eath. If the patient draws more fl[...]

Chapter 13 13-86 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories T able 13-14: Respiratory Mechan ics Maneuvers with Flow-T rak Alarms The Flow-T rak optio n does not change th e ventilator alarms with the exception of those alarms found below in T able 13-15:. For a complete listing of ventilator alarms and[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-87 Chapter 13 Respiratory Profile Monitor Interface (NICO- Esprit) Option The respiratory profi le monitor inter face (NICO-Esprit) soft ware allows the ventilator and the respiratory profile monitor to exchange infor mation via a bidirectional RS-232 serial l[...]

Chapter 13 13-88 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Communications When the respi r atory profile monitor int erf ace (N ICO-Esprit) option is in stalled, the RS-232 communications port is configur ed for all communications functions in the following manner: Hardware Setup Once the software is l[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-89 Chapter 13 2. Attach one end of the RS-232 serial co mmunications cable to the RS- 232 port 1 or 2 on the back of the respirator y profile monitor. See Figure 13-44. 3. Attach the other end of the RS- 232 serial communications cable to the serial communicat[...]

Chapter 13 13-90 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories • Connect the sensors to the monitor , ventilator circuit, and pati ent according to the Respiratory Monitoring section of the user’ s manual for your Re spironics respiratory profile monito r . 7. Select the N ICO-Espri t inte rface on the[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-91 Chapter 13 • T urn the knob to highlight EX IT and then press th e knob. T urn the knob to highlight EXIT again and then press the knob.The monitor returns to the SE T UP screen. The ventilator and the respiratory prof ile monitor will begin communication[...]

Chapter 13 13-92 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Information T ransferred from the V entilator to the R espiratory Profile M onitor The ventilator provides the respirator y profile monito r with the followi ng information . T able 13-19: Information T ransferred from the Ventilator to the Mon[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-93 Chapter 13 Figure 13-48: VCV Settings Screen 2. T ouch the T r ending button to display the T rending scree n (Figure 13- 33). Figure 13-49: Patient Data Screen The T rending screen (Figure 13-34) displays thre e trending waveforms as well as a summary of v[...]

Chapter 13 13-94 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-50: T rending Screen The parameter select button above each waveform shows the name of the currently displaye d parameter . T o choose a diffe ren t p arameter for d isplay , press the button above the waveform. The T ren de d Data po[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-95 Chapter 13 Figure 13-51: T rended Data screen NOTE: For more information regarding th e T rending Data screen or using the T rending Option, refer to “T rending Option” on page 13-69.[...]

Chapter 13 13-96 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories T roubleshooting T roubleshooti ng NICO button does not appear on the T rended Data screen Probable Cau se: What to Do: The ventilator may not ha ve respir atory profile monitor interface soft ware. Contact Respironics T echnical Service: 1-800[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-97 Chapter 13 Neonatal Option The Neonatal option allows the Respir onics V200 V entilator to ventilate intubated neonatal patients with an ideal body wei ght range of 0.5 - 6.5 kg (1.10 - 14.33 lb.) and an endotracheal tube I.D. range fr om 2.5 - 4.0 mm . The[...]

Chapter 13 13-98 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Changing Patient Ty p e s The Neonatal option i s available once th e software option is installed. Th e current pati en t is identified b y the i con found on any active ventilation type screen. In Figure 13-53 th e neonatal patient type ha s [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-99 Chapter 13 Heated Filter T est The heated filter test in EST for a dult and pedi atric pati ent types auto matically tests for pressure dro p of the exhalati on f ilter . This por tio n of EST is not possible with neonatal circui ts. W e reco mme nd running[...]

Chapter 13 13-100 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Initial Neonatal Settings When the ventilat or is first powered on a nd the neonata l pa tient type is selected, the initia l startup setting s fo und in T able 13-21: are applied . Each subsequent startup will displ a y the set ti n gs from t[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-101 Chapter 13 Percent Leak When the neonatal software option is loaded on the ventilator , a % Leak window appears on the Patient Data screen. The window displays the estimated leak of the delivered volume as a percentag e. The % Leak value is updated at the [...]

Chapter 13 13-102 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Patient Leak V alues Patient Leak value s (as seen in the Pati ent Data window , Figure 13-56) between 0 and 1 LPM are r ounded values . Refer to Chapter 7, “Operating Theory”, for more in formation abo ut Patient L eak Display . Figure 13[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-103 Chapter 13 Speaking Mode Option The Speaking Mode software option for the Respironic s V200 V entilator allows tracheostomized adult and pediatric pati ents who meet certain crite ri a to vocalize without the need of a speaking valve. The Speaking Mode sof[...]

Chapter 13 13-104 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories • Do not use with neonatal tracheosto my tubes. • Do not use on neonates. • Do not inflate the trache osto my tu be cuff until Speaking Mode has been turned off. • Do not use on patients who are dependent on PEEP therapy . • Do not u[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-105 Chapter 13 Figure 13-58: Speaking Mode Sequence for Use T racheostomi zed patient v entilated in ( P S V, P C V, V C V, S I M V, C P A P ) m o d e PA S S Baseline clinical parameters Patient assessment Observe patient settings Monitor with pulse oxim ete r[...]

Chapter 13 13-106 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Settings Starting Speaking Mode Prepare the patient and defl ate the tracheostomy cuff. 1. Press the Speaking Mode button. Figure 13-59: Speaking Mode Button The first message box appears, T urn Speaking Mode On? This message box explains the [...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-107 Chapter 13 2. Press Continue to continue or Cancel to exit Speaking Mode. Figure 13-60: T urn Speaking Mode On? First Message Box The second message bo x then appears with the same command, Tu r n Speaking Mode On?, remindin g the user t o: Please be sure [...]

Chapter 13 13-108 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Speaking Mode is ON when the Active Mode button in th e upper le ft-hand corner of the screen is orange and the Speaking M od e button a t the bott om of the screen has a white background. Figure 13-62: How the V entilator Scr een Appears When[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-109 Chapter 13 Alarms While in Speaking Mode, the ventilator switches all volume tric alarms from exhaled to delivered alarms. This means that all alarms that were triggered based on exhaled volume s w ill n ow b e based on delivered vol um es. T hese alarms i[...]

Chapter 13 13-110 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Mode-Specific Alarms Disconnect Alarm If the tracheostomy tube becomes disconnected from the patient circuit, a high urgency Disconnect Alarm will sound. When the disconnect alarm is active, the vent i lator continues ventilation. If the trach[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-111 Chapter 13 Displayed Data While in Speaking Mode, the ventilator switches al l volumetr ic readings from exhaled to delivered readings. This me ans that all data displayed based on exhaled volumes will n ow be based on delivered volu mes. Some data is not [...]

Chapter 13 13-112 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-66: Active Mode: Patient Data Screen T rended Data NOTE: NICO data is not available whe n the Speaking Mode is active NOTE: The time spent in Speaking Mode can be recorded as trended data. This requires the T rending Option be l oade[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-113 Chapter 13 1. Press the Settings but ton. 2. Press the Speaking Mode button to show trended data op tions available in Speaking Mode (Figure 13-68). Figure 13-67: Selecting Speaking Mode on the T rended Data Screen Category select buttons Parameter select [...]

Chapter 13 13-114 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories The trended data will appear as blocks of time shown as either ON or OFF . Figure 13-68: Speaking Mode T rended Data Screen For more information regarding T rending, see the T rending Option instructions or contact Respironics. Inc. Customer S[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-115 Chapter 13 Discontinue Speaking Mode Removing a pat ient from Spe aking Mode is ve ry similar to sta rting a patie nt on Speaking Mode. 1. Press the Speaking Mode button. 2. The message box appears, T urn Speaking Mode Off?, reminding th e user to: Please [...]

Chapter 13 13-116 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories (This page is intentiona lly blank.)[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-117 Chapter 13 Auto-T rak Sensitivity™ Introduction Auto-T rak Sensitivity is a feature de si gned to e nhance pa tient comfort an d ventilation effectiveness and reduce pa tient work of breathing. Auto-T rak automatically triggers and cyc les br eathing wit[...]

Chapter 13 13-118 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories How to Select Auto- Tr a k 1. T ouch either the I-T rigger or E-T rig ger button in the Sett in gs screen (Figure 13-70). Figure 13-70: Settings Screen 2. When the I-T rigger or E-T rigger wind ow appears, touch the Auto button (Figure 13-71 a[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-119 Chapter 13 Figure 13-72: Sample Expiratory T rigger Window with Auto- T rak Option Available. The Pressure or Flow values that previously appeared in the I-T rigger and E-T rigger windows are removed (Figure 13-73 a nd Figure 13-74). Figure 13-73: Sample I[...]

Chapter 13 13-120 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories Figure 13-74: Sample Expiratory T rigger Window with Auto- T rak Option Selected 3. T ouch the Accept button. The vent ilator does not begin using Auto- T rak until you touch the Acc ept bu tton. The Settings screen now displays Auto as the I-[...]

Options and Accessories REF 1057983 A Respironics V200 Ventilator Operator’ s Manual 13-121 Chapter 13 T urning Auto-T rak Off 1. T ouch either the I-T rigger or E-T rig ger button in the Sett ings screen (Figure 13-70). The I- T rigger or E-T rigge r window will appear as shown in Figure 13-73 or Figure 13-74. 2. Change the I-T rigger setting to[...]

Chapter 13 13-122 Respironics V200 V entilator Operator’ s Ma nual REF 1057983 A Options and Accessories • For adult patients: Bias flow = Pt Leak + 5 LPM. • For pediatric patients: Bias flow= Pt Le ak + 3 LPM. Patient flow is estimated as the delivered flow (Bias flow during exhalation) minus the estimated Leak Flow , minus the measured expi[...]

REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-1 Appendix A. RS-232 Communications Protocol The ventilator will allow fo r the transmission of data from the ventil ator via the RS-232 communication s interface. The ventilator receives commands from the remote device and responds with fixed fo rm at records. RS-232 Conf[...]

Appendix A Appendix A-2 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol V e ntil ati on Rep ort Description Example Resolution R ange Units Comments Command Name VRP T N/A N/A N/A Number of characte rs between the start and stop codes 990 N / A N/A N/A 3 ch ar acter field Number of fields between the st[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-3 VCV E-Cycle T ype %Flow ◆ N/A %FLOW ◆ AUTO ◆◆ N/A VCV %Flow Expiratory Cycle Setting 25 ◆◆ ◆◆ 11 0 - 8 0 % VCV Rise T ime 0.1 ◆◆◆ 0.1 0.1 - 0.9 Sec VCV Oxygen Concentration Setting 21 ◆◆ ◆◆ 1 21 - 10[...]

Appendix A Appendix A-4 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol PCV Inspiratory T ime Setting 1.00 ◆◆ 0.01 0.1 - 9.9 sec PCV PEEP S etting 0 ◆◆◆◆◆ 10 - 3 5 c m H 2 O (hPa) PCV Pressure Su pport Setting 0 ◆◆◆◆◆ 10 - 1 0 0 c m H 2 O (hPa) PCV I-T rigger T ype PRESS ◆ N/A [...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-5 PCV Low Minute V olume Alarm Limit Setting 1.00 ◆◆ 0.01 for 0.00 to 9.99 0.1 for 10.0 to 60.0 0.00 - 60.0 L PCV High Minute V olume Alarm Limit Setting 60.0 ◆◆ 0.01 for 0.00 to 9.99 0.1 for 10.0 to 60.0 0.00 - 60.0 L NPPV[...]

Appendix A Appendix A-6 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol NPPV High Respiratory Ra te Alarm Limit Setting 150 ◆◆◆ 1 0 - 150 BPM NPPV Low Minute V olume Alarm Limit Setting 1.00 ◆◆ 0.01 for 0.00 to 9.99 0.1 for 10.0 to 60.0 0.00 - 60.0 L NPPV Apnea Interval Alarm Limit Setting 20 [...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-7 Measured I:E Ratio 1:4.1 ◆ 0.1 for 9.9:1 to 1:9.9 1 for 1:10 to 1:99 4.1:1-1:99 N/A The I :E Ratio display from the Patient Data screen. Measured Patient Leak 0.0 ◆◆◆ 0.1 for 0.0 to 99.9 1 for 100 to 140 0.0 - 140 LPM The[...]

Appendix A Appendix A-8 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Vita l Capacity T ime of Last Maneuver 11-14- 01 ◆◆ 13:11 1 minute 01-01-70 0:00 to 01-19-38 3:14 N/A T ime of Last Maneuver display from the Vital Capacity Screen.1 5 character f ield, 24 hour clock: MM- DD-YY uu HH:MM MIP -54.[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-9 AutoPeep 1.2 ◆◆ 0.1 for -9.9 to 9.9 1 for -10 to - 20 1 for 10 to 120 -20 - 120 cmH 2 O AutoPeep display from the Mechanics Patient Status Scre en AutoPeep T ime of Last Maneuver 11-14-01 ◆◆ 13:11 1 minute 01-01-70 0:00 t[...]

Appendix A Appendix A-10 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Exhalation Va lve Stuck Open Alarm Status NORMAL N/A NORMAL ALARM ◆ RESET ◆ N/A Low O 2 Supply Alarm Status NORMAL N /A NORMAL ALARM ◆ RESET ◆ N/A Low supply pressure Low O 2 Alarm Status NORMAL N/A NORMAL ALARM ◆ RESET ?[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-11 V olume Control V entilation Settings Report (VCVS) When the ventilator receives VCVS follo wed by a carri age return, it will re spond by transmi tting the informati on shown in T able A-2: “V olume Control V entilation Setti[...]

Appendix A Appendix A-12 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol fields between the start an d stop codes. The fourth field is the start cod e, 0x02. The last field in the st ring is the stop code, 0x03. V o lume Control Ventilation Settings Report Description Example Resolution Range Units Comm[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-13 VCV Flow I-T rigger Setting 3.0 ◆◆◆ 0.1 0. 5 - 20 .0 LPM VCV E-Cycle T ype %Flow ◆ N/A %FLOW ◆ AUTO ◆◆ N/A VCV %Flow Expiratory Cycle Setting 25 ◆◆◆◆ 1 10 - 80 % VCV Rise T ime 0.1 ◆◆◆ 0.1 0.1 - 0.9 S[...]

Appendix A Appendix A-14 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Pressure Control V entilation Settings Report (PCVS) When the ventilator receives PCVS followed by a carriage return, it wil l respond by transmitting t he information shown in T able A-3 : “P ressure Control V entilati on Settin[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-15 PCV I-T rigger T ype PRESS ◆ N/A PRESS ◆ FLOW ◆◆ AUTO ◆◆ N/A PCV Pressure I-T rigger Setting 2.0 ◆◆◆ 0.1 0.1 - 20.0 cmH 2 O (hPa) PCV Flow I-T rigger Setting 3.0 ◆◆◆ 0.1 0.3 - 20.0 LPM PCV E-Cycle T ype %[...]

Appendix A Appendix A-16 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Non-Invasive Positive Pressure V entilation Settings Report (NPVS) When the ventilator receives NPVS f ollowed by a carriage return, it will respon d by transmitt ing the in formation shown in T able A- 4: “Non-In vasive Positi v[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-17 NPPV Mode Se tting SPONT/T N/A SPONT/T SPONT ◆◆ NPPV Patie nt T ype ADUL T ◆ N/A ADUL T ◆ PED ◆◆◆ NEO ◆◆◆ NPPV Respiratory Rate Setting 12 ◆◆◆◆ 11 - 8 0 B P M NPPV EP AP Setting 5 ◆◆◆◆◆ 12 -[...]

Appendix A Appendix A-18 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Patient Data Report (PTDT) When the venti lator receives PTDT followed by a carr iage return, it will respond by transmi tting the informati on shown in T able A-5: “Patient Data Report”. The ventilator responds to the P TDT co[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-19 Measured End Expiratory Press ure Data 2.0 ◆◆◆ 0.1 -20.0-9 9.9 cmH 2 O (hPa) The End Exp. value from the Patien t Data screen. Measured End Inhalation Press ure 24 .0 ◆◆ 0.1 for -20.0 to 99.9 1 for 100 to 130 -20.0 - 1[...]

Appendix A Appendix A-20 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Dynamic Resistance 5.43 ◆◆ 0.01 for 0.00 to 9.990.1 for 10.0 to 99.91 for 100 to 400 0.00 - 400 cmH2 0/L/ Sec The Dynamic Resistance display from the Mechanics Patient Status Screen Dynamic Compliance 19.2 ◆◆ 0.01 for 0.00 [...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-21 Alarm Status Report (ALRM) When the ventilator receives ALRM foll owed by a carr iag e return, it wil l respond by tran sm itting the inform ation shown in T able A-6: “Alarm S tat us Report”. The ventila tor responds to the[...]

Appendix A Appendix A-22 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Alarm Status Report Description Example Range Comments Command Name ALRM N/A Number of characters betw een the start and stop codes 202 N/A 3 character field Number of f ields between t he start and stop codes 28 N/A 2 char acter f[...]

Appendix A RS-232 Communications Protocol REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix A-23 Exhalation V alve Stuck Open Alarm Status NORMAL NORMAL ALARM ◆ RESET ◆ Low O 2 Supply Alarm Status NORMAL NORMAL ALARM ◆ RESET ◆ Low supply pressure Low O 2 Alarm Status NORMAL NORMAL ALARM ◆ RESET ◆ Low O 2 concent[...]

Appendix A Appendix A-24 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A RS-232 Communications Protocol Unrecognized Commands If an unrecognized command is received, the ventilator will respond by transmitting th e information shown in T able A-7: “Unreco gnized Commands”. Low EP AP Ala rm St at us NORMAL NORMAL ALARM ◆ RESET ?[...]

REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix B-1 Appendix B. Customer Service & W arranty Customer Service For further information or assistance in operatin g the Respironics V200, contact Respironics Customer Servi ce: Within t he United States: 800-345-64 43 Outside the United States: 724- 387-4000 Fax: 724-387-5[...]

Appendix B Appendix B-2 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A Customer Service & Warranty Options and Accessories W arranties are avai lable for va rious option s and accessor ies. See the specific option or accessor y in C h apter 13 for co mp lete warranty in formation.[...]

REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix C-1 Appendix C. Alarm T esting Procedure The following procedure is available if th e operator wants to test the operation of the following alarms. W e recommend following “Preoperationa l Procedure” on page 8-32 before performing the Al ar m T esting procedure. It is as[...]

Appendix C Appendix C-2 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A Alarm Testing Procedure High Inspiratory Pressure Alarm T est 1. Durin g inhalation sque eze the test lung fo r at least two breaths un til the High Pressure alarm sounds. 2. Wa i t for on e normal breat h, th e alarm au to reset s. 3. RESET the alarm. Low V olum[...]

Appendix C Alarm Testing Procedure REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Appendix C-3 4. Alar m should reset. (If the b ack up battery is atta ched, the ventilator should return to AC power . If no ba ttery is attached, the ventilator will resume operating.) Apnea Alarm T est 1. Se t t he rate to 1 b rea th per minute . [...]

Appendix C Appendix C-4 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A Alarm Testing Procedure (This page is intentiona lly blank.)[...]

REF 1057983 A Re spironics V200 Ventilator Operator’ s Manual Glossary-1 Glossary Abbreviations 24 Hrs used to describe format for time-o f-day when AM or PM does not appear AC alternating current (power) A/C assist/control ventilation AM/PM used to describe format for time-of-day when AM or PM occurs ASCII commonly accep ted 8-bit bina ry co de [...]

Glossary-2 Respironics V200 Ventilator Operator’ s Manual REF 1057 983 A Glossary f respiratory frequency FIO 2 fractional inspired oxygen FRC functional residual capacity f/VT rate versus tidal volume ratio; rapid shallow breath ing index HIP high inspiratory pressure HME heat and moisture exchanger hPa unit of pressure measurement hecto Pascals[...]

Glossary REF 1057983 A Re spironics V200 Ventilator Operator’ s Manual Glossary-3 PEEP positive end-expiratory pressure Pi End airway pressure at the end of inhalation PIP peak inspir atory pressure Plateau inspiratory plateau pressure, pressure at e nd exhalation and no flow from or out of the ventilator Pplat end-inspiratory plateau pressure ps[...]

Glossary-4 Respironics V200 Ventilator Operator’ s Manual REF 1057 983 A Glossary Definitions Airway Pressure the pressure in the patient circui t, measured at the distal end of the exhalation filter . Baseline as in baselin e pr essure. The pressure at end exhalatio n. Baud serial transmission sp eed usually bits/second. Bias flow a continuous f[...]

Glossary REF 1057983 A Re spironics V200 Ventilator Operator’ s Manual Glossary-5 Inspiratory pause inspiratory pause is a brief pause (0.1 to 2 seconds) at e nd- inspiration during wh ich pressure is held constant an d flow is zero. The purpose of the pause is to improve gas di stribution throughout the lu ngs. Same as Plateau pressure. Intermit[...]

Glossary-6 Respironics V200 Ventilator Operator’ s Manual REF 1057 983 A Glossary Pressure Sensitivity a measure of the amount of negative pre ssure that must be generated by a patient to trigger a mechanical ventil ato r into the inspiratory phase; alternatively , the mechanism used to set or control this level. Pressure T rigger initiation of i[...]

Glossary REF 1057983 A Re spironics V200 Ventilator Operator’ s Manual Glossary-7 T rigger normally a patient effort to begin i nhalation. Vo l u m e space occupied by matter meas ured in milliliters or lit ers. Window either a period of time or a portion of a screen depending on the context.[...]

Glossary-8 Respironics V200 Ventilator Operator’ s Manual REF 1057 983 A Glossary (This page is intentiona lly blank.)[...]

REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Index-1 Index Symbols 100% O2 Key , 8-9 A A/C, Assist Control , 7-3 AC Inlet , 5-2 ACCEPT key , 5-8 , 8-2 Accept Key , 8-8 Accessories , 4-2 , 13-1 Adjust Control Kn ob , 8-11 , 12-7 Adult Disposable Patient Circuit , 13-2 Patient Circ uit Kit , 13-2 Adult/Pediatric Keys , 8-20 Air I[...]

Index Index-2 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A Compliance , G-1 , G-4 Circuit , 5-5 , 11-5 Compensation , 8-33 , 11-1 Tubing , 5-10 Compliance and Approvals , 12-11 Continuous Positive Airway Pr essure , 7-4 CPAP , 7-4 D Date of Manufacture , 3-3 Date Setting , 5-7 Delivered O2, %O2 , 8-29 Diagnostic Codes , 11-5 Descr[...]

Index REF 1057983 A Respironics V200 V entilator Operator ’ s Manua l Index-3 I I:E Ratio , 8-29 Inspiratory Bacteria Filter , 4-17 , 13-2 , 13-4 Installatio n , 4-16 Removing and Replacing , 10-5 Inspiratory Trigger (I-Trigger) , 8-21 IPAP , 7-6 , 8-23 , 12-3 I-TIME , 7-2 I-Time Too Lon g Alarm , 9-6 L Labels , 12-18 Lock Screen , 8-8 Low Backup[...]

Index Index-4 Respironics V200 Ventilator Operator’ s Manual REF 1057983 A Respiratory Mechanics , 13-1 RS-232 Communications 2 , 13-1 Trending , 13-1 Output Analog label , 3-1 Analog port , 6-7 Field , A-1 Port , 6-1 Serial label , 3-2 Oxygen Source Connection , 4-21 Oxygen Sensor , 13-3 P Panel, Back Connections and Controls , 5-1 Panel, Front [...]