Аппарат ивл миндрей sv300 инструкция по применению

SV300 представляет собой современный аппарат ИВЛ, который просто настраивается, легко эксплуатируется и универсален по назначению. Он предназначен для пациентов детского возраста и взрослых с расстройствами дыхания разной степени тяжести в ПИТ и в палатах пробуждения.

Адаптивный SV300 оснащен множеством стандартных функций, включая новейшие режимы искусственной вентиляции легких, которые могут поддерживать пациентов взрослой и детской  возрастной категории с  различной патологией  в  лечебных учреждениях, как у кровати больного, так и в процессе транспортировки.

Универсальный

Оснащенный функциями, которые обычно характерны для реанимационных аппаратов ИВЛ, SV300 имеет дополнительные различные режимы искусственной вентиляции легких. Уникальные характеристики и опции делают SV300 аппаратом экспертного класса.

Простой

Благодаря интуитивно понятному дизайну пользовательского интерфейса SV300, все функции расположены в логическом порядке, поэтому клиницистам не придется изучать сложное руководство пользователя. Кроме того, оба клапана и датчик потока поддерживают автоклавную обработку. Конструкция и опции аппарата отвечают современным тенденциям защиты пациента даже в самых тяжелых состояниях.

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  SV300 Ventilator Operator’s Manual…
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  © 2014-2019 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved. For this Operator’s Manual, the issue date is November, 2019.
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  Mindray is strictly forbidden. are the trademarks, registered or otherwise, of Mindray in China and other countries. All other trademarks that appear in this manual are used only for informational or editorial purposes. They are the property of their respective…
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  Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
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  FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray’s obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
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  Customer Service Department Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Address: Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan, Shenzhen 518057, P.R. China Website: www.mindray.com E-mail Address: service@mindray.com Tel: +86 755 81888998 Fax: +86 755 26582680 EC-Representative: Shanghai International Holding Corp. GmbH (Europe) Address: Eiffestraβe 80, 20537 Hamburg, GERMANY…
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  Preface Manual Purpose This manual contains the instructions necessary to operate the product safely and in accordance with its function and intended use. Observance of this manual is a prerequisite for proper product performance and correct operation and ensures patient and operator safety. This manual is based on the maximum configuration and therefore some contents may not apply to your product.

• Page 9: Table Of Contents

  Table of Contents 1 Safety ……………………..1-1  1.1 Safety Information ………………….1-1  1.1.1 Dangers ………………….1-2  1.1.2 Warnings ………………….1-2  1.1.3 Cautions ………………….1-5  1.1.4 Notes ……………………1-7  1.2 Equipment Symbols ………………….1-7  2 The Basics ……………………. 2-1  2.1 System Description ………………….2-1  2.1.1 Intended Use…………………..

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  4.5.4 Event Logbook ………………..4-16  4.6 Freeze ……………………..4-17  4.6.1 Enter freeze status ……………….. 4-17  4.6.2 View frozen waveforms ………………. 4-18  4.6.3 View frozen loop ………………..4-18  4.6.4 Exit freeze status ………………..4-19  4.7 Lock Screen ……………………4-19  5 System Settings ……………………. 5-1  5.1 Display Settings ………………….
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  6.2 System Check ……………………6-1  6.3 Select Patient ……………………6-3  6.3.1 Set Patient Information on the Ventilator …………6-3  6.3.2 Getting Patient Information from the ADT Server ……….6-4  6.4 Ventilation Type ………………….6-4  6.4.1 Invasive Ventilation ……………….. 6-5  6.4.2 Non-invasive Ventilation (NIV) …………….. 6-5  6.4.3 Set Ventilation Type ……………….
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  7.3.5 Calibrate the Sensor ………………7-12  8 SpO Monitoring ………………….8-1  8.1 Introduction ……………………8-1  8.2 Safety ……………………..8-2  8.3 Applying the Sensor ………………….8-2  8.4 Make SpO Settings ………………….8-3  8.4.1 Set SpO Monitoring ………………8-3  8.4.2 Set SpO Sensitivity ……………….
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  10.6.1 Auto Alarm Limits ………………10-5  10.7 AUDIO PAUSED ………………….10-6  10.7.1 Set AUDIO PAUSED ………………10-6  10.7.2 Terminate AUDIO PAUSED …………….10-6  10.8 Recent Alarm ………………….. 10-6  10.9 ALARM OFF ………………….10-7  10.10 Alarm Tests …………………… 10-7  10.10.1 Battery in Use ………………..10-7  10.10.2 Loss of Power ………………..
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  12.2 Maintenance Schedule ………………..12-2  12.3 Pressure and Flow Zeroing ………………12-4  12.4 Flow Calibration ………………….12-4  12.5 Oxygen Concentration Calibration …………….12-5  12.6 CO Calibration ………………….12-6  12.6.1 Sidestream CO Module …………….. 12-6  12.6.2 Mainstream CO Module …………….12-7  12.7 Touch Screen Calibration ………………..
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  E Factory Defaults ………………….E-1  E.1 Screen ……………………..E-1  E.2 Setup ……………………..E-1  E.3 CO Module ……………………E-1  E.4 SpO Module ……………………E-2  E.5 Ventilation Mode ………………….E-2  E.6 Alarm ……………………..E-7  E.7 History Data ……………………E-7  E.8 Special Functions ………………….E-7  E.9 O Therapy ……………………
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  FOR YOUR NOTES…

• Page 17: Safety

  Safety 1.1 Safety Information DANGER Indicates an imminent hazard that, if not avoided, will result in death or serious  injury. WARNING Indicates a potential hazard or unsafe practice that, if not avoided, could result in  death or serious injury. CAUTION Indicates a potential hazard or unsafe practice that, if not avoided, could result in …

• Page 18: Dangers

  1.1.1 Dangers There are no dangers that refer to the product in general. Specific “Danger” statements may be given in the respective sections of this manual. 1.1.2 Warnings WARNING  The ventilator must only be operated and used by authorized medical personnel well trained in the use of this product.

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  WARNING  All staff should be aware that disassembling or cleaning some parts of the ventilator can cause risk of infection.  Maintenance menu can only be accessed when the equipment is disconnected from the patient. Positive pressure ventilation may be accompanied by some side effects such as …
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  WARNING gassupply pressure meets hose requirements before usage. Hose connectors adopt standardized gas terminal connector with gas nature.  Different types of gas and gas with different pressures shall not be exchanged with each other. Hose may be aging quickly by long-term exposure to acidity, alkalinity or …

• Page 21: Cautions

  WARNING  Check if the alarm limit settings are appropriate before taking measurement. When operating the unit with the power supply unit, always connect the unit to an  easily accessible outlet so that it can be unplugged quickly in the event of a malfunction.
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  CAUTION  Before connecting the equipment to the power line, check that the voltage and frequency ratings of the power line are the same as those indicated on the equipment’s label or specified in this manual. Always install or carry the equipment properly to avoid damage caused by …

• Page 23: Notes

  CAUTION battery and oxygen sensor. Use the original packing materials to ship the ventilator.   To prevent fire hazard, use only specified fuses or fuses with the same type, rated voltage, and rated current as the existing fuses. When it is necessary to replace fuses, contact the Customer Service Department.

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  VGA output Oxygen sensor connector connector Network connector USB connector Power switch Nurse call connector Lock Unlock High-pressure Low-pressure oxygen supply oxygen supply connector connector Ventilator gas outlet Flow sensor Expiration Inspiration connector connector AUDIO PAUSED module Date of manufacture Manufacturer Degree of protection Serial number…
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  European Temperature community limitation representative Atmospheric Humidity limitation pressure limitation Fragile, handle with This way up care Stacking limit by Keep dry number Alarm Setup key Alarm reset key Nebulizer icon Tools key Freeze key Setup key Standby key O2↑key Invasive ventilation Non-invasive icon…
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  The following definition of the WEEE label applies to EU member states only. This symbol indicates that this product should not be treated as household waste. By ensuring that this product is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health.

• Page 27: The Basics

  The Basics 2.1 System Description 2.1.1 Intended Use This product is intended to provide ventilation assistance and breathing support for adult, paediatric and infant patients. 2.1.2 Contraindications There are no absolute contraindications for this product. For some special diseases, however, some necessary treatments shall be taken for ventilator mechanical ventilation, or special ventilation modes shall be adopted to prevent possible patient injury.

• Page 28: Equipment Appearance

  2.2 Equipment Appearance 2.2.1 Front View…

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  Caster and brake The ventilator has four casters and all casters have brakes. Humidifier Inspiratory water trap Collects condensed water in the inspiratory tube. Expiratory water trap Collects condensed water in the expiratory tube. Test lung Expiratory tube Inspiratory tube Support arm Supports and hangs the patient tubing.

• Page 30: Rear View

  2.2.2 Rear View Cylinder retaining clip For retaining the gas cylinder. Trolley rear handle DC power connector AC power receptacle VGA connector Outputs VGA video signals with the same contents to the primary display and connects to the external display (supporting display with resolution of 1280*800). USB connector Conducts ventilator software upgrade, configuration information and history data (such as patient data, alarm log, calibration table) export, configuration transfer between…

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  Network connector A connector which supports connection with a PC to realize software upgrade. RS-232 connector Connects to the external calibration device for calibrating pressure. An external medical device can be connected via this connector to communicate with the ventilator. Nurse call connector Connects to the hospital’s nurse call system and outputs nurse call signals when an alarm occurs.
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  FOR YOUR NOTES…

• Page 33: Installations And Connections

  Installations and Connections WARNING Do not use antistatic or conductive masks or patient tubing. They can cause burns  if they are used near high frequency electrosurgery equipment. To ensure optimum performance of the ventilator, re-do System Check each time …

• Page 34: Connect To The Power Supply

  3.2 Connect to the Power Supply 3.2.1 Connect to AC Power A. AC power receptacle AC power cord Power cord retainer D. Screw Insert the AC power cord into the AC power receptacle. Place the power cord retainer above the power receptacle and align it with the screw holes.

• Page 35: Connect To Dc Power

  3.2.2 Connect to DC Power A. DC power connector DC power cord Insert the DC power cord into the DC power connector and then rotate the DC power cord clockwise. When a click is heard, it indicates that the DC power cord is inserted in place.

• Page 36: Connect To The Gas Supply

  3.3 Connect to the Gas Supply A. High-pressure O supply connector High-pressure O supply hose and fitting Low-pressure O supply connector D. Low-pressure O supply hose This ventilator provides two types of gas supply connection: high-pressure O low-pressure O When the ventilator is connected to high-pressure O supply, the normal working gas supply pressure is 280~600KPa.

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  WARNING Inspect the O supply connector carefully and ensure there is no leakage. If gas  leakage is significant, O concentration in the ambient environment will exceed normal O concentration in atmosphere, resulting in potentially dangerous O enriched environment.  Place the O supply hose carefully, avoiding exposure to the environment in which possible damage to the O…

• Page 38: Install The Support Arm

  3.4 Install the Support Arm A. Fixing block knob Fixing block Tube hook D. Support arm joint Support bar Support arm joint Support arm joint…
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  Loosen the fixing block knob. Place the fixing block onto the handle on the side of the ventilator. Tighten the fixing block knob. WARNING To prevent possible patient injury due to accidental extubation, check the support  arm joints and the connection security as necessary. Adjust the support arm.

• Page 40: Install The Patient Tubing

  3.5 Install the Patient Tubing WARNING To minimize the risk of bacterial contamination or physical damage, handle  bacteria filters with care. To prevent patient or ventilator contamination, always use a bacteria filter  between the ventilator and the patient inspiratory limb. CAUTION …

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  A. Inspiratory filter Expiratory filter Inspiratory water trap D. Expiratory water trap Support arm hook Connect the patient to the ventilator via the patient breathing circuit. Mount the filters onto the inspiratory and expiratory ports. Connect the inspiratory filter to the water trap via the tube. Connect the other end of the tube to the Y piece.

• Page 42: Install The Humidifier

  3.6 Install the Humidifier WARNING  To prevent possible patient injury and equipment damage, do not turn on the humidifier until the gas flow has started and is regulated.  To prevent possible patient injury and equipment damage, ensure the humidifier is set to appropriate temperature and humidity.

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  A. Humidifier Humidifier mounting plate Humidifier bracket slot D. Screw Humidifier inlet Humidifier outlet Align the humidifier mounting plate and the slot, and slide the humidifier in. Tighten the screw. Mount the filters onto the inspiratory and expiratory ports. Connect the inspiratory filter to the humidifier inlet via the tube. Connect the humidifier outlet to the water trap via the tube.

• Page 44: Install The Humidifier Onto The Pendant

  3.6.2 Install the Humidifier onto the Pendant A. Humidifier Fixing block knob Fixing block D. Humidifier mounting plate Humidifier bracket slot Screw Beam 3-12…

• Page 45: Install The Nebulizer

  Loosen the fixing block knob. Place the fixing block onto the pendant beam. Tighten the fixing block knob. Align the humidifier mounting plate and slot, and slide the humidifier in. Tighten the screw. Install the patient tubing. For details, refer to steps 3 through 7 in 3.6.1 Install the Humidifier onto the Ventilator.

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  A. Nebulizer connector Nebulizer tube Nebulizer Connect one end of the nebulizer tube to the nebulizer connector and the other end to the nebulizer. Install the nebulizer to the inspiratory limb via the tube. 3-14…

• Page 47: Install The O Sensor

  3.8 Install the O Sensor CAUTION To reduce the risk of explosion, do not burn the O cell or force the cell open.  A. O sensor door sensor Fixing seat D. O sensor connection cable Rotate the O sensor clockwise to install it. Push the O sensor and its fixing seat into the ventilator.

• Page 48: Install The Gas Cylinder

  3.9 Install the Gas Cylinder CAUTION Ensure that the gas cylinder is equipped with pressure-reducing valve.  A. Gas cylinder Cylinder fixing buckle Trolley base Place the gas cylinder onto the trolley base. Fix the gas cylinder via cylinder fixing buckle. 3-16…

• Page 49: User Interface

  User Interface 4.1 Display Controls The control unit is characterized by a small number of operating elements. Its main elements are: Display (touch screen) The display shows the software screen of the ventilator system. You can select and change settings by touching the screen. Alarm indicator light The alarm indicator light indicates the priority of an active alarm by flashing different colors at different frequencies.
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  AUDIO PAUSED key Press to initiate AUDIO PAUSED for 120 seconds, so that audible alarm tones of the active alarms are switched off. If AUDIO PAUSED exceeds 120 seconds, the AUDIO PAUSED status terminates automatically and audible alarm tones are restored. If a new alarm is triggered under AUDIO PAUSED status, the AUDIO PAUSED status terminates automatically and audible alarm tones are restored.
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  The following is an example of Waveforms screen. Display screen may vary subject to the configurations. Ventilation mode field Displays Standby or active ventilation mode and ventilation assist indication. Ventilation type field Displays Non-invasive or Invasive ventilation type: Displays the icon for Non-invasive mask and NIV word when the ventilation …
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  Alarm message field Displays the active alarm messages. When there are multiple alarm messages, the number of alarms is displayed. In this case, select the alarm message field, and you can view active alarm messages, alarm occurrence time and alarm level on the accessed window.

• Page 53: Waveforms Screen

  4.2 Waveforms Screen Select the [Waveforms] button to access the screen as shown below.

• Page 54: Spirometry Screen

  4.3 Spirometry Screen Select the [Spirometry] button to access the screen as shown below. The screen as shown below is displayed by pressing the button.

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  Spirometry loops reflect patient lungs function and ventilation condition as well, such as the patient’s lungs compliance, over-inflation, breathing system leakage and airway blockage. The system provides three types of spirometry loops: P-V (pressure-volume) loop, F-V (flow-volume) loop, and F-P (flow-pressure) loop. The data of P-V loop, F-V loop and F-P loop come from pressure, flow, and volume waveform data.
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  Select the [Review Ref.] button to display the window as shown below. Non-selected Non-selected reference loop Selected reference reference loop loop (small) Selected reference Parameter loop (large) data area Loop type  Small loop windows : These small graphic windows show the reference loops. The reference loops (up to 5) are displayed from oldest (left) to newest (right).

• Page 57: Measured Values Screen

  4.4 Measured Values Screen When the sidestream CO module and SpO module are configured, select the [Values] button to access the screen as shown below. When the mainstream CO module and SpO module are configured, select the [Values] button to access the screen as shown below.

• Page 58: History Data

  4.5 History Data Select the [History] button to access the window as shown below. You can view tabular trend, graphic trend, setting trends, and event logbook in the History window. 4.5.1 Tabular Trend You can view the patient’s monitored parameter data and events under the Tabular Trend tab. Trend data displays at one-minute intervals by default.

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  4.5.1.2 Navigating in Tabular Trend Button Function Moves the cursor one record back/forward from its current position. Moves the cursor up/down one parameter from its current position. Moves the cursor one page back/forward from its current position. Moves the cursor up/down one page from its current position. Moves the cursor to the oldest/newest record from its current position.

• Page 60: Graphic Trend

  4.5.1.3 Interval In the Tabular Trend window, you can set [Interval] to [1min], [5min], [10min], [15min], [30min], [1h], and [2h]. 4.5.1.4 Display Group In the Tabular Trend window, you can set [Display Group] to [Pressure], [Volume], [Time], [Gas], [SpO ], [Other], and [All]. 4.5.2 Graphic Trend Graphic trend records the trend of parameter values.

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  4.5.2.1 About Graphic Trend  Graphic Trend displays the time and date on the horizontal axis.  Graphic Trend displays the parameter data on the vertical axis.  Graphic Trend displays the most recent trend data on the rightmost side. …

• Page 62: Setting Trends

  Moves the cursor to the top/bottom parameter from its current position. Previous Event Moves the cursor to the previous event from its current position. Next Event Moves the cursor to the next event from its current position. 4.5.2.3 Zoom In the Graphic Trend window, you can set [Zoom] to [5min], [10min], [15min], [30min], [1h], and [2h].

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  4.5.3.1 About Setting Trends  Settings Trends displays the time and date on the horizontal axis.  Settings Trends displays the ventilation mode and setting parameter on the vertical axis.  Settings Trends displays the most recent trend data on the rightmost side. …

• Page 64: Event Logbook

  Moves the cursor to the top/bottom parameter from its current position. 4.5.4 Event Logbook Event Logbook records such events as power-on/off, ventilation mode setup, ventilation parameter setup, technical alarm, physiological alarm, standby status, starting ventilation, new patient, special function, default settings management, calibration, System Check, and alarm AUDIO PAUSED.

• Page 65: Freeze

  4.5.4.2 Navigating in Event Logbook Button Function Moves the scroll up/down one record. Moves the scroll up/down one page. Moves the scroll to the top/bottom most parameter. 4.5.4.3 Filter In the Event Logbook window, you can set [Filter] to [High Alarms], [Med Alarms], [Low Alarms], [All Alarms], [Operation Information], and [All Events].

• Page 66: View Frozen Waveforms

  4.6.2 View frozen waveforms In freeze status, cursors appear on the waveforms. You can rotate the control knob clockwise or counter-clockwise to move the cursor to view the waveforms. Cursor 4.6.3 View frozen loop In freeze status, cursors appear on the loops. You can rotate the control knob clockwise or counter-clockwise to move the cursor to view the loops.

• Page 67: Exit Freeze Status

  The screen as shown below is displayed by pressing the button. 4.6.4 Exit freeze status In freeze status, press the [Freeze] key to exit freeze status. In freeze status, if no operation is performed on the ventilator for more than three (3) minutes, the system exits freeze status automatically.

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  FOR YOUR NOTES 4-20…

• Page 69: System Settings

  System Settings 5.1 Display Settings 5.1.1 Waveforms Select [Setup]→[Setting]→[Screen Setup]. Set [Waveform Count] and select the number of waveforms to be displayed. Select [Draw Wave] and toggle between [Curve] and [Fill].  [Curve]: the waveform is displayed as a curved line. [Fill]: the waveform is displayed as a filled area.

• Page 70: Measured Values

  5.1.2 Measured Values On the Waveforms or Spirometry screen, the right side of the screen is used to display parameters. To change the display in the parameter area: Select [Setup]→[Setting]→[Screen Setup]. Set [Value Count] and select the number of measured values to be displayed. Select parameter area.

• Page 71: Colors

  5.1.3 Colors The colors of waveform, parameter, spirometry loop, and parameter alarm limit are linked. If you set the color of waveform or parameter, the color of the relevant parameter, waveform, or spirometry loop also changes. The color of related parameter alarm limit will be the dark color of the set color.

• Page 72: Set Date And Time

  5.2 Set Date and Time Select the system time field on the main screen to pop up time setup menu. Set [Date] and [Time]. Set [Date Format] to [YYYY-MM-DD], [MM-DD-YYYY] or [DD-MM-YYYY]. Select [Time Format] and toggle between [24 h] and [12 h]. 5.3 Adjust Screen Brightness Select [Setup]→[Setting]→[Brightness/Volume].

• Page 73: Set Tv/Ibw

  5.7 Set TV/IBW Select [Setup]→[Setting]→[System]. Select [TV/IBW] and set it to appropriate ratio. The system sets TV default value in the ventilation mode based on [TV/IBW]. 5.8 Set DuoLevel Timing Select [Setup]→[Setting]→[System]. Select [DuoLevel Timing] and toggle between [Thigh] and [f]. In case of DuoLevel ventilation mode, the settable time control parameters are [Thigh] and [Tlow] if [DuoLevel Timing] is set to [Thigh].

• Page 74: Set Language

  NOTE The system total response time for oxygen concentration monitoring is 23s.   It takes approximately 3 minutes from powering on the ventilator to reaching the oxygen concentration monitoring performance specified in section B.7 of this manual. 5.11 Set Language Select [Setup]→[Maintain]→[User]→enter the required password→[Setting].

• Page 75: Manage Default Settings

  5.14 Manage Default Settings The ventilator provides the following types of settings:  Factory default settings, namely, values of factory preset setting items. There are two groups of default settings, adult and pediatric, based on patient type.  Current settings. You can change the ventilator’s default settings based on the current settings during ventilation and save the changed settings as default settings.

• Page 76: Restore Recent Settings Automatically

  5.14.3 Restore Recent Settings Automatically When the ventilator is used on the same patient after powered on, the system adopts recent settings automatically. NOTE  Records the system saves automatically include reference loop, monitored trend, event log (including alarm log), setup trend, special function measured values (including PEEPi, NIF, P0.1, and P-V Tool measured values), patient setup and equipment setup (including alarm setup).

• Page 77: View System Information

  5.16 View System Information 5.16.1 Version Information Select [Setup]→[Maintain]→[User]→enter the required password→[Syst. Info]→ [Versions] to view the version information of system software. 5.16.2 Configuration Information Select [Setup]→[Maintain]→[User]→enter the required password→[Syst. Info]→[Config Info] to view the configuration information of the ventilator such as ventilation mode. 5.16.3 Maintenance Information Select [Setup]→[Maintain]→[User]→enter the required password→[Syst.

• Page 78: Export Data

  5.17.2 Export Data Exporting data means to export patient demographics, current setting parameters, current alarm limits, and trend data of the ventilator. To export data, Insert the USB memory into the USB connector of the ventilator. Select [Setup]→[Export]→[Export Data]. The system checks the availability of USB memory.

• Page 79: Ventilation

  Ventilation 6.1 Turn on the System Insert the power cord into the power receptacle. Ensure the external power indicator light is lit. Press the key. The alarm indicator light flashes yellow and red once in turn, and then the speaker and the buzzer give a check sound respectively.

• Page 80
  To enter the System Check screen,  The System Check screen is accessed automatically after powering on the system.  On the non-standby screen, select the [Standby] button and enter the Standby status after your confirmation. Select the [System Check] button in the Standby status to enter the System Check screen.

• Page 81: Select Patient

  Total selftest results are listed as follows after all selftest items have been completed:  Pass: all selftest items successfully pass the seftest.  Partially Pass: some selftest items fail, but the mechanical ventilation is allowed.  Fail. Ventilation Disabled: some important selftest items fail, but the mechanical ventilation is not allowed.

• Page 82: Getting Patient Information From The Adt Server

  6.3.2 Getting Patient Information from the ADT Server The ventilator can connect with the Admit-Discharge-Transfer (ADT) server through the eGateway, and the ventilator can load the patient information from ADT server. To load patient information from the ADT server, perform the following procedure: Connect the network cables.

• Page 83: Invasive Ventilation

  6.4.1 Invasive Ventilation Invasive ventilation means to ventilate the patient through manual airway (ET tube or Trach tube). In invasive ventilation, all ventilation modes for adult and pediatric patients are enabled. Select the icon for invasive ventilation or select . Select [ATRC] in the accessed page and then make the relevant settings.

• Page 84: Ventilation Mode

  6.5 Ventilation Mode NOTE At the inspiratory phase, the ventilator will not automatically generate negative  pressure. However, it may cause negative pressure because patients inhale air.  The user can set high pressure alarm limit. If the pressure reaches the high pressure alarm limit in the inspiratory phase, the “Paw Too High”…

• Page 85
  To set ventilation mode, In the ventilation mode setup filed, select the key for the desired ventilation mode. The accessed window displays the ventilation parameters which can be set in the selected ventilation mode. Select the key for the ventilation parameter to be set. Press the control knob and turn it to set the selected parameter to the appropriate value.

• Page 86: Apnea Ventilation

  6.5.2 Apnea Ventilation Apnea ventilation is a backup ventilation mode initiated when the ventilator detects patient apnea in CPAP/PSV, V-SIMV, P-SIMV, PRVC-SIMV, DuoLevel, and APRV modes. Apnea ventilation can exit only under the following circumstances: patient’s spontaneous breathing has been detected continuously twice, ventilation mode is switched over, or apnea ventilation is switched off (in SIMV modes).

• Page 87: V-A/C

  6.5.3 V-A/C V-A/C is volume-assist/control ventilation mode. In V-A/C mode, a certain tidal volume is delivered to the patient within a certain period of gas delivery time. During the expiratory phase, V-A/C mode supports synchronization trigger. Namely, when the ventilator detects patient inspiratory effort, it delivers next mechanical ventilation in advance.

• Page 88: P-A/C

  In V-A/C mode, you can set the following sigh function parameters as required: [Sigh]: Switch for turning on sigh function [Interval]: Time interval between two sighs [Cycles Sigh]: Number of sigh cycles [△int.PEEP]: PEEP added in sigh cycle In V-A/C mode, you can set the following ATRC function parameters as required in Invasive ventilation (this function is applied to all Invasive modes and the description is not repeated in the other ventilation modes section in this manual.): [Disable ATRC]:…
• Page 89
  The following figure shows typical waveforms in P-A/C mode. Tslope Insp. pressure PEEP Insp. trigger level Time Tinsp Flow Insp. trigger level Time TV exceeds the TV High Alarm limit In P-A/C mode, you need to set the following basic ventilation parameters: Oxygen concentration [△Pinsp]: Inspiration pressure…

• Page 90: V-Simv

  6.5.5 V-SIMV V-SIMV is volume-synchronized intermittent mandatory ventilation mode. It provides the minimum number of mandatory breaths based on the preset intermittent mandatory ventilation frequency. Mandatory ventilation mode is volume mode (V-A/C mode). If patient triggers within the trigger window, ventilator delivers mandatory volume control breath once. Mandatory volume control breath is also delivered once if it is not triggered at the end of trigger window.

• Page 91: P-Simv

  10. [Tslope]: Time of pressure rising 11. [Apnea Ventilation]: Switch for apnea ventilation 12. [TVapnea] or [ΔPapnea]: Tidal volume or inspiration pressure in apnea ventilation cycle 13. [fapnea]: Frequency of apnea ventilation 14. [Apnea Tinsp]: Inspiration time of apnea ventilation In V-SIMV mode, you can set the following sigh function parameters as required: [Sigh]: Switch for turning on sigh function…

• Page 92
  The following figure shows typical waveforms in P-SIMV+PSV mode. P-SIMV+PSV SIMV cycle SIMV cycle Trigger Trigger Trigger Pressure Pressure window window window control control △Psupp Insp. trigger Time Flow Time In P-SIMV mode, you need to set the following basic ventilation parameters: Oxygen concentration [△Pinsp]: Inspiration pressure…

• Page 93: Cpap/Psv

  [Cycles Sigh]: Number of sigh cycles [△int.PEEP]: PEEP added in sigh cycle 6.5.7 CPAP/PSV PSV is pressure support ventilation mode. The system delivers a PSV when it detects that patient inspiratory effort reaches the preset inspiration trigger level. Time of pressure rising and pressure support level are set by the user.

• Page 94
  Spontaneous breathing Apnea ventilation △Papnea PEEP Tslope Time Flow Time Apnea time Apnea Tinsp Apnea vent cycle In CPAP/PSV mode, you need to set the following basic ventilation parameters in Invasive ventilation: Oxygen concentration [△Psupp]: Pressure support level (for PSV mode) [PEEP]: Positive end-expiratory pressure [F-Trig] or [P-Trig]:…

• Page 95: Prvc

  [Tslope]: Time of pressure rising [TVapnea] or [ΔPapnea]: Tidal volume or inspiration pressure in apnea ventilation cycle [fapnea]: Frequency of apnea ventilation 10. [Apnea Tinsp]: Inspiration time of apnea ventilation 6.5.8 PRVC PRVC is pressure regulated volume control ventilation mode. It implements delivering set tidal volume by the way of pressure control ventilation.

• Page 96: Prvc-Simv

  In PRVC mode, you need to set the following ventilation parameters: Oxygen concentration [TV]: Tidal volume [Tinsp] or [I:E]: Inspiration time or ratio of inspiratory time to expiratory time [f]: Breathing frequency [PEEP]: Positive end-expiratory pressure [Assist]: Switching trigger ON/OFF [F-Trig] or [P-Trig]: Inspiration trigger level [Tslope]:…

• Page 97
  The following figure shows typical waveforms in PRVC -SIMV+PSV mode. PRVC-SIMV+PSV SIMV cycle SIMV cycle Trigger Trigger Trigger Volume Volume window window window control control △Psupp Insp. trigger Time Flow Time In PRVC-SIMV mode, you need to set the following basic ventilation parameters: Oxygen concentration [TV]: Tidal volume…

• Page 98: Duolevel

  In PRVC-SIMV mode, you can set the following sigh function parameters as required: [Sigh]: Switch for turning on sigh function [Interval]: Time interval between two sighs [Cycles Sigh]: Number of sigh cycles [△int.PEEP]: PEEP added in sigh cycle 6.5.10 DuoLevel DuoLevel is dual level positive airway pressure ventilation mode.

• Page 99: Aprv

  In DuoLevel mode, you need to set the following basic ventilation parameters: Oxygen concentration [Phigh]: High pressure [Thigh] or [f]: Time of high pressure or breathing frequency [Plow]: Low pressure [Tlow], [Tinsp] or [I:E]: Time of low pressure, inspiration time or ratio of inspiratory time to expiratory time [△Psupp]: Pressure support level…

• Page 100: Amv

  In APRV mode, you need to set the following ventilation parameters: Oxygen concentration [Phigh]: High pressure [Thigh]: Time of high pressure [Plow]: Low pressure [Tlow]: Time of low pressure [Tslope]: Time of pressure rising [TVapnea] or [ΔPapnea]: Tidal volume or inspiration pressure in apnea ventilation cycle [fapnea]: Frequency of apnea ventilation…

• Page 101
  The first three cycles of AMV is PCV experimental ventilation to calculate patient’s lung resistance and compliance. Initial ventilation parameters are: Adult experimental ventilation cycle setting parameters IBW (kg) Pinsp(cmH O) Tinsp(s) f(/min) 10-29 30-39 40-59 60-89 90-99 ≥100 Pediatric experimental ventilation cycle setting parameters IBW (kg) Pinsp(cmH O) Tinsp(s) f(/min) 9-11…

• Page 102: Additional Settings For Ventilation

  In AMV mode, you need to set the following basic ventilation parameters: Oxygen concentration [MV%]: Percentage of minute volume [PEEP]: Positive end-expiratory pressure [F-Trig] or [P-Trig]: Inspiration trigger level [Exp％]: Expiration trigger level [Tslope]: Time of pressure rising 6.6 Additional settings for ventilation 6.6.1 Sigh Atelectasis can be prevented by activating the sigh function and setting the sigh in the form of an intermittent PEEP.

• Page 103: Leakage Compensation

  6.6.2 Leakage compensation The leakage from the breathing circuit and mask may cause that the gas volume delivered to the patient’s lung is lower than the setting value. The leakage also may cause the false inspiratory trigger or difficult switching between inspiratory and expiratory. The ventilator provides automatic leakage compensation function.

• Page 104: Set Alarm Limits

  With Leakage compensation With automatic leakage compensation, the ventilator delivers 660 mL on the basis of the measured leakage minute volume, instead of the 600 mL set. 600 mL enter the lung and the displayed inspiratory tidal volume TV is 600 mL. The volume of 500 mL measured on the expiration side is displayed without compensation, even when leakage compensation is activated.

• Page 105: Ventilation Parameters

  6.9 Ventilation Parameters WARNING  As required by the relevant rules and regulations, oxygen concentration shall be monitored when the equipment is used on the patient. If your ventilator is not configured with such monitoring function or this function is switched off, use a monitor which complies with ISO 80601-2-55 for oxygen concentration monitoring.

• Page 106
  Setting Description parameter Tlow is the time that the ventilator will hold the low pressure level. Tlow Tinsp Inspiration Time in one breathing cycle. F-Trig/P-Trig Pressure trigger and flow trigger included. When the trigger level is detected, the ventilator starts to enter the inspiratory phase. When F-Trig is active, at the late stage of expiration the ventilator delivers a base flow from the inspiratory limb to the expiratory limb.
• Page 107
  Monitored Description parameter Ppeak The maximum pressure value in one breathing cycle. Pplat The airway pressure during inspiratory pause. Pmean The mean pressure value in one breathing cycle. PEEP Positive end-expiratory pressure. The inspired tidal volume in one cycle. The expired tidal volume in one cycle. TVe spn The spontaneous expired tidal volume in one cycle.

• Page 108: Enter Standby Status

  Monitored Description parameter is the actual airway pressure). Vtrap The volume of trapped gas in the lungs. The percentage of oxygen in the patient’s inspired gas. EtCO The concentration of CO measured at the end of expiration. Vdaw Airway dead space. Vdaw/TVe Ratio of airway dead space to tidal volume.

• Page 109: Co Monitoring

  Monitoring 7.1 Introduction monitoring is a continuous, non-invasive technique for determining the concentration of in the patient’s airway by measuring the absorption of infrared (IR) light of specific wavelengths. The CO has its own absorption characteristic and the amount of light passing the gas probe depends on the concentration of the measured CO .

• Page 110
  For mainstream CO module, besides the above mentioned CO waveform and EtCO monitored parameter, the measurement also provides: V- CO loop Monitored parameters: Vdaw: airway dead space.  Vdaw/TVe: ratio of airway dead space to tidal volume.  Vtalv: alveolar tidal ventilation. …

• Page 111: Use A Sidestream Co Module

  NOTE As required by the relevant rules and regulations, carbon dioxide concentration  should be monitored when the equipment is used on the patient. If your ventilator is not configured with such monitoring function, use a monitor which complies with the relevant international rules and regulations for carbon dioxide concentration monitoring.

• Page 112
  After start-up is finished, the [CO Warm-up] message is displayed. The CO module is in ISO accuracy mode. If you perform CO measurements during warm-up, the measurement accuracy may be compromised. After warm-up is finished, the CO module enters full accuracy mode. NOTE To extend the lifetime of the water trap and CO module, disconnect the water trap…

• Page 113: Make Co

  7.2.2 Make CO Settings 7.2.2.1 Set CO Monitoring When [Monitoring] is set to [ON], the CO module enters operating mode. The ventilator displays CO parameters and waveform, and provides physiological alarms and technical alarms related to CO module. When [Monitoring] is set to [OFF], the CO module enters standby mode.

• Page 114: Measurement Limitations

  7.2.2.3 Set BTPS Compensation The CO module is configured to compensate CO readings for either Body Temperature and Pressure, Saturated Gas (BTPS), to account for humidity in the patient’s breath, or Ambient Temperature and Pressure, Dry Gas (ATPD).   mmHg ATPD: …

• Page 115: Troubleshooting

  7.2.4 Troubleshooting When the sampling system of the CO module works abnormally, check if the sampling line is kinked. If not, remove the sampling line from the water trap. Then, if a prompt message indicating airway malfunction appears on the screen, it means that the water trap is occluded. In this case, you must replace the water trap.

• Page 116: Use A Mainstream Co Module

  7.3 Use a Mainstream CO Module NOTE This section is only applicable to the ventilator configured with mainstream CO  module. 7.3.1 Prepare to Measure CO Connect the sensor to the CO module. By default, the mainstream CO module is in measure mode. The [CO Warm-up] message appears on the screen when the CO module is switched on (CO…

• Page 117
  WARNING  Do not use the CO sensor if it appears to have been damaged or if it fails to operate normally. Contact the Customer Service Department.  To reduce the risk of explosion, do not place the CO sensor in a combustible or explosive environment.

• Page 118: Make Co Settings

  7.3.2 Make CO Settings 7.3.2.1 Set CO Monitoring When [Monitoring] is set to [ON], the CO module enters operating mode. The ventilator displays CO parameters and waveform, and provides physiological alarms and technical alarms related to CO module. When [Monitoring] is set to [OFF], the CO module enters standby mode.

• Page 119: Measurement Limitations

  7.3.3 Measurement Limitations Measurement accuracy may be compromised due to:  Leakage or internal leakage of the sample gas  Mechanical shock  Cyclic pressure which is greater than 10 kPa (100 cmH  Other interference source (if available) Measurement accuracy may be affected by the breath rate and I/E ratio as follow: EtCO is within specification for breath rate ≤…

• Page 120: Calibrate The Sensor

  7.3.5 Calibrate the Sensor For a mainstream CO module, calibration is not required. The system sends altitude to the mainstream CO module for calibration compensation. Contact us if calibration of the mainstream CO module is necessary. 7-12…

• Page 121: Spo Monitoring

  Monitoring 8.1 Introduction monitoring is a non-invasive technique, used to measure the amount of oxygenated haemoglobin and pulse rate by measuring the absorption of selected wavelengths of light. The light generated in the sensor passes through the tissue and is converted into electrical signals by the photo detector in the sensor.

• Page 122: Safety

  NOTE A functional tester or SpO simulator can not be used to assess the accuracy of a  module or a SpO sensor. A functional tester or SpO simulator can be used to determine the pulse rate  accuracy. 8.2 Safety WARNING Use only SpO sensors and cables specified in this manual.

• Page 123: Make Spo Settings

  WARNING If the sensor is too tight because the application site is too large or becomes too  large due to edema, excessive pressure for prolonged periods may result in venous congestion distal from the application site, leading to interstitial edema and tissue ischemia.

• Page 124: Measurement Limitations

  8.5 Measurement Limitations If you doubt the measured SpO , check patient vital signs first. Then check the patient ventilator and SpO sensor. The following factors may influence the accuracy of measurement:  Ambient light  Physical movement (patient and imposed motion) …

• Page 125: Special Functions

  Special Functions 9.1 Manual Breath Select the [Tools] key→[Functions]→[Manual Breath], and the ventilator system delivers a breath to the patient based on the current ventilation mode. NOTE Pressing the [Manual Breath] key during inspiratory phase cannot initiate a  manual breath. Manual breath function is disabled in CPAP mode and is supported when apnea …

• Page 126: Inspiration Hold

  9.3 Inspiration Hold Inspiration Hold means to extend the patient’s time of inspiratory phase manually and to prevent the patient from expiration for a certain period of time. Select the [Tools] key→[Functions]→[Insp. Hold]. Push and hold the [Insp. Hold] key. The ventilator starts the Inspiration Hold function and the screen shows [Insp.

• Page 127: O 2 ↑(O 2 Enrichment)

  NOTE Nebulization is disabled in V-A/C, V-SIMV, PRVC-SIMV, AMV and PRVC modes  when patient type is pediatric. When O supply type is low-pressure, pressing the [Nebulizer] key will not activate  nebulizer, rather display the prompt message [Fail to Start with Low Pressure O Supply].

• Page 128: Suction

  9.6 Suction The ventilator provides a suction procedure to help the ICU staff to complete the suction maneuver. The ventilator detects the procedure of disconnecting or reconnecting the patient tubing. The ventilator starts oxygen enrichment before and after the suction, and disables the otherwise relevant alarm messages during the suction.

• Page 129: Nif

  9.8 NIF NIF is the maximum negative pressure generated by the patient’s spontaneous breathing within a period of time. Select the [Tools] key→[Diagnostics]→[NIF]. Select [NIF] to access the NIF measurement window. Press and hold the [Exp. Hold] key on the screen and the system starts NIF measurement.

• Page 130: P-V Tool

  9.10 P-V Tool Mechanical ventilation set with the optimal PEEP can improve oxygenation, improve alveolar mechanics and reduce injury to the lungs. By drawing static pressure-volume loop (static P-V loop), P-V tool is the method to determine the optimal PEEP based on the characteristic points on the static P-V loop.

• Page 131: Automatic Tube Resistance Compensation (Atrc)

  After the measurement is completed, the system enters Analysis screen. You can set the desired positions of [Cursor 1] and [Cursor 2]. When you select [Cursor 1] or [Cursor 2], the selected cursor turns green. You can move the position of the cursor via the control knob to determine the characteristic points.

• Page 132: Intellicycle

  WARNING ATRC may induce autotriggering. If autotriggering occurs, first check the patient,  breathing circuit, and other possible causes. NOTE  Incorrect tube type or ID setting can endanger the patient. Make sure to set them properly. 9.12 IntelliCycle IntelliCycle intelligent synchronous technology means that the user can set [Exp%] to [Auto] in CPAP/PSV, V-SIMV, P-SIMV, PRVC-SIMV, AMV and DuoLevel modes and ventilator will adjust [Exp%] dynamically by adaptive algorithm through extracting and analysing the waveform characteristics.

• Page 133: Preparing For O Therapy

  WARNING  therapy can only be used on patients with spontaneous breathing. 9.13.1 Preparing for O Therapy WARNING Do not use antistatic or conductive patient tubing. The use of such materials  increases the risk of an electric shock for the patient and the risk of fire breaking out in oxygen- enriched atmospheres.

• Page 134
  A. Inspiratory filter B. Humidifier inlet C. Humidifier outlet D. Inspiratory water trap E. Y piece (connect with the O therapy mask) F. Support arm hook Mount the filter onto the inspiratory port. Connect the inspiratory filter to the humidifier inlet via the tube. Connect the humidifier outlet to the water trap via the tube.

• Page 135: Switching On O Therapy

  Mount the filter onto the inspiratory port. Connect the inspiratory filter to the humidifier inlet via the tube. Connect the humidifier outlet to the nasal cannula via the tube with heating function. The expiratory port is not connected with a tube. Place the tubes onto the support arm hook.

• Page 136
  The relationship between the settable maximum O % and Flow during the O therapy Continuous Flow (L/min) concentration (Vol.%) 2-50 9-12…

• Page 137: O 2 Therapy Timer

  9.13.3 O Therapy Timer Select the O Therapy Timer area in the top left corner to access the window as shown below. Select [Stop]/[Start] to stop or start timing. Select [Reset] to reset the displayed time of the timer. Enter the number of timing minutes in [O Therapy Time Setup] to start the timer.

• Page 138
  FOR YOUR NOTES 9-14…

• Page 139: Alarms

  Alarms 10.1 Introduction Alarms, triggered by a vital sign that appears abnormal or by technical problems of the ventilator, are indicated to the user by visual and audible alarm indications. NOTE When the ventilator is started, the system detects whether audible alarm tones and …

• Page 140: Alarm Categories

  10.2 Alarm Categories By nature, the ventilator’s alarms fall into three categories: physiological alarms, technical alarms and prompt messages. Physiological alarms Physiological alarms, also called patient status alarms, are triggered by a monitored parameter value that violates set alarm limits or an abnormal patient condition. Physiological alarm messages are displayed in the alarm message field.

• Page 141: Alarm Lamp

  10.4.1 Alarm Lamp If a technical alarm or physiological alarm occurs, the alarm lamp will flash. The flashing color and frequency match the alarm priority as follows:  High priority alarms: the lamp quickly flashes red.  Medium priority alarms: the lamp slowly flashes yellow.

• Page 142: Alarm Status Symbol

  10.4.5 Alarm Status Symbol Apart from the aforementioned alarm indicators, the ventilator still uses the following symbols telling the alarm status:  indicates that the alarm system is in AUDIO PAUSED state.  indicates multiple alarm messages when this icon is displayed before alarm messages to show the number of alarms.

• Page 143: Set Alarm Limits

  10.6 Set Alarm Limits CAUTION  In case that high pressure alarm limit of 60 cmH O is not required under clinical condition, setting high pressure alarm limit to 60 cmH O or less is recommended so as to extend the service life of the turbine and the battery. NOTE …

• Page 144: Audio Paused

  10.7 AUDIO PAUSED 10.7.1 Set AUDIO PAUSED Push the key to pause audio alarm of currently active alarms for 120 seconds. WARNING Pay close attention to the patient and ventilator to ensure no alarm messages are  ignored during the period of AUDIO PAUSED. Possible patient or equipment hazard may be produced if the alarm condition continues while no action is taken.

• Page 145: Alarm Off

  10.9 ALARM OFF When TV high alarm limit, TV low alarm limit, or ftotal high alarm limit is set to [OFF], the alarm off icon will be displayed at the position of parameter alarm limits, and the physiological alarms of [TVe Too High], [TVe Too Low], or [ftotal Too High] will be switched off.

• Page 146: Loss Of Power

  10.10.2 Loss of Power Connect the ventilator to AC power and push the hardkey to switch on. After the system starts up, disconnect the external power supply when the battery is fully charged. Connect a test lung to the ventilator and start normal ventilation. The ventilation time is approximately 3 hours for the ventilator configured with one battery (approximately 6 hours for the ventilator configured with two batteries).

• Page 147: Mv Too Low

  10.10.6 MV Too Low After the ventilator system starts up normally, connect a test lung to the ventilator and start ventilation. Set the MV low alarm limit to be greater than the current MV. Verify that the [MV Too Low] alarm is activated. 10.10.7 O Supply Failure Connect the ventilator to high-pressure O…

• Page 148: Fio 2 Too High

  10.10.10 FiO Too High Connect the ventilator to low-pressure O supply. Set the O supply type to LPO. Connect a test lung to the ventilator and start ventilation. Set the FiO high alarm limit to be less than the current O concentration monitored value after ventilation is stable.

• Page 149: Spo Too High

  10.10.14 SpO Too High Connect a test lung to the ventilator and start ventilation. Connect the SpO sensor and activate the SpO monitoring function. Connect the SpO sensor to the index finger, set the SpO Desat alarm limit as 0%, set the SpO low alarm limit as 0% and the SpO high alarm limit 2%.

• Page 150: Pr Too Low

  10.10.18 PR Too LOW Connect a test lung to the ventilator and start ventilation. Connect the SpO sensor and activate the SpO monitoring function. Connect the SpO sensor to the index finger, and set the PR high alarm limit as 300 1/min and the PR low alarm limit 298 1/min.

• Page 151: When An Alarm Occurs

  WARNING Do not rely exclusively on the nurse call system for alarm notification. Remember  that the most reliable alarm notification combines audible and visual alarm indications with the patient’s clinical condition. Use the specified nurse call cable when connecting with the hospital’s nurse call …
• Page 152
  FOR YOUR NOTES 10-14…

• Page 153: Cleaning And Disinfection

  Cleaning and Disinfection WARNING Obey applicable safety precautions.  Read the material safety data sheet for each cleaning agent.  Read the operation and service instructions for all disinfection equipment.  Wear gloves and safety glasses. A damaged O sensor can leak and cause burns …

• Page 154: Methods For Cleaning And Disinfection

  NOTE Clean and disinfect the equipment as required before it is put into use for the first  time. Refer to this chapter for the cleaning and disinfection methods. To help prevent damage, refer to the manufacturer’s data if you have questions …

• Page 155
  Cleaning Disinfection Recommended Parts frequency ① ② Ventilator Housing Ventilator external surface (including Each patient A or D ① housing, power cord, supply gas hose) Trolley and support arm Each patient A or D ① Touch screen Each patient A or D ①…
• Page 156
  Cleaning Disinfection Recommended Parts frequency ① ② Cleaning methods（Wipe and Bath Immersion）: ① Wipe: wipe with a damp cloth immersed in alkalescent detergent (soap water, etc.) or alcohol solution and then wipe off the remaining detergent with a dry lint free cloth. ②…

• Page 157: Expiration Valve Assembly And Membrane

  11.2 Disassemble the Ventilator’s Cleanable and Disinfectable Parts 11.2.1 Expiration Valve Assembly and Membrane A. Expiration valve assembly Expiration valve handwheel Expiration valve membrane D. Locked state of the expiration valve Unlocked state of the expiration valve 11-5…

• Page 158
   To disassemble the expiration valve assembly: Rotate the expiration valve handwheel counter-clockwise until the indicating arrow on the handwheel aligns with the position. Then pull out the expiration valve assembly horizontally. Remove the expiration valve membrane.  To install the expiration valve assembly: Install the expiration valve membrane onto the expiration valve assembly.

• Page 159: Inspiration Safety Valve Assembly

  11.2.2 Inspiration Safety Valve Assembly 11.2.2.1 Inspiration Safety Valve Assembly A. Sealing ring Safety valve assembly Safety valve handwheel D. Locked state of the inspiration safety valve Unlocked state of the inspiration safety valve 11-7…

• Page 160
   To disassemble the inspiration safety valve assembly: Ensure ventilator is in Standby or switched off. Rotate the inspiration safety valve handwheel counter-clockwise until the indicating arrow on the handwheel aligns with the position. Then pull out the inspiration safety valve assembly horizontally. Check if the sealing ring at the end of the inspiration safety valve is disconnected.
• Page 161
  11.2.2.2 Inspiration Safety Valve Membrane A. Safety valve body Membrane fixing knob Safety valve membrane D. Membrane support Groove of safety valve body Guides on membrane fixing knob  To disassemble the inspiration safety valve membrane: Face the membrane fixing knob and rotate the membrane fixing knob counter-clockwise to the end position.
• Page 162
   To install the inspiration safety valve membrane: Assemble the safety valve membrane to the membrane fixing knob. The 3 holes on the membrane match the 3 posts on the membrane fixing knob, as shown below. Ensure the metal side of the membrane support can be seen through the hole on the membrane fixing knob.
• Page 163
   To disassemble the HEPA filter assembly and air intake dust filter: Pull the two snaps on the main unit air inlet grilleto remove the grille. Pull the snap on the HEPA filter to take it out. If it is necessary to remove the air intake dust filter, pinch the dust filter with two fingers and take it out.

• Page 164: Fan Dust Filter

  11.2.4 Fan Dust Filter A. Fan dust filter Main unit air inlet grille  To disassemble the fan dust filter: Pull the two snaps on the main unit air inlet grille to remove the grille. Remove the fan dust filter. …

• Page 165: Main Unit Air Outlet Dust Filter

  11.2.5 Main Unit Air Outlet Dust Filter A. Main unit air outlet dust filter Main unit air inlet grille  To disassemble the main unit air outlet dust filter: Pull the two snaps on the main unit air inlet grille to remove the grille. Pull out the main unit air outlet dust filter upward.

• Page 166: Patient Tubing

  11.2.6 Patient Tubing WARNING To minimize the risk of bacterial contamination or physical damage, remove and  install the bacterial filter with care. CAUTION When removing the reusable patient tubing, disconnect the tubes from the  ventilator connectors instead of pulling the tubes. A.

• Page 167
   To disassemble the patient tubing: Pull out the patient tubing one by one.  To install the patient tubing: Mount the filters onto the inspiratory and expiratory ports. Connect the inspiratory filter to the water trap via the tube. Connect the other end of the tube to the Y piece.

• Page 168: Nebulizer

  11.2.7 Nebulizer A. Nebulizer connector Nebulizer tube Nebulizer  To disassemble the pneumatic nebulizer: Pull out the nebulizer tube from the nebulizer connector. Pull out the nebulizer tube from the nebulizer and remove the nebulizer.  To install the pneumatic nebulizer: Connect one end of the nebulizer tube to the nebulizer connector and the other end to the nebulizer.

• Page 169: Humidifier

  NOTE Install the specified nebulizer. The nebulizer assembly, its installation and  disassembling steps described in this section are only for reference. 11.2.8 Humidifier NOTE The humidifier shall comply with the requirements of ISO 8185. The humidifier  assembly, its installation and disassembling steps described in this section are only for reference.

• Page 170
   To disassemble the humidifier from the ventilator: Disconnect the tubes from the humidifier. Remove the screw. Lift up the humidifier to remove it from the humidifier bracket fixed seat.  To install the humidifier onto the ventilator: Align the humidifier mounting plate and the slot, and slide the humidifier in. Tighten the screw.
• Page 171
  11.2.9.1 Humidifier on the Pendant A. Humidifier Fixing block knob Fixing block D. Humidifier mounting plate Humidifier bracket slot Screw Beam  To disassemble the humidifier from the pendant: Disconnect the tubes from the humidifier. Remove the screw. Lift up the humidifier to remove it from the humidifier bracket fixed seat. 11-19…

• Page 172: Mainstream Co 2 Sensor

   To install the humidifier onto the pendant: Loosen the fixing block knob. Place the fixing block onto the pendant beam. Tighten the fixing block knob. Align the humidifier mounting plate and slot, and slide the humidifier in. Tighten the screw. Install the patient tubing.

• Page 173: Maintenance

  Maintenance 12.1 Repair Policy WARNING Obey infection control and safety procedures. Used equipment may contain blood  and body fluids. Movable parts and removable components may present a pinch or a crush hazard.  Take care to move or replace system parts and components. Do not use lubricants that contain oil or grease.

• Page 174: Maintenance Schedule

  12.2 Maintenance Schedule Interval Part/accessory Procedure Each patient or Patient tubing (including Perform pressure and flow zeroing. Perform as necessary mask, inspiratory filter, System Check. Perform flow sensor calibration flow sensor, expiration (refer to 12.4). Replace with disinfected parts or valve and membrane) new disposable parts.

• Page 175
  Interval Part/accessory Procedure Annually, or cell Replace the O sensor if it is damaged (refer to every 5000 3.8）. hours, or as [NOTE] Oxygen cell life specifications are necessary approximate. The actual cell life depends on operating environment. Operation at higher temperatures or higher oxygen concentrations shortens cell life.

• Page 176: Pressure And Flow Zeroing

  12.3 Pressure and Flow Zeroing Zero pressure and flow when the monitored pressure or flow value has a great deviation. Zeroing can be performed in both Standby status and ventilation mode. Follow these steps to zero pressure and flow: Press the [Setup] key. Select [Calibrate] and select [Zero]. Select [Start] to which pressure and flow zeroing correspond on the right side to start Paw and flow zeroing.

• Page 177: Oxygen Concentration Calibration

  NOTE In case of calibration failure, check for relevant malfunctioning alarm and then  troubleshoot it. If it still fails or great measurement error occurs after troubleshooting, replace the flow sensor and repeat the above operations. If the measurement error is still significant, contact the authorized service personnel. 12.5 Oxygen Concentration Calibration NOTE Do not perform oxygen concentration calibration while the unit is connected to a…

• Page 178: Co Calibration

  NOTE Handle and dispose of the O sensor according to your biohazard policies. Do not  incinerate. Oxygen concentration monitoring does not provide automatic atmospheric  pressure compensation. Do oxygen concentration calibration again when atmospheric pressure has changed.  Increasing to periodical pressure of 10 kPa (100 cmH O) has no effect upon oxygen concentration monitoring accuracy.

• Page 179: Module

  Open to the air Hose Sampling line Pressure relief valve Ventilator Gas cylinder Expose the sampling line to the CO by opening the cylinder pressure relief valve. Input the applied CO concentration in the entry box in screen window. The measured CO concentration is displayed.

• Page 180: Battery Maintenance

  12.8 Battery Maintenance CAUTION The batteries can only be charged by this ventilator.  NOTE Use batteries at least once every month to extend their lives. Charge the batteries  before they are depleted. Inspect and replace batteries regularly. Battery life depends on how frequent and …

• Page 181: Battery Performance Conditioning

  On-screen battery icon indicates the battery statuses as follows:  : indicates that external power source is connected. The ventilator is powered by external power source. The solid green portion represents the current charge level of the batteries in proportion to its maximum charge level. …

• Page 182: Battery Performance Checking

  12.8.2 Battery Performance Checking Check battery performance once every six months. Checking battery performance is also required before ventilator repair is carried out or when battery is doubted to be the source for ventilator failure. Battery performance may degrade over time. Follow these steps to check battery performance: Disconnect the patient from the ventilator and shut down the ventilator.

• Page 183: Battery Recycling

  NOTE Remove the batteries from the equipment if the equipment is not used for a long  time. Long-time storage of batteries above 38℃ (100℉) greatly shortens the battery life  expectancy. 12.8.4 Battery Recycling If obvious signs of damage are detected on the battery or the battery recharging is failed, replace the battery and recycle it properly.

• Page 184: Electrical Safety Inspection

  12.9 Electrical Safety Inspection NOTE  Perform electrical safety inspection after servicing or routine maintenance. Before the electrical safety inspection, ensure all the covers, panels, and screws are correctly installed. The electrical safety inspection should be performed once a year. …

• Page 185: Water Build-Up In The Flow Sensor

  12.10 Water Build-up in the Flow Sensor 12.10.1 Prevent Water Build-up The patient’s exhaled warm and moist gas is condensed when it flows through the expiratory hose. The condensed water remains on the hose wall and finally enters the water trap. When the patient’s exhaled gas arrives at the expiration valve, condensed water may appear at the expiration valve (including the expiratory flow sensor), compromising the measurement accuracy of expiratory flow sensor.

• Page 186
  FOR YOUR NOTES 12-14…

• Page 187: Accessories

  ISO 10993-1. Accessories Description Manufacturer Reusable adult breathing circuit 040-001892-00 Mindray package Reusable pediatric/infant breathing Patient tubing kit 040-001894-00 Mindray circuit package (including breathing…

• Page 188
  Disposable pediatric breathing circuit 040-001886-00 Mindray package Filter used for the breathing system 040-001570-00 VADI (small size) Filter Filter used for the breathing system 040-001571-00 VADI (large size) Disposable anesthesia breathing filter 040-001831-00 Mindray Nebulizer Hand held micro spray bottle group…
• Page 189
  Humidifier (SH530/heating/disposable 115-018061-00 Ji Ke tube/American standard/220V) Humidifier SH530/heating/disposable 115-028494-00 Ji Ke tube/European standard (infant) Humidifier SH530/heating/disposable 115-028496-00 Ji Ke tube/India (infant) Humidifier SH530/heating/disposable 115-028498-00 Ji Ke tube/British standard (infant) Humidifier SH530/heating/disposable 115-028500-00 Ji Ke tube/American standard 110V (infant) Humidifier SH530/heating/disposable 115-028502-00 Ji Ke tube/American standard 220V (infant)
• Page 190
  (850/115V/adult/heating/disposable) Humidifier 115-041052-00 Fisher&Paykel (850/115V/infant/heating/disposable) Humidifier 115-041053-00 Fisher&Paykel (850/UK/adult/heating/disposable) Humidifier 115-041054-00 Fisher&Paykel (850/UK/infant/heating/disposable) Humidifier 115-041055-00 Fisher&Paykel (850/EU/adult/heating/disposable) Humidifier 115-041056-00 Fisher&Paykel (850/EU/infant/heating/disposable) Humidifier 115-041057-00 Fisher&Paykel (850/230V/general/adult/disposable) Humidifier 115-041058-00 Fisher&Paykel (850/230V/general/infant/disposable) SH330B infant reusable humidifying 040-002174-00 Ji Ke water tank Disposable automatic humidifying 040-002173-00 Ji Ke water tank…
• Page 191
  (including Ventilator packing parts material kit 115-025211-00 Mindray power cord retainer) Trolley (international/including packing Trolley 115-025215-00 Mindray materials) SV300 Operator’s Manual (English) 046-006329-00 Mindray SV300 Operator’s Manual (French) 046-006331-00 Mindray Accompanying SV300 Operator’s Manual (Russian) 046-006333-00 Mindray documents…
• Page 192
  SV300 Operator’s Manual (German) 046-006339-00 Mindray SV300 Operator’s Manual (Polish) 046-006341-00 Mindray SV300 Operator’s Manual (Portuguese) 046-006343-00 Mindray SV300 Operator’s Manual (Italian) 046-006345-00 Mindray SV300 Operator’s Manual (Hungarian) 046-007587-00 Mindray SV series ventilator operation guide 046-006330-00 Mindray (English) SV series ventilator operation guide…
• Page 193
  ISO 10993-1. Wavelength emitted by the sensors intended for Mindray SpO module: red light: 660 nm, infrared light: 905 nm.
• Page 194
  FOR YOUR NOTES 13-8…

• Page 195: A Theory Of Operation

  Theory of Operation A.1 Pneumatic System A.1.1 Pneumatic Circuit Diagram…

• Page 196
  A.1.2 Parts List Symbol Description Symbol Description Low-Pressure Air supply (low pressure) SOL1 Zeroing three-way valve Inlet Dust filter (Air) Inspiratory pressure sensor Inspiratory pressure sensor HEPA filter (Air) filter Pfilter Vacuum sensor (Air) Humidifier Humidifier Low-Pressure supply(low pressure) Water trap Inlet Check valve Patient…
• Page 197
  A.1.3 Theory This product is an electronically driven and electronically controlled ventilator. Oxygen is provided by high- or low-pressure oxygen port. Air is inhaled from the ambient atmosphere due to vacuum produced by the turbine motor. During the inspiratory phase, the inspiration valve opens.
• Page 198
  Turbine blower (Blower) inhales the room air and externally connected O and outputs them to the rear end of the inspiratory limb after compression. The turbine blower module contains two levels of labyrinth, which are located in the upstream and downstream of the turbine blower respectively.

• Page 199: Electrical System

  F7 and F8 are bacteria filters. They are connected to the inspiration port and patient port when they are used by the ventilator. The nebulizer is pneumatic. The drive gas is introduced into the nebulizer via the nebulizer connector on the front panel; and the liquid medicine is nebulized, enters the inspiratory tube, and reaches the patient’s lungs.

• Page 200
  A.2.2 Parts List AC-DC Power board Oxygen proportional valve Battery adapter board Turbine DC-DC Power board Temperature sensor Main control board Inspiration valve Monitoring module Expiration valve Vacuum sensor board Speaker Sensor adapter board Display Coder board sensor Alarm light board Oxygen flow sensor Key board Total flow sensor…

• Page 201: B Product Specifications

  Product Specifications The ventilator is already integrated with expiratory volume monitor, pressure measurement device, and pressure release device. It is equipped with alarm system, O monitor, CO monitor and SpO monitor, where:  The expiratory volume monitor, pressure measurement device, and pressure release device comply with ISO 80601-2-12 .

• Page 202: Environmental Specifications

  B.2 Environmental Specifications Main unit Item Temperature (ºC) Relative humidity Barometric (non-condensing) pressure (kPa) 10 to 95 ％ Operating 5 to 40 62 to 106* –20 to +60 (O sensor: –20 10 to 95 ％ Storage and transport 50 to 106 to +50) The ventilator performance satisfies the specifications at barometric pressure 80 kPa to 106 kPa.

• Page 203: Physical Specifications

   Tinsp : 2 s ;  O2% : 21 Vol.% ;  PEEP : 5 cmH  R: 20 cmH O/L/s ;  C: 20 ml/cmH  Gas supply nominal work pressure : 400±100 kPa. B.4 Physical Specifications System noise A-weighted sound pressure level (L ) ≤45 dB(A) System noise…

• Page 204: Pneumatic System Specifications

  Audio indicator Gives off alarm tones and key tones; supports multi-level tone Speaker modulation. The alarm tones comply with the requirements of IEC60601-1-8. Buzzer Gives off auxiliary audio alarm in case of speaker malfunction. Connector A connector which supports connection with a PC to perform software Network connector upgrade and connection with external medical and information device.

• Page 205
  Pneumatic medicament Synchronous with inspiration at 6 to 9 L/min flow nebulizer connector Safety valve release pressure <125 cmH Inspiratory outlet (To patient Coaxial 22 mm/15 mm conical connector port) Expiration module Expiratory outlet (From Coaxial 22 mm/15 mm conical connector patient port) System compliance and resistance Adult disposable circuit (including inspiration safety valve, adult…

• Page 206: Ventilator Specifications

  Leakage Not greater than 200 mL/min@50 cmH O (adult tubes) Leakage Not greater than 100 mL/min@40 cmH O (pediatric tubes) Not greater than 50 mL/min@20 cmH O (infant tubes) B.6 Ventilator Specifications Controlled parameters Parameter Range Step Unit 21 to 100 Vol.
• Page 207
  Pediatric: 2.5 to 8.0 Compensate 0 to 100 Interval 20s to 180min 20s to 59s:1s 1min to 180min:1min Cycles Sigh 1 to 20 Controlled parameters (O Therapy) Continuous Flow 2 to 60 L/min Concentration 21 to 100 Vol.% Weight Pediatric 3 to 35 Adult 10 to 200…

• Page 208: Ventilator Accuracy

  RCexp 0.0 to 10.0 TVe/IBW 0 to 50 mL/kg Tinsp 0.00 to 60.00 0.01 100:1 to 1:150 Monitored parameters (O Therapy) Continuous Flow 0 to 100 L/min Concentration 15 to 100 Vol.% B.7 Ventilator Accuracy Control accuracy ± (3 Vol.% +1% of setting) ±…

• Page 209
  Control accuracy (O Therapy) Continuous Flow ± (2 L/min+10 % of setting) (BTPS) Concentration ± (3 Vol.% +1 % of setting) Monitoring accuracy Ppeak Pplat ± (2 cmH O + 4 % of the actual reading) Pmean PEEP 0 mL～100 mL: ± (10 mL + 3 % of the actual reading) (BTPS); 100 mL～4000 mL: ±…

• Page 210: Alarms

  Monitoring accuracy (O Therapy) Continuous Flow ± (2 L/min+ 10 % of the actual reading)(BTPS) Concentration ± (2.5 Vol. % + 2.5% of the actual reading) B.8 Alarms B.8.1 Settable Alarms Alarm settings Parameter Setting range Automatic threshold Notes High limit 110 to 4000 mL, OFF (Adult) 1.5 ×…

• Page 211: Special Functions

  B.8.2 Internal Alarms Parameter Alarming condition High-pressure oxygen: exceeds the alarm limit for at least 30s. High limit Internally set alarm limit: min (Set value + max (7 Vol.% or set value x 10%), 100 Vol.%). High-pressure oxygen: is lower than the alarm limit for at least 30s. Low limit Internally set alarm limit: max (18 Vol.%, set value — max (7 Vol.% , set value x 10%)).

• Page 212
  Function Specification Maximum negative pressure produced by patient’s spontaneous breathing within a period of time. PEEPi The PEEPi measure function supports measurement of two parameters: PEEPi and Vtrap. PEEPi is the positive end-expiratory pressure produced by the trapped gas and Vtrap is the trapped gas volume. By drawing static pressure-volume loop (static P-V loop), P-V tool is the method to determine the optimal PEEP based on the characteristic points on the static P-V loop.

• Page 213: Co Module Specifications

  B.10 CO Module Specifications B.10.1 Sidestream CO Module module Measurement range Accuracy 0 to 40 mmHg ±2 mmHg Measurement range and accuracy 41 to 76 mmHg ±5 % of the actual reading 77 to 99 mmHg ±10 % of the actual reading According to the test method of the standard ISO Measurement accuracy drift 80601-2-55, the module meets the requirement for…

• Page 214
  Sidestream CO alarm Range Step limits EtCO high limit 2 to 99 mmHg 1 mmHg EtCO low limit 0 to 97 mmHg Sidestream CO environmental specifications Relative humidity Barometric Item Temperature (ºC) (non-condensing) pressure (kPa) Operating 5 to 40 10 to 95 % 70 to 106 Storage and transport –20 to +60…

• Page 215: Spo Module Specifications

  Mainstream CO alarm Range Step limits EtCO high limit 2 to 150 mmHg 1 mmHg EtCO low limit 0 to 148 mmHg Mainstream CO environmental specifications Relative humidity Barometric pressure Item Temperature (ºC) (non-condensing) (kPa) Operating 10 to 40 10 to 90 % 62 to 106 Storage and transport –10 to +55…

• Page 216: O 2 Sensor Specifications

  Measurement range 20 to 254 1/min Resolution 1 1/min Accuracy ±3 1/min Data update period ≤30 s measurement range 0.05 %~20 % Resolution 0.05 ～ 9.99 %: 0.01 % 10.0 ～ 20.0 %: 0.1 % alarm limits Range Step high limit 2 to 100 % low limit 0 to 98 %…

• Page 217
  Effect of interfering gas Gas under test Error (％O 50% He/50% O <1 % 80% N O/20% O 1 % to 1.5 % 4% Halothane/28.8% O /67.2% N 1.5 % to 2 % 5% Sevoflurane/28.5% O / 66.5% 1 % to 1.5 % 5% Enflurane/28.5% O /66.5% N 1.2 % to 1.8 %…
• Page 218
    sensor is current generator, and the current is proportional to the rate of oxygen consumption (Faraday’s Law). This current can be measured by connecting a resistor across the output terminals to produce a voltage signal. If the passage of oxygen into the sensor is purely diffusion limited, by the solid membrane diffusion barrier, then this signal is a representation of the oxygen partial pressure.
• Page 219
  Life = 1192/exp(2+0.0239 Temperature) Temperature(°C)） B-19…
• Page 220
  FOR YOUR NOTES B-20…
• Page 221
  This equipment is in compliance with IEC 60601-1-2: 2014 for EMC. The essential performance verified during the immunity testing comprise of TVi control accuracy, TVi monitoring accuracy, CO monitoring accuracy, O control accuracy, O monitoring accuracy, PEEP control accuracy, PEEP monitoring accuracy, and SpO monitoring accuracy.
• Page 222
  Guidance and manufacture’s declaration — electromagnetic emissions This equipment is intended for use in the electromagnetic environment specified below. The customer or the user of this equipment should assure that it is used in such an environment. Emissions test Compliance Electromagnetic environment — guidance RF emissions Group 1…
• Page 223
  Guidance and manufacture’s declaration — electromagnetic immunity This equipment is suitable for use in the electromagnetic environment specified below. The customer or the user of this equipment should assure that it is used in such an environment. IMMUNITY IEC 60601 test level Compliance level Electromagnetic test…
• Page 224
  Guidance and Declaration — Electromagnetic Immunity This equipment is suitable for use in the electromagnetic environment specified below. The customer or the user of this equipment should assure that it is used in such an environment. Immunity IEC 60601 Test level Compliance Electromagnetic environment — guidance test…
• Page 225
  a. The ISM (industrial, scientific, and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567 MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz. The amateur radio bands between 0.15 MHz and 80 MHz are 1.8 MHz to 2.0 MHz, 3.5 MHz to 4.0 MHz, 5.3 MHz to 5.4 MHz, 7 MHz to 7.3 MHz, 10.1 MHz to 10.15 MHz, 14 MHz to 14.2 MHz, 18.07 MHz to 18.17 MHz, 21.0 MHz to 21.4 MHz, 24.89 MHz to 24.99 MHz, 28.0 MHz to 29.7 MHz and 50.0 MHz to 54.0 MHz.
• Page 226
  Recommended Separation Distances between Portable and Mobile RF, Communications Equipment and This Equipment This equipment is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of this equipment can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and this equipment as recommended below, according to the maximum output power of the communication equipment.

• Page 227: D Alarm Messages

  Alarm Messages This chapter lists physiological and technical alarm messages. Note that in this chapter: Column P stands for the default alarm level: H for high, M for medium and L for  low. For each alarm message, corresponding actions are given instructing you to …

• Page 228
  The TVe monitored value is greater than TVe high alarm limit for continuous 3 mechanical ventilation cycles. TVe Too High 1. Check the ventilation parameter setup. 2. Check the alarm limits. The TVe monitored value is less than TVe low alarm limit for continuous 3 mechanical ventilation cycles.

• Page 229: Co Module

  The monitored parameter value exceeds the alarm limit. module EtCO Too High 1. Check the patient type. 2. Check the alarm limits. The monitored parameter value exceeds the alarm limit. EtCO Too Low 1. Check the patient type. 2. Check the alarm limits. The time of failure to detect respiration by the CO module exceeds Apnea Tinsp.

• Page 230
  D.2 Technical Alarm Messages Source Alarm message Cause and action The temperature of battery 1 is higher than expected. Power Battery 1 Failure 01 Contact your service personnel. board Battery 1 Charge Failure Battery 1 Failure 02 Contact your service personnel. Battery 1 Aging Battery 1 Failure 03 Contact your service personnel.
• Page 231
  Battery is not available in the current system. Battery Undetected Contact your service personnel. Button cell is available in the system. But the clock is Main Please Reset Date powered down and reset. control and Time board Re-set the date and time. Apnea Ventilation This alarm is given when apnea ventilation ends.
• Page 232
  Power Board Selftest Error. Device Failure 03 Contact your service personnel. Ctrl Module Selftest Error. Device Failure 06 Contact your service personnel. Insp. Module Comm stop. Device Failure 07 Contact your service personnel. Exp. Module Comm stop. Device Failure 08 Contact your service personnel.
• Page 233
  1. Check the patient. 2. Check the ventilation parameter setup. 3. Check the patient tubing for occlusion. Tube is leaky. Airway Leak? 1. Check the patient tubing for leakage. 2. Perform System Check to test the leakage Tube Tube is disconnected. Disconnected? Re-connect the patient tubing.
• Page 234
  1. Check connection with O supply. 2. Check O supply pressure. In PSV mode, Tinsp exceeds 4s for adult and 1.5s for pediatric for continuous 3 cycles. This alarm is not triggered again after pressure sensor or flow sensor Tinsp Too Long failure.
• Page 235
  calibration. Calibrate flow. Sidestream CO module zeroing fails. The gain input Module signal offset is too large, exceeding the adjustable range. module Failure 01 Contact your service personnel. Init Error. An error occurs to the CO module Module during initialization. Failure 02 Contact your service personnel.
• Page 236
  Connected SpO sensor became disconnected from patient tubing (e.g. wire disconnection or short circuit). module Sensor Off 1. Check the sensor application site and the sensor type, and make sure if the sensor is damaged. 2. Reconnect the sensor or use a new sensor. sensor failure (e.g.
• Page 237
  Factory Defaults This chapter lists the most important factory default settings which are not user-adjustable. When necessary, you can restore the factory default settings. E.1 Screen Setting Factory default setting Setup-screen setup-waveform count Setup-screen setup-Draw Wave Curve Setup-screen setup- Value Count E.2 Setup Setting Factory default setting…

• Page 238: Spo Module

  E.4 SpO Module module Factory default setting Monitoring Sensitivity Beat vol Sweep Speed 25 mm/s E.5 Ventilation Mode Ventilation mode setting Factory default setting parameter V-A/C mode Adult: 490 mL pediatric: 106 mL % (HPO) 21 % Adult: 10 bpm pediatric: 20 bpm PEEP 3 cmH…

• Page 239
  Assist F-trig Adult: 2.0 L/min; pediatric: 1.0 L/min Δint.PEEP 5 cmH Sigh Interval 1 min Cycles sigh ATRC-tube type Disable ATRC ATRC-Tube I.D. Adult: 8.0 mm; pediatric: 5.0 mm ATRC-compensate 80 % CPAP/PSV mode 21 % PEEP 3 cmH ΔPsupp 0 cmH Tslope 0.20 s…
• Page 240
  Δint.PEEP 5 cmH Sigh Interval 1 min Cycles sigh ATRC-tube type Disable ATRC ATRC-Tube I.D. Adult: 8.0 mm; pediatric: 5.0 mm ATRC-compensate 80 % P-SIMV mode 21 % fsimv Adult: 5 bpm; pediatric: 20 bpm PEEP 3 cmH ΔPinsp 15 cmH ΔPsupp 0 cmH Tinsp…
• Page 241
  F-trig Adult: 2.0 L/min; pediatric: 1.0 L/min Δint.PEEP 5 cmH Sigh Interval 1 min Cycles sigh ATRC-tube type Disable ATRC ATRC-Tube I.D. Adult: 8.0 mm; pediatric: 5.0 mm ATRC-compensate 80 % PRVC-SIMV mode Adult: 490 mL pediatric: 106 mL 21 % fsimv Adult: 5 bpm;…
• Page 242
  Exp% Auto 15 cmH △Papnea Adult: 10 bpm fapnea pediatric: 20 bpm Apnea Ti Adult: 2.0 s; pediatric: 1.0 s Adult: 490 mL TVapnea pediatric: 106 mL ATRC-tube type Disable ATRC ATRC-Tube I.D. Adult: 8.0 mm; pediatric: 5.0 mm ATRC-compensate 80 % APRV mode 21 %…

• Page 243: Alarm

  E.6 Alarm Alarm Factory default setting Paw high alarm limit 50 cmH MV high alarm limit Adult: 7.4 L/min; pediatric: 3.2 L/min MV low alarm limit Adult: 2.9 L/min; pediatric: 1.3 L/min TVe high alarm limit Adult: 980 mL; pediatric: 210 mL TVe low alarm limit Adult: 245 mL;…

• Page 244: O 2 Therapy

  E.9 O Therapy Therapy Factory default setting 21 % Flow 25 L/min E.10 User Maintenance System Factory default value Setting-language Chinese Setting -gas supply-O supply type Interface setting-nurse call-switch Interface setting-nurse call-signal type Continuous Interface setting-nurse call-contact type Normally Closed Interface setting-nurse call-alarm type Physiological alarm, technical alarm Interface setting-nurse call-alarm level…

• Page 245: F Symbols And Abbreviations

  Symbols and Abbreviations F.1 Unit ampere ampere hour breaths per minute centigrade ºC cubic centimetre centimeter centimeter of water decibel ℉ fahrenheit gram hour hertz hectopascal inch inch joule kilo- kilogram kilopascal litre pound meter milliampere hour mbar millibar milligram minute milliliter millimeter…

• Page 246: Symbols

  volt ampere Ω µA microampere µV microvolt watt F.2 Symbols minus percent per；divide；or ～ power plus ＋ ＝ equal to less than ＜ ＞ greater than less than or equal to ≤ greater than or equal to ≥ ± plus or minus multiply ©…

• Page 247: Abbreviations

  F.3 Abbreviations Adaptive Minute Ventilation APRV Airway Pressure Release Ventilation ATPD Ambient Temperature and Pressure Dry BTPS Body Temperature and Pressure Saturated Cdyn Dynamic Compliance CPAP/PSV Continuous Positive Airway Pressure/ Pressure Support Ventilation Cstat Static Compliance DuoLevel Duo Level Ventilation Et CO End-tidal Carbon Dioxide Inspired Oxygen Concentration…

• Page 248
  Ppeak Peak Pressure Pplat Plateau Pressure Pulse Rate PRVC Pressure Regulated Volume Control Ventilation Pressure Regulated Volume Controlled — Synchronized Intermittent Mandatory PRVC-SIMV Ventilation P-SIMV Pressure — Synchronized Intermittent Mandatory Ventilation int.PEEP Intermittent Positive End-Expiratory Pressure Papnea Pressure of Apnea Ventilation Psupp Pressure Support Level Intermittent Positive End-Expiratory Pressure (relative to PEEP)
• Page 249
  Inspired tidal Volume TV/IBW Tidal Volume Per Ideal Body Weight Volume Gas Volume Vtrap Volume of Trap Gas V-A/C Volume — Assist/Control Ventilation V-SIMV Volume — Synchronized Intermittent Mandatory Ventilation RSBI Rapid Shallow Breath Index Work of Breath Vdaw Airway dead space. VDaw/TVe Ratio of airway dead space to tidal volume.
• Page 250
  FOR YOUR NOTES…
• Page 252
  PN: 046-006329-00(18.0)

Применение

Миндрей SV300 в основном применяется в палатах интенсивной терапии. Может также использоваться при транспортировке пациента в пределах больницы. Компактность аппарата позволяет удобно разместить его даже при ограниченной площади реанимации. Подходит для взрослых и детей.

Помимо стандартных режимов ИВЛ имеется множество функций, недоступных для аналогов. Это широкие возможности мониторинга, опции респираторной терапии, возможность объёмного определения CO₂ и индикаторы отлучения от ИВЛ.

Удобство использования Миндрей SV 300

• Не требует центрального газового снабжения.
• Интуитивно-понятный интерфейс с русским языком.
• Управление при помощи большого и удобного цветного сенсорного экрана диагональю 12,1 дюймов.
• Антибликовый TFT дисплей с регулируемой яркостью.
• Экран можно наклонять, чем выставить удобный угол обзора.
• Прочные клапаны легко снимаются без инструментов и автоклавируются.
• Аккумулятор на 120 минут.
• Электронный привод (турбина) с электронным управлением.

Mindray SV300 требует на 20% меньше внимания, чем аналоги. Это достигается продуманным пользовательским интерфейсом, позволяющим выбрать необходимую функцию всего в два шага.

Режимы и методы ИВЛ аппарата Mindray SV300

• V-A/C (Volume Assist/Control, контролируемая принудительная вентиляция с контролем по объему)
• P-A/C (Pressure Assist/Control, контролируемая принудительная вентиляция с контролем по давлению)
• V-SIMV (Volume-Synchronized Intermittent Mandatory Ventilation, синхронизированная принудительная прерывистая вентиляция по объёму)
• P-SIMV (Pressure-Synchronized Intermittent Mandatory Ventilation, синхронизированная принудительная прерывистая вентиляция по давлению)
• CPAP/PSV (Continuous positive airway pressure ventilation, вентиляция с постоянным положительным давлением в дыхательных путях/Pressure Support Ventilation, вентиляция с поддержкой по давлению)
• Duolevel (Dual Level Positive airway pressure ventilation, вентиляция с двумя уровнями положительного давления)
• APRV (Airway Pressure Release Ventilation, вентиляция со снижением давления)
• PRVC (Pressure Regulated Volume Control, вентиляция с управлением по давлению и заданным дыхательным объемом)
• PRVC-SIMV (PRVC-Synchronized Intermittent Mandatory Ventilation, сочетание режимов PRVC и SIMV)
• Apnea Back-up (вентиляция при апноэ)
• NIV, неинвазивная вентиляция для детей и взрослых — возможность
• ATRC (автоматическая компенсация сопротивления трубки) — возможность
• PV-tool (PV-инструмент, оценка механики легких) — возможность
• Инспираторная пауза
• Экспираторная пауза
• SIGH функция
• Дыхание вручную (совершение одного дыхательного цикла при нажатии кнопки)
• Насыщение 100% кислородом
• Использование непрерывного потока O₂ с регулируемой концентрацией и потоком для пациентов с самостоятельным дыханием

Графический мониторинг

• Давление
• Поток
• Объём
• Отображение не менее четырех кривых параметров одновременно
• Механика дыхания — спирометрия, петли P-V/F-V/F-P
• Петля CO2-V — возможность
• Отображение до двух петель одновременно
• Возможность сохранения контрольной петли — не менее 5 шт
• Тренды — не менее 72 часов
• Изменяемый цвет отображаемых параметров и кривых
• Капнометрия СО2 в основном потоке — возможность
• Капнометрия CO2 в боковом потоке — возможность
• Модуль SpO2 — возможность