Sei sulla pagina 1di 462
Operator’s and Technical Reference Manual Puritan Bennett TM 800 Series Ventilator System

Operator’s and Technical Reference Manual

Puritan Bennett

TM

800 Series Ventilator System

Operator’s and Technical Reference Manual Puritan Bennett TM 800 Series Ventilator System

To obtain information about a warranty, if any, contact Covi dien Technical Services at 1.800.635.5267 or your local representative.

Purchase of this instrument confers no express or implied license under any Covidien patent to use the instrument with any ventilator system that is not manufactured or licensed by Covidien.

Copyright Information

Copyright 2011 Covidien. All rights reserved. The Puritan Bennett™ 840 Ventilator System is manufactured in accordance with Covidien proprietary information. U.S. Patents 5,271,389; 5,319,540; 5,339,807; 5,771,884; 5,791,339; 5,813,399; 5,865,168; 5,881,723; 5,884,623; 5,915,379; 5,915,380; 6,024,089; 6,161,539; 6,220,245; 6,269,812; 6,305,373; 6,360,745; 6,369,838; 6,553,991; 6,668,824; 6,675,801; 7,036,504; 7,117,438; RE39225. COVIDIEN, COVIDIEN with logo, the Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. All other brands are trademarks of a Covidien company.

The information contained in this manual is the sole property of Covidien and may not be duplicated without permission. This manual may be revised or replaced by Covidien at any time and without notice.

You should ensure you have the most current applicable version of this manual; if in doubt, contact Covidien or visit the Puritan Bennett™ product manual web page at:

http://www.puritanbennett.com/serv/manuals.aspx

While the information set forth herein is believed to be accurate, it is not a substitute for the exercise of professional judgment.

The ventilator should be operated and serviced only by trained professionals. Covidien’s sole responsibility with respect to the ventilator, and its use, is as stated in the limited warranty provided.

Nothing in this manual shall limit or restrict in any way Covidien’s right to revise or otherwise change or modify the equipment (including its software) described herein, without notice. In the absence of an express, written agreement to the contrary, Covidien has no obligation to furnish any such revisions, changes, or modifications to the owner or user of the equipment (including its software) described herein.

Preface

Applicability

The information in this manual applies to Puritan Bennett™ 840 ventilator versions manufactured or updated after August 2005. Some of this information may not apply to earlier versions. Contact your Covidien representative if in doubt.

Definitions

This manual uses three special indicators to convey information of a specific nature. They include:

Warning

Warning

Indicates a condition that can endanger the patient or the ventilator operator.

Caution

Caution

Indicates a condition that can damage the equipment.

NOTE:

Indicates points of particular emphasis that make operation of the ventilator more efficient or convenient.

Preface

Warnings, cautions, and notes

Please take the time to familiarize yourself with the following safety considerations, special handling requirements, and regulations that govern the use of the Puritan Bennett™ 840 Ventilator System.

• To ensure proper servicing and avoid the possibility of physical injury, only qualified personnel should attempt to service or make authorized modifications to the ventilator.

The user of this product shall have sole responsibility for any ventilator malfunction due to operation or maintenance performed by anyone not trained by Covidien.

• To avoid an electrical shock hazard while servicing the ventilator, be sure to remove all power to the ventilator by disconnecting the power source and turning off all ventilator power switches.

• To avoid a fire hazard, keep matches, lighted cigarettes, and all other sources of ignition (e.g., flammable anesthetics and/or heaters) away from the Puritan Bennett™ 840 Ventilator System and oxygen hoses.

Do not use oxygen hoses that are worn, frayed, or contaminated by combustible materials such as grease or oils. Textiles, oils, and other combustibles are easily ignited and burn with great intensity in air enriched with oxygen.

In case of fire or a burning smell, immediately disconnect the ventilator from the oxygen supply, facility power, and backup power source.

• When handling any part of the Puritan Bennett™ 840 Ventilator System, always follow your hospital infection control guidelines for handling infectious material.

Covidien recognizes cleaning, sterilization, sanitation, and disinfection practices vary widely among health care institutions. It is not possible for Covidien to specify or require specific practices that will meet all needs, or to be responsible for the effectiveness of cleaning, sterilization, and other practices carried out in the patient care setting. As a manufacturer Covidien does not have any guidelines or recommendations regarding specific pathogens as they relate to the usage of our products. In regards to transmission of any specific pathogen, Covidien can offer the specifications of our products as well as our recommendations for cleaning and sterilization. Any further clarification regarding

Preface

pathogens as they relate to our products should be brought to the attention of your lab Pathologist as well as your infection control personnel and/or risk committee.

• Patients on life-support equipment should be appropriately monitored by competent medical personnel and suitable monitoring devices.

The Puritan Bennett™ 840 Ventilator System is not intended to be a comprehensive monitoring device and does not activate alarms for all types of dangerous conditions for patients on life- support equipment.

• For a thorough understanding of ventilator operations, be sure to thoroughly read this manual before attempting to use the system.

• Before activating any part of the ventilator, be sure to check the equipment for proper operation and, if appropriate, run SST as described in this manual.

• Do not use sharp objects to make selections on the graphic user interface (GUI) display or keyboard.

• US federal law restricts this device to sale by or on the order of a physician.

• Check the ventilator periodically as outlined in the Puritan Bennett™ 840 Ventilator System Service Manual; do not use if defective. Immediately replace parts that are broken, missing, obviously worn, distorted, or contaminated.

• An alternative source of ventilation should always be available when using the Puritan Bennett™ 840 Ventilator System.

• This ventilator offers a choice of breath delivery modes and types. Throughout the patient’s treatment, the clinician should carefully select the ventilation mode and/or breath type to use for that patient. This selection should be based on the clinician’s clinical judgment, considering the condition and needs of the individual patient, as such condition and needs change from time to time, and considering the benefits, limitations and operating characteristics of each mode and/or breath type.

Preface

Warranty

The Puritan Bennett™ 840 Ventilator System is warranted against defects in material and workmanship in accordance with the Covidien Medical Equipment Warranty supplied with your ventilator. Keep a maintenance record to ensure the validity of the warranty.

Year of manufacture

The graphic user interface (GUI), breath delivery unit (BDU), backup power source (BPS), and compressor contain a specific year of manufacture applicable only for that assembly. The year of manufacture is indicated by the fifth and sixth digits of the serial number which is located at the back panel of the GUI, BDU, and BPS, and the side panel of the compressor.

Manufacturer

Covidien llc 15 Hampshire Street Mansfield, MA 02048 USA

Electromagnetic susceptibility

The Puritan Bennett™ 840 Ventilator System complies with the requirements of IEC 60601-1-2:2004 (EMC Collateral Standard), including the E-field susceptibility requirements at a level of 10 volts per meter, at frequencies from 80 MHz to 2.5 GHz, and the ESD requirements of this standard.

Preface

However, even at this level of device immunity, certain transmitting devices (cellular phones, walkie-talkies, cordless phones, paging transmitters, etc.) emit radio frequencies that could interrupt ventilator operation if operated in a range too close to the ventilator. It is difficult to determine when the field strength of these devices becomes excessive.

Practitioners should be aware radio frequency emissions are additive, and the ventilator must be located a sufficient distance from transmitting devices to avoid interruption. Do not operate the ventilator in a magnetic resonance imaging (MRI) environment.

Warning

Warning

Accessory equipment connected to the power receptacle, analog, and digital interfaces must be certified according to IEC 60601-1. Furthermore, all configurations shall comply with the system standard IEC 60601-1-1. Any person who connects additional equipment to the power receptacle, signal input part, or signal output part of the Puritan Bennett™ 840 ventilator configures a medical system, and is therefore responsible for ensuring the system complies with the requirements of the system standard IEC 60601-1-1. If in doubt, consult Covidien Technical Services at 1.800.255.6774 or your local representative.

This manual describes possible ventilator alarms and what to do if they occur. Consult with your institution’s biomedical engineering department in case of interrupted ventilator operation, and before relocating any life support equipment.

Preface

Customer assistance

For further assistance call Covidien Technical Services at

1.800.255.6774 or contact your local Covidien representative.

or contact your local Covidien representative. For online technical su pp ort , visit the SolvIT

For online technical support, visit the SolvIT SM Center Knowledge Base at http://www.puritanbennett.com

The SolvIT Center provides answers to frequently asked questions about the Puritan Bennett™ 840 Ventilator System and other Covidien products 24 hours a day, 7 days a week.

Preface

This manual is divided into two parts: the operator’s manual and the technical reference. The operator’s manual describes how to operate the Puritan Bennett™ 840 Ventilator System. It also provides product specifications and accessory order numbers. The technical reference includes background information about how the ventilator functions, including details on its operating modes, self-tests, and other features. In the table of contents and index, the prefix OP- identifies page numbers in the operator’s manual, and the prefix TR- identifies page numbers in the technical reference.

Any references to the software options BiLevel, Volume Ventilation Plus (VV+) which includes VC+ and VS breath types, NeoMode, Proportional Assist™* Ventilation (PAV™*+), Tube Compensation (TC), Respiratory Mechanics (RM), and Trending in this manual assume that the option has been installed on the ventilator. If these options aren’t installed, then references to their functions do not apply.

While this manual covers the ventilator configurations currently supported by Covidien, it may not be all-inclusive and may not be

applicable to your ventilator. Within the USA, contact Covidien at

1.800.255.6774

for questions about the applicability of the

information.

Preface

Some illustrations and images are shown with a ready-to-assemble (RTA) cart, Puritan Bennett™ 800 Series Ventilator Compressor Mount Cart, or a Puritan Bennett™ 800 Series Ventilator Pole Cart. Please note that these images are for illustrative purposes only, and regardless of which cart you have, the required information is provided.

The term “RTA cart” refers to the ready-to-assemble cart and any earlier cart versions.

Table of Contents

2

Operator’s Manual

1 Introduction

OP 1-1

1.1 Technical description

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 1-3

1.1.1 General

 

.OP 1-3

1.1.2 Pressure and flow triggering

 

.OP 1-5

1.1.3 Breathing gas mixture

 

.OP 1-5

1.1.4 Inspiratory

 

.OP 1-6

1.1.5 Patient circuit

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 1-6

1.1.6 AC mains and backup power system

 

.OP 1-7

1.1.7 Ventilator emergency states

 

.OP 1-8

1.2 Graphic user interface

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 1-9

1.3 User interface controls and

 

.OP 1-10

1.3.1

Onscreen symbols and abbreviations

.

.

.

.

.OP 1-17

1.4 Ventilator system labeling symbols

 

.OP 1-23

2 How to set up the Puritan Bennett™ 840 ventilator

 

OP 2-1

2.1 How to connect the electrical supply

 

.

.

.

.

.

.

.

.

.

.

.

.OP 2-4

2.2 How to connect the air and oxygen supplies

 

.OP 2-10

2.3 How to connect the patient circuit components

 

.OP 2-12

2.3.1 How to select and connect a patient circuit

.OP 2-13

2.3.2 How to install the expiratory filter and

 
 

collector vial

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 2-15

2.3.3 How to install the flex arm

.

.

.

.

.

.

.

.

.

.

.OP 2-18

2.3.4 How to install the

 

.OP 2-20

2.3.5 How to use the ventilator cart

.

.

.

.

.

.

.

.OP 2-22

3 How to run Short Self Test (SST)

 

OP 3-1

3.1 Introduction to SST

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 3-1

3.2 When to run SST

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 3-2

3.3 SST components and requirements

 

.OP 3-3

3.4 SST Procedure

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 3-4

3.5 SST Results .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 3-13

3.5.1

How to interpret individual SST test results

 

.OP 3-14

Table of Contents

3.5.2

SST

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

4 How to use the Puritan Bennett™ 840 ventilator

.OP 3-15

OP 4-1

4.1 Structure of user interface

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-2

4.2 Patient setup .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-3

4.2.1 How to ventilate with most recent control

 

parameters

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-4

4.2.2 How to ventilate with new control parameters

 

.OP 4-4

4.2.3 Patient data and current settings

.

.

.

.

.

.

.

.

.

.

.OP 4-8

4.2.4 Ideal Body Weight (IBW)

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-9

4.3 How to change the main ventilator control

 

parameters

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP

4-14

4.4 Ideal Body Weight (IBW), vent type, mode, and

 

other changes

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-14

4.5 How to select a constant timing variable during respiratory rate

 

.OP 4-16

4.6 How to change apnea ventilation settings

 

.OP 4-18

4.7 How to set alarms

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP

4-19

4.8 How to change other settings

 

.OP 4-20

4.9 Expiratory pause

 

.OP 4-22

4.10 Inspiratory pause maneuvers

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP

4-23

4.11 How to interpret inspiratory pause maneuver results for static compliance and resistance

 

.OP 4-24

4.12 How to use NIV

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-25

4.12.1 NIV intended

 

.OP 4-25

4.12.2 NIV breathing

.OP 4-26

4.12.3 NIV

setup

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-26

4.12.4 High spontaneous inspiratory time limit setting

.

.OP 4-29

4.12.5 Apnea setup

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-30

4.12.6 Alarm setup

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-30

4.12.7 Changing patient from INVASIVE to NIV

 

Vent Type

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-31

4.12.8 Changing patient from NIV to INVASIVE

 

Vent Type

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-32

4.12.9 NIV patient data

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 4-33

Table of Contents

5 How to handle alarms

OP 5-1

5.1 Ventilator alarm classifications

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-1

5.2 Alarm silence.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-2

5.3 Alarm reset

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-3

5.4 Alarm

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-4

5.5 Alarm volume

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-6

5.6 Alarm

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 5-6

6 How to view graphics

 

OP 6-1

6.1 Graphics display function

 

OP 6-1

6.2 How to set up a graphics display

 

OP 6-3

6.3 Graphics display details and calculations

.

.

.

.

.

.

.

.

OP 6-4

6.4 How to adjust displayed graphics

 

OP 6-5

6.5 The graphics display FREEZE function

 

OP 6-5

6.6 How to print patient data

 

OP 6-6

6.7 Automatic display of graphics

 

OP 6-7

6.8 When graphics are not accessible

 

OP 6-7

7 Preventive maintenance

 

OP 7-1

7.1 How to dispose of used

 

OP 7-1

7.2 How to clean, disinfect and sterilize parts

 

OP 7-2

7.2.1

How to clean components

 

OP 7-6

7.3 Disinfection and sterilization

 

OP 7-7

7.4 Preventive maintenance procedures for

 

the operator

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 7-10

7.4.1 Total operational hours

 

OP 7-10

7.4.2 Inspiratory and expiratory bacteria filters

 

OP 7-13

7.4.3 Daily or as required: collector vial and

 
 

drain

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP 7-15

7.4.3.1 How to remove the collector vial

.

.

.

OP 7-15

7.4.3.2 How to remove the drain bag

 

OP 7-16

7.4.4 Daily or as required: in-line water traps

 

OP 7-17

7.4.5 Every 250 hours: compressor inlet filter

OP 7-17

7.4.6 Every year: ventilator inspection

 

OP 7-18

7.4.6.1 Every year or as necessary: oxygen sensor

 

OP 7-18

7.4.6.2 Oxygen sensor replacement procedure

 

OP 7-19

Table of Contents

7.5 Additional preventive maintenance 7.6 .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP 7-24

.OP 7-25

7.7 Repacking and shipping

 

.OP 7-26

A Specifications

 

OP A-1

A.1

Physical characteristics

OP A-2

A.2

Environmental requirements

 

OP A-4

A.3

Pneumatic specifications

OP A-5

A.4

Electrical

OP A-6

A.5

Compliance and

OP A-9

A.5.1

Manufacturer’s

OP A-12

A.6

Technical specifications

OP A-21

A.7

Ranges, resolutions, and

OP A-28

A.7.1

Recommended limits

OP A-29

A.7.2

Software options

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP A-30

B Part numbers

 

OP B-1

C Pneumatic schematic

OP C-1

D Alarm and oxygen sensor calibration testing

D.1

Alarm test

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

OP D-1

OP D-1

D.2

. Oxygen sensor calibration

OP D-7

E Remote alarm and RS-232 ports

 

OP E-1

E.1

Remote alarm port

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP E-2

E.2

RS-232 port

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP E-3

E.3

How to configure the RS-232 ports

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP E-4

E.4

E.5

. RS-232 port commands

Printers and cables

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.OP E-6

.OP E-7

Table of Contents

Table of Contents

Technical Reference

2

1 Introduction to breath delivery

 

TR 1-1

2 Detecting and initiating inspiration

 

TR 2-1

2.1 Internally triggered inspiration

 

TR 2-2

 

2.1.1 Pressure sensitivity

 

TR 2-2

2.1.2 Flow sensitivity

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 2-3

2.1.3 Time-cycled

 

TR 2-5

2.2 Operator-triggered inspiration

 

TR 2-5

3 Detecting and initiating exhalation

 

TR 3-1

3.1 Internally initiated exhalation

 

TR 3-1

 

3.1.1 Time-cycled

 

TR 3-1

3.1.2 End-inspiratory flow

 

TR 3-2

3.1.3 Airway pressure method

 

TR 3-2

3.2 Backup limits .

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 3-3

 

3.2.1 Time limit

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 3-3

3.2.2 High circuit pressure limit

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 3-4

3.2.3 High ventilator pressure limit

 

TR 3-4

4 Mandatory breath delivery

 

TR 4-1

4.1 Comparison of pressure- and volume-based

 
 

mandatory breaths

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 4-1

4.2 Compliance compensation for volume-based

 
 

mandatory breaths

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 4-4

4.3 BTPS compensation for volume-based mandatory

 
 

breaths

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 4-5

4.4 Manual inspiration

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 4-6

5 Spontaneous breath delivery

 

TR 5-1

6 Assist/control (A/C) mode

 

TR 6-1

6.1

Breath delivery

in

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 6-1

Table of Contents

6.2 Rate change during A/C

TR 6-3

6.3 Changing to A/C mode

TR 6-3

7 Synchronous intermittent mandatory ventilation (SIMV)

TR 7-1

7.1 Breath delivery in

 

TR 7-3

7.2 Apnea ventilation in SIMV

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 7-5

7.3 Changing to SIMV

 

TR 7-6

7.4 Rate change during SIMV

 

TR 7-8

8 Spontaneous (SPONT) mode

 

TR 8-1

8.1 Breath delivery in SPONT

 

TR 8-1

8.2 Changing to SPONT mode

 

TR 8-2

9 Apnea ventilation

TR 9-1

9.1 Apnea detection

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 9-1

.

9.2 Transition to apnea ventilation

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 9-3

9.3 Key entries during apnea ventilation

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

. TR 9-3

9.4 Resetting apnea ventilation

 

TR 9-4

9.4.1 Resetting to A/C

 

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 9-4

9.4.2 Resetting to SIMV

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

.

TR 9-4

9.4.3 Resetting to