CareFusion AVEA

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xiv Operator's manual

L2786 Rev. M

CareFusion symbol

OVERPRESSURE relief

CareFusion symbol

REMOTE NURSE CALL connection

CareFusion symbol

USER INTERFACE MONITOR connection

CareFusion symbol

This symbol indicates an INTERNAL BATTERY FUSE

CareFusion symbol

This symbol indicates ALARM LOUDNESS

CareFusion symbol

This symbol indicates that the AVEA is being powered by the

INTERNAL BATTERY only.

CareFusion symbol

This symbol indicates that the HELIOX configuration is in use.

CareFusion symbol This symbol indicates the product contains phthalates.

Main Page

Default Chapter5
- Table of Contents5
- EMC Notice7
- Intended Use Notice7
- MRI Notice7
- Regulatory Notice7
- Classification8
- Safety Information9
- Terms9
- Warnings9
- Cautions10
- Equipment Symbols11
Chapter 1: Introduction15
- Functions & Accessories15
- Artificial Airway Compensation16
- Features16
- Circuit Compliance Compensation17
- Full Range of Patient Size17
- Leak Compensation17
- Non-Invasive Ventilation17
- Heliox Delivery (Comprehensive Only, Option on Standard)18
- Humidification18
- Air or Heliox Supply21
Chapter 2: Unpacking & Setup21
- Ventilator Assembly & Physical Setup21
- Assembling the Ventilator22
- Setting up the Front of the Ventilator23
- Front Panel Connections31
- Setting up the Rear of the Ventilator38
- User Verification Test53
- AVEA User Verification Test Checklist59
- AVEA Troubleshooting60
- Membrane Buttons and Leds65
Chapter 3: Ventilator Operation65
- Alarm Reset66
- Alarm Silence (LED)66
- User Interface Module (English) Showing Button Labels66
- Alarm Limits67
- Increase O267
- Manual Breath67
- Suction (LED)67
- Accept68
- Cancel68
- Data Dial68
- Expiratory Hold69
- Inspiratory Hold (Manual)69
- Nebulizer69
- Patient Size69
- Advanced Settings (Led)/Mode/Event70
- Panel Lock (LED)70
- Print70
- Set-Up70
- Flow/Volume Loop in Freeze Mode71
- T. Freeze71
- Alarm Status Leds72
- Main72
- Screens72
- Screens Selection Box View72
- Patient Select Screen73
- Patient Setup73
  - Patient Size Select Screen74
  - Artificial Airway Compensation (AAC)75
  - Ventilation Setup Screen View75
  - Circuit Compliance76
  - Leak Compensation (LEAK COMP)76
  - Humidifier77
  - Identification77
  - Patient Weight77
  - EST (Extended Systems Test)78
  - Adult and Pediatric Mode Select Screen80
  - Infant Mode Select Screen80
- Setting the Ventilation Breath Type and Mode80
  - Breath Types81
  - Flow Cycle/Volume Limit81
  - Specific Controls81
- Volume Guarantee (VG)81
  - Delivered Pressure82
  - Inspiratory Pressure82
  - Machine Volume82
  - Volume Target82
  - Alarms and Safety Systems83
  - High Ppeak83
  - Low Ppeak83
  - Wye Sensor Disconnect83
  - Alarm Activation84
  - Limit Volume84
  - Low Expired Volume84
  - Initiating Volume Guarantee85
  - Messages86
  - Troubleshooting87
  - Mandatory Breaths88
  - The Intra-Breath Demand System in Volume Ventilation88
  - Volume Breaths88
  - Pressure Breaths89
  - Pressure Regulated Volume Control (PRVC)89
  - Time Cycled Pressure Limited (TCPL)89
  - Demand Breaths90
  - PSV (Pressure Support Ventilation)90
  - Spontaneous Breath91
  - Assist Control Ventilation (A/C)92
  - Ventilation Modes92
  - SIMV Waveform93
  - Synchronized Intermittent Mandatory Ventilation (SIMV)93
  - Adjustable PSV in APRV / Biphasic94
  - Airway Pressure Release Ventilation (APRV / BIPHASIC)94
  - Apnea Ventilation in APRV / Biphasic95
  - APRV / BIPHASIC Mode95
  - CPAP Waveform96
  - Apnea Backup in Assist Control or SIMV97
  - Apnea Backup Ventilation97
  - PSV Waveform97
  - Apnea Backup in CPAP/PSV or APRV / BIPHASIC98
  - Pressure Apnea Backup Settings for APRV / BIPHASIC Mode99
  - Volume Apnea Backup Settings for CPAP Mode99
  - Pressure Apnea Backup Settings for CPAP Mode100
  - Screen Select101
  - Standby101
  - Standby Message101
  - Standby Screen102
  - Adult and Pediatric Ventilation Modes103
  - Available Breath Types & Modes by Patient Size103
  - Neonatal Ventilation Modes103
- Primary Breath Controls104
  - Breath Rate (Rate)106
  - Descriptions of Primary Breath Controls106
  - Inspiratory Pressure (Insp Pres)106
  - Tidal Volume (Volume)106
  - Inspiratory Pause (Insp Pause)107
  - Inspiratory Time (I-Time)107
  - Peak Flow107
  - PSV (Pressure Support)107
  - Positive End Expiratory Pressure (PEEP)108
  - Inspiratory Flow Trigger (Flow Trig)109
  - Pressure High (Pres High)109
  - Time High109
  - Accessing the Advanced Settings110
  - Advanced Settings Indicator View110
  - Pressure Low110
  - Time Low110
  - Controls and Advanced Settings Associated with Breath Type & Mode111
  - Advanced Settings Characteristics and Ranges112
  - Volume Limit (Vol Limit)112
  - Machine Volume (Mach Vol)113
  - Demand Flow114
  - Flow Cycle114
  - Insp Rise114
  - Waveform114
  - Bias Flow115
  - Pres Trig115
  - Sigh115
  - Vsync115
  - PSV Rise116
  - Vsync Rise116
  - PSV Cycle117
  - PSV Tmax117
  - T High PSV/T Low Sync117
  - T High Sync117
- Independent Lung Ventilation (ILV)118
- Graphic Displays119
  - Graphics Colors119
  - Waveforms119
Chapter 4: Monitors, Displays and Maneuvers119
- Waveform Selection120
- Axis Ranges121
- Time Ranges121
- Waveform Choices121
- Accessing the Loops Screen122
- Choice of Loops122
- Loops122
- Creating a Reference Loop123
- Saving a Loop123
- Using the Freeze Button to Compare Loops123
- Maneuvers124
- Controls125
- Esophageal Maneuver Screen125
- Balloon Fill Start / Stop126
- Balloon Leak / Size Test126
- Selecting Balloon Size and Type126
- Alarms127
- Chest Wall Compliance (C Cw)127
- To Perform Esophageal Maneuvers127
- Duration129
- MIP / 100 Pmaneuver Screen129
- MIP Maneuver Settings129
- Sensitivity130
- Start / Stop130
- Inflection Point (Pflex) Maneuver Screen131
- Pflex Maneuver Settings131
- Maneuver PEEP (PEEP)132
- PEEP Equilibration Time (PEEP Teq)132
- Upper Pflex and Lower Pflex Determination133
- Autopeep Maneuver Screen135
- To Perform an Autopeep Maneuver136
- Capnometry Screen137
- Tracheal Catheter Placement137
- Digital Displays138
  - The Monitor Screen138
  - Monitored Values Menu Choices139
  - Events142
  - Trends143
  - Calculated I:E Ratio144
  - Calculated Minute Volume (Calc Ve)144
  - Calculated Time High & Time Low Min / Max144
- Main Screen Displays144
  - Calculated Time High: Time Low Ratio145
  - Main Screen Monitors146
Chapter 5: Volumetric Capnography147
- Theory of Operation147
- Settings and Monitored Values151
- Zeroing the CAPNOSTAT 5158
  - Bottom of AVEA UIM View158
  - Zero CO2 Sensor Message159
- Checking the Accuracy of the CAPNOSTAT 5160
- Nasal CPAP (Ncpap)163
  - Circuit Compatibility163
  - General Specifications (Ncpap)163
Chapter 6: Infant Non-Invasive Ventilation163
- High Ncpap Pressure164
- Initiating Nasal CPAP164
- Low Ncpap Pressure164
- Ncpap Pressure Limit164
- Calibration Required Message165
- Disconnect Point for Calibration165
- Mode Selection165
- Calibration Progress Message166
- Calibration Successfully Completed Screen166
- Caution Message Display (Ncap)167
- Monitors167
- Ncpap Primary Controls and Alarm Threshold Indicators167
- Displayed Waves168
- Graphics168
- Circuit Compatibility (Nimv)169
- General Specifications (Nimv)169
- Nasal Intermittent Mandatory Ventilation (Nimv)169
- Status Indicators181
Chapter 7: Alarms and Indicators181
- Battery Status Indicators182
- Internal Battery Power Indicator182
- The Message Bar183
- “Popup” Alert Messages183
- Alarm Categories184
- High Priority (Warning)184
- Low Priority (Advisory)/Backup Alarm (Advisory)184
- Medium Priority (Caution)184
- Alarm Controls185
  - Setting an Alarm Limit185
  - Alarm Silence/Alarm Reset186
- Alarm Types186
- Nasal CPAP / Nasal IMV Alarms195
- Volume Guarantee Alarms198
- Cleaning and Sterilization201
  - Limitations on Reprocessing201
  - Manual Cleaning201
Chapter 8: Maintenance and Cleaning201
- Capnometry Airway Adapters202
- Cleaning the Outside of the Capnometry Sensor and Cable202
- Sterilization202
- Additional Information on Cleaning203
- Recommended Periodic Maintenance204
- Battery Care205
Operator's Manual208
- Mains Fuses209
- Replacing a Mains Electrical Fuse209
Appendix A: Contact & Ordering Information211
- How to Call for Service211
- Ordering Parts212
Appendix B: Specifications215
- Data Input / Output Specifications216
- DC Power Supply Specifications216
- Independent Lung Ventilation (ILV) Specifications216
- Analog Inputs Data217
- Analog Outputs Data217
- Breath Phase Data218
- Volume Data218
- Digital Communication219
- VOXP (Ventilator Open XML Protocol)221
- Atmospheric & Environmental Specifications222
- Accessories223
  - Barometric Pressure223
  - Pall Microbial Filter Data/Water Trap Data223
- Physical Dimensions223
  - AVEA Disposable Expiratory Filter / Water Trap Specifications224
  - Gas Delivery Engine225
Appendix C: Pneumatic Diagram225
Appendix D: Monitor Ranges and Accuracies227
Appendix E: Sensor Specifications & Circuit Resistance231
- Varflex ® Sensor Specifications231
- Hot Wire Flow Sensor Specifications232
- Circuit Resistance Test233
- Volumetric Capnography Specifications234
Appendix F: AVEA Message Bar Text235
Appendix G: Advanced Pulmonary Mechanics Monitored Parameters237
- Chest Wall Compliance (Ccw)237
- Lung Compliance (Clung)237
- Rapid Shallow Breathing Index (F / Vt)237
- Compliance Ratio (C20/C)238
- Peak Expiratory Resistance (Rpeak)238
- Respiratory System Resistance (Rrs)238
- Imposed Resistance (Rimp)239
- Lung Resistance (Rlung)239
- Peak Expiratory Flow Rate (PEFR)239
- Peak Inspiratory Flow Rate (PIFR)239
- Autopeepaw240
- Delta Airway Pressure (Dpaw)240
- Delta Esophageal Pressure (Dpes)240
- Autopeepes241
- Delta Autopeepaw (Dautopeepaw)241
- Transpulmonary Pressure, Plateau (Ptp Plat)241
- Maximum Inspiratory Pressure (MIP)242
- Respiratory Drive (P100)242
- Transpulmonary Pressure, Autopeep (Ptp PEEP)242
- Patient Work of Breathing (Wobp)243
- Ventilator Work of Breathing (Wobv)243
- Imposed Work of Breathing (Wobi)244
Appendix H: Capnometry Troubleshooting245
Appendix I: Volumetric CO 2 Calculations247
- Volumetric CO2 Calculations247
- Anatomic Dead Space (VD Ana)249
- Alveolar Dead Space250
- Alveolar Ventilation (Va)250
- Anatomic Dead Space / Tidal Volume Ratio (VD Ana / Vt)250
- Oxygenation Index (OI)250
Appendix I: Volumetric Cocalculations251
Appendix J: Electromagnetic Declarations251
- Guidance and Manufacturer’s Declaration - Electromagnetic Immunity252
- Distance between RF Communications Equipment and AVEA Ventilator254
Appendix K: Glossary255
- Index257

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