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GE iVent 201 Series User Manual
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GE Healthcare
P.O. Box 755
0
Madison, WI 53707-7550
USA
www.gehealthcare.com
© GE Healthcare – A
ll rights reserved
.
GE and GE Monog
r
am are trademarks of
General Electric
Company.
Versam
ed - GE Med
ical Syst
ems Isr
ael LTD,
a Genera
l
Electric Company do
ing business as GE Healthcare.
Manufacturer:
VersaMed Medical
System
s Ltd
P.O.B 5011, O
rnat Bldg.
Hasharon Ind.Park,
Kadima 60920
Israel
0473
Obelis s.a.
Av. de Tervuren 34
Bte 44 B-1040
Brussels Belgium
Tel 32 2 7325954
Fax 32 2 7326003
mail@obelis.net
iVent
TM
201
User’s Reference Manual
English - USA
M1162064
DOC0899695
March, 2011
289
Table of Contents
Default Chapter
5
Table of Contents
5
1 Introduction
13
Introduction
15
How to Use this Manual
16
Looking at the Iventâ„¢201
17
Cautions and Warnings
19
Symbols and Labels
20
Performance Parameters
24
Specifications
25
Monitored Data Range, Resolution and Accuracy
25
Size and Weight
27
Ventilation Modes
27
Environmental Specifications
28
Power Supply
28
O2 Supply Specifications
29
Ventilation Performance and Controlled Parameters
29
Pulse Oximetry Specifications
30
Standards and Safety Requirements
31
User Adjustable Alarms
34
Additional Alarms and Indicators
35
Waveforms and Diagnostics Packages
35
Intended Use
37
Use of the Ivent
37
TM 201 with MRI
37
MRI Conditional Tests Specifications
41
2 Setting up
43
Introduction
44
Power Connection
44
External Power
44
Internal Battery
47
Oxygen Supply
50
High Pressure Oxygen Supply
50
Low Pressure Oxygen Supply
51
Patient Circuit
52
Disposable Patient Circuit
53
Reusable Patient Circuit
53
Dual Limb Patient Circuit
54
Circuit Resistance
56
Other Connections
56
Hme
56
MDI
56
Using the Ivent
56
Pneumatic Nebulizer
58
Pulse Oximeter
58
Remote Alarm
61
Sensor Line Maintenance
61
Patient Connection
61
Filters
61
Air Inlet Filter
62
Bacterial Filter
62
Chemical, Biological, Radiological and Nuclear Filter
62
Operational Case
63
The Ivent TM 201 User Interface
63
The Iventtm201 User Interface
63
Controls and Power up
64
The Front Panel
64
Silence
64
Manual Breath
65
Hold
65
Clear
65
LED Indicators
65
The Screen
66
3 Operating the Ivent Tm 201 - Setting Modes and Parameters
69
Introduction
71
Operation of the Ivent TM 201
71
Power up and Weight Selection
71
Standby and Patient Ventilation
73
Changing Ventilation Mode
74
Common Parameters
76
Changing Ventilation Paramters - Overview
77
The Selection Interface
78
Adjusting the Breath Rate
79
Adjusting the Tidal Volume
81
Breath Types
82
Adjusting Pressure
83
Adjusting Fio2
85
Adjusting Peak Flow
86
Adjusting Pressure Support Ventelation
88
Adjusting PEEP
90
Adjusting Trigger Sensitivity
91
Adjusting Inspiratory Time
92
Adjusting Rise Time
94
Adjusting Flow Termination (Esens)
96
4 The Main Menu
99
Introduction
101
Navigating the Main Menu
101
Alarm Settings
102
Advanced Settings
103
Sigh Breath
103
Easy Exhale
105
Oxygen Supply
106
High Option
107
Alarm Messages
108
Low + Monitoring Option
109
Low Option
109
None Option
110
Adaptive Peak Flow
110
Humidifier Setting
111
Pulse Oximetry
112
Pneumatic Nebulizer
114
Set Time and Date
115
Restore Default Settings
117
Default Parameters Settings
118
Show Graphs
120
Browse Waveforms
120
Select Range
122
Show Trends
124
Selecting Trends to Display
126
Browsing Trends
127
Show Loops
129
Show Mechanics
131
Pulse Oximetry Screen
132
Pulse Oximetery Alarms
134
Show Log Book
135
Display
136
127
139
Maintenance
139
O.V.t
139
5 Adaptive Bi-Level
141
Introduction
143
About Adaptive Bi-Level
143
Guide to Adaptive Bi-Level
143
Indications and Warnings
144
Indications
144
Warnings
144
Setup
144
Adaptive Bi-Level Alarm Settings
146
Other Alarm Options
146
Adjusting Adaptive Bi-Level Parameters
146
Adaptive Bi-Level Window
147
Easy Exhale
149
Optimizing the Patient Ventilator Interface
149
Resolving Patient Ventilator Dysynchrony
149
Excessive Ventilation
149
Excessive Leak
149
Non-Triggered Breaths (Inspiratory Trigger Failure)
150
Excessive Triggering (Auto Cycling)
150
I:E Cycling Dysynchrony
150
Premature I:E Cycling
150
6 Alarms
153
Introduction
155
How Alarms Work
155
Responding to an Alarm
155
Alarm Settings
156
Changing Individual Alarm Settings
157
Setting the Respiratory Rate Alarm
158
Setting the Minute Volume Alarm
159
Setting the Pressure Alarm
160
Setting the Apnea Time Alarm
161
Setting the Fio2 Alarm
162
Setting the Leak Alarm
163
Auto Settings
164
Alarm Options
165
Setting the Alarm Volume
166
Setting the Inverse I:E Ratio Alarm
166
Setting the Tidal Volume Not Delivered Alarm
167
Disabling or Enabling the Patient Circuit Disconnect Alarm
168
Guide to Alarm Definitions and Priorities
170
Alarms Test
179
The Sensor Failure Alarm
181
Patient Disconnect Alarm
182
Patient Circuit Failed Alarm
182
7 Care, Maintenance and Tests
183
Introduction
185
Cleaning and Maintenance
185
Cleaning the Ventilator
186
Planned Maintenance
186
Storage Planned Maintenance
188
The O.V.T
188
The Maintenance Screen
188
Calibration
188
O2 Calibration
189
Ventilator Verification Tests
191
Required Equipment and Supplies
192
Starting the VVT
193
The Alarm Sound Test
193
Pressure Tests
194
Flow Tests
194
O2 Tests
194
Battery Test
195
Watchdog Timer Tests
195
VVT Completion
195
Configuration Screen
196
Choosing a Different Startup Screen
196
Setting the Startup Weight
197
Default Fio2 Setting
197
Versamed Service Functions
198
Communication Port
198
Communication Rate
198
Localization
198
Total Operating Hours
200
Appendix A: Glossary
203
Appendix B: Warranty
211
Warranty
213
Appendix C: Operating Theory
215
Operating Theory
217
Theory
217
Ambient Air Filter
217
CBRN Filter (Optional)
217
Low Pressure O2 Adapter and Filter (Optional)
217
Air/Oxygen Blending System
217
Inlet Manifold
217
Turbine Unit
218
Turbine Pressure Sensor
218
Turbine Valves
218
Over Pressure Relief Valve
218
Airway Flow and Pressure Sensors
218
Pressure Switch
218
Inlet and Outlet Mufflers
218
Appendix D: Theory of Breath Delivery
223
Breath Delivery
225
Patient Triggering
225
Breath Types
226
Adaptive Flow and Adaptive I-Time
227
Mandatory Volume Control Breath
228
Pressure Control Breath
229
Manual Mandatory Breath
230
Patient Pressure Support Breath
230
Patient Spontaneous Breath
231
Summary
232
Appendix E: Ventilation Modes
235
Assist/Control Mode
237
Definition
237
Available Breath Types
237
Description
237
Parameters Setting
238
Synchronized Intermittent Mandatory Ventilation Mode
238
Definition
238
Available Breath Types
238
Description
238
Parameters Setting
239
Continuous Positive Airway Pressure Mode
240
Definition
240
Available Breath Types
240
Description
240
Parameters Setting
240
Apnea Back-Up Ventilation
241
Open Loop Mode
241
Adaptive Bi-Level Mode
242
Appendix F: Hold Function and Static Mechanics Measurements
245
Front Panel Controls
247
Static Compliance Measurements
247
Static Compliance
247
Respiratory Time Constant
248
Performing a Static Respiratory Mechanics Measurement
248
Clinical Considerations
249
End Expiratory Hold
249
Performing and End Expiratory Hold Maneuver
250
Reviewing Static Mechanics and Intrinsic PEEP Measurements
250
Rr/Vt Ratio
251
Appendix G: Accessories
253
Disposable Breathing Circuit
255
Instructions for Use
256
Instructions for Use with a Pneumatic Nebulizer
257
Reuseable Patient Breathing Circuit
257
Contents
257
Warnings and Cautions
257
Sterilization and Duration of Use
258
Phthalates
258
Instructions for Use
259
Instructions for Use with the Humidifier
259
Cleaning and Sterilization
260
Reassembly
261
Dual Limb Patient Circuit Adapter
262
Kit Contents
262
Phthalates
263
Installation
263
Installing the Exhalation Valve
264
Installing the Patient Circuit
264
Extended Battery
266
To Replace the Battery
266
Specifications
268
MRI Extension Tubing Set for Patient Breathing Circuit
268
Warnings
268
Instructions for Use
270
Instructions for Use with the Humidifier
270
Transport Mounting Panel
271
Kit Contents
271
Installation
271
Support Arm for Breathing Circuit
273
Connecting the Patient Circuit to the Support Arm
273
Roll Stand
274
Mounting the Ivent TM 201 on the Roll Stand
274
Dismounting the Ivent TM 201 from the Roll Stand
274
Connecting the Optional Battery Holder Accessory P/N: M1162050
275
Appendix H: Remote Alarm Pinout
277
Appendix I: Part Numbers and Accessories
281
Index
287
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GE iVent 201 Series Specifications
General
Brand
GE
Model
iVent 201 Series
Category
Medical Equipment
Language
English
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