p/n 18603-001, Rev. C LTV
®
1200/1150 Ventilator Service Manual Page 9-23
Performance Checkout Worksheet
LTV
®
1200/1150 SERIAL NUMBER: ____________ CONDUCTED BY: ____________
MEMORY BOARD SOFTWARE VER.: ____________ DATE: ____________
TEST
DESCRIPTION
STEP
#
MEAS.
VALUE
REQUIREMENT
PASS /
FAIL
Tidal Volume
Settings: Volume, Assist / Control,
PEEP=5, TV=1500, BPM=6,
Insp Time=6.0 seconds.
1)A)
Average measured tidal volume
Average measured tidal volume (BTPD) =
1500 ± 150ml
Average monitored tidal volume
Average displayed Vte = ± 15% of average
measured tidal volume
Settings: Volume, Assist / Control,
PEEP=5, TV=1500, BPM= 8,
Insp Time = 3.0 seconds.
1)B)
Average measured tidal volume
Average measured tidal volume (BTPD) =
1500 ± 150ml
Average monitored tidal volume
Average displayed Vte = ± 15% of average
measured tidal volume
Settings: Volume, Assist / Control,
PEEP=5, TV=1500, BPM=10,
Insp Time = 1.5 seconds
1)C)
Average measured tidal volume
Average measured tidal volume (BTPD) =
1500 ± 150ml
Average monitored tidal volume
Average displayed Vte = ± 15% of average
measured tidal volume
Breath Rate
Settings: Volume, Assist / Control,
TV=1500, BPM=10, Insp Time =3.0 sec
2)A)
Period between start of 2 consecutive
breaths
2)B)
Breath rate must be 10.0 ± 1.0 or measured
interval must be 6.0 ± 0.5 sec.
Pressure Control
Settings: Pressure, Assist / Control,
P=50, Rise time= “as required”
78
3)A)
Steady state pressure during inspiration 3)B)
Measured steady-state pres. = 50 ± 4 (46 to
54) cmH
2
O
78
Set the RISE TIME under the VENT OP menu as required (1 through 9, depending on test lung used), to
achieve 50 cmH
2
O pressure.