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LTV 1200 Service Manual

LTV 1200
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p/n 18603-001, Rev. C LTV
®
1200/1150 Ventilator Service Manual Page i
Revision History
Revision Level Revision Date
Rev. A, ECO 4188 September 2006
Rev. B, ECO 4950 March 2008
Rev. C, ECO 5407 July 2008
Contact Information
Cardinal Health
Pulmonetic Systems
17400 Medina Rd., Suite 100
Minneapolis, Minnesota 55447-1341
Phone: (763) 398-8500
Office Fax: (763) 398-8400
Customer Care Center Phone: (800) 754-1914, ext. 2
Customer Care Center Fax: (763) 398-8403
Sales/Marketing E-mail: info@pulmonetic.com
Customer Care Center E-mail: service@pulmonetic.com
Pulmonetic Systems Website: http://www.pulmonetic.com
LTV
®
1200 and LTV
®
1150 are trademarks belonging to Pulmonetic Systems
Copyright
©
2008 Pulmonetic Systems, Minneapolis, Minnesota.

Table of Contents

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LTV 1200 Specifications

General IconGeneral
BrandLTV
Model1200
CategoryFan
LanguageEnglish

Summary

Revision History

Contact Information

User/Owner Responsibility

Warranty

Details the warranty coverage for the LTV® 1200/1150 ventilator, including duration and limitations.

LIMITATION OF WARRANTY

Excludes specific conditions like improper maintenance, misuse, unauthorized modifications, and external accessories.

NO IMPLIED WARRANTIES

States that the provided warranty is exclusive and no other warranties are expressed or implied.

LIMITATION OF LIABILITY

Limits the liability of Pulmonetic Systems for damages, including consequential damages.

Notices

European Regulatory Requirements per 93/42/EEC Medical Device Directives

Information regarding the European representative for vigilance reporting within the European Community.

Notice to Users

Provides essential safety information for users regarding unsafe operation and handling of the ventilator.

Chapter 1 - Introduction

Getting Assistance

Provides contact information for service technicians and Pulmonetic Systems for support.

Operator’s Safety Information

Details important safety information including warnings, cautions, and notes for ventilator operators.

Warnings

Highlights critical safety warnings related to service, fire, untrained personnel, and parts usage.

Cautions

Provides cautions regarding electrical grounding, fuse replacement, storage, and cleaning procedures.

Symbols

Explains various symbols used in the manual and their meanings for compliance and application.

Chapter 2 - Ventilator Checkout Tests

Alarm Test

Verifies the correct operation of the audible alarm system by running a specific test sequence.

Display Test

Ensures all segments of the 7-segment displays, dot-matrix windows, and LEDs illuminate correctly.

Control Test

Checks the functionality of ventilator buttons and the Set Value knob by verifying displayed labels.

Leak Test

Tests the integrity of the patient circuit for leaks by measuring flow through the flow valve.

Vent Inop Alarm Test

Verifies the correct operation of the Vent Inop alarm, including audible and visual indicators.

Chapter 3 - Real-Time Transducer Data

RT XDCR DATA

Provides a list of real-time transducer data items and their corresponding displayed units and meanings.

Chapter 4 - Cleaning, Disinfecting and Sterilizing

Cleaning the Ventilator

Instructions for cleaning external surfaces of the ventilator using a clean, damp cloth and antibacterial solution.

Cleaning or replacing the Fan Filter

Detailed steps for cleaning or replacing the fan filter using a mild detergent and warm water.

Cleaning or replacing the Inlet Filter

Procedures for cleaning or replacing the inlet filter, emphasizing gentle handling and complete drying.

Cleaning or Replacing the O2 Inlet Filter (LTV® 1200 Only)

Instructions for cleaning or replacing the O2 inlet filter to maintain ventilator performance and prevent contamination.

Cleaning the Exhalation Valve and Reusable Patient Circuit

Guidance on cleaning the exhalation valve and reusable patient circuit components, with emphasis on leak testing.

Chapter 5 - Preventative Maintenance

Recommended Maintenance Schedule

Outlines the recommended maintenance schedule based on hours of service or time intervals for proper ventilator operation.

Before Initial Use

Steps for initial setup, including charging the internal battery and verifying proper operation.

Storage Maintenance

Procedure for maintaining the internal battery charge when the ventilator is in storage.

Daily Maintenance

Routine daily checks and cleaning procedures for the external and fan filters.

Monthly Maintenance

Monthly maintenance tasks including running checkout tests and performing specific operational checks.

10,000 Hour / 2 Year Maintenance

Maintenance tasks required every 10,000 hours or 2 years, including calibration and component replacement.

30,000 Hour Maintenance / 6 Year Maintenance

Comprehensive maintenance required every 30,000 hours or 6 years, involving extensive component replacement.

Chapter 6 - Maintenance & Calibration

Operating Theory

Explains the electromechanical pneumatic system and major components of the ventilator.

Pneumatic Schematic Detail

Provides a detailed pneumatic schematic illustrating the system's components and their interconnections.

Vent Maintenance

Details the ventilator maintenance tests used for performance verification and troubleshooting.

Entering Vent Maintenance Mode

Instructions on how to enable the Ventilator Maintenance menu by adjusting DIP switch settings.

Vent Maintenance Entry Alarm

Describes the REMOVE PTNT alarm and audible alarm that sounds upon entering Vent Maintenance mode.

Calibration

Explains the process of calibrating pressure transducers and flow valve motor speed for the ventilator.

Airway Pressure Calibration

Step-by-step guide for calibrating the airway pressure transducers using specific equipment and procedures.

Flow Differential Calibration

Detailed instructions for calibrating the flow differential transducer using a calibration syringe assembly.

Valve Differential Calibration

Procedures for calibrating the valve differential transducer, including tube disconnection and reconnection.

PEEP Pilot Pressure Transducer Calibration

Steps for calibrating the PEEP Pilot Pressure Transducer, involving syringe connection and pressure adjustments.

O2 Inlet Pressure Calibration (LTV® 1200 Only)

Procedure for calibrating the O2 inlet pressure transducer, including leak tests and pressure adjustments.

Motor Drive Calibration

Instructions for calibrating the motor drive using a calibration tool and amp meter.

Measure Turbine Speed (T/S)

Procedure for measuring turbine speed using a multimeter and calculating RPM.

Chapter 7 - Troubleshooting

Displays and Buttons

Troubleshooting guide for issues related to control and window displays and setting controls.

Ventilator Performance

Addresses problems with delivered or monitored pressure, volume, PEEP, accuracy, sensitivity, and triggering.

Advanced Vte Diagnostic Procedures

Detailed diagnostic procedures for Vte problems, transducer accuracy, pneumatic system, and flow valve accuracy.

Advanced FiO2 Diagnostic Procedures

Advanced diagnostics for O2% concentration (FiO2) issues, including calibration and blender checks.

Power and Battery Operation

Troubleshooting for power-related issues, including external power, battery operation, and Vent Inops.

Alarms

Information on addressing common alarms like HIGH PRES, LOW O2 PRES, and HW FAULT.

Checkout Test Failures

Troubleshooting steps for issues encountered during VENT CHECK and VENT MTNCE tests.

Test Lung Operation

Guidance on troubleshooting problems encountered when operating the ventilator with a test lung.

Chapter 8 - Component Removal and Replacement

WARNING

Emphasizes that only trained and certified technicians should perform repairs or maintenance.

CAUTION

Advises careful handling of delicate electronic and mechanical parts to prevent damage.

NOTE

Refers to Back Panel, Reinstallation for a comprehensive list of components and tasks.

Training and Authorization

States that the manual is for trained and authorized service personnel only.

Service Record

Instructs to fill out a Service Record form for all service activities to track parts and history.

Tools

Lists required tools for component removal/replacement and maintenance procedures.

Calling for Assistance

Provides contact information for technical support representatives for assistance or additional information.

Before removing the back panel

CAUTION regarding turning off the ventilator and removing external power before opening.

Before replacing the back panel

Mentions checks required before reattaching the back panel, referring to specific instructions.

After performing any maintenance

States that Final Checkout Tests must be run after maintenance and may require recalibration.

Boots, Protective

Describes rubberized boots installed for protection against shocks and strikes, divided into sub-sections.

Boots, Temporary Removal

Instructions for temporarily removing the upper and lower protective boots for back panel access.

Boots, Permanent Removal

Procedure for permanently removing the upper and lower protective boots, with specific screw warnings.

Boots, Reinstallation

Steps for reinstalling the upper and lower protective boots, including screw torque values.

Boots, New Installation

Instructions for installing new protective boots, emphasizing correct screw usage and alignment.

LTM/LTV mounting assembly installation and removal

Covers installation and removal of the LTM/LTV mounting assembly for LTM Graphics Monitors.

Current Model LTM Instructions

Specific instructions for temporary removal of the current model LTM mounting assembly.

LTM mounting assembly permanent removal (current LTM)

Procedure for permanently removing the LTM mounting assembly, including screw torque specifications.

LTM mounting assembly re-installation (current LTM)

Steps for re-installing the LTM mounting assembly, ensuring proper alignment and screw torque.

LTM mounting assembly new installation (current LTM)

Instructions for new installation of the LTM mounting assembly, including orientation and screw usage.

LTM/LTV® mounting bracket (earlier model LTM)

Details the two-piece mounting assembly required for earlier model LTM Graphics Monitors.

LTM/LTV mounting bracket temporary removal (earlier model LTM)

Steps for temporarily removing the LTM/LTV mounting bracket for earlier models.

LTM/LTV mounting bracket permanent removal (earlier model LTM)

Procedure for permanently removing the LTM/LTV mounting bracket for earlier models.

LTM/LTV® mounting bracket, reinstallation (for earlier model LTM)

Instructions for reinstalling the LTM/LTV mounting bracket for earlier models.

LTM/LTV® mounting bracket new installation (earlier model LTM)

Steps for new installation of the LTM/LTV mounting bracket for earlier models.

Back Panel

General section on the back panel, including removal and reinstallation procedures.

Back Panel, Removal

Step-by-step guide for removing the back panel, including disconnecting battery and cables.

Back Panel, Reinstallation

Detailed instructions for reinstalling the back panel, including checks and DIP switch settings.

Internal Flexible Tubing

Information on reattaching internal flexible tubing to ensure proper ventilator operation.

Tubing Overview Diagram

Diagram illustrating the routing of internal flexible tubing for component servicing.

Tubing Table

Table detailing tubing part numbers, material, diameter, length, quantity, and installed location.

Solenoid Manifold Tube Routing Table

Table showing port numbers and routing for tubing connected to the solenoid manifold.

Solenoid Mount Tube Routing Table

Table detailing tubing connections for the solenoid mount assembly ports.

Tubing Removal/Replacement Instructions

General instructions for removing and replacing internal flexible tubing, emphasizing careful handling.

Accumulator

Instructions for removing and replacing the accumulator component, including parts and tools required.

Alarm Sounder Assembly

Procedure for replacing the alarm sounder assembly, including parts and tools required.

Analog Board Assembly

Steps for replacing the analog PCBA, including disconnecting tubes and connectors.

External Inlet Filter

Instructions for cleaning or replacing the external inlet filter, emphasizing monthly maintenance.

Fan Assembly

Procedure for replacing the fan assembly, including orientation and connection details.

Cleaning the Fan Filter

Steps for cleaning the fan filter, noting potential HW FAULT alarm and proper drying.

Flow Valve Assembly

Instructions for removing and replacing the flow valve assembly, including preparation and connection steps.

Front Panel

Procedure for removing and installing the front panel assembly, including disconnecting various components.

Internal Battery Pack

Instructions for removing and replacing the internal battery pack, including caution on battery usage.

Caring for the Internal Battery

Guidelines for preserving maximum battery life, including charging, storage, and disposal information.

Internal Inlet Filter

Procedure for cleaning or replacing the interior inlet filter, specifying frequency and inspection for damage.

Main Board Assembly

Steps for replacing the main PCBA, including required serial number and usage hours information.

Motor Board Assembly

Instructions for replacing the motor board PCBA, including connector and screw details.

O2 Blender Assembly / O2 Block

Procedure for replacing the O2 blender assembly or O2 Block, detailing component removal and replacement order.

O2 Blender Filter (LTV® 1200 only)

Instructions for cleaning or replacing the O2 inlet filter for LTV® 1200, emphasizing frequency and condition.

Power Board Assembly

Steps for replacing the power PCBA and related hardware, including connector and screw details.

Right and Left Soft Side Panels

Procedure for replacing the right or left soft side panel, including screw and washer details.

Rotary Switch (Set Value Knob) Assembly

Instructions for removing and replacing the rotary switch assembly, including knob and nut details.

Solenoid Manifold Assembly

Details on replacing the solenoid manifold assembly, including parts, tools, and tube routing.

Solenoid Manifold Tube Routing Table

Table specifying tubing connections for solenoid manifold ports for proper routing.

Solenoid Mount Assembly

Instructions for removing and replacing the solenoid mount assembly, including tube and connector details.

Thermo Conductive Motor Board Heatsink Pad

Procedure for replacing the thermo conductive pad on the motor board heatsink.

Thermo Conductive Turbine Pad

Instructions for replacing the thermo conductive pad located between the upper weldment and the turbine.

Turbine Manifold

Procedure for replacing the turbine manifold assembly, detailing component removal and reconnection.

Flow Valve Assembly

Detailed instructions for removing and replacing the flow valve assembly, including preparation.

Chapter 9 - Final Checkout Test

Checkout Test Selection

Matrix showing required tests based on replaced parts, noting tests requiring back panel removal.

General Checkout

Procedure and requirements for the general checkout of the ventilator, including alarm and display tests.

General Checkout Worksheet

Worksheet for recording results of the General Checkout tests for the ventilator.

Power On Self-Test - External Power

Tests performed when the ventilator is powered by external AC adapter, verifying LEDs and alarms.

Power On Self-Test - Battery Power

Tests performed when the ventilator is powered by the internal battery, checking alarms and LEDs.

Volume Operation

Tests the ventilator's volume settings, including exhaled tidal volume and breath rate monitoring.

Breath Rate

Procedure for testing the breath rate accuracy by measuring the interval between consecutive breaths.

Pressure Control

Test for measuring steady-state pressure during inspiration in pressure control mode.

Sensitivity

Procedure to test ventilator sensitivity by creating leaks and observing patient effort LED response.

PEEP Test

Tests the PEEP settings and measurements at various levels (0, 20, and 5 cmH2O).

Real-time Transducer Data

Tests the accuracy of various transducers (AP, FDw, FVd, O2) by applying known pressures.

Patient Outlet Pressure

Procedure to measure patient outlet pressure at actual turbine speed, involving a manometer.

Servo

Tests the servo functions by setting flow, turbine speed, and O2% to verify output and performance.

Solenoids

Tests the operation of individual solenoids (ExhPilot, Purge, PPin, PPout) by monitoring pressure changes.

Watchdog Test

Verifies the watchdog timer operation by checking if the ventilator powers down and restarts correctly.

LTM Compatibility Test

Tests the compatibility of the LTM with the ventilator by checking display icons and waveforms.

Flow Valve Leak for I/E Hold

Procedure to test flow valve leak in I/E Hold mode by measuring flow at the outlet port.

12 Hour Burn-in

Procedure for performing a 12-hour burn-in test to verify continuous operation without alarms.

12 Hour Burn-in Worksheet

Worksheet for documenting the results of the 12-hour burn-in test for the ventilator.

Appendix A - VENTILATOR SPECIFICATIONS

Modes and Breath Types

Lists the available modes and breath types supported by the ventilator.

Variable Controls

Details the range and tolerance specifications for various ventilator control parameters.

Alarms

Lists variable alarms, their ranges, and tolerance specifications for monitoring and alerting.

Fixed Alarms

Specifies fixed alarms, their conditions, and associated tolerances or indicators.

Mechanical Controls

Describes the range and tolerance for mechanical controls like Over Pressure Relief and Sub-Ambient Relief.

Internal Compliance

Specifies the internal compliance value for the ventilator system.

Monitors

Details the range and tolerance for various monitored parameters like peak flow and tidal volume.

Button Controls

Explains the function of button controls such as Control Lock and Manual Breath.

Power

Provides specifications for input voltage, external power, and current draw.

Internal Battery

Details internal battery specifications, charge time, hysteresis, and minimum duration.

Storage and Operating Conditions

Specifies temperature and humidity ranges for storage and operation.

Oxygen Inlet

Lists specifications for oxygen inlet pressure range for DISS/NIST and Tapered Tubing connectors.

Shock and Vibration

Outlines standards for shock and vibration resistance that the ventilator is designed to withstand.

Spillage

States that the ventilator resists fluid spillage according to IEC 601-1 Clause 44.3.

External Surface Temperature

Specifies the external surface temperature limits during operation.

Communications

Details communication ports, connectors, and specifications like RS232 and Patient Assist Call.

Equipment Classification

Specifies the ventilator's classification as Class II and Type BF equipment per IEC standards.

Appendix B - GLOSSARY

AC

Alternating Current.

Airway Circuit

The airway tubing connecting the ventilator and patient.

Airway Pressure

The airway pressure measured at the exhalation valve.

Airway Pressure Display

A bar graph display showing real-time airway circuit pressure.

Alarm

Audible and visual notification of an alarm condition.

Apnea

Occurs when time between breath starts exceeds the set apnea interval.

Apnea Backup Ventilation

Ventilation that begins when an apnea alarm occurs and continues until patient initiates breaths.

Apnea Interval

Maximum time allowed between breath starts before an Apnea alarm occurs.

Assist / Control Mode

Ventilation mode with a minimum number of machine and assist breaths.

Assist Breath

A breath initiated by the patient and controlled by the ventilator.

Auto zero

Process to determine the transducer zero offset for ambient pressure.

Bias Flow

Continuous gas flow through the airway circuit during exhalation.

bpm

Breaths Per Minute.

Breath Period

Time between machine-initiated breaths, determined by Breath Rate setting.

Breath Rate, monitored (f)

Number of breaths per minute, including machine, assist, and patient breaths.

Breath Rate, set

Minimum number of machine breaths per minute.

BTPD

Body Temperature, Pressure Dry.

Circuit

See Airway Circuit.

Circuit Pressure

See Airway Pressure.

cmH2O

Centimeters of water pressure. A unit of measure for pressure.

Control Mode

Ventilation mode with a fixed number of machine breaths; patient triggers are not allowed.

CPAP

Continuous Positive Airway Pressure applied throughout the breath cycle.

CPAP Mode

Ventilation mode where the patient triggers all breaths.

Display Window

12 dot-matrix displays for monitored data, alarm messages, and Extended Feature items.

EEPROM

Electrically Erasable Programmable Read Only Memory for calibration and control data.

EPAP

Expiratory Positive Airway Pressure during breath exhalation.

Event

Any condition noted in the ventilator's event trace, including errors and operational events.

Exhaled Tidal Volume

See Tidal Volume.

Expiratory Hold

Maneuver to hold expiratory phase to determine Auto PEEP.

Extended Features

Ventilator controls and options accessed via a menu, not associated with Front Panel controls.

F

See Breath Rate, monitored.

Flow

Rate at which gas is delivered to the patient, measured in Lpm.

Flow Trigger

Patient effort where bias flow exceeds Sensitivity, triggering an Assist or Patient breath.

f/Vt

Total Breath Rate divided by the average Exhaled Tidal Volume.

f/Vt f

Total Breath Rate divided by Exhaled Tidal Volume and Total Breath Rate.

I:E Ratio, monitored

Ratio of inspiratory time to exhalation time for a breath.

I:E Ratio, calculated

Calculated Inspiratory:Expiratory ratio based on Inspiratory Time and Breath Rate.

in-oz

Inch ounces. A measurement of torque.

Inspiratory Hold

Maneuver holding inspiratory phase to determine Δ Pres and static lung compliance.

IPAP

Inspiratory Positive Airway Pressure during breath inhalation.

L

Liters. A unit of measure for volume.

Leak Compensation

Improves triggering when a circuit leak is present.

Appendix C - Service Record Form

Appendix D - Event Trace

Event Trace Data Definitions

Defines the data fields used in the Event Trace, including XDC FLT1, HOME ER1, and AD MMTCH.

Event Codes

Lists event codes, names, events, and associated alarms recorded in the Event Trace.

Event Codes by Code #

Alphabetical listing of event codes and their associated events and alarms.

Event Codes by Event Name

List of event codes categorized by event name, showing associated alarms.

Appendix E - Reference Information

Conversion Factors

Provides a reference table for converting between various units of measure.

Extended Features Map

Visual map illustrating the structure and access paths for Extended Features menus.

External Accessories Screw Location, Type and Length

Information on appropriate screws for external accessory installation/removal to prevent internal damage.

Parts, Replacement

A comprehensive table listing replacement part names and their corresponding part numbers.

Settings, Dip Switch

Provides default factory settings for the ventilator's DIP switches and their functions.

Settings, Front Panel Controls and Extended Features

Lists factory default settings for front panel controls and extended features.

Tools, Required

Lists general and unique tools required for service, calibration, and testing procedures.

Volume measurements

Illustrates requirements for instrumentation accuracy when measuring volumes.

Flow rate measurements

Provides guidelines for instrumentation accuracy when measuring flow rates.

Oxygen blending percentage measurements

Details instrumentation accuracy requirements for measuring oxygen blending percentages.

Transducer Calibration, Acceptable A/D Counts

Table showing acceptable A/D counts for various transducers during calibration.

Torque Values

Provides a table of torque values used for assembling various components of the ventilator.

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