3-8 
 
3.5 Install the Patient Tubing 
 
WARNING 
  To minimize the risk of bacterial contamination or physical damage, handle 
bacteria filters with care. 
  To prevent patient or ventilator contamination, always use a bacteria filter 
between the ventilator and the patient inspiratory limb. 
 
CAUTION 
  The use of an expiratory filter may lead to a significant increase in expiratory 
resistance. Excessive expiratory resistance may compromise ventilation and 
increase patient’s work of breathing and intrinsic PEEP. 
  The patient tubing shall comply with the requirements of ISO 5367. 
  The bacteria filters shall comply with the requirements of ISO 23328-1 and ISO 
23328-2. 
  The Heat & Moisture Exchange (HME) shall comply with the requirements of ISO 
9360-1 and ISO 9360-2.