Page C-20 LTV
®
Series ventilator Operator’s Manual
p/n 10664, Rev. Y
Ventilator Proper Operation Worksheet
SERIAL NUMBER: ________________ CONDUCTED BY: _______________________
DATE: ________________
TEST
DESCRIPTION
PAGE /
STEP
MEAS.
VALUE
REQUIREMENT PASS /
FAIL
Ventilator Checkout Tests (Chapter 11 -)
Audible alarm must activate for minimum 2
sec’s.
Alarm Test 11-3
Confirming audible Chirp
96
must activate
after alarm is silenced
Display Test 11-4 All displays must light except VENT INOP
Control Test 11-6 Correct messages displayed in window
Leak Test 11-8 “X.X PASS”, Record value displayed
Alarm sounded and Inop LED illuminated
15 sec’s.
Vent Inop Alarm Test 11-10
Confirming audible Chirp
96
must activate
after alarm is silenced
Checking the Ventilator for Proper Operation (Appendix C - Installation and Checkout):
Ventilator Settings:
Selected Monitors should read as follows:
Exhaled Tidal Volume: 383 to 633 ml
I:E Ratio : 1:3.8 to 1:4.2
Total Breath Rate: 12 bpm
Total Minute Vol: 4.6 to 7.6 L
Settings:
Mode: Volume, Assist/Ctrl
Low Press O
2
: Off
Breath Rate: 12
Tidal Volume: 500
Insp. Time: 1 sec
O
2
%: 21
Sensitivity: 3
High Pressure Limit: 100
Low Pressure Alarm: 5
Low Min Vol: 1.0
PEEP: 5 cmH
2
O
C-18
2) A)
No Alarms
96
Only applicable on ventilators with an audio sound symbol ( ) on the back panel label.