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Page 67

Operational Considerations

Table of Contents

Default Chapter1
- User Manual1
- Table of Contents5
1 Introduction10
- About this Manual10
- Intended Use10
2 What's New in Version 511
- Default Flow Trigger Setting of 0.6 L/Min12
3 Description of the Ventilation Modes13
- Simv16
  - HFO (SLE5000 Only)17
  - SIMV with TTV Plus18
4 Technical Description20
5 User/Owner Responsibility21
- Warnings24
7 Clinical Warnings27
8 Ventilator Description30
9 Description of Symbols and Buttons33
10 User Interface36
- Description of the Mode Panel in Ventilation off Mode38
- Flow39
- Language Toggle40
- Version Information Panel41
- Mode Panel Functions in a Ventilation Mode42
- Standby Button (All Modes)43
  - Apnoea Setup for PTV & PSV and SIMV44
  - Set Trigger for CPAP, PSV, PTV SIMV45
- Alarm Panel46
- Default Waveform Windows47
- Ventilation Parameters50
- Lung Mechanics and Measurement Panel51
- The Pause Button52
11 Loops, Trends & Waveforms54
- Waveforms54
- Loops55
- Capturing, Retrieving & Deleting Loops.5555
- Trends56
- Minute Volume Trend56
- Description of Trend Windows56
12 Ventilator Set-Up58
- Preparing the Ventilator for Use58
- Ventilator Power up and Power down60
- Mains Power Indicator60
- Powering up and down60
- Turning on the Ventilator60
- Turning off the Ventilator60
- Back-Up Battery Charging60
- Battery Indicator61
- Explanation of Battery Charging61
- Suspension of the "Main Power Fail" Alarm61
- Extended Storage62
- Screw Cap Fuse Holder62
- Drawer Type Fuse Holder62
13 Pre-Use Test64
- Pre-Use Test Checklist65
14 Operational Considerations68
- General68
- Ventilation off Mode68
- CPAP Mode Without a Flow Sensor and with the Apnoea Alarm Set to "OFF68
- SIMV Mode Without a Flow Sensor and68
- Gas Input Pressures68
- Mode Memory on Power up68
- Backup Battery Power68
- Parameter Memory69
- BPM or Backup, Measured and Set Parameters69
- Tidal Volume Parameter Resolution69
- Displayed O69
- HFO Mode, Mean & Delta P Parameters69
- HFO Variable I:E Ratio69
- HFO Mean Compensation69
- Breath Detection70
- Targeted Tidal Volume, Vte (TTV)70
- Max Ti in PSV70
- Wave Shaping71
- Flow Sensor Removal for Suctioning or Re-Calibration, Pausing Ventilation71
- Flow Sensor Removal for Suctioning or72
- Re-Calibration but Continuing Ventilation72
- BPM Tot. Measurement72
- Alarms73
- High and Low Alarm Operation73
- Minute Volume Alarm Threshold74
- Tidal Volume Alarm Threshold74
- Cycle Fail Alarm Threshold74
- Sub-Ambient Pressure Alarm in Non HFO Modes74
- HFO Only Ventilator Set Threshold Alarms (SLE5000 Only)74
- Patient Leak Alarm75
- Reset Contamination Alarm75
- Patient Circuits, Humidification and Nitric Oxide Therapy76
- Autofeed Humidification Chambers76
- Nitric Oxide Therapy76
- Nebulization of Medication77
15 Flow and Pressure Triggering80
- Breath Detection Threshold80
  - Triggering)80
- Breath Trigger Sensitivity80
- Setting the Pressure Trigger Level in CPAP, SIMV, PTV and PSV81
16 Basic Set-Up84
- Pre Set-Up Checks84
- Setting the O84
- CPAP Set-Up85
- Actions after Connection to Patient in85
  - Cpap85
- Interactive and Limiting Controls in85
- TTV Plus (Volume Targeting) of Backup86
  - Breaths in CPAP86
- Ventilation Without a Flow Sensor Connected86
- Ventilation with the Apnoea Alarm Turned86
- Off86
- CMV Set-Up87
- Actions after Connection to Patient in87
  - CMV87
- Interactive and Limiting Controls in CMV87
- TTV Plus (Volume Targeting) All Mechanical88
  - Breaths in CMV88
- Ventilation Without a Flow Sensor Connected88
- PTV Set-Up89
- Actions after Connection to Patient in89
  - Ptv89
- Interactive and Limiting Controls in PTV90
- Ttv90
  - And Mechanical Breaths in PTV90
- Ventilation Without a Flow Sensor Connected90
- PSV Set-Up91
- Actions after Connection to Patient in91
  - Psv91
- Interactive and Limiting Controls in PSV92
- Ttv92
  - And Mechanical Breaths in PSV92
- Ventilation Without a Flow Sensor Connected92
- SIMV Set-Up93
- Actions after Connection to Patient in SIMV93
- Interactive and Limiting Controls in SIMV94
- Ttv94
  - (Volume Targeting) of All94
  - Synchronized and Mechanical Breaths in SIMV94
- Ventilation Without a Flow Sensor Connected95
- HFO Only Set-Up (SLE5000 Only)96
- Actions after Connection to Patient in96
  - Hfo96
- Interactive and Limiting Controls in HFO97
- Ventilation Without a Flow Sensor Connected97
- HFO+CMV Set-Up (SLE5000 Only)98
- Actions after Connection to Patient in98
  - Hfo+CMV98
- Limiting Controls in HFO+CMV98
- Ventilation Without a Flow Sensor Connected98
17 N5402-REV2 & N5302 Flow Sensor100
- Calibration of the Flow Sensor100
- Cleaning and Sterilization of the N5402-REV2 Sensor101
- Frequently Asked Questions103
18 Frequently Asked Questions104
- Ventilator Related Questions104
- Mode Related Questions105
- Patient Circuits106
19 Commonly Seen Alarms108
- High Pressure108
- Low Pressure108
- Breath Not Detected108
- Low Tidal Volume108
- Unexpected Rise or Drop in Mean P108
  - SLE5000 Only)108
- Unexpected Rise or Drop in Max P108
- Unexpected Rise or Drop in Min P108
- Continuing Positive Pressure108
- Leaking Fresh Gas109
- High Patient Leak109
- Clean Flow Sensor109
- Faulty Flow Sensor109
- Flow Calibration Fail109
- Calibrate Flow Sensor109
- Apnoea109
20 Troubleshooting Chart112
- Ventilation Related Problems112
- Ventilator Related Problems114
- Technical Information121
21 Installation122
- Tools Required for Trolley Assembly122
- Trolley Assembly122
- Ventilator Mounting123
- Back-Up Battery Connection123
- Ventilator Labelling123
- Mains Cable Attachment124
- Water Trap Attachment124
- Miscellaneous Items124
22 Secondary Language Selection125
- Activation of Language Selection Program125
23 Oxygen Calibration Routines126
- One Point O Calibration126
- Two Point O Calibration126
24 Functional Testing & Preventative Maintenance Schedule127
- Functional Testing127
- Preventative Maintenance127
- Preventative Maintenance Model M-1127
- Preventative Maintenance Model N127
25 Rs232128
- Cautions for RS232128
- Location of RS232 Port128
- Overview128
- Data and Pinout Description128
- Cable128
- Parameter Descriptions and Format129
- List of Parameters129
- Table of Current Alarm Condition Codes131
- RS232 Connection Settings and Testing Data Output131
26 Alarms132
- Alarm Protocols132
- Alarm Sounds132
- Un-Recognized Alarm Condition132
- Alarm Descriptions and Actions to be Taken133
- Software and System Fail Protocols144
27 Bacterial Filters145
- Bacterial Filter, SLE Part Nº:N2029 (Autoclavable)145
- Bacterial Filter, SLE Part Nº: N2587/000/001 (Single Use)145
28 Patient Circuits146
- Warnings for Patient Circuit Use146
- Generic 10Mm Re-Usable Patient Circuit147
- Generic 10Mm Single Use Patient Circuit148
- Generic Nitric Oxide Delivery Adaptor Kit149
29 Cleaning, Disinfection and Sterilization150
- Preparation of a New Ventilator150
- Cleaning and Disinfection of an In-Service Ventilator150
- Cleaning, Disinfection & Sterilization Chart150
- Cleaning Method151
- Ventilator151
- Flow Sensor151
- Exhalation Block151
- Disinfection Method151
- Sterilization Method151
30 Technical Specification152
- Operating Modes Conventional Ventilation152
- Cpap152
- CMV152
- Ptv152
- Psv152
- Simv153
- HFO Ventilation153
- Hfo+CMV153
- Controls (Via Touchscreen Display)154
- Controls155
- Measurement155
- Flow and Volume155
- Oxygen Concentration155
- Pressure156
- Exhalation Block Port Jet Sizes156
- Alarms156
- User Settable Alarms156
- Obligatory Alarms (Non Adjustable by User)156
- Patient Circuits157
- Outputs157
- Gas Supplies158
- Oxygen Supply158
- Air Supply158
- Input Pressures and Ventilator Performance158
- Power, Dimensions, Classification Etc158
- Operating Environment158
- Connectors158
- Classification158
- Environmental Storage Conditions158
31 Functional Testing160
- Complete Power Fail Alarm Test160
- Back-Up Alarm Speaker Test161
- Setting O161
- Functional Testing Without a Flow Sensor161
- Calibration of the Flow Sensor161
- Oxygen Alarm Test162
- Function and Alarm Testing163
- High Pressure Alarm165
- Low Pressure Alarm165
- Breath Not Detected Alarm166
- Leak / Block Alarm166
- Mains Failure Alarm167
- Gas Supply Alarms167
- Flow Sensor Disconnect Alarm168
- Cycle Fail Alarm168
- Functional Test of HFO Mode173
- Functional Test of HFO+CMV Mode175
- Pressure Change Alarm176
32 EMC Compliance178
- Electromagnetic Immunity179
- Recommended Separation Distances180
33 Pneumatic Unit Schematic SLE4000 Model H, K & N182
34 Pneumatic Unit Schematic SLE5000 Model G, G-R, J, L & M183
35 Ventilator Labelling184
- SLE4000 Model N184
- SLE5000 Model M-1185
36 Consumables and Accessories188
37 Glossary of Abbreviations Used in this Manual194
38 Index195

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