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SLE SLE5000 User Manual
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Table of Contents
Default Chapter
5
Table of Contents
5
1 Introduction
14
About this Manual
14
Intended Use
14
Intended Users
14
2 Description of the Ventilation Modes
15
Cpap
15
CPAP with Apnoea Backup
15
CPAP with TTV (Targeted Tidal Volume) for Back up Breaths
15
CMV
16
CMV with TTV
16
Ptv
17
PTV with TTV
18
Psv
19
PSV with TTV
20
SIMV (Synchronized Intermittent Mandatory Ventilation)
21
SIMV with PSV
22
SIMV with TTV
23
HFO (SLE5000 Only)
23
HFO+CMV (SLE5000 Only)
23
Mode Controls
24
TTV Control Mode
24
Technical Description
25
3 User/Owner Responsibility
26
4 Warnings
28
Operational Warnings
28
Clinical Warnings
31
5 Ventilator Description
34
6 Description of Symbols and Buttons
37
7 User Interface
44
User Interface Sections
44
Description of User Interface Indicators
45
Description of User Interface Controls
45
Examples of Control Use
46
Description of the Mode Panel in Ventilation off Mode
48
Mode Panel in Ventilation off Mode
48
Mode Select Button
48
Oxygen Alarm Test
49
Services Panel
49
Flow
50
Oxygen
50
Wave Shaping
50
Alarm Volume
51
More Options Panel
51
Language Toggle
52
Version Information Panel
53
Monitor Services
54
Controller Services
54
Mode Panel Functions in a Ventilation Mode
55
Standby Button (All Modes)
55
Apnoea Setup for CPAP
56
Apnoea Setup for PTV, PSV and SIMV
56
TTV for CPAP, PSV, PTV & SIMV
57
Set Trigger for CPAP, PSV, PTV & SIMV
57
Pressure Support in PSV
57
Pressure Support in SIMV
58
HFO Activity (SLE5000 Only)
58
Alarm Panel
59
Default Waveform Windows
60
Alarm and Breath Detection Thresholds
62
How to Set an Alarm Threshold
63
Ventilation Parameters
66
Lung Mechanics and Measurement Panel
68
The Pause Button
70
Night Button and Screen Lock
70
8 Loops, Trends & Waveforms
72
Waveforms
72
Loops
74
Storing and Retrieving Loops
74
Trends
76
Description of Trend Windows
76
9 Ventilator Set-Up
78
Preparing the Ventilator for Use
78
Setup Related Items
82
Shutting down of the Ventilator
82
Back-Up Battery Charging
82
10 Quick Setup
84
Complete Power Fail Alarm Test
85
Calibration of the Flow Sensor
86
Low Oxygen Alarm Test
87
Apnoea Alarm
89
Leak / Block Alarm
90
High Pressure Alarm
90
Low Tidal Volume
90
Functional Test of HFO+CMV Mode
91
11 Functional Testing
94
Stage 1 Functional Testing
95
Complete Power Fail Alarm Test
95
Setting Fio
96
Functional Testing with no Flow Sensor
96
Calibration of the Flow Sensor
96
Oxygen Alarm Test
98
Function and Alarm Testing
100
High Pressure Alarm
104
Low Alarm
104
Breath Not Detected Alarm
105
Leak / Block Alarm
106
Mains Failure Alarm
106
Gas Supply Alarms
107
Flow Sensor Disconnect Alarm
108
Cycle Fail Alarm
108
Functional Test of HFO Mode
110
Functional Test of HFO+CMV Mode
112
Pressure Change Alarm
114
Stage 2 Functional Testing
115
Functional Test of CMV Mode
115
Functional Test of PSV Mode
120
Functional Test of SIMV Mode
123
12 Stage 1 Check List
129
13 Stage 2 Check List
131
14 Operational Considerations
134
General
134
Ventilation off Mode
134
Gas Input Pressures
134
Mode Memory on Power up
134
Back up Battery Power
134
Parameter Memory
135
BPM or Backup, Measured and Set Parameters
135
Tidal Volume Parameter Resolution
135
HFO, Mean and Delta P Parameters
135
Displayed Fio
135
Breath Detection
136
Max Ti in PSV
136
TTV (Targeted Tidal Volume)
136
Overshoot
137
Wave Shaping
137
Circuit Disconnection Procedure
138
BPM Tot. Measurement
139
Alarms
140
High and Low Alarm Operation
140
Minute Volume Alarm Threshold
141
Cycle Fail Alarm Threshold
141
Sub-Ambient Pressure Alarm in Non HFO Modes
141
HFO Only Ventilator Set Threshold Alarms (SLE5000 Only)
142
Patient Leak Alarm
143
Reset Contamination Alarm
143
Patient Circuits, Humidification and Nitric Oxide Therapy
144
Patient Circuits with Incubators, Cots and Paediatric Beds
144
Autofeed Humidification Chambers
145
Nitric Oxide Therapy
146
Nebulization of Medication
147
15 Flow and Pressure Triggering
150
Breath Detection Threshold (Flow Triggering)
150
Breath Trigger Sensitivity (Pressure Triggering)
151
Setting the Pressure Trigger Level in CPAP, SIMV, PTV and PSV
152
16 Basic Set-Up
154
Pre Set-Up Checks
154
Setting the Fio
155
CPAP Set-Up
156
Actions after Connection to Patient in CPAP
157
Ventilation Without a Flow Sensor Connected
159
CMV Set-Up
160
Actions after Connection to Patient in CMV
161
Ventilation Without a Flow Sensor Connected
162
PTV Set-Up
163
Actions after Connection to Patient in PTV
164
Ventilation Without a Flow Sensor Connected
166
PSV Set-Up
167
Actions after Connection to Patient in PSV
168
Ventilation Without a Flow Sensor Connected
170
SIMV Set-Up
171
Actions after Connection to Patient in SIMV
172
Ventilation Without a Flow Sensor Connected
175
HFO Only Set-Up (SLE5000 Only)
176
Actions after Connection to Patient in HFO
177
Ventilation Without a Flow Sensor Connected
177
HFO+CMV Set-Up (SLE5000 Only)
178
Actions after Connection to Patient in HFO+CMV
179
Ventilation Without a Flow Sensor Connected
179
17 N5201 Flow Sensor
182
Calibration of the Flow Sensor
182
Cleaning and Sterilization
184
18 Frequently Asked Questions
188
Ventilator Related Questions
188
What Range of Patients Is the Ventilator Designed to Ventilate
188
Can the Ventilator be Used Without a Flow Sensor
188
How Often Must the Flow Sensor be Calibrated
188
What Does "SENSOR CONTAMINATION" Mean
188
What Is Standby Mode Used for
188
What Happens When the Pause Button Is Pressed
189
What Is the Operating Time of the Battery
189
What Is the Battery Charging Time
189
What Is the Difference between PTV and PSV
189
When Looking at the Parameter Settings, What Do I Record
189
Where Do I Set the Trigger Sensitivity
189
Mode Related Questions
190
What Is Meant by Targeted Tidal Volume
190
What Are Appropriate Tidal Volumes
190
What Is the Meaning of Compliance and Resistance
190
How Do I Minimise the Apnoea Alarm in CPAP
190
In TTV some of the Breaths Exceed the Set TTV. Why
190
Why Is There no SET Value for MAP and Dp in HFO Mode
191
Patient Circuits
191
What Is the Difference between the N2188 and N5188 Patient Circuit
191
Why Is a Restrictor Necessary
191
What Is a /02 Patient Circuit
191
What Is a /850 Patient Circuit
191
What Happens if the Restrictor Is Placed in the Expiratory Limb Instead of the Inspiratory Limb
191
Should Bacterial Filters be Used on the Expiratory Limb
191
When Using the INOSYS Nitric Oxide Therapy and the Ventilator What Scavenging Filters Do I Need
191
How Often Does the Exhalation Block and Silencer Need to be Autoclaved
192
How Do I Clean the Exhalation Block and Scavenging System after Using no
192
19 Commonly Seen Alarms
194
High Pressure Alarm
194
Low Pressure Alarm
194
Breath Not Detected
194
Low Tidal Volume
194
Unexpected Rise or Drop in Mean P (SLE5000 Only)
195
Unexpected Rise or Drop in Max P (SLE5000 Only)
195
Unexpected Rise or Drop in Min P (SLE5000 Only)
195
Continuing Positive Pressure
195
Leaking Fresh Gas
195
High Patient Leak
196
Clean Flow Sensor
196
Faulty Flow Sensor
196
Calibration Fail
197
Calibrate Flow Sensor
197
Apnoea (Volume)
197
Trouble Shooting Chart
199
20 Trouble Shooting Chart
200
Ventilator Related Problems
200
Ventilation Related Problems
209
Technical Information
213
21 Oxygen Calibration Routines
214
One Point O Calibration
214
Two Point O Calibration
214
22 Preventative Maintenance and Overhaul Schedule
215
23 Rs232
216
Warnings for RS232
216
Location of RS232 Port
216
Overview
217
Data and Pinout Description
217
Cable
217
Parameter Descriptions and Format
218
List of Parameters
218
Table of Current Alarm Condition Codes
221
RS232 Connection Settings and Testing Data Output
223
24 Alarms
224
Alarm Protocols
224
Alarm Sounds
224
Alarm Descriptions and Actions to be Taken
225
Software and System Fail Protocols
244
25 Bacterial Filters
245
Bacterial Filter, SLE Part Nº:N2029 (Autoclavable)
245
Bacterial Filter, SLE Part Nº: N2587 (Single Use)
246
Precautions When Using Bacterial Filter N2587
246
26 Patient Circuits
247
Warnings for Patient Circuit Use
247
10Mm Diameter Re-Usable Patient Circuit (SLE Part Nº N2391/50)
248
Sterilising of the N2391/50 Re-Usable Patient Circuit
248
10Mm Patient Circuit, SLE Part Nº N5188 & N5188/850
250
10Mm Patient Circuit, SLE Part Nº N5188/02 & N5188/02/850
252
N5238/50 Heated Patient Circuit for no Therapy
254
Nitric Oxide Delivery Adaptor Kit (SLE Part Nº N2238/50)
256
27 Cleaning, Disinfection and Sterilization
257
Preparation of a New Ventilator
257
Cleaning and Disinfection of an In-Service Ventilator
257
Cleaning, Disinfection & Sterilization Chart
258
Cleaning Method
258
Disinfection Method
259
Sterilization Method
260
28 Technical Specification
261
Operating Modes Conventional Ventilation
261
Cpap
261
CMV
261
Ptv
261
Psv
262
Simv
262
HFO Ventilation
262
HFO Only
262
Hfo+CMV
262
Controls (Via Touch Screen Display)
263
Controls
266
Measurement
266
Flow and Volume
266
Oxygen Concentration
266
Pressure
267
Alarms
268
User Settable Alarms
268
Obligatory Alarms (Non Adjustable by User)
269
Patient Circuits
269
Outputs
270
Gas Supplies
271
Oxygen Supply
271
Air Supply
271
Flows
271
Power, Dimensions, Standards Etc
272
Environmental Storage Conditions
272
29 Pneumatic Unit Schematic
273
30 Ventilator Labelling
274
Sle4000
274
Sle5000
275
31 Consumables and Accessories
278
32 Glossary of Abbreviations Used in this Manual
284
33 Index
287
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SLE SLE5000 Specifications
General
Model
SLE5000
Power
50W
Voltage
220-240V
Frequency
50Hz
Speed Settings
3
Material
Plastic
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