User Guide
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ReVel user guide ®
Critical care ventilation
Table of contents ReVel® ventilator ...1–4 Operational set-up... 5–7 High pressure oxygen (O2) connection...8 Low pressure O2 connection...9 Power up...10 External power disconnection...11 Battery pack installation...12 Battery pack removal...13 Low pressure O2 blending flow set-up...14 Required O2 input flow determination...15 Delivered O2 concentration determination.16 Testing...17–19 Ventilator use...20–21 Front panel...22 Displays and indicators...23
LED display window...25–26 Controls...27 Alarms...28 Alarm configuration in Advanced Features menu...29 Lower interface panel...30–31 Patient settings...32 Set applicable Advanced Features...33–35 Advanced Features menus...36–40 PalmTop™ Docking Station...41 Docking station placement...42–45 Docking station release...46–47 Ventilator (Communication Status)...48 FiO2 sensor calibration...49 FiO2 monitoring alarms...50
Airway pressure manometer...24
FiO2 sensor disconnection...51 Notes...52–55
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A
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ReVel ventilator Left side A. Cooling fan filter B. Battery eject latch C. Air inlet filter D. O2 connection E. Battery pack A
B
C
O2
180 Ipm Max. 21-100% LPS <10 PSI 40-88 PSI <.69 BAR 2.8-6.1 BAR <69 kPa 276-607 kPa
E 2
D
ReVel ventilator Back A. Docking station interface connector B
B. Battery release button C. Battery pack
A
D. Docking station mounting recesses (2)
C
D 3
ReVel ventilator Right side A. Safety valve openings
F. FiO2 port
B. Inspiratory port
G. Exhaust port
C. Exhalation drive line port
H. Power port
D. Sense line ports E. Oximetry port (SpO2 ) E
F
G
SpO2
FIO2 11-16V
A H
B
C
D
4
Operational set-up To connect the circuit: 1. Connect the inspiratory limb of the patient circuit to the inspiratory port. 2. Connect the exhalation valve drive line of the patient circuit to the exhalation drive line port (hose barb). 3. Connect the patient circuit wye sense lines (2, each with non-interchangeable luer fittings) to the sense line ports.
5
Operational set-up A. Safety valve openings (do not cover) B. Inspiratory port C. Exhalation valve drive line port D. Sense line ports C
E. Right side of ReVel ventilator
D
B
F. Low side sense line (upper connection) G. High side sense line (lower connection)
E
H. Exhalation valve drive line I.
Inspiratory limb of patient circuit
F
A
G H I 6
Operational set-up Example of ReVel patient circuit A. Luer fittings
F. Sense line connections (do not remove)
B. Inspiratory limb
G. Expiratory limb
C. High and low pressure sense lines
H. Expiratory valve
D. Wye
I.
Exhalation drive line
E. Patient connection port B
A
C
D
TO PATIENT
TO VENTILATOR
E I
H
G
F
7
High pressure O2 connection To attach a high pressure O2 source, connect an O2 hose (B) to the O2 inlet (D) fitting labeled “O2.” A. Left side of ReVel ventilator B. O2 inlet C. O2 inlet cap D. High pressure O2 hose/fitting
O2
A B
D
C 8
180 Ipm Max. 21-100% LPS <10 PSI 40-88 PSI <.69 BAR 2.8-6.1 BAR <69 kPa 276-607 kPa
Low pressure O2 connection To attach a low pressure (less than 10 psig) O2 source such as a flowmeter: 1. Attach a low pressure adapter (D) to the O2 inlet. 2. Attach the O2 supply hose (E) to the hose barb on the adapter. 3. Set the O2 control on the front panel to LPS. A. Left side of ReVel ventilator B. O2 inlet
O2
A
C. O2 inlet cap B
D. Low pressure DISS adapter E. Low pressure O2 hose
E D
C
9
180 Ipm Max. 21-100% LPS <10 PSI 40-88 PSI <.69 BAR 2.8-6.1 BAR <69 kPa 276-607 kPa
Power up The connector is keyed to fit in only one direction and snaps (locks) into place when properly inserted. To connect to external power: 1. Align the external power connector with the red dot oriented as shown on page 11. 2. Insert the connector directly into the power port. The DC power port is labeled with 11–16V and a red triangle. 3. Connect the external power cable to a valid external power source.
A. Red triangle B. DC power port C. Right side of ReVel ventilator D. Red dot E. Power cable F. Knurled sleeve C B
D E
A
F
B
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External power disconnection To disconnect external power: 1. Grasp the knurled sleeve of the connector (B).
A. Red dot A
2. Pull it away from the ventilator (B).
To AC power source Power cord (-001 shown)
B. Knurled sleeve
B
Status light AC adapter
DC connector to ventilator
Lock strap
AC receptacle
Knurled sleeve
Lock strap screw
11
Battery pack installation To install the battery pack: 1. Position and orient the battery pack (C). 2. Insert it directly into the battery pack slot. The battery snaps (locks) into place when fully inserted. An audible signal sounds when the ventilator acknowledges the battery. A. Left side of ReVel ventilator B. Eject latch C. Battery pack
B
D. Release button (bottom side of battery)
A
C D 12
Battery pack removal To remove the battery pack: 1. Push the eject latch up to partially eject the battery. 2. Press the release latch. 3. Pull the battery completely out of the battery slot. WARNING: When changing power sources, the ventilator runs off the internal transition battery. This is a short-duration power source, intended to power the ventilator for up to ONE MINUTE ONLY.
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Low pressure O2 blending flow set-up Use one of the three following charts and the accompanying instructions to determine the required low pressure O2 flow setting to deliver the desired FiO2: Bias Flow = 10 lpm
Bias Flow = 5 lpm
30
25
25
20 18
12
20
10
Input O2 Flow 15 (lpm)
16 14
16 14
20
Input O2 Flow 15 (lpm)
8 VE 6 4 3 2 1
10
0 .21
12 10 8 6 4 3 2 1
10 5
5
.30
.40
.50
.60
FiO2
.70
.80
.90
1.0
0 .21
.30
.40
.50
.60
FiO2
14
.70
Bias Flow = 3 lpm
30
30
20 18
.80
.90
1.0
25 20 18
20
VE
16 14
Input O2 Flow 15 (lpm)
12 VE 10 8 6 4 3 2 1
10 5 0 .21
.30
.40
.50
.60
FiO2
.70
.80
.90
1.0
Required O2 input flow determination To determine the required O2 input flow:
30 25
1. Select the appropriate chart based on the Bias Flow setting. When Leak Compensation is on, the patient leak should be added to the Bias Flow value.
Input O2 Flow (lpm)
Ve
20 15
Applicable Ve
10
X
5
2. Identify the desired FiO2 (bottom of chart). 3. Calculate the patient’s Minute Volume (Ve) rate by using the formula: Tidal Volume x (as a multiplier) Breath Rate. Locate the Minute Volume reading (right side of chart). 4. Follow the vertical FiO2 line up to the applicable slanted Ve line. 5. From where #3 and #4 intersect, read across horizontally to the left side of chart to the required Input O2 Flow (L/min).
15
0
.21
.30
.40
.50
.60
.70
.80
.90
1.0
FiO2
Example: To determine the required O2 input flow
Delivered O2 concentration determination To determine the delivered O2 concentration: 1. Select the appropriate chart based on the Bias Flow setting. When Leak Compensation is on, the patient leak should be added to the Bias Flow value.
30 25
Input O2 Flow (lpm)
20
Ve
15
Applicable Ve
X
10 5
2. Find the Input O2 Flow (left side of chart).
0
.21
.30
.40
.50
.60
.70
.80
.90
1.0
FiO2
3. Follow the Input O2 Flow across horizontally to the right side of the chart to the applicable slanted Ve line.
Example: To determine the delivered O2 concentration
4. Read down to the FiO2 (bottom of chart).
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Testing Ventilator testing Operating a ventilator that does not appear to be functioning properly may be hazardous to both the patient and operator. Perform the following tests between patients to verify the functional operation of the ReVel ventilator: Test
Type of test
Operating mode
POST
Power On Self Tests
Start-up
Button test
User Verification Tests (UVT)
Start-up
Circuit test
Extended Systems Test (EST)
Start-up
Preparation required for all tests:
Additional preparation required for circuit test:
• Starting with the ventilator off, connect the ventilator to a valid, external source of power
Assemble the patient circuit to be used/tested. Do not include a nebulizer in the circuit.
• Insert a fully charged battery pack
• Do not attach an oxygen supply to the ventilator at this time
Connect the patient circuit to the ventilator:
• Do not connect the patient circuit to a patient 17
Testing Scroll
Perform circuit test (pass or fail): 1. When the Patient ID displays, rotate the Scroll knob until Circuit Test displays. 2. Press Select to confirm. 3. When Remove Ptnt displays, press Select to confirm. 4. As the ventilator increases, view the flow (Flow XX.X lpm) through the patient circuit.
Patien
Select
5. Follow the on-screen instructions to complete the circuit test. WARNING: If the ventilator or any attached accessory is damaged, fails any tests or malfunctions in any way, immediately discontinue use and contact CareFusion or a service technician certified by CareFusion.
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