800 Series Ventilator System Operators and Technical Reference Manual Rev D Aug 2014

To obtain information about a warranty, if any, contact Covidien Technical Services at 1.800.635.5267 or your local representative. Purchase of this instrument confers no express or implied license under any Covidien patent to use the instrument with any ventilator system that is not manufactured or licensed by Covidien.

Copyright Information Copyright 2011 Covidien. All rights reserved. The Puritan Bennett™ 840 Ventilator System is manufactured in accordance with Covidien proprietary information. U.S. Patents 5,271,389; 5,319,540; 5,339,807; 5,771,884; 5,791,339; 5,813,399; 5,865,168; 5,881,723; 5,884,623; 5,915,379; 5,915,380; 6,024,089; 6,161,539; 6,220,245; 6,269,812; 6,305,373; 6,360,745; 6,369,838; 6,553,991; 6,668,824; 6,675,801; 7,036,504; 7,117,438; RE39225. COVIDIEN, COVIDIEN with logo, the Covidien logo and positive results for life are U.S. and internationally registered trademarks of Covidien AG. All other brands are trademarks of a Covidien company. The information contained in this manual is the sole property of Covidien and may not be duplicated without permission. This manual may be revised or replaced by Covidien at any time and without notice. You should ensure you have the most current applicable version of this manual; if in doubt, contact Covidien or visit the Puritan Bennett™ product manual web page at: http://www.puritanbennett.com/serv/manuals.aspx While the information set forth herein is believed to be accurate, it is not a substitute for the exercise of professional judgment. The ventilator should be operated and serviced only by trained professionals. Covidien’s sole responsibility with respect to the ventilator, and its use, is as stated in the limited warranty provided. Nothing in this manual shall limit or restrict in any way Covidien’s right to revise or otherwise change or modify the equipment (including its software) described herein, without notice. In the absence of an express, written agreement to the contrary, Covidien has no obligation to furnish any such revisions, changes, or modifications to the owner or user of the equipment (including its software) described herein.

Preface

Applicability The information in this manual applies to Puritan Bennett™ 840 ventilator versions manufactured or updated after August 2005. Some of this information may not apply to earlier versions. Contact your Covidien representative if in doubt.

Definitions This manual uses three special indicators to convey information of a specific nature. They include: Warning Indicates a condition that can endanger the patient or the ventilator operator.

Caution Indicates a condition that can damage the equipment.

NOTE: Indicates points of particular emphasis that make operation of the ventilator more efficient or convenient.

ii

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

Preface

Warnings, cautions, and notes Please take the time to familiarize yourself with the following safety considerations, special handling requirements, and regulations that govern the use of the Puritan Bennett™ 840 Ventilator System. •

To ensure proper servicing and avoid the possibility of physical injury, only qualified personnel should attempt to service or make authorized modifications to the ventilator. The user of this product shall have sole responsibility for any ventilator malfunction due to operation or maintenance performed by anyone not trained by Covidien.

•

To avoid an electrical shock hazard while servicing the ventilator, be sure to remove all power to the ventilator by disconnecting the power source and turning off all ventilator power switches.

•

To avoid a fire hazard, keep matches, lighted cigarettes, and all other sources of ignition (e.g., flammable anesthetics and/or heaters) away from the Puritan Bennett™ 840 Ventilator System and oxygen hoses. Do not use oxygen hoses that are worn, frayed, or contaminated by combustible materials such as grease or oils. Textiles, oils, and other combustibles are easily ignited and burn with great intensity in air enriched with oxygen. In case of fire or a burning smell, immediately disconnect the ventilator from the oxygen supply, facility power, and backup power source.

•

When handling any part of the Puritan Bennett™ 840 Ventilator System, always follow your hospital infection control guidelines for handling infectious material. Covidien recognizes cleaning, sterilization, sanitation, and disinfection practices vary widely among health care institutions. It is not possible for Covidien to specify or require specific practices that will meet all needs, or to be responsible for the effectiveness of cleaning, sterilization, and other practices carried out in the patient care setting. As a manufacturer Covidien does not have any guidelines or recommendations regarding specific pathogens as they relate to the usage of our products. In regards to transmission of any specific pathogen, Covidien can offer the specifications of our products as well as our recommendations for cleaning and sterilization. Any further clarification regarding

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

iii

Preface

pathogens as they relate to our products should be brought to the attention of your lab Pathologist as well as your infection control personnel and/or risk committee. •

Patients on life-support equipment should be appropriately monitored by competent medical personnel and suitable monitoring devices. The Puritan Bennett™ 840 Ventilator System is not intended to be a comprehensive monitoring device and does not activate alarms for all types of dangerous conditions for patients on lifesupport equipment.

iv

•

For a thorough understanding of ventilator operations, be sure to thoroughly read this manual before attempting to use the system.

•

Before activating any part of the ventilator, be sure to check the equipment for proper operation and, if appropriate, run SST as described in this manual.

•

Do not use sharp objects to make selections on the graphic user interface (GUI) display or keyboard.

•

US federal law restricts this device to sale by or on the order of a physician.

•

Check the ventilator periodically as outlined in the Puritan Bennett™ 840 Ventilator System Service Manual; do not use if defective. Immediately replace parts that are broken, missing, obviously worn, distorted, or contaminated.

•

An alternative source of ventilation should always be available when using the Puritan Bennett™ 840 Ventilator System.

•

This ventilator offers a choice of breath delivery modes and types. Throughout the patient’s treatment, the clinician should carefully select the ventilation mode and/or breath type to use for that patient. This selection should be based on the clinician’s clinical judgment, considering the condition and needs of the individual patient, as such condition and needs change from time to time, and considering the benefits, limitations and operating characteristics of each mode and/or breath type.

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

Preface

Warranty The Puritan Bennett™ 840 Ventilator System is warranted against defects in material and workmanship in accordance with the Covidien Medical Equipment Warranty supplied with your ventilator. Keep a maintenance record to ensure the validity of the warranty.

Year of manufacture The graphic user interface (GUI), breath delivery unit (BDU), backup power source (BPS), and compressor contain a specific year of manufacture applicable only for that assembly. The year of manufacture is indicated by the fifth and sixth digits of the serial number which is located at the back panel of the GUI, BDU, and BPS, and the side panel of the compressor.

Manufacturer

Covidien llc 15 Hampshire Street Mansfield, MA 02048 USA

Electromagnetic susceptibility The Puritan Bennett™ 840 Ventilator System complies with the requirements of IEC 60601-1-2:2004 (EMC Collateral Standard), including the E-field susceptibility requirements at a level of 10 volts per meter, at frequencies from 80 MHz to 2.5 GHz, and the ESD requirements of this standard. However, even at this level of device immunity, certain transmitting devices (cellular phones, walkie-talkies, cordless phones, paging transmitters, etc.) emit radio frequencies that could interrupt ventilator operation if operated in a range too close to the ventilator. It is difficult to determine when the field strength of these devices becomes excessive. Practitioners should be aware radio frequency emissions are additive, and the ventilator must be located a sufficient distance from transmitting devices to avoid interruption. Do not operate the ventilator in a magnetic resonance imaging (MRI) environment. Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

v

Preface

Warning Accessory equipment connected to the power receptacle, analog, and digital interfaces must be certified according to IEC 60601-1. Furthermore, all configurations shall comply with the system standard IEC 60601-1-1. Any person who connects additional equipment to the power receptacle, signal input part, or signal output part of the Puritan Bennett™ 840 ventilator configures a medical system, and is therefore responsible for ensuring the system complies with the requirements of the system standard IEC 60601-1-1. If in doubt, consult Covidien Technical Services at 1.800.255.6774 or your local representative. This manual describes possible ventilator alarms and what to do if they occur. Consult with your institution’s biomedical engineering department in case of interrupted ventilator operation, and before relocating any life support equipment.

Customer assistance For further assistance contact your local Covidien representative. For online technical support, visit the SolvITSM Center Knowledge Base at http://www.puritanbennett.com The SolvIT Center provides answers to frequently asked questions about the Puritan Bennett™ 840 Ventilator System and other Covidien products 24 hours a day, 7 days a week.

vi

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

Preface

Preface This manual is divided into two parts: the operator’s manual and the technical reference. The operator’s manual describes how to operate the Puritan Bennett™ 840 Ventilator System. It also provides product specifications and accessory order numbers. The technical reference includes background information about how the ventilator functions, including details on its operating modes, self-tests, and other features. In the table of contents and index, the prefix OPidentifies page numbers in the operator’s manual, and the prefix TRidentifies page numbers in the technical reference. Any references to the software options BiLevel, Volume Ventilation Plus (VV+) which includes VC+ and VS breath types, NeoMode, Proportional Assist™* Ventilation (PAV™*+), Tube Compensation (TC), Respiratory Mechanics (RM) and Trending in this manual assume that the option has been installed on the ventilator. If these options aren’t installed, then references to their functions do not apply. While this manual covers the ventilator configurations currently supported by Covidien, it may not be all-inclusive and may not be applicable to your ventilator. Contact Covidien for questions about the applicability of the information. Some illustrations and images are shown with a ready-to-assemble (RTA) cart, Puritan Bennett 800 Series Ventilator Compressor Mount Cart, or a Puritan Bennett 800 Series Ventilator Pole Cart. Please note that these images are for illustrative purposes only, and regardless of which cart you have, the required information is provided. The term “RTA cart” refers to the ready-to-assemble cart and any earlier cart versions.

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

vii

This page is intentionally blank.

viii

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

Table of Contents Operator’s Manual 1 Introduction ...OP 1-1 1.1 Technical description...OP 1-4 1.1.1 General background...OP 1-4 1.1.2 Pressure and flow triggering ...OP 1-5 1.1.3 Breathing gas mixture ...OP 1-5 1.1.4 Inspiratory pneumatics ...OP 1-6 1.1.5 Patient circuit ...OP 1-6 1.1.6 AC mains and backup power system ...OP 1-7 1.1.7 Ventilator emergency states ...OP 1-8 1.2 Graphic user interface ...OP 1-9 1.3 User interface controls and indicators ...OP 1-11 1.3.1 Onscreen symbols and abbreviations ...OP 1-18 1.4 Ventilator system labeling symbols ...OP 1-23

2 How to set up the Puritan Bennett™ 840 ventilator ...OP 2-1 2.1 Connecting the electrical supply ...OP 2-4 2.2 Connecting the air and oxygen supplies...OP 2-10 2.3 Connecting patient circuit components...OP 2-13 2.3.1 Selecting and connecting a patient circuit...OP 2-14 2.3.2 Installing the expiratory filter and collector vial ...OP 2-17 2.3.3 Installing the flex arm ...OP 2-20 2.3.4 Installing the humidifier...OP 2-22 2.3.5 Using the ventilator cart ...OP 2-24

3 How to run Short Self Test (SST) ...OP 3-1 3.1 Introduction to SST...OP 3-1 3.2 When to run SST ...OP 3-2 3.3 SST components and requirements ...OP 3-3 3.4 SST Procedure ...OP 3-4 3.5 SST Results...OP 3-12 3.5.1 Interpreting individual SST test results...OP 3-14 3.5.2 SST outcomes ...OP 3-15 Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

i

4 How to use the Puritan Bennett™ 840 ventilator ... OP 4-1 4.1 Structure of user interface ... OP 4-2 4.2 Patient setup ... OP 4-3 4.2.1 Ventilating with most recent control parameters ... OP 4-3 4.2.2 Ventilating with new control parameters ... OP 4-4 4.2.3 Patient data and current settings ... OP 4-7 4.2.4 Ideal Body Weight (IBW) ... OP 4-9 4.3 Changing main ventilator control parameters ... OP 4-16 4.4 Other parameter changes ... OP 4-16 4.5 Constant timing variable during rate change... OP 4-18 4.6 Changing apnea ventilation settings... OP 4-20 4.7 Setting alarms ... OP 4-21 4.8 Changing other settings ... OP 4-22 4.9 Expiratory pause maneuvers ... OP 4-24 4.10 Inspiratory pause maneuvers ... OP 4-25 4.11 Interpreting pause maneuver results... OP 4-26 4.12 Using NIV ... OP 4-27 4.12.1 NIV intended use... OP 4-27 4.12.2 NIV breathing interfaces... OP 4-27 4.12.3 NIV setup ... OP 4-29 4.12.4 High spontaneous inspiratory time limit ... OP 4-31 4.12.5 Apnea setup ... OP 4-32 4.12.6 Alarm setup ... OP 4-32 4.12.7 Changing from INVASIVE to NIV Vent Type... OP 4-33 4.12.8 Changing from NIV to INVASIVE Vent Type... OP 4-34 4.12.9 NIV patient data... OP 4-35

5 How to handle alarms ... OP 5-1 5.1 Ventilator alarm classifications ... OP 5-1 5.2 Alarm silence ... OP 5-2 5.3 Alarm reset ... OP 5-4 5.4 Alarm log... OP 5-5 5.5 Alarm volume... OP 5-6 5.6 Alarm messages... OP 5-7

ii

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

6 How to view graphics ...OP 6-1 6.1 Graphics display function...OP 6-1 6.2 How to set up a graphics display...OP 6-3 6.3 Graphics display details and calculations ...OP 6-4 6.4 How to adjust displayed graphics...OP 6-5 6.5 The graphics display FREEZE function ...OP 6-6 6.6 How to print patient data graphicsOP 6-7 6.7 Automatic display of graphics ...OP 6-7 6.8 When graphics are not accessible...OP 6-7

7 Preventive maintenance ...OP 7-1 7.1 How to dispose of used parts ...OP 7-1 7.2 How to clean, disinfect and sterilize parts...OP 7-2 7.2.1 How to clean components ...OP 7-7 7.3 Disinfection and sterilization...OP 7-8 7.4 Preventive maintenance procedures for the operator...OP 7-11 7.4.1 Total operational hours...OP 7-11 7.4.2 Inspiratory and expiratory bacteria filters ...OP 7-14 7.4.3 Daily or as required: collector vial and drain bag...OP 7-16 7.4.4 Daily or as required: in-line water traps...OP 7-17 7.4.5 Every 250 hours: compressor inlet filter ...OP 7-18 7.4.6 Every year: ventilator inspection ...OP 7-18 7.4.7 Every year or as necessary: oxygen sensor ...OP 7-19 7.5 Additional preventive maintenance procedures ...OP 7-24 7.6 Storage ...OP 7-25 7.7 Repacking and shipping...OP 7-26

ASpecifications ... OP A-1 A.1 Physical characteristics ... OP A-2 A.2 Environmental requirements... OP A-4 A.3 Pneumatic specifications... OP A-5 A.4 Electrical specifications ... OP A-6 A.5 Compliance and approvals... OP A-9 A.5.1 Manufacturer’s Declaration... OP A-10 A.6 Technical specifications... OP A-19 A.7 Ranges, resolutions, and accuracies ... OP A-26 Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

iii

A.7.1 Recommended limits ...OP A-26 A.7.2 Software options ...OP A-27

B Part numbers ... OP B-1 C Pneumatic schematic ... OP C-1 D Alarm and oxygen sensor calibration testing ...OP D-1 D.1 Alarm test...OP D-1 D.2 Oxygen sensor calibration test...OP D-7

E Remote alarm and RS-232 ports... OP E-1 E.1 Remote alarm port ... OP E-2 E.2 RS-232 port ... OP E-3 E.3 How to configure the RS-232 ports... OP E-4

Technical Reference 1Introduction to breath delivery ...TR 1-1 2 Detecting and initiating inspiration...TR 2-1 2.1 Internally triggered inspiration...TR 2-2 2.1.1 Pressure sensitivity ...TR 2-2 2.1.2 Flow sensitivity ...TR 2-4 2.1.3 Time-cycled inspiration ...TR 2-5 2.2 Operator-triggered inspiration ...TR 2-6

3 Detecting and initiating exhalation...TR 3-1 3.1 Internally initiated exhalation ...TR 3-1 3.1.1 Time-cycled exhalation ...TR 3-1 3.1.2 End-inspiratory flow method ...TR 3-2 3.1.3 Airway pressure method...TR 3-2 3.2 Backup limits ...TR 3-3 3.2.1 Time limit...TR 3-3 3.2.2 High circuit pressure limit...TR 3-4 3.2.3 High ventilator pressure limit...TR 3-4

iv

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

4 Mandatory breath delivery... TR 4-1 4.1 Comparison of pressure- and volume-based mandatory breaths .. TR 4-1 4.2 Compliance compensation for volume-based mandatory breaths TR 4-4 4.3 BTPS compensation for volume-based mandatory breaths ... TR 4-5 4.4 Manual inspiration ... TR 4-6

5 Spontaneous breath delivery ... TR 5-1 6 Assist/control (A/C) mode ... TR 6-1 6.1 Breath delivery in A/C... TR 6-1 6.2 Rate change during A/C ... TR 6-3 6.3 Changing to A/C mode... TR 6-3

7 Synchronous intermittent mandatory ventilation (SIMV) TR 7-1 7.1 Breath delivery in SIMV... TR 7-3 7.2 Apnea ventilation in SIMV ... TR 7-4 7.3 Changing to SIMV mode ... TR 7-5 7.4 Rate change during SIMV ... TR 7-7

8 Spontaneous (SPONT) mode... TR 8-1 8.1 Breath delivery in SPONT ... TR 8-1 8.2 Changing to SPONT mode ... TR 8-2

9 Apnea ventilation... TR 9-1 9.1 Apnea detection ... TR 9-1 9.2 Transition to apnea ventilation ... TR 9-3 9.3 Key entries during apnea ventilation... TR 9-3 9.4 Resetting apnea ventilation... TR 9-4 9.4.1 Resetting to A/C ... TR 9-4 9.4.2 Resetting to SIMV ... TR 9-4 9.4.3 Resetting to SPONT... TR 9-5 9.5 Phasing in new apnea intervals ... TR 9-5

10 Detecting occlusion and disconnect ... TR 10-1 10.1 Occlusion ... TR 10-1 10.2 Disconnect... TR 10-3 Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

v

10.3 Occlusions and disconnect annunciation...TR 10-5

11 Phasing in setting changes ...TR 11-1 12 Ventilator settings ...TR 12-1 12.1 Apnea ventilation ...TR 12-1 12.2 Circuit type and IBW ...TR 12-2 12.3 Disconnect sensitivity...TR 12-3 12.4 Expiratory sensitivity...TR 12-4 12.5 Expiratory time...TR 12-4 12.6 Flow pattern...TR 12-4 12.7 Flow sensitivity ...TR 12-5 12.8 High spontaneous inspiratory time limit...TR 12-6 12.9 Humidification type ...TR 12-6 12.10 I:E ratio ...TR 12-7 12.11 Ideal body weight ...TR 12-7 12.12 Inspiratory pressure ...TR 12-7 12.13 Inspiratory time ...TR 12-7 12.14 Mode and mandatory breath type ...TR 12-8 12.15 O2% ...TR 12-12 12.16 Peak inspiratory flow...TR 12-13 12.17 PEEP ...TR 12-13 12.17.1 PEEP restoration ...TR 12-13 12.18 Plateau time ...TR 12-14 12.19 Pressure sensitivity ...TR 12-14 12.20 Pressure support...TR 12-14 12.21 Respiratory rate...TR 12-15 12.22 Rise time %...TR 12-15 12.23 Safety ventilation...TR 12-16 12.24 Spontaneous breath type ...TR 12-17 12.25 Tidal volume...TR 12-18 12.26 Vent type ...TR 12-18

13 Alarms ...TR 13-1 13.1 Alarm handling ...TR 13-1 13.1.1 Alarm messages...TR 13-3

vi

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

13.1.2 Alarm summary... TR 13-4 13.2 AC POWER LOSS alarm... TR 13-23 13.3 APNEA alarm... TR 13-23 13.4 CIRCUIT DISCONNECT alarm ... TR 13-24 13.5 DEVICE ALERT alarm... TR 13-24 13.6 High circuit pressure alarm ... TR 13-25 13.7 High delivered O2% alarm... TR 13-25 13.8 High exhaled minute volume alarm... TR 13-26 13.9 High exhaled tidal volume alarm ... TR 13-26 13.10 High inspired tidal volume alarm ... TR 13-27 13.11 High respiratory rate alarm ... TR 13-27 13.12 INSPIRATION TOO LONG alarm ... TR 13-28 13.13 Low circuit pressure alarm ... TR 13-28 13.14 Low delivered O2% alarm... TR 13-29 13.15 Low exhaled mandatory tidal volume alarm... TR 13-30 13.16 Low exhaled spontaneous tidal volume alarm... TR 13-30 13.17 Low exhaled total minute volume alarm... TR 13-31 13.18 PROCEDURE ERROR alarm ... TR 13-31

14 Patient data... TR 14-1 14.1 Delivered O2% ... TR 14-1 14.2 End expiratory pressure ... TR 14-2 14.3 End inspiratory pressure... TR 14-2 14.4 Exhaled minute volume ... TR 14-3 14.5 Exhaled tidal volume... TR 14-4 14.6 I:E ratio... TR 14-4 14.7 Intrinsic (auto) PEEP and total PEEP ... TR 14-4 14.8 Mean circuit pressure ... TR 14-5 14.9 Peak circuit pressure... TR 14-5 14.10 Plateau pressure ... TR 14-6 14.11 Spontaneous minute volume... TR 14-6 14.12 Static compliance and resistance ... TR 14-6 14.13 Total respiratory rate ... TR 14-13

15 Safety net... TR 15-1 15.1 Patient problems ... TR 15-2 Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

vii

15.2 System faults ...TR 15-2 15.3 Ongoing background checks...TR 15-3 15.4 Hardware monitoring circuitry ...TR 15-4 15.5 Power on self test (POST) ...TR 15-5 15.6 Short self test (SST) ...TR 15-5 15.7 Extended self test (EST) ...TR 15-5 15.8 Oxygen sensor calibration ...TR 15-5 15.9 Exhalation valve calibration ...TR 15-6 15.10 Ventilator inoperative test ...TR 15-6 15.11 Flow sensor offset calibration ...TR 15-6 15.12 Atmospheric pressure transducer calibration ...TR 15-6

16 Power on self test (POST) ...TR 16-1 16.1 Safety ...TR 16-1 16.2 POST characteristics ...TR 16-2 16.3 POST following power interruptions...TR 16-3 16.4 POST fault handling...TR 16-4 16.5 POST system interface...TR 16-4 16.6 POST user interface...TR 16-5

17 Short self test (SST) ...TR 17-1 17.1 SST results ...TR 17-2 17.2 SST failure handling...TR 17-2

18 Extended self test (EST) ...TR 18-1 18.1 EST results...TR 18-2 18.2 EST failure handling...TR 18-3 18.3 EST safety considerations ...TR 18-3

19 RS-232 commands ...TR 19-1 19.1 RSET command...TR 19-1 19.2 SNDA command ...TR 19-1 19.3 SNDF command ...TR 19-8

20 Glossary ...Glossary-1

viii

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

Figures Operator’s Manual Figure 1-1.

Puritan Bennett™ 840 Ventilator System block diagram... OP 1-4 Figure 1-2. Puritan Bennett™ 840 Ventilator System Graphic User Interface (GUI)... OP 1-10 Figure 2-1. How to lift the ventilator components... OP 2-3 Figure 2-2. How to connect the ventilator power cord... OP 2-6 Figure 2-3. Ventilator power switch, AC indicator, and AC panel . OP 2-7 Figure 2-4. Power cord storage on the RTA cart... OP 2-8 Figure 2-5. Power cord storage on the newer Puritan Bennett™ 800 Series Ventilator Compressor Mount Cart and Puritan Bennett™ 800 Series Ventilator Pole Cart (shown)... OP 2-9 Figure 2-6. How to connect the air and oxygen supplies... OP 2-12 Figure 2-7. How to connect the patient circuit... OP 2-16 Figure 2-8. How to install the expiratory filter and collector vial. . OP 2-17 Figure 2-9. How to use the collector vial with or without the drain bag... OP 2-19 Figure 2-10. How to install the flex arm on RTA cart... OP 2-20 Figure 2-11. How to install the flex arm on the newer Puritan Bennett™ 800 Series Ventilator Compressor Mount Cart or Puritan Bennett™ 800 Series Ventilator Pole Cart... OP 2-21 Figure 2-12. How to install the humidifier (Fisher & Paykel™* version shown) for ventilators mounted on RTA carts... OP 2-23 Figure 2-13. Location of cart lot number label... OP 2-25 Figure 2-14. How to lock and unlock the RTA cart’s front wheels . . OP 2-26 Figure 2-15. How to lock and unlock the Puritan Bennett™ 800 Series Ventilator Compressor Mount Cart or Puritan Bennett™ 800 Series Ventilator Pole Cart front wheels... OP 2-26 Figure 3-1. Test button location... OP 3-5 Figure 4-1. Touch screen user interface... OP 4-2 Figure 4-2. Ventilator Startup screen... OP 4-3

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

ix

Figure 4-3.

Figure 4-4. Figure 4-5. Figure 4-6. Figure 4-7. Figure 4-8. Figure 4-9. Figure 5-1. Figure 5-2. Figure 5-3. Figure 5-4. Figure 6-1. Figure 6-2. Figure 7-1. Figure 7-2. Figure 7-3. Figure 7-4. Figure 7-5. Figure A-1. Figure B-1. Figure B-2.

Figure B-3.

Figure C-1. Figure E-1. Figure E-2. Figure E-3.

Touch screen appearance during normal ventilation (shown with alarm silence and 100% O2/CAL in progress)... OP 4-8 TI (or TH) selected as the constant during rate change. OP 4-19 Alarm setup... OP 4-22 New patient setup screen - NIV... OP 4-29 NIV ventilator settings screen... OP 4-31 New patient default alarm settings... OP 4-32 More patient data screen - NIV... OP 4-35 Alarm indicators... OP 5-1 Alarm Silence in Progress indicator (lower screen)... OP 5-3 Alarm log... OP 5-5 Alarm message format... OP 5-8 Pressure-volume loop... OP 6-2 Flow-volume loop... OP 6-3 How to empty the collector vial and seal the drain bag... OP 7-17 806 compressor with inlet filter... OP 7-18 Dislodge the O2 sensor access cover... OP 7-21 Open O2 sensor access port... OP 7-21 Locate O2 sensor... OP 7-22 Recommended patient circuit configurations... OP A-24 Ventilator accessories... OP B-2 Ventilator accessories (Puritan Bennett™ 800 Series Ventilator Compressor Mount Cart shown)... OP B-12 Puritan Bennett™ 840 Ventilator System shown mounted on Puritan Bennett™ 800 Series Ventilator Pole Cart... OP B-20 Pneumatic schematic... OP C-1 Remote alarm and RS-232 ports... OP E-1 Remote alarm port pinout (view from back of GUI). . . OP E-3 RS-232 serial port pinout... OP E-3

Puritan Bennett™ 800 Series Ventilator System Operator’s and Technical Reference Manual

x