560 Clinical Reference Guide April 2010

TABLE OF CONTENTS Accessing the Setup Screen... 4 Changing the Setup Screen Parameters (Language, Date, Time)... 4 Exiting the Setup Screen... 5 Changing Ventilator Parameters... 5 Initiating Ventilation... 5 Stopping Ventilation... 5 Locking and Unlocking The Keyboard... 6 Symbols and Definitions... 7 Alarms... 8 What to do if a Ventilator Failure Occurs... 9 Ventilator Overview (Front/Back/Keyboard)... 10 To Connect a Single Limb Circuit with an Exhalation Valve... 12 To Connect a Single Limb Circuit without an Exhalation Valve... 13 To Connect a Double Limb Circuit... 14

ACCESSING THE SETUP SCREEN Utilise the SETUP menu to make changes to the language, date, and time on the ventilator. 1. Ensure the ventilator’s I/O switch is in the OFF (O) position. 2. Press and hold the ALARM CONTROL key while simultaneously switching the I/O switch to the ON (I) position. Continue holding the key until the Setup screen appears (approximately three seconds). 3. Release the ALARM CONTROL key. CHANGING THE SETUP SCREEN PARAMETERS (LANGUAGE, DATE, TIME) 1. Press the UP or DOWN key to position the cursor beside the parameter to be modified. 2. Press the ENTER key. • The cursor changes to: • The selected parameter value flashes. 3. Press the UP or DOWN key to modify the value of the selected parameter. 4. Press the ENTER key to confirm the newly selected value.

±

NOTE: • When a parameter contains several setup fields (such as Date and Time) press the ENTER key to move from one field to the next. • If you do not confirm a change by pressing the ENTER key before seven (7) seconds has elapsed, the ventilator restores the setup field’s previous value.

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EXITING THE SETUP SCREEN To exit the SETUP Screen, you must cycle the ventilator’s power. 1. Set the ventilator’s rear panel I/O switch to its OFF (O) position. Wait 30 seconds. 2. Set the ventilator’s I/O switch to its ON (I) position. The ventilator will run through a Power On Self Test (POST) routine and return to Standby mode. CHANGING VENTILATOR PARAMETERS 1. Set the ventilator’s rear panel I/O switch to its ON (I) position. 2. Press the MENU key to navigate to the Ventilation screen. 3. From the Ventilation menu use the cursor UP DOWN keys to select the mode or breath delivery parameter to be modified. 4. Press the ENTER

key.

5. Press the UP DOWN selected parameter. 6. Press the ENTER

keys to modify the value of the

key to confirm the newly selected value.

7. Repeat for all parameters to be modified. INITIATING VENTILATION 1. Press Ventilation ON/OFF button on the front panel. STOPPING VENTILATION 1. Hold the Ventilation ON/OFF button

for 3 seconds.

2. Upon release of the ON/OFF button, the blue LED illuminates, indicating that the ventilator is in standby mode.

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LOCKING AND UNLOCKING THE KEYBOARD To enable the locking key, proceed as follows: The locking key of your ventilator is a software function that prohibits access to the ventilation parameter settings and changes to the ventilation mode. Simultaneously press the UP (6) seconds. • The LOCKING KEY the screen.

DOWN

keys for at least six

symbol appears in the top left corner of

• Lines which are no longer accessible are preceded by a dash “–” • Lines which remain operational keep their initial line ACCESS SYMBOL . To disable the locking key, proceed as follows: Simultaneously press the UP six (6) seconds. • The LOCKING KEY

DOWN

keys for at least

symbol disappears.

• The initial line ACCESS SYMBOL each line.

is displayed in front of

NOTE: When the machine is in service at a patient’s home, it is strongly recommended that you prevent accidental or unauthorised ventilator adjustments from occurring by enabling the locking key.

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SYMBOLS AND DEFINITIONS Software lock enabled ABS/REL

Peak inspiratory pressure monitoring convention • ABS setting indicates the inspiratory pressure setting will determine the peak inspiratory pressure (monitoring) regardless of the PEEP setting. • REL setting indicates the PEEP is added to the inspiratory pressure setting to determine the peak inspiratory pressure (monitoring). Internal battery indicator. Indicates remaining internal battery life in hours and minutes. Exhalation valve detected No exhalation valve detected Apnea alarm has been deactivated Audio paused symbol. The sounding of audible alarms is currently disabled. Alarm paused symbol. One or more alarms have been paused, or reset/cancelled.

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ALARMS The alarm conditions are indicated by priority level. VERY HIGH PRIORITY (VHP)

HIGH PRIORITY (HP)

MEDIUM PRIORITY (MP)

IMMEDIATE CRITICAL SITUATION: VENTILATION NOT POSSIBLE

CRITICAL SITUATION IN THE SHORT TERM

CRITICAL SITUATION IN THE LONG TERM

CONTINUOUS RED LED ILLUMINATION

FLASHING RED LED ILLUMINATION

FLASHING YELLOW LED ILLUMINATION

CONTINUOUS SOUND SIGNALING

INTERMITTENT HIGH SPEED SOUND SIGNALING

INTERMITTENT MEDIUM SPEED SOUND SIGNALING

To silence the audible portion of activated alarms for 60 seconds: Press the ALARM CONTROL key once. The AUDIO PAUSED symbol

displays on the screen.

To manually pause the alarm, press the ALARM CONTROL key twice. The alarm is paused until the alarm condition is corrected and the condition reoccurs. The ALARM PAUSED symbol displays on the screen. The audible portion, light indicator, and message are all halted.

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WHAT TO DO IF A VENTILATOR FAILURE OCCURS If a problem with the ventilator is suspected, FIRST CHECK THAT THE PATIENT IS NOT IN DANGER. If necessary, remove the patient from the ventilator and provide an alternate means of ventilation. Keep in mind that troubleshooting information is available in the manual to assist you in the event of a problem. Refer to the chapter, “Alarms and Troubleshooting”. If you cannot determine the cause of a problem, contact your equipment supplier or Covidien.

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VENTILATOR OVERVIEW FRONT 1 2 3 4 5 6 7 8 9

LCD Display Control Panel FiO2 Sensor Connection Patient Connection Port Patient Pressure Monitoring Port Exhalation Valve Port Lateral and Front Openings From Patient Port Exhaled Gas Outlet

BACK 1 2 3 4 5 6 7 8 9 10 11

Ergonomic carrying handle On/Off (I/O) switch with protective cover AC power (“Mains”) cable connector AC power (“Mains”) cable holding system Access cover for the internal battery DC power cable connector with key PC Cable Connector O2 Inlet Port Nurse Call Output Connector USB Memory Device connection Air Inlet Filter

KEYBOARD 1 2 3 4 5 6 7 8 9 10 10

Alarm indicators ALARM CONTROL key Display screen UP/UNFREEZE key ENTER key DOWN/FREEZE key MENU key VENTILATION ON/OFF button Ventilation status indicator Electrical power source indicators

TO CONNECT A SINGLE LIMB CIRCUIT WITH AN EXHALATION VALVE 1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which might cause leakage). Do not use damaged components to assemble the patient circuit. 2. Install the bacteria filter (item 1) on the TO PATIENT port, as shown.

outlet

3. Attach one end of the short circuit tubing (item 2) to the bacteria filter (item 1). 4. Attach the other end of the circuit tubing (item 2) to the inlet port of the humidifier (item 3). 5. Place a water trap (item 4) between the outlet port of the humidifier and the inlet of the exhalation valve (item 5). 6. Ensure the exhalation valve (item 5) is as close as possible to the patient. 7. Connect one end of the proximal pressure tubing (item 7) to the proximal pressure port on the exhalation valve (item 5) and the other end onto the ventilator patient pressure port (item 8). 8. Connect one end of the exhalation valve tubing (item 6) to the exhalation valve port on the exhalation valve (item 5) and the other end onto the ventilator exhalation valve port (item 9). 9. To protect the exhalation port (as it will not be used in this configuration), place the cap (if provided with the breathing circuit) over the exhalation port opening (item 10).

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Ventilator Puritan Bennett 560

9 8

10 1 2 3

7 6 4 5 VEN_10101_B

TO CONNECT A SINGLE LIMB CIRCUIT WITHOUT AN EXHALATION VALVE 1-4. Follow steps 1–4 on previous page. 5. Place a water trap (item 4) between the outlet port of the humidifier and the patient end. 6. Place a vented interface to the end of the patient circuit. 7. Connect one end of the proximal pressure tubing (item 7) to the proximal pressure port on a T connector, and the other end onto the ventilator patient pressure port.

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TO CONNECT A DOUBLE LIMB CIRCUIT 1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which might cause leakage). Do not use damaged components to assemble the patient circuit. 2. Install the bacteria filter (item 1) on the TO PATIENT outlet port. 3. Attach one end of the short circuit tubing (item 4) to the filter (item 1). 4. Attach the other end of the circuit tubing to the inlet port of the humidifier (item 2). 5. Place a water trap (item 3) between the outlet port of the humidifier and the patient wye (item 5) on the double limb circuit. 6. Place a water trap (item 3) between the patient wye (item 5) and the inlet port of exhalation bacteria filter (item 12). 7. Connect the exhalation bacterial filter to the FROM PATIENT inlet port. 8. Connect one end of the small proximal pressure tubing (item 6) to the double limb patient wye circuit connection (item 5) and the other end on the ventilator patient pressure port. 9. Place the exhalation valve assembly (item 9) on the exhaust port. Place a exhalation bacteria filter (item 14) between the exhalation block (item 10) and the exhalation limb of the patient circuit. (item 11). Connect the tubing (item 8) from the exhalation valve assembly to the exhalation valve port (item 15)

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