ReVel® user guide

ReVel user guide
®
Critical care ventilation
Table of contents
ReVel ventilator ............................................ 1–4
LED display window................................... 27–28
Operational set-up..........................................5–7
Controls............................................................. 29
High pressure oxygen (O2) connection............ 8
Alarms............................................................... 30
Low pressure O2 connection............................. 9
Alarm configuration in Advanced
Power up........................................................... 10
Features menu.................................................. 31
External power disconnection........................ 11
Lower interface panel............................... 32–33
Battery pack installation................................. 12
Patient settings................................................. 34
Battery pack removal....................................... 13
Set applicable Advanced Features........... 35–37
Low pressure O2 blending flow set-up.......... 14
Advanced Features menus........................ 38–41
®
Required O2 input flow determination......... 15
PalmTop™ docking station............................... 42
Delivered O2 concentration determination.... 16
Docking station placement....................... 43–46
Testing......................................................... 17–19
Docking station release............................. 47–48
Ventilator use............................................. 20–21
Ventilator (communication status)................. 49
Using NPPV....................................................... 22
FiO2 sensor calibration..................................... 50
Best practices.................................................... 23
FiO2 monitoring alarms................................... 51
Front panel....................................................... 24
FiO2 sensor disconnection................................ 52
Displays and indicators.................................... 25
Notes.................................................................. 53
Airway pressure manometer.......................... 26
ReVel ventilator
Front
A. Alarm sounder ports
B. LED front panel
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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
SpO2
F
G
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
10
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.
13
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
Ve
20
Input
O2 Flow
(LPM)
Compensation is on, the patient leak
should be added to the Bias Flow value.
15
Applicable Ve
10
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 the chart to
the required Input O2 Flow (L/min).
15
0
X
.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
30
25
Input
O2 Flow
(LPM)
Compensation is on, the patient leak
should be added to the Bias Flow value.
20
Ve
15
Applicable Ve
X
10
5
2. Find the Input O2 Flow (left side of the 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).
16
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.
18
Testing
Normal ventilation mode tests
Use a test lung while testing the ReVel ventilator:
• Display/Alarm check
• All LED indicators and displays light up
• High-priority audible alarm sounds
The following Battery/Power check messages display:
Battery pack
External DC power
Docking station
Transition battery
Batt xxx%
Ext OK
Dock OK
T-Bat OK
Batt Removed
Ext Low
Dock Low
T-Bat Low
Batt Fault
Ext Removed
Dock Removed
T-Bat Remove
Ext Fault
Dock Fault
T-Bat Charge
–
–
T-Bat Fault
–
19
Ventilator use
Power the ventilator on by pressing, then releasing the ON/STANDBY button
The ReVel ventilator performs a POST, and an audible alarm sounds.
Same patient
The message bar displays Same Patient. If OK, press Select.
Same Patient
Select
Exit
Then, select Intubated or NPPV. The ventilator begins operating using the stored
control settings.
Intubated
Select
Exit
20
Ventilator use
New patient
If a new patient is desired, scroll to change the message bar to read New Patient.
Press Select.
New Patient
Select
Exit
The Patient Size menu appears.
Scroll
Rotate the knob until the desired patient size displays. Press Select
when the appropriate size selection displays. Once selected, the
operator selects Intubated vs. NPPV.
Adult
Select
Exit
21
Using NPPV
NPPV set-up
1. Use the ReVel dual limb circuit and a well-fitting Non-Vented mask.
2. Once the patient size is selected, an option for INTUBATED or NPPV appears.
Select NPPV.
3. Once selected, the IPAP setting displays. To adjust, push the SELECT button. To
change the IPAP setting, push the SELECT button and use the Scroll knob to select
the desired setting.
4. Once IPAP has been set, use the Scroll knob to select the desired EPAP setting. To
change the EPAP setting, push the SELECT button and use the Scroll knob to select the
desired setting.
5. Once the EPAP has been set, use the Scroll knob until the default RATE value displays. To
change the RATE setting, push the SELECT button and use the Scroll knob to select the
desired setting. If only spontaneous rate with apnea back up is desired, set the rate to 0.
22
Best practices
Helpful hints for using NPPV
1. Set NPPV at vent start up with test lung first.
2. Adjust Low Min Vol and Low Pk. Pres. alarms on front of ventilator.
3. Set initial settings as follows:
• Flow term to 35–40%
• If in AC mode, set i-Time to 0.7 - 1.0 seconds
• If in CPAP + PS mode, set time term between 0.7 and 1.0 seconds
4. Place circuit on patient who has been fitted with a Non-Vented mask
5. Adjust rise time as needed for patient comfort
6. Once patient is comfortably breathing at set-up, set Low Min Vol and Low Pk. Pres.
alarms to appropriate settings
23
Front panel
A. Airway pressure manometer:
Airway pressure tracking breath
by breath. Range -6 to +90 cmH2O
Airway Pressure
-6
10
20
30
40
(cmH2O)
50
60
70
80
90+
A
B
Select
button
B. Display window: Notifications, alarm
messages, configuration menus
C. Controls: Select, change, confirm
0
LED
panel
D. Alarms: Select, change, confirm LPP,
HP, LFiO2, LVE
Select
Exit
CONTROLS
Breath Rate
Insp. Time
Tidal Volume
Pres. Control
Pres. Support
PEEP
(bpm)
(sec)
(ml)
(cmH2O)
(cmH2O)
(cmH2O)
Breath Mode
Breath Type
A/C
SIMV
CPAP+PS
Volume
Pressure
PRVC
High Pres. Limit
(cmH2O)
(cmH2O)
E. Pulse oximeter: Select, change, confirm
High Alarm
(%)
ALARMS
Low FIO2
Pulse Rate
(lpm)
NPPV
(L)
External Power
Battery Pack
Transition Batt.
Battery Charger
E
Low Alarm
Scroll
Control Lock
D
Signal
Strength
High Alarm
(Beats / Min)
Check
C
Low Min. Vol
(%)
Low Alarm
On/Off
Patient
Effort
PULSE
PULSEOXIMETER
OXIMETER
SpO2
F
Sensitivity
(%) Hold for Flush
Low Pk. Pres.
F. Lower interface panel controls: Power,
Scroll knob, power status, control lock,
maneuvers, manual breath, alarm
silence/rest
O2
Exit
button
Maneuvers
Silence/Reset
Manual Breath
Vent Inop
On/Off button
24
Scroll knob
Silence/Reset button
Displays and indicators
Display characteristics (LED)
Normal intensity
Blank
• Active in the current mode.
• The power is conserving when the
ventilator is operating on the transition
• The control is selected for a change.
All other displays dim.
battery (to turn displays back on, press
any button or turn the control knob).
Dimmed
• The control feature is not available.
• Not active in the current mode.
• The sensor for an installed option is
not connected or communicating with
the ReVel ventilator.
• Another control is selected for a change.
Flashing
• The upper or lower limit for a control
or a special condition has occurred.
Dashes
• This control is turned off.
• An alarm is occurring or has occurred.
• An attempt to change the control
settings has occurred while the
controls are locked.
25
Airway pressure manometer
The airway pressure manometer tracks breath-to-breath airway pressure, displaying:
• Low pressure limit as a single yellow LED at the current low Ppeak pressure alarm
limit value.
• High pressure limit as a single yellow LED at the current high pressure alarm limit value.
• PEEP as a continuous bar of green LEDs that remain lit at the end of the expiratory
phase of each breath when a PEEP value is set.
• Peak pressure (PIP) as a single green LED that remains lit at the peak pressure value
until the start of the next breath.
A. Airway pressure
C. PEEP
E. High pressure limit
B. Low pressure limit
D. Peak pressure
Airway Pressure
A
-6
0
10
B
20
C
30
40
50
D
26
(cmH2O)
60
70
80
E
90+
LED display window
Select button
The Select button is used to select a menu item or control scrolling monitored data
on the alphanumeric LED display window.
To use:
1. Press the Select button to pause scrolling.
2. Use the Scroll knob to manually increment the values you wish to view.
3. Press Exit to start the automatic scroll again.
Exit button
The Exit button is used to restart paused monitored data scrolling and exit Advanced
Features menus.
27
LED display window
A. Dot matrix LED display window
B. Select button
C. Exit button
A
Select
Exit
B
C
Monitored patient data display
28
Controls
CONTROLS
Breath Rate
Insp. Time
Tidal Volume
Pres. Control
Pres. Support
PEEP
(bpm)
(sec)
(ml)
(cmH2O)
(cmH2O)
(cmH2O)
Breath Mode
Breath Type
A/C
SIMV
CPAP+PS
Volume
Pressure
PRVC
O2
(%) Hold for Flush
Monitored patient data display
29
Sensitivity
Patient
Effort
(lpm)
Alarms
The following alarm limits can be set from the front panel:
• Low Ppeak • Low Ve
• High pressure • High/Low pulse rate (option)
• Low FiO2
• High/Low SpO2 (option)
1. Select the alarm by pressing the associated button.
2. Change the alarm limit setting by turning the Scroll knob.
3. Confirm the alarm by pressing the associated button again.
Low Pk. Pres.
High Pres. Limit
(cmH2O)
(cmH2O)
ALARMS
Low FIO2
(%)
Front panel adjustable alarms
30
Low Min. Vol
NPPV
(L)
Alarm configuration in Advanced Features menu
Ensure the apnea alarm is set appropriately.
Advanced Features menus
Patient ID
Alarm config
SBT
* Alarm volume
* Batt tone
* Apnea int
* HP delay
* MV/BR delay
* PEEP delay
* LPP alarm
* High PEEP
* Low PEEP
* High f
Alarm config
Vent ctrl
Vent config
Option cnfg
Service
Advanced Features menu, Alarm configuration
31
Lower interface panel
On/Off
Power status LEDs Silence/Reset button
To use:
1. Press the button once while an alarm is sounding to silence the audible alarm for
60 seconds. The Silence/Reset LED lights up. 2. Press the button again to remove the visible (highest-priority) flashing alarm
message. The next highest-priority alarm message becomes visible. Continue to
press the button to subsequently remove the alarms in order of priority.
3. Once the lowest-priority alarm has been removed, press the Alarm/Reset button
to reinstate all active alarm messages and visual alarm indicator, and reactivate the
audible alarm. If not manually reactivated, the audible alarm sounds 60 seconds
after the silencing button is first pressed.
(See lower interface panel on page 31)
32
Lower interface panel
On/Off
Check
External Power
Battery Pack
Transition Batt.
Battery Charger
Scroll
Control Lock
Maneuvers
Manual Breath
Vent Inop
Lower interface panel
33
Silence/Reset
Patient settings
Breath type and mode set-up
1
To change modes or breath types on the LED interface:
1. Press the button on the LED panel to select the breath
mode (the LED for the current mode or breath type flashes).
2. Turn the Scroll knob on the lower interface panel to change
the breath type or mode.
3. Press the button again while the new mode LED is flashing
to confirm the change. The ventilator begins operating
with the new setting.
2
3
34
Scroll
Set applicable Advanced Features
To enter the Advanced Features menu:
While in normal ventilation mode, press and hold the Select button for three seconds.
Patient ID displays.
Patient ID
Select
Exit
LED display window
35
Set applicable Advanced Features
To enter the Advanced Features menu (continued):
1. Turn the Scroll knob to the desired displayed menu heading.
2. Turn the Scroll knob clockwise to view the next menu heading.
3. Turn the Scroll knob counter-clockwise to view the previous menu heading.
4. Press the Select button again to confirm the menu selection.
To access a menu item:
1. Turn the Scroll knob to change the displayed menu item.
2. Press the Select button to confirm the menu item selection.
36
Set applicable Advanced Features
Scroll
To change and set a value:
1
1. Turn the Scroll knob to change the value of a selected
menu item. Turn clockwise to increase or counter-clockwise
to decrease the value.
2. Press the Select button to confirm the new value. The
value is accepted, and the previous menu item displays.
2
To exit the Advanced Features menu:
3. Press the Exit button (repeatedly, as necessary) until the
scrolling monitored data displays. The ventilator is now
back in normal ventilation mode.
3
37
XXX
Advanced Features menus
Advanced Features Menus
*Vent Check menus are only
displayed and/or accessed in
Vent Check mode.
Alarm Config
* Alarm Volume
* Batt Tone
* Apnea Int
* HP Delay
* MV/BR Delay
* PEEP Delay
* LPP Alarm
* High PEEP
* Low PEEP
* High f
Vent Check*
* Language
* Units
* Button
* Circuit Test
* Reset
* Presets
Patient ID
SBT
* SBT Start
* SBT Cancel
* SBT Pres. Sup
* SBT PEEP
* SBT O2
* SBT Time
* SBT Hi f/Vt
* SBT Low f/Vt
* SBT High f
* SBT Low f
* Display f/Vt
Vent Config
* Query
* Dim After
* Local Time
* Local Date
* Date Format
* O2 Flush %
* O2 Flush Dur
* Ctrl Lock
* Safety Valve
* O2 Cyl Dur
Vent Ctrl
* Rise Time
* Flow Term
* Time Term
* PC Flow Term
* Bias Flow
* Leak Comp
* NPPV Mode
Option Config
* Pulse Ox
* FiO2
Service
38
* Event Trace
* Data
* Usage
* About
Advanced Features menus
Transitioning from invasive to noninvasive ventilation
To transition from invasive (intubated) to NPPV without restarting the ReVel ventilator:
1. Enter the Advanced Features menu from a normal mode of ventilation.
2. Rotate the Scroll knob until Standby? displays.
3. Push the Select button. Confirm? displays.
4. Push the Confirm? button to suspend patient ventilation and initiate Standby mode.
Note: Selecting Confirm? ceases ventilation. Controls and alarms lock.
Patient ventilation is now suspended, and the message Stopping momentarily displays.
This is followed by the flashing message IN STANDBY! in the front panel window.
5. Push the Select button a third time. Intubated displays.
6. Rotate the Scroll knob until NPPV shows, and then press Select.
The ventilator resumes ventilation in the latest intubated settings. The mode is CPAP+PS,
and the breath type is Pressure.
39
Advanced Features menus
Fraction of Inspired Oxygen option
When installed and enabled, Inspired Oxygen (FiO2) is measured by an O2 sensor attached
to the beginning of the inspiratory limb of the patient circuit.
FiO2 sensor connection
Align the FiO2 sensor connector with the red dot oriented as shown below, and insert it
directly into the FiO2 port on the right side of the ventilator.
A. Red triangle
D. Red dot
B. FiO2 port
E. FiO2 sensor or
cable connector
C. Right side of
ventilator
F. Knurled sleeve
C
B
A
D
E
F
B
40
Advanced Features menus
Configuration
Once FiO2 is set up, enabled and calibrated during Vent Check*, communication with
the FiO2 sensor may be enabled/disabled during normal ventilation modes under the
Advanced Features menu.
Enable (Enbl)/Disable (Dsbl) menu
Advanced Features menus
1. Enter the Advanced Features menu, and scroll
to Option cnfg.
Patient ID
SBT
2. Press Select. PULSE OX displays.
3. Scroll until FiO2 displays and press Select.
ENBL/DSBL displays.
4. Scroll until the desired ENBL/DSBL status
displays, and press Select. The new ENBL/DSBL
sets and displays. This function can be performed
while the patient is on the ventilator.
*See vent check tips on page 49.
41
Option cnfg
* Pulse Ox
* FiO2
Alarm config
Vent ctrl
Vent config
Option cnfg
Service
PalmTop docking station
™
For stationary applications, the ventilator can be docked to a PalmTop™ docking station
that provides power to the ventilator, accommodates the PTM™ Graphics Monitor and
expands the ventilator interface capabilities to include:
• Patient monitor system interface
• Nurse call interface
• AC power
• PTM™ Graphics Monitor mounting and communication (option)
• Memory card interface
• Wall rail mounting (option)
• Rolling floor stand mounting (option)
42
Docking station placement
1. Seat the alignment recesses on the ventilator over the alignment posts of the DC,
as shown.
A. Alignment recess (2)
B. Alignment post (2)
A
B
43
Docking station placement
2. Seat the alignment recesses on the ventilator over the alignment posts of the DC,
as shown.
44
Docking station placement
3. Press the ventilator case firmly until it clicks and the positive lock engages.
45
Docking station placement
Power connection verification
The external power LED on the ventilator lights up and stays green.
Communication verification
A confirmation accessory-attached audible alert sounds, and the LED on the front
of the AC Power lights up and remains green.
Docking Station
AC Power indicator
Ready indicator
Card Slot indicator
Docked
Nurse Call
AC Power
Ready
Card Slot
Docked indicator
46
Nurse Call indicator
Docking station release
1. Press the PTV Release button at the bottom/center of the front panel.
Docking Station
Docked
AC Power
Ready
Card Slot
Release button
47
Nurse Call
Docking station release
2. Lift the ventilator clear of the alignment posts on the cradle.
48
Ventilator (communication status)
The docked indicator LED on the front panel visually indicates the status of
communication between the docking station and the docked ventilator with:
• Flashing red twice a second: The ventilator is not docked, or the ventilator
is docked and the communication link is not connected
• Continuous green: The ventilator is docked and transferring data
49
FiO2 sensor calibration
Accurate monitored FiO2 readings cannot be obtained unless the O2 sensor has been
enabled and properly calibrated to the ventilator.
To perform a two-point (0.21 and 1.0 FiO2 ) calibration of an attached FiO2 sensor:
• Enable FiO2 is set
• Ensure an external supply of 100%
O2 is available
• Make sure the ventilator is off
the patient
• Calibrate the sensor every 12 hours
To calibrate:
1. While in the FiO2 option, press Select.
ENBL/DSBL displays. Select Enabled.
2. Scroll until Calibrate displays, and press
Select. The date of the most recent
successful FiO2 sensor calibration
displays. Press Select again. The
calibration process begins, and Apply
21% O2 displays.
3. Expose the FiO2 sensor to ambient air
for a minimum of 10 seconds, and press
Select. Apply 100% O2 displays.
4. Expose the FiO2 sensor to 100% O2
for one minute.
5. Press Select. Complete or Failed displays.
6. Exiting Enable/Disable menu: Press the
Exit button until the ventilator displays
scrolling monitored data.
50
FiO2 monitoring alarms
FiO2 monitoring alarms
ALARMS
Low FIO2
• FiO2 sensor fault
–– Generated when FiO2 has been enabled in
startup mode
–– Generated when the ventilator detects an
FiO2 sensor failure
• Low FiO2
–– Generated when the monitored FiO2 is equal
to or less than the Low FiO2 alarm setting
–– The Low FiO2 alarm is only available when an
FiO2 sensor is installed in the patient circuit,
connected to the ventilator and enabled
51
(%)
FiO2 sensor disconnection
To disconnect the safety locking mechanism, grasp the knurled sleeve of the connector
and pull it away from the ventilator.
A. Red dot
B. Knurled sleeve
A
B
52
Notes
53
Caution—Federal (USA) law restricts
this device to sale by or on the order
of a physician.
CareFusion
22745 Savi Ranch Parkway
Yorba Linda, CA 92887
800.231.2466 toll-free
714.283.2228 tel
714.283.8493 fax
carefusion.com
© 2013 CareFusion Corporation or one of its subsidiaries. All rights reserved.
ReVel, PalmTop, CareFusion and the CareFusion logo are trademarks or registered
trademarks of CareFusion Corporation or one of its subsidiaries. RC1986 (0613/2000)
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