Flight 60

Flight 60
FLIGHT MEDICAL INNOVATIONS LTD.
FLIGHT 60 Ventilator
Operator's Manual
V60-00001-18 Rev.D
April 2011
Legal Notice
Legal Notice
Disclaimer
FLIGHT MEDICAL INNOVATIONS LTD. (FLIGHT MEDICAL) provides this Operator’s
Manual in its commitment to help reduce patient risk and injury. However, this
manual is not intended to in any way replace or substitute duty of care to a patient,
professional responsibility, or professional judgment, nor is it intended to provide any
warranty, promise, guarantee, assumption of risk or duty, release, or indemnity.
Physicians shall at all times maintain responsibility for patient treatment and
outcomes, and FLIGHT MEDICAL further assumes no liability for patient treatment or
outcome or for physician's negligence, breach of duty of care, or malpractice.
The FLIGHT 60 Ventilator operator is solely responsible for selecting the appropriate
level and method of patient monitoring.
Product modification or misuse can be dangerous. FLIGHT MEDICAL disclaims all
liability for the consequences of product alterations or modifications, as well as for the
consequences which might result from the combination of this ventilator with other
products, whether supplied by FLIGHT MEDICAL or by other manufacturers, unless
such a combination has been specifically endorsed by FLIGHT MEDICAL.
The design of FLIGHT 60 Ventilator, the Operator’s and Service Manuals, and the
labeling on the ventilator, take into consideration that the purchase and use of the
equipment is restricted to trained professionals, and that certain inherent
characteristics of the ventilator are known to the operator. Instructions, warnings,
and caution statements are therefore limited to the specifics of the FLIGHT 60
Ventilator.
Federal law (US) restricts this device to sale by or on the order of a physician.
This Operator’s Manual excludes references to various hazards which are obvious to
medical professionals and operators of this equipment, to the consequences of
product misuse, and to potential adverse effects in patients with abnormal conditions.
When the FLIGHT 60 Ventilator is used in homecare and subacute environments, only
properly trained personnel should operate the ventilator. The FLIGHT 60 Ventilator is
a restricted medical device designed for use by respiratory therapists or other
properly trained and qualified personnel under the direction of a physician and in
accordance with applicable state laws and regulations.
Transport of patients with the FLIGHT 60 Ventilator requires that medical staff have a
good working knowledge of the ventilator’s use and problem resolution. Proper
emergency backup equipment must be immediately available during transport.
ii | Flight 60
Legal Notice
FLIGHT 60 Ventilator operators must recognize their responsibility for implementing
safety monitoring mechanisms which supply appropriate information on equipment
performance and patient condition. Patient safety may be achieved through a wide
variety of means, such as electronic surveillance of equipment performance and
patient condition. However, equipment surveillance should not replace direct
observation of clinical signs.
The liability of FLIGHT MEDICAL is subject to and limited to the exclusive terms and
conditions as set forth herein. Said liability is limited whether arising out of, or related
to, the manufacture and sale of goods, their installation, demonstration, sales
representation, use, performance, or otherwise. Any liability based upon product
warranty is limited regardless of any fault attributable to FLIGHT MEDICAL and the
nature of the action (including breach of warranty, negligence, and strict liability).
The written warranties are in lieu of all other warranties, expressed or implied,
including, without limitation, warranties of merchantability, fitness for any purpose, or
non-infringement.
FLIGHT MEDICAL shall not be liable for any special incidental or consequential
damages incurred by the buyer to a third party. The buyer shall not be entitled to
make liability recoveries from FLIGHT MEDICAL due to such situations.
Warranty
The FLIGHT 60 Ventilator warranty does not apply for/ in case of:

Defects caused by misuse, mishandling, tampering, or by modifications not
authorized by FLIGHT MEDICAL or its representatives.

Rubber and plastic components and materials, which are guaranteed to be free of
defects at time of delivery.
Any product which proves during the warranty period to be defective in workmanship
or material, will be replaced, credited, or repaired. FLIGHT MEDICAL retains the
discretion to select the most suitable of these options. FLIGHT MEDICAL is not
responsible for deterioration, wear, or abuse. In all cases, FLIGHT MEDICAL will not
be liable beyond the original selling price.
Application of this warranty is subject to the following conditions:

FLIGHT MEDICAL or its authorized representatives must be promptly notified upon
detection of the defective material or equipment.

Defective material or equipment must be returned to FLIGHT MEDICAL or its
authorized representative.

Examination by FLIGHT MEDICAL or its authorized representatives must confirm
that the defect is covered by the terms of this warranty.
Operator's Manual | iii
Legal Notice
The above is the sole warranty provided by FLIGHT MEDICAL. No other warranty,
expressed or implied, is intended. Representatives of FLIGHT MEDICAL are not
authorized to modify the terms of this warranty.
In no way does this or any of FLIGHT MEDICAL's policies, training materials,
guidelines, or instructions create an obligation for FLIGHT MEDICAL to perform any
services.
iv | Flight 60
About this Document
About this Document
This document contains information intended to ensure safe and effective use of the
FLIGHT 60 Ventilator.
Chapters and Their Contents
‎1
Introduction
Describes the intended use of the ventilator, symbols
Pg. 12
appearing on the ventilator, and an overview of how
the ventilator works.
‎2
Safety Instructions
Lists WARNINGS and CAUTIONS to be adhered to, in
Pg. 14
order to safely use the ventilator.
‎3
Ventilator
Provides a detailed description of the front, back, left,
Description
and right side panels of the ventilator, the ventilator
Pg. 19
LCD screens, and the ventilator accessories.
‎4
Installation
Describes how to remove the ventilator parts from the
Pg. 32
box, mount the ventilator, plug it in, attach the patient
circuit, and install the oxygen accessories.
‎5
Using the Ventilator
Describes the basic operation of the ventilator, and
Pg. 43
how to set the main, extended, and technical
parameters, initiate ventilation, and monitor the
patient.
‎6
Ventilator Alarms
Describes the audible and visual alarms and caution
Pg. 72
symbols, alarm specifications, alarm and caution
messages, and how to silence audible alarms, reset
alarms, and set up a remote alarm.
‎7
‎8
Cleaning and
Describes how to clean and disinfect the ventilator
Maintenance
parts, and how to maintain the ventilator.
Troubleshooting
Describes problems that may arise, their probable
Pg. 77
Pg. 85
cause, and possible solutions. Also includes contact
information for technical support.
‎9
Ventilator Quick
Describes the testing procedures.
Pg. 95
Technical
Describes the technical specifications for: hardware,
Pg. 99
Specifications
safety, environmental and oxygen accessories.
Check Procedure
10
Operator's Manual | v
About this Document
Style Conventions
Convention
Used for
Verdana
Regular text.
Arial Bold
Names of menus, commands, buttons, and other elements of the user interface.
Arial Italics
Special terms, the first time they appear.
Monospace
Text entered by the user.
Notes, which provide additional information intended to avoid inconveniences
during operation. Notes also indicate important procedures to be followed.
Cautions, which indicate possibility of equipment damage, if disregarded.
CAUTION
Warnings, which indicate possibility of personal injury to patient or others, if
WARNING
vi | Flight 60
disregarded.
Table of Contents
Table of Contents
LEGAL NOTICE ........................................................................................... II
DISCLAIMER .............................................................................................. II
WARRANTY ............................................................................................... III
ABOUT THIS DOCUMENT ............................................................................. V
TABLE OF CONTENTS ............................................................................... VII
1
2
3
INTRODUCTION .................................................................................. 12
1.1
INTENDED USE .................................................................................. 12
1.2
SYMBOLS ......................................................................................... 12
1.3
OVERVIEW ....................................................................................... 13
SAFETY INSTRUCTIONS ...................................................................... 14
2.1
GENERAL WARNINGS ........................................................................... 14
2.2
CAUTIONS ........................................................................................ 17
VENTILATOR DESCRIPTION ................................................................ 19
3.1
FRONT PANEL FEATURES ....................................................................... 19
3.1.1 LED Indicators ...................................................................... 20
3.2
BACK PANEL FEATURES......................................................................... 21
3.3
LEFT SIDE PANEL FEATURES ................................................................... 22
3.4
RIGHT SIDE PANEL FEATURES ................................................................. 23
3.5
LCD SCREENS ................................................................................... 23
3.5.1 Alarm and Power Management Area ........................................ 23
3.5.2 Patient Monitoring Area ......................................................... 24
3.5.3 Control Area ......................................................................... 25
Parameters Screen ........................................................................................................ 25
Extended Screen ........................................................................................................... 27
Technical Screen ........................................................................................................... 28
3.6
ACCESSORIES.................................................................................... 30
3.6.1 Air/Oxygen Entrainment Mixer ................................................ 30
3.6.2 Oxygen Blending Bag Kit ........................................................ 30
Operator's Manual | vii
Table of Contents
4
INSTALLATION ................................................................................... 32
4.1
INTRODUCTION .................................................................................. 32
4.2
REMOVING THE VENTILATOR PARTS FROM THE BOX ........................................ 32
4.3
MOUNTING THE VENTILATOR .................................................................. 32
4.4
INSTALLING THE DETACHABLE BATTERY ..................................................... 33
4.5
PLUGGING IN THE POWER CORD (FOR AC).................................................. 33
4.6
ATTACHING THE PATIENT CIRCUIT ............................................................ 34
4.7
INSTALLING OXYGEN ACCESSORIES .......................................................... 35
4.7.1 The Air/Oxygen Entrainment Mixer .......................................... 36
Installing the Air/Oxygen Entrainment Mixer ..................................................................... 37
4.7.2 The Oxygen Blending Bag Kit ................................................. 38
Installing the Oxygen Blending Bag Kit............................................................................. 39
Disassembling and Cleaning the Oxygen Blending Bag Kit .................................................. 40
Monitoring the Oxygen Supply Flow in the Oxygen Blending Bag ......................................... 40
5
USING THE VENTILATOR .................................................................... 43
5.1
BASIC OPERATION .............................................................................. 43
5.1.1 Powering On the Ventilator ..................................................... 43
5.1.2 Turning Off the Ventilator ...................................................... 44
5.1.3 Navigating Between Screens .................................................. 44
5.1.4 Setting Control Values ........................................................... 44
Default and Saved Values ............................................................................................... 45
5.1.5 Delivering a Manual Breath .................................................... 45
5.1.6 Locking the Panel .................................................................. 45
5.1.7 Canceling Parameter Adjustments ........................................... 46
5.1.8 Accepting Parameter Adjustments ........................................... 46
5.1.9 Changing Parameter Value (Up/Down Button) .......................... 46
5.2
SETTING THE MAIN PARAMETERS ............................................................. 46
5.2.1 Mode of Operation ................................................................ 46
ACMV Mode ................................................................................................................. 46
SIMV Mode (Synchronized Intermittent Mandatory Ventilation) ........................................... 47
SPONT Mode (Spontaneous Ventilation) ........................................................................... 48
5.2.2 Submode of Operation (VCV/PCV) ........................................... 48
Volume Control Ventilation (VCV) .................................................................................... 49
viii | Flight 60
Table of Contents
Pressure Control Ventilation (PCV) ................................................................................... 51
5.2.3 Inspiratory Time (Ti) / Flow .................................................... 52
Inspiratory Time............................................................................................................ 53
Flow Rate
.................................................................................................................. 53
5.2.4 Frequency of Breaths (f) ........................................................ 54
5.2.5 Pressure Trigger Level (Ptrig) ................................................. 54
5.2.6 Positive End Expiratory Pressure (PEEP) ................................... 55
5.2.7 Pressure Support Ventilation (PSV) ......................................... 55
5.2.8 Lower and Upper Pressure Limits (Low P, High P) ...................... 56
5.2.9 Lower and Upper Minute Volume Alarm Limits (Low MV, High MV)57
Low MV
.................................................................................................................. 57
High MV
.................................................................................................................. 58
5.2.10 Settings Limitation Pop-Up Messages ....................................... 58
5.3
SETTING THE EXTENDED PARAMETERS ....................................................... 59
5.3.1 Alarm Buzzer Volume ............................................................ 59
5.3.2 Activating/Deactivating Power Saving ...................................... 59
5.3.3 Waveform Type .................................................................... 60
5.3.4 Inspiratory Time / Flow Control (TI / Flow ctl.) ......................... 61
5.3.5 Rise Profile ........................................................................... 61
5.3.6 Pressure Support Flow Termination (PSV Flow Term) ................. 62
5.3.7 Pressure Support Ventilation Inspiratory Time (PSV Ti) .............. 63
5.3.8 Activating/Deactivating the O2 Enrichment Monitor (FiO2) ......... 63
High and Low Levels for the Oxygen Alarm (FiO2 Low and FiO2 High) .................................. 64
5.3.9 Apnea .................................................................................. 64
Backup Ventilation in ACMV and SIMV Modes .................................................................... 65
Backup Ventilation in SPONT Mode .................................................................................. 65
Cancellation of Backup Ventilation ................................................................................... 65
5.4
SETTING THE TECHNICAL PARAMETERS ...................................................... 66
5.4.1 System Language ................................................................. 66
5.4.2 Pressure Units Display (Press Units) ........................................ 66
5.4.3 Activating/Deactivating the SPONT Mode Low Pressure Alarm (LOW P
Spont) .......................................................................................... 66
5.4.4 Displaying the System Information .......................................... 67
5.4.5 Performing Exhalation Valve Calibration ................................... 67
5.4.6 Storing/Loading a Ventilation Configuration .............................. 68
Operator's Manual | ix
Table of Contents
5.4.7 System Clock ....................................................................... 69
5.4.8 Displaying the Alarms/Changes Log ......................................... 69
5.4.9 Accessing the Advanced Technical Menu .................................. 70
6
5.5
INITIATING VENTILATION ...................................................................... 70
5.6
MONITORING THE PATIENT .................................................................... 71
VENTILATOR ALARMS ......................................................................... 72
6.1
AUDIBLE ALARM AND CAUTION SIGNALS .................................................... 72
6.2
VISUAL ALARM AND CAUTION SIGNALS ...................................................... 72
6.3
ALARM AND CAUTION SPECIFICATIONS ...................................................... 73
6.3.1 Variable Ventilation Alarms .................................................... 73
6.3.2 Automatic Ventilation Alarms .................................................. 74
6.3.3 Automatic Technical Alarms .................................................... 74
6.3.4 Cautions .............................................................................. 75
7
6.4
SILENCING AUDIBLE ALARMS.................................................................. 75
6.5
RESETTING ALARMS ............................................................................ 76
6.6
SETTING UP A REMOTE ALARM ................................................................ 76
CLEANING AND MAINTENANCE ........................................................... 77
7.1
CLEANING AND DISINFECTING ................................................................ 77
7.1.1 FLIGHT 60 Ventilator ............................................................. 77
7.1.2 FLIGHT 60 Ventilator Accessories ............................................ 77
Oxygen Blending Bag Kit ................................................................................................ 78
Reusable (Single Patient) Patient Circuits ......................................................................... 78
Reusable (Single Patient) Exhalation Valve ....................................................................... 80
FLIGHT 60 Ventilator Air Inlet Particle Filter ...................................................................... 82
7.2
MAINTENANCE ................................................................................... 82
7.2.1 Preventive Maintenance ......................................................... 82
7.2.2 Internal Battery Maintenance ................................................. 83
7.2.3 15,000 Hour Maintenance ...................................................... 83
7.3
8
GENERAL WARNINGS ........................................................................... 84
TROUBLESHOOTING ........................................................................... 85
8.1
INTRODUCTION .................................................................................. 85
8.2
ALARMS .......................................................................................... 85
x | Flight 60
Table of Contents
9
8.3
GENERAL/CLINICAL ............................................................................. 88
8.4
AIR/OXYGEN ENTRAINMENT MIXTURE........................................................ 93
8.5
CONTACT INFORMATION ........................................................................ 94
VENTILATOR QUICK CHECK PROCEDURE ............................................ 95
9.1
INTRODUCTION .................................................................................. 95
9.1.1 Setting Up the Ventilator for the Test ...................................... 95
9.2
QUICK CHECK PROCEDURE .................................................................... 96
9.2.1 Checking the Power Management ............................................ 96
9.2.2 Checking the Alarms ............................................................. 97
9.2.3 Checking the Monitored Parameters ........................................ 97
9.3
CHECK-OFF SHEET.............................................................................. 98
10 TECHNICAL SPECIFICATIONS ............................................................. 99
10.1 PHYSICAL SPECIFICATIONS .................................................................... 99
10.2 PNEUMATIC SPECIFICATIONS .................................................................. 99
10.3 ELECTRICAL SPECIFICATIONS.................................................................. 99
10.4 INTERNAL BATTERY SPECIFICATIONS ....................................................... 100
10.5 SAFETY AND PARTICULAR STANDARD SPECIFICATIONS .................................. 100
10.6 ENVIRONMENTAL SPECIFICATIONS .......................................................... 101
10.7 AIR/OXYGEN ENTRAINMENT MIXER SPECIFICATIONS .................................... 101
10.8 OXYGEN BLENDING BAG KIT SPECIFICATIONS ............................................ 101
Operator's Manual | xi
Introduction
Intended Use
1 Introduction
This Operator’s Manual (V60-00001-18) contains information intended to ensure safe
and effective use of the FLIGHT 60 Ventilator.
1.1
Intended Use
The FLIGHT 60 Ventilator is intended to provide continuous or intermittent
mechanical ventilation support for the care of individuals who require mechanical
ventilation. Specifically, the FLIGHT 60 is applicable for adult and pediatric (i.e.,
infant, child and adolescent) patients, greater than or equal to 10kg (22 lbs).
The FLIGHT 60 Ventilator is a restricted medical device intended for use by qualified,
trained personnel under the direction of a physician; it is suitable for use in hospital,
sub-acute, emergency room, and home care environments, as well as for transport
and emergency response applications
1.2
Symbols
Symbol
Description
Front Panel
On/Off button
Audio Paused
Rear Panel
Caution; consult accompanying documents
Type BF applied part
Temperature limitation
Humidity limitation
12 | Flight 60
Introduction
Overview
Symbol
Description
Atmospheric pressure limitation
DC – Direct Current
AC – Alternating Current
USB – Universal Serial Bus
LAN – Local Area Network
1.3
Overview
The FLIGHT 60 Ventilator is an electrically powered, microprocessor controlled
ventilator with pressure support for spontaneous breathing. It can be pressure or
time activated, volume or pressure limited, and time, pressure, or flow cycled.
Backup ventilation is available, manual inflation is possible, and there is an
emergency intake valve which allows the patient to pull ambient air into the patient
circuit in the event of a complete loss of supply of gas pressure. Opening pressure is
approximately –3 cmH2O (–3 mbar) during emergency intake.
The FLIGHT 60 Ventilator may be powered by external power (100-240 VAC or 12-15
VDC) or by its Li Ion internal batteries. Two internal Li Ion rechargeable batteries
power the ventilator for up to 12 hours when fully charged.
The main component of the pneumatic system is an electrically controlled pump. This
pump provides a compressed gas source so that no external air compressor is
needed. Additionally, the exhalation valve is activated by an electrically controlled
proportional solenoid.
Transport of patients with the FLIGHT 60 Ventilator requires that medical staff
have a good working knowledge of the ventilator’s use and problem resolution.
Proper emergency backup equipment must be immediately available during
transport.
Operator's Manual | 13
Safety Instructions
General Warnings
2 Safety Instructions
At all times, strictly follow this manual. The safe use of the FLIGHT 60 Ventilator
requires full understanding of its operation, and adherence to the manual's
instructions. The equipment is only to be used for the purpose specified in Section
‎1.1. Observe all of the WARNINGS and CAUTIONS posted in this manual, and on
buttons found on the FLIGHT 60 Ventilator and associated accessories.
2.1
General Warnings
External power connection: To maintain grounding integrity when using AC
power, only connect to hospital grade receptacles. Always disconnect the
external power supply prior to servicing. There is a risk of explosion if used in
the presence of flammable anesthetics.
All settings and adjustments in the different ventilation modes must be made
in accordance with a physician's prescribed therapy.
Do not use electrically conductive patient circuits.
Always use a clean, disinfected patient circuit.
Always use an outlet filter or equivalent at the Airway Pressure Connector, to
protect the internal transducers from moisture and other contaminants.
Always use appropriate monitors to ensure sufficient oxygenation and
ventilation (such as pulse oximeter and/or capnograph) when the FLIGHT 60
Ventilator is in use on a patient.
14 | Flight 60
Safety Instructions
General Warnings
The ventilator is ready for operation only when:
It is completely assembled.
The Quick Check Procedure, including the Exhalation Valve Calibration has
been successfully completed.
Constant attention by qualified medical personnel is recommended whenever a
patient is ventilated with the FLIGHT 60 Ventilator.
If a fault is detected in the ventilator and its life support functions are in doubt,
immediately discontinue use; use an alternative method of ventilation until the
fault has been corrected, and contact your provider or FLIGHT MEDICAL
immediately.
Failure to identify and correct alarm violations may result in patient injury.
Ensure that the oxygen source is not empty before and during the use of the
optional Air/Oxygen Entrainment Mixer or Oxygen Blending Bag Kit.
As Li-Ion batteries are charged and discharged over time, their ability to hold a
charge is decreased with use. This can shorten the length of time the ventilator
can function while on battery power.
The batteries should be replaced when the batteries no longer meet the needs
of the user. This depends on a number of factors including settings and usage
patterns.
When the FLIGHT 60 Ventilator is used for transport applications, ensure that
the internal batteries are fully charged prior to use.
Operator's Manual | 15
Safety Instructions
General Warnings
When the Battery Empty alarm sounds, only a limited amount of battery power
remains, and an alternate power source should be found immediately.
Charge the batteries for a minimum of three hours before powering the
ventilator from the batteries. This provides fully charged batteries.
During storage, charge the batteries for a minimum of three hours every 30
days. This provides charged batteries.
Always ensure that the green Ext. Power LED is illuminated after connecting
the FLIGHT 60 Ventilator to an external AC or DC power source. If the LED is
not illuminated, check all power connections and resolve any problems.
Always plug the FLIGHT 60 Ventilator into an AC power supply source when not
in use, to ensure best battery performance.
The flow resistance of the air inlet filter, located on the right side of the
ventilator, is likely to increase with repeated use. Ensure that the filter is
changed regularly.
Only a FLIGHT MEDICAL approved patient circuit can be used with the FLIGHT
60 Ventilator.
Only a FLIGHT MEDICAL approved exhalation valve can be used with the
FLIGHT 60 Ventilator.
16 | Flight 60
Safety Instructions
Cautions
Perform an exhalation valve calibration each time a circuit/exhalation valve is
installed.
This FLIGHT 60 Ventilator has been tested and found to comply with EMC limits
according to EN60601-1-1-2 standard class B. These limits are designed to
provide reasonable protection against harmful interference in a typical medical
installation. The equipment generates uses and can radiate radio frequency
energy and, if not installed and used in accordance with these instructions,
may cause harmful interference to other devices in the vicinity. There is no
guarantee that interference will not occur in a particular installation. If this
equipment does cause harmful interference with other devices, which can be
determined by turning the equipment off and on, the user is encouraged to try
to correct the interference by one or more of the following measures:
Reorient or relocate the receiving device.
Increase the distance between the equipment.
Connect the equipment into an outlet on a circuit different from that to which
the device (s) is connected.
Consult the manufacturer for help.
2.2
Cautions
Only use medical grade oxygen with the Air/Oxygen Entrainment Mixer or
Oxygen Blending Bag Kit.
Do not place liquid containers in the immediate vicinity or on top of the FLIGHT
60 Ventilator. Liquids that get into the ventilator can cause equipment
malfunction and damage.
An authorized FLIGHT MEDICAL factory-trained technician must do all service
or repairs performed on the FLIGHT 60 Ventilator.
Do not open the ventilator or perform service on an open unit while connected
to external power.
Operator's Manual | 17
Safety Instructions
Cautions
Use standard antistatic techniques while working inside the ventilator or
handling any electronic parts.
Clean all external parts of the ventilator prior to servicing.
Water in the oxygen supply can cause equipment malfunction and damage.
Batteries contain Li-Ion. Do not discard them in an incinerator or force them
open. Batteries should not be disposed of with normal waste.
Review FLIGHT 60 Ventilator Operator’s Manual before servicing the ventilator.
Use the tools and equipment specified in this manual to perform specific
procedures.
18 | Flight 60
Ventilator Description
Front Panel Features
3 Ventilator Description
3.1
Front Panel Features
The front panel contains the control buttons, visual indicators, display screen, and
patient circuit connection.
Figure 1 – Front Panel
Label
Name
Description
1
Patient Circuit Connector
Composed of a gas outlet and quick connector.
2
Up/Down button
Enables the user to scroll up and down the display controls.
3
Panel Lock button
Enables the user to lock the ventilator’s control, preventing
accidental changes. Pressing the button of a locked panel and
then Enter, unlocks the panel.
4
On/Off button
Turns the ventilator on or off, to start or stop ventilation.
5
Manual Breath button
Delivers a user initiated manual inflation.
6
Audio Paused / Alarm Reset
Toggle button. Pressing Audio Paused temporarily silences the
button
audible alarm; pressing Alarm Reset clears latched alarm LEDs.
Pressure Gauge
The pressure gauge is a visual indicator of breath activity, which
7
shows the dynamic movements of the breath pressures. When a
breath is being delivered, the user can see the relative pressure
and phase of the breath (inspiration or expiration).
The pressure gauge is comprised of 29 LEDs. From -10 to +20
cmH2O, each notch equals 2 cmH2O; from 20 to 50 cmH2O, each
notch equals 5 cmH2O; above 50 cmH2O, each notch equals 10
cmH2O.
Operator's Manual | 19
Ventilator Description
Front Panel Features
Label
Name
Description
8
Display touch screen
Enables the user to modify the ventilation, alarm, and technical
settings, and to view real time patient data, alarms, and logs.
9
LED Indicators
Inform the user of various events (see Section ‎3.1.1).
10
Primary Alarm LED
Flashes red to indicate that there is a high priority alarm.
3.1.1
LED Indicators
The LED indicators on the front panel inform the user of various events.
The following table describes the available LED indicators.
LED Indicator
Description
TRIG
Green LED indicates a patient’s breathing effort.
EXT PWR
Green LED indicates that an external power source is being applied to the ventilator.
LOW BAT
Red LED indicates that detachable battery charge level has drop below 20%..
BAT
Orange LED indicates that the ventilator is powered on batteries.
FAULT
Red LED indicates a ventilator malfunction.
APNEA
Red LED indicates that the apnea alarm limit is being violated`
BUV
Red LED indicates that backup ventilation is active.
HIGH MV
Red LED indicates that the high minute volume alarm limit is being violated.
LOW MV
Red LED indicates that the low minute volume alarm limit is being violated.
HIGH P
Red LED indicates that the high peak airway pressure alarm limit is being violated.
LOW P
Red LED indicates that the low airway pressure alarm limit is being violated.
20 | Flight 60
Ventilator Description
Back Panel Features
3.2
Back Panel Features
Figure 2 – Back Panel
To ensure proper grounding and prevent possible shock hazards, this device
should only be connected to grounded power receptacles.
HOME CAREGIVERS: External power in the home environment must support
min. 100 to max. 240 V AC, and must have a grounded receptacle.
Label
Name
Description
1
Detachable Battery
2
AC Connector with Fuses
100 – 240 V AC, 50 – 60 Hz, Fuses 2x8A (time lag)
3
DC Connector
12 – 15 V DC
4
RS-232 Serial Port (COM2)
Remote alarm connector (Normally Open and Normally Closed
options).
5
RS-232 Serial Port (COM1)
Online output of events and error messages to the PC, using a
dedicated PCS2 protocol; for authorized and qualified service
technicians only.
6
USB B type
PC connector: USB port for downloading the main application from
the PC using a dedicated PCS2 protocol; for authorized and
qualified service technicians only.
7
USB A type
USB port for uploading LOG files to an external memory stick; for
authorized and qualified service technicians only.
Operator's Manual | 21
Ventilator Description
Left Side Panel Features
Label
Name
Description
8
LAN (RJ45)
LAN for network logging (currently not available).
9
Mini RS-485 (COM3)
For connecting FLIGHT MEDICAL peripherals. For future use.
3.3
Left Side Panel Features
Figure 3 – Left Side Panel
Label
Name
Description
1
Emergency Air Intake
Enables the patient to pull ambient air into the patient circuit in the
event of a complete system failure. The Air Intake opening pressure
is approximately -3 cmH2O (-3 mbar).
Do not obstruct the Emergency Air Intake! Any impediment can result in
patient suffocation.
HOME CAREGIVERS: Should a complete failure of the ventilator occur, the
Emergency Air Intake allows the patient to breathe from room air through the
intake valve. Blockage of the valve can result in suffocation.
22 | Flight 60
Ventilator Description
Right Side Panel Features
3.4
Right Side Panel Features
Figure 4 - Right Side Panel
Label
Name
Description
1
Fresh Gas Intake and
Environmental air enters through this 30 mm ID Fresh Gas Intake.
Filter Cover
The air inlet particle filter is placed behind the Filter Cover to protect
the patient as well as the ventilator’s piston system from dirt and
particles. The Fresh Gas Intake also serves as the attachment socket
for the optional FLIGHT 60 Ventilator Air/Oxygen Entrainment Mixer
or Oxygen Blending Bag.
Do not block the Fresh Gas Intake.
3.5
LCD Screens
The LCD screen of the FLIGHT 60 Ventilator is divided into three sections:

Alarm and power management area – the top section of the screen (see Section
‎3.5.1).

Patient monitoring area – the middle section of the screen (see Section ‎3.5.2).

Control area – the bottom part of the screen; it can display the main parameters,
extended parameters, or technical parameters (see Section ‎3.5.3).
3.5.1
Alarm and Power Management Area
The Alarm and Power Management area displays the following:
Operator's Manual | 23
Ventilator Description
LCD Screens

Alarms and Cautions – Left side of this area. Up to three alarms (alarm
messages) and/or cautions are displayed, according to their priority.

Battery icons – Right side of this area. Battery icons show:
 Battery capacity (%)
 Color – Green battery icon indicates that there is sufficient capacity; orange
indicates low capacity.
 Arrows – Up arrows on the battery icon indicate that batteries are charging;
down arrows indicate that the batteries are depleted.
3.5.2
Patient Monitoring Area
Patient monitoring parameters are displayed at all times on the Parameters,
Extended, and Technical screens, to ensure continuous monitoring of the patient
during ventilation.
The following table describes the patient monitoring parameters.
Name
Description
Range
Resolution
Updated
P Peak
Peak Inspiratory Pressure
0 to 99 cmH2O
1 cmH2O
Breath by breath
P base
Baseline airway pressure
0 to 99 cmH2O
1 cmH2O
Breath by breath
at the end of expiration
P mean
Mean airway pressure
0 to 99 cmH2O
1 cmH2O
10 seconds rolling average
Vte
Expiratory Tidal Volume
0 to 9.99 L
10 ml
Breath by breath
Vti
Inspiratory Tidal Volume
0 to 9.99 L
10 ml
Breath by breath
MVe
Expiratory Minute Volume
0 to 99.9 L/min
1 L/min
10 seconds rolling average
MVi
Inspiratory Minute
0 to 99.9 L/min
1 L/min
10 seconds rolling average
99 b/min
1 b/min
Breath by breath
Volume
Actual f
Total number of patient
or time activated breaths
I:E
I:E Ratio
1:99 to 3:1
Note: I:E Ratio is determined by the ƒ and Ti settings. If the expiratory time is longer than the
inspiratory time, the display format is 1:X.X. If the expiratory time is shorter than Ti, the
display format is X.X:1.
24 | Flight 60
Ventilator Description
LCD Screens
Name
Description
Range
Resolution
Updated
PIF
Peak Inspiratory Flow
6 to 100 L/min
1 L/min
Breath by breath
FiO2
Fraction of Inspired
21% to 100% O2
1%
Every 10 seconds
Oxygen
3.5.3
Control Area
Parameters Screen
Pressing the Parameters button switches over to the main settings screen. This is the
default screen in standby and ventilation mode. The display always switches back
automatically to Parameters from the Extended or Technical settings display.
Figure 5 – Parameters Settings
Button
Description
Ptrig
Used to determine the pressure trigger level (trigger sensitivity) in terms of how far the
airway pressure must drop below the set baseline pressure in order for a patient's
spontaneous efforts to be detected.
Range: -0.1 to -9.9 cmH2O/mbar
Resolution: 0.1 cmH2O/mbar
PEEP
Used to establish a baseline positive airway pressure in the patient circuit during the
exhalation phase.
Range: 0, 3 to 30 cmH2O/mbar
Resolution: 1 cmH2O/mbar
Operator's Manual | 25
Ventilator Description
LCD Screens
Button
Description
PSV
Used to determine the level of support in pressure during inspiration, for patient triggered
spontaneous breaths.
Range: 0 to 60 cmH2O/mbar
Resolution: 1 cmH2O/mbar
f
Used to set the frequency of breaths. In ACMV mode, it determines the number of timetriggered breaths; in SIMV mode, it determines the total number of mandatory breaths.
Range: 1 to 99 b/min
Resolution: 1 b/min
FLOW
Used to set the mandatory flow (volume control).
This control button appears only if FLOW is selected in the Ti/FLOW control button on the
extended parameters screen. Otherwise, the Ti button appears (see button below).
Range: 6 to 100 L/min
Resolution: 1 L/min
Ti
Used to set the inspiratory time for mandatory breaths (volume or pressure control).
This control button appears only if Ti is selected in the Ti/FLOW control button on the
extended parameters screen. Otherwise, the FLOW button appears (see above button).
Range: 0.1 to 3.0 seconds
Resolution: 0.1 seconds
VCV
Used to set the mandatory tidal volume for the VCV submode.
Range: 0.1 to 2.2 L
Resolution: 0.01 L
PCV
Used to set the target pressure for the PCV submode.
Range: 5 to 60 cmH2O/mbar
Resolution: 1 cmH2O/mbar
LOW P
Used to set the minimum allowed pressure of a mandatory breath.
Range: 3 to 98 cmH2O/mbar
Resolution: 1 cmH2O/mbar
HIGH P
Used to set the maximum allowed pressure value of a mandatory breath.
Range: 4 to 99 cmH2O/mbar
Resolution: 1 cmH2O/mbar
26 | Flight 60
Ventilator Description
LCD Screens
Button
Description
LOW MV
Used to set the minimum Minute Volume allowed for a patient.
Range: 0.0 to High MV – 1
Resolution: 0.1 L
HIGH MV
Used to set the maximum Minute Volume allowed for a patient.
Range: Low MV + 1.0 to 50
Resolution: 0.1 L
MODE
Used to select the ventilator mode.
Available options: ACMV (Assist/Control Mandatory Ventilation)
SIMV (Synchronized Intermittent Mandatory Ventilation)
SPONT (Spontaneous Ventilation)
PCV/VCV
Used to select the ventilator submode.
Available options: PCV (pressure control ventilation)
VCV (volume control ventilation)
Extended Screen
Pressing the Extended button switches over to the extended settings screen.
Figure 6 – Extended Settings
Button
Description
Buzzer
Used to set the alarm buzzer volume.
Available options: HIGH and LOW
Operator's Manual | 27
Ventilator Description
LCD Screens
Button
Description
PowerSave
Used to activate/deactivate the power saving system in the AC and DC supply. When
activated, the screen turns Off and the pressure gauge displays one LED only to indicate
the peak pressure.
Waveform
Used to select the type of waveform:
Square - the flow stays constant during the inspiratory phase
Descend - the flow descends linearly until the final flow (at the end of inspiration) and is
50% of the peak flow. (Peak flow is calculated based on the tidal volume and inspiratory
time.)
This option is enabled only in VCV mode.
Apnea
Used to set the maximum allowed time of apnea.
Interval
Ti/Flow ctl.
Used to specify whether the Inspiratory Time or the Flow criteria will stay constant
during Volume Controlled management.
Rise Profile
Used to set the rise level that the system will deliver. Available levels are 1 (the fastest)
to 5 (the slowest).
This option is enabled only in PCV and PSV modes.
PSV Flow
Term
PSV Ti
Used to set the expiratory trigger from 10% to 70% of the peak flow.
This option is enabled only in PSV mode.
Used to control and limit the inspiratory time in Pressure Support Ventilation from 0.1 to
3 seconds.
FiO2
Used to activate or deactivate O2 enrichment monitoring. Activating FiO2 displays the
FiO2 value on the screen; deactivating it turns the display off.
FiO2 Low
Used to define the low value of oxygen in the ventilator air mixture that sets off the
alarm. The low value can be set to any value between OFF (min value 21%) and FiO2
High minus 10.
Enabled only when FiO2 is activated (ON).
FiO2 High
Used to define the high value of oxygen in the ventilator air mixture that sets off the
alarm. The high value can be set to any value between FiO2 Low plus 10 to OFF (max
value 100%).
Enabled only when FiO2 is activated (ON).
Technical Screen
Pressing the Technical button switches over to the technical settings screen.
28 | Flight 60
Ventilator Description
LCD Screens
Figure 7 – Technical Settings
Button
Description
Press Units
Used to determine in which units the pressure is displayed on the ventilator.
Available options: cmH2O and mbar
LOW P Spont
Used to activate/deactivate the low-pressure alarm in SPONT mode.
Language
Used to select the display language of the ventilator.
Show Info
Used to display the following system information: Unit Serial Number, Software Version,
Compressor Serial Number, Hour Meter, and Next Service.
Valve CAL
Used to enter the patient circuit exhalation valve calibration process.
Set Load
Used to load a ventilation configuration that has been predefined in the ventilator.
Set Save
Used to save a ventilation configuration in the ventilator, for later use; up to five
configurations can be saved.
Set Clock
Used to set the system time and date, for logging purposes.
Show Log
Used to display the alarms that have occurred, by date, time, and type.
Alarm
Show Log
Used to display the changes that have been made to the ventilator states, modes, and
Change
settings. These changes are displayed by date, time, type, and values.
Goto More…
Used to access the advanced technical menu. This function is available to authorized and
qualified service technicians. Please refer to the Service Manual.
Operator's Manual | 29
Ventilator Description
Accessories
3.6
3.6.1
Accessories
Air/Oxygen Entrainment Mixer
The Air/Oxygen Entrainment Mixer is used to blend atmospheric air with medical
grade oxygen at a precise ratio. A control knob allows for incremental adjustment
from 21% to 100% FIO2. The high pressure oxygen hose has a standard female
DISS 1240 connection. The Mixer attaches to the Fresh Gas Intake of the FLIGHT 60
Ventilator on the Filter Cover, located on the right side of the ventilator.
Pneumatic Requirements: Oxygen 35-90 psig (2.4 to 6.2 Bar)
Figure 8 - High Pressure Oxygen Mixer
3.6.2
Oxygen Blending Bag Kit
The Oxygen Blending Bag Kit is used to blend atmospheric air with a low flow (0 to
10 L/min) medical grade oxygen source. The Oxygen Blending Bag Kit attaches to
the Fresh Gas Intake on the Filter Cover, located on the right side of the ventilator.
This system allows the user to ventilate patients with oxygen enriched gas from 21%
to 100% FiO2.
Pneumatic Requirements: Oxygen 0-10 L/min
30 | Flight 60
Ventilator Description
Accessories
Figure 9 - Low Pressure Oxygen Blending Bag
Operator's Manual | 31
Installation
Introduction
4 Installation
4.1
Introduction
Familiarize yourself with the instructions in this section prior to ventilator's
installation. Following all of the listed steps is essential for ensuring the safest
possible operation of the ventilator. Use the information in this section in conjunction
with established hospital protocols and homecare dealer instructions.
Only properly trained personnel should install the ventilator.
4.2
Removing the Ventilator Parts from the Box
Before installing the ventilator, familiarize yourself with the various components.
Remove all of the items from the shipping box and inspect each part and component
for completeness and verify that there is no shipping damage.
The complete assembly consists of the following parts:

FLIGHT 60 Ventilator

Operator's Manual

AC Power Cord

Patient Circuit – Single Patient Use

Air Inlet Filter (pk. Of five filters)

Detachable Battery (Main)

Integral Battery (Secondary)
4.3
Mounting the Ventilator
To mount the ventilator:
1. Mount the ventilator on a stable surface (e.g., bedside table or the Roll Stand
Assembly).
32 | Flight 60
Installation
Installing the Detachable Battery
2. To mount the ventilator on the Roll Stand Assembly, follow the instructions
provided with the assembly; position the ventilator on a pedestal mount and then
secure it using the screws provided.
4.4
Installing the Detachable Battery
To install the detachable battery:
1. Insert the detachable battery into the ventilator.
2. Plug Turn the lock dial clockwise, in the direction of the CLOSE arrow, until it is
firmly locked.
Figure 10 – Installing the Detachable Battery
4.5
Plugging in the Power Cord (for AC)
To plug in the power cord:
1. Plug the AC power cord into the power entry connector.
2. Plug the ventilator's electric cord into a properly grounded outlet.
The ventilator is now in STANDBY mode. The EXT PWR LED is illuminated, and
the batteries begin recharging.
Figure 11 – Plugging in the Power Cord
Operator's Manual | 33
Installation
Attaching the Patient Circuit
4.6
Attaching the Patient Circuit
The following procedure describes how to attach a patient circuit to the ventilator.
When the complete circuit is changed.
To attach the single limb patient circuit:
1. Attach the quick connector to its socket on the front panel and tightly secure.
2. Attach the 22 mm ID patient circuit to the Gas Output on the front panel.
3. If using with an HME, attach the HME to the flow orifice.
Figure 12 - Patient Circuit (Quick Connector)
Figure 13 - Patient Circuit (22 mm Tube)
To attach the dual limb patient circuit:
1. Attach the quick connector to its socket on the front panel and tightly secure.
2. Attach the 22 mm ID inspiratory limb to the Gas Output on the front panel.
3. If using with an HME, attach the HME to the flow orifice.
4. Place the exhalation valve diaphragm inside the exhalation valve base with its
holding tip facing forward.
5. Press the exhalation valve cover to its base. Rotate the exhalation valve cover 1/4
turn clockwise to secure it into place. Verify the secure pin in place.
6. Attach the 22 mm ID expiratory limb to the exhalation valve on the front panel.
7. To detach the exhalation valve cover, press the pin and rotate the exhalation valve
cover 1/4 turn counter clockwise
34 | Flight 60
Installation
Installing Oxygen Accessories
Figure 14 – Dual Limb Patient Circuit
1.
2.
3.
4.
5.
6.
7.
Quick Connector
Inspiratory Limb
Flow Transducer Lines
Flow Orifice
Exhalation Valve Cover
Exhalation Valve Diaphragm
Exhalation Valve Base
Single use Exhalation Valve Diaphragm is intended for use for a maximum of 7
days.
4.7
Installing Oxygen Accessories
Two optional oxygen accessories can be attached to the FLIGHT 60 Ventilator:

The Air/Oxygen Entrainment Mixer
Operator's Manual | 35
Installation
Installing Oxygen Accessories

The Oxygen Blending Bag Kit
Ensure that the oxygen source is not empty before and during the use of
Air/Oxygen Entrainment Mixer or Oxygen Blending Bag Kit.
4.7.1
The Air/Oxygen Entrainment Mixer
An optional Air/Oxygen Entrainment Mixer (p/n V13-00010-60) is designed for use
with the FLIGHT 60 Ventilator. It is used to blend atmospheric air with pressurized
medical grade oxygen at a precise ratio. The standard oxygen inlet connection is
DISS 1240.
The Air/Oxygen Entrainment Mixer specifications are described in the following table.
Feature
Specification
Flow Range
Up to 100 L/min
FIO2
21% to 100%
Accuracy
±8% (at flows: 10-100 L/min)
Input Pressure – Oxygen
35-90 psig/240-620 kPa
The oxygen concentration to the patient should be monitored. Set the FiO2
alarm limit to ±10% from the set oxygen concentration. Perform O2 sensor
calibration after replacing the sensor.
The Air/Oxygen Entrainment Mixer is designed to operate with a hospital grade
O2 supply.
No oxygen is delivered through the Air/Oxygen Entrainment Mixer while the
FLIGHT 60 Ventilator is in Standby or Settings mode.
36 | Flight 60
Installation
Installing Oxygen Accessories
Figure 15 - Air/Oxygen Entrainment Mixer
Installing the Air/Oxygen Entrainment Mixer
The Air/Oxygen Entrainment Mixer attaches into the inlet port on the Filter Cover,
located on the right side of the ventilator.
Make sure to monitor the state of the air inlet filter, and when necessary
replace it to ensure that it is clean when using the Mixer.
Before attaching the Air/Oxygen Entrainment Mixer, make sure that the three
hold-down screws on the Filter Cover are tight. If the screws are not tight,
ambient air may enter the FLIGHT 60 Ventilator from around the inlet cover.
This may change the oxygen enrichment level delivered to the patient when
the Mixer is in use.
To Install the Air/Oxygen Entrainment Mixer:
1.
Unscrew the three thumb screws on the Filter Cover from the ventilator housing.
2. Remove the Filter Cover and inspect the filter. Replace the filter, if it is dirty.
3. Reattach the Filter Cover, ensuring that the three thumb screws are tight.
Figure 16 – Inspect Filter
Operator's Manual | 37
Installation
Installing Oxygen Accessories
4. With the oxygen hose facing toward the front of the ventilator, press the 30 mm
OD outlet of the Mixer into the Attachment Socket (Fresh Gas Intake port) of the
FLIGHT 60 Ventilator Filter Cover. Rotate the mixer 1/4 turn clockwise to secure it
into place.
5. Connect the oxygen hose DISS fitting to the oxygen supply and secure the fitting.
6. Open the supply pressure valve slowly and listen to verify that there is no hiss,
indicative of a leak. Do not use the oxygen mixer with a leak in the system.
7. Set the entrainment mixer dial to the desired concentration.
Ensure that the oxygen supply is enabled prior to powering on the FLIGHT 60
Ventilator and after the Air/Oxygen Entrainment Mixer is secured in place.
Otherwise, stress to the internal pump will occur and gas delivery to the
patient will be compromised.
Figure 17 - Air/Oxygen Entrainment Mixer Installation
4.7.2
The Oxygen Blending Bag Kit
The Oxygen Blending Bag Kit is designed for use with the FLIGHT 60 Ventilator. The
Oxygen Blending Bag Kit (p/n V17-00001-67) allows the operator to ventilate
patients with oxygen enriched gas of up to 100% oxygen.
The Oxygen Blending Bag is not a calibrated mixing device. The level of oxygen
enrichment achieved is affected by these variables: minute volume, oxygen supply
flow, and the presence or absence of PEEP.
After identifying the level of oxygen enrichment that the patient needs, use the
graphs in Figure 20 and Figure 21 to estimate how many liters per minute of oxygen
are needed for the minute volume delivered to the patient. Verify FiO2 delivery with
the oxygen monitor.
The Oxygen Blending Bag Kit is designed to operate with a hospital grade O2
supply. The flow rate of the supply to the oxygen blending bag should not
exceed 10 L/min flow.
38 | Flight 60
Installation
Installing Oxygen Accessories
Using an oxygen concentrator as the oxygen supply source may affect the level
of oxygen enrichment, as in most cases oxygen concentrators do not supply
100% oxygen. Use the FLIGHT 60 Ventilator oxygen monitor to verify FiO2
delivery.
Any change in settings or any change in patient assisted breathing patterns
that alters the delivered minute volume, will alter the level of oxygen
enrichment.
Figure 18 - Oxygen Blending Bag Kit
Installing the Oxygen Blending Bag Kit
The Oxygen Blending Bag Kit attaches into the Fresh Gas Intake port on the Filter
Cover, located on the right side of the FLIGHT 60 Ventilator.
The following materials are required for Installation:

Hospital grade oxygen source

Oxygen 50 psig regulator/flow meter (0-10 L/min) assembly with small-bore
connector

A suitable length of oxygen supply tubing
To install the Oxygen Blending Bag Kit:
1.
Remove the three thumb screws from the Filter Cover.
2. Remove the Filter Cover and inspect the filter. Replace the filter, if it is dirty.
3. Reattach the Filter Cover, ensuring that the three thumb screws are tight.
Operator's Manual | 39
Installation
Installing Oxygen Accessories
Before attaching the Oxygen Blending Bag, make sure that the three holddown screws on the Filter Cover are tight. If the screws are not tight, ambient
air may enter the FLIGHT 60 Ventilator from around the inlet cover. This may
change the oxygen enrichment level delivered to the patient when the Oxygen
Blending Bag is in use.
4. Press the 30 mm OD outlet of the Oxygen Blending Bag Kit into the Fresh Gas
Intake port of the FLIGHT 60 Ventilator Filter Cover.
5. Attach the oxygen supply tubing to the oxygen flow meter and to the small-bore
connector of the Oxygen Blending Bag Kit.
Keep the oxygen supply tubing (and cylinder) away from traffic areas.
6. Tug lightly on both ends of the tubing to verify that it is secure.
7. Adjust the oxygen flow meter to the appropriate liter-flow to obtain the desired
level of oxygen enrichment.
8. Monitor regularly the patient's inspiratory minute volume and delivered FiO2, and
adjust the oxygen liter flow as necessary to maintain the prescribed level of
oxygen enrichment.
Figure 19 - Oxygen Blending Bag Kit Installation
Disassembling and Cleaning the Oxygen Blending Bag Kit
For information on disassembly and cleaning, see the instructions included with the
Blending Bag Kit or see Chapter ‎7.
Monitoring the Oxygen Supply Flow in the Oxygen Blending Bag
The following graphs can be used to determine the required oxygen supply flow for
the patient. There are two graphs – the first one is for when there is no PEEP; the
second is for when PEEP is added.
40 | Flight 60
Installation
Installing Oxygen Accessories
The oxygen supply flow of the Oxygen Blending Bag Kit is determined according to
the desired percent of oxygen enrichment as well as the minute volume of the
patient.
The oxygen blending bag is not a calibrated oxygen mixing device. It requires
the use of oxygen monitoring, to verify the level of oxygen enrichment. The
information in these graphs should be used as a reference only.
To use the graphs:
1. Select the appropriate graph, based on whether you are ventilating with or without
PEEP.
2. Select the Desired % of Oxygen Enrichment listed at the bottom of the graph.
3. Follow your selection up vertically until it meets with the line that is equal to the
minute volume of the patient (i.e. flow 10 L/min).
The patient's delivered minute volume can be read from the display.
4. Move horizontally to the left and identify the estimated oxygen supply flow (L/min)
needed.
5. Set the flow meter to the oxygen supply flow indicated.
Figure 20 - Oxygen Supply Flow for Desired % of Oxygen Enrichment – Without PEEP
When PEEP is added, it changes the mixing of oxygen with air. Use the chart in
Figure 20 when the patient is ventilated without PEEP; use the chart in Figure
21 in the presence of PEEP. Data in the chart in Figure 21 are taken at an I:E
ratio of 1:2. Different I:E ratios may slightly affect the Desired % of Oxygen
Enrichment when PEEP is in use.
Operator's Manual | 41
Installation
Installing Oxygen Accessories
Figure 21 - Oxygen Supply Flow for Desired % of Oxygen Enrichment with PEEP
42 | Flight 60
Using the Ventilator
Basic Operation
5 Using the Ventilator
Familiarize yourself with the instructions in this section prior to ventilating patients
with the FLIGHT 60 Ventilator. Following all of the listed steps is essential for
ensuring the safest possible operation of the ventilator. Use the information in this
section in conjunction with established hospital protocols and homecare dealer
instructions.
Only properly trained personnel should operate the ventilator. The FLIGHT 60
Ventilator is a restricted medical device designed for use by Respiratory
Therapists or other properly trained and qualified personnel under the direction
of a physician and in accordance with applicable state laws and regulations.
5.1
Basic Operation
5.1.1
Powering On the Ventilator
Review all of the General Warnings and Cautions in Chapter ‎2 prior to using the
ventilator.
The FLIGHT 60 Ventilator can be used either with an AC (external) or DC (internal
batteries) power source.
Before using the ventilator, either with AC or DC power source, ensure that
the internal batteries are fully charged.
To turn on the ventilator:
1.
Press the On/Off button.
The ventilator performs a brief self-test to ensure proper microprocessor
function. During the self-test, verify that all indicator LEDS illuminate.
The display activates and the ventilator purges, to clean the set of flow
transducer tubes and the flow orifice while alarm buzzer emits a single beep.
Following the self-test, the ventilator enters SETTINGS mode; in this mode, all
settings are available and the display screen is activated. In SETTINGS mode,
you can adjust the ventilation parameters; however, the FLIGHT 60 Ventilator
does not ventilate and the On indicator does not illuminate.
Operator's Manual | 43
Using the Ventilator
Basic Operation
5.1.2
Turning Off the Ventilator
To shut down the ventilator:
1. On the ventilator front panel, press the On/Off button.
The system pops up a message: “Are you sure you want to shut down? To shut
down, press the On/Off button for 3 seconds ".
The On/Off button LED blinks to indicate another 3-second press is expected.
2. Press the On/Off button for three seconds, within five seconds of receiving the
pop-up message.
The Ventilator shuts down, and the LED turns off.
You can press the Silence button to mute the audible alarm.
When operating with a battery, the ventilator turns itself off automatically after
the system has been in SETTINGS mode for five minutes, and during this time
no keys have been touched.
5.1.3
Navigating Between Screens
Navigation between screens is performed using the keypad buttons: Parameters,
Extended, and Technical.
Ventilation can be turned On and Off from the Parameters screen only.
5.1.4
Setting Control Values
Each of the three screens (Parameters, Extended, and Technical) has a set of control
buttons. You can adjust the values of the control buttons in any of the three screens
in a similar fashion.
To adjust control values:
1. Select the parameter by pressing the relevant control button (for example: f, Ti, or
P trig).
The control button's color changes from gray to orange, indicating that its value
is enabling for adjustment.
2. Adjust the numeric value using the Up/Down buttons.
3. Accept the value by doing one of the following:
 Press the selected button again (restores the button's color to gray).
44 | Flight 60
Using the Ventilator
Basic Operation
 Press Enter.
 Press another control button to select a new parameter for adjustment.
 Wait five seconds without making a change.
Default and Saved Values
When the device is brought up for the first time, it uses a set of default values for all
of its parameters and settings. After changing the settings, the new values are saved
in the system's nonvolatile memory for further usage. The newly set values persist
until the device is reset (by a certified technician only); this means that stopping the
device, turning it off, or disconnecting it from all power sources does not affect the
parameter values.
5.1.5
Delivering a Manual Breath
Pressing the Manual Breath button delivers an operator initiated manual inflation.
However, the Manual Breath button does not initiate an inflation, if the patient is
currently in the inspiratory phase of a breath, or if the airway pressure is > 5 cmH2O
(mbar) above the set PEEP level. Manual Breath delivers the set flow rate (in Volume
Control) or the set target pressure (in Pressure Control); however, inspiratory time is
controlled by the user.
During Manual Breath, the breath is terminated if any of the following occurs:

The Manual Breath button is released.

The High Pressure alarm is violated.

Three seconds have elapsed.
Manual Breath is only available in ACMV and SIMV modes.
Manual Breath may be prematurely cycled off in the first several breaths in
Pressure Control, when the initial flow has not yet been optimized.
5.1.6
Locking the Panel
To lock the panel:
1.
Press the Panel Lock button twice within five seconds.
Operator's Manual | 45
Using the Ventilator
Setting the Main Parameters
The LED turns on. All buttons are disabled for adjustment, except for the Audio
Paused/Alarm Reset button.
To unlock the panel:
1.
Press the Panel Lock button once and then press the Enter button.
The Panel Lock button is deactivated.
5.1.7
Canceling Parameter Adjustments
To reject adjustments of parameters, limits, and controls, press the CANCEL button
before the setting button is fixated (button's color changes from orange to gray).
5.1.8
Accepting Parameter Adjustments
To accept adjustments of parameters, limits, and controls, press the ENTER button.
5.1.9
Changing Parameter Value (Up/Down Button)
The Up/Down control buttons are used for parameter adjustment. Select the desired
parameter by tapping its touch button once. Press the Up control button to increase
the parameter value, or the Down control button to decrease the parameter value.
5.2
Setting the Main Parameters
5.2.1
Mode of Operation
The MODE control button enables you to switch the ventilator between the following
operational modes:

ACMV (Assist/Control Mandatory Ventilation)

SIMV (Synchronized Intermittent Mandatory Ventilation)

SPONT (Spontaneous Ventilation)
ACMV Mode
In ACMV mode, time activated (mandatory) breaths are delivered in accordance with
the f setting. Patients can trigger mandatory breaths in addition to, or in place of,
time activated (mandatory) breaths, if the effort that they generate causes airway
pressure to meet the Ptrig setting. Each such patient effort results in a mandatory
breath. The breath can be volume or pressure controlled. PEEP may be added. Tidal
volume is determined by the target pressure, Ti, patient respiratory mechanics in
Pressure Control, and by the tidal volume setting in Volume Control.
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Setting the Main Parameters
As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is activated if
the Apnea alarm limit is violated.
In A/CMV mode, the PSV, PSV Flow Term and PSV Ti control buttons are not
utilized and are therefore darkened. However, they remain adjustable.
SIMV Mode (Synchronized Intermittent Mandatory Ventilation)
In SIMV mode, patients receive a fixed number of volume or pressure controlled
mandatory breaths (time or patient activated) and may breathe spontaneously
between mandatory breaths, with or without pressure support (PSV). See Figure 22
for a schematic illustration. PEEP may be added.
The first patient triggered breath in any mandatory breath interval is a patient
triggered mandatory breath. The patient has the rest of the interval to breathe
spontaneously. If the patient does not trigger the ventilator, and one complete
mandatory breath interval has elapsed, a time triggered mandatory breath is
delivered.
A mandatory breath lockout interval is activated whenever the patient triggers a
mandatory breath. This limits the number of mandatory breaths (time triggered or
patient triggered) that the patient receives in 60 seconds, to the f (b/min) setting.
As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is activated if
the Apnea alarm limit is violated.
Figure 22 - Synchronized Intermittent Mandatory Ventilation (SIMV)
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Setting the Main Parameters
SPONT Mode (Spontaneous Ventilation)
In SPONT mode, mandatory breaths are not delivered. However, the caregiver can
adjust both PEEP/CPAP and pressure support (PSV) levels. The patient has control
over each breath.
When PEEP/CPAP is set above 0, the ventilator mode is CPAP (without PSV) or Bilevel Positive Airway Pressure (with PSV). Ensure that Ptrig is set so that the FLIGHT
60 Ventilator detects all spontaneous patient efforts.
Entries for tidal volume, f and Ti are all inactive in SPONT mode. However, users can
preset these parameters for future ACMV or SIMV operation.
As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is activated if
the Apnea alarm limit is violated.
In SPONT mode, the f, Ti, PCV, VCV, Waveform, and Ti/Flow ctl control buttons
are not utilized and are therefore darkened. However, they remain adjustable.
To set the mode of operation:
1. Tap the MODE control button.
The available operating modes appear.
Figure 23 – Operating Modes
2. Tap the desired mode.
The selected mode is displayed on the Mode control button.
5.2.2
Submode of Operation (VCV/PCV)
In ACMV and SIMV modes, the ventilator can work in either of two submodes:

Volume Control (VCV) – ventilator volume controls mandatory breaths.

Pressure Control (PCV) – ventilator pressure controls mandatory breaths.
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In either case, all breaths delivered to the patient, whether time (ventilator initiated)
or patient-triggered, are the same.
In SPONT mode, the PCV/VCV button is not utilized and is therefore darkened;
however, the value can be preset.
Volume Control Ventilation (VCV)
The user can define which parameter will remain constant when changing the VCV –
Flow or Ti. Once the parameter is selected, its value can be adjusted; then, any
change of volume modifies the other parameter.
The system supports two modes of flow waveform:

Square – the flow is constant during the inspiratory phase.

Descending – the flow decreases gradually during the inspiratory phase.
Make sure that the mandatory flow setting is adequate to meet patient flow
demands.
In ACMV VCV mode, the Rise Profile control button is not utilized and are
therefore darkened. However, it remains adjustable.
The VCV mode delivers volume controlled breaths as the mandatory breaths. The
user can set the volume and select whether the Ti or the Flow will adjust to fit the set
volume. The user can define which parameter will remain constant when changing
the VCV – Flow or Ti. Once the parameter is selected, its value can be adjusted;
then, any change to the volume will modify the other parameter.
The tidal volume delivered to the patient is limited by the minimal and maximal flow
of the system.
If the Volume Control setting causes the flow rate to reach the maximum or
minimum level of the flow specification, adjustment of Volume Control ceases, and a
setting limitation message appears in a pop-up window.
When Volume Control is first initiated, it may take five or six breaths to reach
the volume setting.
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Setting the Main Parameters
To set the VCV submode of operation:
1. Tap the PCV/VCV control button.
The PCV and VCV submodes are displayed.
Figure 24 – Available Submodes
2. Tap the VCV option.
VCV appears on the VCV/PCV button.
The VCV control button appears on the Parameters screen, with its predefined
numerical value.
Figure 25 – The VCV Control Button (Tidal Volume)
Mandatory Tidal Volume
During Volume Control ventilation, tidal volume can be set for mandatory breaths. If
a volume setting is changed while the ventilator is operating, the change takes place
in increments over a series of breaths.
When a large change is made to the volume setting, it may take five or six
breaths to reach the volume setting.
To set the target volume:
1.
Tap the VCV control button (see Figure 25).
2. Adjust the VCV value (tidal volume), using the Up/Down button.
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Setting the Main Parameters
Pressure Control Ventilation (PCV)
The FLIGHT 60 Ventilator targets and maintains patient airway pressure at the set
pressure control level throughout inspiration. Breath termination occurs when either
of the following conditions exists:

The set Ti elapses.

The Peak inspiratory pressure exceeds the Pressure Control setting by 8 cmH2O
(mbar).
Maximum airway pressure never exceeds the user set High pressure alarm limit
setting.
The target airway pressure for pressure controlled mandatory breaths in ACMV
and SIMV is the display setting above ambient pressure; not above PEEP.
In PCV mode, the Waveform, and Ti/Flow ctl control buttons are not utilized and
are therefore darkened. However, they remain adjustable.
Both time and patient triggered mandatory breaths can be delivered in ACMV and
SIMV Pressure Control operation. During SIMV Pressure Control operation, patients
can breathe spontaneously between mandatory breaths with or without pressure
support.
When disconnecting the patient circuit during PCV/PSV ventilation, such as for
suctioning, the flow may increase in order to compensate for the low pressure.
After reconnecting the patient circuit, the flow automatically readjusts to meet
the patient's demand.
The PCV mode delivers pressure controlled breaths as the mandatory breaths.
When Pressure Control is first initiated or the setting is changed, the first few
breaths may cycle off early until the rise profile is optimized. If early cycling off
continues, reevaluate the patient circuit configuration and lengthen the tubing
as necessary.
The minimum target airway pressure is 5 cmH2O/mbar above the set baseline
pressure (PEEP).
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Setting the Main Parameters
To set the PCV submode of operation:
1. Tap the PCV/VCV control button.
The PCV and VCV submodes are displayed.
Figure 26 – Available Submodes
2. Tap the PCV option to select it.
PCV appears on the PCV/VCV button.
The PCV control button appears on the Parameters screen, with its predefined
numerical value.
Figure 27 – The PCV Control Button (Target Pressure)
Target Pressure
To set the target pressure:
1. Tap the PCV control button (see Figure 27).
2. Adjust the PCV value (the target pressure), using the Up/Down button.
5.2.3
Inspiratory Time (Ti) / Flow
Flow shares a numeric display button with Ti. You can switch between Ti and Flow,
using the Ti/Flow ctl button on the Extended screen. When Flow is displayed on the
button, Ti is displayed on the monitoring display.
The Ti setting determines the inspiratory time for mandatory breaths (volume or
pressure control).
The Flow setting determines the flow of mandatory volume breaths.
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The Flow and Ti values are related to each other. Therefore, if the Ti setting causes
the flow rate to reach the maximum or minimum level of the flow specification, you
cannot further change the Ti numeric value, and a setting limitation message
appears in a popup window.
The flow can be adjusted indirectly by changing the tidal volume (Volume
Control) or Ti settings.
In SPONT mode, the Ti/Flow button is not utilized and is therefore darkened;
however, its value can be preset.
Inspiratory Time
To set the inspiratory time:
1. Tap the Ti control button.
2. Adjust the Ti value, using the Up/Down button.
Figure 28 – Setting the Inspiratory Time
If the selected Ti setting results in an inverse I:E Ratio, the system displays an
“Inverse I:E” message in the Message popup window. After you receive this
warning message, you can continue increasing the Ti value up to an I:E Ratio of
3:1.
If the Ti setting causes the flow rate to reach the maximum or minimum level of
the flow specification, you cannot further adjust the Ti numeric value, and a
setting limitation message appears in a popup window.
Flow Rate
To set the mandatory flow:
1. Tap the Flow control button.
2. Adjust the Flow value, using the Up/Down button.
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Setting the Main Parameters
Figure 29 – Setting the Mandatory Flow
5.2.4
Frequency of Breaths (f)
In the ACMV mode, the f (frequency) setting determines the minimum number of
time-triggered mandatory breaths; in the SIMV mode, it determines the total number
of mandatory breaths. The frequency or rate value is displayed on the f button.
In SPONT mode, the f button is not utilized and is therefore darkened;
however, its value can be preset.
To set the frequency of breaths:
1. Tap the f control button.
2. Adjust the f value, using the Up/Down button.
Figure 30 – Setting the Frequency of Breaths
If the selected f setting results in an inverse I:E Ratio, the system displays an
“Inverse I:E” message in the Message popup window, to alert you of this. After
you receive this warning message, you can continue increasing the f value up to
an I:E Ratio of 3:1.
5.2.5
Pressure Trigger Level (Ptrig)
The Ptrig setting determines trigger sensitivity in terms of how far the airway
pressure must drop below the set baseline pressure for a patient's spontaneous
efforts to be detected. The Ptrig LED indicator illuminates each time the airway
pressure reaches the set Ptrig level. The blinking Ptrig LED is referred to as the
Patient Effort Indicator. The Pressure Trigger Level is displayed in the Ptrig button,
and can be changed.
To set the Ptrig value:
1. Tap the Ptrig button.
2. Adjust the Ptrig value, using the Up/Down button.
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Figure 31 – Setting the Pressure Trigger Level
It is recommended to set Ptrig as close to -0.1 cmH2O as possible without auto
triggering, in order to maximize triggering synchrony.
5.2.6
Positive End Expiratory Pressure (PEEP)
The PEEP setting establishes a baseline positive airway pressure in the patient circuit
during the exhalation phase. The set PEEP value is displayed in the PEEP button.
In Pressure Control ventilation, PEEP cannot be set higher than 5 cmH2O/mbar
below the Pressure Control setting.
The value of PEEP plus PSV cannot exceed 60 cmH2O/mbar.
Rapid decrease of the PEEP value may cause HIGH PBASE alarm.
To set the PEEP value:
1. Tap the PEEP button.
2. Adjust the PEEP value, using the Up/Down button.
Figure 32 – Setting the Positive End Expiratory Pressure Level
5.2.7
Pressure Support Ventilation (PSV)
PSV (pressure support Ventilation) functions during patient triggered spontaneous
breaths in SIMV and SPONT modes only. During each spontaneous breath, the
ventilator supports the patient by elevating the airway pressure to the PSV + PEEP
level.
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Setting the Main Parameters
Breaths are terminated when any of the following conditions exists:

The flow to the patient drops to the set % of that breath's peak flow.

The target airway pressure is exceeded by 3 cmH2O (mbar).

The PSV Ti has elapsed.
Maximum airway pressure never exceeds the High Pressure alarm limit setting.
In ACMV mode, the PSV button is not utilized and is therefore darkened;
however, the value can be preset.
To set the pressure support level:
1. Tap the PSV control button.
2. Adjust the PSV value, using the Up/Down button.
Figure 33 – Setting the Pressure Control Level
The value of PEEP plus PSV cannot exceed 60 cmH2O/mbar.
5.2.8
Lower and Upper Pressure Limits (Low P, High P)
The Low P and High P values determine the lower and upper limit, respectively, for
the pressure of a mandatory breath.
The LOW P SPONT control button in the Technical screen enables selecting
whether or not the pressure of spontaneous breaths is also to be checked (see
Section ‎5.4.3).
To set the Low P value:
1. Tap the Low P control button.
2. Adjust the Low P value, using the Up/Down button.
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Setting the Main Parameters
Figure 34 – Setting the Low Pressure Limit
If the system detects that the pressure does not reach the Low P settings for three
consecutive mandatory breaths, the Low Pressure alarm is activated. This alarm
becomes passive when even one of the mandatory breaths reaches the requested
level.
The Low P value can be between PEEP + 3 and High P – 1. Low P adjusts when
PEEP is increased.
To set the High P value:
1. Tap the High P control button.
2. Adjust the High P value, using the Up/Down button.
Figure 35 – Setting the High Pressure Alarm Limit
If the system detects that the pressure of a mandatory breath exceeds the High P
limit, the High Pressure alarm is activated and the pressure is relieved to the room
air.
5.2.9
Lower and Upper Minute Volume Alarm Limits (Low MV,
High MV)
The Low MV and High MV values determine the upper and lower alarm limit,
respectively, of the patient's minute volume (Vt x f). It is recommended to set the
minute volume with a range of values that enable the patient to be ventilated safely
and comfortably.
Low MV
To set the Low MV value:
1. Tap the Low MV control button.
2. Adjust the Low MV value, using the Up/Down button.
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Figure 36 – Setting the Low Minute Volume Alarm Limit
If the patient inspiratory or expiratory minute volume drops below the Low MV set
value, an alarm sounds and a message is displayed.
High MV
To set the High MV value:
1. Tap the High MV control button.
2. Adjust the High MV value, using the Up/Down button.
Figure 37 – Setting the High Minute Volume Alarm Limit
If the patient inspiratory or expiratory minute volume exceeds the High MV set value,
an alarm sounds and a message is displayed on the screen.
5.2.10 Settings Limitation Pop-Up Messages
When an adjustment that you make to a parameter setting causes the parameter to
reach software defined limitations, the system notifies you by displaying a Limitation
pop-up message.
The following table lists the Limitation pop-up messages, and how they are activated.
Message
Activation
PEEP Limited by HIGH P Setting
PEEP reached High P – 4.
PEEP Limited by PCV
PEEP reached PCV – 5.
PEEP Limited by PSUP
PEEP reached 60 – PSV.
PSV limited by PEEP
PSV reached 60 – PEEP.
Reached Max I:E
Ti/Flow or f reached a value that caused the I:E ratio to reach
its max range 3:1.
INVERSE I:E
Ti or f reached a value that inversed the I:E ratio.
LOW P Limited by HIGH P
LOW P reached HIGH P – 1.
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Message
Activation
LOW P Limited by PEEP
LOW P reached PEEP + 3.
PCV Limited by PEEP
PCV reached PEEP + 5.
Reached Max Flow
Increasing VCV or Decreasing Ti caused the Flow to reach its
max possible value.
Reached Min Flow
Decreasing VCV or increasing Ti caused the Flow to reach its
min possible value.
HIGH P Limited by LOW P
HIGH P reached LOW P + 1.
HIGH MV Limited by LOW MV
HIGH MV reached LOW MV + 1.
LOW MV Limited by HIGH MV
LOW MV reached HIGH MV – 1.
Reached Max Ti
Increasing VCV or Decreasing Flow caused Ti to reach its max
possible value.
Reached Min Ti
Decreasing VCV or increasing Flow caused Ti to reach its min
possible value.
LOW O2 limited by HIGH O2 Setting
LOW O2 reached HIGH O2 – 10.
HIGH O2 Limited by LOW O2 Setting
HIGH O2 reached LOW O2 + 10.
5.3
Setting the Extended Parameters
5.3.1
Alarm Buzzer Volume
You can set the volume of the alarm buzzer.
To set the alarm buzzer volume:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the Buzzer control button.
The control button turns orange, and a pop-up list displays the two unit options:
LOW and HIGH.
3. Tap the control button to select LOW; or HIGH.
The selected volume is displayed on the control button.
5.3.2
Activating/Deactivating Power Saving
You can activate or deactivate the power saving system in the AC and DC supply.
When activated, the system waits five minutes. If during that time none of the
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Using the Ventilator
Setting the Extended Parameters
control buttons were touched or alarms were set off the screen turns Off and the
pressure gauge displays one LED only to indicate the peak pressure.
To activate/deactivate the power saving system:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the PowerSave control button.
The control button turns orange, and a pop-up list displays the two options: ON
and OFF.
3. To activate the power saving system, tap the control button to select ON; to
deactivate the power saving system, tap the control button to select OFF.
Your selection (ON or OFF) is displayed on the control button.
5.3.3
Waveform Type
The Waveform parameter can be set in VCV mode only.
There are two types of waveform:

Square - the flow stays constant during the inspiratory phase.

Descend –the flow descends linearly until the final flow (at the end of inspiration),
and is 50% of the peak flow.
Figure 38 – Waveform Types
To set the waveform type:
1. On the ventilator front panel, press the Extended button.
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Setting the Extended Parameters
The Extended parameters are displayed on the ventilator screen.
2. Tap the Waveform control button.
The control button turns orange, and a pop-up list displays the two options:
Square and Descend.
3. Tap the control button to select Square or Descend.
Your selection is displayed on the control button.
5.3.4
Inspiratory Time / Flow Control (TI / Flow ctl.)
You can determine the criteria that will remain constant during Volume Controlled
management: Inspiratory Time or Flow criteria.
In ACMV/SIMV PCV modes, the Ti/Flow ctl button is not utilized and is
therefore darkened. However, it remains adjustable.
To set the criteria that will remain constant for Volume Controlled Management:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the Ti/Flow ctl. control button.
The control button turns orange, and a pop-up list displays the available options:
Ti and Flow.
3. Tap the control button to select Ti or Flow.
Your selection is displayed on the control button.
5.3.5
Rise Profile
The system can deliver five different levels of rise times, ranging from 1 (the fastest)
to 5 (the slowest).
You can set the rise time levels in PCV and PSV modes only.
Set the initial Rise Profile to level 3 and then adjust it according to the patient
comfort.
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Figure 39 – The Fastest Rise Profile (Level 1)
Figure 40 – The Slowest Rise Time (Level 5)
To set the rise profile level:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the Rise Profile control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the level, until you reach
the desired rise profile level.
The selected rise profile level is displayed on the control button.
5.3.6
Pressure Support Flow Termination (PSV Flow Term)
The PSV flow threshold is used to determine the end of a pressure support breath.
You can set the PSV Flow Term from 10% to 70% of the peak flow.
In ACMV and SIMV VCV mode, the PSV Flow Term button is not utilized and is
therefore darkened. However, it remains adjustable.
To set the flow threshold:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
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2. Tap the PSV Flow Term control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the threshold in steps of 5,
until you reach the desired flow threshold.
The selected flow threshold is displayed on the control button.
5.3.7
Pressure Support Ventilation Inspiratory Time (PSV Ti)
You can control and limit the inspiratory time in Pressure Support Ventilation from
0.1 to 3 seconds. Tap the button on the screen, and then increase/decrease the
value using the Up/Down soft key.
In ACMV, SIMV VCV mode, the PSV Ti button is not utilized and is therefore
darkened. However, it remains adjustable.
To set the flow threshold:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the PSV Ti control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the PSV inspiratory time;
it can be a value between 0.1 and 3 seconds.
The selected PSV inspiratory time is displayed on the control button.
5.3.8
Activating/Deactivating the O2 Enrichment Monitor
(FiO2)
You can activate or deactivate O2 enrichment monitoring. Activating FiO2 displays
the FiO2 value on the screen; deactivating it turns the display off.
To activate O2 enrichment monitoring:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the FiO2 control button.
The control button turns orange, and a pop-up list displays the available options:
ON or OFF.
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3. To activate monitoring tap the button ON; to deactivate monitoring tap the button
OFF.
High and Low Levels for the Oxygen Alarm (FiO2 Low and FiO2 High)
The system sets off an alarm when there is a low and/or a high level of oxygen in the
ventilator air mixture. You can define the low value and/or high value of oxygen that
sets off the alarm. The low value can be set to any value between OFF (min value
21%) and FiO2 High minus 10. The high value can be set to any value between FiO2
Low plus 10 to OFF (max value 100%).
You can set the low and high levels for setting off the alarm, only if FiO2
monitoring is enabled.
To define the low level of oxygen that sets off the alarm:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the FiO2 Low control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the value of the low level
of oxygen that will set off the alarm.
The selected low level is displayed on the button.
To define the high level of oxygen that sets off the alarm:
1. On the ventilator front panel, press the Extended button.
The Extended parameters are displayed on the ventilator screen.
2. Tap the FiO2 High control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the value of the high level
of oxygen that will set off the alarm.
The selected high level is displayed on the button.
5.3.9
Apnea
You can set the Apnea alarm limit; this can be between 10 and 60 seconds.
To define the Apnea alarm limit:
1. On the ventilator front panel, press the Extended button.
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The Extended parameters are displayed on the ventilator screen.
2. Tap the Apnea control button.
The control button turns orange.
3. Press the Up/Down button soft key to increase/decrease the value of the Apnea.
The selected value is displayed on the button.
If the patient Apnea time is longer than the set value, the Apnea alarm sets off and
the Backup Ventilation (BUV) is activated.
Backup Ventilation is functional in all modes.
Backup Ventilation in ACMV and SIMV Modes
In ACMV and SIMV modes, f is automatically increased to 1.5 times the set
frequency, subject to a minimum of 15 and a maximum of 99 b/min or a 3:1 I:E
ratio. If the I:E ratio is higher than 3:1, f is calculated as the set frequency divided
by45.
Backup Ventilation in SPONT Mode
In SPONT mode, the mode automatically changes from SPONT to SIMV, Pressure
Controlled Ventilation (PCV), mandatory breath frequency (f) = 15 b/min, peak
inspiratory pressure = 15 cmH2O/mbar above set PEEP, and inspiratory time (Ti) =
1.0 sec.
Cancellation of Backup Ventilation
BUV mode ends in either of the following cases:

Patient Cancelled – There are two patient-triggered breaths during the APNEA
interval time.

User Cancelled – By pressing Alarm Reset to stop the BUV alarm.
In both cases, the BUV audible alarm stops, the corresponding LED indicator is
latched, and the ventilator immediately returns to the user-selected settings before
APNEA BUV was triggered.
Pressing the Alarm Reset button to stop the BUV alarm does not cancel other
alarms.
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Backup Ventilation is not active for the Apnea preset time after the user resets
the BUV alarm.
5.4
Setting the Technical Parameters
5.4.1
System Language
You can select the language of the ventilator display.
To set the system language:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Language control button.
The control button turns orange, and a pop-up list displays the available
languages.
3. Tap the control button to select the desired language.
Your selection is displayed on the control button.
5.4.2
Pressure Units Display (Press Units)
You can display the pressure in either cmH2O or mbar units.
To set the pressure units for display:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Press Units control button.
The control button turns orange, and a pop-up list displays the two unit options:
cmH2O and mbar.
3. Tap the control button to select cmH2O unit or mbar unit.
The selected unit is displayed on the control button.
5.4.3
Activating/Deactivating the SPONT Mode Low Pressure
Alarm (LOW P Spont)
In SPONT mode, you can activate/deactivate the low-pressure alarm.
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To deactivate the low pressure alarm:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the LOW P Spont control button.
The control button turns orange, and a pop-up list displays the two options: ON
and OFF.
3. Tap ON to activate the alarm; tap OFF to deactivate the alarm.
Your selection (ON or OFF) is displayed on the control button.
5.4.4
Displaying the System Information
You can display the following system information on the ventilator screen: Unit Serial
Number, Software Version, Compressor Serial Number, Hour Meter, and Next Service.
To display system information:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Show INFO control button.
The system information is displayed on the screen.
5.4.5
Performing Exhalation Valve Calibration
Each time an exhalation valve is replaced by another, such as when the complete
circuit is changed, it must be recalibrated before it is used. After calibration is
finished, you should adjust patient settings appropriately.
To calibrate the exhalation valve:
1. Connect the patient circuit (the side which is attached to the patient) to an adult
(500 ml) test lung.
2. Press the On/Off button once to enter Settings mode.
3. Press the Technical button once, and then tap the Valve Cal button.
Figure 41 – Valve Calibration Screen
4. Press Enter and follow the instructions on the display.
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The FLIGHT 60 Ventilator starts the exhalation valve calibration and the
ventilator automatically tests the exhalation valve.
 If it passes the test, the message “Cal Completed” is displayed.
 If the test fails, the message “Cal Failed” is displayed. Check the integrity of
the circuit, connections, and test lung, and then reinitiate calibration.
5. When calibration is finished, remove the test lung and press Enter or Cancel to
exit.
Inadequate ventilation may result if the exhalation valve is not calibrated
properly. If the circuit/exhalation valve fails the calibration procedure, try
another circuit/exhalation valve or use an alternate method of ventilation.
Some disposable patient circuit/exhalation valve assemblies are not compatible
with the FLIGHT 60 Ventilator due to the requirements of the ventilator's
pressure management system. If your disposable circuit fails consistently,
switch to a FLIGHT MEDICAL approved, reusable (single patient) FLIGHT 60
Ventilator patient circuit / exhalation valve assembly to ensure that the FLIGHT
60 Ventilator performs to specification.
HOME CAREGIVERS: It is common practice to have two patient circuits
available in homecare environments to ensure that a clean circuit is always
available for regularly scheduled circuit changes. The exhalation valve in each
circuit must be calibrated before being put into use.
5.4.6
Storing/Loading a Ventilation Configuration
After you configure the ventilator for a particular patient, you can store the
configuration on the ventilator for later use. It is possible to store up to five
configurations.
To store the ventilation configuration:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Set Save control button.
The patient configuration is saved.
You can load a predefined ventilation configuration, instead of configuring the
ventilator from scratch.
68 | Flight 60
Using the Ventilator
Setting the Technical Parameters
To load a predefined ventilation configuration:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Set Load control button.
The control button turns orange, and a pop-up list with the numbers of the saved
configurations appears.
3. Tap the control button that corresponds to the number of the saved configuration.
For example, to load configuration 2, tap the control button with the number 2.
The selected configuration is loaded onto the ventilator.
5.4.7
System Clock
You can set the system time and date, for logging purposes.
To set the time and date:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Set Clock control button.
The time and date setting screen is open.
3. To set the Time tap the required button Hour / Minute / Second, press the
Up/Down button until you reach the desired value, and then press Enter.
To set the Date tap the required button Day / Month / Year, press the Up/Down
button until you reach the desired value, and then press Enter.
The time and date are set.
5.4.8
Displaying the Alarms/Changes Log
Alarms that occur, are logged in the system, by date, time, and type. You can display
the log of alarms, and browse through it.
To display the log of alarms:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Show Log Alarm control button.
The log of alarms is displayed on the ventilator screen.
Operator's Manual | 69
Using the Ventilator
Initiating Ventilation
You can scroll through the list of alarms, using the Up/Down button.
When prompted, you can clear the log from the screen by confirmation. The
code is 1315.
Changes to the ventilator are logged by date, time, type, and values. You can browse
through the log, to see changes that have been made to the ventilator states,
modes, and settings.
To display the log of ventilator changes:
1. On the ventilator front panel, press the Technical button.
The Technical parameters are displayed on the ventilator screen.
2. Tap the Show Log Change control button.
The log of changes is displayed on the ventilator screen.
You can scroll through the list of ventilator changes, using the Up/Down button.
When prompted, you can clear the log from the screen by confirmation. The
code is 1315.
5.4.9
Accessing the Advanced Technical Menu
Only authorized and qualified service technicians can access the advanced technical
menu. Refer to the Service Manual.
5.5
Initiating Ventilation
After setting all the required parameters, checking all alarm limit and control settings
to ensure that they are appropriate for the patient to be ventilated, and performing
exhalation valve calibration, you can initiate ventilation.
To begin ventilation:
1. On the ventilator front panel, press the On/Off button for three seconds.
The system emits a small noise while it purges, to clean the set of flow
transducer tubes and the orifice. The system then starts ventilating. The On/Off
button LED is illuminated in Green to indicate that the system is working.
2. Connect the ventilator patient circuit to the patient interface.
70 | Flight 60
Using the Ventilator
Monitoring the Patient
3. Reassess HIGH Pressure and LOW Pressure alarm settings, and adjust them to
appropriate levels.
4. Verify that the Ptrig indicator blinks each time the patient initiates a spontaneous
inspiratory effort. Readjust Ptrig as necessary.
5. Reassess the HIGH MV and LOW MV alarm settings and adjust to the appropriate
levels.
5.6
Monitoring the Patient
After initiating ventilation, it is important that you closely monitor the patient for at
least 10 minutes to ensure that the patient is receiving adequate ventilation. Patient
monitoring parameters are displayed at all times on all three screens, to ensure
continuous monitoring of the patient during ventilation.
The patient monitoring parameters are listed in Section ‎3.5.2.
Operator's Manual | 71
Ventilator Alarms
Audible Alarm and Caution Signals
6 Ventilator Alarms
The FLIGHT 60 Ventilator comes with an intelligent alarm system, which warns you
of problems with the ventilator. An alarm occurs when there is a risk to the patient. A
caution occurs when there is an undesirable situation which does not pose immediate
risk to the patient.
The FLIGHT 60 Ventilator alarm system includes variable and automatic alarms
(ventilation and technical).
These alarms can either be audible or visual.
This chapter describes:

Audible Alarm and Caution Signals (see Section ‎6.1)

Visual Alarm and Caution Signals (see Section ‎6.2)

Alarm and Caution Specifications of the variable and automatic alarms (see
Section ‎6.3)

Silencing Audible Alarms (see Section ‎6.4)

Resetting Alarms (see Section ‎6.5)

Setting Up a Remote Alarm (see Section ‎6.6)
6.1
Audible Alarm and Caution Signals
The system distinguishes between a caution and an alarm by emitting sounds of
different lengths and frequencies of repetition, as follows:

Alarms: the audible alarm sounds twice a pattern of three tones, pause and two
more tunes. The pattern repeats as long as the alarm cause remains active.

Cautions: the audible alarm sounds a pattern of three tones. The pattern repeats
itself as long as the caution cause remains active.
The caregiver can adjust the sound level of the alarm to high or low.
6.2
Visual Alarm and Caution Signals
The visual alarm and caution system is composed of:
72 | Flight 60
Ventilator Alarms
Alarm and Caution Specifications

One major visual alarm signal – Flashing red to indicate that there are alarms in
the system.

An Alarm Message display
If multiple alarms occur at the same time, the three most important alarms or
cautions are displayed according to their internal priority, Left to right from the
highest to the lowest priority - alarms are displayed in red; cautions in yellow.
Every time a new alarm/caution is activated, the system recalculates the
correct order of the alarms and displays the three most important ones

Indicator LEDS - Few alarms are supported by red LED indicators, which are
synchronized with the major visual alarm signal. They include: FAULT, APNEA,
BUV, HIGH MV, LOW MV, HIGH P, and LOW P. When the alarms are active, their
corresponding LEDS are flashing. When an alarm becomes passive (inactive), its
corresponding LED turns stable (latched).
FAULT LED indicates unrecoverable internal system failure. Ventilate the
patient with an alternate means of ventilation. Make note of the message in
the alarm display area and the alarm log. Contact your provider or FLIGHT
MEDICAL.
6.3
Alarm and Caution Specifications
This section describes the specifications for the FLIGHT 60 Ventilator:

Variable ventilation alarms

Automatic ventilation alarms

Automatic technical alarms

Cautions
6.3.1
Variable Ventilation Alarms
Alarm
Range
Activation
HIGH
4 to 99 cmH2O
When the airway pressure reaches the high pressure alarm limit
PRESSURE
LOW
PRESSURE
setting
3 to 98 cmH2O
When the airway pressure remains below the low pressure
alarm limit setting for three consecutive mandatory breaths or
three consecutive mandatory and spontaneous breaths when
LOW P Spont is active
Operator's Manual | 73
Ventilator Alarms
Alarm and Caution Specifications
Alarm
Range
Activation
LOW MV INS
0.0 to 50.0 L/min
When the inspiratory or expiratory minute volume falls below
the Low Minute Volume alarm setting
LOW MV EXH
HIGH MV INS
1.0 to 50.0 L/min
When the inspiratory or expiratory minute volume exceeds the
High Minute Volume alarm setting
HIGH MV EXH
FiO2 LOW
21% to 90% O2
When the delivered O2 falls below the FiO2 Low alarm setting
FiO2 HIGH
31% to 99% O2
When the delivered O2 exceeds the FiO2 High alarm setting
APNEA
10 to 60 sec
When no breaths have been delivered for a period longer than
the preset apnea time of 10 to 60 seconds
6.3.2
Automatic Ventilation Alarms
Alarm
Activation
When the PEEP value is less than the set value by more than 3 cmH2O for more
LOW PBASE
than three seconds (depends on stable PEEP for the pervious 5 consecutive
breaths)
When the PEEP value is higher than the set value by more than 8 cmH2O for
HIGH PBASE
more than three seconds (depends on stable PEEP for the pervious 5
consecutive breaths)
PROX LINE
OCCLUSION
BUV
When the pressure does not drop to less than PEEP + 15 within three seconds,
although the safety solenoid is open
When Apnea is detected
PCV NOT REACHED
6.3.3
When the outlet pressure is significantly higher than the patient pressure.
When the pressure does not reach 50% of the set level for three consecutive
breaths
Automatic Technical Alarms
Alarm
EMPTY BAT
Activation
When less than 50% of the integral (secondary) battery and less than 20% of
the detachable (main) battery charge remains
CAL O2 SENSORS
When the O2 sensor returns an invalid value
MOTOR FAULT
When the motor does not work properly
MOTOR POWER LOW
When the motor power is insufficient
PRESS SENSOR
When the patient pressure is significantly higher than the outlet pressure
POWER FAULT
When electrical circuit fails
74 | Flight 60
Ventilator Alarms
Silencing Audible Alarms
Alarm
Activation
MEMORY FAULT
When the NVRAM does not work properly
CHECK SETTING
When the self test finds that settings parameters are out of range
Main BAT CHARGER
When the detachable (main) battery charger does not start working
Main BAT V. HIGH
When the detachable (main) battery voltage is higher than 18 V
Main BAT V. LOW
When the detachable (main) battery voltage is lower than 11 V
Main BAT TEMP HIGH
When the detachable (main) battery temperature is higher than 60 °C
Main BAT GAUGE
When there is no communication with the battery CPU
Main BAT VOLTAGE
When the detachable (main) battery voltage is different than the gauge voltage
Sec BAT CHARGER
When the integral (secondary) battery charger does not start working
Sec BAT V. HIGH
When the integral (secondary) battery voltage is higher than 18 V
Sec BAT V. LOW
When the integral (secondary) battery voltage is lower than 11 V
Sec BAT TEMP HIGH
When the integral (secondary) battery temperature is higher than 60 °C
Sec BAT GAUGE
When there is no communication with the battery CPU
Sec BAT VOLTAGE
When the integral (secondary) battery voltage is different than the gauge
voltage
When an alarm message is generated, it is recorded in the alarms log with its
accurate time and date.
Cautions
6.3.4
Caution
Activation
Power Switchover
When the device is disconnected from the AC power supply and starts using the
internal battery
Battery LOW
When less than 20% of the detachable (main) battery and more than 50% of
the integral (secondary) battery charge remain
The cautions are of lower priority than any alarm.
6.4
Silencing Audible Alarms
You can silence all active alarms and cautions for 60 seconds.
Operator's Manual | 75
Ventilator Alarms
Resetting Alarms
To silence audible alarms and cautions:
1. On the ventilator front panel, press the Audio Paused button.
The system enters pre-silence mode. The Audio Paused indicator is illuminated,
and all alarms (except for the Fault Alarm) are silenced for 60 seconds.
You can cancel the pre-silence mode before 60 seconds are up, by pressing the Audio
Paused button once again.
6.5
Resetting Alarms
When the cause for the alarm is no longer present, alarms become inactive
(passive); they stabilize (latch) their corresponding LEDs (they stop blinking). You
can clear the color from all passive LEDs.
To reset alarms:
1. On the ventilator front panel, press the Alarm Reset button.
The latched LED indicators are released.
6.6
Setting Up a Remote Alarm
The remote alarm feature enables monitoring device alarms from a distant station.
When connected to a remote alarm system, all visible and audible alarms on the
device are transmitted as an electronic signal to the remote alarm station. Other
conditions, such as system shutdown (or power down) can also be detected by the
remote alarm system.
The FLIGHT 60 device can be connected to a third party remote alarm system in
several configurations. In order to connect the device to a remote alarm system, a
special cable must be fitted to the system and integration must be conducted
between the device and the remote alarm system.
Before attempting any connection, contact your provider or FLIGHT MEDICAL.
Technical Support, and request the FLIGHT 60 Remote Alarm Technical spec.
The design, implementation, installation, and testing of the cable are the sole
responsibility of the integrator, and must be done in accordance with the
FLIGHT-60 Remote Alarm Technical spec, in order to ensure the proper
functioning of the system and alarm.
76 | Flight 60
Cleaning and Maintenance
Cleaning and Disinfecting
7 Cleaning and Maintenance
7.1
Cleaning and Disinfecting
The FLIGHT 60 Ventilator and associated patient circuits are shipped in clean but not
sterile condition. Reusable (single patient) patient circuits should be disinfected
before reapplying to the patient.
Use the information in this section in conjunction with hospital policy, physician
prescription, or Homecare Dealer instructions.
7.1.1
FLIGHT 60 Ventilator
Wipe clean the FLIGHT 60 Ventilator between patients, and once a week while in use.
To clean the ventilator:
1. Wipe clean the exterior (besides the screen) of the ventilator and all parts not in
direct contact with patients, using a cloth that has been dampened with a medical
detergent or alcohol-based cleaning solution.
2. Clean the front panel display (the screen) using a lint free damp cloth dampened
with LCD cleaner solution.
3. Air dry.
Do not apply the cleaning solution directly on the screen.
On the front panel display or ventilator housing, do not use agents that contain
acetone, toluene, halogenated hydrocarbons, or strong alkaline.
Never autoclave or EtO sterilize the FLIGHT 60 Ventilator and its accessories.
These processes will damage the FLIGHT 60 Ventilator and accessories,
rendering them unusable.
7.1.2
FLIGHT 60 Ventilator Accessories
All accessories should be thoroughly cleaned, rinsed, and air dried prior to
disinfecting. Examine all accessories for excessive wear or damage. Discard and
replace if necessary.
Operator's Manual | 77
Cleaning and Maintenance
Cleaning and Disinfecting
Oxygen Blending Bag Kit
To disassemble the Oxygen Blending Bag Kit:
1. Remove the Oxygen Blending Bag Kit from the FLIGHT 60 Ventilator air inlet.
2. Disconnect the oxygen tubing and slide the rubber bag off its fitting.
To clean the Oxygen Blending Bag Kit:
1. Wash the outside of the rubber bag and the plastic parts (without taking them
apart) using a mild cleanser, warm water, and a soft brush.
2. Rinse thoroughly with sterile, distilled water, removing all traces of the cleanser.
3. Shake off excess water and place all parts on a clean towel to air dry. (Do not heat
or blow dry.)
Avoid touching the rubber valves, which are inserted in the plastic body. Do
not attempt to clean the inside of the rubber bag; keep it dry.
To disinfect the Oxygen Blending Bag Kit:
1. Soak the plastic and metal parts in either of the following solutions:
 One part 5% Acetic Acid (white vinegar) and two parts sterile, distilled water
for 30 minutes (for home use only)
 Glutaraldehyde solution (Cidex [2%]) for two hours
2. Rinse with sterile, distilled water, removing all traces of the cleanser.
3. Air dry.
Do not soak the rubber bag. Use a soft cloth to wipe the external surface with
either solution. Rinse with distilled water and air dry.
Reusable (Single Patient) Patient Circuits
The patient circuit includes 22mm ID breathing tube, exhalation valve and flow
sensing kit (flow orifice, quick connector and triplet 2.75mm ID tubes).
FLIGHT MEDICAL patient circuits are supplied non-sterile.
Clean and disinfect patient circuits once weekly while in use. Always use a clean,
disinfected exhalation valve when the patient circuit is reassembled for patient use.
78 | Flight 60
Cleaning and Maintenance
Cleaning and Disinfecting
Examine the patient circuit for excessive wear or damage. Discard and replace, if
necessary. To avoid degradation of the reusable (single patient) patient circuit
components, do not exceed 20 cleaning cycles or half a year of usage (whichever
occurs first).
HOME CAREGIVERS: In the home environment, it is important to always use a
clean, disinfected patient circuit. The objective of cleaning circuits is to render
the surfaces free of pathogens.
To disassemble the patient circuit:
1. Remove the entire circuit from the ventilator.
2. Remove the exhalation valve and flow sensing kit.
3. Disassemble the circuit to expose all surfaces for cleaning.
The FLIGHT MEDICAL patient circuit is manufactured from a Polyester
Elastomer, high-temperature material and incorporates a silicone rubber
cuff. To avoid damage to the circuit, attach and detach the circuit by
handling only the silicone cuffs. Do not pull or twist the circuit.
If you are using a FLIGHT MEDICAL patient circuit, refer to the cleaning and
disinfecting directions below. If you are using another manufacturer’s patient circuit
approved by FLIGHT MEDICAL, refer to the manufacturer’s instructions for cleaning.
To clean the patient circuit:
1. Use a low flow of running water or air to clear tubing and passages of organic
matter.
2. Bathe for a minimum of 10 minutes using mild detergent or liquid cleanser.
3. Wash all components of the patient circuit with a soft brush.
4.
Rinse thoroughly with sterile, distilled water, removing all traces of the cleanser.
5. Shake off excess water, and place all parts on a clean towel to air dry. (Do not
heat or blow dry.)
To disinfect the patient circuit components:
1. Soak plastic and metal parts in any of the following solutions:
 One part 5% Acetic Acid (white vinegar) and two parts sterile, distilled water
for two hours (for home use only)
 Glutaraldehyde solution (Cidex [2%]) for two hours
2. Rinse with sterile, distilled water, removing all traces of the cleanser.
Operator's Manual | 79
Cleaning and Maintenance
Cleaning and Disinfecting
3. Air dry.
Patient circuit components should NOT come in contact with the following
solutions, because they may cause disintegration of the tubing:
Hypochlorite, Phenol (>5%), Inorganic Acids, Formaldehyde, Ketone,
Chlorinated Hydrocarbons, and Aromatic Hydrocarbons.
Patient circuits should be inspected after disinfecting to check for
deterioration. If the circuit is damaged or shows excessive wear, replace
with a new circuit.
Reusable (Single Patient) Exhalation Valve
Clean and disinfect the Exhalation Valve twice weekly, while in use.
Figure 42 - Exhalation Valve Assembly
To dissasemble the exhalation valve:
1. Remove the exhalation valve from the patient circuit (see Figure 42).
2. Rotate counterclockwise the top cap of the exhalation valve and lift it off.
3. Lift out the valve drive line fitting, and separate it from the diaphragm (see Figure
43).
Figure 43 - Exhalation Valve Disassembled Parts
80 | Flight 60
Cleaning and Maintenance
Cleaning and Disinfecting
To clean the exhalation valve:
1. Use a low flow of running water or air to clear tubing and passages of organic
matter.
2. Wash the exhalation valve with a soft brush.
3. Rinse thoroughly with sterile, distilled water.
4. Shake off excess water, and place it on a clean towel to air dry. (Do not heat or
blow dry.)
To disinfect the exhalation valve:
1. Soak plastic and metal parts in any of the following solutions:
 One part 5% Acetic Acid (white vinegar) and two parts sterile, distilled water
for two hours (for home use only); Then, rinse with sterile distilled water.
 Glutaraldehyde solution (Cidex [2%]) for two hours; Then, rinse with sterile,
distilled water.
 Boiling distilled water; boil the water for 15 minutes, making sure that water
covers the valve at all times. Allow the water to cool and then drain (for home
use only)
2. Air dry.
After the exhalation valve is dry, reassemble it according to the following procedure,
to ensure proper ventilator operation.
To reassemble the exhalation valve:
1. Carefully seat the diaphragm so that it lies flat on the white plastic drive line fitting
and snaps on around the edge completely.
2. Place the fitting/diaphragm assembly in the valve body, with the drive line fitting
lined in the opposite direction of the patient and/or the arrow sign.
3. Carefully place the cap over the fitting/diaphragm assembly and turn the cap
clockwise until it comes up against the stop.
4. Perform an exhalation valve calibration to ensure proper operation of the
ventilator.
Do not try to turn the drive line fitting after securing the cap. This may cause
the diaphragm to become wrinkled or unseated and affect ventilator
performance.
Operator's Manual | 81
Cleaning and Maintenance
Maintenance
FLIGHT 60 Ventilator Air Inlet Particle Filter
NEVER operate the FLIGHT 60 Ventilator without a clean inlet particle filter in
place.
NEVER reverse the inlet particle filter when it is dirty.
The air inlet particle filter, located on the right side of the ventilator behind the Filter
Cover, keeps dirt and particles out of the ventilator's piston system. As the filter
becomes dirty, it can reduce the volume of air drawn into the ventilator.
Check the inlet filter weekly. Replace it with a new filter when the majority of the
filter surface area has changed from a clean white to dirty brown color. Inlet filters
are not reusable.
After replacing the filter, make sure that the three hold down screws on the
Filter Cover are secure. If the screws are not tight, ambient air may enter the
FLIGHT 60 Ventilator from around the inlet cover.
HOME CAREGIVERS: When the FLIGHT 60 Ventilator is used in a homecare
environment, the filter may become dirty more frequently and therefore must
be inspected and/or changed more often.
7.2
Maintenance
7.2.1
Preventive Maintenance
It is recommended to take the following measures to maintain the FLIGHT 60
Ventilator:

Check the Air Inlet Filter (located behind the Filter Cover) weekly. Replace it
when the majority of the filter surface area has changed from a clean white to
dirty brown color. Air Inlet Filters are not reusable.
HOME CAREGIVERS: When the FLIGHT 60 Ventilator is used in homecare
environments, the filter may become dirty more frequently and therefore, it
must be inspected and/or changed more often.
82 | Flight 60
Cleaning and Maintenance
Maintenance
NEVER reverse the inlet particle filter when it is dirty.

Inspect the FLIGHT 60 Ventilator power cord on a regular basis, for signs of a
broken or frayed power cord.

Inspect the exhalation valve and flow orifice to verify that there are no cracks or
damaged surfaces.

Wipe down the surface of the ventilator housing regularly to remove any dust
that might accumulate.
If service is required, contact your provider.
7.2.2
Internal Battery Maintenance
It is recommended that if the batteries are no longer meet the time requirements of
the user, they should be replaced.
To preserve the internal batteries' life:

Whenever possible, plug the FLIGHT 60 Ventilator into the external power source
to charge the batteries.

Use the Auto Lighter Cable accessory to power the FLIGHT 60 Ventilator when
traveling by automobile.
7.2.3
15,000 Hour Maintenance
A comprehensive maintenance should be performed after 15,000 hours of operation.
The 15,000 hour maintenance includes replacement of the pump assembly.
Contact your provider or FLIGHT MEDICAL for detailed information on the 15,000
hour maintenance (see Section ‎8.5 for contact information).
HOME CAREGIVERS: Do not attempt to open or perform any service
procedures on the FLIGHT 60 Ventilator. Only FLIGHT MEDICAL trained
technicians are authorized to service the ventilator. Contact your Homecare
Dealer or FLIGHT MEDICAL .
Operator's Manual | 83
Cleaning and Maintenance
General Warnings
7.3
General Warnings

Preventive maintenance work, repairs, and service may only be performed by
FLIGHT MEDICAL trained or factory-authorized personnel.

Always follow accepted hospital procedures or physician instructions for handling
equipment contaminated with body fluids.

The ventilator and its accessories must be thoroughly cleaned and disinfected
after each patient use. Perform all cleaning and disinfection of external parts and
accessories in accordance with established hospital procedures, physician
prescription, or Homecare Dealer instructions.

Certain components of the ventilator, such as the exhalation valve and the front
panel, consist of materials that are sensitive to some organic solvents used for
cleaning and disinfection (such as phenols, halogen releasing compounds, oxygen
releasing compounds, and strong organic acids). Exposure to such substances
may cause damage that is not immediately recognizable.

The reusable (single patient) patient circuit including the exhalation valve and
flow sensing kit and other parts that come in direct contact with the patient
should be periodically disinfected while in use.
84 | Flight 60
Troubleshooting
Introduction
8 Troubleshooting
8.1
Introduction
The FLIGHT 60 Ventilator is used in life-support situations. As such, it is essential
that all individuals using the FLIGHT 60 Ventilator, including clinicians and support
staff, have a thorough understanding of its operation. This should include a working
knowledge of the ventilator's pneumatic and electronic systems.
The following practical troubleshooting section is provided as a training resource for
individuals learning how to use the FLIGHT 60 Ventilator, and as a reference tool for
those already familiar with its use and operation. It should be noted that this outline
is not all inclusive, and is intended only as a guide.
HOME CAREGIVERS: Contact your Homecare Dealer, physician, or FLIGHT
MEDICAL if you have questions or concerns about the performance of the
FLIGHT 60 Ventilator.
Only properly trained personnel should operate the ventilator. The FLIGHT 60
Ventilator is a restricted medical device designed for use by Respiratory
Therapists or other properly trained and qualified personnel under the direction
of a physician and in accordance with applicable state laws and regulations.
8.2
Alarms
Problem
Potential Cause
Suggested Action
Apnea Alarm
Patient did not trigger a breath for the
Reevaluate the patient and ventilator
preset Apnea interval (10 to 60
settings and provide increased
seconds).
ventilatory support, as needed.
Patient efforts are not detected.
Use Ptrig to adjust the trigger level
Trigger level set improperly.
closer to the baseline pressure (0
cmH2O) so that patient efforts are
detected (indicated by the Ptrig LED
illuminating green).
Prox Line Alarm
Humidity in the proximal line.
The ventilator purges every 5 minutes,
to clean the tubes. Verify the alarm
ceased after the ventilator purge.
Operator's Manual | 85
Troubleshooting
Alarms
Problem
Potential Cause
Suggested Action
Proximal line disconnected or kinked.
Reconnect the proximal line or unkink
the line.
Circuit is disconnected from the
Reconnect the circuit to the patient.
patient.
Quick connector is loosened.
Secure the quick connector.
Pressure transducer is improperly
Call FLIGHT MEDICAL.
calibrated or defective.
Empty Battery Alarm
Detachable and Integral batteries
Immediately connect the FLIGHT 60
charge is depleted and the ventilator
Ventilator to external AC or DC power.
shutdown will occur shortly.
Power Switch Over
Caution
External power cord is disconnected.
Reinsert the power cord.
External power source failure
Use the batteries. Recharge the
batteries when AC is available.
High Pressure Alarm
Increased patient resistance or
Evaluate the patient. The patient may
decreased patient compliance.
need suctioning, aerosol therapy, etc.
Increased patient circuit resistance.
Check for obstructions (kinked tubes,
water in tubing, occluded filters, etc.)
Control/alarm parameters have
Reevaluate settings.
changed.
High Pressure alarm set incorrectly.
Readjust High Pressure alarm, if
appropriate. Notify physician as
necessary.
High Pbase alarm
Airway pressure remains above the
Low Pressure alarm setting at the
beginning of inspiration. Indicates an
Unblock the occluded area.
Recalibrate the exhalation valve.
occlusion in the circuit/exhalation valve
or that the proximal pressure line or
exhalation drive line is pinched.
High MV alarm
86 | Flight 60
High breath rate (insufficient time to
Evaluate patient and make necessary
exhale).
adjustments to ventilation parameters.
Ventilator auto triggering from leak or
Fix the leak and readjust Ptrig as
improper Ptrig setting.
needed.
Rapid decreasing of the PEEP value.
Gradually decrease the PEEP.
Increased spontaneous patient
Evaluate the patient. Adjust the High MV
breathing.
alarm setting, if needed.
Troubleshooting
Alarms
Problem
Potential Cause
Increase in trachea/airway leak.
Suggested Action
Evaluate the leak, look for normal wakesleep trends, and set alarms
appropriately.
Increased minute volume due to
Check circuit for leak and correct.
ventilator auto triggering from leak
Perform leak check (exhalation valve
calibration) on patient circuit.
Increased minute volume due to
Reevaluate/readjust Ptrig setting
ventilator auto triggering from Ptrig
(especially after circuit change).
setting too low (most common with
single use exhalation valve).
Increased minute volume due to
Secure the quick connector.
ventilator auto triggering from loose
quick connector.
Low Battery Caution
Low Pressure Alarm
Increased minute volume due to
Reconnect the circuit securely. Push
ventilator auto triggering from circuit
Audio Paused when reconnecting after
disconnected for airway care or by
airway care (to allow one minute for
accident.
stabilization).
Less than 20% of the detachable
Plug the power cord into an external
battery operation remains.
power source to charge.
Decreased patient resistance or
Evaluate the patient. Adjust the
increased patient compliance.
ventilation settings and/or Low
Pressure alarm, as needed.
Leak or disconnect in the patient
Verify that connections are tight and
circuit.
leak free.
Low Pressure alarm set incorrectly.
Readjust Low Pressure alarm, if
appropriate. Notify physician as
necessary.
Low Pbase Alarm
Low MV Alarm/
Apnea Alarm
Baseline pressure is below set PEEP
Verify that all circuit connections are
due to airway or circuit leak, or fluid
secure and leak free, and that all fluid
pooled in tubing.
is cleared from the tubing.
Patient efforts are not detected. The
Perform a leak check on the patient
trigger level (Ptrig) is set improperly.
circuit (exhalation valve calibration),
secure the circuit connections, and
evaluate the Ptrig setting. Detected
patient efforts are indicated by the
Ptrig LED illuminating green.
The Low MV alarm is set above the
Readjust Low MV alarm setting level.
delivered mandatory minute volume.
Operator's Manual | 87
Troubleshooting
General/Clinical
Problem
Potential Cause
Suggested Action
Patient needs suctioning or airway
Suction and evaluate patient.
occlusion (pressure control / pressure
support).
Patient is breathing slowly or is not
Evaluate patient.
breathing.
Apnea interval is too short.
Evaluate the patient. Adjust the
Apnea alarm.
Occlusion Alarm
Nebulizer treatment inline during
Adjust the Low MV alarm during
pressure control / pressure support.
nebulizer treatment.
Exhalation valve is blocked or line is
Check the exhalation valve line.
kinked.
Replace the exhalation valve
assembly. Then, recalibrate the
exhalation valve.
High breath rate.
Change to lower rate, evaluate
patient.
PCV Not Reached
Alarm
Gross leak in the patient circuit.
Check all patient circuit connections.
Target pressure setting requires a
Reevaluate the ventilator settings and
flow rate that is beyond the FLIGHT
strategy.
60 Ventilator’s maximal flow
capability.
Fault Alarm Led
Unrecoverable internal system failure.
Ventilate the patient with an alternate
means of ventilation. Make note of the
message in the alarm display area.
Call FLIGHT MEDICAL
Check Setting Alarm
Non volatile storage inconsistency.
Verify which ventilation control is out
of range and correct its value.
8.3
General/Clinical
Problem
Potential Cause
Suggested Action
Alarm volume too loud
Unintended setting.
To toggle between loud and quiet,
or too quiet.
push the buzzer button and choose
from the list.
88 | Flight 60
Troubleshooting
General/Clinical
Problem
Potential Cause
Suggested Action
Batteries depleted too
Batteries are not fully charged.
Charge the batteries to their full
fast; not lasting up to
charge level. Batteries charge in three
12 hours
hours from AC. Check the charge level
by viewing the main and secondary
battery icon level on the display.
Extend the battery use time by
plugging into AC when available.
Suggestion: Optional accessory,
Automobile 12V power cord can be
used to plug the ventilator into the
automobile cigarette lighter.
Ensure that the green Ext. Power LED
is illuminated when connected to an
external AC or DC power source (it can
take up to one minute). If the LED is
not illuminated, check the connections
and resolve any problems.
Power Save is OFF. This decreases
Enter Extended Setup and turn Power
battery use time by 20% to 30%.
Save ON.
Batteries are not in optimal condition
As the battery ages, the Low Battery
or need to be replaced.
caution occurs sooner. When this
begins to infringe on the required
battery time, the batteries should be
replaced.
CO2 rises
Child's CO2 rises
dramatically when
put on the ventilator
Too much dead space (re breathing) in
On small patients, avoid using any
the patient circuit. (On a single-limb
tubing between the flow orifice and the
circuit, the tubing on the patient side
patient.
of the exhalation valve is dead space.)
If extension tubing is a must, it should
be as small as 15 mm ID and shorter
than 50 mm.
Note: The patient circuit tubing should
always be 22 mm ID, even on small
children.
Operator's Manual | 89
Troubleshooting
General/Clinical
Problem
Potential Cause
Suggested Action
Circuit disconnect / no
Low Pressure alarm is not
Set the Low Pressure alarm to ensure
alarm sounds
appropriately set.
that it sounds when the patient circuit
is disconnected. After setting up the
Patient circuit is
patient and stabilizing the ventilation,
disconnected from
remove the circuit from the patient at
the patient, but there
the airway and observe the peak
is no alarm.
airway pressure that develops with the
next breath. Reconnect the patient and
set the Low Pressure alarm above this
pressure.
Exhalation Valve Cal
High/Low Minute Volume alarm limits
Set High/Low alarms to bracket patient
are not appropriately set.
minute volume.
A leak in the system.
a. Check all circuit connections.
Fails (Cal Failed)
b. Check that the test lung is leak-free
and that it is ≤ 1 L in size.
Reusable (single
patient) or single use
c. Check that the exhalation valve
exhalation valve
drive line is secured.
d. Use your thumb (covered with a
clean gauze pad or equivalent) instead
of a test lung, to occlude circuit during
calibration.
e. If using a reusable (single patient)
exhalation valve, ensure that the
diaphragm is seated properly.
f. Try a different exhalation valve.
NOTE: After taking corrective action,
repeat Exhalation Valve Calibration
procedure.
Exhalation valve in use is not
Use an exhalation valve that is
compatible with ventilator.
approved for use with the FLIGHT 60
Ventilator.
Exhalation Valve
Low compliance / high resistance of
Make sure that the patient circuit is 22
Honks
circuit system.
mm ID (regardless of patient size).
Exhalation valve
The single use exhalation valve in use
Use an exhalation valve that is
makes honking noise
is not compatible with the ventilator.
approved for use with the FLIGHT 60
Ventilator.
90 | Flight 60
Troubleshooting
General/Clinical
Problem
Potential Cause
Suggested Action
External Power Not
Power cord is not plugged far enough
Check that the power cord is pushed in
Working
into the ventilator outlet.
all the way.
After plugging into an
AC outlet has no power.
Check for power in the AC outlet or use
external AC or DC
outlet, Ext. Power
indicator does not
light after one
another AC outlet with power.
DC Auto lighter outlet is not active with
Make sure that the auto lighter outlet
engine off.
is active with the engine off, or turn
the engine on.
minute.
Frequency is 1.5 Times
Ventilator is in Backup Ventilation in
Backup Ventilation will stop, and the
Set Value
response to the Apnea Alarm being
respiratory frequency will return to
violated.
normal when the patient will triggered
Ventilator sounds
two spontaneous breaths within the
alarm and the
preset Apnea interval or the user press
respiratory frequency
the Alarm Reset button to stop the
is 1.5 times the
Backup Ventilation alarm.
original set value.
Manual Inflation Button
Breath terminates
High Pressure alarm setting reached
If a higher inflation pressure is needed,
during Manual inflation.
increase the High Pressure alarm limit
setting to a safe but appropriate level.
and High Pressure
Otherwise, decrease the flow rate or
alarm is violated.
Manual Inflation Button
manual inflation time.
Mandatory flow is set too low.
appropriate, decrease the inspiratory
Cannot generate
time to increase the flow.
adequate rise in
pressure.
Evaluate ventilation settings. If
Gross leak in patient circuit.
Check/secure all patient circuit
connections.
Faulty exhalation valve.
Replace the exhalation valve.
Pressure Control mode.
Assess Pressure Control setting.
PEEP Control
Faulty exhalation valve.
Replace the exhalation valve.
Baseline pressure
Leak in the patient circuit.
Perform a leak check (exhalation valve
during exhalation
calibration) and eliminate any leaks
continues to slowly
found.
decrease.
Leak around ET (Endotracheal) tube/
Check ET tube/patient interface.
patient interface.
PEEP Control
Monitored Pbase is
less than set PEEP.
Leak in patient circuit, endotracheal
Find and correct the leak.
tube cuff, patient interface, or other.
Uncalibrated exhalation valve.
Calibrate exhalation valve per
instructions.
Faulty exhalation valve.
Replace the exhalation valve.
Operator's Manual | 91
Troubleshooting
General/Clinical
Problem
Potential Cause
Suggested Action
Pressure reading
Patient circuit resistance is caused by
Temporarily disconnect the patient
an occluded filter or exhalation valve,
circuit from the ventilator GAS OUTPUT
pooled water, or lodged secretions
outlet. If the pressure reading returns
which prevent the free exit of patient
to zero, the cause of the elevated
exhalation.
baseline pressure is circuit resistance.
Pressure does not
return to zero when
PEEP is set to zero.
Check for (and empty) water in the
patient circuit.
Check for (and replace) the clogged
filter or heat moisture exchanger in the
patient circuit.
Check for (and clean) an exhalation
valve that has become clogged with
medications or patient secretions.
Ensure that the expiratory drive line is
not kinked.
Pressure reading
Baseline pressure
(PEEP) is fluctuating.
Water in patient circuit tubing.
Drain tubing.
Leak in patient circuit.
Perform exhalation valve calibration,
check/eliminate any leaks found.
Leak in the exhalation valve.
Replace the exhalation valve.
Bounce/rebound from test lung.
Use a test lung with better
physiological performance.
Pressure Not Rising
Massive leak in the patient circuit.
Locate the leak and fix it.
Ventilator sounds like
Exhalation valve diaphragm has
Replace the exhalation valve / patient
it is delivering
become unseated.
circuit.
Inappropriate Ptrig setting.
Adjust the Ptrig towards "-0.1" until
breaths; however,
the pressure is not
rising during the
breath.
Trigger Problem
Patient cannot trigger
the ventilator autotriggers, then slowly
the ventilator.
increase the Ptrig setting until the
autotriggering stops.
Baseline pressure increased
Check the ventilation settings; readjust
inadvertently due to f, Ti, Volume
if necessary.
control, or Pressure control change.
Baseline pressure increased
Check the ventilation settings; readjust
inadvertently due to incomplete
if necessary.
exhalation.
92 | Flight 60
Troubleshooting
Air/Oxygen Entrainment Mixture
Problem
Potential Cause
Suggested Action
Patient lacks any spontaneous effort or
Evaluate the patient.
has very weak effort.
Ptrig is not set properly.
Readjust Ptrig level.
Leak in patient circuit, exhalation
Check/secure the circuit connections.
valve, or expiratory drive line.
Change the exhalation valve.
Trigger Problem
In volume control, the flow is set
Check the flow setting in the display. If
Patient double-
inappropriately low.
it is too low for patient need, decrease
Trigger Problem
Ventilator autotriggering
triggers the
the inspiratory time (Ti) setting until
ventilator.
the flow is set appropriately.
Ventilator Makes Noise
Pressure support is set too low for
Reevaluate the pressure support
patient need.
setting.
Cylinder is turned off or empty.
Check that the cylinder is turned on
and that it is not empty.
When Air/Oxygen
Mixer Is Connected
FLIGHT 60 Ventilator
makes a loud noise
when using the Air
Oxygen Entrainment
Mixer connected to a
gas cylinder.
Ventilator Pistons
The FLIGHT 60 Ventilator generates a
Move Between Breaths
7.5 L/min of continuous flow in
Ventilator sounds like
the dual micro
Ventilator is operating correctly.
between breaths when PEEP is > 0
cmH2O.
pistons continue to
move between
breaths.
Water in Breathing
Room temperature is cooler than the
a. Place water trap inline with the
Circuit Tubing
heated, humidified breathing gas in the
patient circuit and empty it regularly.
circuit. When the gas in the circuit
cools, water precipitates out.
8.4
c. Use a heated wire circuit.
Air/Oxygen Entrainment Mixture
Problem
Potential Cause
Suggested Action
Monitored FiO2 is
Appropriate mixer retaining bracket and
Contact your provider or FLIGHT
lower than set FiO2
screw is missing.
MEDICAL to obtain an appropriate
by > 8%, when
retaining bracket and screw.
using Air Oxygen
Operator's Manual | 93
Troubleshooting
Contact Information
Problem
Potential Cause
Suggested Action
Entrainment Mixer.
Filter cover is loose.
Tighten the filter cover.
Filter cover needs to be replaced.
Contact your provider or FLIGHT
MEDICAL to obtain a replacement filter
cover.
Mixer makes a
Oxygen source gas pressure is low.
pronounced clicking
sound during
normal operation.
Check that the oxygen source gas is 50
psig.
Oxygen source regulator is oscillating.
Check the oxygen source regulator. If
the noise continues, Contact your
provider or FLIGHT MEDICAL.
Oxygen leaks out of
Mixer diaphragm is leaking.
Mixer when
Contact your provider or FLIGHT
MEDICAL.
connected to 50
psig oxygen gas
source.
8.5
Contact Information
Address further questions or problems to one of the FLIGHT MEDICAL offices.
FLIGHT MEDICAL INNOVATIONS Ltd.
Address: 13 Hamelacha St., Lod 71520, ISRAEL
Tel:
+972-8-923-5111
Fax:
+972-8-923-6111
Email:
[email protected]
Website: www.flight-medical.com
European Authorized Representative
Obelis s.a
Address: Boulevard Général Wahis 53 1030 Brussels, BELGIUM
Tel:
+32 2 7325954
Fax:
+32 2 7326003
Email:
[email protected]
94 | Flight 60
Ventilator Quick Check Procedure
Introduction
9 Ventilator Quick Check Procedure
9.1
Introduction
Upon initial setup of the ventilator, verify proper ventilator operation by performing
the Quick Check Procedure.
This procedure is intended to assist qualified operators to establish a routine program
for verifying proper FLIGHT 60 Ventilator operation. Perform this procedure each
time the ventilator is prepared for clinical use.
Repeat the Quick Check Procedure each time the ventilator is placed on a new
patient or the patient circuit/exhalation valve is changed.
Before performing the test, you must perform a pretest inspection, and set up the
ventilator for the test.
The Quick Check Procedure includes the following tests:

Checking the power management

Checking the alarms

Checking the monitored parameters
HOME CAREGIVERS: This procedure should be performed by your Homecare
equipment provider, prior to delivery of the FLIGHT 60 Ventilator, to verify
proper operation. It can also be performed in the homecare environment to
ensure proper setup and function of the ventilator.
Do not use the FLIGHT 60 Ventilator if it fails this procedure.
9.1.1
Setting Up the Ventilator for the Test
Before performing the test, do the following:

Remove the three screws from the Filter Cover. Inspect the filter. Replace the
filter if it is dirty. Reinstall the screws.

Examine the 500 ml test lung and the patient circuit to ensure that there are no
holes that will cause leaks.
Operator's Manual | 95
Ventilator Quick Check Procedure
Quick Check Procedure
Verify that the AC power cord does not has frays or breaks.

To set up the ventilator for the test:
1. Connect the detachable and Integral batteries.
2. Connect the AC power cord to an AC power source.
3. Connect a patient circuit with 500 ml test lung, to the FLIGHT 60 Ventilator.
4. Calibrate the exhalation valve See Section ‎5.4.5.
5. Press the On/Off button once. The ventilator performs a brief self-test and enters
SETTINGS mode. During the self-test, verify that the ventilator purges, an audible
alarm sounds and that all indicator LEDS illuminate.
6. Set the ventilator to the following Standard Test Settings (STS):
Control
Setting
MODE
ACMV
Volume Control
500 ml
Ti
1.0 sec
f
15 b/min
Ptrig
-0.1 cmH2O/mbar
Low Pressure alarm limit
3 cmH2O/mbar
High Pressure alarm limit
99 cmH2O
Low MV alarm limit
0.0 L (minimum setting)
High MV alarm limit
50 L (maximum setting)
PEEP
0 cmH2O/mbar
PSV
0 cmH2O/mbar
Waveform
Square
7. Press the On/Off button to initiate ventilation.
9.2
Quick Check Procedure
9.2.1
Checking the Power Management
To check for power management:
1. Disconnect the AC power cord. Verify that there is a Power Switchover caution
message and intermittent audible caution.
2. Verify the EXT PWR indicator LED turns off, and the BAT indicator turns on to
indicate that the ventilator is on battery power.
96 | Flight 60
Ventilator Quick Check Procedure
Quick Check Procedure
3. Verify that the arrows on the batteries icons facing down to indicate that the
batteries are depleted.
4. Disconnect the detachable battery. Verify that there is a Low Battery caution
message and intermittent audible caution.
5. Reconnect the detachable battery and the AC power.
6. Verify the EXT PWR indicator LED turns on, and the BAT indicator turns off.
7. Verify that the arrows on the batteries icons facing up to indicate that the batteries
are charged.
9.2.2
Checking the Alarms
To check for High Presure alarm:
1. Set the High P alarm limit to 10 cmH2O.
2. Verify that High Pressure alarm is activated (HIGH PRESSURE message display,
visual and audible alarm and the indicator LED turns on).
3. Verify that inspiration ends when pressure reaches the high limit.
4. Set the High P alarm limit back to 99 cmH2O.
5. Verify that High Pressure alarm is deactivated
6. Press the Audio Paused button to clear the latched indicator LED.
To check for Low Presure alarm:
1. Disconnect the test lung from the patient circuit.
2. Verify that Low Pressure alarm is activated within 3 breaths. (LOW PRESSURE
message display, visual and audible alarm and the indicator LED turns on).
3. Reconnect the test lung to the patient circuit.
4. Verify that Low Pressure alarm is deactivated
5. Press the Audio Paused button to clear the latched indicator LED.
9.2.3
Checking the Monitored Parameters
To check for presure reading:
1. Verify that both the Ppeak and the pressure gauge are within 10% or ±2 cmH2O
of each other, whichever is greater.
2. Set the PEEP to 5 cmH2O.
3. Verify that both the Pbase and the pressure gauge are within ±2 cmH2O of each
other. Reduce the PEEP to zero.
To check for volume reading:
1. Verify that Vti and Vte are within 0.45 to 0.55 L.
2. Verify that MVi and MVe are within 6.5 to 8.5 L.
Operator's Manual | 97
Ventilator Quick Check Procedure
Check-Off Sheet
9.3
Check-Off Sheet
FLIGHT 60 Ventilator Quick Check
Pass/Fail Check-Off Sheet
Preparation for Use Tests
Indicate Result for each Test
Pretest Inspection Check
Pass _____ Fail ______
1. Power Management Check
Pass _____ Fail ______
Power Switchover Caution
Pass _____ Fail ______
Low Battery Caution
Pass _____ Fail ______
2. Alarms & Indicators Check
Pass _____ Fail ______
High Pressure Alarm
Pass _____ Fail ______
Low Pressure Alarm
Pass _____ Fail ______
3. Monitored Parameters Check
Pass _____ Fail ______
Peak Pressure
Pass _____ Fail ______
Base Pressure
Pass _____ Fail ______
Tidal Volume
Pass _____ Fail ______
Minute Volume
Pass _____ Fail ______
The ventilator is ready for operation when all tests have been completed successfully.
98 | Flight 60
Technical Specifications
Physical Specifications
10 Technical Specifications
10.1 Physical Specifications
Physical Characteristic
Specification
Ventilator Weight
6.3 kg
Ventilator Dimensions
11.641 in wide x 11.457 in deep x 9.803 in high
295 mm wide x 291 mm deep x 249 mm high
Reusable Single Patient
Reusable (single patient) 22 mm ID 180 cm. length adult/pediatric circuit
Circuit
with 2.75 mm ID proximal pressure sensing line, 2.75 mm ID exhalation
valve control drive line, 2.75 mm I.D. flow sensing line, exhalation valve,
flow sensing orifice and quick convector.
Single Use Patient Circuit
Single use 22 mm ID 180 cm. length adult/pediatric circuit with 2.75 mm
ID proximal pressure sensing line, 2.75 mm ID exhalation valve control
drive line, 2.75 mm I.D. flow sensing line, exhalation valve, flow sensing
orifice and quick convector..
Connectors
Gas Outlet: ISO 22 mm OD conical
Air/Oxygen Inlet: ISO 30 mm female fitting.
10.2 Pneumatic Specifications
Item
Specification
Over Pressure Relief Valve
Limits the maximum airway pressure to 110 ± 5 cmH2O.
Negative Pressure Relief
Valve(Anti-Asphyxia)
Opening pressure is between -3 cmH2O to -6 cmH2O.
MAX 16 by MAXTEC; range from 0 to 100% oxygen. Warm up time: less
O2 sensor
than 30 minutes after replacement.
10.3 Electrical Specifications
Voltage
Frequency
Current Consumption
100 – 240 VAC
50 – 60 Hz
1.25 Amp MAX
12 – 15 VDC
NA
4.8 Amp MAX
Operator's Manual | 99
Technical Specifications
Internal Battery Specifications
10.4 Internal Battery Specifications
Battery Characteristic
Specification
Detachable Battery
Battery Type
Li-Ion
Nominal Voltage
14.8 VDC
Nominal Pack Capacity
5.2 AH
Charging Time
Three hours MAX
Integral Battery
Battery Type
Li-Ion
Nominal Voltage
14.8 VDC
Nominal Pack Capacity
2.6 AH
Charging Time
Three hours MAX
Average operating time for both batteries working together: When new and fully charged, the batteries
supply power for up to 12 hours of operation at these settings: ACMV mode, f=15, Volume Control=500 ml,
Ti=1.0 sec, PEEP=0, Max. Airway pressure = 30 cmH2O/mbar, Power Save mode ON.
10.5 Safety and Particular Standard Specifications
Standard
Specification
IEC60601-1 Medical electrical equipment general requirements for basic safety and essential
performance.
IEC60601-1-2 General requirements for basic safety and essential performance; Collateral
Safety
standard: electromagnetic compatibility.
IEC 60601-1-8 (2003) 1st edition Medical electrical equipment – Parts 1-8: general
requirements for safety; Collateral standard: general requirements, tests, and guidance for
alarm systems in medical electrical equipment and medical electrical systems.
IEC60601-2-12:2001(E) Particular requirements for the safety of lung ventilators – Critical
care ventilators (replace: ASTM-F 1100-90) (ISO 10651-1).
Particular
ISO10651-3:1997 Lung ventilators for medical use – Part 3: Particular requirements for
emergency and transport ventilators.
ASTM F1246 -91:2005 Standard specifications for electrically powered home care ventilators
– Part 1: positive-pressure ventilators and ventilator circuits.
100 | Flight 60
Technical Specifications
Environmental Specifications
10.6 Environmental Specifications
Condition
Range
Operating Temperature
-18 OC to 50 OC / -.4 OF to 122 OF
Storage Temperature
-20 OC to 60 OC / -5.8 OF to 160 OF
Operating Pressure (Altitude)
70 KpA to 110 KpA
Humidity
15% to 95% RH at 31 OC
Water Resistance
IP34 (splash proof) IEC 60529
Sinusoidal Vibrations
IEC 60068-2-6
Bump
IEC 68-2-29
Free Fall
IEC 60068-2-32
Random Vibrations Wide
IEC 60068-2-6
Band
10.7 Air/Oxygen Entrainment Mixer Specifications
Item
Specification
Oxygen
35 psig to 90 psig (2.4 Bar to 6.2 Bar) full operating range
Air
Atmospheric pressure
FIO2 Control
Adjusted continuously from 21% to 100% accuracy ± 8%
10.8 Oxygen Blending Bag Kit Specifications
Item
Specification
Oxygen
0 to 10 L/min (calibrated)
Air
Atmospheric pressure
FIO2 Control
FIO2, indirectly adjusted from 21% up to 100% via oxygen flow (L/min)
Operator's Manual | 101
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