Air Liquide MONNAL T60 ADVANCED User manual

| MONNAL T60 ADVANCED
User Manual
English
Software Version V1.1.x
www.device.airliquidehealthcare.com
YL180136 - Revision 4 - 2021-03
V1.1.xI4
YL180136

Contents
Before use...............................................................................................7
Symbols used in this manual............................................................................................................ 7
Intended use...................................................................................................................................... 7
Requisite knowledge.......................................................................................................................... 8
Brief description of the device.......................................................................................................... 8
Symbols and markings on the device............................................................................................... 9
General safety instructions..............................................................................................................11
Description of the device.......................................................................15
Terminology Used............................................................................................................................ 15
Front view........................................................................................................................................ 15
Handle side...................................................................................................................................... 16
Base side..........................................................................................................................................16
Right-hand side: Patient circuit connection panel...........................................................................16
Left-hand side: Turbine air inlet panel............................................................................................ 17
Rear panel........................................................................................................................................ 17
Installation and commissioning.............................................................18
Unpacking.........................................................................................................................................18
Items included in the package........................................................................................................ 18
Installation on the wheel stand....................................................................................................... 19
Electrical power supply....................................................................................................................20
Oxygen supply..................................................................................................................................20
Assembly of the patient circuit and of the accessories..................................................................21
CO2 Measurement Probe (IRMA™)................................................................................................... 22
Humidifier.........................................................................................................................................24
Nebulizer.......................................................................................................................................... 24
Extractable battery........................................................................................................................... 24
Applying power................................................................................................................................ 25
Automatic tests................................................................................................................................25
Use........................................................................................................ 26
Ventilator display and controls........................................................................................................26
Start screen........................................................................................................................................ 27
Ventilation screen.............................................................................................................................. 28
Home screen (ventilation in progress).............................................................................................28
Ventilator controls..............................................................................................................................29
New patient...................................................................................................................................... 31
Selecting the patient category.......................................................................................................... 31
Selecting the patient size and gender..............................................................................................31

Starting/stopping ventilation........................................................................................................... 33
Availability of the modes.................................................................................................................36
Stopping the device......................................................................................................................... 36
Ventilation modes and functions.....................................................................................................37
Apnea ventilation adjustment........................................................................................................... 37
VCV (controlled ventilation or assisted volume-controlled ventilation)......................................... 37
(A)PCV (controlled ventilation or assisted pressure-controlled ventilation)..................................38
PSV (spontaneous ventilation with inspiratory assistance and PEEP).......................................... 39
SIMV.................................................................................................................................................... 40
CPAP (Continuous Positive Airway Pressure)................................................................................. 41
PRVC (Pressure-Regulated Volume Controlled).............................................................................. 41
PS-Pro (Pressure Support - Pro).......................................................................................................42
PSIMV (Synchronized Intermittent Mandatory Pressure Monitored Ventilation).......................... 43
APRV (Airway Pressure Release Ventilation).................................................................................. 44
CPV: Cardio-Pulmonary Ventilation.................................................................................................. 45
Function Hflow................................................................................................................................... 47
ECLS function..................................................................................................................................... 49
CO2 option.......................................................................................................................................... 51
Keeping alarm settings and thresholds........................................................................................... 53
Displaying the curves.........................................................................................................................55
Monitoring...........................................................................................................................................56
Measurements....................................................................................................................................61
Other functions...................................................................................................................................64
Menu................................................................................................................................................ 65
Menu structure................................................................................................................................... 66
Sensors............................................................................................................................................... 66
Patient monitoring..............................................................................................................................67
Configuration of the ventilator..........................................................................................................67
Low-pressure O2................................................................................................................................. 68
Data transfer.......................................................................................................................................69
Customizing the device................................................................................................................... 70
Default patient.................................................................................................................................... 70
Gender /Height configuration............................................................................................................71
SI Unit..................................................................................................................................................71
Configuration of quick launch...........................................................................................................71
Selecting the height display unit.......................................................................................................71
Choice of communication protocol..................................................................................................71
Display of the ventilation timer.........................................................................................................72
Mains disconnection alarm...............................................................................................................72
Extractable battery disconnection alarm......................................................................................... 72
Saving the ventilation settings and alarm thresholds.....................................................................72
Set-point selection............................................................................................................................. 73
Display of the monitoring blocks......................................................................................................73
Power supply sources......................................................................................................................73
Managing the power supply..............................................................................................................73
AC power supply................................................................................................................................ 74
Extractable battery and internal battery...........................................................................................74
LED battery status indicator..............................................................................................................76

Inputs and outputs...........................................................................................................................76
Video output....................................................................................................................................... 76
USB Connections................................................................................................................................76
Connectivity to hospital networks.................................................................................................... 77
Alarms and other messages..................................................................79
Display..............................................................................................................................................79
Alarm Acknowledgement.................................................................................................................80
Alarm inhibition................................................................................................................................81
Preventive alarm inhibition.............................................................................................................. 81
Reset................................................................................................................................................ 81
History.............................................................................................................................................. 81
Table of alarms................................................................................................................................82
Maintenance..........................................................................................98
Surface of the ventilator..................................................................................................................98
Bacteriological filter.........................................................................................................................98
Air inlet filter (Monnal Clean’In)...................................................................................................... 99
Expiratory assembly: Flow sensor + expiratory valve......................................................................99
Accessories.........................................................................................101
List of options and accessories.................................................................................................... 101
Regulatory requirements................................................................................................................104
Maintenance........................................................................................105
By the user.....................................................................................................................................105
By the technician........................................................................................................................... 105
O2 Cell............................................................................................................................................ 106
Technical description.......................................................................... 107
Operation........................................................................................................................................107
Pneumatic system........................................................................................................................... 107
Ventilation function..........................................................................................................................108
Air/O2 mixture...................................................................................................................................108
CO2 monitoring................................................................................................................................ 110
Performance and characteristics.................................................................................................. 111
Technical Characteristics................................................................................................................111
Settings tables..................................................................................................................................126
Calculation of predicted body weight............................................................................................ 131
Interdependency of settings........................................................................................................... 132
Alarm threshold settings.................................................................................................................133
Automatic alarm thresholds............................................................................................................135
Recovery of the components of the medical device..................................................................... 136
Regulatory requirements................................................................................................................138
Appendix............................................................................................. 139
Checklist.........................................................................................................................................139
Maintenance data sheet................................................................................................................ 140

Expiratory assembly cleaning protocol..........................................................................................141
Monnal EVA autoclavable expiratory assembly............................................................................ 142
Monnal EVA single-use expiratory assembly.................................................................................142

1 Before use
1 Before use
1.1 Symbols used in this manual
CAUTION: Warns the user of the risks associated with the use or misuse of the device:
• occurrence of a technical problem or device malfunction,
• slight or serious injury to the patient.
If the risk to the patient is very high, the warning will appear in bold lettering.
Note: Highlights a particular item of information.
1.2 Intended use
Monnal T60 Advanced is a standalone ventilator using air (propelled by a blower) used to treat infants
(3 kg and above), children, and adults.
It is used for patient ventilation to compensate for or mitigate respiratory failure. Contact with the pa-
tient is made via an adequate patient interface (e.g., mask or endotracheal tube), which allows air to
flow from the ventilator into the lungs.
It is for use by hospital personnel (doctors, nurses, etc.) and is used:
• in intensive care,
• in post-operative recovery rooms,
• for intra-hospital emergencies,
•for transportation between hospitals1,
• for transportation within a hospital,
•for pre-admission transportation1.
Medical electrical system
Monnal T60 Advanced is part of the medical electrical system consisting of the following components:
•a CO2 measurement probe (IRMA™)
• a Monnal Clean’In (HEPA) filter
• a humidifier
• a nebulizer
• an extractable battery
• an external power supply
• oxygen from a supply network, cylinder, or concentrator.
Monnal T60 Advanced provides monitoring for the following respiratory gases: oxygen and carbon
dioxide (using the optional IRMA probe).
1Land transportation and air ambulances.
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Monnal T60 Advanced - User manual
1.3 Requisite knowledge
Persons intending to operate this ventilator must be trained in its use.
Only persons who have fully read and understood this manual are authorized to handle and use this
ventilator. The present manual is intended to give all information necessary for the correct utilisation
of this ventilator, but is in no way intended to replace the medical prescription that is essential for ad-
justing the apparatus according to patient needs.
Training
There are two main types of training:
• training in the use of the ventilator,
• training in the routine maintenance of the ventilator.
Training in the use of the ventilator
Training in the use of the ventilator takes around thirty minutes. It is carried out during installation in
the hospital department by Air Liquide Medical Systems staff or by an authorized Air Liquide Medical
Systems distributor.
This training includes:
• validation of the intended use and description of the ventilator,
• installation and commissioning,
• comprehensive presentation of the operating functions of the ventilator,
• practice on a test lung, adapted to the type of hospital service.
This training can be repeated or covered in more depth at the request of the users, by contacting
the usual Air Liquide Medical Systems representative.
Training in routine maintenance
Training in the routine maintenance of the ventilator takes around thirty minutes. It is carried out dur-
ing delivery to the biomedical department, or during installation in the hospital department by Air Liq-
uide Medical Systems staff or by an authorized Air Liquide Medical Systems distributor. It is intended
for biomedical teams and equipment supervisors in the department.
The training includes daily recommended maintenance practices.
1.4 Brief description of the device
Monnal T60 Advanced can supply tidal volumes from 20 to 2000 mL in volume-controlled mode, and
insufflation pressures from 5 to 60 cmH2O in pressure-controlled mode.
It can also supply FiO2 from 21 to 100%. This is continuously monitored.
It features the following ventilation modes and functions:
•(A)VCV (controlled ventilation or assisted volume-controlled ventilation)
•(A)PCV (controlled ventilation or assisted pressure-controlled ventilation)
•PSV (spontaneous ventilation with inspiratory assistance and PEEP)
•CPAP (Continuous Positive Airway Pressure)
•VSIMV (intermittent assisted controlled ventilation)
•PSIMV (intermittent assisted pressure-controlled ventilation)
•APRV (Airway Pressure Release Ventilation)
8

1 Before use
•PRVC (Pressure-regulated volume controlled ventilation)
•PS-Pro (Spontaneous ventilation with inspiratory assistance, PEEP and servomechanism frequen-
cy)
•Hflow (High flow oxygen therapy)
•CPV (Cardio-Pulmonary Ventilation)
Certain ventilation modes are available in non-invasive ventilation. See Availability of the modes on
page 36.
The device is equipped with an 8.4-inch colour touch screen, an ergonomic control wheel and a func-
tional interface for adjustment of the various settings and ventilation parameters.
Patient environment
During normal use, the patient is lying on a hospital bed with the Monnal T60 device placed close by.
All parts of the medical electrical system are suitable for use in the patient environment.
User position
The human machine interface of the device faces the user so that the user can make the necessary
adjustments with the control wheel and read the information displayed on the screen. The recom-
mended distance depends on the environment, the ambient lighting and the user’s visual acuity. The
back of the device is accessible to the user.
1.5 Symbols and markings on the device
Weight and rated output of product Oxygen cell hatch open
Manufacturer Complies with European Directive
93/42/CEE.
Notified Body No. 0459.
Weight of Monnal T60 Advanced de-
vice
Expiratory valve eject button
Device Catalogue Number
Serial Number of the device
Weight of the complete system
(Monnal T60 Advanced with a rolling
stand, an articulated arm, a humidifi-
er and an oxygen cylinder)
Date of manufacture: YYYY-MM High pressure oxygen inlet fitting
Class II Low pressure oxygen inlet fitting
9

Monnal T60 Advanced - User manual
IRMA™ CO2 probe connector
Patient circuit inspiratory fitting
IP34 Protection Index according to the
EN 60529 standard
3: protection from the penetration of
solid bodies of diameter ≥ 2,5 mm.
4: protection from water splashing
from any direction Patient circuit expiratory fitting
Type BF applied part protects against
defibrillation shocks.
ON button
DC power supply connector
This logo means that the equipment
must not be disposed of through or-
dinary waste channels. It must re-
ceive appropriate end-of-life han-
dling, in accordance with European
Directive 2012/19/EU (WEEE). This
device was manufactured after
13.08.05.
USB connector Internal battery status indicator
VGA video output Auxiliary battery status indicator
Do not let liquid enter this area. Lithium-ion auxiliary battery
Direct current Mains power supply or DC voltage
Alternating current Caution: refer to the user manual.
On the device, the symbol is shown in
blue.
Storage information - Indications on the packaging
Fragile. Handle with care. Keep dry. Do not expose to rain.
Up. Maintain in up position. Stacking limit. Do not stack more
than three boxes.
10

1 Before use
Storage information - Indications on the packaging
Minimum and maximum tempera-
ture.
Minimum and maximum humidity.
Minimum and maximum atmos-
pheric pressure.
Symbols and markings relating to accessories
Universal Device Identi-
fier.
Medical Device.
Specific symbols for IRMA™ CO2 measurement probe
IP44 Protection Index according to the
EN 60529 standard
4: protection from the penetration of
solid bodies of diameter ≥ 1 mm.
4: protection from water splashing
from any direction
Type BF device
1.6 General safety instructions
Use of oxygen
• Precautions in case of oxygen leak:
• No smoking
• Avoid any flame or source of sparks
• Disconnect the oxygen source
• Ventilate room during leakage and at least 20 minutes after leakage.
• Air one‘s own clothing.
• The device must not be in operation near any incandescent source.
• This ventilator must not be used with inflammable anesthetic agents or explosive products.
• Do not use the equipment with helium or helium mixed with another gas.
• The ventilator does not directly administer nitric oxide but can be used concomitantly with a Nitric
Oxide administration system, provided that the manufacturer of the nitric oxide delivery system
has validated its use.
• Do not use the device with components that have been contaminated by inflammable substances
(e.g. grease, oil, etc.).
• The internal components of the device were degreased before delivery or use a type of grease
which is compatible with oxygen. Do not grease or lubricate any part of the device.
• Medical grade oxygen must be used (i.e. dust-free and dry, H2O < 20 mg/m3).
• The supply pressure must be between 280 kPa (2.8 bars) and 600 kPa (6 bars).
• When the device is not in use, it is recommended that you disconnect all oxygen sources from it.
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Monnal T60 Advanced - User manual
Use with a defibrillator
• When using the Monnal T60 Advancedand a defibrillator simultaneously, the defibrillation shock
in the presence of enriched oxygen and combustibles (such as textiles) can cause an explosion or
fire which could injure the patient and bystanders.
• It is recommended to use adhesive electrodes.
• During the defibrillation:
• remove the oxygen mask or the nasal cannula and keep it at least 1 m from the patient’s torso;
• if the patient is intubated, leave the ventilator connected;
• ensure that the oxygen-enriched air at the outlet of the expiratory valve is not facing the patient’s
torso.
Electrical power supply
• Check that the voltage in the mains socket used matches the electrical characteristics of the venti-
lator (indicated on the rear panel of the power supply adapter).
• Use only the mains cable and mains power supply box supplied with the device.
• If an external power supply is used, check that the voltage and current used match the electrical
characteristics of the ventilator (indicated on the side of the ventilator).
• The mains power supply adapter is not protected from splashes of water (IPX0), unlike the device
itself, which complies with IPX4 during battery-powered operation.
• This ventilator is equipped with an internal battery and a removable battery.
• The device must be connected to the mains regularly to maintain the battery charge at a suitable
level.
• In the event of any doubt about the condition of the mains power supply cable, use the device on
its internal battery only.
• If used for long periods with the battery, it is recommended that an additional extractable battery
is kept at hand.
• Do not use antistatic or electrically conductive pipes.
• The user must not touch the patient and the equipment enclosures at the same time.
Internal-battery power supply
The internal battery is only a backup power supply. If the device cannot be connected to an external
power source (primary source), an extractable battery (secondary source) should be used. Using the
internal battery as the main power source can cause ventilation to stop unexpectedly.
IP Protection
To ensure the IP protection level of the device is maintained during normal use, it is essential that all
removable components (air filter, expiratory assembly, O2 sensor cover and the rear plastic panel) are
fitted in place.
Electromagnetic compatibility
• The presence of equipment as diathermy units, high frequency electro-surgical equipment, defibril-
lators and cellular telephones or of electromagnetic interferences exceeding IEC 60601-1-2 levels
in its vicinity may interfere with the normal operation of the ventilator.
• The Monnal T60 Advanced should not be placed next to or on top of this equipment. If such use is
necessary, the Monnal T60 Advanced should be observed together with the other ventilators to en-
sure that they are operating normally.
• Do not use this ventilator in a specifically magnetic environment (MRI, NMR, etc.).
•Monnal T60 Advanced is compliant with the requirements defined in standard EN 60601-1-2 relat-
ing to the electromagnetic compatibility of medical devices. Precautionary measures are required
with this device in terms of EMC and the devices must be installed and put into operation in accor-
dance with the EMC information provided in this user manual.
12

1 Before use
• The replacing of cables or internal components with cables or components that are not supplied
by Air Liquide Medical Systems may result in an increase in emissions or a decrease in the immuni-
ty of the device.
Connection to other electrical devices
• Do not connect the device to other electrical appliances not mentioned in this user manual without
first consulting the manufacturers concerned or a specialist.
• Devices connected to the inputs and signal outputs must comply with the 60601-1 Standard.
Set-up
• The device must not be put into service immediately after storage or transportation where the tem-
perature and humidity were different from the recommended operating conditions.
• Before each use, check that the audible and visual alarms are working correctly and carry out the
checks listed in the appendix (see section “Checklist on page 139).
• The ventilator should not be covered or positioned in such a way that its functioning or perfor-
mance are affected. Always leave some space around the device: for example, never place the
ventilator close to a curtain which could impede the fresh air flow and cause overheating.
• If the Monnal T60 Advanced is installed on the universal support (KA010400), follow the instruc-
tions in the assembly manual. Ensure that the structure or unit (bed rail, for example) onto which
the universal support is mounted can support the weight of the Monnal T60 Advanced.
Use
• The manufacturer has tried to anticipate most of the possible malfunction scenarios of this ven-
tilator, and these are normally monitored by the internal monitoring system. It is nevertheless rec-
ommended, in cases of complete patient dependence, that you provide an additional, fully au-
tonomous system which can be used to check the effectiveness of the ventilation, as well as a
back-up device, such as a suitable manual insufflator.
• Lack of an alternative means of ventilation may result in patient death should the ventilator fail.
• If the accessories used are not compliant with the manufacturer‘s recommendations, the manu-
facturer accepts no responsibility in the event of an incident.
• Do not expose the device to direct sunlight.
• Do not use Monnal T60 Advanced in a hyperbaric chamber.
• The device and its accessories (masks, circuits, etc.) are Latex-free.
• The air inlets located at the back and side of the device must be completely unobstructed.
• To operate the device from ambient air, a Monnal Clean-In (HEPA) filter must be used at the venti-
lator inlet. This filter is recommended by Air Liquide Medical Systems.
• Do not use the ventilator in an explosive or nicotine-laden atmosphere (cigarette smoke, fire, etc.).
• In order to prevent dust from entering:
• between ventilator uses in the bag, close the inspiratory limb cap;
• between ventilator uses in the bag, leave a bacteriological filter or patient circuit on the inspira-
tory outlet of the ventilator;
• during cleaning, leave a bacteriological filter or a patient circuit on the inspiratory outlet of the
ventilator;
• clean the inside of the bag regularly.
Transportation
• During transportation, we recommend that you use the device in its protective carry bag. The case
must be securely fastened in the vehicle using the strap loops provided for the purpose.
• The device must not be subjected to violent impact.
• Use the carry bag recommended by Air Liquide Medical Systems only.
13

Monnal T60 Advanced - User manual
• During transport, the use of Monnal T60 Advanced outside of its bag does not ensure compliance
with EN 13718-1, EN 1789 and EN 794-3 standards.
Risk of cross-contamination
• Reusing single-use accessories or consumables carries the risk of patient cross-contamination.
This risk also arises if reusable accessories or consumables are not disinfected between two pa-
tients.
• The breathing tube, mask, patient circuit, bacteriological filters, expiratory valve, humidification
chamber, CO2 probe or nebulizer adapters are part of the air path and can be contaminated under
normal operating conditions, and in the event of a single fault condition by bodily fluids, secretions
or gas exhaled by the patient.
Maintenance
• This ventilator must be checked regularly. To plan and keep a record of all maintenance, opera-
tions, refer to the maintenance sheet in the appendix.
• The safety of the patient and of users, and the performance of the ventilator, are no longer guaran-
teed in the following cases:
• assembly operations, adjustment of the settings, modifications or repairs not carried out by
trained individuals;
• the electrical installation is not compliant with the specifications defined in this manual and
the regulations in force;
• the Monnal T60 Advanced system is not used in accordance with the user instructions of this
manual.
• The approved technician must use only Air Liquide Medical Systems spare parts when carrying out
routine maintenance of the device.
• Do not use abrasive powders, alcohol, acetone or other easily flammable solvents.
• The device must be disconnected from the mains during any procedure such as maintenance or
cleaning.
Recommendations for aspiration
• Aspiration may be carried out according to different methods: fully unplugging the circuit, opening
a respiratory circuit connection, or closed system.
• When using a breathing tube in a closed system, it is advised to use the PCV mode with the para-
meters adjusted to the patient and, if tolerated, a PEEP of at least 3 cmH2O.
Medical Contraindications
• Certain diseases require appropriate treatment before the ventilator is used. Failure to provide
such treatment may adversely affect the patient's health.
•Monnal T60 Advanced is not appropriate for patients whose weight is very low (premature new-
borns, and newborns under 3 kg).
•Monnal T60 Advanced cannot be used in magnetic resonance imaging (MRI) rooms, unless a suffi-
ciently long circuit is added.
•Monnal T60 Advanced is not intended for hyperbaric ventilation.
• The CPV (cardiopulmonary ventilation, optional) ventilation function is not suitable for children and
newborns.
Recommendations for using the MASIMO IRMA™ CO2 measurement probe
See CO2 option on page 51.
14

2 Description of the device
2 Description of the device
2.1 Terminology Used
The expiratory assembly denotes the expiratory flow sensor and the expiratory valve.
The expiratory valve designates the valve body, the membrane and the silicone discs.
2.2 Front view
1. Handle: To carry the machine easily. 2. Touch screen (8.4 inches)
• Interface between the user and the de-
vice
• Permits adjustment of all ventilation
settings.
3. Alarm indicators
• Illuminates to inform the user that an
alarm has been activated.
• Red fast flashing (2 Hz) = high priority
• Yellow slow flashing (0.5 Hz) = medi-
um priority
• Steady yellow = low priority
4. Control wheel
• This is used to adjust and confirm the
parameters.
5. AC power supply indicator light 6. Internal battery status indicator
7. Extractable battery status indicator
15

Monnal T60 Advanced - User manual
2.3 Handle side
8 9
8. Secondary air inlet
9. Speaker
2.4 Base side
10
10. Electrical connection with the hot wire expiratory flow sensor (expiratory assembly withdrawn)
2.5 Right-hand side: Patient circuit connection panel
16
11
12
15 14 13
11. Cooling vent 12. IRMA™ CO2 probe connector socket
13. Inspiratory circuit connection 14. Expiratory valve eject button
15. Expiratory circuit connection 16. Hot wire expiratory flow sensor
16

2 Description of the device
2.6 Left-hand side: Turbine air inlet panel
1
7
1
8
1
9 20 21
2
4 23 22
17. ON/OFF button 18. Electrical power supply connector
19. Anti-pull cable protection clip 20. High-pressure oxygen inlet
21. Cooling vent 22. Extractable battery housing
23. Low-pressure oxygen inlet 24. Air inlet
2.7 Rear panel
2
5
2
6
25. FiO2 cell
26. Electrical connections for a wall-mounted charging station
17

Monnal T60 Advanced - User manual
3 Installation and commissioning
3.1 Unpacking
Remove the ventilator from the packaging and place it horizontally on a table.
Unwrap the accessories supplied with the ventilator.
CAUTION: Before using on a new patient, and before the first use of this device, you must
clean and disinfect the accessories (see section Maintenance on page 105).
3.2 Items included in the package
1 Monnal T60 Advanced ventilator, including:
• 1 internal battery
• 1 external power supply
• 1 O2 sensor
• 1 Monnal EVA single-use expiratory valve
• 1 single-use expiratory flow sensor
• 1 Monnal Clean’In (HEPA) filter
• 1 user manual
• 1 power cable (2.5 m)
• 1 specific gas connector (according to model)
18

3 Installation and commissioning
3.3 Installation on the wheel stand
Installation example of Monnal T60 Advanced (1) on the wheel stand, with the humidifier (4) and the
oxygen cylinder (3):
44
33
22
11
Note: The articulated arm for the patient circuit is installed on one of the fastening points (2).
System with wheel stand
The Monnal T60 Advanced system and wheel stand (shown as weight B on the label) comprises the
following elements:
•Monnal T60 Advanced
• wheel stand
• articulated arm
• humidifier
• oxygen cylinder
19

Monnal T60 Advanced - User manual
3.4 Electrical power supply
Connect the electrical power supply cable to the ventilator, and then connect it to an AC power supply
socket.
Location of power cable with anti-pull cable protection clip :
CAUTION: Always check that the electrical network is compatible with the specifications in
this manual.
Check that the power cable is not damaged.
CAUTION: Leave enough space behind the device for removing the cord from the power out-
let when stopping the machine.
Note: The power cord enables Monnal T60 Advanced to be disconnected from the power
supply on all poles simultaneously.
3.5 Oxygen supply
To use a mixture with more than 21% oxygen, connect the ventilator’s high- or low-pressure O2 inlet to
a valid source via an appropriate connector.
If this oxygen source is a high pressure transport cylinder, it must be equipped with a pressure reducer
to suit the allowable pressure range (2.8 to 6 bar).
CAUTION: Start by connecting the O2 connection hose to the ventilator before connecting it
to the oxygen network.
CAUTION: Check the capacity of the oxygen cylinder before using the ventilator.
20