Allied Healthcare MCV200 User manual

S168-567-001 Manual
Rev. C 1
Mass Casualty Ventilator
Models: MCV200 & MCV200-B
Pneumatic and Electrically Powered Ventilator
St. Louis, MO 63110
Phone [phone]

2
Table of Contents:
Section
Description
Page
1
Product Description
3
2
Explanation of Warnings
4
3
Explanation of Abbreviations
4
4
Symbols
4
5
Specifications
5 - 6
6
Features
7
7
Operating the MCV200 and MCV200-B
8 - 13
8
Alarms
14 - 15
9
Power Connections
16
10
Battery Charging
17
11
Cleaning
17
12
Check Out Procedure
18 - 19
13
Maintenance
20 –23
14
Fuse Replacement
24
15
Accessories
25 - 26
16
Oxygen Cylinder Depletion Times
27
17
Table:
Approximate VtSetting based on Height
28
18
Altitude Conversion Chart
29
19
Warranty
30
20
Applicable Standards
31
Models:
MCV200 Mass Casualty Ventilator Basic Model
MCV200-B Mass Casualty Ventilator with O2Mixing
CAUTION: Federal law restricts this device to sale by or on the order of a
physician.
CAUTION: The Mass Casualty Ventilator should not be used on children with a
weight of 20 kg (44 lbs) or less.
Each MCV200 (-B) includes the following:
1 Ventilator
1 Patient Circuit
1 Power Cord
1 Oxygen Hose
2 Straps, Velcro
1 Instruction Manual

3
1. Product Description:
The Mass Casualty Ventilator (MCV200) is a multi powered portable ventilator.
The MCV200 has the capability of being powered by one of five (4) independent power
sources. The power sources are:
1) A 50 psi (344 kilopascal, 3.45 bar) oxygen / gas source.
2) Internal 12 VDC battery.
3) Input Voltage 115 to 230 VAC: 50 to 60 Hz.
4) Optional External battery pack.
The MCV200 delivers a time cycled constant flow breath. The breath volume (Tidal
Volume) is adjustable from 200 ml to 1200 ml. The inspiratory time has a separate
control setting and is available at either 1.0 second or 2.0 seconds. The Breaths per
Minute (BPM) also has a separate control setting and is adjustable from 8 to 28. The
MCV200 can deliver breaths to the patient using internal compressors as well as an
external high pressure (50 psi (344 kilopascal)) gas source.
The MCV200 and MCV200-B are intended to be used on patients weighing greater than
20Kg (44 lbs). The ventilator is intended to be used in the environments associated
with emergency medical services (EMS), inter-hospital transport and hospital facility
usage. The MCV200 and MCV200-B ventilators are intended to be used as an
emergency ventilator, which is designed to provide emergency respiratory support by
means of a face mask or tube inserted into the patient’s airway.
Biocompatibility testing has proven this unit safe for periods up to 14 days of continuous
use. Results beyond this time are not known.
Warning: The MCV200 and MCV200-B are not MRI compatible.
Caution:
Federal law restricts this device to sale by or on the order of a
physician.
Caution:
The MCV200 and MCV200-B should not be used on children
with a weight of 20kg (44 lbs) or less.

4
2. Explanation of Warnings:
Warning:
Potential injury to the patient exists.
Caution:
Potential damage to the ventilator, breathing circuit or other
equipment may result.
Warnings and cautions should be read and understood before operating this ventilator.
3. Explanation of Abbreviations:
Tv
Tidal Volume
BPM
Breaths per Minute
It
Inspiratory Time
Psi
Pounds per Square Inch
cm H2O
Centimeters of Water
Kpa
Kilopascal
ml
Milliliters
LPM
Liters per minute
mm
Millimeters
LED
Light emitting diode
CPR
Cardio Pulmonary Resuscitation
LPA
Low pressure alarm
HPA
High pressure alarm
RH
Relative Humidity
4. Symbols:
Degree of protection against electric shock: Type BF
Caution, Consult accompanying documents
% Relative Humidity: 5 to 95%
Non-Condensing
Temperature Range: 0°F to 122°F Operating
-40°F to 140°F Storage
On/Off

5
5. Specifications:
A. Gas Supply Pressure: Oxygen DISS
40.6 psi to 87.0 psi
280 Kpa to 600 Kpa
2.8 Bar to 6.0 Bar
B. Breaths per Minute (BPM): Accuracy: ±10%.
BPM Range: 8 to 20 with 2 second Itime.
BPM Range: 9 to 28 with 1 second Itime.
C. Tidal Volume (Tv): Tidal Volume Range = 200ml to 1200ml.
Accuracy: ±10% with 100% Oxygen, ±12% blended mode (model –B).
±10% with 100% Air.
D. Inspiratory Time (It): Accuracy: ±10%
User adjustable. 1.0 Sec. or 2.0 Sec.
E. Airway Pressure Relief: Adjustable from 5 to 80 cm H2O ±10%. The 60 cm
H2O mark indicates the airway pressure will not exceed 60 cm H2O regardless of
tidal volume setting.
F. Low Source Gas Alarm: Activates at 275 to 248Kpa (40 to 36 psi) source
pressure.
G. Electronic Alarms:
High Airway Pressure Alarm Range 15 to 80 cm H2O.
High Airway Pressure Alarm Accuracy ± 5 %.
High Airway Pressure Alarm activates immediately if tripped.
High Airway Pressure Alarm Sound Level is greater than 60 decibels.
Low Airway Pressure Alarm Range 0 to 30 cm H2O.
Low Airway Pressure Alarm Accuracy ± 5 %.
Low Airway Pressure Alarm activates 15 seconds after tripped.
Low Airway Pressure Alarm Sound Level is greater than 60 decibels.
H. Battery Life: Run time at room temperature 21°C (70+5°F), BPM=10, and Tidal
Volume=600ml.
a. 100% O2: (60 hours for display & alarms) Battery not included.
b. 65% O2: (60 hours for display & alarms) Battery not included.
c. 100% AIR: 7 hours
I. Oxygen Inlet Filter: 65 Micron sintered bronze.
J. Burst Pressure: 145 psi (1000 Kpa) minimum through oxygen inlet.
K. Leakage: The unit shall be designed so that oxygen is not allowed to leak
through any seals or fittings.

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L. Gauge: 0-99 cm H2O (0 –9.8 Kpa) accuracy ± 5%.
M. Inspiratory and Expiratory Resistance: 5 cm H2O (.5Kpa) maximum.
N. Inadvertent PEEP: < 2 cm H2O.
O. Inadvertent Continuing Expiratory Pressure: < 2 cm H2O.
P. Dead Space: < 5.5% of minimum tidal volume.
Q. Peak Inspiratory Flow: 100 LPM for 2 seconds.
R. Pressure for Initiation of Spontaneous Breath: -2 cm H2O maximum.
S. Manual Breath: Delivers one breath per the breath control settings (Vt, Itime,
BPM).
T. Oxygen Blending:65% ±12% oxygen with bender.
U. Weight:
a. MCV200 7.7 Kg (17.0 Lbs).
b. MCV200-B 7.8 Kg (17.2 Lbs).
V. Size: 88.9 x 261.1 x 368.3 mm (3.5 x 10.3 x 14.5 inches).
W. Operating Conditions: -18C to 50°C (0 to 122°F).
5% to 95% non-conducting relative humidity.
X. Storage Conditions: -40 to 60°C (-40 to 140°F)
5% to 95% non-conducting relative humidity.
Y. Shipping Conditions: -40 to 60°C (-40 to 140°F)
5% to 95% non-conducting relative humidity.
Z. Electrical Rating: 115/240 Volt 50/60 Hz 2 amp.
AA. Connections: CGA V5 O2DISS Input.
ISO 5356 22mm Output.
Latex Free: This product does not contain latex.

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6. Features:
Item #
Description
Item #
Description
1
Tidal Volume Control
12
Air Inlet
2
Inspiratory Time
13
Alarm Module Battery Status
LED
3
BPM Control
14
Anti-Suffocation Valve
4
On/Off Switch
15
Patient Circuit Connection
5
Alarm Silence Button
16
Adjustable Airway Pressure
Relief
6
Alarm LED Indicator
17
Low Source Gas Indicator
Pop-up
7
AC Power Inlet
18
Manual Breath Button
8
High Airway Pressure Alarm
Adjustment
19
Oxygen Inlet
9
Auxiliary 12V Power Inlet
20
Manometer
10
Low Airway Pressure Alarm
Adjustment
21
Delivery Gas Selection Switch
11
LCD Display
22
O2Concentration selector
22
17
Model Shown: MCV200-B
19
1
2
3
4
5
6
7
8
9
10
21
20
18
12
13
11
15
16
14

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7. Operating the MCV200 and MCV200-B:
Warning: This device should only be operated by qualified personnel
under approved medical direction.
Warning: Use only as directed. Improper usage or unauthorized
modification of this product may result in user or patient injury.
The MCV200(-B) is intended to be used as a pneumatically/electrically powered
emergency ventilator, which is designed to provide emergency respiratory support by
means of a face mask or tube inserted into the patient’s airway. The ventilator is
intended for use on patients weighing greater than 20kg (44lbs). The ventilator is
intended to be used in temperatures of -18C to 50C (0F to 122F) and 5% to 95% RH
non-condensing.
Prior to use, first read and understand the instruction manual and then follow the check
out procedure.
Connecting to an Oxygen Source:
Located on the right side of the MCV200 is a Diameter Index Safety System (DISS)
fitting. Connect a 50 psi (344 kilopascal) oxygen source with a minimum of 40 LPM flow
capacity to this fitting.
Warning: Proper tidal volumes may not be provided with a gas source
not meeting the specified requirements. See section 4 Specifications.
Warning: This device operates with medical gases under pressure,
including oxygen. Do not use this device while smoking or near open
flames. Do not use on this device or operate near flammable materials.
Warning: Do not use this device in the presence of flammable
anesthetics.
Warning: Verify that there are no noticeable leaks after connection to
the 50 psi (344 kilopascal) Oxygen source.
Caution:
Caution: In order to provide optimal performance, check all gas
supplies to assure only medical grade gas is used.
Vent
Do Not Block
Sintered Bronze
Filter
(non-serviceable)_
DISS Oxygen
Source
Connection

9
The gas source may also be a high flow air/oxygen blender meeting the flow and
pressure requirements. Use only the 100% oxygen setting on the MCV200-B, if using
an external blender. This will ensure that the gas delivered from the ventilator has the
same oxygen concentration as the gas delivered to it by the external blender.
Connecting the patient breathing circuit:
Located on the right side of the unit is a 22mm connection for a patient breathing circuit.
Install the corrugated tubing over the connector so that it fits on securely. The tubing
will not pull off easily when properly installed.
Warning: Do not use unapproved patient circuits as loss of
performance may result.
Warning: Do not occlude the anti-suffocation valve. This will prevent
the patient from getting outside air if spontaneously breathing.
Select the desired Breaths per Minute (BPM):
The MCV200 has a BPM range of 8 to 20 or 9 to 28 based on Inspiratory Time. The
American Heart Association Guidelines 2005 recommend a BPM rate of 8 to 12 for an
adult and 12 to 20 for a child. These are recommendations and you should always
follow your physicians or medical directors’ instructions. Select the desired BPM by
turning the BPM control knob.
For “AIR” mode, turn the BPM control knob until the desired BPM setting is displayed on
the LCD screen.
Select the desired Inspiratory Time.
The MCV200 can be set for an Inspiratory Time for either 1 or 2 seconds. Set the
desired Inspiratory Time by turning the Inspiratory Time control knob. The set
Inspiratory Time will be displayed on the LCD display.
Anti-Suffocation valve
Do not occlude!
Patient Connection

10
Select the desired Tidal Volume:
The MCV200 provides a Tidal Volume range of 200 –600 at an Inspiratory Time of 1.0
second and a range of 400 –1200 at an Inspiratory Time of 2.0 seconds. Select the
desired Tidal Volume by turning the Tidal Volume control knob.
For “AIR” mode, turn the Tidal Volume control knob until the desired Tidal Volume
setting is displayed on the LCD screen.
Warning: Should a mechanical problem develop or the patient appears
to be experiencing difficulty breathing while connected to the unit,
disconnect the unit immediately and ventilate by other means.
Warning: Units that have been stored at temperatures below 32°F
(0°C) may have up to a 20% shift in settings when they are operated at
these low temperatures. The readings will return to normal when the
unit warms up. Always monitor patients when the unit is used under
these conditions.
Select the desired gas supply.
The MCV200 provides the operator with delivering to the patient, either oxygen (if
available) or air (provided by on-board compressor pumps). Even if pressurized oxygen
is connected to the unit, the operator can select “Air” as the delivery gas. In the “Air”
mode, the compressor pumps will deliver the selected Tidal Volume, Inspiratory Time
and BPM to the patient using ambient air through the Inlet Filter connection. In the
“Oxygen” mode, the unit will use the pressurized oxygen to deliver oxygen (at the set
concentration) to the patient at the selected Tidal Volume, Inspiratory Time and BPM.
The MCV200 is designed so that each power source is independently capable of
delivering the set breath parameters (Tidal Volume, Inspiratory Time and Breaths per
minute) to the patient. For example: With a 50 psi (344 kilopascal) oxygen source
connected and the Gas Supply switch in the Oxygen position, the unit does not require
any electrical power. The unit will deliver the selected breath parameters (Tidal
Volume, Inspiratory Time and Breaths per minute) to the patient. The unit will continue
to provide basic alarm features, however, with the electrical power turned off, the added
benefit of additional alarm monitoring is disconnected.
During “Oxygen” mode with the electronics turned OFF:
The following basic alarm features are active.
1. A High Airway pressure relief. Excess pressure will be vented from the patient
airway when the airway pressure exceeds the set Airway Pressure relief setting.
2. An audio High Airway alarm (whistle)
3. A visual Low Source Gas alarm (Red colored Pop-up)
4. An audio Low Source Gas alarm (whistle)
During “Oxygen” mode with the electronics turned ON:
In addition to the basic alarm features mentioned above, the following alarms and
features are active.
1. Visual read out of the breath parameters via the LED screen.
2. An independent monitoring of High Airway pressure.

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3. An independent monitoring of Low Airway pressure.
4. Auto switch feature to Air mode if the oxygen source should run out or be
interrupted.
For a full description of the alarms, see Alarms Section of this manual.
Select the desired Gas Mixture: (Optional Oxygen Mixing)
On models equipped with a Oxygen Mixer you can select either 100% or 65% oxygen.
Set the Oxygen Mixer Switch to the desired gas concentration. On the 65% oxygen
setting, the ventilator uses a venturi blending system draw in ambient air and mix with
the medical oxygen source. The ambient air is drawn in through the inlet filter located
on the left side of the unit. The resulting Tidal Volume is a mixture of ambient air and
oxygen.
Patients with high compliance lungs or excessively restrictive airways may diminish the
performance of the venturi thereby altering the actual Tidal Volume being delivered.
Under these conditions, the 100% O2setting will ensure full Tidal Volume delivery.
This feature is not available if the Gas Selection Switch is in the “Air” mode.
Warning: Do not use the Air or 65% Air/Oxygen mixture in areas
where the ambient air is not safe for breathing.
Verify the Pressure Relief Setting:
This unit has an adjustable pressure relief range with a marked setting of 60 cm H2O.
At this setting, the airway pressure will not exceed 60 cm H2O regardless of vent
settings. Adjustment above or below this marked setting will result in a corresponding
higher or lower maximum airway pressure. The pressure relief setting will vary slightly
with tidal volume setting. Always verify the pressure relief pressure after the vent
settings have been selected. To check the actual relief pressure, block the end of the
ventilator breathing circuit and observe the reading on the airway pressure gauge. This
will be the maximum airway pressure. You should hear an audible alarm as this
maximum pressure is reached.
Warning: Preset tidal volumes may not be delivered when the
maximum pressure limit is reached. Inspiratory times will remain
constant, however no additional tidal volume will be delivered after the
pressure limit is reached.
Connect the patient breathing circuit to the Patient:
The patient breathing circuit has been design to fit with an oxygen mask (22mm outside
diameter) or endotracheal tube (15mm inside diameter). Follow the established
guidelines for maintaining the patient’s airway.
Verify the patient is receiving good ventilation:

12
Once the patient is connected to the ventilator the patient should be observed to make
sure adequate chest rise and fall is achieved. The chest rise should be even and
should return to a normal position. If the patient does not have adequate chest rise
check the tidal volume setting, patient connections and examine the patient for a
possible obstruction of the airway or other injury. The patient should be monitored to
make sure they are receiving proper ventilation.
The airway pressure LCD display and the unit manometer should be observed to make
sure the patient is receiving adequate positive pressure ventilation. If the LCD display
or manometer reading is low during the delivery of a breath and the chest rise is also
low, check the tidal volume setting, patient connections and examine the patient for a
possible obstruction of the airway or other injury. The LCD display and manometer
reading should also be observed to make sure it is not too high. Common numbers
used in practice are a maximum of 20 cm H2O for an unprotected airway and 30 cm
H2O for a protected airway. Higher pressures may be required based on the patient’s
condition and you should always follow the physician’s instructions. A high reading with
pressure limit alarm may indicate a blocked airway or a stiff lung.
Spontaneous Breathing by the Patient:
Should the patient begin to breathe spontaneously the MCV200(-B) will sense this
breath and deliver the set tidal volume at the set inspiratory time. The breath timing will
be reset based on the selected BPM rate. For example, if 10 BPM was selected, the
next breath will be delivered 6 seconds after the start of the spontaneous breath.
The gas flow rate to the patient during a spontaneous breath is based on the tidal
volume selection as shown in the following table. Should the patient demand exceed
the gas flow rate, the additional demand will be supplied by ambient air. Ambient air is
pulled in through an anti-suffocation valve located in the breathing circuit connection
fitting.
Warning: Do not occlude the anti-suffocation valve. This will prevent
the patient from getting outside air if demand during spontaneous
breathing exceeds unit output.
Tidal Volume Setting
(ml)
Approx.
Flow
(LPM)
200
12
400
20
600
25.7
800
30
1000
33.3
1200
36

13
Manual Breaths:
Manual breaths may be delivered using the manual breath button. Each time this
button is pushed the ventilator will deliver one breath with the selected tidal volume.
This button can be used to deliver breaths during CPR. The unit will deliver only one
breath per the ventilator settings when the button is pushed and released. The button
must be released and pushed again to deliver a second breath. The ventilator breath
timing is reset when the button is pushed.
This button should be pushed and released as soon as the desired breath starts.
If the button is held down longer than the inspiratory time the tidal volume will be based
on the time the button is held down and will exceed the set value. The pressure relief
may trigger if this happens.
Caution: Holding the manual breath button down for more than 1
second may trigger multiple breaths or increase the delivered tidal
volume.

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8. Alarms:
a. Pneumatic
Airway pressure Relief:
The pneumatic Airway Pressure Relief alarm is an audible alarm that is actuated when
the set airway pressure is reached. This alarm indicates that the maximum airway
pressure relief setting has been exceeded and that gas has been released to prevent
the airway pressure from reaching levels above this setting. An audible whistle will
activate if this alarm is activated.
Warning: Preset tidal volumes may not be delivered when the
maximum pressure limit is reached. Inspiratory times will remain
constant, however no additional tidal volume will be delivered after the
pressure limit is reached.
Pneumatic Low Source Gas alarm:
The Pneumatic Low Source Gas alarm is an audible (whistle), and a visual alarm (red
pop-up) that activates when the source gas pressure drops below 40 to 36 psi. This is
an indication that the unit will stop functioning soon and may not be delivering proper
tidal volumes. The alarm will clear when proper source gas pressure is restored.
b. Electronic Alarms
The electronic alarms will give an audible and visual alert for the following alarms:
Low Source Gas
High Airway Pressure
Low Airway Pressure
Low source gas alarm:
Low source gas alarm is an audible (intermittent tone), and a visual alarm (flashing
LED) and an alarm message will appear in the LCD window. The alarm will activate
when the source gas pressure drops below 40 to 36 psi. This is an indication that the
unit will stop functioning soon and may not be delivering proper tidal volumes. If the
source gas continues to fall below 40 to 36 psi, the unit will automatically switch to air
mode (if the electronics are turned on). The compressors will then provide breaths
based on the current breath control settings.
To clear the alarm, you must press and hold the Silence button until the alarm clears.
Warning: Preset tidal volumes may not be delivered when the low
source gas pressure is reached.
High airway pressure:
High airway pressure alarm is an adjustable alarm that will immediately activate if the
pressure exceeds the selected pressure. This alarm operates independently from the
pneumatic pressure relief alarm. This alarm can be set at a pressure of 15 to 80 cm

15
H2O. This alarm may be used to monitor a change in the patient’s condition such as
fluid collecting in the lungs or a partial obstruction of the airway. This alarm is
automatically cleared when 12 seconds pass without a high airway pressure being
detected. When activated, the alarm LED will blink red, the audible alarm will sound in
a continuous tone, and the High Airway Alarm setting on the LCD display will blink.
Low Airway Pressure:
The low airway pressure alarm is an adjustable alarm that will activate if the airway
pressure does not exceed a minimum value. The alarm can be set at a pressure from 0
to 30 cm H2O. This alarm may be used to indicate a potentially insufficient tidal volume
or a patient disconnect. The airway pressure must exceed the low pressure set point at
least once every 15 seconds. When the alarm is activated, the Low Airway Pressure
alarm LED will blink RED and the buzzer will sound an intermittent tone or “beep” and
the Low Airway setting on the LCD display will blink. The alarm will automatically clear
when the airway pressure goes above the set point.
Silence Button: When there is an alarm the user may press the silence button. This
will turn off the buzzer for 110 seconds as long as there are no other alarms. Pressing
this button will not clear the alarm LED’s.
Low Battery Power:
A low battery alarm will be indicated by a continuous red LED light next to the ON/OFF
power button. The LED will light green when the unit is turned on and the battery level
is sufficient for proper ventilator function. When the battery is critically low, this light will
flash red indicating the ventilator may stop functioning soon. The battery level is also
indicated on the LCD display. When the low battery indicator is present, the unit needs
to be plugged in to an AC source for recharging the internal battery or may be
connected to an auxiliary 12 volt power supply battery pack.
See section titled Accessories.
High Airway
Alarm
Low Airway
Alarm
Battery Level
Indicator
Low Source
Gas Indicator

16
9. Power Connections:
Warning: Grounding reliability can only be assured when the
equipment is connected to an equivalent receptacle marked “Hospital
Only or Hospital Grade”.
AC POWER INLET AND AUXILIARY BATTERY PACK CONNECTION
An AC power source (115/240 Volt 50/60 Hz) may be connected to the unit using the
connector as shown above. The unit has an automatic voltage selecting power supply
and does not require any special setting for the voltage or power frequency (Hertz).
The unit will automatically charge the internal battery when connected to an AC power
source. Plugging in the unit during breath delivery may affect the volume of the breath
delivered. Plug the unit in between breaths.
Connecting the auxiliary power source is done by first aligning the keyed connector with
the keyed inlet on the unit and then inserting the connector into the inlet. To remove the
auxiliary power supply, twist the connector counterclockwise and then pull the connector
straight out of the socket. Contact manufacturer for approved auxiliary power source.
Warning: The MCV200 unit may reset when connecting or
disconnecting the auxiliary power. If this occurs, the MCV200 will
quickly and automatically return to normal operation.
Warning: Auxiliary power connection is keyed. Make sure that
connectors are properly aligned before insertion, do not force.
AC Power Connection
with Fuse Holders
Auxiliary Power
Connection
(Battery Pack)

17
10. Battery Charging:
If the internal battery has run down and the unit stops operating, the unit may be
connected to AC to restore operation. The unit will charge automatically when
connected to an AC power source. The unit will charge the battery only when
necessary and can be left plugged in at all times. To keep the battery at full capacity,
it is recommended to leave the unit plugged in at all times. If the auxiliary battery is
plugged in the unit will only charge the auxiliary battery. The recharge time for the
internal battery is less than 5 hours when the unit is OFF (the recharge time is
approximately 10 hours when in use).
11. Cleaning:
The MCV200(-B) should be cleaned after each use. When cleaning the MCV200, keep
the gas supply hose on the unit to prevent contamination of the oxygen circuit.
Warning: Cleaning procedures should be performed in an environment
free of oil and petroleum based products.
The MCV200(-B) has been designed to be water resistant but the unit cannot be
submerged or sprayed down for cleaning.
Wipe the unit down with a damp towel containing a mild detergent to remove any
residue from the surface. Once the residue has been removed the unit should be wiped
with isopropyl alcohol or a cold disinfecting solution to kill bacteria. The unit should then
be wiped down with water to remove any film left by the cold disinfecting solution. Make
sure the unit is dry before putting the unit away. The following is a list of tested cleaning
solutions:
1. Isopropyl Alcohol: 70% IPA
2. Alconox I Tablespoon Alconox to 1 Gallon H2O
3. Cetylcide: 2 Tablespoons Cetylcide to 1 Gallon H2O
4. Bleach: 10% Bleach in H2O
Warning: Do not attempt to clean and re-use single patient
ventilation circuits as loss of performance may occur.
Dispose of single patient use items per local biohazard standards.

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12. Check out Procedure:
1. Set the MCV200(-B) to the following settings:
BPM = 10 (White number).
Inspiratory Time = 2 Sec (White Letters).
Tidal Volume = 800 ml (White Numbers).
Gas Supply = Oxygen.
Oxygen Mixer (if equipped) = 100% O2.
Airway Pressure Relief = Turned full clockwise.
Do not turn on the electronics at this time.
2. Visually inspect the anti-suffocation valve in the Patient Connection outlet fitting
to verify that it is laying flat against the inside of the fitting.
3. Connect a 50 psi (344 kilopascal) oxygen source to the unit, turn the gas supply
on and the ventilator should begin to cycle.
4. Using a watch, count the number of complete ventilator cycles delivered in 1
minute. The unit should deliver 10 breath cycles. The inspiratory time will be 2.0
seconds and the expiratory time will be 4.0 seconds.
5. Set the airway pressure relief to 60 cm H2O and occlude the Patient Circuit
connection fitting. The pressure on the manometer / gauge cannot exceed 60
cm H2O. You should also hear an audible whistle to signal the pressure relief
has actuated.
6. Push and release the manual breath button between breath cycles and a breath
should be triggered. The breath cycle will be reset to the current expiratory time.
7. Turn on the electronics by pushing and release the Power On/Off button.
a. Set the Alarm Settings as follows:
i. High Airway to maximum setting (full clockwise).
ii. Low Airway to minimum setting (full counter-clockwise).
b. Both LED lights should momentarily blink RED then the power LED should
stay on as GREEN. The Alarm LED should turn off.
c. The LCD display should turn on and display all of the parameters on the
LCD label.
8. With the gas supply switch in the “Oxygen” position, turn the source gas off.
a. The low gas indicator (next to the Manual Breath button) will pop up red.
b. An audible whistle will sound.
c. A “O2Low” message will appear on the LCD display.
d. The ALARM LED will flash.
e. The on-board pumps will automatically turn on and continue the breath
cycle.
f. Press and hold the silence button until the “O2Low” alarm message
disappears from the LCD.

19
9. Set the Low Airway alarm to 10 cm H2O (as shown on the LCD display).
a. Ensure the Patient Connection port has no obstructions.
b. The Low Airway alarm will sound and the Alarm LED will flash in about 15
seconds.
c. Press the Silence button and the alarm will silence.
d. Turn the Low Airway alarm setting full counter-clockwise (to zero) and the
alarm will cancel.
10.Set the High Airway alarm to 30 cm H20 (as shown on the LCD display).
a. Occlude the Patient Connection fitting.
b. The High Airway alarm will immediately sound during breath delivery and
the Alarm LED will flash.
c. Press the Silence button and the alarm will silence.
d. Turn the High Airway alarm setting full clockwise and the alarm will cancel.
11. Turn off the unit by pressing the On/Off button.
12. Clean the unit after each use.
Should the unit fail any of the tests contact Allied Healthcare Products, Inc. Technical
Support Center at 800-441-5136.
Always store the ventilator in a clean dry place.

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13. Maintenance:
The following section provides information on basic maintenance as well as annual
maintenance schedules and procedures for stockpiled ventilators. If this ventilator is to
be used regularly, we recommend performing the “Verification of Calibration and
Function” annually.
Particle Filter Replacement:
The MCV200(-B) contains a particle filter located inside the air inlet on the side of the
unit. This filter cleans the ambient air drawn in by the compressors and also cleans the
air used in the function of the Oxygen Mixer. This filter should be checked every 4
months and changed / cleaned if dirty. To replace the filter, remove the protective
screen by prying off with a dull flat tool. Once the screen is removed the filter can be
removed cleaned or replaced. Clean by rinsing in clean water and allow to dry.
Battery Maintenance:
The MCV200(-B) battery level should be checked every 4 months to insure proper
function. If not kept on a continuous charge, charge the battery at this time. If the
battery does not reach full charge within a maximum of 5 hours, the battery should be
replaced at that time. Every 3 years, the battery in the unit should be replaced. This
battery must be disposed of as required by local ordinances.
Comprehensive Maintenance:
Every six years, the units should be sent to a qualified service center for a
comprehensive maintenance.
If problems are noted with this product, contact the Allied Healthcare Products, Inc.
Technical Support Center for assistance at 800-411-5136.
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