Allied MCV100 Installation guide

Operation and Maintenance of the
MCV100 and MCV100-B
Portable Ventilator
1

Applications of the MCV100(B)
•The MCV100 and MCV100-B Mass Casualty Ventilators are electronically
controlled portable ventilators, designed to provide emergency respiratory
support by means of a face mask or an endotracheal tube inserted into a
patient’s airway.
•The MCV100 and MCV100-B differ only in that the MCV100-B offers a 60%
air mix source gas selection. All other features and functionality is the same.
Within this presentation, we will refer to the ventilators collectively as
MCV100(B), meaning the MCV100 and MCV100-B
•The MCV100(B) are volume controlled ventilators that deliver timed-cycled
constant flow breaths.
•The MCV100(B) are all-weather ventilators suitable for use at the scene of a
medical incident, as well as in pre-hospital, intra-hospital, and inter-hospital
transport.
•The MCV100(B) have been designed to withstand direct exposure to rain, up
to 100G shock and vibration, and drops of up to 1 meter.
•These ventilators are intended for use on patients weighing greater than
20kg, or 44 lbs.
2

Overview of Controls and Settings
3

Ventilator Connections
Patient Circuit Connection
•To attach the breathing circuit, press the open end of a three-
foot circuit with one-way valve firmly onto the 22 mm
patient circuit connection.
•The circuit connection will accommodate any standard 22 mm
internal diameter ventilation circuit with one way valve,
although the MCV100(B) has been tested and approved using
the Allied three-foot breathing circuits with one-way valve.
4

Ventilator Connections
Patient Circuits
•Allied offers several affordable three-foot circuit configurations to meet
the caregiver’s requirements.
•All circuits contain three feet of corrugated tubing, a one-way duck-bill
valve, and a swivel connector capable of accepting a mask or an ET tube.
•Optional configurations incorporate a pre-packaged cuffed mask and/or
a bacterial exhalation filter.
•The following part numbers represent the various pre-packaged
configurations and accessory items offered.
Three-Foot Circuit Configurations for EPV100 Portable Ventilator
Allied Part #
Case Quantity
L599-140
3 foot circuit, One Way Valve, Swivel Connnector, Adult Cuffed Mask, Exhalation Filter
10
L599-190
3 foot circuit, One Way Valve, Swivel Connnector, Exhalation Filter (No Mask)
10
L599-130
3 foot circuit, One Way Valve, Swivel Connnector, Adult Cuffed Mask (No Filter)
10
L599-180
3 foot circuit, One Way Valve, Swivel Connnector (No Mask or Filter)
10
Circuit Accessories Available From Aliied Healthcare Products, Inc.
Allied Part #
Case Quantity
LPEEP
Adjustable PEEP Valve, 0-20cm H2O
12
L599-200
Exhalation filter
10
L595161-10
Adult Oxygen Mask
10
L595162-10
Child Oxygen Mask
10
5

Patient Circuit Connections
Overview of Allied Patient Circuit Connections
6

Patient Circuit Connections
Fitting of PEEP Valve and Mask or ET Tubes
•An External PEEP valve may be fitted to the expiratory port of
the patient circuit, allowing adjustable PEEP from 0-20 cm
H2O.
•The swivel connector on the three-foot Allied patient circuit
features a 22 mm universal adaptor that will accept a
standard cuffed mask or endotracheal tube.
•To fit the mask or ET tube, press the end of the mask or tube
into the open end of the swivel connector.
•The patient circuit also contains a removable access port.
Ensure that this port is closed during ventilation to prevent
loss of airway pressure.
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Ventilator Connections
Oxygen Connection (if O2is available)
•A 40-80 psi compressed oxygen source can be connected to the MCV100
to deliver 100% oxygen to the patient. 100% or 60% oxygen can be
delivered to the patient with the MCV100-B.
•Connect a compressed oxygen source by attaching one end of an oxygen
hose to the oxygen DISS inlet shown above, and then connecting the other
end to an oxygen regulator, or hospital or ambulance oxygen outlet.
•Ensure that the oxygen source is pressurized and delivering oxygen.
•Ensure that the unit is set to 100% O2on the MCV100, or 100% or 60% O2
on the MCV100-B
MCV100 -B Source Gas Selection
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Controls and Settings
Breaths Per Minute Adjustment
•Adjustable from 8-20 Breaths Per Minute
•Adjust with BPM knob and verify setting on LCD display
•Recommended AHA guidelines for ventilation
–Adult: 8-12 BPM
–Child: 12-20 BPM
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Controls and Settings
Tidal Volume Adjustment
•Adjustable from 200-1200 ml in 10 ml increments
•Adjust with Tidal Volume knob and verify setting on LCD
display
•Approximate Tidal Volume settings at 10ml/Kg
Tidal Volume (ml)
200
300
400
500
600
700
800
900
1000
1100
1200
Ideal Body Weight (Kg)
20
30
40
50
60
70
80
90
100
110
120
Ideal Body Weight (lbs.)
44
66
88
110
132
154
176
198
220
242
264
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Controls and Settings
Inspiratory Time
•The Inspiratory time automatically varies with the set tidal volume.
•The unit delivers the following I-time at these tidal volumes.
•The I-time delivered is displayed in the bottom right corner of the
LCD display.
Tidal Volume
(ml)
200
300
400
500
600
700
800
900
1000
1100
1200
Inspiratory Time
(seconds)
1
1.1
1.2
1.3
1.4
1.5
1.6
1.7
1.8
1.9
2
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Controls and Settings
Source Gas Selection: MCV100
•The MCV100 has source gas selections of 100% O2 or 100% air.
•The 100% air selection should be used when no compressed oxygen source is available.
•The 100% air setting will utilize the internal compressors to ventilate using ambient air
drawn in through the air intake or 40mm NATO filter (if equipped).
•The 100% O2selection should be used if the ventilator has been supplied with
compressed gas at 40-80PSI from portable oxygen cylinders, Ambulance oxygen outlets,
or hospital oxygen outlets
•If 100% O2(or 60% O2 MCV100-B)is selected and the supplied source gas should run
low, the LCD will display an O2 Low alarm. If after 1 minute the supplied source gas
pressure is still low, the MCV100 will automatically begin to ventilate using ambient air..
•Once a sufficient compressed gas source is restored, the MCV100 will revert back to
supplying 100% O2.
MCV100 Source Gas Selection 12

Controls and Settings
Source Gas Selection: MCV100-B
•The MCV100-B has source gas selections of 100% O2, 100% air, or the 60% O2air
mix feature.
•The 100% O2and 100% air selections function the same as on the MCV100.
•The 60% O2selection entrains ambient air through a venturi to conserve
compressed oxygen by approximately 50%.
•In 60% O2or 100% O2mode, the ventilator does not use the internal compressors
and battery life is extended to 21 hours under normal ventilation parameters
MCV100-B Source Gas Selection
13

Controls and Settings
Adjustable Airway Pressure Relief
•The MCV100(B) have an effective adjustable airway pressure relief range of
between 5 and 60 cm H2O.
•The adjustable airway pressure relief allows the user to limit the maximum airway
pressure delivered via an adjustable pop-off valve.
•Note that this is not a direct control of the airway pressure, but rather an upper
limit control. Therefore it is adjusted by viewing the current maximum airway
pressure on the LCD screen, and adjusting the knob to limit this maximum airway
pressure.
•The set maximum airway pressure is dependent on tidal volume; therefore, any
change in these settings will alter the maximum airway pressure.
Adjustable Airway Pressure Relief Control
14

Controls and Settings
Adjustable Airway Pressure Relief (continued)
•When the delivered airway pressure is greater than the adjustable airway pressure
setting, the pressure relief will be activated and an audible squeak will be emitted
from the airway pressure relief valve.
•The initial setting for this control is typically at the 60 cm mark on the face. Note
that this will not necessarily yield a 60cm H2O pressure. The 60 mark indicates that
the valve will open to prevent airway pressures exceeding 60cm H2O. Under normal
ventilation parameters, the actual airway pressure is well below this setting.
•To set the airway pressure relief, attach the circuit to the vent and occlude the end
of the circuit with the palm of your hand. Note the maximum airway pressure.
Adjust the knob downwards from 60 cm until you reach the desired maximum
airway pressure as indicated by the peak airway pressure readout on the LCD.
15

Controls and Settings
Manual Breath Button
•The Manual Breath Button is used to provide timed breaths for CPR or for
validating ET tube placement.
•When the Manual Breath Button is pressed it delivers one breath at the set tidal
volume and inspiratory time.
•The button must be released and pressed again to deliver a second breath
•The ventilator breath timing is reset when the button is pushed
16

Safety Alarms
•The MCV100(B) have the following alarms
–High airway pressure
–Low airway pressure
–Low battery (visual only)
–Low Source Gas
•Alarms are signaled audibly and visibly (no audible on low battery).
•When a ventilation alarm is activated a 58 dB audible alarm will sound, the red
alarm LED will blink, and the alarm set point value on the LCD will flash.
•Audible alarms can be silenced for 110 seconds by pressing and holding the alarm
silence button. Visible alarms cannot be cleared until the source of the alarm is
corrected.
58 dB intermittent beep Red blinking alarm LED
(press and hold button to silence)
Flashing alarm set points
17

Adjustable Safety Alarms
High Airway Pressure Alarm
•The High Airway Pressure Alarm is adjustable from 15-80 cm 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.
•To adjust this alarm set point, turn the high airway pressure knob to the desired
setting as indicated on the LCD.
•This alarm activates when the airway pressure exceeds the high airway pressure
alarm setting.
•This alarm is automatically cleared when 12 seconds pass without a high airway
pressure being detected.
High Airway Pressure Alarm Setting Alarm set point
18

Adjustable Safety Alarms
Low Airway Pressure Alarm
•The Low Airway Pressure Alarm is adjustable from 0-30 cm H2O.
•To adjust this alarm set point, turn the high airway pressure knob to the
desired setting as indicated on the LCD.
•This alarm activates when the airway pressure does not rise above the low
airway pressure alarm setting for 15 seconds.
•The alarm will clear when the airway pressure rises above the low airway
pressure setting.
Low Airway Pressure Alarm Setting Alarm set point
19

Non-Adjustable Safety Alarms
Low Battery Alarm
•The MCV100(B) provide charge status via a battery meter located in the
bottom left of the LCD screen, as well as a color indicator LED above the
power button.
•When the MCV100(B) are partially discharged and there is less than one
hour of power remaining, the battery meter will read mostly empty and
the battery LED will change from green to red.
•When the battery becomes critically low, the empty battery meter will
flash and the battery LED will start to flash red.
•At this point you must seek backup power immediately to avoid unit shut
down!
Battery Meter Battery Charge LED
Green = OK
Solid Red = Low
Flashing Red = Critically Low
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