Exergy Solutions Bertie User manual

Alberta E-Vent 1.0 “Bertie”
Exergy Team Collaboration Emergency Resuscitator
User Manual / Quick Start Guide
Version 1.3
June 3, 2020


Alberta E-Vent User Manual Version 1.3 June 3, 2020 i
Collaboration
“Bertie” was designed, prototyped, manufactured and
offered for use to support the tremendous work of front line
ICU clinicians who are trying to save lives every day through
this COVID-19 Pandemic with the initiative, ideas, creativity,
input, responsiveness, endless hours of volunteer efforts,
and/or financial support of:
•Alberta Health Services
•Catch Engineering Partnership
•Exergy Solutions Inc.
•Foothills Hospital
•Global Power Technologies
•Health Canada
•Innovate Calgary
•Laser Equation
•Lawson Lundell LLP
•Logican Technologies Inc.
•Massachusetts Institute of Technology
•Pacific Camera Positioning Systems Inc.
•PLC Electronic Solutions
•QAI
•Royal Circuits
•Suncor Energy
•TIPP Consulting
•University of Calgary AERO-CORE and ATSSL
•Volunteers
We hope “Bertie” can help you save lives

Alberta E-Vent User Manual Version 1.3 June 3, 2020 ii
Important: Read before Use
DISCLAIMER OF WARRANTIES
The Alberta E-Vent Emergency Automated Ventilator
(“Device”) is provided to you, a health services agency
(“You”), on an as-is basis pursuant to a contract between
Exergy and You for the provision of Devices (“Contract”) and
pursuant to these terms and conditions in this Operator’s
Manual (“Manual”). Your use of the Device and reliance on
the Manual is at your own risk and the Device must be
operated under the care of a competent respiratory therapist,
nurse or other trained healthcare practitioner qualified to use
such equipment, under your employ or subject to your
oversight (collectively, your “Operators”). You are solely
responsible for determining the degree of monitoring or
oversight that is appropriate in connection with patient care
and the use of the Device and Manual by your Operators and
You warrant that the Device will not be used where the health
or safety of a patient, user or other person may be adversely
affected, the Device will not be used in any circumstance that
poses any undue risk to a patient, and the Device will only be
used where the possible adverse effect of its use constitutes
an acceptable risk when weighed against the benefits to the
patient and that risk is compatible with a high level of
protection of health and safety.
Exergy Solutions Inc. (“Exergy”) makes no representations,
warranties or covenants, whether statutory, express, implied,
by course of communication or dealing, or otherwise with
respect to the Manual and the Device. Exergy specifically
disclaims any warranty with regard to the fitness for any
particular purpose, condition of merchantability, accuracy or
completeness of any data, effectiveness of materials used,
recommendations given or non-infringement of any third-
party’s intellectual property rights. You acknowledge that
you have not relied on any representation, condition or
warranty made by Exergy, or any other person on Exergy’s
behalf.
Without limiting the generality of the foregoing, Exergy
makes no warranty of any kind that the Manual and use of the
Device will meet your requirements, or achieve the intended
result or that the Device will comply with all applicable
international, federal, provincial, state or municipal laws and
regulations regarding medical devices or medical uses. You
expressly acknowledge and agree that Exergy is not
responsible for any health complications, injuries, loss or
death that may result from your use of any Device or the
Manual. You understand and acknowledge that Exergy does
not provide medical or other health-related advice.
Exergy disclaims any responsibility for or assurances
regarding the quality, functionality, or safety of any Device
and the Manual, or any defect, errors or malfunction in
connection therewith. Reliance on the Manual and use of
the Device by You is done so solely at your own risk.
You understand and acknowledge that: You and your
Operators have been provided the opportunity to obtain any
and all information relevant to the use of the Device and the
Manual; You have accepted all responsibility and Exergy
retains no responsibility for the decision by You to use or your
use of any Device; and You will comply with all your
professional obligations, all applicable laws and
governmental rules, regulations and guidelines, including any
safety precautions, that are applicable to the Device or the
use thereof.
LIMITATION OF LIABILITY
To the fullest extent permitted by law, in no event will Exergy
and any of its subsidiaries and its and their respective
directors, officers, employees, contractors, agents,
representatives, volunteers, funders and collaborators and
each of their respective successors, heirs and assigns
(collectively, the “Exergy Indemnified Parties”) be liable or
responsible for, or be obliged to indemnify You, your
Operators, or any third party, for; any direct, indirect, special,
incidental, consequential, punitive or exemplary damages of
any kind whatsoever, under any theory, arising out of or in
connection with the Contract and your use of the Device or
your reliance on the Manual; any error, failure or defect of
such Device or the Manual; or, any harm, loss or injury caused
by such Device or the Manual.
INDEMNIFICATION
To the fullest extent permitted by law, You shall release,
protect, defend, indemnify, and hold harmless the Exergy
Indemnified Parties from and against any and all manner of
actions, causes of action, suits, proceedings, rights, claims,
complaints, demands, losses, liabilities, obligations,
reasonable legal fees, costs, expenses, disbursements, fines,
penalties, judgments and awards of any nature and kind
which exist now or hereafter by reason of any events, acts or
omissions (“Claims”), without limit and without regard to the
cause or causes of such Claims, including without limitation,
the negligence or fault (active or passive) of any party or
parties including the sole, joint, gross or concurrent
negligence of the Exergy Indemnified Parties, any theory of
strict liability or any professional negligence (whether or not
pre-existing the date of the Contract or use by You of the
Device and your reliance on the Manual), breach of duty
(statutory or otherwise), warranty (statutory or otherwise), or
contract of any party, or any other theory of legal liability,
arising in connection with your use of the Device and reliance
on the Manual and brought by, through or derived from You
on account of bodily injury, illness, death or damage to or loss
of property.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 iii
UP TO DATE DOCUMENTATION
For the latest Alberta E-Vent User Manual and training video, please
refer to www.exergysolutions.com/covid-19/bertie-manual
REVISION HISTORY
Table 0-1 Revision History
Version
Date
Description
1.0
2020-04-26
Issued for RT Testing
1.1
2020-05-01
Issued for Submission
1.2
2020-05-20
Issued for Resubmission
1.3
2020-06-03
Issued for Use
EMERGENCY CONTACT INFORMATION
If you require technical assistance, please contact Exergy Solutions:
Email: covid_client_coordinator@exergysolutions.com
Website: www.exergysolutions.com/covid-19/

Alberta E-Vent User Manual Version 1.3 June 3, 2020 iv
Contents
Collaboration............................................................................. i
Important: Read before Use ...................................................... ii
Chapter 1: For Your Safety and that of Your Patients.................. 1
1.1. Safety Information ..........................................................1
1.1.1. Definitions.......................................................................1
1.1.2. Warnings .........................................................................2
1.1.3. Caution............................................................................3
Chapter 2: Intended Use............................................................ 4
2.1. System Configuration......................................................4
2.2. Features and Functions...................................................4
2.3. Disclosures / Deficiencies................................................5
Chapter 3: Care ......................................................................... 6
3.1. Cleaning...........................................................................6
3.2. Storage and Maintenance...............................................6
Chapter 4: What’s what............................................................. 7
4.1. Alberta E-Vent Overview.................................................7
4.2. List of Components .........................................................8
4.3. Hospital Supplied Accessories.........................................9
4.3.1. Uninterruptable Power Supply (UPS)..............................9
4.3.2. FiO2 Monitoring Devices.................................................9
4.3.3. Air Oxygen Blender .........................................................9
4.4. User Interface (UI).........................................................10
Chapter 5: Preparation.............................................................12
5.1. Assembling the PRV (Pressure Relief Valve) .................12
5.2. Assembling the Patient Valve .......................................13
5.3. Assembling the Ventilation Circuit................................14
5.4. Connecting the Resuscitator Mechanism to the User
Interface (UI).................................................................15
5.5. Checking readiness for operation .................................16
5.5.1. Power On Test...............................................................16
5.5.2. Alarm Tests....................................................................17
Chapter 6: Operation ...............................................................18
6.1. Alberta E-Vent Pre-Use Check.......................................18

Alberta E-Vent User Manual Version 1.3 June 3, 2020 v
Chapter 7: Displays and Settings...............................................19
7.1. User Interface Displays .................................................19
7.2. Remote Display .............................................................20
Chapter 8: Alarms and Indicators..............................................21
8.1. Status Indicators ...........................................................21
8.2. AC Power loss and Power off Alarm .............................21
8.3. Alarm Silence.................................................................21
8.4. Alarm Reset...................................................................21
8.5. Alarm Summary.............................................................21
8.5.1. Mechanical Failure........................................................21
8.5.2. Calibration Failure.........................................................21
8.5.3. High PIP.........................................................................21
8.5.4. Low PEEP.......................................................................22
8.5.5. Low PIP..........................................................................22
8.5.6. High PEEP ......................................................................22
8.5.7. Respiratory Rate (High).................................................22
Chapter 9: Troubleshooting......................................................23
Appendix A : Contact Information ............................................25
Appendix B : Resuscitator Specifications and Accuracies ...........26
Appendix C : Software Specifications ........................................27
Appendix D : Technical Variances with MIT...............................29
Appendix E : Tidal Volume & FiO2 Titration Tables....................30
Appendix F : Quick Start Guide .................................................32
Appendix G : Glossary and Abbreviations..................................41
Appendix H : List of Figures & Tables ........................................42
Appendix I : Index ....................................................................44

Alberta E-Vent User Manual Version 1.3 June 3, 2020 1
Chapter 1: For Your Safety and that of Your
Patients
The Alberta E-Vent is an electrically driven automated resuscitator
based on the robotic operation of a Health Canada and ISO approved
Bag Valve Mask Assembly (BVM, e.g. Ambu SPUR II). It is designed and
built to rapidly support health agency ventilator shortages caused by
the Covid-19 pandemic. The device design was inspired by the
Massachusetts Institute of Technology (MIT) E-Vent, and automates a
manual ISO approved biocompatible resuscitator to expand
functionality and achieve consistent operation.
1.1. Safety Information
Please review the following safety information prior to operating the
Alberta E-Vent. Attempting to operate the Alberta E-Vent without
fully understanding its features and functions may result in unsafe
operating conditions.
General Warnings and Cautions applicable to the use of the Alberta E-
Vent under all circumstances are included in this section. Specific
Warnings and Cautions are also found within the manual.
If you have a question regarding the installation, set up, operation, or
maintenance of the Alberta E-Vent, contact the COVID Client
Coordinator, as shown in Appendix A.
1.1.1. Definitions
WARNING!
A WARNING statement identifies conditions or practices that
could result in serious adverse reactions or potential safety
hazards.
CAUTION!
A CAUTION statement identifies conditions or practices that
could result in damage to the Alberta E-Vent or other
equipment.
NOTE:
A NOTE provides supplemental information for better
understanding of how the Alberta E-Vent works.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 2
1.1.2. Warnings
WARNING!
Strictly follow these Instructions for Use.
Any use of the product requires full understanding
and strict observation of all portions of these
instructions.
The device is only to be used for the purpose
specified under "Intended Use" and in conjunction
with appropriate patient monitoring. Observe all
WARNING and CAUTION statements throughout
this manual and all statements on device labels
▪Alberta E-Vent can only be used by a trained
clinician, under a qualified physician direction.
▪When the Alberta E-Vent is connected to a
patient, a trained clinician must be in
attendance at all times to react to an alarm or
other problem indications and that can
manually ventilate the patient in case of failure.
▪The Alberta E-Vent does not contain a backup
power source but will alarm if disconnected
from power. Whenever connected to the
patient, it must be plugged into a receptacle
attached to an uninterruptable power source if
continuous operation is required.
▪The BVM has operating limitations. The bag
must be replaced:
-Anytime a healthcare professional notices
abrasion on the bag or,
-If the bag does not fully re-inflate after
the Alberta E-Vent arms are fully
extended.
▪As the BVM is the primary resuscitation device,
and as with other positive pressure ventilation
devices, the lungs are force inflated with
pressurized air or oxygen and can inherently
lead to risk of various complications such as
over inflating or over pressurizing the patient
and related injury, such as gastric insuffation,
volutrauma barotrauma., etc.
▪A source gas failure will change the FIO2 and
may result in patient injury. The Alberta E-Vent
does not monitor gas input or concentrations.
▪Do not touch electrical connectors of the
ventilator or accessories, and patient
simultaneously.
▪Due to possible fire hazard, the ventilator
cannot be used in the presence of volatile
anesthetics or an oxygen-rich environment.
Device can only be used in well ventilated,
general purpose electrical environments.
▪An audible alarm indicates an anomalous
condition and must always be investigated
immediately.
▪If a mechanical or electrical problem occurs
while operating the Alberta E-Vent, it must be
removed from use and referred to qualified
personnel for servicing. Using a faulty Alberta
E-Vent may result in:
-clinician injury or,
-patient injury or death.
▪The Alberta E-Vent functionality may be
adversely affected by or may adversely affect
the operation of other equipment nearby,
including but not limited to:
-high-frequency surgical (diathermy)
equipment,
-defibrillators,
-short-wave therapy equipment,
-“walkie-talkies” and similar transmitting
radio equipment, and
-cellular phones.
▪Electric shock hazard - Do not remove any of
the Alberta E-Vent covers or panels.
▪A protective ground connection by way of the
grounding conductor in the power cord is
essential for safe operation. Upon loss of
protective ground, all conductive parts
including knobs and controls may cause an
electric shock. To avoid electrical shock:
-plug the power cord into a properly wired
receptacle,
-use only the power supply cord supplied
with the ventilator,
-ensure the power cord is not abraded and
is in good condition.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 3
1.1.3. Caution
CAUTION!
The following cautions apply any time you work with the
Alberta E-Vent.
▪Ensure that the voltage selection and installed fuses or
breakers are set to match the voltage and ampacity of the
wall outlet, otherwise damage may result.
▪Do not submerge the Alberta E-Vent or pour cleaning
liquids over or into the Resuscitator Mechanism or the
electric casing.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 4
Chapter 2: Intended Use
The Alberta E-Vent is an automated resuscitator
intended for short-term respiratory support,
monitoring and treatment of adult patients when a
conventional ventilator is unavailable. It allows
hospitals to expand their patient care capacity and
reallocate conventional ventilators to sophisticated
needs patients.
The Alberta E-Vent does not have the functionality
of a full feature ventilator. It can be used as a
replacement to manually compress the BVM only if
absolutely necessary where full-feature ventilators
are unavailable, staff are unavailable to attend a
manually operated BVM, and only under the
supervision of a clinician.
The Alberta E-Vent can only be used for Patients:
▪18 years of age or older
▪require a tidal volume less than 860 ml
▪require peak inspiratory pressures of less than
45 cmH20
▪require less than 30 breaths per minute in
Volume Control mode, or 18 breaths per
minute in Assist Control mode
▪with a lung compliance greater than 10 ml/cm
H2O
▪accept the risks of the limitations of the
emergency functionality of the Alberta E-Vent
and where an experienced clinician is trained
on the Alberta E-Vent and can supervise its
operation
▪not recommended for Acute Respiratory
Distress System (ARDS) patients
▪are located in a well-ventilated environment
where a concentration of Oxygen below 25% is
maintained.
The Alberta E-vent has only been tested with the
Ambu® SPUR® II - Disposable Resuscitator (REF
520211000). The results of the testing are only
valid for this particular brand of BVM. While other
BVM’s can be used, the user must conduct their
own tidal volume mapping and verify that the
device performs as expected with respect to all
user settable parameters. Using other brands of
BVMs are done so at the risk of the operator and
patient.
2.1. System Configuration
The Alberta E-Vent is composed of the Resuscitator
Mechanism, the Programmable User Interface (UI)
and electronics, and the Ventilation Circuit. It is
designed for simplicity of operation and setup.
While full-feature ventilators have multiple
adjustments for various operating and alarm
parameters to accommodate all patients, the
Alberta E-Vent automated resuscitator adjustments
are limited to six key items to accommodate the
majority of patients. The following six operational
parameters are available for adjustment once the
Alberta E-Vent warm-up sequence has completed:
1. Ventilation Mode (volume or assist control)
2. Alarm Set Points (PIP High/Low Limit, PEEP
High/Low Limit and Respiratory Rate Alarm)
3. Tidal Volume
4. Respiratory Rate
5. Inspiration Time
6. Trigger Pressure
2.2. Features and Functions
▪The Alberta E-Vent operates in two different
modes –Volume Control and Assist Control.
▪Two operational displays: operational settings
(Left) and alarm settings (right).
▪A large red remote display to enable clinicians to
remotely observe key indicators from the
observation room.
▪A button and scroll wheel system are used to set
and confirm all operational and alarm settings.
▪Adjustable alarms enable attending clinicians,
respiratory therapists, and nurses to set alert
limits.
▪An emergency stop button to immediately
disable the Alberta E-Vent.
▪Inspiration and expiration cycles are indicated
through LEDs. The operator can quickly glance at
the Alberta E-Vent and determine the current
ventilation state.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 5
▪Electronics are housed in an all metal enclosure
to suppress Electrical Magnetic Interference
(EMI) from surrounding devices and
environment.
▪A membrane covers the user interface and
control box to facilitate Alberta E-Vent surface
cleaning, sterilization and prevent debris and
other materials from penetrating into the
enclosure
▪A Splashguard for the Resuscitator Mechanism to
reduce the risk of contamination.
2.3. Disclosures / Deficiencies
▪This is an emergency device. If the device
malfunctions and no immediate fix is available,
shut the machine off and immediately follow
standard patient care procedures and switch to
manual ventilation.
▪Shelf life or durability testing has not been
conducted on the Alberta E-Vent.
▪Oxygen, Heliox, and air supply are not supplied.
The Alberta E-Vent BVM draws air from the
surrounding environment and can be connected
to an externally titrated, blended and supplied
oxygen source. There is no FiO2 indication or
alarm.
▪Patient pathology determines who can use this
device and length of treatment time to avoid
post-use complications. The clinician must be
aware of all the Alberta E-vent’s limitations
before authorizing its use. For example, the tidal
volume operational range is narrower than full-
featured ventilators and accommodates a
narrower range of patients.
▪The Alberta E-Vent and its components are
provided in a clean condition and should be
disinfected before use by the professional
healthcare facilities using their own disinfection
methods and procedures.
-BVMs and Ventilation Circuit hoses and
valves are supplied by the healthcare
facility.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 6
Chapter 3: Care
3.1. Cleaning
▪All parts potentially contacting patients or clinicians must be
sanitized, disinfected or sterilized according to standard hospital
policy.
▪The hospital supplied BVM and Ventilation Circuit is considered
single use only and disposable. It must be replaced for each new
patient.
▪The Exergy supplied Y, Straight Adapters and collar are clean and
for single use only.
▪DO NOT submerge the Alberta E-Vent or pour liquids over or into
the Alberta E-Vent Resuscitator Mechanism or Programmable User
Interface.
3.2. Storage and Maintenance
▪Alberta E-Vent is designed for temporary use and a maintenance
schedule and useful life has not been established.
▪The Alberta E-Vent must be stored between 5-35°C.
▪Store Alberta E-vent within provided storage bin when not in use.
▪Do not discard provided desiccant (in storage bin). Desiccant is
provided to reduce corrosion for long term storage.
▪Should any operational or maintenance issues develop during the
Alberta E-Vent use, immediately discontinue use and notify
covid_client_coordinator@exergysolutions.com for reporting and
problem resolution. Contact information is also available in
Appendix A.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 7
Chapter 4: What’s what
4.1. Alberta E-Vent Overview
Figure 4-1 Complete Alberta E-Vent
Figure 4-2 Resuscitator Mechanism with Splashguard
Figure 4-1 above illustrates the complete Alberta E-Vent and is composed of three main assemblies:
▪Resuscitator Mechanism (17) with Splashguard (23)
▪Programmable User Interface (18)
▪Ventilation Circuit (2-13)
A detailed list of all components is shown in the following section.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 8
4.2. List of Components
The Alberta E-Vent Resuscitator Mechanism and User
Interface are pre-assembled and supplied with several
Ventilation Circuit parts as indicated in Table 4-1
below.
Table 4-1 Alberta E-Vent Components List
ID#
Name
Supplied
by
1
BVM *2
Hospital
2
Y adapter
Exergy
3
Pressure Relief Valve (PRV)
Hospital*
4
Manometer (recommended)
Hospital
5
Aquasure filter (recommended)
Hospital
6
22mm Hose
Hospital
7
Straight adapter
Exergy
8
Patient Valve
Hospital*
9
Patient Valve Pressure Port
Hospital*
10
Pressure Tubing
Exergy
11
PEEP valve *2
Hospital
12
HME Filter
Hospital
13
ETT
Hospital
14
Patient/Test Lung
Hospital
15
Elastics *2
Hospital
16
PRV Marking Collar
Exergy
17
Resuscitator Mechanism
Exergy
18
User interface (UI)
Exergy
19
12V DC Power cable (Grey)
Exergy
20
12V DC Power Supply (Black)
Exergy
21
Remote Display
Exergy
22
Encoder/Limit and Motor cable
Exergy
23
Splashguard
Exergy
* Modified hospital supplied components.
Figure 4-3 Ventilation Circuit –Hospital Supplied Components
Figure 4-4 Ventilation Circuit - Exergy Supplied Components
Figure 4-5 Exergy Supplied Components
NOTE:
Replace BVM if excessive wear is noticed or bag
fails to re-inflate. Recommended Ambu Bag
SPUR II replacement after 48 hours of operation.
NOTE:
Disinfect Ventilation Circuit Exergy Supplied
components before use. Exergy Supplied
Ventilation Circuit Components are single use
only.
NOTE:
Discard BVM and Ventilation Circuit Hospital
Supplied Components after patient use.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 9
4.3. Hospital Supplied Accessories
4.3.1. Uninterruptable Power Supply (UPS)
The Alberta E-Vent will not function if a loss of
power occurs, although it has been designed to
alarm clinicians in the event that it is no longer
receiving power. Hospitals have the option to add a
UPS to the system in order to guarantee reliable
power in the event of a blackout or if they need to
transport the patient.
4.3.2. FiO2 Monitoring Devices
The Alberta E-Vent does not contain an FiO2
monitoring system. FiO2 requires an external FiO2
analyzer such as the MySignO, which has a
measuring range of 0-100% oxygen and accuracy of
< 1%.
4.3.3. Air Oxygen Blender
Hospitals may also wish to use a blended gas
source for FiO2 control as opposed to the supplied
FiO2 table (Appendix B). Canadian Hospital
Specialties offers a blender (MX120E-AIR/02-DS)
that offers a range of 5-120LPM, which would be
required for this purpose.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 10
4.4. User Interface (UI)
1. Controls Display (LCD 1) is used to display
the Resp. Rate, Trigger Pressure, Tidal
Volume, and Inspiration Time. Also displays
current pressure, peak inspiratory pressure,
and peak end expiratory pressure.
2. Alarms Display (LCD 2) identifies the alarm
state, and is used to adjust low and high
peak inspiratory pressure alarm set points,
low and high PEEP alarm set points, and
Resp. Rate alarm set point. Also displays
current active alarms.
3. The Emergency Motor Stop halts
everything mechanical by turning off all
power supplied to the motor.
4. Spare buttons (total of 5).
5. Scroll Wheel is used to select different
operating and alarm parameters.
6. Respiratory Rate setting* (LCD 1)
-Range: 15 to 35 breaths per minute
(bpm).
NOTE:
If the Emergency Motor Stop button is
pressed, unit must be powered off and the
arms fully closed before the button is reset
or device damage and malfunction can
result.
Figure 4-6 User Interface

Alberta E-Vent User Manual Version 1.3 June 3, 2020 11
7. Tidal Volume setting* (LCD 1)
-Range: 40-100%
8. Inspiration Time setting* (LCD 1)
-Range: 0.5 to 3.0 seconds
9. Trigger Pressure setting* (LCD 1)
-2-5 cm H2O
10. Mode Select button*selects between the
Assist and Volume Control modes.
11. Mode LED (Volume Control) is for patients
who are not spontaneously requesting
breaths. The patient always receives a
breath at the control parameters up to 30
bpm.
12. Mode LED (Assist Control) is used for
patients who can spontaneously request
breaths. Clinician can set rate up to 18 bpm.
13. PIP Low Limit setting* (LCD 2)
-0-40 cmH2O
14. PEEP Low Limit setting* (LCD 2)
-1-15 cm H2O
15. PIP High Limit setting* (LCD 2)
-10-70 cmH2O
16. PEEP High Limit setting* (LCD 2)
-5-35 cmH2O
17. Respiratory Rate Alarm setting* (LCD 2)
-15-35 bpm
18. Alarm Silence supresses audible alarm for
current alarm situation for 2 minutes. A
new alarm situation will reactivate the
audible alarm. Hold down for 5 seconds to
suppress power off / power loss alarm.
19. Exhale Cycle LED indicates when
machine/patient is exhaling.
20. Inhale Cycle LED indicates when
machine/patient is inhaling
21. Alarm LED indicates when there is an alarm
condition. Specific alarm is identified on LCD
2 and the red remote display.
22. Alarm Buzzer audibly notifies attendant
there is an alarm condition. Specific alarm is
identified on LCD 2 and the red remote
display.
NOTE:
*Use Scroll Wheel to select settings and
PUSH THE SCROLL WHEEL to confirm.

Alberta E-Vent User Manual Version 1.3 June 3, 2020 12
Chapter 5: Preparation
5.1. Assembling the PRV (Pressure Relief
Valve)
Step 1. Ensure you have these three items and
lay them on a clear space.
Step 2. Unscrew the lid completely and remove
from the valve. Note the small ring and
large ring (indent side on spring side)
positions.
Step 3. Place the forceps between the small and
large plastic rings, use leverage to pry the
small ring off. Remove the large ring and
the cone shaped spring. Do not grasp the
plastic rings with the forceps as ring
damage can occur.
Step 4. Place the small and large rings on a level
surface.
Step 5. Remove and re-insert the cone shaped
spring, wide side at bottom.
Step 6. Place the large (indented side on spring
side) and small rings back onto the stem.
Step 7. Put on the marking collar with flat side at
bottom.
Step 8. Screw on the lid (hand-tight) and place
the newly built PRV aside, ready to
assemble with the Ventilation Circuit.
Ambu Disposable
PEEP 20 Valve
Marking Collar
Forceps
Step 1
Step 2
Step 4
Step 3
Step 5
Step 8
Step 6
Step 7

Alberta E-Vent User Manual Version 1.3 June 3, 2020 13
5.2. Assembling the Patient Valve
Step 1. The Patient Valve is assembled by pulling a
valve out of one of the BVMs.
Step 2. Clip the top of the port with scissors. This
can be seen in the figure (orange circles).
This enables the User Interface pressure
sensing tubing to fit over the port and create
a seal.
Figure 5-1 Adapted Patient Valve
Figure 5-2 Comparison of Adapted Patient Valve vs. Patient Valve
supplied with BVM
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