Hillrom Life2000 BT-20-0022 User manual

Life2000® Ventilation System
(Dockless)
Instructions for Use
Product No.
BT-20-0022, MS-01-0118,
MS-01-0121

Life2000® Ventilation System Service (PL-20-0050 REV A) i
REVISION A
© 2020 by Hill-Rom Services, Inc. ALL RIGHTS RESERVED.
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Manufactured by:
HILLROM (BREATHE TECHNOLOGIES)
1020 COUNTY RD F
SHOREVIEW, MN 55126 USA
BREATHE TECHNOLOGIES, INC. IS A SUBSIDIARY OF HILL-ROM SERVICES, INC.
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First Edition, 2020-01
First Printing, 2020
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Reference Documents
Life2000® Ventilation System Instructions for Use (PL-20-0050)
Life2000® Ventilation System Quick Start Guide (PL-20-0044)

ii Life2000® Ventilation System Service (PL-20-0050 REV A)
NOTICE OF EMERGENCY USE OF VENTILATORS DURING THE COVID-19 PANDEMIC
The FDA issued a guidance document on March 24, 2020, Enforcement Policy for
Ventilators and Accessories and Other Respiratory Devices During the Coronavirus Disease
2019 (COVID-19) Public Health Emergency. During this emergency and while the policy is
in effect, FDA does not intend to object to limited modifications to the FDA-cleared
indications without prior submission of a 510(k) where the modifications do not create
undue risks. Hillrom™ does not yet have FDA 510(k) clearance on the use of The Life2000®
Ventilator Software version 06.08.00.00. Hillrom™ intends to adhere to FDA’s
recommendations to market The Life2000® Ventilator with appropriate testing and
labeling while the policy is in effect but does not have specific 510(k) clearance at this time.

Table of Contents
LIFE2000® VENTILATION SYSTEM INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
INDICATIONS FOR USE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SYMBOLS AND CONVENTIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
SAFETY INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
FEATURES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
PACKAGING CONTENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
LIFE2000® VENTILATOR VERSIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
IDENTIFYING THE REF NUMBER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
SYSTEM COMPONENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
CONFIGURATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
EXTENDED RANGE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
INTRODUCTION TO EXTENDED RANGE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
EXTENDED RANGE CONFIGURATION SETUP CHECKLIST. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
TESTING THE VENTILATION SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
POSITIONING AND CARRYING THE COMPRESSOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
SUPPLYING POWER TO THE COMPRESSOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
CONNECTING THE VENTILATOR AND THE COMPRESSOR IN EXTENDED RANGE CONFIGURATION. 14
CONNECTING A VENTILATOR TO THE INTERFACE IN EXTENDED RANGE CONFIGURATION . . . . . . . . 15
THE COMBO2® HOSE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
CONNECTING TO A LOW-FLOW OXYGEN SOURCE USING THE COMBO2 HOSE . . . . . . . . . . . . . . . . . . . 16
POWERING ON SEQUENCE IN EXTENDED RANGE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
CHECKING THE COMPRESSOR’S INTERNAL BATTERY STATUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ASSEMBLING THE VENTILATOR BATTERY CHARGER AND CHARGING THE VENTILATOR . . . . . . . . . . . 19
SECURING THE VENTILATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
POLE MOUNT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
VENTILATOR SILENCE ALARM BUTTON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
POWER-OFF SEQUENCE IN EXTENDED RANGE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
DISCONNECTING EXTENDED RANGE CONFIGURATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
STAND-ALONE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
INTRODUCTION TO STAND-ALONE CONFIGURATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
TESTING THE VENTILATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
CONNECTING TO A CYLINDER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
CONNECTING AN INTERFACE TO THE VENTILATOR IN STAND-ALONE CONFIGURATION . . . . . . . . . . 26
POWER-ON SEQUENCE FOR THE VENTILATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

ASSEMBLING THE VENTILATOR BATTERY CHARGER AND CHARGING THE VENTILATOR . . . . . . . . . . . .28
SECURING THE VENTILATOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
POLE MOUNT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
VENTILATOR SILENCE ALARM BUTTON . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
POWER-OFF SEQUENCE FOR THE VENTILATOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
CONNECTING AN INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
THE UNIVERSAL CIRCUIT® CONNECTOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
EXAMPLES OF PATIENT MASK AND TUBE CONNECTIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
USING THE LIFE2000® COMPRESSOR WITH THE UNIVERSAL CIRCUIT CONNECTOR AND MASK . . . . 34
CONNECTING THE UNIVERSAL CIRCUIT® CONNECTOR TO THE OXYGEN ADAPTER AND PATIENT
MASK OR TUBE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .35
BREATHE PILLOWS ENTRAINMENT INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36
WEARING THE BREATHE PILLOWS ENTRAINMENT INTERFACE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37
CHECKING THE BREATHE PILLOWS ENTRAINMENT INTERFACE POSITIONING. . . . . . . . . . . . . . . . . . . . . 37
VENTILATION SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
INTRODUCTION TO VENTILATION SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
MOVING BETWEEN THE HOME SCREEN AND MENU SCREEN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
MENU SCREEN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
TOUCH SCREEN ENERGY-SAVE MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
DEFINING CLINICAL SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
DISABLING ACCESS TO THE CLINICIAN’S SETTINGS MENU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42
PRESCRIPTION SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43
ACTIVATING PRESCRIPTION SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44
FACTORY DEFAULT PRESCRIPTION SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
BREATH TYPES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
VENTILATION MODES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
SETTING VENTILATION PARAMETERS IN CONTROL VENTILATION MODE . . . . . . . . . . . . . . . . . . . . . . . . . .47
SETTING VENTILATION PARAMETERS IN ASSIST VENTILATION MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49
SETTING VENTILATION PARAMETERS IN ASSIST VENTILATION MODE . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
SETTING ALARM LIMITS FOR BREATH RATE AND PIP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
SETTING BREATH TIMEOUT (APNEA BACKUP VENTILATION MODE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
SELECTING THE SOURCE GAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
CHOOSING AN ACTIVITY BUTTON (PATIENT SELECTABLE) TO BEGIN VENTILATION . . . . . . . . . . . . . . . .57
ADJUSTING THE TRIGGER SENSITIVITY (PATIENT ADJUSTABLE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
ACCESSING THE UTILITIES MENU . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
VIEWING SOFTWARE VERSION INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
SUMMARY OF FACTORY DEFAULT SETTINGS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

ALARMS, ALERTS, AND TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
INTRODUCTION TO ALARMS AND ALERTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
VENTILATOR ON-SCREEN ALARM SOUNDS AND MESSAGE DISPLAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
ACTIVE ALARMS WINDOW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
SILENCING AND CLEARING ON-SCREEN ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
VENTILATOR ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
COMPRESSOR ALERTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78
TROUBLESHOOTING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79
MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
CLEANING BEFORE FIRST USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
DAILY CHECKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
ESSENTIAL PERFORMANCE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
ENVIRONMENTAL SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
ALARM CHECKS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
CLEANING AND DISINFECTING THE VENTILATION SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
CLEANING FOR SINGLE-PATIENT USE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 86
CLEANING FOR MULTI-PATIENT USE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87
CLEANING THE INTERFACES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88
PREVENTIVE MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
CHECKING AND REPLACING THE CONDENSATION TRAY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
CHECKING AND REPLACING THE AIR INLET FILTER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
CHECKING AND REPLACING THE COOLING FILTER ASSEMBLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94
TESTING VENTILATOR ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
VERIFYING POWER-ON SELF-TEST ALARMS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
VERIFYING BACKUP ALARM BUZZER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
TESTING ALARM CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
BATTERY INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
CHECKING THE VENTILATOR BATTERY CHARGE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103
VENTILATOR BATTERY CHARGE ICONS, MEANINGS AND APPROXIMATE TIME REMAINING . . . . . . 103
VENTILATOR BATTERY SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
COMPRESSOR BATTERY CHARGE STATUS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
WHEN THE COMPRESSOR IS POWERED BY INTERNAL BATTERY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104
WHEN THE COMPRESSOR IS CONNECTED TO AC POWER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105
COMPRESSOR BATTERY SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
VENTILATOR BATTERY CHARGER AND POWER CORD SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . .106
COMPRESSOR POWER SUPPLY AND POWER CORD SPECIFICATIONS. . . . . . . . . . . . . . . . . . . . . . . . . . . . 106
SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

OXYGEN MONITOR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
EXHALATION VOLUME MONITOR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
VENTILATOR ALTITUDE VOLUME ADJUSTMENT TABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .108
PERFORMANCE SPECIFICATIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
PRINCIPLES OF OPERATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
GENERAL OVERVIEW. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117
EXTENDED RANGE CONFIGURATION OPERATION SUMMARY AND PNEUMATIC DIAGRAM. . . . . . . 117
STAND-ALONE CONFIGURATION OPERATION SUMMARY AND PNEUMATIC DIAGRAM . . . . . . . . . . .118
COMPLIANCE AND IEC CLASSIFICATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
ICONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123
APPENDIX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
ACCESSORIES AND REPLACEMENT PARTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127
FIO2 TABLES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128
CYLINDER DURATION INFORMATION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .131
OXYGEN USAGE (LPM) TABLE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
CYLINDER DURATION EQUATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132
REPLACING THE SOURCE GAS CYLINDER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
POTENTIAL TIDAL VOLUMES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .134
LIMITED WARRANTY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .135
WARRANTY SERVICE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135
LIMITATIONS OF WARRANTY; EXCLUSIVE REMEDY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 135

LIFE2000® VENTILATION SYSTEM INTRODUCTION
Life2000® Ventilation System Service (PL-20-0050 REV A) 1
LIFE2000® VENTILATION SYSTEM INTRODUCTION
INDICATIONS FOR USE
The Life2000® Ventilation System is intended to provide continuous or intermittent ventilatory
support for the care of individuals who require mechanical ventilation.
The Life2000® Ventilation System consists of the Life2000® Ventilator and the Life2000®
Compressor.
The System is intended for use by qualified, trained personnel under the direction of a physician.
Specifically, the System is applicable for adult patients who require the following types of
ventilatory support:
• Positive Pressure Ventilation, delivered invasively (via ET tube) or non-invasively (via mask).
• Assist/Control mode of ventilation.
The System is suitable for use in home and institutional settings and is not intended for ambulance
or air transportation.
WARNING:
Use the Life2000® Ventilation System only for patients who meet the Indications for Use. If the
ventilation system is used for patients that do not meet the Indications for Use, patients may not
receive appropriate respiratory therapy.
CAUTION:
Federal law restricts this device to sale by or on the order of a physician.
SYMBOLS AND CONVENTIONS
The following symbols and conventions are used throughout this manual:
THIS MEANS THIS
WARNING:
Indicates hazards that, if not avoided, may cause severe injury or death.
CAUTION:
Indicates hazards that, if not avoided, may result in minor or moderate
injury, or damage to or impaired performance of equipment.
TIP: and
TIPS:
Indicates tips that may be helpful when using the ventilation system.
NOTE:NOTE: Indicates additional information about a behavior or feature.
BOLD TEXT The names of menu items and buttons displayed on the touch screen are
indicated with bold text.
For example, the Menu screen has several buttons, including Home
Screen, Settings, and Information.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
2 Life2000® Ventilation System Service (PL-20-0050 REV A)
SAFETY INFORMATION
Please read the following safety warnings and cautions in their entirety before using the Life2000®
Ventilation System. Warnings and cautions can also be found throughout this Instructions for Use.
WARNING:
• The Life2000® Ventilation System is a restricted medical device intended for use by qualified,
trained personnel under the direction of a physician.
• Use the Life2000® Ventilation System only for patients who meet the Indications for Use. If the
ventilation system is used for patients that do not meet the Indications for Use, patients may
not receive appropriate respiratory therapy.
• If the Life2000® Ventilation System is not functioning properly, respiratory therapy may be
compromised and may result in patient harm or death. Always have an alternate means of
ventilation or oxygen therapy available.
• The operator of the ventilation system is responsible for reading and understanding this
manual before use.
• Failure to read this Instructions for Use may result in product misuse, which may cause
equipment damage or patient mistreatment.
• The prescription and ventilation settings should only be changed on the order of the
supervising physician.
• When the ventilation system is in use, keep it in a well-ventilated area to prevent it from
overheating. The ventilation system may overheat and be permanently damaged if it is used in
an area that is not well ventilated.
• Do not allow smoking near oxygen sources or near the ventilation system and do not place
oxygen sources or the ventilation system near any source of direct heat or open flame because
flammable materials burn more readily in the presence of oxygen.
• Do not submerge the ventilation system in liquids or pour liquids on it. Liquids may cause
components in the system to malfunction.
• Do not use the Life2000® Ventilation System in magnetic resonance imaging (MRI)
environments. MRI equipment may cause electronic components in the system to malfunction.
Use of the ventilation system in an MRI environment may damage the ventilation system or
other equipment and may cause severe injury.
• Do not use the ventilator or compressor in the presence of flammable anesthetics.
• Do not use the ventilation system with oxygen in the presence of flammable anesthetics such
as fluroxene, cyclopropane, divinyl ether, ethyl chloride, ethyl ether, and ethylene, as they may
form flammable or explosive mixtures with oxygen.
• Do not use the ventilator with helium or helium mixtures.
• Do not use the ventilator with nitric oxide.
• Do not use the ventilator in a hyperbaric chamber.
• Do not eat, drink, or chew gum while using the ventilation system. Food or liquids that make
contact with the ventilation system may cause components in the system to malfunction.
Eating, drinking, or chewing gum while using the system may also increase the risk of choking.
• Do not power on or use the compressor without the filters and condensation tray properly
installed.
• Do not insert foreign objects into any part of the ventilation system.
• The backside of the ventilator enclosure may reach 49°C in a 40°C environment.
• Unauthorized modifications can result in equipment damage, or patient injury or death.
• For any accessories, read the label and accompanying document(s) before use.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
Life2000® Ventilation System Service (PL-20-0050 REV A) 3
• Use only approved accessories and replacement parts with the ventilation system. If
unauthorized accessories or replacement parts are used with the system, the ventilation system
may be damaged and performance may be degraded.
• Do not connect the ventilation system components or accessories to any other equipment that
is not described in this Instructions for Use.
• Adding attachments or other components and/or sub-assemblies to the ventilator breathing
system can cause an increase in expiratory resistance at the patient connection.
• Adding humidification or nebulization can increase the resistance of the breathing circuit. The
operator of the ventilation system needs to monitor the breathing system for increased
resistance and blockage.
• Ventilator accuracy can be affected by the gas added by use of a nebulizer.
• To ensure accuracy of oxygen administration and to monitor for the presence of contamination
(incorrect gas connected), use an external oxygen monitor to verify the oxygen concentration
in the delivered gas.
• To monitor minute volume, use an external exhaled volume monitor.
• Before beginning ventilation therapy in Stand-Alone Configuration, verify that there is an
adequate supply of source gas supply for the intended duration of the therapy. Otherwise, the
patient may not receive appropriate therapy.
• Use only a Life2000® source gas supply hose with the ventilation system. If an unauthorized
source gas supply hose is used with the ventilation system, the system may be damaged.
• Only use the ventilator with the compressor or approved medical grade compressed oxygen.
Use with non-approved sources of gas may cause the ventilator to malfunction and the patient
may not receive appropriate respiratory therapy.
• If using the ventilator with an alternate gas source in Stand-Alone Configuration, and the
ventilator is not used with a regulator capable of 41 PSI to 87 PSI (nominal 50 PSI) with greater
than 40 LPM capability, patients may not receive appropriate respiratory therapy.
• To prevent risk of cross-contamination, clean and disinfect the ventilation system before using it
on a new patient, and use a new Breathe Pillows Entrainment Interface or Universal Circuit®
Connector. For the third-party patient mask, refer to the user guide provided by the
manufacturer. Replace the oxygen hose between patients.
• Interfaces are designed for single-patient use. To prevent risk of cross-contamination use a new
Breathe Pillows Entrainment Interface or Universal Circuit® Connector for each new patient. For
third-party masks or tubes, refer to the user guide provided by the manufacturer for
replacement and/or cleaning and disinfection instructions.
• Do not subject interfaces or source gas supply hoses to heat sterilization, hot water
pasteurization, autoclaving, radiation sterilization, ethylene oxide gas sterilization, or attempt
to clean them in a dishwasher or microwave oven. Doing any of these may damage the
interfaces or hoses and impair gas delivery.
• If using the Breathe Pillows Entrainment Interface, properly secure the patient interface to the
face and route tubing around the ears to avoid strangulation.
• The interface, source gas supply hose, and power cords should be positioned to avoid
restricting movement, causing a tripping hazard, or posing a strangulation risk.
• Do not cover or block the compressor’s internal alarm buzzer with any object. Covering the
buzzer may make it difficult for a patient or caregiver to hear alarms, which may result in
inadequate respiratory therapy.
• Do not cover the ventilator, touch screen, speaker, or backup alarm buzzer with tape or any
other object. Covering the ventilator or any of its parts might cause difficulty in hearing alarms
and might affect ventilator performance.
• Ensure that the alarm loudness is set above the loudness of your surroundings.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
4 Life2000® Ventilation System Service (PL-20-0050 REV A)
• If upgrading software from version 05.11.00.00 to 05.12.00.00 re-evaluate the ventilator settings
if PEEP is applied.
•If upgrading a patient ventilator from ventilator REF MS-01-0100 to ventilator REF MS-01-0118
re-evaluate ventilator settings if PEEP is applied.
CAUTION:
• No user serviceable components are inside the device; do not attempt to repair any
components inside the device.
• Do not place the battery charger on wet surfaces or use in wet environments. Wet
environments may damage the battery charger and may cause electric shock.
• Use only the Hillrom approved battery charger and cord set with the ventilation system. If an
unauthorized battery charger or cord set is used with the ventilation system the system may be
damaged.
• The compressor's power supply must be certified to IEC 60601-1, IEC 60601-1-11, and be Class II
and IP22.
• If using in Extended Range or Stand-Alone Configuration (wearable configurations), make sure
the clip is securely fastened to the belt and the ventilator. If the clip is not securely fastened to
the belt or the ventilator, the ventilator may fall and be damaged.
• If using in Extended Range or Stand-Alone Configuration (wearable configurations), secure the
ventilator to prevent it from falling or becoming damaged.
• Hillrom recommends a 90-day replacement schedule for the Universal Circuit® Connector and
the Breathe Pillows Entrainment Interface.
• Do not use a Breathe Pillows Entrainment Interface or Universal Circuit® Connector that is
cracked, odorous, broken, or kinked. If a damaged interface is used, the patient may not receive
adequate respiratory therapy.
• 70% isopropyl alcohol may damage the touch screen. When cleaning external surfaces of the
ventilation system with 70% isopropyl alcohol, avoid contact with the touch screen.
• Keep in a clean environment to protect the equipment from ingress of dust, lint, and pests.
• Do not leave the ventilation system exposed to the sun or other sources of radiant heat, it may
overheat.
• Do not allow children or pets to access the ventilation system; it may become damaged.
• The performance of the Life2000® Compressor has only been validated with the Life2000®
Ventilator.
• Do not connect another device to the outlet fitting on the compressor when the ventilation
system is in Stationary Configuration.
• Do not connect the purge tube connector to the outlet fitting on the compressor while the
ventilation system is in Stationary Configuration and in use.
• Using the outlet fitting while the ventilation system is delivering therapy in Stationary
Configuration might decrease flow to the patient.
• The Life2000® Ventilation System provides high flows up to 40 LPM which may cause drying of
the airway passages. Alert the physician if the patient experiences air passageway drying.
• The ventilator settings might not be achieved when sourced by the Life2000® Compressor
when used at altitudes near or above 2500 feet, in high temperature, or in high humidity. If the
ventilator settings
• cannot be achieved the patient may not receive adequate respiratory therapy and you should
switch to an alternate means of ventilation.
• Follow local regulations and NFPA 55 in the handling and use of oxygen cylinders.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
Life2000® Ventilation System Service (PL-20-0050 REV A) 5
FEATURES
The Life2000® Ventilation System is a critical care, volume control mechanical ventilation system
designed for a broad range of applications in critical care and home settings.
The modular Life2000® Ventilation System (system) is composed of the Life2000® Ventilator
(ventilator) and the Life2000® Compressor (compressor).
The ventilator
• Offers three different volume control modes of operation:
• Control Ventilation
• Assist/Control Ventilation
• Assist Ventilation.
• Can be used with a variety of commercially available invasive interfaces (such as ET tubes) or
non-invasive masks such as full face, nasal, and pillows masks.
• Enables clinicians to define three prescriptions based on patient need.
• Allows for an adjustable PEEP setting for each prescription.
• Allows for an adjustable trigger sensitivity for each prescription.
• Includes the ability to set various critical alarms for each prescription.
• Has up to four hours of battery-powered operation.
• Displays patient breath rate, Peak Inspiratory Pressure (PIP), average flow, and current volume
level.
The compressor
• Provides a continuous 50-PSI pressure source.
• Is a charging station for the ventilator.
• Has an internal battery with one hour of operation.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
6 Life2000® Ventilation System Service (PL-20-0050 REV A)
PACKAGING CONTENTS
For any accessories, read the label and accompanying document(s) before use.
TIP: The ventilation system is shipped in specially designed, protective boxes. Do not
throw away the boxes; keep them for future transportation needs.
1Life2000® Ventilator (ventilator)
The ventilator can be used with the
Life2000® Compressor or an alter-
nate 50-PSI pressure source.
2Life2000® Compressor
(compressor)
The compressor is an electropneu-
matic power unit that provides the
ventilator with a continuous pres-
sure source and is a charging station
for the ventilator.
3Belt clip for ventilator
The belt clip is used to secure the
ventilator when it is used in wear-
able configurations.
4Battery charger and AC power
cord for the ventilator
The battery charger and AC power
cord connect the ventilator to an AC
power source.
5External power supply and AC
power cord for the compressor.
The external power supply and AC
power cord connect the compressor
to an AC power source.
6Ventilator Carry Pouch
Alternative to belt clip for securing
the ventilator when using in wear-
able configurations.

LIFE2000® VENTILATION SYSTEM INTRODUCTION
Life2000® Ventilation System Service (PL-20-0050 REV A) 7
LIFE2000® VENTILATOR VERSIONS
There are two released ventilator versions of the Life2000 Ventilator. You will be able to identify the
version of the ventilator based on the REF number.
The functionality of the ventilator’s Communication Port, Battery Charge Icon, and System Alarms
differ for each version of the ventilator. Please make sure to identify the REF number of the
ventilator to ensure proper use of your system.
IDENTIFYING THE REF NUMBER
The REF number is located on the label on the back of the ventilator. See examples below. Your
product label might include different details.
Ventilator REF MS-01-0100,
released prior to Sept 16, 2019
Ventilator REF MS-01-0118,
released prior to Sept 16, 2019

LIFE2000® VENTILATION SYSTEM INTRODUCTION
8 Life2000® Ventilation System Service (PL-20-0050 REV A)
SYSTEM COMPONENTS
VENTILATOR
TOP FRONT BOTTOM
1 Battery charger connection 4 Touch screen 11 Interface connection
2 Silence Alarm button 5 Activity buttons 12 Gas inlet connection
3 Communication Port
High Activity
Medium Activity
Low Activity
6 Power button for ventilator
7 Power indicator light
8 Alarm speaker
9 Backup alarm buzzer
10 Breath indicator light
SIDE
13 Belt clip sockets
11
12
13

LIFE2000® VENTILATION SYSTEM INTRODUCTION
Life2000® Ventilation System Service (PL-20-0050 REV A) 9
Compressor
FRONT
1 Power button for compres-
sor
2 Battery charge status and
indicator lights
SIDE
3 Interface connection
BACK
4 Handle
5 Air inlet and filter
6 Cooling filter cover
7 Cooling vents
8 Condensation tray
9 Power supply connection
and cover
SIDE
10 Alarm buzzer (internal)

LIFE2000® VENTILATION SYSTEM INTRODUCTION
10 Life2000® Ventilation System Service (PL-20-0050 REV A)
CONFIGURATIONS
The modular Life2000® Ventilation System (system) is composed of the Life2000® Ventilator
(ventilator) and the Life2000® Compressor (compressor). The system can be used in two different
configurations.
EXTENDED RANGE (WEARABLE) CONFIGURATION
The ventilator is connected to the compressor with a gas supply hose to enable the activities of
daily living. For information about how to setup the ventilation system in this configuration, see
“EXTENDED RANGE CONFIGURATION” on page 11.
STAND-ALONE (WEARABLE) CONFIGURATION
The ventilator is connected to an alternate pressure source such as a hospital wall source or an air
or oxygen cylinder. For more information about how to setup the ventilator in this configuration,
see “STAND-ALONE CONFIGURATION” on page 23.

EXTENDED RANGE CONFIGURATION
Life2000® Ventilation System Service (PL-20-0050 REV A) 11
EXTENDED RANGE CONFIGURATION
INTRODUCTION TO EXTENDED RANGE CONFIGURATION
The Life2000® Ventilation System can be used in different configurations of operation as the
patient’s needs change. In Extended Range Configuration, the ventilator is connected to the
compressor with a Hillrom oxygen hose to enable the activities of daily living.
NOTE:NOTE:
If not directly connected to AC power, make sure the ventilator battery has sufficient charge for
your length of use.
EXTENDED RANGE CONFIGURATION SETUP CHECKLIST
Test the ventilator before using it on a new patient if in multi-patient environment (see section
below).
Position the compressor (see page 12).
Connect the compressor to an AC power source using the compressor’s external power supply
and AC power cord (see page 13).
Connect the compressor and the ventilator with an oxygen hose (see page 14).
Connect an interface to the ventilator (see page 15).
NOTE:
For information about the interface on the patient side, see “CONNECTING AN INTERFACE” on
page 33.
Power on the compressor (see page 18).
Power on the ventilator (see page 18).
Check the compressor’s battery charge status (see page 19).
Check the ventilator’s battery charge and charge the ventilator, if necessary (page 19).
Secure the ventilator using the belt clip or pole mount (see page 20-21).
NOTE:NOTE:
Ventilation will not begin until an Activity button is pressed on the ventilator. For more information
see “CHOOSING AN ACTIVITY BUTTON (PATIENT SELECTABLE) TO BEGIN VENTILATION” on page 57.
TESTING THE VENTILATION SYSTEM
In a multi-patient setting, the ventilation system must be tested before it is assigned to a new
patient. For instructions on testing the ventilation system, see “TESTING VENTILATOR ALARMS” on
page 95.

EXTENDED RANGE CONFIGURATION
12 Life2000® Ventilation System Service (PL-20-0050 REV A)
POSITIONING AND CARRYING THE COMPRESSOR
Position the compressor upright on a flat, level surface. Make sure that the cooling vents, cooling
filter cover, and air inlet on the back of the compressor are not blocked, and there is sufficient
clearance from surrounding objects. Protect the compressor from falling.
The compressor should not be used adjacent to or stacked with other equipment and that if
adjacent or stacked use is necessary, the compressor should be observed to verify normal
operation in the configuration in which it will be used.
When carrying the compressor, make sure to use the handle, keep the compressor in an upright
position, and protect it from falling or dropping.
NOTE:NOTE:
• The compressor outputs an audible sound and must be at least 3 feet (1 m) away from the user
during use.
• When operating in a 40°C (104°F) environment, the gas output by the ventilation system may
reach temperatures up to 48°C (118.4°F). To reduce patient discomfort, operate the ventilation
system in a cooler environment.
• The performance of the compressor may degrade in high temperature, high humidity, or high
altitude environments. If degradation is seen, switch to an alternate means of ventilation. Verify
the performance of the compressor for adequate therapy delivery in the environment(s) in
which it will be used and adjust the volume to compensate for altitude when necessary.
• The ventilator settings might not be
achieved when sourced by the
Life2000® Compressor due to
increases in altitude near or above
2500 feet. Consult the table to ensure
that the compressor can meet the
ventilator settings. The tidal volume
delivered to the patient includes the
ventilator set volume + entrainment
volume from patient interface +
supplemental oxygen volume (if
used). For additional information see
page 134.
WARNING:
• Do not use the ventilation system in the presence of flammable anesthetics.
• Do not cover or block the compressor’s internal alarm buzzer with any object. Covering the
buzzer may make it difficult for a patient or caregiver to hear alarms, which may result in
inadequate respiratory therapy.
• Do not cover the ventilator, touch screen, speaker, or backup alarm buzzer with tape or any
other object. Covering the ventilator or any of its parts might cause difficulty in hearing alarms
and might affect ventilator performance.
• When the ventilator is in use, keep it in a well-ventilated area to prevent it from overheating.
The ventilator may overheat and be permanently damaged if it is used in an area that is not well
ventilated.
• Do not connect the ventilation system components or accessories to any other equipment that
is not described in this Instructions for Use.
Simulated Elevation
(in feet)
Observed Maximum
Compressor Output
(in LPM)
0 17
2500 14
4000 12
8000 8