Kent Scientific PhysioSuite User manual

PhysioSuite®
Modular System
Fully integrated touch screen control and display
User’s Guide

©2019 Kent Scientific Corporation, Documentation Version 2.0 for On-Unit Help Version 5.03 and
Firmware Revision 2.00.00-60 August 2019
PhysioSuite®
Modular System
Fully integrated touch screen control and display
User’s Guide
Technical Help: 860-626-1172

TABLE OF CONTENTS
Introduction
System Components ...................................................................1
Navigating PhysioSuite® ............................................................. 2
System Customization
Custom Run Screen ..................................................................... 3
Alarms.............................................................................................4
RoVent®
Automatic Ventilator
Set Up Hardware.......................................................................... 6
Initial Set-Up ................................................................................. 7
Configure Settings....................................................................... 8
Procedure for Use ...................................................................... 10
Constant Flow Mode ................................................................. 11
Raw Override Mode ................................................................... 11
Troubleshooting ..........................................................................12
MouseSTAT®
Pulse Oximeter and Heart Rate Monitor
Set Up Hardware........................................................................ 14
Initial Set-Up ............................................................................... 14
Procedure for Use .......................................................................15
Troubleshooting ......................................................................... 16
MouseSTAT Sensor Maintenance ........................................... 16
TOC Continued ...

CapnoScan®
End-Tidal CO2 Monitor
Set Up Hardware.........................................................................17
Initial Set-Up ............................................................................... 19
Procedure for Use ..................................................................... 19
Troubleshooting ........................................................................ 20
CapnoScan Sensor Maintenance........................................... 20
RightTemp®
Temperature Monitor and Homeothermic Warming
Set Up Hardware.........................................................................21
Initial Set-Up ...............................................................................22
Procedure For Use .....................................................................23
Troubleshooting .........................................................................23
RightTemp Pad and Sensor Maintenance ............................24
Data Management
Connecting to a PC....................................................................25
History ..........................................................................................26
Analog Output............................................................................27
General Information
Contact ........................................................................................29
Product Warranty ......................................................................29
Satisfaction Guarantee ............................................................ 30
Specifications ............................................................................ 30
Index ....................................................................................33

1
Introduction
The PhysioSuite is not designed, intended or authorized for use in human applications.
System Components
Front Panel
Back Panel
Note: If your PhysioSuite was purchased with RoVent, it will contain four airflow ports. If it was
not purchased with RoVent, these ports will be absent from the controller.

2
Navigating PhysioSuite®
Module Screens
The PhysioSuite Run screen has a designated screen for each installed module. Touch
the tabs along the top of the screen to view the parameters and important settings for
each module. Touch the tab again to open the module’s extended Setup Menu.
Touch Screen
PhysioSuite Menu oers quick access to most features and settings. Touch the Menu
button on the top right corner of the Run Screen.
PhysioSuite Menu
(Available menu options may dier based on module configuration)

3
System Customization
Custom Run Screen
PhysioSuite allows you to configure your own Run Screen, allowing a combination of
parameters from any installed modules to appear on a single screen.
When using a Custom Run Screen, all settings need
to be entered from the Menu or congured with
Dial A and B.
To congure a Custom Run Screen:
1) From any Run Screen, touch Menu, then Config.
i Param Locations
Parameter locations allow you to decide where each parameter will be
displayed on the screen. Turn Dial A to scroll through the list of available
parameters, and turn Dial B to assign it to a location.
Press Dial A when finished.
ii Charts
Charts allow you to customize the graph that is displayed on the lower portion
of the Custom Run Screen. You can customize two independent charts.
Choose Chart Type to assign the parameter to be graphed, and Period to
assign a graph time point.
Touch Back when finished.
iii Set Ranges
The Range setting allows you to customize the graph axis. The Ranges set
here also apply to Analog Out. Turn Dial A to scroll through the list of
available parameters, and then turn Dial B to adjust the range.
Press Dial A when finished.
iv Dial Menu
The Dial Menu allows you to assign a dial command for your Custom Run
Screen. Turn Dial A to choose a setting you want to control for Dial A.
Touch >> to assign a setting to Dial B.
Touch Back when finished.

4
To use a dial command:
1. At the Run Screen, quickly turn the Dial assigned to the setting whose value
you want to change. The PhysioSuite beeps and the associated text becomes
blue.
2. Turn the Dial to increase or decrease the value for the assigned setting. After
3 seconds, the PhysioSuite beeps again and the command text returns to black.
Small text on the run screen
displays the assigned Parameter
name for each Dial, if set, and its
current value.
Run Screen with Dial Function Text
As you turn a Dial, setting changes takes place immediately.
Alarms
The PhysioSuite Alarms alert you to certain conditions that might require attention.
There are two levels of alarms:
Level
Warning
Based On Banner Sound (If On) Congurable
Serious
Parameters or other
operating conditions
Parameters or other
operating conditions
Yellow
Red
1-beep pattern
3-beep pattern
Yes
Yes except for
system alarms

5
To congure a new Parameter alarm:
1) From any Run Screen, touch Menu then Config.
2) Touch Data Mgmt, then Alarms.
i Silence all Alarms
If you do not wish for the PhysioSuite to make an audible tone when an alarm
is triggered, you can create silent alarms. Turn Dial B to choose “Silence all
Alarms” or “Allow Sound”.
Touch Back when finished.
ii Parameter 1-4
Set a custom alarm based on any measured parameter. You may choose up
to 4. Press Dial A when finished configuring the following settings:
• Parameters: Choose a parameter to monitor by alarm.
• Action: Choose how the alarm will alert you (message and/or sound)
• Type: Choose status to trigger alarm
• Value: Set the threshold value
• Delay: Choose how long the value must meet the threshold before
triggering the alarm
• Clear: Choose how the alarm needs to be cleared
iii Fixed Alarms
The PhysioSuite includes a number of fixed alarms that alert you to scenarios
that require attention. The number of Fixed Alarms are dependent on the
number of modules installed. You may view and configure any of the Fixed
Alarms by selecting it, then pressing A to enter the Alarm Menu.
To clear a sounding alarm:
A triggered alarm produces a colored banner at the bottom of the screen describing
the cause of the alarm.
To silence the alarm:
1) Navigate to the corresponding Screen
2) Touch Setup, then Silence Alarm
OR
1) Touch Menu from any Run Screen
2) Touch Silence Alarm

6
RoVent®Automatic Ventilator
Set Up Hardware
C F
C F
If ventilating using ambient air (no vaporizer or compressed gas connection):
1. Remove the caps from rear ports and allow them to remain open to atmosphere.
2. Connect the Ventilator Tubing Adaptors to the ports, and attach the Intubation
Tubing.
The hub of a standard catheter endotracheal tube will slide over the end of the
white fitting.
If ventilating using an anesthetic gas vaporizer or compressed gas source:
1. Connect the Bypass Assembly to the rear ports of the PhysioSuite.
Note: The PhysioSuite RoVent is designed to operate with the ports at
neutral pressure. The Bypass Assembly is required to neutralize any
pressure buildup in the rear tubing. Backpressure can aect ventilator
function.
2. Connect the anesthetic vaporizer or compressed gas source to the Inlet side of
the Bypass, and a passive scavenging system (such as a charcoal canister) to the
exhaust port.
Note: Kent Scientific does not recommend connecting active scavengers
directly to the exhaust tubing.
3. Connect the Ventilator Tubing Adaptors to the ports, and attach the
Intubation Tubing.
The hub of a standard catheter endotracheal tube will slide over the end of the
white fitting.

7
C F
The RoVent Run Screen:
RoVent Run Screen
Initial Set-Up
Ventilator Calibrations:
The first time the RoVent is used, or any time the accessories have changed, be sure to
perform a Deadspace Calibration and verify the ventilator settings.
Note: Never perform these functions when an animal is connected to the ventilator.
1. Measure Deadspace
The Deadspace calibration will measure the volume of tubing between the
PhysioSuite RoVent module and the animal. It is important that the Deadspace
is recalibrated every time the tubing configuration is changed to maintain
accurate tidal volume delivery.
1) Set up tubing.
2) From the Vent Run Screen, touch Setup then More Ventilator.
3) Touch Calib & Tests, then Measure Deadspace.
4) Firmly seal the end of the endotracheal tube connector with your finger
or a cap, ensuring that there is no air leakage.
5) Press Dial B. When asked to confirm measurement, press Dial B again.

8
C F
The first time the RoVent is used, or any time the accessories have changed, be sure to
perform a Deadspace Calibration and verify the ventilator settings.
Note: Never perform these functions when an animal is connected to the ventilator.
2. Zero Sensors
Zeroing the sensors ensures that the internal pressure and flow sensors are
working properly, and calibrates them prior to the ventilation. It is important
that the sensors are zeroed to ensure accurate inspiratory pressure delivery.
1) Set up tubing.
2) From the Vent Run Screen, touch Setup then More Ventilator.
3) Touch Calib & Tests, then Zero Sensors.
4) Press Dial B. When asked to confirm measurement, press Dial B again.
Configure Settings
Configure all ventilator settings from the Vent Run Screen.
Pressure Priority: RoVent ventilates to a specified inspiratory pressure.
The default target pressure is 15cmH2O independent of body weight setting.
To change the target pressure, touch Set Target Pressure.
Volume Priority: RoVent delivers an initial target pressure for the first breath,
then delivers a target tidal volume. The default target tidal volume is calculated
based on body weight. To change the target tidal volume, touch Set Target
Volume.
Note: You can change the initial target pressure for the
rst breath, as well as the minimum and maximum allowed
pressures to customize the ventilator’s operating range as the
ventilator delivers the set tidal volume.

9
C F
The Vent Setup also allows you to make advanced ventilation settings:
• PEEP: Automatically add a positive end-expiratory pressure.
o Choose between 0cmH2O and 9cmH2O.
o Used to prevent alveolar collapse during open-chest procedures.
• Sigh Breath: Automatically add an intermittent breath with a larger tidal volume.
o Choose frequency and tidal volume of sigh breaths.
o Evenly distributes inspiratory pressure to prevent partial alveolar collapse.
• I/E Ratio: Change the breath mechanics.
o Choose the ratio of inspiratory to expiratory portions of a breath cycle.
o Useful to increase oxygenation in certain respiratory models.
• Inspiratory Pause: Change the breath mechanics.
o Choose the time between the end of active inspiration and the start of
expiration.
o Useful to increase oxygenation in certain respiratory models.
• Assist Mode: Change the breath pattern.
o Choose how an animal is allowed to breathe at a spontaneous respiration
rate, while the ventilator retains control of target inspiratory pressure or
target tidal volume.
o Useful during recovery from long procedures, or in certain respiratory
models.
Assist Mode settings override Respiration Rate settings as long
as Assist Mode is enabled.
• Pulse Mode: Change the breath pattern.
o Choose how the ventilator structures the breath cycle.
o Useful to apply rapid high pressure to animal’s airways to evenly distribute
inspiratory pressure and prevent partial alveolar collapse.
Pulse Mode Menu settings override target pressure and target
volume settings as long as Pulse Mode is enabled.

10
C F
Procedure For Use
1. Touch Vent to open the RoVent Run Screen.
2. Touch Start Vent to begin ventilation.
Caution: If you choose to alter the tubing length, be sure to
recalibrate the deadspace. See page 7.
Caution: Do not start the ventilator before the animal is
intubated and connected to the ventilator tubing.
3. Enter the animal weight.
The RoVent calculates the respiration rate and tidal volume
using the animal’s body weight.
To change these settings, turn Dial A or Dial B. Touch Setup
from the Vent Run Screen to make other changes to Respiratory
Rate, Target Pressure, Tidal Volume, or other advanced settings.
4. From the Vent Run Screen, touch Stop Vent to stop air flow.
Trigger Command Settings
You can assign RoVent-specific functions to either a Dial press or an external signal via
remote cable.
To set a new Trigger Command:
1. From the Vent Run Screen, touch Setup, then More Ventilator.
2. Touch Triggers Menu.
3. Turn Dial B to choose an action.
Some actions will require additional settings. Please contact Kent Scientific if
you need assistance in enabling a trigger function.

11
Constant Flow Mode
For setups where a constant flow or gas passthrough is required, the RoVent can be set
to Air Mode. To access Air Mode, touch the Air menu.

Air Mode contains three dierent flow options:

1. Body Weight Flow: Preset based on the Body Weight setting
2. Low Flow: User settable
3. High Flow: User settable

The flow can be adjusted and controlled as needed.

Note: Air Mode is not a mechanical ventilation feature and will not control the animal’s
respiration.
Raw Override Mode
For setups where the RoVent’s safety parameters are not desired, the RoVent can be set
to Raw Override Mode. Raw Mode will ignore the RoVent’s 30cmH2O Inspiratory Pres-
sure limit, allowing the user to customize the breath shape. To access Raw Mode, touch
Setup from the Vent Run Screen.

Note: Raw Mode is a full ventilator override, and injury to the animal may occur.

12
RoVent Troubleshooting
Message Denition
• Check the tubing between the INS and
EXP ports for leaks or loose connections.
• The ventilator circuit is open. Do not run
the ventilator prior to connecting the
animal.
• Verify that the Body Weight or Target
tidal volume setting is correct and that
the delivered tidal volume is an appro
priate value for the animal’s size.
• If the error persists, perform a Leak Test
in the Calib & Tests section.
• The endotracheal tube is not seated
correctly.
• There is a kink, blockage or foreign
matter in the inspiratory or expiratory
lines.
• The cap is on the EXP port.
• The expiratory valve has failed.
Alarm Messages
• Requested Tidal Volume is too high for
Pressure and RR .
• Part of the tubing between the INS and
EXP ports is open, disconnected or
leaking.
• There is a kink in the tubing.
• There is foreign matter in the tubing or
in the exhaust valve.
• The exhaust outlet is blocked.
• The endotracheal tube is not seated
correctly.
• Deadspace calibration is incorrect for
current tubing setup.
C F
Solution
The highest measured
pressure in a breath cycle
is under 25% of the target
and the tidal volume is over
target.
The highest measured
pressure in a breath cycle is
under 25% of the target and
tidal volume is under target.
The breath pressure fails to
drop during the expiratory
phase of a breath.
Over five consecutive
breaths, peak pressure was
more than 25% or less than
75% of your target.
Over the last four breaths,
there was an increase of
more than 25% in average
tidal volume compared
to that of the previous 16
breaths.
Over the last four breaths,
there was a decrease of
more than 25% in average
tidal volume compared
to that of the previous 16
breaths.
Dead space calibration
produced a negative tidal
volume.
Tube open to
atmosphere
Tube blocked
Exhaust blocked
Out of regulation
Large rise in TV
Large drop in TV
Deadspace calib

13
Diagnostic Procedures
To access these diagnostic procedures, open the Vent Run Screen, touch Setup, then
More Ventilator, and Calib&Tests.
Purge
Resulting
Message
Meaning Possible Action
Success
Low bafe
pressure
No leaks found. None is needed.
There is an internal
RoVent problem.
Contact Kent Scientific.
Leak Test
Checks for internal leaks as well as leaks in tubing circuits.
Resulting
Message
Meaning Possible Action
Test OK
Tubing leaks
No leaks found. None is needed.
The tubing is open
to the atmosphere
through a loose
connection or a crack
or hole in the tubing.
Tighten all connections and ensure that the circuit is air
tight. Run Leak test again. If the error recurs, contact
Kent Scientific.
Low bafe
pressure or
Bafe leaks
There is an internal
RoVent problem.
Retest making sure that the tubing is not flexed or
moved. If the error recurs, contact Kent Scientific.
C F
Clears any accumulations from the valves using high pressure air flow.

14
MouseSTAT Pulse Oximeter
and Heart Rate Monitor
Set Up Hardware
Sensor:
1. Connect the interface cable to the MouseSTAT port on the back of the
PhysioSuite.
2. Connect the sensor to the interface cable and ensure that the connection is
secure.
C F
C F
The MouseSTAT Run Screen:
The MouseSTAT Run Screen
Initial Set Up
1) From the Oxi Run Screen, press then Turn Dial B to set the Minimum Heart Rate
for your animal.

15
Procedure for Use
1) Anesthetize the animal and place on the RightTemp warming pad.
C F
Tip: Kent Scientic recommends the use of inhalant
anesthetics. Injectable anesthetic agents have a greater
effect on circulation, making pulse oximetry challenging.
Always warm the animal to support circulation in the animal’s
extremities.
2) Align the sensor over the hind paw of the animal, centering the red light over
the paw pad.
MouseSTAT sensor on animal
The sensor automatically begins readings. To monitor signal
quality, view the Oxiwave graph on the Oxi Run Screen.
MouseSTAT with Optional Respiratory Rate Parameter allows
you to monitor RR. To obtain RR, a strong pulse oximetry
signal is required.

16
MouseSTAT Troubleshooting
Problem Possible Cause Solutions
There is no red light
or
blinking light in the
sensor.
Sensor not fully connected • Ensure that all connections are tight,
especially at the back of the controller.
Damaged wire in sensor or
interface cable
• Replace the damaged cable.
Readings are
inconsistent.
or
There are no
readings.
Incorrect sensor placement • Reposition sensor on the animal’s paw.
Poor animal circulation • Investigate types and dosages of anesthetic
and other drugs in use; reduce where
possible.
• Increase animal body temperature to
encourage circulation.
C F
MouseSTAT Sensor Maintenance
• Avoid any practice that creates tension or strain on the sensor cable or
connections. MouseSTAT sensors are designed to be gentle on small paws.
• When the MouseSTAT sensor is not in use, gently coil it and store it in its
package to prevent tangles or bends in the sensor wire.
• Gently wipe the sensor clean between uses.