PHILIPS Respironics Trilogy 100 Instructions for use

CLINICAL MANUAL
CLINICAL MANUAL
REF 1066819
1072847 R01
JJB 03/10/2011

Table of Contents
i
FOR CLINICIAN’S USE ONLY Accessing Prescription Setting Screens .................................................. i
Chapter 1. Introduction....................................................................................................................................... 1
Package Contents.................................................................................................................1
Intended Use..........................................................................................................................2
Warnings and Cautions ......................................................................................................3
Warnings.........................................................................................................................3
Cautions ..........................................................................................................................8
Notes ..............................................................................................................................10
Contraindications...............................................................................................................11
System Overview................................................................................................................11
Symbols..................................................................................................................................12
Front Panel ...................................................................................................................12
Rear and Side Panels.................................................................................................12
How to Contact Philips Respironics.............................................................................13
Chapter 2. System Description........................................................................................................................15
Front Panel Features..........................................................................................................15
Buttons ..........................................................................................................................15
Visual Indicators .........................................................................................................16
Display Screen.............................................................................................................16
Side and Rear Panel Features .........................................................................................17
Trilogy100
clinical manual
Table of Contents

Trilogy100 clinical manual
ii
Chapter 3. Modes, Features, and Alarms......................................................................................................19
Therapy Modes....................................................................................................................19
Breath Types.................................................................................................................20
Therapy Mode Table .................................................................................................21
Pressure Control Ventilation Therapy Modes...................................................22
Volume Control Ventilation Therapy Modes....................................................27
Therapy Mode Features...................................................................................................30
Flex Comfort Feature................................................................................................30
Ramp ..............................................................................................................................31
Rise Time .......................................................................................................................32
AVAPS Feature.............................................................................................................32
Flow Pattern Types ....................................................................................................33
Sigh Feature.................................................................................................................35
Dual Prescription Feature .......................................................................................35
Triggering ....................................................................................................................36
BTPS Compensation..................................................................................................36
Ventilator Alarms ................................................................................................................37
Loss of Power Alarm..................................................................................................37
Ventilator Inoperative Alarm .................................................................................37
Ventilator Service Required Alarm.......................................................................37
Check Circuit Alarm ..................................................................................................37
Low Circuit Leak Alarm ...........................................................................................38
High Expiratory Pressure Alarm ...........................................................................38
Low Expiratory Pressure Alarm ............................................................................38
High Internal Oxygen Alarm..................................................................................38
Circuit Disconnect Alarm ........................................................................................38

Table of Contents
iii
Apnea Alarm ...............................................................................................................39
High Vte Alarm............................................................................................................39
Low Vte Alarm ............................................................................................................39
High Vti Alarm.............................................................................................................39
Low Vti Alarm .............................................................................................................40
High Respiratory Rate Alarm .................................................................................40
Low Respiratory Rate Alarm ..................................................................................40
High Inspiratory Pressure Alarm ..........................................................................40
Low Inspiratory Pressure Alarm ...........................................................................41
High Minute Ventilation Alarm ............................................................................41
Low Minute Ventilation Alarm ..............................................................................41
Low Battery Alarm .....................................................................................................42
High Temperature Alarm .......................................................................................42
Replace Detachable Battery Alarm......................................................................42
AC Power Disconnected Alarm.............................................................................43
Keypad Stuck Alarm .................................................................................................43
Battery Discharging Stopped due to Temperature Info Message............43
Battery Not Charging due to Temperature Info Message ..........................43
Battery Not Charging Info Message....................................................................43
Check External Battery Info Message .................................................................44
Battery Depleted Info Message ...........................................................................44
External Battery Disconnected Info Message..................................................44
Detachable Battery Disconnected Info Message...........................................44
Start On Battery Info Message ..............................................................................44
Card Error Info Message .........................................................................................44

Trilogy100 clinical manual
iv
Chapter 4. Ventilator Setup...............................................................................................................................45
Position the Device............................................................................................................46
Install the Air Filter .............................................................................................................46
First Time Use.......................................................................................................................46
Supply Power to the Device............................................................................................47
Using AC Power ..........................................................................................................47
Using DC Power..........................................................................................................48
Device Power Source Indicators...........................................................................50
Battery Disposal..........................................................................................................52
Connect the Breathing Circuit to the Ventilator .....................................................53
Changing the Exhalation Porting Blocks ...................................................................55
Connect Supplemental Oxygen (Optional) ..............................................................57
Chapter 5. Viewing and Changing Settings................................................................................................59
Keypad Lock Feature.........................................................................................................59
Accessing the Startup and Monitor Screens ............................................................60
Monitor Screen Indicators ......................................................................................62
On-Screen Button Panel ..........................................................................................67
Navigating the Menu Screens........................................................................................67
Changing and Viewing Settings in Full Menu Access Mode...............................68
Changing the Device Settings and Alarms.......................................................69
Viewing and Changing Options Menu Items ..................................................79
Viewing the Alarm Log ............................................................................................82
Viewing the Event Log .............................................................................................83
Viewing Device Information..................................................................................83
Updating Prescriptions Using the SD Card ...............................................................84
Changing and Viewing Settings in Limited Menu Access Mode.......................87

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v
Activating Your Primary or Secondary Prescription ......................................88
Viewing and Changing My Settings Menu Items...........................................89
Connecting the Ventilator to the Patient...................................................................91
Chapter 6. Ventilator Alarms ............................................................................................................................93
Audible and Visual Alarm Indicators............................................................................94
Alarm LED Indicators ................................................................................................94
Audible Indicators .....................................................................................................95
Alarm Messages .........................................................................................................96
Remote Alarm .............................................................................................................98
Audio Pause and Alarm Reset Features......................................................................99
Audio Pause .................................................................................................................99
Alarm Reset..................................................................................................................99
Alarm Volume Control...........................................................................................100
What to Do When An Alarm Occurs.......................................................................... 100
Alarm Summary Table....................................................................................................101
Chapter 7. Cleaning and Maintenance.......................................................................................................115
Cleaning the Ventilator.................................................................................................. 115
Cleaning and Replacing the Air Inlet Filter.............................................................116
Replacing the Air Inlet Path Foam.............................................................................117
Cleaning the Patient Circuit......................................................................................... 118
Reusable Circuit Cleaning Instructions ..........................................................118
Cleaning the Reusable Exhalation Devices...........................................119
Replacing the Bacteria Filter (Optional).................................................119
Preventive Maintenance ...............................................................................................120
Chapter 8. Troubleshooting............................................................................................................................123

Trilogy100 clinical manual
vi
Chapter 9. Accessories......................................................................................................................................127
Adding a Humidier.......................................................................................................127
Adding Supplemental Oxygen to the Device....................................................... 127
Supplemental Oxygen Warnings...............................................................................128
Using a Remote Alarm Unit..........................................................................................128
Using a Nurse Call System............................................................................................129
Using a Secure Digital (SD) Card ................................................................................129
Using the Philips Respironics DirectView Software ............................................130
Using the Optional In-Use Bag ...................................................................................130
Connect a Water Trap.....................................................................................................130
Using an Oximetry Module (When Available)....................................................... 131
Traveling with the System............................................................................................131
Airline Travel...................................................................................................................... 131
Chapter 10. System Checkout Procedures................................................................................................133
Tools Required..................................................................................................................133
Visual Inspection..............................................................................................................133
Initial Setup........................................................................................................................134
Settings and Alarms Tests............................................................................................. 134
Battery Function Verication.......................................................................................142
Alarm and Event Log Clean-Up ..................................................................................143
Results .................................................................................................................................144
Chapter 11. Technical Specications...........................................................................................................145
Chapter 12. Glossary .........................................................................................................................................149
Chapter 13. EMC Information ........................................................................................................................155
Index ........................................................................................................................................................................159
Limited Warranty .................................................................................................................................................163

Chapter 1 Introduction
1
This chapter provides an overview of the Trilogy100 device.
Package Contents
The Trilogy100 system may include the following components.
Clinical Manual
AC Power Cord
Flexible Tubing
Exhalation Porting Blocks
Reusable Gray Foam Filters
Secure Digital
(SD) Card
(pre-installed)
Detachable
Battery
O2Inlet
Quick Connects
(pre-installed)
Trilogy 100
Carrying Case
Whisper Swivel II
Clinical Manual
AC Power Cord
Flexible Tubing
Reusable Gray Foam Filters
Secure Digital
(SD) Card
(pre-installed)
O2Inlet
Quick Connects
Active Exhalation
Device (AED)
(pre-installed)
Exhalation Valve
Line (pre-assembled
to AED)
Trilogy200
Carrying Case
Proximal
Pressure Line
(pre-assembled
to AED)
Whisper Swivel II
Disposable Active Circuit, No Water Trap
Disposable Passive Circuit, NoWater Trap
Package Contents
Trilogy100
clinical manual
1. Introduction

Trilogy100 clinical manual
2
Intended Use
The Philips Respironics Trilogy100 system provides continuous
or intermittent ventilatory support for the care of individuals who
require mechanical ventilation. Trilogy100 is intended for pediatric
through adult patients weighing at least 5 kg (11 lbs.).
The device is intended to be used in home, institution/hospital, and
portable applications such as wheelchairs and gurneys, and may be
used for both invasive and non-invasive ventilation. It is not intended
to be used as a transport ventilator.
The system is recommended to be used only with various
combinations of Philips Respironics-approved patient circuit
accessories, such as patient interface devices, humidiers, water
traps, and circuit tubing.

Chapter 1 Introduction
3
Warnings and Cautions
Caution: U.S. federal law restricts this device to sale by or on the order of a physician.
Warnings
A warning indicates the possibility of injury to the user or operator.
Patient Monitoring Prior to placing a patient on the ventilator, a clinical assessment should
be performed to determine:
•The device alarm settings
•Needed alternative ventilation equipment
•If an alternative monitor (i.e. an alarming Pulse Oximeter or
Respiratory Monitor) should be used
Alternative
Ventilation
For ventilator dependent patients, always have alternate ventilation
equipment, such as a back-up ventilator, manual resuscitator, or similar
device, available.
Ventilator dependant patients should be continuously monitored by
qualied personnel. These personnel should be prepared to provide
alternate therapy in the event of ventilator failure or inoperative
equipment.
Patient Disconnect
Protection
For ventilator dependent patients, do not rely on any single alarm
to detect a circuit disconnect condition. The Low Tidal Volume, Low
Minute Ventilation, Low Respiratory Rate, and Apnea alarms should
be used in conjunction with the Circuit Disconnect and Low Peak
Inspiratory Pressure alarms.
Test the operation of the circuit disconnect function daily and
whenever a change is made to the patient circuit. An increase in circuit
resistance can prevent proper operation of some alarms.
Speaking valves, Heat Moisture Exchangers (HMEs), and lters create
additional circuit resistance and may aect the performance of alarms
chosen for circuit disconnect protection.
Do not set the Low Peak Inspiratory Pressure alarm too low, or the
system may not detect large circuit leaks or a patient disconnect.