PHILIPS Respironics Trilogy 202 User manual

User Manual
REF 1067236
1067235
JH 12/3/09

For Technical Support and Customer Service, contact:
USA and Canada: 1-800-345-6443 or 1-724-387-4000
Respironics Europe, Africa, Middle East: [phone]
Respironics Asia Pacic: [phone]
Facsimile: [phone]
USA
Respironics California, Inc.
2271 Cosmos Court
Carlsbad, CA 92011
Email and web addresses:
[email protected]
[email protected]
www.philips.com\healthcare
Authorized European Representative:
Respironics Deutschland GmbH
Gewerbestrasse 17
D-82211 Herrsching
Germany
[phone]
© 2009 Koninklijke Philips Electronics N.V.
All rights reserved.
This work is protected under Title 17 of the United States copyright code and is the sole property
of Philips Respironics. No part of this document may be copied or otherwise reproduced, or stored
in any electronic information retrieval system, except as specically permitted under United States
copyright law, without the prior written consent of Philips Respironics.

Table of Contents
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
Chapter 2. System Description........................................................................................................................15
Front Panel Features..........................................................................................................15
Buttons ..........................................................................................................................15
Visual Indicators .........................................................................................................16
Display Screen.............................................................................................................16
Side and Rear Panel Features .........................................................................................17
Chapter 3. Modes, Features, and Alarms......................................................................................................19
Therapy Modes....................................................................................................................19
Breath Types.................................................................................................................20
Therapy Mode Table .................................................................................................21
Volume Control Ventilation Therapy Modes....................................................27
Trilogy 202
user manual
Table of Contents

Trilogy 202 user manual
ii
Therapy Mode Features...................................................................................................30
Flex Comfort Feature................................................................................................30
Ramp ..............................................................................................................................31
Rise Time .......................................................................................................................32
AVAPS Feature.............................................................................................................32
Flow Pattern Types ....................................................................................................34
Sigh Feature.................................................................................................................35
Dual Prescription Feature .......................................................................................36
Triggering ....................................................................................................................36
BTPS Compensation..................................................................................................41
Ventilator Alarms ................................................................................................................41
Loss of Power Alarm..................................................................................................41
Ventilator Inoperative Alarm .................................................................................41
Ventilator Service Required Alarm.......................................................................41
Check Circuit Alarm ..................................................................................................42
Low Circuit Leak Alarm ...........................................................................................42
High Expiratory Pressure Alarm ...........................................................................42
Low Expiratory Pressure Alarm ............................................................................42
High Internal Oxygen Alarm .................................................................................42
High Oxygen Flow.....................................................................................................43
Low Oxygen Flow ......................................................................................................43
High Oxygen Inlet Pressure....................................................................................43
Low Oxygen Inlet Pressure.....................................................................................43
Circuit Disconnect Alarm ........................................................................................43
Apnea Alarm ...............................................................................................................44
High Vte Alarm............................................................................................................44
Low Vte Alarm ............................................................................................................44
High Vti Alarm.............................................................................................................44
Low Vti Alarm .............................................................................................................45

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iii
High Respiratory Rate Alarm .................................................................................45
Low Respiratory Rate Alarm ..................................................................................45
High Inspiratory Pressure Alarm ..........................................................................45
Low Inspiratory Pressure Alarm ...........................................................................46
High Minute Ventilation Alarm ............................................................................46
Low Minute Ventilation Alarm ..............................................................................46
Low Battery Alarm .....................................................................................................46
High Temperature Alarm .......................................................................................47
Replace Detachable Battery Alarm......................................................................47
Ventilator Service Recommended Alarm..........................................................47
AC Power Disconnected Alarm.............................................................................48
Keypad Stuck Alarm .................................................................................................48
Battery Discharging Stopped due to Temperature Info Message............48
Battery Not Charging due to Temperature Info Message ..........................48
Battery Not Charging Info Message....................................................................48
Check External Battery Info Message .................................................................49
Battery Depleted Info Message ...........................................................................49
External Battery Disconnected Info Message..................................................49
Detachable Battery Disconnected Info Message...........................................49
Start On Battery Info Message ..............................................................................49
Card Error Info Message .........................................................................................49
Chapter 4. Ventilator Setup...............................................................................................................................51
Position the Device............................................................................................................52
Install the Air Filter.............................................................................................................52
Supply Power to the Device............................................................................................52
Using AC Power ..........................................................................................................52
Using DC Power..........................................................................................................54
Device Power Source Indicators...........................................................................58
Battery Disposal..........................................................................................................60
First Time Use ..............................................................................................................60

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Connect the Breathing Circuit to the Ventilator......................................................60
Connect a Water Trap .......................................................................................................64
Connecting Oxygen...........................................................................................................64
Installing an O2 Inlet Connector ..........................................................................64
Connect the Remote Alarm (Optional).......................................................................65
Chapter 5. Viewing and Changing Settings................................................................................................67
Keypad Lock Feature.........................................................................................................67
Accessing the Setting Screens.......................................................................................68
Full Menu Access Mode...........................................................................................68
Accessing the Startup and Monitor Screens ............................................................70
Monitor Screen Indicators ......................................................................................72
On-Screen Button Panel ..........................................................................................77
Navigating the Menu Screens........................................................................................77
Changing and Viewing Settings in Full Menu Access Mode...............................78
Changing the Device Settings and Alarms.......................................................79
Viewing and Changing Options Menu Items ..................................................93
Viewing the Alarm Log ............................................................................................97
Viewing the Event Log .............................................................................................98
Viewing Device Information..................................................................................99
Updating Prescriptions Using the SD Card ............................................................100
Changing and Viewing Settings in Limited Menu Access Mode....................104
Activating a Primary or Secondary Prescription..........................................105
Viewing and Changing My Settings Menu Items........................................106
Connecting the Ventilator to the Patient................................................................108
Chapter 6. Ventilator Alarms ..........................................................................................................................109
Audible and Visual Alarm Indicators.........................................................................110
Alarm LED Indicators .............................................................................................110
Audible Indicators ..................................................................................................111
Alarm Messages ......................................................................................................112
Remote Alarm ..........................................................................................................114

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Audio Pause and Alarm Reset Features...................................................................115
Audio Pause ..............................................................................................................115
Alarm Reset...............................................................................................................115
Alarm Volume Control...........................................................................................116
What to Do When An Alarm Occurs..........................................................................116
Alarm Summary Table....................................................................................................117
Chapter 7. Cleaning and Maintenance.......................................................................................................123
Cleaning the Ventilator..................................................................................................123
Cleaning and Replacing the Air Inlet Filter.............................................................124
Cleaning the Patient Circuit.........................................................................................125
Reusable Circuit Cleaning Instructions ..........................................................125
Preventive Maintenance ...............................................................................................126
Chapter 8. Troubleshooting............................................................................................................................127
Chapter 9. Accessories......................................................................................................................................131
Adding a Humidier.......................................................................................................131
Adding Supplemental Oxygen to the Device.......................................................131
Oxygen Blending Module Warnings................................................................132
Fixed Flow Oxygen Warnings .............................................................................132
Using a Remote Alarm Unit..........................................................................................133
Using a Nurse Call System............................................................................................134
Using a Secure Digital (SD) Card ................................................................................134
Using the Philips Respironics DirectView Software ............................................135
Chapter 10. System Checkout Procedures................................................................................................137
Tools Required..................................................................................................................137
Visual Inspection..............................................................................................................138
Initial Setup........................................................................................................................138
Settings and Alarms Tests.............................................................................................138
Battery Function Verication.......................................................................................148
Alarm and Event Log Clean-Up ..................................................................................149
Results .................................................................................................................................150

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Chapter 11. Technical Specications...........................................................................................................151
Chapter 12. Glossary .........................................................................................................................................155
Chapter 13. EMC Information ........................................................................................................................161
Index ........................................................................................................................................................................165
Limited Warranty.................................................................................................................................................169

Chapter 1 Introduction
1
This chapter provides an overview of the Trilogy 202 device.
Package Contents
The Trilogy 202 system may include the following components.
Some components are optional accessories that may not be
packaged with the device.
Manual
AC Power Cord
Flexible Tubing
Universal Porting Block
Reusable Gray Foam Filters
Secure Digital
(SD) Card
(pre-installed)
Detachable
Battery
Active Exhalation
Device with PA P
(pre-installed)
Exhalation Valve
Line
Trilogy 202
Proximal
Pressure Line
Whisper Swivel II
Active Exhalation
Device with Flow
Flow Sensor
Universal Active PAP
Tube Adapter
2.5 meter Supplemental
Oxygen Hose
Detachable
Battery Cover
Package Contents
Trilogy 202
user manual
1. Introduction