Philips Respironics V60 User manual

Respironics V60 Ventilator
User Manual

For Technical Support and Customer Service, contact:
USA and Canada: 1-800-722-9377
International: www.philips.com.
Select your location to access contact information.
Manufacturer
Respironics California, LLC.
2271 Cosmos Court
Carlsbad, CA 92011
USA
Email and web addresses
[e-mail]
respironics.clinica[email protected]
www.philips.com/healthcare
Authorized European representative
Respironics Deutschland GmbH & Co. KG
Gewerbestrasse 17
82211 Herrsching
Germany
[phone]
Australian sponsor
Philips Healthcare Australia
65 Epping Road
North Ryde, NSW 2113
Australia
You can find the most current version of this user manual here:
http://www.philips.com/hrcmanuals

1047358 Rev N Respironics V60 Ventilator User Manual iii
Table of contents
1. Warnings, cautions, and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Alarms and messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6
First-time installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
2. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
3. General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
About CO2rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Potential side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
General description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Physical description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Patient circuits, masks/patient interfaces, and accessories . . . . . . . 3-4
Ventilator unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
About the optional backup battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
About the graphical user interface. . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
Navigating the graphical user interface . . . . . . . . . . . . . . . . . . . . 3-12
Starting up the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Shutting down the ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
Training . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
4. Principles of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
System operational overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Pneumatic system operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Breath delivery characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Control variable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Triggering, cycling, and leak adaptation . . . . . . . . . . . . . . . . . . . . 4-2
Baseline pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Pressure rise time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Negative pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Oxygen concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Auto-Trak Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Cycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3
Leak adaptation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Auto-Trak+ (optional). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

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CPAP mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
PCV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
S/T mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
AVAPS mode (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
PPV mode (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Oxygen mixing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-16
5. Setting up the ventilator for use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting oxygen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Installing an oxygen monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting to AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Installing the patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Connecting external devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Before placing a patient on the ventilator. . . . . . . . . . . . . . . . . . . . . . . . 5-5
Verify ventilator operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Running alarm tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
High Inspiratory Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Low Tidal Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Patient Disconnect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Patient Circuit Occluded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Using the ventilator for intra-hospital transport. . . . . . . . . . . . . . . . . . . . 5-8
Storing the ventilator between patient use . . . . . . . . . . . . . . . . . . . . . . 5-10
6. Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Changing the mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Changing control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Making batch setting changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Changing individual ventilator settings . . . . . . . . . . . . . . . . . . . . . . 6-4
Using the Ramp Time function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Using the 100% O2function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Using PPV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
About Max V and Max P alarms and alarm limits . . . . . . . . . . . . . . . 6-7
Guidelines for using PPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9
Changing alarm settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12
Selecting the mask and exhalation port . . . . . . . . . . . . . . . . . . . . . . . . 6-13
Running the exhalation port test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-16
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Other functions: the Menu window . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Mask/Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-17
Vent Info (ventilator information) . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Screen Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Auto-Trak+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
Help function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22
Table of modes and control settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-23

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7. Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Display conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Table of monitored parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Scaling the waveform axes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Freezing and unfreezing waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
8. Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Responding to alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Setting alarm loudness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
Silencing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Manually resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
Clearing autoreset alarms from the Alarms list . . . . . . . . . . . . . . . . 8-5
Hiding/displaying alarm messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
Alarms and other messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
9. Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Exterior and Touchscreen Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Approved Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Cleaning Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Exterior and Touchscreen Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Approved Disinfecting Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Disinfection Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Bacteria filter, patient circuit, and other accessories. . . . . . . . . . . . . . . 9-3
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Replacing the air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Cleaning or replacing the cooling fan filter . . . . . . . . . . . . . . . . . . 9-6
Removing and replacing the battery . . . . . . . . . . . . . . . . . . . . . . . 9-7
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Storage between patient use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Service and Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
Repacking and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
10. Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Menu window settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Diagnostic mode functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Physical characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Accessory Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Other specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
A. First-time installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Unpacking and inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Mounting the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Installing the optional battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3
Installing oxygen inlet connector and AC power cord . . . . . . . . . . . . . . . A-6

vi Respironics V60 Ventilator User Manual 1047358 Rev N
Installing the oxygen manifold kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
Verifying ventilator operation and audible alarm . . . . . . . . . . . . . . . . . . . A-8
Configuration and screen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . A-8
B. Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
RS-232 serial and analog I/O port. . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Pinout of connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Communications protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-4
Commands and transmission conventions . . . . . . . . . . . . . . . . . . . B-4
Using Philips IntelliBridge or VueLink . . . . . . . . . . . . . . . . . . . . . . . . B-13
Using Philips monitors and the IntelliBridge Open Interface . . . . . B-13
Using Philips monitors and the VueLink Open Interface . . . . . . . . B-14
Data Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-14
Remote alarm port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-17
C. Parts and accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Masks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Exhalation ports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Patient breathing circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Bacteria filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Operator maintenance parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Other parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
D. Regulatory compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
Electromagnetic compatibility (EMC). . . . . . . . . . . . . . . . . . . . . . . . . . D-1
2nd edition standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
3rd edition standards . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
Electromagnetic compatibility declaration . . . . . . . . . . . . . . . . . . . . . . D-2
Electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
Electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3
WEEE recycling directive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-6
Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-6
E. Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
Entering the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1
System settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-3
Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-4
Date/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-6
Pressure Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-7
Restore Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-8
Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-9
Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-10
Alarm Volume Escalation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-11
Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-12
Significant Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-12
Touchscreen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-14
Exiting the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-14

1047358 Rev N Respironics V60 Ventilator User Manual vii
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1
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viii Respironics V60 Ventilator User Manual 1047358 Rev N
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1047358 Rev N Respironics V60 Ventilator User Manual 1-1
Chapter 1. Warnings, cautions, and notes
Before using the Respironics V60 Ventilator on a patient, familiarize yourself
with this user manual, particularly the safety considerations listed. Be aware,
however, that this manual is a reference only. It is not intended to supersede
your institution’s protocol regarding the safe use of assisted ventilation.
Definitions WARNING: Alerts the user to the possibility of injury, death, or other serious adverse
reactions associated with the use or misuse of the device.
CAUTION: Alerts the user to the possibility of a problem with the device
associated with its use or misuse, such as device malfunction, device
failure, damage to the device, or damage to other property.
NOTE: Emphasizes information of particular importance.
General WARNING: An alternative means of ventilation shall be available whenever the
ventilator is in use. If a fault is detected in the ventilator, disconnect the
patient from it and immediately start ventilation with such a device. The
ventilator must be removed from clinical use and serviced by authorized
service personnel.
WARNING: Use the Respironics V60 Ventilator on spontaneously breathing patients
only. It is an assist ventilator and is intended to augment the ventilation of
a spontaneously breathing patient. It is not intended to provide the total
ventilatory requirements of the patient.
WARNING: We do not recommend you use the Respironics V60 Ventilator on patients
who require ventilation at predetermined tidal volumes. The ventilator
provides continuous positive airway pressure (CPAP) and positive
pressure ventilation (S/T, PCV, and AVAPS, and PPV) and is indicated for
assisted ventilation only. These modes do not provide ventilation with
guaranteed tidal volume delivery.
WARNING: We do not recommend you use AVAPS on patients who require rapid and
frequent IPAP adjustments to maintain a consistent tidal volume. AVAPS, a
volume targeted mode, changes the IPAP setting in order to achieve the
target tidal volume. During AVAPS setup, there may be a period of time
before the target tidal volume is achieved. AVAPS is ideal for more
stabilized patients.

Chapter 1
1-2 Respironics V60 Ventilator User Manual 1047358 RevN
Warnings, cautions, and notes
WARNING: To reduce the risk of CO2rebreathing, make sure EPAP pressures and
exhalation times are sufficient to clear all exhaled gas through the
exhalation port. In noninvasive ventilation continuous air flow through the
port flushes exhaled gases from the circuit. The ability to completely
exhaust exhaled gas from the circuit depends on the EPAP setting and I:E
ratio. Higher tidal volumes further increase the volume of CO2rebreathed
by the patient.
WARNING: To reduce the risk of CO2 rebreathing, monitor the patient for changes in
respiratory status at the start of ventilation and with each change in
ventilator settings, circuit configuration, or patient condition. Pay
attention to ventilator alarms that warn of increased CO2 rebreathing risk.
WARNING: 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.
WARNING: To reduce the risk of fire, use the ventilator in well-ventilated areas away
from flammable anesthetics. Do not use in a hyperbaric chamber or other
similarly oxygen-enriched environments. Do not use near an open flame.
WARNING: To reduce the risk of electric shock from liquid entering the device, do
not put a container filled with a liquid on the ventilator.
WARNING: To reduce patient risk of oxygen toxicity, keep free-flowing oxygen away
from air inlet of ventilator.
WARNING: The nurse call/remote alarm should be considered a backup to the
ventilator’s primary alarm system.
WARNING: To ensure that the alarm will be heard, make sure the alarm loudness is
adequate and avoid blocking the alarm speakers beneath the ventilator.
WARNING: Do not leave the ventilator unattended when stationed on an incline.
WARNING: The V60 ventilator may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary to take mitigation
measures, such as re-orienting or relocating the ventilator or shielding
the location.
WARNING: Use of non-approved accessories, transducers or cables may increase
EMC emissions or decrease the EMC immunity performance of the
equipment.
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a
physician.
CAUTION: The Respironics V60 Ventilator is designed to operate in the
temperature range of 5 to 40 ºC (41 to 104 ºF). To minimize the risk
of overheating the device, do not operate adjacent to heaters or other
heat sources.
NOTE: The displays shown in this manual may not exactly match what you
see on your own ventilator.
NOTE: Pressures are indicated on the ventilator in cmH2O. Millibars and
hectopascals (hPa) are used by some institutions instead. Since
1 millibar equals 1 hPa, which equals 1.016 cmH2O, the units may
be used interchangeably.

Chapter 1
1047358 Rev N Respironics V60 Ventilator User Manual 1-3
Warnings, cautions, and notes
NOTE: The ventilator is not intended for use as an ambulance transport
ventilator or as an Automatic Transport Ventilator as described by the
American Hospital Association and referenced by the FDA. It is
intended to allow the patient to be transported within the hospital
setting using a cart to move the ventilator.
NOTE: When attachments or other components or subassemblies are added
to the ventilator breathing system, the pressure gradient across the
ventilator breathing system, measured with respect to the ventilator
outlet, may increase.
NOTE: To ensure the correct performance of the ventilator and the accuracy
of patient data, use only Respironics-approved accessories with the
ventilator. See Appendix C, “Parts and accessories”.
NOTE: This Respironics V60 Ventilator and its recommended accessories
that have patient contact are not made with natural rubber latex.
NOTE: If an alarm persists for no apparent reason, discontinue ventilator use
and contact Philips.
NOTE: If you detect any unexplained changes in the performance or visual
displays of the ventilator, discontinue ventilator use and contact
Philips.
NOTE: The Respironics V60 Ventilator does not support automatic record
keeping.
NOTE: All ventilator mode and alarm settings, alarm messages and
significant events are retained and automatically logged, even when
power is lost.
Preparing for
ventilation WARNING: Connect the ventilator only to an appropriate medical-grade oxygen
source.
WARNING: To reduce the risk of hypoxia, connect only oxygen to the high-pressure
connector at the rear of the ventilator.
WARNING: To reduce the risk of fire, do not use a high-pressure oxygen hose that is
worn or contaminated with combustible materials like grease or oil.
WARNING: The Respironics V60 Ventilator is designed to use ambient air and high
pressure 100% oxygen. No other gases should be used.
WARNING: Do not use the ventilator with helium or mixtures with helium.
WARNING: Do not use the ventilator with nitric oxide.
WARNING: To prevent possible asphyxia and to reduce the risk of CO2rebreathing,
take these precautions with respect to mask and exhalation port use:
- Use only an oro-nasal mask with an anti-asphyxia valve or a nasal
mask for noninvasive ventilation.
- Do not occlude the exhalation port.
- Turn on the ventilator and verify that the port is operational before
application. Pressurized gas from the ventilator should cause a
continuous flow of air to exhaust from the leak port, flushing exhaled
gas from the circuit.

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1-4 Respironics V60 Ventilator User Manual 1047358 RevN
Warnings, cautions, and notes
- Never leave the mask on the patient while the ventilator is not
operating. When the ventilator is not operating, the exhalation port
does not allow sufficient exhaust to eliminate CO2 from the circuit.
Substantial CO2 rebreathing may occur.
WARNING: The patient’s exhaled volume can differ from the measured exhaled
volume due to leaks around the mask during noninvasive ventilation.
WARNING: To ensure normal air circulation and exchange, do not cover or block the
ports on the ventilator. Do not block the air inlet panel on the right side of
the ventilator.
WARNING: Do not cover or position the ventilator so as to adversely affect its
operation or performance. Use the V60 in an upright position that does
not block the air inlet.
WARNING: To reduce the risk of the device overheating and possible burn injury, do
not block the fan intake at the rear of the ventilator.
WARNING: To prevent possible patient injury and possible water damage to the
ventilator, make sure the humidifier is set appropriately.
WARNING: When using a humidifier, always use either a circuit with a water trap or a
heated wire circuit to minimize patient risk from condensate in the
circuit.
WARNING: To prevent the possibility of inadequate humidification, pay close
attention to the humidifier’s functioning when operating the ventilator at
an ambient temperature > 30 ºC (86 ºF). The ventilator warms the air
delivered to the patient above ambient temperature, which may impair the
humidifier’s performance.
WARNING: To reduce the risk that the patient will aspirate condensed water from the
breathing circuit, position any humidifier lower than both the ventilator
and the patient.
WARNING: To prevent possible patient injury and equipment damage, do not turn the
humidifier on until the gas flow has started and is regulated. Starting the
heater or leaving it on without gas flow for prolonged periods may result
in heat build-up, causing a bolus of hot air to be delivered to the patient.
Circuit tubing may melt under these conditions. Turn the heater power
switch off before stopping gas flow.
WARNING: To reduce the risk of fire, use only patient circuits intended for use in
oxygen-enriched environments. Do not use antistatic or electrically
conductive tubing.
WARNING: To prevent patient or ventilator contamination, always use a main flow
bacteria filter on the patient gas outlet port. Filters not approved by
Respironics may degrade system performance.
WARNING: During ventilation, patient exhalate is released into room air. Use of a
patient circuit with a filter on its exhalation port is recommended.
WARNING: To reduce the risk of bacterial contamination or damage, handle bacteria
filters with care.
WARNING: Any additional accessories in the patient circuit may substantially
increase flow resistance and impair ventilation.
WARNING: Avoid adding resistive circuit components on the patient side of the
proximal pressure line. Such components may defeat the disconnect
alarm.

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1047358 Rev N Respironics V60 Ventilator User Manual 1-5
Warnings, cautions, and notes
WARNING: To reduce the risk of strangulation from patient tubing, use a tubing
support arm and secure the proximal pressure line with clips.
WARNING: To reduce the risk of electric shock, connect the ventilator to an AC
supply mains with protective earth only.
WARNING: Do not use extension cords, adapters, or power cords with the ventilator
that are not approved by Respironics.
WARNING: To prevent unintentional disconnection of the power cord, always use the
correct, Philips-supplied power cord and lock it into place with the power
cord retainer before you switch the ventilator on. The retainer is designed
to hold the connector end of the Philips-supplied cord securely in place.
WARNING: The V60 ventilator should not be positioned in a way that makes it
difficult to disconnect from mains power if necessary. Disconnect from
supply mains by removing the power cord from the wall outlet.
WARNING: To reduce the risk of electric shock, regularly inspect the AC power cord
and verify that it is not frayed or cracked.
WARNING: To reduce the risk of strangulation, route the power cord to avoid
entanglement.
WARNING: To reduce the risk of power failure to the ventilator, pay close attention to
the battery’s charge level. The battery’s operation time is approximate and
is affected by ventilator settings, discharge and recharge cycles, battery
age, and ambient temperature. Battery charge is reduced at low ambient
temperatures or in situations where the alarm is continuously sounding.
WARNING: Always check the status of the oxygen cylinders before using the
ventilator during transport.
WARNING: Provide external oxygen monitoring to minimize patient risk in case of O2
supply loss or ventilator failure.
WARNING: To ensure the ventilator’s safe operation, always verify ventilator
operation as described in “Verify ventilator operation” on page 5-5 before
using the ventilator on a patient. If the ventilator fails any tests, remove it
from clinical use immediately. Do not use the ventilator until necessary
repairs are completed and all tests have passed.
WARNING: To prevent possible patient injury due to nonannunciating alarms, verify
the operation of any remote alarm device before use.
WARNING: To prevent possible patient injury, always return alarm settings to
hospital-standard values after verifying ventilator operation.
WARNING: Manufacturer default settings are not appropriate for all patients. Prior to
using the ventilator, verify that the current alarm settings or defaults are
appropriate for each particular patient.
CAUTION: To prevent possible damage to the ventilator, ensure that the
connection to the oxygen supply is clean and unlubricated, and that
there is no water in the oxygen supply gas.
CAUTION: For 120 V equipment, grounding reliability can only be achieved
when it is connected to an equivalent receptacle marked “hospital
only” or “hospital grade.”

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1-6 Respironics V60 Ventilator User Manual 1047358 RevN
Warnings, cautions, and notes
CAUTION: Oxygen hose configurations using SIS connectors generate higher
resistance to flow. Therefore, a minimum supply pressure of 53 psig
is recommended when adding supplemental O2accessories with SIS
adapters such as the O2transport manifold.
Operation WARNING: To prevent possible patient injury, avoid setting alarm limits to extreme
values, which can render the alarm system useless.
WARNING: PPV limits are not intended to be the primary ventilator alarms and should
not be substituted for the alarms found in the Alarm Settings window.
WARNING: To prevent the delivery of excessive pressure or volume, set the PPV
limits appropriately. Delivery of excessive pressure or volume can occur
from a sudden increase in mask leak, inappropriate settings, or a plugged
or kinked proximal pressure line. Conversely, insufficient treatment may
result if limits are set too low.
WARNING: Nebulization or humidification can increase the resistance of breathing
system filters. When using a nebulizer or humidifier, monitor the
breathing system filter frequently for increased resistance and blockage.
WARNING: Using a jet nebulizer can cause inadvertent alarms and affect the
accuracy of delivered FiO2. To reduce patient risk, limit the flow of
pneumatic nebulizers to 10 L/min or use a vibrating mesh nebulizer.
Alarms and messages WARNING: If AC power fails and the backup battery is not installed or is depleted, an
audible and visual alarm annunciates for at least 2 minutes. Immediately
discontinue ventilator use and secure an alternative means of ventilation.
As in most ventilators with passive exhalation ports, when power is lost,
sufficient air is not provided through the circuit and exhaled air may be
rebreathed.
Care and
maintenance WARNING: To reduce the risk of electric shock, power down the ventilator and
disconnect it from AC power before cleaning, disinfecting, or servicing it.
WARNING: To prevent patient or ventilator contamination, inspect and replace the
main flow bacteria filter between patients and at regular intervals (or as
stated by the manufacturer).
WARNING: To prevent possible patient injury, inspect and verify the proper operation
of the exhalation port regularly during use.
WARNING: To reduce the risk of fire, explosion, leakage, or other hazard, take these
precautions with respect to the battery:

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1047358 Rev N Respironics V60 Ventilator User Manual 1-7
Warnings, cautions, and notes
- Do not attempt to disassemble, open, drop, crush, bend or deform,
insert foreign objects into, puncture, or shred the battery pack; modify
or remanufacture it; immerse or expose it to water or other liquids;
expose it to fire, excessive heat (including soldering irons); or put it in
a microwave oven.
- Replace the battery only with another battery specified by the
manufacturer.
- Follow all instructions for proper use of the battery.
- Do not short-circuit the battery or allow metallic or conductive objects
to contact the battery connector housing.
- Use the battery with the Respironics V60 Ventilator only.
WARNING: Modification of the V60 ventilator and associated equipment is not
permitted and may compromise ventilator operation and patient safety.
Service should only be performed by qualified service personnel.
WARNING: This product consists of devices that may contain mercury, which must be
recycled or disposed of in accordance with local, state, or federal laws.
(Within this system, the backlight lamps in the monitor display contain
mercury.)
CAUTION: Do not attempt to sterilize or autoclave the ventilator.
CAUTION: To prevent possible damage to the ventilator, use only those cleaning
and disinfecting agents listed in this manual.
CAUTION: To prevent possible damage to the ventilator, do not drip or spray any
liquids directly onto any surface including the front panel,
touchscreen, and navigation ring.
CAUTION: Never clean or disinfect the touchscreen with an abrasive brush or
device, since this will cause irreparable damage.
CAUTION: To avoid introducing foreign matter into the ventilator and to ensure
proper system performance, change the air inlet filter at regular
intervals (or as stipulated by your institution).
CAUTION: To ensure proper system performance, use a Respironics-approved air
inlet filter.
CAUTION: Because some environments cause a quicker collection of lint and
dust than others, inspect the filters more often when needed. The air
inlet filter should be replaced; the cooling fan filter should be
cleaned.
CAUTION: To prevent possible damage to the ventilator, always ship it with the
original packing material. If the original material is not available,
contact Philips to order replacements.

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1-8 Respironics V60 Ventilator User Manual 1047358 RevN
Warnings, cautions, and notes
First-time installation WARNING: Never attempt to disconnect or connect the battery during operation.
CAUTION: To prevent possible damage to the ventilator, always secure it to its
stand or securely place it on a flat, stable surface that is free of dirt
and debris. Do not use the ventilator adjacent to, or stack it with,
other equipment.
Communications
interface WARNING: Connect to the ventilator only items that are specified as part of or
compatible with the ventilator system. Additional equipment connected to
medical electrical equipment must comply with the respective IEC or ISO
standards. Furthermore, all configurations shall comply with the
requirements for medical electrical systems (see IEC 60601-1-1 or
clause 16 of edition 3 of IEC 60601-1, respectively). Anybody connecting
additional equipment to medical electrical equipment configures a
medical system and is therefore responsible for ensuring that the system
complies with the requirements for medical electrical systems. Also be
aware that local laws may take priority over the above mentioned
requirements. If in doubt, consult Philips.
WARNING: The USB port is not currently available for use. DO NOT connect or attempt
to power any equipment from the USB port.
WARNING: It is the responsibility of the end user to validate the compatibility and use
of information transmitted from the ventilator to the device to be
connected to the ventilator.
WARNING: The data provided through the communications interface is for reference
only. Decisions for patient care should be based on the clinician’s
observations of the patient.
WARNING: To prevent possible patient injury due to nonannunciating alarms, verify
the operation of any remote alarm device before use.
WARNING: To ensure the functionality of the remote alarm, connect only Respironics-
approved cables to the remote alarm port.
CAUTION: The remote alarm port is intended to connect only to an SELV (safety
extra-low voltage and ungrounded system with basic insulation to
ground), in accordance with IEC 60601-1. To prevent damage to the
remote alarm, make sure the signal input does not exceed the
maximum rating of 24 VAC or 36 VDC at 500 mA with a minimum
current of 1 mA.
Diagnostic mode WARNING: To prevent possible patient injury, do not enter the diagnostic mode while
a patient is connected to the ventilator. Verify that the patient is
disconnected before proceeding.

1047358 Rev N Respironics V60 Ventilator User Manual 2-1
Chapter 2. Symbols
Refer to these tables to interpret symbols used on the ventilator labels and
packaging and on the ventilator screen. To interpret symbols pertaining to
accessories, refer to their instructions for use.
Table 2-1: Symbols used on ventilator labels and packaging
Symbol Description
Warning: Risk of explosion. Do not use in the presence of flammable an-
esthetics.
Attention, consult the accompanying documents.
Read the user manual before using the ventilator.
(Blue) It is mandatory for the operator to consult the accompanying docu-
ments.
Protective earth (ground)
Type B applied part, which is equipment that provides a particular degree
of protection against electric shock, particularly in regard to allowable
leakage current and of the protective earth connection
Requires alternating current (AC)
Degree of fluid ingress protection provided by the enclosure (drip-proof)
Alarm and remote alarm
Two states of control: ON and Shutdown
Battery
European Conformity. Symbol is on rear panel of ventilator.

Chapter 2
2-2 Respironics V60 Ventilator User Manual 1047358 Rev N
Symbols
Brazilian Conformity. Certification by INMETRO (National Institute of Me-
trology, Standardization and Industrial Quality)/SGS (Societe Generale de
Surveillance).
GOST R. Conformity mark, Russia Federation.
Date of manufacture
Manufacturer
EC representative
Serial number
Order number
Lot or batch number
Model number
Use by date
RS-232 serial input/output
USB port
Oxygen
(Yellow) Warning
Ethernet connection
Table 2-1: Symbols used on ventilator labels and packaging (continued)
Symbol Description
EC REP

Chapter 2
Symbols
1047358 Rev N Respironics V60 Ventilator User Manual 2-3
Accept button on the navigation ring
Adjustment direction on the navigation ring
Canadian Standards Association approval
Do not disassemble. Refer to authorized service personnel.
Product must be disposed of in accordance with the WEEE directive.
Noninvasive ventilation (patient with mask)
Invasive ventilation (intubated patient)
Do not block the cooling fan Inlet (at the rear of the ventilator).
No pushing. Do not push on the ventilator screen. Tipping hazard.
Total mass (weight) of the ventilator, ventilator stand, and standard setup.
See page 10-5 for more information.
Hospital-grade
Table 2-1: Symbols used on ventilator labels and packaging (continued)
Symbol Description
(On power cord)

Chapter 2
2-4 Respironics V60 Ventilator User Manual 1047358 Rev N
Symbols
Recycle
Recycle (Taiwan)
RoHS (China). Administrative Measure on the Control of Pollution Caused
by Electronic Information Products. Contains RoHS substances with 50
years environmentally friendly use period (EFUP).
uR UL recognition symbol
Direct current (DC). Symbol is on backup battery.
Rechargeable battery. Symbol is on backup battery.
Lithium-ion battery. Battery must be recycled or disposed of properly.
Symbol is on backup battery.
Battery option
C-Flex software option
AVAPS software option
PPV software option
Auto-Trak+ software option
Table 2-1: Symbols used on ventilator labels and packaging (continued)
Symbol Description
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