Pulmonetic Systems LTV 1000 User manual

LTV®Series Ventilator
(LTV®1000, 950, and 900)
Operator’s Manual
P/N 10664, Rev. Y

Operator’s Manual LTV®Series ventilator Page i
p/n 10664, Rev. Y
Document Revision History
Document Revision Level Revision Date
Rev A, ECO 390 January 1999
Rev B, ECO 450 February 1999
Rev C, ECO 478 June 1999
Rev D, ECO 685 October 1999
Rev E, ECO 774 March 2000
Rev F, ECO 868 September 2000
Rev G, ECO 956 December 2000
Rev H, ECO 1127 February 2001
Rev J, ECO 1299 May 2001
Rev K, ECO 1496 October 2001
Rev L, ECO 1722 April 2002
Rev M, ECO 1795 June 2002
Rev N, ECO 1978 August 2002
Rev P, ECO 2610 August 2003
Rev. R, ECO 2723 September 2003
Rev. R01, ECO 2735 December 2003
Rev. S, ECO 2907 April 2004
Rev. T ECO 3412 August 2005
Rev. W ECO 5407 July 2008
Rev. Y ECO 5462 May 2009
Contact Information
Pulmonetic Systems
17400 Medina Rd., Suite 100
Minneapolis, Minnesota 55447-1341
Phone: [phone]
Customer Care Center: [phone]
Fax: [phone]
E-mail: [email protected]
Website: http://www.pulmonetic.com
LTV®1000, LTV®950, LTV®900, and LTV® are trademarks belonging to Pulmonetic Systems.
Copyright © 2009 Pulmonetic Systems, Minneapolis, Minnesota.

Page ii LTV®Series ventilator Operator’s Manual
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Warranty
Pulmonetic Systems warrants that the LTV®Series ventilator is free from defects in material and
workmanship for a period of one (1) year from the date of shipment, or 8,800 hours as measured on
the usage meter, whichever comes first, with the following limitations:
1) Patient circuit components, including hoses, exhalation manifold, and other associated parts are
warranted for sixty (60) days from date of shipment.
2) The internal battery is warranted for ninety (90) days from date of shipment.
Pulmonetic Systems will, at its option, either repair, replace, or issue credit for products that prove to
be defective during the warranty period.
For warranty service or repair, the product must be returned to Pulmonetic Systems or a service
facility designated by Pulmonetic Systems, shipping prepaid by the Buyer.
LIMITATION OF WARRANTY
Ordinary maintenance, as specified in the LTV®Series ventilator Operator’s and Service Manuals, is
not covered under the foregoing warranty.
The foregoing warranty does not apply to defects resulting from:
1) Improper or inadequate maintenance of the unit;
2) Improper use or misuse of the unit;
3) Unauthorized modifications or repairs to the unit;
4) Use of the unit with unauthorized accessories, e.g. external battery or AC adapter.
5) Operation of the unit outside the specified environment.
NO IMPLIED WARRANTIES
This warranty is exclusive. There are no other warranties expressed or implied.
LIMITATION OF LIABILITY
Pulmonetic Systems shall not be liable for loss of profits, loss of use, consequential damages, or any
other claim based on breach of warranty. Pulmonetic Systems’ liability for damages of any kind shall
be limited to the purchase price of the defective unit.

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Notices
The LTV®Series ventilator complies with limitations as specified in IEC 601-1-2 for Medical Products.
It does however, use and radiate radio frequency energy.
The function of this machine may be adversely affected by the operation of other nearby equipment,
such as high frequency surgical diathermy equipment, short-wave therapy equipment, defibrillators or
MRI equipment.
The LTV Series ventilator may emit and receive electromagnetic interference. Avoidance of this
exposure is recommended whenever possible.
Federal law restricts this device to sale by or on the order of a physician.
European Regulatory Requirements per 93/42/EEC Medical Device Directives
Pulmonetic Systems’ European Representative for vigilance reporting within the European
Community is:
MediMark® Europe Sarl.
11, rue Emile Zola. BP 2332
F-38033 Grenoble Cedex 2. France
Tel: [phone]
Fax: [phone]
E-mail: [email protected]
Any product malfunctioning issues that fall under Medical Device Directives Essential Requirements
should be directed to MediMark.

Page iv LTV®Series ventilator Operator’s Manual
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Notice To Operators
Unsafe Operation - Operating the LTV®Series ventilator without a complete and thorough
understanding of its attributes is unsafe and may cause harm to the patient. It is important that this
manual be read and understood in its entirety before operating the ventilator.
Warnings and Cautions Section - Read the section on Warnings and Cautions carefully before
operating the LTV®Series ventilator.
Use and Maintenance - Any questions regarding installing, operating, or maintaining the LTV®
Series ventilator, should be directed to a certified Pulmonetic Systems’ service technician or
Pulmonetic Systems.
Avis important
Fonctionnement dangereux - L'opération d'un ventilateur de la série LTV® sans une excellente
compréhension de ses attributs est dangereuse et risque de blesser le patient. Il est très important de
lire et de comprendre entièrement ce manuel avant de faire fonctionner le ventilateur.
Section Avertissements et Attention - Lire attentivement la section Avertissements et Attention
avant de procéder à l'opération des ventilateurs de la série LTV®.
Utilisation et entretien - En cas de questions concernant l'installation, l'opération ou l'entretien des
ventilateurs de la série LTV®, veuillez vous adresser à un technicien de service certifié de Pulmonetic
Systems ou directement à Pulmonetic Systems.

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Contents
Warranty ............................................................................................................................................. ii
Notices................................................................................................................................................iii
Chapter 1 - Introduction ...................................................................1-1
Operator’s Safety Information..........................................................................................................1-2
Warnings..........................................................................................................................................1-3
Cautions.........................................................................................................................................1-12
Symbols .........................................................................................................................................1-18
Chapter 2 - Ventilator Overview.......................................................2-1
Intended Use ...................................................................................................................................2-1
Power/Supplies Required ................................................................................................................2-2
Information/Assistance ....................................................................................................................2-3
Chapter 3 - Breath Types .................................................................3-1
Breath Types ...................................................................................................................................3-1
Volume Control Breaths ...............................................................................................................3-2
Pressure Control Breaths.............................................................................................................3-3
Pressure Support Breaths............................................................................................................3-5
Spontaneous Breaths...................................................................................................................3-6
Chapter 4 - Ventilation Modes..........................................................4-1
Control Mode ...................................................................................................................................4-1
Assist/Control Mode.........................................................................................................................4-1
SIMV Mode ......................................................................................................................................4-2
CPAP Mode .....................................................................................................................................4-3
Apnea Backup .................................................................................................................................4-4
NPPV ...............................................................................................................................................4-4
NPPV ...............................................................................................................................................4-5
Volume / Pressure Ventilation .........................................................................................................4-6
Bias Flow .........................................................................................................................................4-6
Chapter 5 - Using the Controls and Indicators ................................5-1
Ventilator Controls ...........................................................................................................................5-1
Setting a Control..............................................................................................................................5-2
Variable Controls .............................................................................................................................5-2
Buttons.............................................................................................................................................5-3
Set Value Knob................................................................................................................................5-3
Extended Features ..........................................................................................................................5-3
Mechanical Controls ........................................................................................................................5-4
Bright, Dim and Blank Control Displays...........................................................................................5-5
Flashing Controls.............................................................................................................................5-6
Dashes.............................................................................................................................................5-6
Control Limiting................................................................................................................................5-6

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Control Locking ............................................................................................................................... 5-7
Control Retention ............................................................................................................................ 5-7
Chapter 6 - Controls......................................................................... 6-1
Assist/Control / SIMV/CPAP Modes................................................................................................6-1
Breath Rate ..................................................................................................................................... 6-2
Control Lock .................................................................................................................................... 6-3
High Pressure Limit......................................................................................................................... 6-4
Inspiratory / Expiratory Hold............................................................................................................ 6-5
Inspiratory Hold............................................................................................................................ 6-6
Expiratory Hold ............................................................................................................................ 6-8
Inspiratory Time............................................................................................................................. 6-10
Low Minute Volume....................................................................................................................... 6-11
Low Pressure ................................................................................................................................ 6-12
Low Pressure O2Source (LTV®1000 Only) ................................................................................. 6-13
Manual Breath............................................................................................................................... 6-17
O2 % (O2 Flush) (LTV® 1000 Only) ............................................................................................. 6-18
On / Standby ................................................................................................................................. 6-20
PEEP Valve................................................................................................................................... 6-21
Pressure Control (LTV®1000 & 950 Only).................................................................................... 6-23
Pressure Support .......................................................................................................................... 6-25
Select ............................................................................................................................................ 6-27
Sensitivity ...................................................................................................................................... 6-28
Set Value Knob ............................................................................................................................. 6-29
Silence / Reset .............................................................................................................................. 6-30
Tidal Volume ................................................................................................................................. 6-31
Volume / Pressure Mode (LTV® 1000 & 950 Only)...................................................................... 6-32
Chapter 7 - Displays and Indicators ................................................ 7-1
Airway Pressure .............................................................................................................................. 7-1
Display Window............................................................................................................................... 7-1
Indicators......................................................................................................................................... 7-1
Battery Level ................................................................................................................................... 7-2
Charge Status ................................................................................................................................. 7-4
External Power................................................................................................................................ 7-5
NPPV............................................................................................................................................... 7-6
Patient Effort.................................................................................................................................... 7-6
Vent Inop......................................................................................................................................... 7-6
Chapter 8 - Monitored Data.............................................................. 8-1
Automatic or Manual Data Display Scrolling................................................................................... 8-2
PIP xxx cmH2O............................................................................................................................... 8-3
MAP xx cmH2O............................................................................................................................... 8-3
PEEP xx cmH2O............................................................................................................................. 8-3
f xxx bpm ......................................................................................................................................... 8-3

Operator’s Manual LTV®Series ventilator Page vii
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Vte xxx ml ........................................................................................................................................8-4
VE xx.x L..........................................................................................................................................8-4
I:E xx:xx ...........................................................................................................................................8-4
I:Ecalc xx:xx.....................................................................................................................................8-4
Vcalc xxx Lpm..................................................................................................................................8-4
Chapter 9 - Ventilator Alarms...........................................................9-1
APNEA, APNEA xx bpm..................................................................................................................9-2
BAT EMPTY ....................................................................................................................................9-3
BAT LOW.........................................................................................................................................9-5
DEFAULTS ......................................................................................................................................9-7
DEFAULTS SET ..............................................................................................................................9-9
DISC/SENSE .................................................................................................................................9-10
HIGH f............................................................................................................................................9-11
HIGH O2PRES (LTV® 1000 Only)................................................................................................9-12
HIGH PEEP ...................................................................................................................................9-13
High PRES.....................................................................................................................................9-14
HW FAULT ....................................................................................................................................9-16
INOP ..............................................................................................................................................9-17
LOW MIN VOL...............................................................................................................................9-18
LOW O2 PRES (LTV® 1000 Only).................................................................................................9-19
LOW PRES....................................................................................................................................9-20
NO CAL DATA, NO CAL Monitor Display .....................................................................................9-21
POWER LOST...............................................................................................................................9-22
POWER LOW ................................................................................................................................9-23
REMOVE PTNT.............................................................................................................................9-24
RESET / RESET 1.........................................................................................................................9-25
XDCR FAULT ................................................................................................................................9-26
Alarm Status Messages.................................................................................................................9-27
f PEEP OFF................................................................................................................................9-27
HI PEEP OFF .............................................................................................................................9-27
HIGH f OFF ................................................................................................................................9-28
LMV LPPS OFF..........................................................................................................................9-28
LMV OFF....................................................................................................................................9-28
LOCKED.....................................................................................................................................9-29
LPPS OFF ..................................................................................................................................9-29
WARMUP xx ..............................................................................................................................9-30
Chapter 10 - Extended Features ....................................................10-1
Navigating the Extended Features Menus ....................................................................................10-2
Alarm Operations...........................................................................................................................10-3

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Alarm Volume ............................................................................................................................ 10-3
Apnea Interval............................................................................................................................ 10-4
High Pressure Alarm Delay ....................................................................................................... 10-4
Low Peak Pressure Alarm ......................................................................................................... 10-4
High f.......................................................................................................................................... 10-5
High PEEP................................................................................................................................. 10-5
Patient Assist ............................................................................................................................. 10-6
Exit ............................................................................................................................................. 10-6
Vent Operations ............................................................................................................................ 10-7
Variable Rise Time..................................................................................................................... 10-8
Variable Flow Termination ......................................................................................................... 10-9
Variable Time Termination....................................................................................................... 10-10
Pressure Control Flow Termination ......................................................................................... 10-11
Leak Compensation................................................................................................................. 10-12
NPPV Mode ............................................................................................................................. 10-13
O2 Flush (LTV® 1000 Only) .................................................................................................... 10-14
Control Unlock ......................................................................................................................... 10-15
Language Selection ................................................................................................................. 10-15
Software Version...................................................................................................................... 10-16
Usage Meter ............................................................................................................................ 10-16
Communications Setting.......................................................................................................... 10-16
Set Date ................................................................................................................................... 10-17
Set Time................................................................................................................................... 10-18
Date Format............................................................................................................................. 10-18
PIP LED ................................................................................................................................... 10-19
Model Number / Serial Number ............................................................................................... 10-19
Valve Home Position ............................................................................................................... 10-20
Set Defaults ............................................................................................................................. 10-20
O2 Cylinder Duration (LTV® 1000 Only) ................................................................................. 10-21
Exit ........................................................................................................................................... 10-22
Transducer Autozero................................................................................................................... 10-23
Airway Pressure Transducer Autozero.................................................................................... 10-23
Bi-directional Flow Transducer Differential Autozero .............................................................. 10-24
Exhalation Flow Transducer Differential Autozero - Narrow ................................................... 10-25
Exhalation Flow Transducer Differential Autozero - Wide....................................................... 10-26
Real Time Transducers............................................................................................................... 10-27
Chapter 11 - Ventilator Checkout Tests........................................ 11-1
Alarm Test..................................................................................................................................... 11-3
Display Test................................................................................................................................... 11-4
Control Test................................................................................................................................... 11-6
Leak Test....................................................................................................................................... 11-8
Vent Inop Alarm Test .................................................................................................................. 11-10
Exit .............................................................................................................................................. 11-12