Respironics ESPRIT User manual

REF 580-1000-01 Y
ESPRIT®Ventilator
OPERATOR’S MANUAL

ii Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
For Technical Support, contact:
Respironics. Inc. Customer Service
Within the U.S.A. 1-800-345-6443
Outside the U.S.A. 724-387-4000
Facsimile 724-387-5012
[e-mail]
United States of America
Respironics California, Inc.
2271 Cosmos Court
Carlsbad, CA 92011
USA
1-800-345-6443
or 724-387-4000
Authorized Representative
Respironics Deutschland
Gewerbestrasse 17
D-82211 Herrsching Deutschland
[phone]
Copyright © 1999, 2007. Respironics, Inc.
All rights reserved.
This work is protected under Title 17 of the United States copyright code and is the sole property of Respironics.
No part of this document may be copied or otherwise reproduced, or stored in any electronic information
retrieval system, except as specifically permitted under United States copyright law, without the prior written
consent of Respironics.

REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. iii
Revision History
Revision Description
G Update to include Esprit 4.10 software enhancements
H Update to include Esprit 4.10 software enhancements
J Update to include Esprit 5.0 software enhancements
K Update to include EST procedure change and CE mark change
L Update to include 7.0 software enhancements and format change
M Update to include 7.10 software enhancements
N Update to include 8.10 software enhancements
P Addition of EMC Declaration
R Addition of WEEE/RoHS recycling directives
T Update to include 31.0 software enhancements
U Addition of PVC O2Sensor Tee, P/N 8-100498-00 (gray in color)
V Update to include Esprit Options in Chapter 13
W Update to Remote Alarm Port. Updates Chapter 2, Chapter 6 and the
Front Matter (cover page and pages ii through iv) to Revision W. All else
remains at Revision V.
Y Updates to include Expiratory edits in Chapter 8, Periodic Maintenance
Schedule in Chapter 10, Sensor Tee edits in Chapter 13, Oxygen
Manifold edits in Chapter 13, and VRPT descriptions in Appendix A.

iv Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
(This page is intentionally blank.)

Contents
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. v
Esprit Ventilator Operator’s Manual
1. Introduction and Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
2. Warnings, Cautions and Notes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
Summary of Warnings, Cautions, and Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
3. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
4. Getting Started . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Unpacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Inspection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
List of Parts and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
Repacking. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
Inspiratory Bacteria Filter Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Heated Expiratory Bacteria Filter Installation . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Oxygen Source Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
Patient Circuit Flex Arm Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
Ventilator Positioning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
5. Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Back Panel Connections & Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting AC Power Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Power On/Off. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
Entering Diagnostic Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
User Configuration Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Backup Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
Extended Self Test (EST) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
6. Connecting Additional Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Communication Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Connecting Serial Communications Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Connecting Remote Alarm Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Connecting Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
Connecting the Patient Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Connecting the Analog Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
7. Operating Theory . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Ventilator Breath Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Ventilation Modes Common to VCV and PCV. . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Ventilation Modes Common to NPPV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
Emergency Modes of Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7

vi Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Contents
8. Operating Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Esprit Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
The Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
Ventilator Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-9
Settings Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-12
Selecting a New Ventilation Breath Type (VCV, PCV, or NPPV) . . . . . . . . . . . . . . 8-21
Selecting the Mode (A/C-SIMV-CPAP or Spont-Spont/T) . . . . . . . . . . . . . . . . . . 8-24
Apnea Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-25
Patient Data Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-26
Monitor Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-27
Special Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-29
Preoperational Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-30
Alarm Testing Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-32
Where To Go For Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-32
9. Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Visual Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Audible Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2
Alarm Reset . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
Alert Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Alarm Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-8
10. Care and Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Sterilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Bacteria Filters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
Repairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
WEEE/RoHS Recycling Directives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-11
11. Diagnostics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Entering Diagnostic Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
Diagnostic Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Extended Self Test (EST) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Self Test. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-10
12. Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Breath Types. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
Volume Ventilation Settings, Ranges & Resolution . . . . . . . . . . . . . . . . . . . . . . 12-1
Pressure Control Ventilation Settings, Ranges & Resolution . . . . . . . . . . . . . . . . 12-2
Non-Invasive Positive Pressure Ventilation Settings, Ranges & Resolution . . . . . . 12-3
Apnea Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3

Contents
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. vii
Value Entry Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
Patient Data Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
Front Panel Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
Level Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7
Calculated Values from Expiratory Hold Maneuver. . . . . . . . . . . . . . . . . . . . . . 12-7
Interface Ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7
Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-7
Environmental Protection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-8
Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-9
Filters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-9
Measuring and Display Devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-10
AC Power & Battery Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-10
Leakage Current . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-10
Compliance and Approvals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11
Power Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11
Dimensions and Weights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-11
Electromagnetic Compatibility Declaration . . . . . . . . . . . . . . . . . . . . . . . . . . 12-12
Pneumatic System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-17
Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-18
13. Options and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
Oxygen Sensor Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Assemble O2 sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
Attaching the sensor to the ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
O2Sensor Tee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
Battery Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-7
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-14
Warnings, Cautions and Notes for the Backup Battery . . . . . . . . . . . . . . . . . . 13-14
External Battery Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-17
Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-18
Power Consumption Sequence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-18
External Battery/Backup Battery Operation. . . . . . . . . . . . . . . . . . . . . . . . . . 13-18
Battery Capacity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-20
Battery Charging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-20
Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-21
Battery Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-21
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-22
Oxygen Manifold Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-23
Kit Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-23
Tools Needed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-23

viii Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Contents
Assembly Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-24
Replacement Parts: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-28
Using the Manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-28
Graphics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-30
Starting Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-30
Using Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-30
Replotting and Scrolling. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-31
Rescaling the Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-31
Freeze Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-33
Save and Overlay Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-34
Inspiratory Area . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-35
Alarms During Graphics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-36
Esprit Communications Option (Com1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-38
Print Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-38
VueLink Compatibility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-40
Configuring the VueLink Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-41
Analog Output (Chart Recorder) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-47
RS-232 Communications Option 2 (Com2) . . . . . . . . . . . . . . . . . . . . . . . . . . 13-50
RS-232 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-50
Commands Transmitted to the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-51
Transmission of Data from the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-51
SNDA<CR>, Send Variable Length Ventilator Settings Report . . . . . . . . . . . . . 13-51
Respiratory Mechanics Option. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-63
Accessing Respiratory Mechanics Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-63
Vital Capacity Maneuver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-64
MIP/P0.1 Maneuver. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-66
Static C and R Maneuver . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-68
Alarms and Error Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-70
Compliance (C) and Resistance (R) Computations. . . . . . . . . . . . . . . . . . . . . . 13-77
Trending Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-81
Accessing Trending Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-81
Selecting Parameters for Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-83
Using the Manual Rescale Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-85
Changing the Cursor Position . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-86
Selecting the Time Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-87
Using the +2 Hrs/-2 Hrs buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-88
Using the Zoom Function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-88
Using the Rescale Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-88
Using the View 1/View 2 buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-89
Using the Clear button . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-89
Alarms during Trending . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-89
PCMCIA Card . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-89

Contents
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. ix
Trending Not Available. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-90
Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-90
Flow-Trak®Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-95
On the Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-96
Breath Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-97
Inspiratory Hold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-97
Respiratory Mechanics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-97
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-98
NICO-Esprit Interface Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-99
System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-99
Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-100
RS-232 Communications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-103
Trended NICO Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-104
Troubleshooting. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-107
Neonatal Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-111
System Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-111
Changing Patient Types . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-112
Percent Leak. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-115
Patient Leak Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-115
A. RS-232 Communications Protocol. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
RS-232 Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Commands Transmitted to the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Transmission of Data from the Ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Ventilator Report Command and Response (VRPT) . . . . . . . . . . . . . . . . . . . . . . A-1
Volume Control Ventilation Settings Report (VCVS) . . . . . . . . . . . . . . . . . . . . . A-11
Pressure Control Ventilation Settings Report (PCVS) . . . . . . . . . . . . . . . . . . . . A-14
Non-Invasive Positive Pressure Ventilation Settings Report (NPVS) . . . . . . . . . . A-16
Patient Data Report (PTDT) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-18
Alarm Status Report (ALRM). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-21
Unrecognized Commands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-24
B. Customer Service & Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Customer Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
Options and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
C. Alarm Testing Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
G. Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-1
Abbreviations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-1
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G-4

xEsprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Contents
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REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. 1-1
Chapter 1. Introduction and Intended Use
The Esprit Ventilator is a microprocessor-controlled, electrically powered
mechanical ventilator. It is intended for use by qualified medical personnel to
provide continuous or intermittent ventilatory support for adult, pediatric and
neonatal patients as prescribed by a physician. The Esprit Ventilator is
intended for use in either invasive or non-invasive applications in institutional
environments.
The Esprit Ventilator meets applicable safety requirements, consensus
guidelines, U.S.A. regulatory statutes, and international regulatory standards
for life support mechanical ventilation devices.
Please read this manual thoroughly and become familiar with the ventilator's
operation before using it on a patient. For additional information about
accessories or related equipment, such as humidifiers and remote alarm
systems, refer to the appropriate instruction manual prior to operating with the
Esprit Ventilator.
Advanced troubleshooting, calibration, and maintenance instructions are
included in the Esprit Ventilator Service Manual, P/N 580-1000-02. All
maintenance and repair work should be performed by qualified biomedical
technicians who have received appropriate training and authorization to
provide maintenance, repair, and service for the Esprit Ventilator.
WARNING: Patients on life-support equipment should be visually monitored by
competent medical personnel, since life-threatening circumstances may
arise that may not activate alarms. The operator should heed all appropriate
alarms and follow the instructions and warnings in this operator’s manual.
Always check life-support equipment for proper operation before use..
WARNING: Do not use in the presence of flammable anesthetics. Possible explosion
hazard.
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a
physician.
NOTE: Follow the setup instructions in this manual before placing the Esprit
Ventilator into service. If you have questions, contact Respironics
Customer Service at 1-800-345-6443.

Chapter 1
1-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Introduction and Intended Use
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REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. 2-1
Chapter 2. Warnings, Cautions and Notes
Throughout this manual the following definitions apply:
Additional Warnings, Cautions and Notes pertaining to options and accessories
are included in the documentation for each option or accessory. Refer to
Chapter 13, “Options and Accessories”.
Summary of
Warnings, Cautions,
and Notes
Warnings
• Patients on life-support equipment should be visually monitored
by competent medical personnel, since life-threatening
circumstances may arise that may not activate alarms. The
operator should heed all appropriate alarms and follow the
instructions and warnings in this operator’s manual. Always check
life-support equipment for proper operation before use.
• Do not use in the presence of flammable anesthetics. Possible
explosion hazard.
• One person alone should not attempt to lift the ventilator or
remove it from the shipping carton. At least two people are
required in order to avoid possible personal injury or damage to
the equipment.
• To reduce the chance of contamination or infection, always use an
inspiratory bacteria filter when the Esprit is in operation. Refer to
manufacturer’s instructions and follow institutional infection
control guidelines when replacing the inspiratory filter.
• Do not use anti-static or conductive hoses or conductive patient
tubing.
• The expiratory filter housing may be hot if removed from the
ventilator immediately after use. Wait 15 minutes after turning off
WARNING: A condition that could cause injury to a patient or operator if the operating
instructions in this manual are not followed correctly.
CAUTION: A condition that could cause damage to, or shorten the service life of,
the Esprit Ventilator.
NOTE: Important information concerning the construction or operation of the
Esprit Ventilator.

Chapter 2
2-2 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Warnings, Cautions and Notes
ventilator power before removing the heated expiratory bacteria
filter. Exercise caution when handling the filter housing.
• All oxygen connections should be carefully inspected to ensure
that leaks are not present. Excessive leaks can result in higher
than normal ambient oxygen concentrations and create a
potentially hazardous oxygen-enriched environment.
• Worn/frayed oxygen hoses or oxygen hoses contaminated by
hydrocarbon greases or oils should not be used since an oxygen
leak or intense fire could result.
• Care in the routing of the oxygen inlet hose should be exercised to
ensure it is not exposed to mechanisms that could cause damage
by cutting or heating/melting.
• The cover plate for the PCMCIA slot at the back of the ventilator
must be replaced after the adapter and card are installed. This is
to protect the ventilator.
• AC power is applied to the humidifier from the Esprit humidifier
outlet (only available on 100-120 VAC ventilators). Under no
circumstances does the Esprit Ventilator provide control for the
humidifier. To ensure patient safety, it is important that any
humidifier used with the Esprit Ventilator include an acceptable
temperature control and monitoring mechanism, as well as a
temperature display and appropriate alarm capabilities (refer to
ISO 8185).
• To avoid electrical shock hazard, connect the ventilator to a
properly grounded AC power outlet.
• The Esprit front panel LEDs will indicate the power source that is
being used. If the ventilator is plugged in and the MAINS LED is
not lit, either the circuit breaker is off or the wall power outlet is
not functioning.
• The two circuit breakers (MAINS/Humidifier) located on the back
of the ventilator are covered to prevent unintentional ventilator
power-off. Do not use the circuit breaker to power the ventilator
on/off. The power switch is located on the front of the ventilator
below the front panel.
• Always turn the ventilator power OFF before connecting additional
equipment.
• Use only Respironics approved cables when connecting to the
remote alarm port. Be sure to fully insert the cable into the remote
alarm port and into the remote alarm.
• When using the Remote Alarm Port be sure to fully test the
Remote Alarm Port and cable by:
• Verifying that annunciated alarms on the Esprit are also
annunciated on the remote alarm.
• Verifying that disconnecting the cable from the Remote Alarm
port results in an alarm notification at the Remote Alarm.

Chapter 2
Warnings, Cautions and Notes
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. 2-3
• Verifying that disconnecting the cable from the remote alarm
results in an alarm notification at the Remote Alarm.
• Ensure that an alternative means of ventilation (i.e., a resuscitator
or similar device) is available while the Esprit Ventilator is in use
on a patient.
• The Esprit Ventilator complies with the requirements of IEC 601-
1-2 (EMC collateral standard), including the E-field susceptibility
requirements at a level of 10 volts per meter. However, even at
this level of immunity, certain transmitting devices (cellular
phones, walkie-talkies, etc.) emit radio frequencies that could
disrupt ventilator operation if operated in a range too close to the
ventilator.
• DO NOT operate the Esprit ventilator in a Magnetic Resonance
Imaging (MRI) environment.
• Vent Inop is a serious condition, which is indicated by both visual
and audible alarms. If the ventilator is attached to a patient when
Vent Inop occurs, the patient must be supported with another
means of life support ventilation.
• When the battery low indicator is flashing red, operation of the
ventilator from battery power should be discontinued.
• For patient safety the HIP Limit Setting should be set as close to
the peak inspiratory pressure as patient conditions allow.
• DO NOT perform the preoperational procedure when the ventilator
is on a patient.
• The operator will be warned if the compliance is 9.0 ml/cmH2O
(hPa) or larger. Patients should not be put on a patient circuit that
does not meet this requirement.
• A high priority, visual and audible alarm indicates a potentially
life-threatening condition and immediate response is required.
• When the safety valve open indicator is lit, the ventilator does not
provide any ventilatory support to the patient. Immediately use a
backup means of ventilatory support.
• Visually monitor the patient and ventilator during the Alarm
Silence period to ensure that alarms do not go undetected.
Allowing alarm conditions to continue without intervention may
result in harm to the patient and/or ventilator.
• Do not expose expiratory and inspiratory bacteria filters or
reusable patient tubing to ETO gas.
• Disposable or single-patient filters must be discarded between
patients. Do not chemically disinfect or expose single patient use
bacteria filters to ETO gas.

Chapter 2
2-4 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Warnings, Cautions and Notes
• The patient must be disconnected from the ventilator before
entering the Diagnostic Mode since normal ventilation is
suspended.
• Do not use a ventilator that has failed SST without verifying
operational readiness by other means. Doing so may place a
patient at risk.
• Never initiate SST while the patient is connected to the ventilator.
The high airway pressures generated during SST can injure a
patient.
• Never initiate EST while the patient is connected to the ventilator.
The high airway pressures and gas flows generated during EST can
injure a patient.
• Do not use a ventilator that has failed EST without verifying
operational readiness by other means. Doing so may place a
patient at risk.
• Remove the ventilator from service and contact trained service
personnel if any diagnostic codes appear with the exception of:
1, 3, 2000, 3000, 5000, 5002, 8003, or 8004.
• Use of an Esprit ventilator that has not passed SST or EST is
against the strongest recommendation of Respironics.
• Please contact Respironics Customer Service at 1-800-345-6443
or consult your service manual if any diagnostic codes are
encountered.
• When connecting a humidifier to the humidifier outlet (available
only on 100-120 VAC ventilators) allowable leakage current values
may be exceeded.
• The use of accessories, cables and transducers other than those
specified may result in increased EM emissions or decreased
immunity of the system.
• Respironics recommends using an oxygen monitor that complies
with ISO-7767; Oxygen Monitors or Monitoring Patient Breathing
Mixtures - Safety Requirements. This requirement ensures that
the desired fraction of inspired oxygen (FiO2) is delivered to the
patient.
Cautions
• Federal law (USA) restricts this device to sale by or on the order of
a physician.
• Be sure to check all exterior parts of the ventilator. Problems
found during inspection should be corrected and/or reported to
Respironics before using the ventilator.

Chapter 2
Warnings, Cautions and Notes
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. 2-5
• Always ship the Esprit Ventilator using the original packing
material. If the original material is not available, contact your
Respironics representative to order replacements.
• Do not operate the Esprit Ventilator without a properly functioning
expiratory filter and heater. Doing so may cause damage to
delicate ventilator components, such as the expiratory flow sensor,
which may lead to inaccurate spirometry or a Vent Inop condition.
• The Esprit Ventilator oxygen filter should be replaced annually as
a part of preventive maintenance.
• Table top must be capable of bearing 66 pounds (30 kg) of weight
– 86 pounds (39 kg) with Backup Battery – and must be at least
24 inches (60 cm) deep by 14 inches (35 cm) wide in dimension
in order to accommodate the ventilator.
• To prevent damage to ventilator, ensure that the table top surface
is completely flat, dry, and free of dust, dirt, and debris before
positioning the ventilator.
• The PCMCIA card should only be removed by trained service
personnel once power to the ventilator is off.
• To avoid the possibility of damage to the Esprit Ventilator, do not
connect a humidifier whose maximum rating exceeds 3 amps.
Ensure that the humidifier power cord is free from defects and any
obvious wear, and is properly grounded. A humidifier connection is
only available on 100-120VAC ventilators.
• Before connecting the Esprit Ventilator to the AC power source,
ensure that the total electrical load does not exceed the ampere
rating of the AC branch circuit, especially when using the
ventilator with other electrical equipment. An AC branch circuit
includes all outlets serviced by a single circuit breaker. If the
maximum current drain through a branch circuit exceeds the
circuit breaker’s rating, the branch circuit will open, causing the
ventilator to lose power. For further information, consult a service
technician or a trained biomedical technician.
• The Esprit Ventilator is shipped with a power cord that complies
with electrical safety standards. Do not use substitute power cords
unless specifically instructed to do so by an authorized distributor
or qualified personnel. Do not modify the power cord or connect it
with electrical extension cords or outlet adapters.
• To prevent the risk of excessive leakage due to external equipment
being connected to Esprit via the communication ports, a means
for external separation of the conductive earth paths must be
provided.
• All equipment used and connected to the Esprit communications
ports (analog, parallel and serial) must comply with the medical
electrical equipment (IEC601-1) or other applicable standards.

Chapter 2
2-6 Esprit® Ventilator Operator’s Manual © Respironics, Inc. REF 580-1000-01 Y
Warnings, Cautions and Notes
• The remote alarm port is intended to connect only to SELV (safety
extra low voltage and ungrounded system with basic insulation to
ground), in accordance with IEC60601-1. To prevent damage to
the remote alarm, the signal input should not exceed the
maximum rating of 24 VAC or 36 VDC at 500 mA with a minimum
current of 1 mA.
• Failure to protect the expiratory filter from damage by using
inappropriate patient circuit configurations may cause damage to
delicate ventilator components, such as the expiratory flow sensor,
which may lead to inaccurate spirometry or a Vent Inop condition.
• If clinical conditions do not require setting the HIP Limit above
60 cmH2O, it is recommended the setting normally be adjusted to
60 cmH2O or less in order to prolong the operating life of the
blower and to maximize backup battery run time.
• The Esprit alarm indicators and the Alerts insert should be
monitored closely during the Alarm Silence period to ensure that
unexpected alarms are noticed.
• If an alarm persists for no apparent reason, contact Respironics
Customer Service at 1-800-345-6443.
• Care should be taken when cleaning the Touch Display. (Refer to
Figure 8-2 on page 8-3.). A soft moist cloth should be used that
does not drip water and/or soap solution when in contact with the
display. After cleaning and rinsing with a damp cloth, remove all
moisture with a dry, soft cloth. Never allow solutions of any kind to
collect on the bottom bezel of the display. Never use a brush or
device that can cause abrasion to clean the touch display or its
bezel, they will cause irreparable damage.
• Do not remove any screws from the cooling fan area. Removing
screws from this area will result in damage to internal
components.
• Follow the detergent manufacturer’s instructions. Exposure to
detergent solution stronger than necessary can shorten the useful
life of the product. Rinse parts thoroughly to remove all detergent
residues. Wipe parts dry. Detergent residue can cause blemishes
or fine cracks, especially on parts exposed to elevated
temperatures during sterilization.
• Autoclavable parts will withstand repeated steam autoclaving at
temperatures not to exceed 135° C (275ºF).
• DO NOT autoclave the Esprit Ventilator.
• Formaldehyde, phenol-based, and quaternary ammonium
compound (QUATS) disinfectants are not recommended because
these agents can cause cracking and crazing of plastic parts.
Exposure of components to disinfectant concentrations stronger
than required or for excessive time may shorten product life. Parts

Chapter 2
Warnings, Cautions and Notes
REF 580-1000-01 Y Esprit® Ventilator Operator’s Manual © Respironics, Inc. 2-7
should be thoroughly rinsed and dried to prevent spotting and
blemishes when exposed to elevated temperatures.
• DO NOT allow liquid to penetrate the ventilator rear or front panel.
DO NOT attempt to sterilize the ventilator by exposing to ETO gas.
DO NOT steam-autoclave.
• Troubleshooting and repair should be performed only by a
qualified service technician.
• If the optional external O2sensor is in-line then it must be
calibrated during EST.
• Diagnostic codes should only be cleared by qualified personnel.
• To prevent contamination of the O2sensor, always locate it
between the ventilator gas output port and the inspiratory bacteria
filter.
•PVCO
2(P/N 8-100498-00) and Ultem® (P/N 1020380) sensor
tees cannot be autoclaved or chemically disinfected.
• The Backup Battery is designed to be charged only by the Esprit
Ventilator. Under no circumstances should an attempt be made to
charge it in any other way.
• If the ventilator will not be used for 30 days or more then the
Backup Battery should be preserved. Either disconnect the
backup battery from the ventilator or keep the ventilator plugged
into an active electrical outlet.
Notes
• Follow the setup instructions in this manual before placing the
Esprit Ventilator into service. If you have questions, contact
Respironics Customer Service at 1-800-345-6443.
• Respironics recommends that, before using the ventilator for the
first time, the user should wipe the exterior clean and disinfect or
sterilize its components according to the instructions in Chapter
10, “Care and Maintenance” or the component manufacturer’s
instructions.
• Follow institutional infection control guidelines when replacing
inspiratory bacteria filter.
• When adding attachments or other components or subassemblies
to the breathing system, i.e., HME or Humidifier, the user should
ensure that the inspiratory and expiratory resistances (measured at
the patient connection port) do not exceed 6 cmH2O (hPa) at a
flow of 60L/min for adults, 30L/min for pediatrics.
• High humidity and aerosol medications may reduce expiratory
filter life, increase expiratory resistance, and/or cause filter
damage. Review ventilator patient graphics frequently for changes
in expiratory resistance. Consult filter manufacturer

Chapter 2
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Warnings, Cautions and Notes
recommendations regarding duration of use, maintenance,
removal and disposal of expiratory filter.
• Follow institutional infection control guidelines when replacing
heated expiratory bacteria filter.
• The Esprit Ventilator should only be connected to an appropriate
medical grade 100% O2gas source capable of delivering a
regulated 40 to 90 PSIG (276-620 kPa).
• The Esprit Ventilator is shipped with the appropriate gas fittings
and hoses for the intended environment, i.e. DISS (U.S.A. and
Canada), Ohmeda (Germany), NIST (UK), Air Liquide (France),
SIS (Australia).
• All volumes entered into Esprit are assumed to be BTPS (Body
Temperature atmospheric Pressure Saturated (with H2O)) volumes
unless otherwise noted. All volumes reported by Esprit are
reported as BTPS volumes. All pressures are assumed to be
relative to atmospheric pressure unless otherwise noted.
• The Air Inlet Filter houses a reusable foam filter which should be
periodically cleaned by the user. Refer to Chapter 10, “Care and
Maintenance”, for more information on filter changes.
• Unless the Mains Circuit Breaker is turned OFF, electrical power is
applied to the ventilator even though the front panel switch is in
the OFF position. With the Mains Circuit Breaker ON, if the
optional Backup Battery is connected, Esprit will charge the
battery if it requires a charge.
• To disconnect the ventilator from MAINS power, remove the AC
plug from the wall power receptacle. The MAIN switch/circuit
breaker is covered to prevent unintentional ventilator turn off.
• If the operator sets the %O2setting to 100%, the 100% O2
indicator does not light. The 100% O2indicator only lights when
the 100% O2front panel key has been pressed.
• The Esprit Ventilator selects its power source based on the
following prioritization: AC power (if present), external battery,
then backup battery.
• The ventilator may automatically reset certain types of alarm
conditions once the causes of the alarms are corrected. After an
automatic reset, the ventilator will clear the audible alarm, and
will display a Low Urgency Alarm alert in the Alert Message Insert
to inform the operator that an alarm condition existed. When this
situation occurs, use ALARM RESET to clear the visual alarm
indicator.
• If the 100% O2key is pressed and a 100% O2gas source is not
available, the Low O2alarm will be active for the two-minute
100% O2delivery period.