Respironics V60 User manual

Respironics V60/V60 Plus Ventilator
User Manual

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Table of contents
1. Warnings, cautions, and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Operation in high flow therapy (HFT) . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7
Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-8
First-time installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-9
Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-10
2. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1
3. General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Indications for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Patient population . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
About CO2rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
Potential side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
General description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-3
Physical description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
Patient circuits, masks/patient interfaces, and accessories . . . . . . . 3-4
Ventilator unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
About the 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

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Leak adaptation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
Auto-Trak+ (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
High flow therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
CPAP mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8
PCV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9
S/T mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
AVAPS mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
PPV mode (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-13
Oxygen mixing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-15
5. Setting up the ventilator for use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting oxygen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Installing an oxygen analyzer/monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Connecting to AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
Installing the patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
Connecting external devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
Before placing a patient on the ventilator . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Verify ventilator operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
Running alarm tests. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
High Inspiratory Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8
Low Tidal Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Patient Disconnect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Patient Circuit Occluded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
Using the ventilator for intra-hospital transport . . . . . . . . . . . . . . . . . . . 5-10
Storing the ventilator between patient use . . . . . . . . . . . . . . . . . . . . . . 5-11
MRI safety information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
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% O2 function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
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 . . . . . . . . . . . . . . . . . . . . . . . . 6-12
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Vent Info (ventilator information) . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Screen Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18
Auto-Trak+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-18

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Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-20
Help function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-22
Table of modes and control settings. . . . . . . . . . . . . . . . . . . . . . . . . . 6-23
7. High flow therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
Circuit setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
High flow nasal cannula setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Using the FEP Connect for high flow therapy . . . . . . . . . . . . . . . . . 7-2
High flow nasal cannula setup . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
Changing from ventilation to high flow therapy (HFT) . . . . . . . . . . . 7-3
Changing from high flow therapy (HFT) to ventilation . . . . . . . . . . . 7-3
Connecting directly to a 22 mm circuit . . . . . . . . . . . . . . . . . . . . . 7-4
Changing from an NIV mode to high flow therapy . . . . . . . . . . . . . . . . . 7-4
Viewing and pausing the HFT graph. . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
Changing from high flow therapy to an NIV mode . . . . . . . . . . . . . . . . . 7-6
HFT alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
8. Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Display conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1
Table of monitored parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Scaling the waveform axes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
Freezing and unfreezing waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
9. Alarms, messages, and troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Responding to alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
Setting alarm loudness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
Silencing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Manually resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
Clearing autoreset alarms from the Alarms list . . . . . . . . . . . . . . . . 9-5
Hiding/displaying alarm messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Symptom-based troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
Alarms and other messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-7
10. Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1
Exterior and touchscreen cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Approved cleaning agents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Cleaning instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2
Exterior and touchscreen disinfection . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Approved disinfecting agents . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Disinfection instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
Bacteria filter, patient circuit, and other accessories . . . . . . . . . . . . . . 10-4
Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
Replacing the air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
Cleaning or replacing the cooling fan filter . . . . . . . . . . . . . . . . . 10-7
Removing and replacing the battery . . . . . . . . . . . . . . . . . . . . . . 10-8
Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Storage between patient use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
Service and repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9

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Repacking and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
11. Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-3
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Menu window settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-4
Diagnostic mode functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-5
Physical characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-6
Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-7
Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Accessory requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-8
Alarm-related specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
Other specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-9
A. First-time installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Unpacking and inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1
Mounting the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2
Installing the battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-4
Installing oxygen inlet connector and AC power cord . . . . . . . . . . . . . . . . A-7
Installing the oxygen manifold kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
Verifying ventilator operation and audible alarm . . . . . . . . . . . . . . . . . . . A-9
Configuration and screen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . A-9
B. Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1
RS-232 serial port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Supported communication protocols . . . . . . . . . . . . . . . . . . . . . . . B-2
Using Philips IntelliBridge or VueLink . . . . . . . . . . . . . . . . . . . . . . . . . B-2
Using Philips monitors and the IntelliBridge or VueLink Open Interfaces .
B-2
Data display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3
Remote alarm port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-5
C. Parts and accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1
Patient Interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Ventilation interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
HFT interfaces . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
O2 analyzer/monitor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-2
Patient breathing circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Humidifiers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-3
Bacteria filters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4
Nebulizers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4
Operator maintenance parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4
Other parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-4
D. Regulatory compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1
Electromagnetic compatibility (EMC) . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

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Electromagnetic compatibility declaration . . . . . . . . . . . . . . . . . . . . . . D-1
Electromagnetic emissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-2
Electromagnetic immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3
RF immunity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-6
RFID reader separation distance . . . . . . . . . . . . . . . . . . . . . . . . . . D-6
Cables That May Affect IEC 60601-1-2 Compliance . . . . . . . . . . . . . . . D-7
WEEE recycling directive . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-7
Classification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-8
Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-8
Applied parts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-9
Accessible parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-9
Detachable components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-9
Essential performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-9
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-15
Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1
Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1

viii

1-1
Chapter 1. Warnings, cautions, and notes
Before using the Respironics V60/V60 Plus 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: Always have immediate access to an alternative means of ventilation. If
there is a ventilator failure, immediately remove the ventilator from use
and secure an alternative means of ventilation, such as a self-inflating,
manually powered resuscitator and mask. Failure to do so can result in
patient injury or death.
WARNING: Use the Respironics V60/V60 Plus 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/V60 Plus 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, AVAPS, and PPV) and is indicated
for assisted ventilation only. These modes do not provide ventilation with
guaranteed tidal volume delivery.

1-2
Warnings, cautions, and notes
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.
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. Note: this may occur if exhalation time is insufficient.
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: Set the alarm loudness above the ambient level. Setting the alarm
loudness too low may prevent recognition of alarm conditions.
WARNING: Avoid blocking the alarm speakers beneath the ventilator.
WARNING: Do not leave the ventilator unattended when stationed on an incline.
WARNING: The V60/V60 Plus 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: This Equipment is designed to comply with IEC 60601-1-2. This
equipment generates, uses, and can radiate radio frequency energy and,
if not installed and used in accordance with instructions, may cause
harmful interference to other devices in the vicinity. However, there is no
guarantee that interference will not occur in a particular installation.
Harmful interference to other devices can be determined by turning this
equipment ON and OFF. Try to correct the interference using one or more
of the following:
- Reorient or relocate the receiving device
- Increase the separation between the equipment

1-3
Warnings, cautions, and notes
- Connect the equipment to an outlet on a different circuit from that to
which the other device(s) are connected and consult the Philips
service technician for help
- Consult Philips for help
WARNING: Use of non-approved accessories, transducers or cables may increase
EMC emissions or decrease the EMC immunity performance of the
equipment.
WARNING: Do not use the ventilator in an MRI environment. The V60/V60 Plus
Ventilator is MR Unsafe. Keep it outside the MRI scan room (Zone IV). It
represents a projectile hazard.
CAUTION: Federal law (USA) restricts this device to sale by or on the order of a
physician.
CAUTION: The Respironics V60/V60 Plus 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.
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/V60 Plus 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/V60 Plus Ventilator does not support automatic
record keeping.

1-4
Warnings, cautions, and notes
NOTE: All ventilator mode and alarm settings, alarm messages and
significant events are retained and automatically logged, even when
power is lost.
NOTE: Any serious incident that has occurred in relation to this device
should be reported to Philips and the competent authority of the
country in which the user and/or patient is established.
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: The ventilator is a high-flow device. Connect it only to a gas supply
system that can provide adequate flow to all terminal outlets. Connecting
the ventilator to an adequate gas supply system helps ensure that the
ventilator and other connected devices perform to their specifications.
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/V60 Plus 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 helium mixtures. The ventilator is
not intended to be used with helium or heliox. Connecting helium to the
ventilator may affect ventilator performance, gas mixtures, and
measurements due to the lower density of 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.
- 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.

1-5
Warnings, cautions, and notes
WARNING: Do not cover or position the ventilator so as to adversely affect its
operation or performance. For example, positioning the ventilator next to
a curtain that blocks the flow of cooling air can cause the equipment to
overheat. Use the V60/V60 Plus in an upright position that does not block
the air inlet.
WARNING: Do not block the blower intake. Blocking the intake can impair ventilator
performance and result in patient injury.
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: Avoid adding any components to the patient circuit that are not absolutely
necessary. Additional components installed in the patient circuit can
change the pressure gradient across the ventilator breathing system,
increase the dead space, and adversely affect the ventilator performance.
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.

1-6
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/V60 Plus 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. The AC
mains plug is used as disconnection device.
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.
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 5-7 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.”

1-7
Warnings, cautions, and notes
CAUTION: Oxygen hose configurations using SIS connectors generate higher
resistance to flow. Therefore, a supply pressure of 53 to 87 psig is
recommended when adding supplemental O2accessories with SIS
adapters such as the O2transport manifold.
NOTE: The V60/V60 Plus Ventilator is a single-limb device with substantial
intentional and unintentional leak in the ventilator breathing system.
Under those conditions, CO2cannot be measured accurately.
Therefore, we do not recommend the use of CO2monitoring.
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, use only an approved
nebulizer.
Operation in high flow
therapy (HFT)
WARNING: When transitioning from a high flow therapy interface to an NIV mask,
ensure that an exhalation port is placed in the circuit and is unobstructed
to reduce the risk of CO2rebreathing.
WARNING: When transitioning from ventilation to high flow therapy, remove the NIV
mask and use only a Philips-approved high flow patient interface to
minimize pressure build-up and patient discomfort.
WARNING: When transitioning from high flow therapy to ventilation, remove the high
flow nasal cannula as it is restrictive and may defeat alarms such as
patient disconnect. Using a high flow nasal cannula in an NIV mode may
lead to hypercarbia due to the inability to provide pressure support.
WARNING: Patient alarms are not available during high flow therapy (HFT) as the
therapy uses an open system. A high flow nasal cannula occupies only a
portion of the nares and patients can breathe through their mouth, which
prevents estimation of patient parameters such as tidal volume,
respiratory rate, pressure, and minute ventilation. Provide external
monitoring, including oximetry, to inform the clinician of a change in the
patient's condition.

1-8
Warnings, cautions, and notes
WARNING: During high flow therapy (HFT), verify that an occlusive patient interface
is not being used. Occlusive patient interfaces include a cannula fully
sealed within the nares, an NIV mask, or a direct connection to a
tracheostomy tube or endotracheal tube. Remove any occlusive interface
immediately as this may expose the patient to unintended high pressures.
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: Turn off the ventilator and disconnect it from the AC mains outlet before
you perform decontamination or maintenance procedures. Failure to do so
may result in electric shock.
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:
- 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/V60 Plus Ventilator only.
WARNING: Modification of the V60/V60 Plus 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: Only authorized service personnel should replace parts within the
ventilator or perform other service activities. Unauthorized personnel
without proper training are at risk of electric shock.

Warnings, cautions, and notes
1-9
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.
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.

1-10
Warnings, cautions, and notes
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.

2-1
Chapter 2. Symbols
Refer to these tables to interpret symbols used on the ventilator labels, backup
battery 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, battery, 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. Symbol may be accom-
panied by the web address www.Philips.com/IFU to indicate access to
electronic IFUs.
(Blue) It is mandatory for the operator to consult the accompanying docu-
ments.
Protective earth (ground)
Medical device
Unique device identifier
Distributor. Symbol accompanied by address
Importer. Symbol accompanied by address
Fragile
Keep dry
MD
UDI

2-2
Symbols
Stacking limit by number
This end up
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)
Degree of solid object protection and fluid ingress protection provided by
the enclosure (drip-proof)
Caution: Federal law restricts this device to sale by or on the order of a
physician
Alarm and remote alarm
Two states of control: ON and Shutdown
Battery
Brazilian Conformity. Certification by INMETRO (National Institute of Me-
trology, Standardization and Industrial Quality)/SGS (Societe Generale de
Surveillance). One of these three symbols, depending upon available
space.
EurAsian Conformity mark - EAC
Date of manufacture. Symbol accompanied by date.
Country of Manufacture. Symbol accompanied by country code (and op-
tionally manufacture date and/or manufacturer’s name and address).
Table 2-1: Symbols used on ventilator labels, battery, and packaging
Symbol Description
2
US