RespiWin 520 User manual

RespiWin 520 Ventilator
User Manual
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Table of Contents
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Introduction................................................................................................................................................. 4
Operation Instruction................................................................................................................................. 4
Know Your Unit..........................................................................................................................................4
Main Unit:............................................................................................................................................. 4
Accessories ...........................................................................................................................................6
.........................................................................................................................................................
.6
Installation................................................................................................................................................... 8
Powering on the Device................................................................................................................................9
Calibration Process ....................................................................................................................................... 9
Registering a patient ...................................................................................................................................10
Ventilator Settings ......................................................................................................................................12
Alarm Setting..............................................................................................................................................13
Waveforms.................................................................................................................................................. 16
Technical Data........................................................................................................................................... 17
Modes .........................................................................................................................................................19
Pressure Control Ventilation Modes....................................................................................................... 19
PCV (Pressure Control Ventilation) ...................................................................................................19
PACV (Pressure Assist Control Ventilation)...................................................................................... 19
PSV (Pressure Support Ventilation) ...................................................................................................19
PSIMV (Pressure Synchronized Intermittent Mandatorily Ventilation).............................................19
Volume Control Ventilation Modes......................................................................................................... 20
VCV (Volume Control Ventilation) ...................................................................................................20
Support of Breathing ................................................................................................................................20
CPAP (Continuous Positive Airway Pressure)...................................................................................20
BIPAP S/T (Bi-level Positive Airway Pressure).................................................................................21
BIPAP S (Bi-level Positive Airway Pressure)....................................................................................21
Warning Cautions..................................................................................................................................... 22
Maintenance .............................................................................................................................................. 23

Standard Warranty ..................................................................................................................................24
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Introduction
RespiWin 520 life support versatile ventilator is designed for use in hospitals and in
transit, offering invasive and non-invasive ventilation and respiratory monitoring
support.
Built with a turbine-driven ventilation system to showcase high standards of
ventilation therapy in any challenging environment or acute situation. From initial
setup to everyday use, RespiWin is an advanced, high quality ICU & In-transit
ventilator combined with ease of operation.
Operation Instruction
Know Your Unit
Main Unit:
Power Button
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O2input
Flow Input (Negative)
Flow Input (Positive)
DC Input
Exhale
Inhale
InhalePort Exhale Port
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Accessories
Patient Circuit
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Valve Connector
Flow Sensor
Test Lung

Hepa Filter
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Valve Connectors
2 Way Manifold
Power Supply

Installation
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1.Let’s begin, while connecting 2 Connectors to the Inhale and Exhale Ports given on the left side
of the machine. Connector with the hole is the Expiratory Connector and without hole is the
Inspiratory Connector, so connect accordingly.
2. Now join 2 Valves with the Connector.
3. Next fix the Valves attached to the Patient Circuit along with the Flow Sensor.
4. Make sure HME Filter is fixed with the Flow Sensor
5.Near y piece of the Patient Circuit, there are 2 pipes (transparent and blue color) attached to the
Flow Sensor. Whichever color pipe is facing towards patient should be connected to “Flow Input
Negative” and second pipe should be connected to “Flow Input Positive”.
6.Now we have to connect 2 Control Valve Pipes, Inhale pipe will be connected to the Inspiratory
Valve and Exhale Pipe will connected to the Expiratory Valve which is located on the side of the
machine
7. Finally, we will connect the power supply to the DC Input and Switch on the Unit.

Powering on the Device
1. Switch on the Ventilator and the Tablet.
2. To start the software, Click on the software icon on the screen.
Calibration Process
1. To calibrate the Ventilator, at the central right side on the screen, click on the “Calibration
and Test button and not on the Upload button.“Do not start the process without
calibrating”. A variety of sensing elements are present within these ventilators that need to
be verified and calibrated periodically to maintain their performance.
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Registering a patient
1. To register a patient,at the top left side of the screen, click on “Patient Name” option.
2. This option will take you to the page as shown in the below image.
3. Start filling up the patient details.
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4. At the bottom right side on the screen, click on the “add” button as shown in the above
image.
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Ventilator Settings
5. To start with the ventilator settings,at the central right side of the screen, click on the
“Ventilator Settings”.
6. Click on the specific mode to change the parameters.
7. To set the parameter, long press on the particular knob.
8. As you see in the below image, roll the knob and press on ok to confirm.(Image)
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9. To start the process, click on the “Upload” button as shown in the below image.
Alarm Setting
1. To set the alarm, at the central right side on the screen, click on the “Alarm” option as
shown in the below image.
2. To set the limit value, click on the upper mentioned value as shown in the image.
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3. Roll the Knob and press ok to confirm.
4. To set the lower value, click on the lower mentioned value as shown in the image.
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5. Roll the Knob and press ok to confirm.
6. To process the command, click on the “Upload” button as shown in the below image.
This alarm will sound if the ventilator exceeds or drops below certain limits.
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Waveforms
1. To have a complete view of the graph, click on central button on the screen as shown in
the image below.
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Technical Data
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Modes
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Pressure Control Ventilation Modes
PCV (Pressure Control Ventilation)
Pressure Control Ventilation (PCV), Inthis mode, the peak airway pressure is constant (inspiratory
pressure + PEEP) while the tidal volume can be variable depending on patient characteristics
(compliance, airway/tubing resistance) and driving pressures.
PACV (Pressure Assist Control Ventilation)
Pressure assist-control ventilation (PACV) is a Pressure targeted time-cycled ventilator support
mode in which a nearly constant pressure is applied to the airways opening, in this pressure cycled
mode breaths delivered are mandatory as well as patient triggered (spontaneous) breath. As this is
pressure cycled mode delivered volume may vary breath by breath.
PSV (Pressure Support Ventilation)
Pressure support ventilation is a mode in which if patient efforts & take spontaneous breath at
that time ventilator will deliver pressure support breath and if patient dose not effort for
spontaneous breath that time ventilator will deliver mandatory pressure support breaths.
PSIMV (Pressure Synchronized Intermittent Mandatorily Ventilation)
Synchronized Intermittent Mandatorily Ventilation (SIMV) describes a method of providing
mechanical breaths to a patient. An "SIMV of 12" means that the patient is getting 12 guaranteed
(mandatory) breaths per minute from the ventilator. In the SIMV mode, the patient is allowed to
take additional breaths in between the mechanical breaths. The patient's own breaths are called
"spontaneous breaths". The size of these breaths may be large or small, depending upon the
patient's ability.

The ventilator detects the patient’s spontaneous breathing, and waits until the patient exhales
before delivering another mechanical breath. This "synchronizes" the ventilator to the spontaneous
breathing.
All spontaneous as well as mandatory breaths will be pressure control breaths.
A patient on an SIMV of 12 with a total breathing rate of 20 breaths per minute is receiving 12
breaths from the ventilator and taking 8 spontaneous breaths.
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Volume Control Ventilation Modes
VCV (Volume Control Ventilation)
The ventilator will attempt to deliver the set tidal volume utilizing whatever pressure is required to
reach its set volume.
Support of Breathing
CPAP (Continuous PositiveAirway Pressure)
Continuous positive airway pressure (CPAP) is a form of positive airway pressure ventilator,
which applies mild air pressure on a continuous basis. It keeps the airways continuously open in
people who are able to breathe spontaneously on their own, but need help keeping their airway
unobstructed. It is an alternative to positive end-expiratory pressure (PEEP). Both modalities stent
the lungs' alveoli open and thus recruit more of the lung's surface area for ventilation, but, while
PEEP refers to devices that impose positive pressure only at the end of the exhalation, CPAP
devices apply continuous positive airway pressure throughout the breathing cycle. Thus, the
ventilator itself does not cycle during CPAP, no additional pressure above the level of CPAP is
provided, and patients must initiate all of their breaths.