Resvent iHope RS Series User manual

iHope Ventilator User Manual
RS Series

Applicable Model Description
This manual is based on RS300.
The RS200 is the cut-off model of RS300, without dual
limb ventilation modes and special functions.
The RS100 is the cut-off model of RS300, without single
limb ventilation modes.
The RS NEO provides a full ventilation platform with
target volumes for extremely low birthweight patients,
from 2mL tidal volume.
If your device is not the RS300, please note that the
difference explained in the corresponding position in
the manual.

Contents
1.Safety Information ....................................................... 1-1
1.1 Safety Information ..........................................................1-1
1.1.1 WARNING .............................................................1-1
1.1.2 CAUTION ..............................................................1-8
1.1.3 NOTE ....................................................................1-9
1.2 Symbols........................................................................1-10
2.General Information ..................................................... 2-1
2.1 Intended Use ..................................................................2-1
2.2 Contraindications............................................................2-1
2.3 Potential Side Effects .....................................................2-2
2.4 Physical Description .......................................................2-2
2.4.1 Front View with Circuit...........................................2-2
2.4.2 Main Unit ...............................................................2-4
3.Installations and Connections..................................... 3-1
3.1 Installing the Support Arm ..............................................3-1
3.2 Installing the Patient Tubing ...........................................3-4
3.3 Installing the Humidier ..................................................3-8
3.4 Installing the Nebulizer ................................................. 3-11
3.5 Connecting the Oxygen Supply ....................................3-12
3.6 Installing the Gas Cylinder............................................3-15
3.7 Installing the Oxygen Sensor .......................................3-15
3.8 Connecting the Power Supply ...................................3-17
3.9 Inspecting the Batteries................................................3-18

4.User Interface................................................................ 4-1
4.1 Screen Display ...............................................................4-1
4.2 Waveform Window..........................................................4-4
4.3 Loops Window................................................................4-4
4.4 Values Window ...............................................................4-5
4.5 Trend ..............................................................................4-6
4.5.1 Graphic Trend........................................................4-6
4.5.2 Tabular Trend.........................................................4-8
4.5.3 Event Logbook ......................................................4-8
4.6 Freeze ..........................................................................4-10
4.6.1 Enter or Exit Freeze Status .................................4-10
4.6.2 View Frozen Waveforms or Loop ........................4-10
4.7 Screen Capture ............................................................ 4-11
4.8 Lock Screen..................................................................4-12
5.System Settings............................................................ 5-1
5.1 Date and Time Settings ..................................................5-1
5.2 Screen Settings ..............................................................5-1
5.2.1 Screen Brightness .................................................5-1
5.2.2 Screen Layout .......................................................5-2
5.3 Export Settings ...............................................................5-3
5.3.1 Screen Capture .....................................................5-3
5.3.2 Patient and Setting Data .......................................5-4
5.3.3 Transfer Settings ...................................................5-5
5.4 Basic Settings.................................................................5-7
5.4.1 Set T-insp/I:E.........................................................5-7
5.4.2 Set VT/IBW............................................................5-7

5.4.3 Set IBW/Height......................................................5-7
5.4.4 Set IV Apnea Mode ...............................................5-7
5.4.5 Set Oxygen Concentration during Suction ............5-8
5.4.6 Set Oxygen Sensor Monitoring..............................5-8
5.4.7 Set Oxygen Supply..............................................5-10
5.4.8 Set Language ......................................................5-10
5.4.9 Set Unit................................................................ 5-11
5.4.10 System Information ...........................................5-12
6.Start Ventilation ............................................................ 6-1
6.1 Turning on the Ventilator.................................................6-1
6.2 System Check ................................................................6-1
6.3 Select Patient .................................................................6-6
6.4 Ventilation Type ..............................................................6-8
6.4.1 Invasive Ventilation................................................6-8
6.4.2 Non-Invasive Ventilation (NIV) ..............................6-9
6.4.3 Set Ventilation Type...............................................6-9
6.5 Ventilation Mode...........................................................6-10
6.5.1 Ventilation Mode and Parameters Setup.............6-10
6.5.2 Apnea Ventilation.................................................6-12
6.5.3 Sigh Ventilation....................................................6-12
6.5.4 VCV .....................................................................6-13
6.5.5 PCV ....................................................................6-14
6.5.6 PRVC ..................................................................6-15
6.5.7 VSIMV .................................................................6-16
6.5.8 PSIMV .................................................................6-17
6.5.9 V+SIMV ...............................................................6-18
6.5.10 CPAP/PSV.........................................................6-19

6.5.11 BPAP .................................................................6-20
6.5.12 APRV.................................................................6-21
6.5.13 Ramp ................................................................6-22
6.5.14 S/T.....................................................................6-23
6.5.15 VS......................................................................6-24
6.5.16 PPS ...................................................................6-24
6.6 Tube Resistance Compensation....................................6-26
6.7 Leak Compensation......................................................6-27
6.8 Start Ventilation ............................................................6-30
6.9 Standby Status .............................................................6-30
6.10 Turn the Ventilator Off..................................................6-31
7.Alarms .......................................................................... 7-1
7.1 Introduction.....................................................................7-2
7.2 Alarm Categories............................................................7-3
7.3 Alarm Priority Levels.......................................................7-4
7.4 Alarm Signals..................................................................7-4
7.4.1 Alarm Lamp ...........................................................7-5
7.4.2 Audible Alarm ........................................................7-5
7.4.3 Alarm Messages....................................................7-6
7.4.4 Flashing Alarm Numeric ........................................7-6
7.4.5 Alarm Status Symbol .............................................7-6
7.5 Alarm Volume Settings ...................................................7-7
7.6 Alarm List........................................................................7-8
7.7 Alarm Limits....................................................................7-9
7.8 Nurse Call..................................................................... 7-11
7.9 Responding to Alarms ..................................................7-13
7.10 Audio Paused .............................................................7-14

7.11 ALARM OFF ...............................................................7-15
7.12 Alarm Test...................................................................7-16
7.12.1 Low PEEP .........................................................7-16
7.12.2 Patient Circuit Occluded....................................7-16
7.12.3 High Oxygen......................................................7-16
7.12.4 Low Oxygen ......................................................7-17
7.12.5 Running on Internal Battery...............................7-17
7.12.6 Loss of Power....................................................7-17
7.12.7 High Pressure....................................................7-18
7.12.8 Low Pressure ....................................................7-18
7.12.9 High Tidal Volume .............................................7-18
7.12.10 Low Tidal Volume ............................................7-18
7.12.11 Low Minute Volume ........................................7-19
7.13 Alarm Troubleshooting Table .......................................7-19
7.14 Alarm Parameter.........................................................7-30
8.Special Functions ....................................................... 8-1
8.1 O2↑ (O2Enrichment) .......................................................8-1
8.2 Suctioning Tool ...............................................................8-2
8.3 Manual Breath ...............................................................8-2
8.4 Inspiratory Hold .............................................................8-3
8.5 Expiratory Hold ..............................................................8-3
8.6 Nebulization....................................................................8-4
8.7 P0.1 ................................................................................8-4
8.8 NIF..................................................................................8-5
8.9 PEEPi .............................................................................8-5
8.10 PV Tool ........................................................................8-5
8.11 O2Therapy ...................................................................8-8

9.Maintenance ................................................................. 9-1
9.1 Instructions .....................................................................9-1
9.2 Preventive Maintenance .................................................9-2
9.3 Battery Maintenance......................................................9-5
9.3.1 Battery Use Guidance ...........................................9-7
9.3.2 Battery Performance Checking..............................9-7
9.3.3 Battery Performance Conditioning.........................9-8
9.3.4 Battery Storage .....................................................9-9
9.3.5 Battery Recycling ................................................9-10
9.4 Pressure and Flow Zeroing ..........................................9-10
9.5 Flow Calibration............................................................9-10
9.6 Oxygen Concentration Calibration................................9-12
9.7 Electrical Safety Inspection ..........................................9-14
10.Cleaning and Disinfection ....................................... 10-1
10.1 Methods.......................................................................10-2
10.2 Part Disassemble .......................................................10-6
10.2.1 Expiration Valve Assembly and Membrane .......10-6
10.2.2 Inspiratory Valve Assembly................................10-7
10.2.3 HEPA Filter and Air Intake Dust Filter................10-8
10.2.4 Cooling Fan Dust Filter......................................10-9
10.2.5 Patient Tubing .................................................10-10
10.2.6 Humidier ........................................................ 10-11
10.2.7 Nebulizer .........................................................10-12
11..Specications.. ......................................................... 11-1
11.1 Physical Characteristic ................................................ 11-1
11.2 Environmental Requirements ...................................... 11-2

11.3 Electrical Specications ............................................... 11-4
11.4 Pneumatic Specications............................................. 11-5
11.5 Control Settings ........................................................... 11-6
11.6 Monitored Parameters ............................................... 11-10
11.7 Conguration Specications ...................................... 11-15
11.8 Factory Default Settings ............................................ 11-17
11.9 Residual Risk............................................................ 11-26
11.10 Other Technical Data .............................................. 11-26
A. Pneumatic Diagram ...................................................A-1
B. Parts and Accessories...............................................B-1
C. Communications Interface........................................C-1
D. EMC Declarations ......................................................D-1
E. Compliance.................................................................E-1
F. Neonatal Ventilation ................................................. F-1
Glossary .............................................................................. 1