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

Chapter 1
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

1-1
1. Safety Information
1. Safety Information
Before using the 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 devices.
Warnings and cautions that apply to the use of the
ventilator under all circumstances are included in
this section. Additional warnings and cautions are
also inserted within the manual where they are most
meaningful.
Notes are also located throughout the manual to
provide additional information related to specific
features.
1.1 Safety Information
WARNING
Indicates a potentially hazardous situation which, if
not avoided, could result in death or serious injury.
CAUTION
Indicates a potentially hazardous situation which, if
not avoided, could result in minor or moderate injury
or equipment damage.
NOTE
Emphasizes information of particular importance.
1.1.1 WARNING
• The ventilator must only be operated and used by
authorized medical personnel well trained in the
use of this product. It must be operated strictly
following the user manual.

1-2
1. Safety Information
• An alternative means of ventilation shall be
available whenever the ventilator is in use. If a fault
is detected in the ventilator, disconnect the patient
from it and immediately start ventilation with such
a device. For example, using a manual respirator.
• Before use, the ventilator, cables and accessories
must be inspected to ensure that they can work
normally and safely.
• Users should set alarm volume and alarm limits
based on patients’ actual condition. Do not rely
exclusively on the audible alarm system for patient
monitoring. Adjustment of alarm volume to a low
level may result in a hazard to the patient. Always
keep the patient under close surveillance.
• All staff should be aware that disassembling or
cleaning some parts of the ventilator can cause risk
of infection.
• Using the ventilator in the vicinity of high frequency
electrosurgery equipment, defibrillators or short-
wave therapy equipment may impair correct
functioning of the ventilator and endanger the
patient.
• Do not place the ventilator adjacent to any barrier,
which can prevent cold air from flowing, resulting in
equipment overheat.
• If the equipment internal monitoring system
malfunctions, an alternative plan must be available
to ensure adequate level of monitoring. The
operator of the ventilator must be responsible for
patient’s proper ventilation and safety under all
circumstances.
• Do not touch the patient when connecting the
peripheral equipment via the I/O signal ports or
replacing the O2 cell, to prevent patient leakage
current from exceeding the requirements specified
by the standard.
• The maximum pressure of hose is 1.4 MPa @21℃

1-3
1. Safety Information
and please check whether gas supply pressure
meets hose requirements before usage.
• Hose connectors adopt standardized gas terminal
connector with gas nature.
• Different types of gas and gas with different
pressures shall not be exchanged with each other.
• Hose may be aging quickly by long-term exposure
to acidity, alkalinity or ultraviolet rays.
• Don’t cascade two or more hose assemblies
together.
• The ventilator arm could bear 1kg maximally and
don’t hang over 1kg goods.
• After the ventilator is installed or changed main
control board, please perform flow calibration
again.
• When disconnecting fast connectors, please
operate by two hands to prevent potential injury
caused by sudden pressure release.
• Do not block the air intake on the rear side of the
ventilator.
• To prevent interrupted operation of the ventilator
due to electromagnetic interference, avoid using
the ventilator adjacent to or stack with other device.
If adjacent or stacked use is necessary, verify the
ventilator’s normal operation in the configuration in
which it will be used.
• Avoid the use of polluted air. When the equipment
uses air as gas source for ventilation, if the air is
polluted, harmful substance may enter the patient
tubing.
• Check if the alarm limit settings are appropriate
before taking measurement.
• When operating the unit with the power supply
unit, always connect the unit to an easily accessible
outlet so that it can be unplugged quickly in the
event of a malfunction.

1-4
1. Safety Information
• System leakage, such as leakage caused by an
uncuffed endotracheal tube, may influence airflow
readings, including airflow parameters, pressure,
dead space, and CO2 production.
• Do not open the equipment housings. All servicing
and future upgrades must be carried out by
qualified service providers only.
• Modification of the ventilator and associated
equipment is not permitted and may compromise
ventilator operation and patient safety. Servicing
should only be done by qualified service personnel.
• To ensure the correct performance of the ventilator
and the accuracy of patient data, use only specified
accessories with the ventilator.
• To reduce the risk of electric shock from liquid
entering the device, do not put a container filled
with a liquid on the ventilator.
• 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.
• Do not use the ventilator with helium or mixtures
with helium.
• To reduce the risk of strangulation from patient
tubing, use a tubing support arm and secure the
proximal pressure line with clips to position the
sensor cables and tubing appropriately.
• 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.
• Remember that alarm settings should be
customized according to different patient situations
and always keeping the patient under close
surveillance is the most reliable way for safe patient
monitoring.

1-5
1. Safety Information
• The physiological parameters and alarm messages
displayed on the screen of the ventilator are for
doctor’s reference only and cannot be directly used
as the basis for clinical treatment.
• 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.
• Be sure to set the high inspiratory pressure alarm
appropriately to minimize patient risk from
overpressurization or early breath termination.
• To minimize patient risk from aspiration of
condensate, use either a circuit with water traps or
a heated wire circuit.
• The patient’s exhaled volume can differ from the
measured exhaled volume due to leaks around
the mask during noninvasive ventilation. We
recommend that you set the leak alarm to detect
and notify when a clinically significant leak occurs.
• To prevent unintentional disconnection of the
power cord, always use the correct specified power
cord and lock it into place with the power cord
retainer before use. The plug is used as disconnect
device to the mains supply, do not to position
the equipment so that it is difficult to operate the
disconnection device.
• To reduce the risk of electric shock, connect the
ventilator to an AC supply mains with protective
earth only.
• A ventilator shutdown due to a total loss of power
during ventilation poses serious risks to the patient.
Always have a backup battery built-in and fully
charged.
• The backup battery must be fitted in the ventilator.
Periodically check and replace the battery as
needed. Refer servicing to qualified service
personnel.

1-6
1. Safety Information
• The battery is intended for backup or transport
use only. Battery operation time can be affected by
discharge and recharge cycles, time, and ambient
temperature. Using the battery as primary power
source increases patient risk resulting from a
ventilator shutdown due to total power loss.
• Use external power source before the batteries are
depleted.
• 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.
• Do not use this equipment in an MRI environment.
• To dispose of the package material, observing the
applicable waste control regulations and keeping it
out of children’s reach.
• To prevent possible patient injury, maintenance
mode can only be used when the ventilator is
disconnected from the patient.
• Nebulization or humidification can increase the
resistance of breathing system filters and that
you need to monitor the breathing system filters
frequently for increased resistance and blockage.
• The ventilation accuracy can be affected by the gas
added by use of a nebulizer.
• As required by the relevant rules and regulations,
oxygen concentration should be monitored when
the equipment is used on the patient. If your
ventilator is not configured with such monitoring
function or this functionon your ventilator is
turned off, use a monitor which complies with
the requirements of ISO 80601-2-55 for oxygen
concentration monitoring.
• Do not move the ventilator before removing the
support arm from it, in order to avoid the ventilator
getting tilted during the movement.

1-7
1. Safety Information
• To prevent possible device damage, avoid tipping
over the ventilator when crossing thresholds.
• To prevent possible device damage, step down the
brake when parking the ventilator.
• A turbofan can cause gas to be heated. To reduce
the temperature of gas inside the tube and prevent
patient injury accordingly, make sure that the
length of patient tube from the humidifier to Y
piece is greater than 1.2m.
• 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.
• The ventilator shall not be used with nitric oxide.
• It is recommended to connect this equipment
to equipotential system. Use yellow and green
equipotential grounding cables, one end is
connected to position with symbol, and other end is
connected to equipotential system. Use of potential
equalization conductor together with a reference
to requirements in clause 16 of IEC 60601-1 for
Medical Electrical System.
• Additional equipment connected to medical
electrical equipment through the network/data
coupling must comply with the respective IEC or
ISO standards (e.g. IEC 60950 for data processing
equipment). Furthermore, all configurations
shall comply with the requirements for medical
electrical systems (see IEC 60601-1-1 or clause
16 of the 3.1Ed. of IEC 60601-1, respectively).
Anybody connecting additional equipment to
medical electrical equipment configurations a
medical system and is therefore responsible that
the system complies with the requirements for
medical electrical systems. Attention is drawn to
the fact that local laws take priority over the above
mentioned requirements. If in doubt, consult
your local representative or the technical service
department.

1-8
1. Safety Information
• A potential hazard can exist if different alarm
presets are used for the same or similar equipment
in any single area.
• Ensure that all breathing system parts are dry every
time when the breathing system is cleaned and
disinfected.
• Check the expiration valve for water build-up when
abnormal flow waveform or unstable tidal volume
fluctuation is detected. If there is water build-up
inside the expiration valve, clear it.
1.1.2 CAUTION
• The ventilator is intended for use by healthcare
professionals only.
• At the end of the ventilator service life, the
equipment and its accessories, must be disposed
of in compliance with the guidelines regulating the
disposal of such products.
• Grounding reliability can only be achieved when
equipment is connected to an appropriate voltage
receptacle marked “hospital only” or “hospital
grade.”
• To prevent possible damage to the ventilator, use
only those cleaning agents listed in this manual.
• To prevent possible damage to the ventilator, do
not drip or spray any liquids directly onto any
surface.
• Do not attempt to sterilize or autoclave the
ventilator.
• To reduce the risk of electrical shock, disconnect
electrical power from the ventilator before cleaning.
• 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.
• To prevent possible damage to the ventilator,