Ventec Life Systems VOCSN User manual

Clinical Quick Start Guide

VentecLife.com 2
VOCSN offers mechanical Ventilation, Oxygen, Cough, Suction, and Nebulizer therapies in one compact, portable,
lightweight device.
This Quick Start Guide is intended to provide a high-level overview of VOCSN use, and does not contain all the
information required to operate VOCSN safely. For detailed instructions for use, see the Clinical and Technical
Manual, available online at VentecLife.com/VOCSNmanual.
Critical Care Ventilator
VOCSN is one of the few portable ventilators to achieve the rigorous critical care standard1for safety
and accuracy. The ventilator provides invasive, noninvasive, and mouthpiece ventilation and delivers a
comprehensive set of modes and settings to meet patient needs.
6 L/min Equivalent Internal Oxygen Concentrator
The VOCSN internal oxygen concentrator and Oxygen DirectTM system deliver the equivalent of 6 L/
min of oxygen or up to 40% FiO2. External high pressure and low pressure oxygen sources can be
connected when needed.
Touch Button Cough
Touch Button CoughTM therapy is activated in seconds rather than minutes, without changing the circuit.
Breath Sync monitors patient breathing and triggers a cough at a natural point in the breathing cycle.
Hospital Grade Suction
Hospital grade suction system provides consistent high ows throughout the entire suction experience.
VOCSN Suction therapy is up to three times quieter than traditional portable suction machines.
High Performance Nebulizer
VOCSN automatically compensates for the airow from the nebulizer drive to ensure accurate
ventilation and comfortable breathing. VOCSN records each medication use and turns off the nebulizer
when the therapy is complete.
Copyright: © 2020, Ventec Life Systems
22002 26th Ave SE
Bothell, WA 98021
Part Number: LBL-00054-000, Rev H
CAUTION: Federal law restricts this device to sale by or on the order of a physician.
1ISO 80601-2-12
NEBULIZER
SUCTION
COUGH
OXYGEN
2
VENTILATION

Table of Contents
VentecLife.com 3
VOCSN Congurations and Hardware 4
Software Overview 5
Locking and Unlocking the Touchscreen 5
Night Mode and Day Mode 6
Clinician Access 6
Permissions 7
Enable Prescribed Therapies 7
Exit Buttons 7
Multi-View 7
VOCSN Placement 8
Powering VOCSN 8
The Power Supply 8
Batteries 9
Connecting Patient Circuits 10
Connecting and Removing a Bacterial Filter 10
Mouthpiece Patient Circuits 10
Active, Passive, and Valveless Ventec One-Circuits 11
Connecting a Ventec One-Circuit O2 Tube 12
Connecting an Active Ventec One-Circuit Multilumen Tube 12
The Pre-Use Test 12
Changing Ventilation, Oxygen, and Cough Controls 13
Alarms 14
Setting Ventilation and Oxygen Alarms 14
Alarm Priorities 15
Alarm and Event Logs 15
Silencing Alarms 15
Connecting a Nurse Call System or Remote Alarm 15
Ventilation Therapy 16
Oxygen Therapy 16
Connecting External Oxygen 16
Cough Therapy 17
Suction Therapy 17
Connecting a Suction Canister 18
The Ventec Travel Suction Canister 18
The External Suction Canister Adapter (Sold Separately) 18
Nebulizer Therapy 19
External Nebulizer Compensation 19
Internal Nebulizer Therapy 19
VOCSN Therapy Interactions 20
Maintaining Oxygenation During Nebulizer or Suction 20
Comparable Ventilation Modes 21
Non-Invasive Ventilation Modes 21
Volume Ventilation Modes 22
Pressure Ventilation Modes (Including Volume-Targeted) 22
VOCSN Controls Setup 23

Clinical Quick Start Guide
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VOCSN Congurations and Hardware
VOCSN may include all ve therapies and all the features described in this guide, or just the set of therapies and features
purchased or prescribed by the treating physician. Depending on its conguration, VOCSN will be able to provide
Ventilation, +Oxygen Concentration, +Cough, +Suction, and/or +Nebulizer therapy. It may also be able to provide
oxygen from an external high-pressure source and FiO2 monitoring (+Pro congurations) or low-pressure oxygen (all
congurations). The conguration name is based on the therapies VOCSN can provide. For example, the V+C
conguration provides Ventilation+Cough therapies. The conguration name is printed on the back of the device.
Conguration
(Located on Device
Rear Label)
Ventilation
(V)
O2
Concentration
(+O)
Cough
(+C)
Suction
(+S)
Nebulizer
+(N)
High-Pressure
External Oxygen and
FiO2 Monitor
(+Pro)
Low-Pressure
External
Oxygen
V+O+C+S+N+Pro Yes Yes Yes Yes Yes Yes Yes
V+O+C+S+N Yes Yes Yes Yes Yes No Yes
V+C+Pro Yes No Yes No No Yes Yes
V+C Yes No Yes No No No Yes
1 Touchscreen 13 Handle
2 Speaker 14 T-Slot mount
3 Alarm Silence button 15 Cooling air outlet and Cough therapy exhaust
4 External Power / Charge Status indicator light 16 High-pressure O2 input port (+Pro congurations only)
5 Power button and indicator light 17 Low-pressure O2 input port
6 Removable, rechargeable battery 18 Remote alarm or Nurse Call Cable port
7 Active exhalation valve connection port 19 USB port for use by trained personnel only. See the
Clinical and Technical Manual for details.
8 Ventec One-Circuit O2 tube connection port
(+O congurations only) 20 Cooling air intake and lter
9 Nebulizer drive port (+N congurations only) 21 Power connection port
10 External bacterial lter and Ventec One-Circuit
connection port 22 Patient air inlet and lter
11 Handle 23 Removable, rechargeable battery
12 Cooling air outlet 24 Suction interface
25 Cooling air outlet
1
2
345 6
7
8
9
10
11
12
13
14
16
17 18
19
20
21 22 23
24
25
15

Clinical Quick Start Guide
VentecLife.com 5
Software Overview
Locking and Unlocking the Touchscreen
To lock and unlock the VOCSN touchscreen, use the status bar to press and hold the lock screen button for three
seconds. A pop-up message will appear to conrm your action.
0 5 10 15 20 25 30L H
NEBULIZERSUCTIONCOUGHOXYGEN
VENTILATION
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
Therapy MenuMonitors
Home
Navigation Links
Pressure Monitor
Link to Active and
Recent Alarms
Active
Therapies
Clinician
Access
Status
Power
Status
Links to VOCSN Therapy Screens
Lock
Screen
LOCKEDUNLOCKED

Clinical Quick Start Guide
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Night Mode and Day Mode
Use the Home screen to change between Night Mode and
Day Mode.
1 Press NIGHT MODE to dim the LCD display.
2 Press DAY MODE for full screen brightness.
Clinician Access
To lock or unlock VOCSN:
1 Press CLINICIAN ACCESS in the Menu tab.
2 Locate the device serial number printed on the VOCSN back label.
It is also visible from the Service section of the MY VOCSN screen.
3 Enter the four-digit Clinician Access passcode (the last four digits
of the device serial number), and then press ACCEPT.
If the UNLOCK REQUIRED? control is set to No, all VOCSN controls will be
congurable by any VOCSN user. When set to Yes, controls set to Clinician
Only in the PERMISSIONS screen will be locked.
To enable or disable the Clinician Access feature:
1 Press DEVICE SETTINGS in the Menu tab.
2 Press edit, and then change the UNLOCK REQUIRED? control to
Yes or No.
DAY MODE
NIGHT MODE
0 5 10 15 20 25 30L H
MY VOCSN
i
LOGSPRE-USE TEST
PERMISSIONS
R
X
ENABLE PRESCRIBED
THERAPIES
S
COUGH
C
C
COUGH
C
O
NEBULIZE
N
N
DEVICE
SETTINGS
SETTINGS
& ALARMS
CLINICIAN
ACCESS
No Alarms
PRESSURE (cmH20)
Therapy MenuMonitors
Home
SIMV-VOL
V O
0 5 10 15 20 25 30L H
Menu
MY VOCSN
i
LOGSPRE-USE TEST DEVICE
SETTINGS
Therapy MenuMonitors
Home
SETTINGS
& ALARMS
CLINICIAN
ACCESS
Click OK to enter Clinician
Access mode.
Please enter passcode
for clinician access
ACCEPTCANCEL
1 2 3
4 5 6
7
0
8 9
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
0 5 10 15 20 25 30L H
EDIT
INSUFFLATION TIME 3.0 seconds
ALARM VOLUME Medium
DATE 2017-09-30
TIME 02:32 PM
CALIBRATE TOUCHSCREEN
UNLOCK REQUIRED? Yes
PRESET 2PRESET 2PRESET 1PRESET 1
DEVICE
SETTINGS
PRESCRIPTIONS
EXIT
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
0 5 10 15 20 25 30L H
MY VOCSN
i
LOGSPRE-USE TEST DEVICE
SETTINGS
SETTINGS
& ALARMS
CLINICIAN
ACCESS
No Alarms
PRESSURE (cmH20)
Therapy MenuMonitors
Home
SIMV-VOL
V O
Preset 1
VENT PRESETBREATH RATE
15BPM
TIDAL VOLUME
430mL
0 5 10 15 20 25 30L H
Therapy MenuMonitors
Home
No Alarms
PRESSURE (cmH20)
NIGHT MODE
SIMV-VOL
V O

Clinical Quick Start Guide
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Permissions
Using the Permissions feature, VOCSN can be locked so that a Clinician Access
passcode is required to change controls. To congure which controls are
locked, press PERMISSIONS in the Menu tab. Then, use the toggles to set each
control.
• User and Clinician - Unlocked. Accessible at all times.
• Clinician Only - Locked. Control changes require the Clinician Access
passcode.
Enable Prescribed Therapies
Press the ENABLE PRESCRIBED THERAPIES button to enable or disable VOCSN therapies such
as the internal O2 Concentrator, Cough, Suction, Nebulizer, and/or the FiO2 Monitor.
This feature allows clinicians to enable a suite of therapies appropriate for the patient condition,
and disable others.
The Enable Prescribed Therapies button is only visible when VOCSN is in Clinician Access
mode.
Exit Buttons
VOCSN software has two types of EXIT buttons to
navigate to the previous screen:
• Inside therapy screens, the EXIT button appears as
a back arrow on the left-hand side of the screen.
• Inside conguration screens, the EXIT button will
appear as a tab in the upper left-hand corner.
Multi-View
VOCSN Muti-View is the rst comprehensive reporting solution for ventilator-dependent patients. To obtain data from
VOCSN and generate a report:
1 Install a USB drive into the USB port in the back of VOCSN.
Note: USB drives used with VOCSN must be USB 2.0, and formatted to FAT32.
Do not plug anything else into the VOCSN USB port.
2 Navigate to the Event Log by pressing Menu and then the LOGS button. Press
the Events tab. Then, press the EXPORT button to begin exporting Multi-View
data to the connected USB drive.
3 When the export is complete, press OK and remove the USB drive.
4 Insert the USB drive into a computer, and open the “VOCSN” folder on the drive. Ensure you’re connected to
the internet and double-click the “Click to open Multi-View.html” link to open the Multi-View portal.
5 Follow the instructions on the Multi-View portal to upload data in the “Multi-View Exports” folder and generate
reports. For detailed instructions, see the Clinical and Technical Manual at VentecLife.com/VOCSNmanual.
NEBULIZER
PERMISSIONS
NEBULIZER
PERMISSIONS
NEBULIZER
PERMISSIONS
COUGH
PERMISSIONS
COUGH
PERMISSIONS
COUGH
PERMISSIONS
VENTILATOR
PERMISSIONS
VENTILATOR
PERMISSIONS
VENTILATOR
PERMISSIONS
EXITEXIT
0 5 10 15 20 25 30L H
User and Clinician
Clinician Only
User and Clinician
User and Clinician
User and Clinician
CIRCUIT TYPE
MODE
HUMIDIFICATION
BREATH RATE
INSPIRATORY TIME
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
ENABLE PRESCRIBED
THERAPIES
S
COUGH
C
C
COUGH
C
O
NEBULIZE
N
N
NEBULIZER
PERMISSIONS
NEBULIZER
PERMISSIONS
NEBULIZER
PERMISSIONS
COUGH
PERMISSIONS
COUGH
PERMISSIONS
COUGH
PERMISSIONS
VENTILATOR
PERMISSIONS
VENTILATOR
PERMISSIONS
VENTILATOR
PERMISSIONS
EXITEXIT
0 5 10 15 20 25 30L H
User and Clinician
Clinician Only
User and Clinician
User and Clinician
User and Clinician
CIRCUIT TYPE
MODE
HUMIDIFICATION
BREATH RATE
INSPIRATORY TIME
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
EXPORT
EXIT

Clinical Quick Start Guide
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VOCSN Placement
When selecting a place to operate VOCSN, keep the following in mind:
• Do not block VOCSN air inlets and vents.
• Do not operate VOCSN on its back or on compliant bedding, which may obstruct the airow around it.
• Do not cover VOCSN with towels or other materials.
• VOCSN should be placed in a well-ventilated area, free of airborne pollutants, contaminants, and fumes.
• Always have a backup means of ventilation available, as well as a backup means of any other therapy critical
to patient care.
• Do not operate VOCSN near smoke, open ame, or heat sources while Oxygen therapy is in use. This could
cause re or explosion and serious harm to the patient.
• Over time, direct sunlight may compromise the integrity of VOCSN plastic housing or the Ventec One-Circuit.
Place VOCSN in a location that is not exposed to extended periods of direct sunlight.
• Ensure the environment is within the recommended operating range of temperature, altitude, and relative
humidity for VOCSN. (5 to 40 °C, 700 to 1060 hPA, 15% to 90% RH)
Powering VOCSN
Use the Power button on the front right side of VOCSN to turn it on
and off. Listen for two audio tones every time you power on VOCSN.
This veries the VOCSN backup alarm, which is used in case of an
Inop alarm condition or issue with the VOCSN speaker.
The Power Supply
Whenever possible, connect VOCSN to an external source of continuous power. Verify the external power indicator
appears on the touchscreen when VOCSN in plugged in.
1
2
Power Button

Clinical Quick Start Guide
VentecLife.com 9
Batteries
VOCSN comes with two removable, rechargeable batteries, and
one internal battery. Depending on your settings, these three
batteries together may power VOCSN for up to nine hours.
To remove a battery:
1 Lift the battery tab until it clicks.
2 Use the tab remove the battery.
To connect a battery:
1 Lift the blue tab up, then insert the battery
base-rst.
2 Press the top of the battery into place and then
press the blue tab down until it clicks and is at
against the battery.
The following VOCSN indicators provide information
about battery status:
Batteries are charging (orange)
All batteries are fully charged (green)
Left battery
is charging
VOCSN is
plugged in
Right battery is
fully charged
Internal battery
is fully charged
1
2

Clinical Quick Start Guide
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Connecting Patient Circuits
VOCSN may be connected to various circuit types available from Ventec Life Systems: Mouthpiece, or an Active, Passive,
or Valveless Ventec One-Circuit.
Connecting and Removing a Bacterial
Filter
To connect a lter, t it against VOCSN, aligning the tabs on the lter
and VOCSN. Then, rmly twist the lter clockwise to lock it into place.
To remove a lter, rmly push in on the lter toward VOCSN and then
twist it counterclockwise, aligning the tabs on the lter and VOCSN.
Then, pull the lter to remove it.
Mouthpiece Patient Circuits
Connect the Mouthpiece Circuit Kit components in the order depicted below.
1 Reducer cuff
2 15mm circuit tubing (one piece)
3 Optional Mouthpiece Circuit Support Arm, available separately
4 Coupler
5 Flexible extension (optional)
6 Angled mouthpiece
4
3
6
5
1
2