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
VentecLife.com 4
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
VentecLife.com 7
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
VentecLife.com 8
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
VentecLife.com 10
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

Clinical Quick Start Guide
VentecLife.com 11
Active, Passive, and Valveless Ventec One-Circuits
Connect patient circuit components in the order depicted below. For additional information, see the VOCSN Clinical and
Technical Manual, available online at VentecLife.com/VOCSNmanual.
Item Name Required? Additional Information
VOCSN Bacterial
Filter
Required See “Connecting and Removing a Bacterial Filter” on page 10 for instructions.
Ventec Humidier
Bypass
Required for using
Touch Button Cough
therapy with a
connected humidier
The Ventec Humidier Bypass prevents water damage to VOCSN during Cough
therapy.
Humidier Optional Include a form of humidication (either an HME or humidier).
Active, Passive, or
Valveless Ventec One-
Circuit
Required Use either an active, passive, or valveless Ventec One-Circuit. Ventec One-
Circuits may include an integrated O2 tube for Oxygen Direct therapy and/or a
heated wire. Active Ventec One-Circuits include ow sensor tubing.
Heat-Moisture
Exchanger (HME)
Optional Include a form of humidication (either an HME or humidier).
Nebulizer and
Nebulizer Filter
Optional Connect a nebulizer to the nebulizer drive port.
Ventec Secretion Trap Optional Connect a Ventec Secretion Trap, using suction tubing, to a suction canister.
Patient Interface Required Examples of a patient interface include a mask or tracheal tube. Active and
Passive Ventec One-Circuits include an exhalation valve and are intended for
use with non-vented masks. Valveless Ventec One-Circuits are intended for use
with vented masks.
PATIENT
INTERFACE
(optional
heated wire)
HME
PATIENT
CIRCUIT
HUMIDIFIER
(choose one)
HUMIDIFIER
BYPASS
(required
for Cough)
BACTERIAL
FILTER
VOCSN
or
or
NEBULIZER
(optional)
NEBULIZER
FILTER
(optional
O2tube)
SECRETION
TRAP
(optional)
N
N
C
S
C
O

Clinical Quick Start Guide
VentecLife.com 12
Connecting a Ventec One-Circuit
O2 Tube
If your Ventec One-Circuit has an integrated O2
tube, connect the O2 tube to the oxygen output
port on the right side of VOCSN. Fit the connection
adapter around the port securely.
Note: To ensure proper Oxygen therapy
performance, make sure the O2 tube is fully
connected. The end of the blue connector should
be ush against VOCSN.
Connecting an Active Ventec
One-Circuit Multilumen Tube
1 Fit the oval connector tube into place in the
Active connection port.
2 Fit the connecting screw cap over the
port and twist it clockwise until it is rmly
secured.
The Pre-Use Test
To ensure therapy is delivered accurately, perform a Pre-Use Test whenever the patient circuit is changed or the device is
powered on. If Ventilation therapy is critical to patient care, provide the patient with backup ventilation prior to initiating
the Pre-Use Test.
Note: Though accuracy may be reduced, VOCSN may still be used to provide ventilation therapy without running the
Pre-Use Test. If time constraints make running the test inadvisable, press the EXIT button to immediately initiate
Ventilation therapy.
Some control changes cause VOCSN to prompt you to run a Pre-Use Test. You may also press the
Menu tab and then the PRE-USE TEST button to begin a Pre-Use Test at any time. To run a Pre-
Use Test, carefully follow the on-screen instructions. When instructed, use a clean, gloved hand to
obstruct the circuit completely.
• If the test completes successfully, reconnect the Ventec One-Circuit to the patient and resume
Ventilation therapy.
• If the test fails, inspect the Ventec One-Circuit conguration for leaks or improper setup.
Resolve any issues with the Ventec One-Circuit, and then press RESTART to run the Pre-Use Test again.
1
2
PRE-USE TEST

Clinical Quick Start Guide
VentecLife.com 13
Changing Ventilation, Oxygen, and Cough
Controls
Press the Therapy tab, and then the Ventilation, Cough, or Oxygen icon.
1 To congure a Preset, select it and then press the SETTINGS (or
SETTINGS & ALARMS) button.
Any of the three available Presets can be congured by pressing the
Preset tabs along the top of the conguration screen.
2 Scroll to the control you want to modify, select it and then press the
EDIT button on the right side of the blue selection bar.
The MODE, and CIRCUIT TYPEcontrols cannot be modied while a
Preset is active, and will appear in gray. If additional controls appear
in gray, the Clinician Access passcode must be entered before
modifying them.
3 Enter the new selection and then press ACCEPT to conrm the
change.
4 When conguration is complete, press the EXIT tab along the top of
the screen.
5 Activate or switch between congured presets at any time by
selecting the appropriate Preset and then pressing START.
0 5 10 15 20 25 30L H
EXIT SETTINGS
& ALARMS
Prepare patient circuit for ventilation,
select preset, and press START to begin.
AC-PRES
NIGHTDAY
SIMV-VOL
MOBILE
SIMV-PRES
ACTIVE NOWSTARTSTART
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
NOW ACTIVE
0 5 10 15 20 25 30L H
EDIT
MODE
PATIENT TYPE
HUMIDIFICATION
CIRCUIT TYPE
TIDAL VOLUME
BREATH RATE
INSPIRATORY TIME
PEEP
SIGH
SIMV-VOL
Adult
HME
Active
450 mL
20 BPM
1.0 seconds
10 cmH20
OFF
NIGHTDAYEXIT MOBILE
No Alarms
PRESSURE (cmH20)
25 30H
PRESS TO EDIT
PRESS TO EDIT
SIMV-VOL
V O
0 5 10 15 20 25 30L H
EDIT
HUMIDIFICATION
CIRCUIT TYPE
BREATH RATE
HME
Active
20 BPM
NIGHTDAYEXIT MOBILE
No Alarms
PRESSURE (cmH20)
25 30H
PRESS TO EDIT
PRESS TO EDIT
ACCEPTCANCEL
1 2 3
4 5 6
7
0
8 9
SIMV-VOL
V O
0 5 10 15 20 25 30L H
EDIT
MODE
PATIENT TYPE
HUMIDIFICATION
CIRCUIT TYPE
TIDAL VOLUME
BREATH RATE
INSPIRATORY TIME
PEEP
SIGH
SIMV-VOL
Adult
HME
Active
450 mL
20 BPM
1.0 seconds
10 cmH20
OFF
NIGHTDAYEXIT MOBILE
No Alarms
PRESSURE (cmH20)
25 30H
PRESS TO EDIT
PRESS TO EDIT
SIMV-VOL
V O
0 5 10 15 20 25 30L H
EXIT SETTINGS
& ALARMS
Prepare patient circuit for ventilation,
select preset, and press START to begin.
AC-PRES
NIGHTDAY
SIMV-VOL
MOBILE
SIMV-PRES
ACTIVE NOWSTARTSTART
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
NOW ACTIVE

Clinical Quick Start Guide
VentecLife.com 14
Alarms
For a description of all available alarms and their settings, see the Clinical and Technical Manual, available online at
VentecLife.com/VOCSNmanual.
Setting Ventilation and Oxygen Alarms
Note: The High Pressure Delay and Patient Circuit Disconnect alarm
settings can be used to help reduce nuisance alarms.
1 To congure a alarms, select the Ventilation or Oxygen Preset you
want to modify, and then press the SETTINGS & ALARMS button.
Any of the three available Presets can be congured by pressing the
Preset tabs along the top of the conguration screen.
2 Scroll past the controls to view alarms.
Find the name of the alarm you want to modify, select it and then
press the EDIT button on the right side of the blue selection bar.
3 If the alarm includes a Low and High setting:
• Select the L icon to adjust the Low alarm setting.
• Select the H icon to adjust the High alarm setting.
4 If necessary, use the OFF ON toggle to turn the alarm ON.
Then, use the keypad to enter the desired setting.
5 Press ACCEPT to conrm the new alarm setting(s).
0 5 10 15 20 25 30L H
EXIT SETTINGS
& ALARMS
Prepare patient circuit for ventilation,
select preset, and press START to begin.
AC-PRES
NIGHTDAY
SIMV-VOL
MOBILE
SIMV-PRES
ACTIVE NOWSTARTSTART
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
NOW ACTIVE
EDIT
APNEA
BREATHRATE
MINUTE VOLUME
INSPIRATORY PRESSURE
HIGH EPAP
BREATH RATE
PEEP
SPO2
FLOW CYCLE
SENSITIVITY
RISE TIME
SIGH
30 seconds
14 BPM
OFF
4 cmH2O
3 cmH2o above set EPAP
5 BPM
OFF
85%
OFF
20%
6
OFF
30 BPM
OFF
35 cmH2O
9 L/min
OFF
Flow Trigger
20%
6
OFF
PRESS TO EDIT
No Alarms
PRESSURE (cmH20)
25 30H
SIMV-VOL
V O
0 5 10 15 20 25 30L H
NIGHT
DAYEXIT MOBILE
PRESET 2
PRESET 1EXIT
APNEA
BREATHRATE
MINUTE VOLUME
INSPIRATORY PRESSURE
HIGH EPAP
BREATH RATE
PEEP
SPO2
FLOW CYCLE
SENSITIVITY
RISE TIME
SIGH
30 seconds
14 BPM
OFF
4 cmH2O
3 cmH2o above set EPAP
5 BPM
OFF
85%
OFF
20%
6
OFF
30 BPM
OFF
35 cmH2O
9 L/min
OFF
Flow Trigger
20%
6
OFF
H
0 5 10 15 20 25 30H
PRESS TO EDIT
PRESS TO EDIT
ACCEPTCANCEL
1 2 3
4 5 6
7
0
8 9
L
No Alarms
PRESSURE (cmH20)
L
OFF ON
HL
SIMV-VOL
V O
PRESET 2
PRESET 1EXIT
APNEA
BREATHRATE
MINUTE VOLUME
INSPIRATORY PRESSURE
HIGH EPAP
BREATH RATE
PEEP
SPO2
FLOW CYCLE
SENSITIVITY
RISE TIME
SIGH
30 seconds
14 BPM
OFF
4 cmH2O
3 cmH2o above set EPAP
5 BPM
OFF
85%
OFF
20%
6
OFF
30 BPM
OFF
35 cmH2O
9 L/min
OFF
Flow Trigger
20%
6
OFF
H
0 5 10 15 20 25 30H
PRESS TO EDIT
PRESS TO EDIT
ACCEPTCANCEL
1 2 3
4 5 6
7
0
8 9
L
No Alarms
PRESSURE (cmH20)
L
OFF ON
HL
SIMV-VOL
V O
PRESET 2
PRESET 1EXIT
APNEA
BREATHRATE
MINUTE VOLUME
INSPIRATORY PRESSURE
HIGH EPAP
BREATH RATE
PEEP
SPO2
FLOW CYCLE
SENSITIVITY
RISE TIME
SIGH
30 seconds
14 BPM
OFF
4 cmH2O
3 cmH2o above set EPAP
5 BPM
OFF
85%
OFF
20%
6
OFF
30 BPM
OFF
35 cmH2O
9 L/min
OFF
Flow Trigger
20%
6
OFF
H
0 5 10 15 20 25 30H
PRESS TO EDIT
PRESS TO EDIT
ACCEPTCANCEL
1 2 3
4 5 6
7
0
8 9
L
No Alarms
PRESSURE (cmH20)
L
OFF ON
HL
SIMV-VOL
V O

Clinical Quick Start Guide
VentecLife.com 15
Alarm Priorities
Alarm Priority Visual Indicator Auditory Indicator
High
(red banner)
0 5 10 15 20 25 30L H
CLEAR LIST
Alarm Name 11/13/2013 5:19 PM
ALARMSEXIT EVENTS
Alarm Name
PRESSURE (cmH20)
SIMV-VOL
V O 10 tones every 3 seconds
Medium
(yellow banner)
0 5 10 15 20 25 30L H
CLEAR LIST
Alarm Name 11/13/2013 4:43 PM
ALARMSEXIT EVENTS
Alarm Name
PRESSURE (cmH20)
SIMV-VOL
V O 3 tones every 7 seconds
Low
(blue banner)
0 5 10 15 20 25 30L H
CLEAR LIST
Alarm Name 11/13/2013 11:35 AM
ALARMSEXIT EVENTS
Alarm Name
PRESSURE (cmH20)
SIMV-VOL
V O No auditory indicator
Alarm and Event Logs
To view the VOCSN Alarm Log, press the alarm banner in the status
bar, or press the Menu tab, and then the LOGS button.
To clear the list of all but the active alarm conditions, press the
CLEAR LIST button from the Alarm Log screen.
Silencing Alarms
To inactivate and reactivate alarm signals, use the Alarm Silence
button on the front of VOCSN. The Alarm Silence button will silence
the audible portion of VOCSN alarms for 60 seconds.
Connecting a Nurse Call System or
Remote Alarm
The remote alarm port is behind a protective rubber ap
on the back of VOCSN. This port may be used to connect a
remote alarm, a nurse call system, or other alarm systems that
sense contact closure through a 1/4” phono jack, using the
VOCSN Nurse Call Cable accessory (available separately from
Ventec Life Systems).
Always test the alarm immediately after installation, and
periodically during use to ensure it is functioning as intended.

Clinical Quick Start Guide
VentecLife.com 16
Ventilation Therapy
To use Ventilation therapy, press the Therapy
tab, and then the Ventilation icon.
Use the Home or Monitors tab to view monitored
information about the delivered Ventilation
therapy. The top row of Monitors displayed on
the Monitors tab will also appear on the Home
screen.
Oxygen Therapy
Oxygen Direct therapy may be delivered from
the internal O2 Concentrator in Pulse Dose
mode (through an integrated oxygen tube
inside the patient circuit). The internal O2
Concentrator will deliver the equivalent of up
to 6 L/min of oxygen without connecting an
external oxygen source.
With external high-pressure oxygen connected,
Oxygen therapy may be delivered as either a
Pulse Dose or FiO2. Additive low-pressure
oxygen may also be used.
Connecting External Oxygen
External high-pressure oxygen sources can be
connected to VOCSN to provide Oxygen therapy in
either Pulse Dose or FiO2 mode.
External low-pressure oxygen sources can be
connected to VOCSN by using an O2 Low-Pressure Inlet
Adapter (available separately from Ventec Life Systems).
Oxygen from a low-pressure oxygen source is additive, and
can be used in conjunction with oxygen from the internal O2
concentrator or an external high-pressure source. The ow of
low-pressure oxygen is controlled by the oxygen source, not
by the VOCSN oxygen controls.
0 5 10 15 20 25 30L H
EXIT SETTINGS
& ALARMS
Prepare patient circuit for ventilation,
select preset, and press START to begin.
AC-PRES
NIGHTDAY
SIMV-VOL
MOBILE
SIMV-PRES
ACTIVE NOWSTARTSTART
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
NOW ACTIVE
This preset is
providing
therapy
Press here to
EXIT this
screen
To start using a new
preset, select it and then
press START
Press here
if you need
to change a
control
0 5 10 15 20 25 30
EXIT
L
H
SETTINGS
& ALARMS
No Alarms
PRESSURE (cmH20)
STOP THERAPYSTOP THERAPY
Int. O2 Concentrator
6 L/min
Pulse Dose
PRESET 3
STARTSTART
PRESET 2
40%
FiO2
Ext. High-Pressure
PRESET 1
NOW ACTIVE
4 L/min
Pulse Dose
Ext. High-Pressure
21 30 40 50 60 70 80 90 100
CALCULATED FiO2 MONITOR (%)
O2 FLUSH
6
L/min
SIMV-VOL
V O
This preset is
providing
therapy
Press here to
EXIT this
screen
To start using a new
preset, select it and then
press START
Press here if
you need to
change a
control
O2 Flush
delivers
maximum
oxygen for 3
minutes
1
2

Clinical Quick Start Guide
VentecLife.com 17
Cough Therapy
To use Cough therapy, press the
Therapy tab, and then the Cough icon.
If you are using a mask with an air leak
in it for Ventilation therapy, change the
mask to one without a leak for Cough
therapy for the best results. When
Cough therapy is complete, switch
back to the vented mask.
Suction Therapy
Oxygen therapy is paused during Suction therapy. See “VOCSN Therapy Interactions” on page 18 for more
information.
To use Suction therapy, press the
Therapy tab, and then the Suction
icon.
Verify there are no leaks and that
Suction therapy is functioning as
intended by occluding the suction
tubing or attached catheter with a
clean, gloved hand. Observe the
suction monitor (indicated by the solid
ll inside the arc) and verify it matches
the set vacuum value (displayed as a
numeric value inside the arc, and a
black line).
Once the START button is pressed,
Suction therapy may take up to 5
seconds to begin.
Prepare patient circuit for Cough therapy,
select preset, and press START to begin.
0 5 10 15 20 25 30L H
EXIT SETTINGS
No Alarms
PRESSURE (cmH20)
-40 / +40
cmH2O
HIGHMEDIUM
-35 / +35
cmH2O
STOP THERAPYSTOP THERAPYSTARTSTART
SIMV-VOL
V O
LOW
-30 / +30
cmH2O
Cough+Suction
This preset has
Cough + Suction
enabled
Press here to
EXIT this
screen
To start Cough therapy,
select a preset and then
press START
Press here to
change
controls
No Alarms
PRESSURE (cmH20)
0 5 10 15 20 25 30L H
STOP THERAPYSTOP THERAPYSTART
START
20
16
0
12
4
8
mmHginHg
300
100
150
250
200
400
350
500
450
0
50
550
mmHg
185
EXIT
VACUUM
START
SET
DEFAULT
SIMV-VOL
V O
Press here to start
or stop Suction
therapy
Press here to
exit this screen
Press + and - to
increase or decrease
vacuum intensity
Press here to set
the default
Vacuum setting
(It will also
apply to
Cough+Suction)

Clinical Quick Start Guide
VentecLife.com 18
Connecting a Suction Canister
To attach or detach the Suction Cap, Travel Canister, or External
Canister Adapter twist them to the left (unlock and remove) or right
(lock and suction).
The Ventec Travel Suction Canister
The Ventec Travel Suction Canister has a 300 mL capacity. If the
canister overlls, or the knob gets wet during cleaning, a water-
phobic lter will activate, suction will stop, and the canister lter will
need to be replaced.
To empty the Travel Suction Canister,
disconnect it, then twist the knob
counterclockwise to the dot position, and
pull the knob out of the canister.
The External Suction
Canister Adapter (Sold
Separately)
Use the External Suction Canister
Adapter (available separately from
Ventec Life Systems) to connect
VOCSN to an external canister.
1 Attach the adapter by placing
it against the suction port and
twisting it to the lock position.
2 Connect 1/4” suction tubing to the
canister
3 Connect suction tubing to the other port.
Lock
to Suction
Unlock
to Remove
Travel or
Remove
Filter
Must be replaced
if exposed to liquid
2
3
1

Clinical Quick Start Guide
VentecLife.com 19
Nebulizer Therapy
Note: Oxygen therapy is paused during
internal Nebulizer therapy. See “VOCSN
Therapy Interactions” on page 18 for more
information.
External Nebulizer
Compensation
All VOCSN congurations can be used to
compensate for the ow added to the patient
circuit from an external 6 L/min. Follow
instructions from the nebulizer manufacturer,
and set the VOCSN Nebulizer Duration control using the plus (+) and (-) buttons. Press START underneath the External
Neb. Compensation selection to begin compensation.
Internal Nebulizer Therapy
VOCSN congurations that include a nebulizer may provide Internal Neb. Therapy from the Nebulizer port:
1 Connect a VOCSN Nebulizer Filter to the
nebulizer port.
2 Connect one end of the nebulizer tubing
to the VOCSN Nebulizer Filter, and the
other end to the bottom of the nebulizer
cup.
3 Add medication to the nebulizer cup
by following all instructions from the
nebulizer cup manufacturer.
4 Congure Nebulizer therapy. The
Nebulizer Duration should be set to
provide ample time for all medication in the cup to be delivered to the patient.
5 Before connecting the nebulizer cup to the patient circuit, select Internal Neb. Therapy and then press START to
begin therapy. Conrm an aerosol mist is created from the nebulizer cup.
6 Attach the nebulizer cup and tee between the exhalation valve and the patient interface (or, if the tee is already
in place, attach the nebulizer cup to it). Verify the nebulizer cup is vertical to ensure that all medication in the cup
is properly nebulized.
Note: If an HME is used, connect the nebulizer cup between the HME and the patient to prevent the HME from
trapping nebulized medication. If a passive circuit is used, Ventec Life Systems recommends connecting a lter
between the distal end of the circuit and the nebulizer tee to ensure nebulized material does not collect in the
passive valve and obstruct airow.
7 When nebulizer therapy is complete, disconnect the nebulizer from the Nebulizer Filter, and then from the
patient circuit. Clean the nebulizer cup following all instructions from the nebulizer manufacturer.
0 5 10 15 20 25 30L H
MINUTES
NEBULIZER DURATION
EXIT
60
5
10
15
20
55
50
45
40
2535
30
15
mins
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V N
START
INTERNAL NEB.
THERAPY
EXTERNAL NEB.
COMPENSATION
Press here to start
internal Nebulizer
therapy
Press here to
EXIT this
screen
Press here to
increase or
decrease how
long the
nebulizer runs
Press here to select
external nebulizer
compensation

Clinical Quick Start Guide
VentecLife.com 20
VOCSN Therapy Interactions
Only one of the following therapies can be delivered at a time: Oxygen, Suction, or Nebulizer. This page describes how
starting a therapy affects each of the other active VOCSN therapies.
Note: It may take up to 5 seconds for a therapy to begin after pressing the START button.
0 5 10 15 20 25 30L H
NEBULIZERSUCTIONCOUGHOXYGEN
VENTILATION
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
Therapy MenuMonitors
Home
Running Therapy:
START
Effect of Starting Another Therapy:
Oxygen (Pulse
Dose) Oxygen (FiO2) Oxygen (Ext. Low-Pressure) Cough Suction Nebulizer1
Ventilation VTherapies run
simultaneously
Therapies run
simultaneously
Therapies run
simultaneously
Paused
(automatically
resumes)
Therapies run
simultaneously
Therapies run
simultaneously
Oxygen
(Pulse Dose) ON/A Ended Therapies run
simultaneously
Paused
(automatically
resumes)
Paused
(automatically
resumes)
Paused
(automatically
resumes)
Oxygen
(FiO2) OEnded N/A Therapies run
simultaneously
Therapies run
simultaneously
Paused
(automatically
resumes)
Paused
(automatically
resumes)
Oxygen
(Ext. Low-
Pressure)
Controlled
by Oxygen
Source
Therapies run
simultaneously
Therapies run
simultaneously N/A Therapies run simultaneously
Therapies run
simultaneously
Therapies run
simultaneously
Cough CN/A N/A Therapies run
simultaneously N/A
Therapies run
simultaneously
with Cough +
Suction feature
N/A
Suction SEnded Ended Therapies run
simultaneously
Therapies run
simultaneously N/A Ended
Nebulizer* NEnded Ended Therapies run
simultaneously
Paused
(automatically
resumes)
Ended N/A
Maintaining Oxygenation During Nebulizer or Suction
If it is critical to patient care, the following approaches may be used to maintain patient oxygenation while Oxygen
therapy is paused during Nebulizer and Suction therapies:
• Use the VOCSN O2 Flush feature to oxygenate the patient before providing Nebulizer or Suction therapy.
• Use an external nebulizer or suction machine to provide the therapy. When using an external nebulizer, use
the External Neb. Compensation feature to minimize nuisance alarms.
• Use an external source of low-pressure oxygen during Nebulizer or Suction therapy. Low-pressure oxygen
owing through VOCSN and into the patient circuit is additive, and is not paused by Nebulizer or Suction
therapy.
1 This table describes the effects of internal Nebulizer therapy. External Nebulizer Compensation does not cancel or pause any other
active therapy. If you are using an external nebulizer, disconnect it and stop nebulizer compensation before starting Cough therapy to
prevent nebulized material from reaching VOCSN.