Ventec Life Systems VOCSN User manual

Clinical and Technical Manual
Software Version 4.06

VentecLife.com 2
VOCSN offers mechanical Ventilation, Oxygen, Cough, Suction, and Nebulizer therapies in one compact, portable,
lightweight device.
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 USA
Part Number: LBL-00001-001, Rev M
CAUTION: Federal law restricts this device to sale and use by or on the order of a physician.
1ISO 80601-2-12
NEBULIZER
SUCTION
COUGH
OXYGEN
2
VENTILATION

Table of Contents
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Table of Contents
Introduction 12
Therapy Overview 12
VOCSN Congurations 13
Leak+ Performance 13
Ventilation 14
Oxygen Direct 14
Touch Button Cough 15
Suction 15
Nebulization 15
Portability 16
Indications for Use 16
VOCSN Training 16
Suggested Environments of Use 17
Home Environments 17
Hospital Environments 17
Institutional Environments 17
Transport Environments 17
Getting Started 18
Package Contents 18
Contraindications 18
System Overview 19

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Setup 20
VOCSN Placement 21
Power Setup 22
The Power Supply 23
The Optional 24 Volt Wheelchair Power Cable 24
The Removable, Rechargeable Batteries 24
Ventec One-Circuit Setup 25
Using a Trach, ET Tube, or Non-Vented Mask 26
Using a Vented Mask 26
Using a High Flow Nasal Cannula 26
Connecting an Active, Passive, or Valveless Ventec One-Circuit 27
Ventec One-Circuit Component Connection Order 28
Connecting an External Bacterial Filter 29
Connecting a Ventec One-Circuit Without a Humidier 29
Connecting a Humidier and Heated Wire Ventec One-Circuit 30
Connecting a Ventec One-Circuit to a Humidier (Without the Ventec Humidier Bypass) 31
Connecting a Ventec One-Circuit, Humidier, and Ventec Humidier Bypass 32
Connecting a Ventec One-Circuit O2 Tube 33
Connecting an Active Ventec One-Circuit 34
Connecting Ventec One-Circuit Components 35
Connecting an HME (Heat-Moisture Exchanger) 35
Connecting a Nebulizer Cup to the Patient Circuit 36
Connecting a Ventec Secretion Trap to the Patient Circuit 38
Connecting a Closed-Suction Catheter to the Patient Circuit 39
Setting up Ventilation therapy with a Speaking Valve 39
Mouthpiece Patient Circuit Setup 40
Oxygen Therapy Setup 41
Setting Up the Internal O2 Concentrator 42
Setting Up External Oxygen Sources 42
Connecting External High-Pressure Oxygen 43
Connecting External Low-Pressure Oxygen 44
Suction Setup 45
Removing and Reattaching the VOCSN Suction Cap 45
Connecting the Ventec Travel Suction Canister 46
Connecting Suction Tubing to the Travel Canister 47
Connecting the External Suction Canister Adapter 48
Connecting Suction Tubing to Suction Interfaces 48
Connecting a Nurse Call System or Remote Alarm 49
Running the Pre-Use Test 50

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Breath Types and Therapy Modes 51
Breath Types 51
Pressure Breaths 52
Volume Breaths 53
Spontaneous Breaths 53
VOCSN Ventilation Modes 54
Bi-Level Mode 54
Assist/Control-Pressure with an Active, Passive, or Valveless Ventec One-Circuit 55
Assist/Control-Pressure with a Mouthpiece Patient Circuit 55
SIMV-Pressure Mode 56
CPAP Function 56
High Flow Therapy 56
Assist/Control-Volume Mode 57
Assist/Control-Volume with an Active, Passive, or Valveless Ventec One-Circuit 57
Assist/Control-Volume with a Mouthpiece Patient Circuit 57
SIMV-Volume Mode 58
CPAP Function 58
High Flow Therapy 58
Volume Targeted Ventilation Overview 59
Vol. Targeted-PS Mode 60
Vol. Targeted-PS with an Active, Passive, or Valveless Ventec One-Circuit 60
Vol. Targeted-PS with a Mouthpiece Patient Circuit 60
Vol. Targeted-PC Mode 61
Vol. Targeted-PC with an Active, Passive, or Valveless Ventec One-Circuit 61
Assist/Control-Pressure with a Mouthpiece Patient Circuit 61
Vol. Targeted-SIMV Mode 62
Comparable Volume Ventilation Modes 63
Comparable Pressure Ventilation Modes (Including Volume-Targeted Ventilation) 64
Comparable Non-Invasive Ventilation Modes 65

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The Touchscreen 66
Locking the Touchscreen 66
The Status Bar 67
The Home Screen 68
Night Mode and Day Mode 68
The Therapy Screen 69
The Monitors Screen 70
The Customization Button 70
The Waveforms Button 70
The Menu Screen 71
The Pre-Use Test Button 71
The Settings & Alarms Button 72
The Device Settings Button 72
The Logs Button 72
The Clinician Access Button 72
The Enable Prescribed Therapies Button 73
The Permissions Button 73
The My VOCSN Button 73
Controls and Settings 74
Ventilation Therapy Controls 75
Changing Ventilation Therapy Settings 75
Available Ventilation Therapy Settings 76
Control Limiting 83
Controls Available in Each Ventilation Mode 84
Setting VOCSN Controls for Mouthpiece Ventilation 87
Setting VOCSN Controls for High Flow Therapy 87
Enabling and Disabling Prescribed Therapies 88
Oxygen Controls 90
Changing Oxygen Settings 90
Available Oxygen Settings 91
Cough Therapy Controls 93
Changing Cough Therapy Settings 93
Available Cough Therapy Settings 94
Changing Suction Settings 96
Changing Nebulizer Settings 97
Clinician Access Mode 98
Entering the Clinician Access Passcode 98
Conguring Permissions 99
Device Settings 100
Changing Device Settings 100
Available Device Settings 101
VOCSN Therapy Interactions 102

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Alarms 103
Alarm Silence Button 104
Changing Alarm Settings 104
Alarm Conditions and Settings 105
The Alarm Log 113
The Event Log 114
Clearing an Alarm 115
Remote Alarms and Nurse Call Systems (Optional) 115
Monitors 116
Ventilation Monitors 117
Waveform Monitors 119
Monitor Screen Customization 120
Oxygen Therapy Monitors 121
FiO2 Monitor 121
Calculated FiO2 Monitor 122
Cough Therapy Monitors 123
Suction Therapy Monitor 124
Nebulizer Therapy Monitor 125
System Monitors 126
Multi-View 127
Exporting Multi-View Data to a USB Drive 128
Generating Multi-View Reports 129
Reading Multi-View Reports 130
Report Information 130
Trend Summary 131
Compliance Calendar 131
Therapy Use 132
Settings Overview 132
Monitor Details 133
Logs 134

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Checkout Procedure 135
Visual Inspections 135
Inop Alarm Test 135
Power Testing Procedures 136
Ventilation and Oxygen Testing Procedures 137
Ventilation And Oxygen Tests 138
Ventilation Alarm Verication 139
Remote Alarm Test (Optional) 139
Decannulation Alarm Verication 140
Patient Circuit Disconnect Alarm Verication 140
Cough Therapy Testing Procedures 141
Suction Therapy Testing Procedures 142
Nebulizer Therapy Testing Procedures 142
Congure and Verify Control and Alarm Settings 142
Checkout Worksheet 143
Operating Instructions 144
Powering On VOCSN 145
Starting VOCSN Therapies 146
Starting Ventilation Therapy 147
Changing Between Congured Ventilation Presets 148
Starting Oxygen Therapy 149
Using O2 Flush 150
Using the Internal O2 Concentrator to Provide Pulse Dose Oxygen Direct Therapy 151
Using External High-Pressure Oxygen 152
Using External Low-Pressure Oxygen 152
Starting Cough Therapy 153
Starting Suction Therapy 154
Starting Nebulizer therapy 156
Responding to Alarms 158
Powering Off VOCSN 158

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Cleaning and Maintenance 159
Cleaning VOCSN 159
Cleaning VOCSN Exterior 160
Cleaning the Air and Fan Filters 161
Replacing Components 162
Emptying the Ventec Travel Suction Canister and Replacing Suction Components 162
Replacing the Power Supply 163
Replacing the Ventec One-Circuit or Ventec Humidier Bypass 163
Replacing Ventec One-Circuit Components 164
Replacing the Nebulizer Filter 164
Replacing the External Bacterial Filter 164
Replacing the Internal Bacterial Filter 165
Recommended Maintenance Schedule 166
Battery Care, Maintenance, and Replacement 167
Software Updates 168
Locating the VOCSN Software Version 168
Environmental Considerations 169
Shipping Considerations 169
Glossary 170
Glossary of Symbols 170
Glossary of Indicators 174
Glossary of Terms 176
Troubleshooting 177
Troubleshooting Alarms 177
Device Troubleshooting 183
Ventilation and Cough Troubleshooting 184
Oxygen Troubleshooting 185
Suction Troubleshooting 186
Nebulizer Troubleshooting 186
Multi-View Troubleshooting 187
Patient Circuit Troubleshooting 187
Recalibrating Batteries 188

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Technical Specications 189
Physical 189
Environmental 190
Inputs and Outputs 190
External Power Requirements 191
Removable, Rechargeable Batteries 191
Internal Rechargeable Battery 191
Expected Service Life and Intervals 192
Audible Volume 192
O2 Concentrator 192
Nebulizer Drive 193
FiO2 Monitor 193
Control Accuracy 194
Monitor Resolution and Accuracy 196
Classications 198
Standards Applied 198
Ventec One-Circuit Compliance 199
Pressure During Inop 199
Biocompatibility 199
Accessories 200
Available from Ventec Life Systems 200
Available from Other Manufacturers 205
EMC Information 206
Electromagnetic Emissions 207
Electromagnetic Immunity 208
Recommended Separation Distance Between Portable and Mobile RF Communications
Equipment and VOCSN 210