Ventec Life Systems VOCSN User manual

Clinical Quick Start Guide

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 Clinicial and Technical Manual, available online at VentecLife.com.
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 flows 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 airflow 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.
1.ISO 80601-2-12
NEBULIZER
SUCTION
COUGH
OXYGEN
2
VENTILATION

VentecLife.com 1
Quick Start Guide
Table of Contents
VOCSN Configurations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Hardware Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Software Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Locking and Unlocking the Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Night Mode and Day Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Clinician Access . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Permissions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Enable Prescribed Therapies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Exit Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
VOCSN Placement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Powering VOCSN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
The Power Supply. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Batteries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Connecting Patient Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Connecting and Removing a Bacterial Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Mouthpiece Patient Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Active, Passive, and Valveless Ventec One-Circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Connecting a Ventec One-Circuit O2 Tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Connecting an Active Ventec One-Circuit Multilumen Tube . . . . . . . . . . . . . . . . . . . . . . . . . 10
The Pre-Use Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Changing Ventilation, Oxygen, and Cough Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Setting Ventilation and Oxygen Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Alarm Priorities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Alarm and Event Logs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Silencing Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Connecting a Nurse Call System or Remote Alarm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Ventilation Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Oxygen Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Connecting External Oxygen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Cough Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Suction Therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Connecting a Suction Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The Ventec Travel Suction Canister . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
The External Suction Canister Adapter (Sold Separately) . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Nebulizer Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
External Nebulizer Compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Internal Nebulizer Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
VOCSN Therapy Interactions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Maintaining Oxygenation During Nebulizer or Suction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Comparable Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Volume Ventilation Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Pressure Ventilation Modes (Including Volume-Targeted) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Non-Invasive Ventilation Modes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
VOCSN Controls Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

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Clinical Quick Start Guide
VOCSN Configurations
VOCSN may include all five 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 configuration, 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
configurations) or low-pressure oxygen (all configurations). The configuration name is based on the therapies
VOCSN can provide. For example, the V+C configuration provides Ventilation+Cough therapies. The
configuration name is printed on the back of the device.
V+O+C+S+N+Pro
(or “VOCSN”) Yes Yes Yes Yes Yes Yes Yes
V+O+C+S+N Yes Yes Yes Yes Yes No Yes
V+C+Pro
(or “VOCSN-VC”) Yes No Yes No No Yes Yes
V+C Yes No Yes No No No Yes
Hardware Overview
13
14
16
17 18
19
20
21 22 23
24
25
15
1
2
345 6
7
8
9
10
11
12
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 configurations 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 configurations only) 20 Cooling air intake and filter
9 Nebulizer drive port (+N configurations only) 21 Power connection port
10 External bacterial filter and Ventec One-Circuit
connection port 22 Patient air inlet and filter
11 Handle 23 Removable, rechargeable battery
12 Cooling air outlet 24 Suction interface
25 Cooling air outlet
Configuration
(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

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Clinical Quick Start Guide
Software Overview
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 Thera
p
y Screens
Lock
Screen
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 confirm your action.
LOCKEDUNLOCKED

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Clinical Quick Start Guide
Night Mode and Day Mode
Use the Home screen to change between
Night Mode and Day Mode.
Preset 1
VENT PRESETBREATH RATE
15 BPM
TIDAL VOLUME
430 mL
0 5 10 15 20 25 30L H
Therapy MenuMonitors
Home
No Alarms
PRESSURE (cmH20)
NIGHT MODE
SIMV-VOL
V O
NIGHT MODE
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:
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
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.
S
ETTIN
GS
C
lick
O
K to ent
e
Access
m
Please enter passcode
for clinician access
2
2
2
E
E
G
G
S
S
S
o
o
o
o
o
r
r
ACCEPTCANCEL
123
456
7
0
89
3
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
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 configurable by any VOCSN user. When set to Yes,
controls set to Clinician Only in the PERMISSIONS screen will be
locked.
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
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
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.

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Clinical Quick Start Guide
Permissions
Using the Permissions feature, VOCSN can be locked so that a
Clinician Access passcode is required to change controls. To
configure which controls are locked, press PERMISSIONS in the
Menu tab. Then, use the toggles to set each control.
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
•User and Clinician - Unlocked. Accessible at all times.
•Clinician Only - Locked. Control changes require the
Clinician Access passcode.
Enable Prescribed Therapies
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
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.
NOTE: 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:
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 NOW STARTSTART
No Alarms
PRESSURE (cmH20)
SIMV-VOL
V O
NOW ACTIVE
•Inside therapy screens, the EXIT button appears as a
back arrow on the left-hand side of the screen.
•Inside configuration screens, the EXIT button will
appear as a tab in the upper left-hand corner.
0 5 10 15 20 25 30L H
EDIT
MODE
CIRCUIT TYPE
TIDAL VOLUME
BREATH RATE
INSPIRATORY TIME
PEEP
SIGH
SIMV-VOL
Active
450 mL
20 BPM
1.0 seconds
10 cmH20
OFF
NIGHTDAYEXIT MOBILE
No Alarms
PRESSURE (cmH20)
25 30
H
H
PRESS TO EDIT
PRESS TO EDIT
SIMV-VOL
V O

VentecLife.com 6
Clinical Quick Start Guide
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 airflow
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 operate VOCSN near smoke, open flame, or heat sources while Oxygen therapy is in use. This
could cause fire 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
Power
button
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 verifies the VOCSN backup buzzer, 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

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Clinical Quick Start Guide
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.
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
To remove a battery:
1
2
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-first.
2 Press the top of the battery
into place and then press
the blue tab down until it
clicks and is flat against the
battery.

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Clinical Quick Start Guide
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 filter fit it against VOCSN, aligning the tabs on the filter
and VOCSN. Then, firmly twist the filter clockwise to lock it into place.
To remove a filter, firmly push in on the filter toward VOCSN and
then twist it counterclockwise, aligning the tabs on the filter and
VOCSN. Then, pull the filter to remove it.
Mouthpiece Patient Circuits
Connect the Mouthpiece Circuit Kit components in the order depicted below.
4
3
6
5
1
2
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