VersaMed iVent201 User manual

iVent201
Operator’s Manual
iVent201 Operator’s Manual Part Number OM-01-04
Rev: 11 Revised: December 2006
Copyright © 2006 by VersaMed™ Medical Systems, Inc.
0473

iVent201 Operator's Manual
Manufacturer’s Address
P.O. Box 1512, Blue Hill Plaza, Pearl River, New York 10965 USA.
Authorized Representative in the European Community for regulatory affairs
Obelis S.A.
Av. de Tervuren 34, bte 44
B-1040 Brussels
Belgium
Tel: [phone]
Fax: [phone]
European Community Sales office:
Bismarckstr.77
46047 Oberhausen
Phone :[phone]
Fax: [phone]

iVent201 Operator's Manual
Calling for Help
Owner’s Record
The model number and serial number of your iVent201 are on
the rear panel of your ventilator. Record the serial number in
the space provided below to have this information should you
need to call for service or support.
Model Number:
Serial Number:
If you have a ventilator problem you cannot solve and you purchased your
ventilator directly from VersaMed, call:
800-475-9239 - Customer Care and Service Assistance Line
NOTE: If this ventilator has not been purchased directly from
VersaMed, please ensure that it has been purchased from an authorized
distributor of VersaMed. To obtain a list of authorized distributors
contact VersaMed at [e-mail].
If you have a ventilator problem that you cannot solve and you purchased
your ventilator from an authorized VersaMed distributor, please contact
your distributor directly to report the problem.
Manufacturer’s Address
P.O. Box 1512, Blue Hill Plaza, Pearl River, New York 10965 USA.
Authorized Representative in the European Community
Obelis S.A.
Av .de Tervuren 34, bte 44
B-1040 Brussels
Belgium
Tel: [phone]
Fax: [phone]
Visit our web site at versamed.com
Customer Support
and Service

iVent201 Operator's Manual
Table of Contents
1Introduction ............................................... 1
1.1 How To Use This Manual ...................................................................... 3
1.2 Looking at the iVent201............................................................................ 4
1.3 Cautions and Warnings .......................................................................... 6
1.4 Symbols and Labels ................................................................................ 8
1.5 Performance and Parameters ................................................................. 9
1.6 Specifications........................................................................................... 11
1.6.1 Monitored Data Range, Resolution and Accuracy ........................ 11
1.6.2 Size and Weight................................................................................ 13
1.6.3 Ventilation Modes ............................................................................ 14
1.6.4 Environmental Specifications.......................................................... 14
1.6.5 Power Supply.................................................................................... 15
1.6.6 O2 Supply Specifications ................................................................. 15
1.6.7 Ventilation Performance and Controlled Parameters ................... 16
1.7 Standards and Safety Requirements..................................................... 17
1.8 Displayed Parameters ............................................................................. 17
1.9 User Adjustable Alarms ......................................................................... 19
1.10 Additional Alarms................................................................................. 19
1.11 Waveforms and Diagnostics Packages ............................................... 20
1.12 Intended Use .......................................................................................... 21
1.13 Use of the iVent201 with MRi.............................................................. 22
2Setting Up................................................... 27
2.1 Power Connection ................................................................................... 28

iVent201 Operator's Manual
2.1.1 External power.................................................................................. 28
2.1.2 Internal Battery ................................................................................. 31
2.2 Oxygen Supply ........................................................................................ 36
2.2.1 High Pressure Oxygen Supply ........................................................ 36
2.2.2 Low Pressure Oxygen Supply ......................................................... 38
2.3 Breathing Circuit ..................................................................................... 39
2.3.1 Circuit Resistance.............................................................................. 42
2.4 Other Connections................................................................................... 43
2.4.1 HME................................................................................................... 43
2.4.2 MDI .................................................................................................... 43
2.4.3 Using the iVent201 with Heated Humidification (1.4 models
only) ................................................................................................... 43
2.4.4 Synchronized Nebulizer Device...................................................... 46
2.4.5 Pulse Oximeter.................................................................................. 47
2.4.6 Sensor Line Maintenance ................................................................. 50
2.5 Patient Connection .................................................................................. 50
2.6 Filters......................................................................................................... 51
2.6.1 Air Inlet Filter.................................................................................... 51
2.6.2 Bacterial Filter ................................................................................... 51
2.6.3 Chemical, Biological, Radiological, and Nuclear Filter ................. 52
2.7 Operational Case ..................................................................................... 53
2.8 The iVent201 User Interface..................................................................... 54
2.9 Controls and Powering Up..................................................................... 55
2.9.1 The Front Panel................................................................................. 55
2.9.2 LED Indicators .................................................................................. 58
2.9.3 The Screen ......................................................................................... 59
3Operating the iVent201 – Setting Modes
and Parameters...........................................63

iVent201 Operator's Manual
3.1 Operation.................................................................................................. 63
3.1.1 Power Up and Weight Selection ..................................................... 63
3.1.2 O.V.T.................................................................................................. 65
3.1.3 Standby and Patient Ventilation ..................................................... 69
3.1.4 Changing Ventilation Mode ............................................................ 69
3.1.5 Changing Ventilation Parameters - Overview............................... 74
3.2 Common Parameters ............................................................................... 78
3.3 The Selection Interface ........................................................................... 79
3.3.1 Adjusting Breath Rate ...................................................................... 80
3.3.2 Adjusting Tidal Volume .................................................................. 83
3.3.3 Adjusting Pressure Limits in Volume Control Ventilation
Modes ................................................................................................ 87
3.3.4 Adjusting FiO2.................................................................................. 89
3.3.5 Adjusting Peak Flow ........................................................................ 91
3.3.6 Adjusting Pressure Support Ventilation......................................... 93
3.3.7 Adjusting PEEP................................................................................. 95
3.3.8 Adjusting Trigger Sensitivity .......................................................... 96
3.3.9 Adjusting Inspiratory Time ............................................................. 98
4The Main Menu......................................... 101
4.1 Navigating the Main Menu.................................................................... 102
4.2 Alarm Settings ......................................................................................... 103
4.2.1 Changing Individual Alarm Settings.............................................. 103
4.2.2 Auto Settings..................................................................................... 117
4.2.3 Alarm Options .................................................................................. 118
4.3 Advanced Settings................................................................................... 125
4.3.1 Sigh Breath ........................................................................................ 127
4.3.2 Rise Time........................................................................................... 128
4.3.3 Easy Exhale™.................................................................................... 130

iVent201 Operator's Manual
4.3.4 Oxygen Supply ................................................................................. 132
4.3.5 Adaptive Peak Flow ......................................................................... 140
4.3.6 Set Purge Interval ............................................................................. 141
4.3.7 Pulse Oximetery................................................................................ 143
4.3.8 Synchronized Nebulizer................................................................... 148
4.3.9 Set Time and Date............................................................................. 150
4.4 Restore Default Settings......................................................................... 153
4.4.1 To Restore Defaults:.......................................................................... 153
4.5 Show Graphs............................................................................................ 157
4.5.1 Browse Waveforms........................................................................... 158
4.5.2 Select Range....................................................................................... 160
4.6 Show Trends............................................................................................. 163
4.6.1 Selecting Trends To Display ............................................................ 166
4.6.2 Browsing Trends............................................................................... 168
4.7 Show Loops .............................................................................................. 170
4.8 Show Mechanics ...................................................................................... 173
4.9 Show Log Book ........................................................................................ 174
4.10 Display .................................................................................................... 175
4.11 O.V.T. ...................................................................................................... 178
4.12 Maintenance ........................................................................................... 178
5Adaptive Bi-Level......................................179
5.1 About Adaptive Bi-Level........................................................................ 179
5.2 Guide to Adaptive Bi-Level.................................................................... 180
5.3 Indications and Warning ........................................................................ 181
5.3.1 Indications......................................................................................... 181
5.4 Setup.......................................................................................................... 181
5.4.1 Adaptive Bi-Level Alarm Settings................................................... 183
5.4.2 Other Alarm Options........................................................................ 184

iVent201 Operator's Manual
5.5 Adjusting Adaptive Bi-Level Parameters............................................. 186
5.6 Adaptive Bi-Level Window.................................................................... 187
5.7 Easy Exhale™........................................................................................... 188
5.8 Optimizing the Patient Ventilator Interface........................................ 189
5.9 Resolving Patient Ventilator Dysynchrony ......................................... 189
6Alarms......................................................... 193
6.1 How Alarms Work................................................................................... 193
6.1.1 Responding to an Alarm.................................................................. 194
6.1.2 Alarm settings................................................................................... 196
6.2 Guide to Alarm Definitions and Priorities .......................................... 199
6.3 Alarms Tests............................................................................................. 209
6.4 The Sensor Failure Alarm....................................................................... 215
6.5 Patient Disconnect Alarm....................................................................... 218
6.6 Patient Circuit Failed Alarm .................................................................. 219
7Care, Maintenance, and Tests................. 221
7.1 Cleaning and Maintenance .................................................................... 221
7.2 Preventive Maintenance......................................................................... 222
7.3 The O.V.T. ................................................................................................ 223
7.4 The Maintenance Screen ........................................................................ 224
7.4.1 Calibration......................................................................................... 224
7.4.2 Ventilator Verification Tests............................................................ 224
7.5 Configuration Screen.............................................................................. 232
7.5.1 Choosing a different Startup Screen ............................................... 232
7.5.2 Setting the startup weight................................................................ 233
7.5.3 Default FiO2Setting.......................................................................... 234
7.6 VersaMed Service Functions ................................................................. 234
7.7 Communication Rate .............................................................................. 235

iVent201 Operator's Manual
7.8 Localization .............................................................................................. 235
7.9 Total Operating Hours............................................................................ 238
Appendix A : Glossary.....................................239
Appendix B : Warranty ....................................247
Appendix C : Operating Theory .................... 251
C.1 Ambient Air Filter............................................................................ 251
C.2 CBRN Filter (optional) ................................................................... 251
C.3 Low Pressure O2Adapter and Filter (optional) .................... 251
C.4 Air/Oxygen Blending System...................................................... 251
C.5 Inlet Manifold.................................................................................... 251
C.6 Turbine Unit....................................................................................... 252
C.7 Turbine Pressure Sensor................................................................ 252
C.8 Turbine Valves .................................................................................. 252
C.9 Over Pressure Relief Valve........................................................... 252
C.10 Airway Flow and Pressure Sensors......................................... 252
C.11 Pressure Switch............................................................................... 252
C.12 Inlet and Outlet Mufflers............................................................ 252
Appendix D : Theory of Breath Delivery.....255
D.1 Breath Delivery....................................................................................... 255
D.2 Patient Triggering .................................................................................. 256
D.3 Breath Types ........................................................................................... 258
D.3.1 Adaptive FlowTM and Adaptive I-Time™...................................... 259
D.3.2 Mandatory Volume Control Breath................................................ 262
D.3.3 Pressure Control Breath................................................................... 263

iVent201 Operator's Manual
D.3.4 Manual Mandatory Breath.............................................................. 264
D.3.5 Patient Pressure Support Breath..................................................... 265
D.3.6 Patient Spontaneous Breath ............................................................ 266
D.4 Summary ................................................................................................. 267
Appendix E : Ventilation Modes................... 269
E.1 Assist/Control Mode............................................................................... 269
E.1.1 Definition........................................................................................... 269
E.1.2 Available Breath Types .................................................................... 269
E.1.3 Description ........................................................................................ 269
E.1.4 Parameters Setting............................................................................ 270
E.2 Synchronized Intermittent Mandatory Ventilation Mode................ 271
E.2.1 Definition........................................................................................... 271
E.2.2 Available Breath Types .................................................................... 271
E.2.3 Description ........................................................................................ 272
E.2.4 Parameters Setting............................................................................ 273
E.3 Continuous Positive Airway Pressure Mode ...................................... 273
E.3.1 Definition........................................................................................... 273
E.3.2 Available Breath Types .................................................................... 273
E.3.3 Description ........................................................................................ 273
E.3.4 Parameters Setting............................................................................ 274
E.4 Apnea Back-Up Ventilation................................................................... 275
E.5 Open Loop Mode .................................................................................... 276
E.6 Adaptive Bi-Level Mode........................................................................ 276
Appendix F : Hold Function and Static
Mechanics Measurements ....................... 277
F.1 Front Panel Controls ............................................................................... 277
F.2 Static Compliance Measurements......................................................... 278