Viasys Healthcare LTV 1200 User manual

LTV®1200 Ventilator
Operator’s Manual
P/N 18247-001, Rev. B May 2006
www.ardusmedical.com

Operator’s Manual LTV®1200 Ventilator Page i
p/n 18247-001, Rev.B
Document Revision History
Document Revision Level Revision Date
Rev A, ECO 3891 April 2006
Rev B, ECO 4016 May 2006
Contact Information
Pulmonetic Systems, Inc.
17400 Medina Rd., Suite 100
Minneapolis, Minnesota 55447-1341
Phone: [phone]
Customer Care Center: [phone]
Fax: [phone]
E-mail: [email protected]
Website: http://www.pulmonetic.com
LTV®1200 is a trademark belonging to Pulmonetic Systems, Inc.
Copyright © 2006 Pulmonetic Systems, Inc., Minneapolis, Minnesota.

Page ii LTV®1200 Ventilator Operator’s Manual
p/n 18247-001, Rev. B
Warranty
Pulmonetic Systems warrants that the LTV®1200 ventilator is free from defects in material and
workmanship for a period of one (1) year from the date of shipment, or 8,800 hours as measured on
the usage meter, whichever comes first, with the following limitations:
1) The internal battery is warranted for ninety (90) days from date of shipment.
Pulmonetic Systems will, at its option, either repair, replace, or issue credit for products that prove to
be defective during the warranty period.
For warranty service or repair, the product must be returned to Pulmonetic Systems or a service
facility designated by Pulmonetic Systems, shipping prepaid by the Buyer.
LIMITATION OF WARRANTY
Ordinary maintenance, as specified in the LTV®1200 Ventilator Operator’s and Service Manuals, is
not covered under the forgoing warranty.
The forgoing warranty does not apply to defects or damage to the unit resulting from:
•Improper use or misuse
•Improper or inadequate maintenance
•Unauthorized modifications or repairs
•Use of the unit with unauthorized accessories, e.g. external battery or AC adapter
•Use or storage outside the specified environment
NO IMPLIED WARRANTIES
This warranty is exclusive. There are no other warranties expressed or implied.
LIMITATION OF LIABILITY
Pulmonetic Systems shall not be liable for loss of profits, loss of use, consequential damages, or any
other claim based on breach of warranty. Pulmonetic Systems, Inc.’s liability for damages of any kind
shall be limited to the purchase price of the defective unit.

Operator’s Manual LTV®1200 Ventilator Page iii
p/n 18247-001, Rev.B
Notices
The LTV®1200 ventilator complies with limitations as specified in IEC 601-1-2 for Medical Products. It
does however, use and radiate radio frequency energy.
The function of this machine may be adversely affected by the operation of other nearby equipment,
such as high frequency surgical diathermy equipment, short-wave therapy equipment, defibrillators or
MRI equipment.
European Regulatory Requirements per 93/42/EEC Medical Device Directives
Pulmonetic Systems, Inc.’s European Representative for vigilance reporting within the European
Community is:
MediMark® Europe Sarl.
11, rue Emile Zola. BP 2332
F-38033 Grenoble Cedex 2. France
Tel: [phone]
Fax: [phone]
E-mail: [e-mail]
Any product malfunctioning issues that fall under Medical Device Directives Essential Requirements
should be directed to MediMark.
FM 75092
CE 02342

Page iv LTV®1200 Ventilator Operator’s Manual
p/n 18247-001, Rev. B
Notice To Operators
Unsafe Operation - Operating the LTV®1200 ventilator without a complete and thorough
understanding of its attributes is unsafe and may cause harm to the patient. It is important that this
manual be read and understood in its entirety before operating the ventilator.
Warnings and Cautions Section - Read the section on Warnings and Cautions carefully before
operating the LTV®1200 ventilator.
Use and Maintenance - Any questions regarding installing, operating, or maintaining the LTV®1200
ventilator, should be directed to a certified Pulmonetic Systems’ service technician or Pulmonetic
Systems, Inc.
Avis important
Fonctionnement dangereux - L'opération d'un ventilateur de la LTV® 1200 sans une excellente
compréhension de ses attributs est dangereuse et risque de blesser le patient. Il est très important de
lire et de comprendre entièrement ce manuel avant de faire fonctionner le ventilateur.
Section Avertissements et Attention - Lire attentivement la section Avertissements et Attention
avant de procéder à l'opération des ventilateurs de la LTV® 1200.
Utilisation et entretien - En cas de questions concernant l'installation, l'opération ou l'entretien des
ventilateurs de la série LTV®, veuillez vous adresser à un technicien de service certifié de Pulmonetic
Systems ou directement à Pulmonetic Systems, Inc.

Operator’s Manual LTV®1200 Ventilator Page v
p/n 18247-001, Rev.B
Contents
Warranty ............................................................................................................................................. ii
Notices................................................................................................................................................iii
Chapter 1 - Introduction .......................................................................................1-1
Operator’s Safety Information..........................................................................................................1-2
Warnings..........................................................................................................................................1-3
Cautions.........................................................................................................................................1-11
Symbols .........................................................................................................................................1-17
Chapter 2 - Ventilator Overview........................................................................... 2-1
Intended Use ...................................................................................................................................2-1
Power/Supplies Required ................................................................................................................2-2
Information/Assistance ....................................................................................................................2-3
Chapter 3 - Breath Types ..................................................................................... 3-1
Breath Types ...................................................................................................................................3-1
Volume Control Breaths ...............................................................................................................3-2
Pressure Control Breaths.............................................................................................................3-3
Pressure Support Breaths............................................................................................................3-5
Spontaneous Breaths...................................................................................................................3-6
Chapter 4 - Ventilation Modes..............................................................................4-1
Control Mode ...................................................................................................................................4-1
Assist/Control Mode.........................................................................................................................4-1
SIMV Mode ......................................................................................................................................4-2
CPAP Mode .....................................................................................................................................4-3
NPPV Mode .....................................................................................................................................4-4
Apnea Backup .................................................................................................................................4-5
Volume Pressure Ventilation ...........................................................................................................4-6
Bias Flow .........................................................................................................................................4-6
Chapter 5 - Using the Controls and Indicators................................................... 5-1
Ventilator Controls ...........................................................................................................................5-1
Setting a Control..............................................................................................................................5-2
Variable Controls .............................................................................................................................5-2
Buttons.............................................................................................................................................5-3
Set Value Knob................................................................................................................................5-3
Extended Features ..........................................................................................................................5-3
Bright, Dim and Blank Control Displays...........................................................................................5-4
Flashing Controls.............................................................................................................................5-5
Dashes.............................................................................................................................................5-5
Control Limiting................................................................................................................................5-5
Control Locking................................................................................................................................5-6
Control Retention.............................................................................................................................5-6

Page vi LTV®1200 Ventilator Operator’s Manual
p/n 18247-001, Rev. B
Chapter 6 - Controls..............................................................................................6-1
Assist/Control - SIMV/CPAP - NPPV .............................................................................................. 6-1
Breath Rate ..................................................................................................................................... 6-2
Control Lock .................................................................................................................................... 6-3
High Pressure Limit......................................................................................................................... 6-4
Inspiratory / Expiratory Hold............................................................................................................ 6-5
Inspiratory Hold............................................................................................................................ 6-6
Expiratory Hold ............................................................................................................................ 6-8
Inspiratory Time............................................................................................................................. 6-10
Low Minute Volume....................................................................................................................... 6-11
Low Pressure ................................................................................................................................ 6-12
Low Pressure O2Source............................................................................................................... 6-13
Manual Breath............................................................................................................................... 6-17
O2% (O2Flush)............................................................................................................................. 6-18
On/Standby ................................................................................................................................... 6-20
PEEP Control ................................................................................................................................ 6-21
PEEP Control in NPPV Mode.................................................................................................... 6-21
Pressure Control ........................................................................................................................... 6-22
Pressure Support .......................................................................................................................... 6-23
Pressure Support in NPPV Mode .............................................................................................. 6-23
Select ............................................................................................................................................ 6-24
Sensitivity ...................................................................................................................................... 6-25
Set Value Knob ............................................................................................................................. 6-26
Silence Reset ................................................................................................................................ 6-27
Tidal Volume ................................................................................................................................. 6-28
Volume Pressure Mode................................................................................................................. 6-29
Chapter 7 - Displays and Indicators ....................................................................7-1
Airway Pressure .............................................................................................................................. 7-1
Display Window............................................................................................................................... 7-1
Indicators......................................................................................................................................... 7-1
Battery Level ................................................................................................................................... 7-2
Charge Status ................................................................................................................................. 7-4
External Power................................................................................................................................ 7-5
NPPV............................................................................................................................................... 7-6
Patient Effort.................................................................................................................................... 7-6
Vent Inop......................................................................................................................................... 7-6
Chapter 8 - Monitored Data ..................................................................................8-1
Automatic or Manual Data Display Scrolling................................................................................... 8-2
PIP xxx cmH2O............................................................................................................................ 8-3
MAP xx cmH2O ........................................................................................................................... 8-3
PEEP xx cmH2O.......................................................................................................................... 8-3
f xxx bpm...................................................................................................................................... 8-3
Vte xxx ml .................................................................................................................................... 8-3
VE xx.x L...................................................................................................................................... 8-3

Operator’s Manual LTV®1200 Ventilator Page vii
p/n 18247-001, Rev.B
I:E xx:xx........................................................................................................................................8-3
I:Ecalc xx:xx .................................................................................................................................8-4
Vcalc xxx Lpm ..............................................................................................................................8-4
SBT xxx min .................................................................................................................................8-4
xxx f/Vt xx f ...................................................................................................................................8-4
Chapter 9 - Ventilator Alarms............................................................................... 9-1
Alarms..............................................................................................................................................9-2
APNEA, APNEA xx bpm ..............................................................................................................9-2
BAT EMPTY .................................................................................................................................9-3
BAT LOW .....................................................................................................................................9-5
DEFAULTS...................................................................................................................................9-7
DEFAULTS SET...........................................................................................................................9-9
DISC/SENSE..............................................................................................................................9-10
HIGH f.........................................................................................................................................9-11
HIGH O2PRES...........................................................................................................................9-12
HIGH PEEP................................................................................................................................9-13
HIGH PRES................................................................................................................................9-14
HW FAULT .................................................................................................................................9-16
INOP...........................................................................................................................................9-17
LOW MIN VOL ...........................................................................................................................9-18
LOW O2 PRES............................................................................................................................9-19
LOW PEEP.................................................................................................................................9-20
LOW PRES ................................................................................................................................9-21
NO CAL DATA, NO CAL Monitor Display..................................................................................9-22
POWER LOST ...........................................................................................................................9-23
POWER LOW.............................................................................................................................9-24
REMOVE PTNT .........................................................................................................................9-25
RESET........................................................................................................................................9-26
SBT < f .......................................................................................................................................9-27
SBT > f .......................................................................................................................................9-28
SBT < f/Vt ...................................................................................................................................9-29
SBT > f/Vt ...................................................................................................................................9-30
SBT OFF ....................................................................................................................................9-31
XDCR FAULT.............................................................................................................................9-32
Alarm Status Messages.................................................................................................................9-33
f PEEP OFF................................................................................................................................9-33
HI f/Vt OFF .................................................................................................................................9-33
HI PEEP OFF .............................................................................................................................9-33
H&L PEEP OFF..........................................................................................................................9-34
HIGH f OFF ................................................................................................................................9-34
LMV LPPS OFF..........................................................................................................................9-34
LMV OFF....................................................................................................................................9-35
LO PEEP OFF............................................................................................................................9-35
LOCKED.....................................................................................................................................9-35
LO f/Vt OFF ................................................................................................................................9-36

Page viii LTV®1200 Ventilator Operator’s Manual
p/n 18247-001, Rev. B
LPPS OFF.................................................................................................................................. 9-36
SBT f OFF.................................................................................................................................. 9-36
SBT f/Vt OFF ............................................................................................................................. 9-37
SBT HI f OFF ............................................................................................................................. 9-37
SBT LO f OFF............................................................................................................................ 9-37
SBT TIME .................................................................................................................................. 9-38
WARMUP xx.............................................................................................................................. 9-38
Chapter 10 - Extended Features.........................................................................10-1
Navigating the Extended Features Menus.................................................................................... 10-2
Alarm Operations .......................................................................................................................... 10-3
Alarm Volume ............................................................................................................................ 10-3
Apnea Interval............................................................................................................................ 10-4
High Pressure Alarm Delay .......................................................................................................10-4
Low Peak Pressure Alarm .........................................................................................................10-4
High f.......................................................................................................................................... 10-5
High PEEP................................................................................................................................. 10-5
Low PEEP.................................................................................................................................. 10-5
Patient Assist ............................................................................................................................. 10-6
Exit ............................................................................................................................................. 10-6
Vent Operations ............................................................................................................................ 10-7
Variable Rise Time..................................................................................................................... 10-8
Variable Flow Termination ......................................................................................................... 10-9
Variable Time Termination.......................................................................................................10-10
Pressure Control Flow Termination ......................................................................................... 10-11
Leak Compensation................................................................................................................. 10-12
O2Flush ................................................................................................................................... 10-13
Control Unlock ......................................................................................................................... 10-14
Language Selection ................................................................................................................. 10-14
Software Version...................................................................................................................... 10-15
Usage Meter ............................................................................................................................ 10-15
Communications Setting..........................................................................................................10-15
Set Date ................................................................................................................................... 10-16
Set Time................................................................................................................................... 10-17
Date Format............................................................................................................................. 10-17
PIP LED ................................................................................................................................... 10-18
Model Number / Serial Number ............................................................................................... 10-18
Valve Home Position ............................................................................................................... 10-19
Set Defaults ............................................................................................................................. 10-19
O2Cylinder Duration................................................................................................................ 10-20
Presets ........................................................................................................................................ 10-22
Turning Patient Query on or off ............................................................................................... 10-22
Selecting Patient Size.............................................................................................................. 10-22
LTV®1200 Presets Table ........................................................................................................ 10-23
SBT (Spontaneous Breathing Trial) Operations ......................................................................... 10-24
SBT Alarms ................................................................................................................................. 10-26

Operator’s Manual LTV®1200 Ventilator Page ix
p/n 18247-001, Rev.B
Transducer Autozero ...................................................................................................................10-27
Airway Pressure Transducer Autozero ....................................................................................10-27
Bi-directional Flow Transducer Differential Autozero...............................................................10-28
Exhalation Flow Transducer Differential Autozero - Narrow ....................................................10-29
Exhalation Flow Transducer Differential Autozero - Wide .......................................................10-30
Real Time Transducers ...............................................................................................................10-31
Chapter 11 - Ventilator Checkout Tests ............................................................ 11-1
Alarm Test .....................................................................................................................................11-3
Display Test ...................................................................................................................................11-4
Control Test ...................................................................................................................................11-6
Leak Test .......................................................................................................................................11-8
Vent Inop Alarm Test...................................................................................................................11-10
Exit...............................................................................................................................................11-12
Chapter 12 - Operating Procedure..................................................................... 12-1
To Turn the Ventilator On ..............................................................................................................12-1
Before Connecting the Ventilator to a Patient ...............................................................................12-2
Procedure for Control Mode Set Up ..............................................................................................12-4
Procedure for Assist/Control Mode Set Up....................................................................................12-5
Procedure for SIMV Mode Set Up .................................................................................................12-6
Procedure for CPAP Mode Set Up ................................................................................................12-7
Procedure for NPPV Mode Set Up ................................................................................................12-8
To Turn the Ventilator Off ..............................................................................................................12-9
LTV® Ventilator Settings Checklist..............................................................................................12-10
Chapter 13 - Cleaning, Disinfecting and Sterilizing ......................................... 13-1
Cleaning the Ventilator ..................................................................................................................13-1
Cleaning or replacing the Fan Filter ..............................................................................................13-2
Cleaning or replacing the Inlet Filter..............................................................................................13-3
Cleaning or Replacing the O2Inlet Filter .......................................................................................13-4
Cleaning the Exhalation Valve and Reusable Patient Circuit........................................................13-6
Chapter 14 - Power and Battery Operation....................................................... 14-1
Using the AC Adapter....................................................................................................................14-2
Using an External Battery..............................................................................................................14-3
Using the Automobile Cigarette Lighter Adapter ...........................................................................14-6
Replacing the Automobile Adapter Fuse..................................................................................14-10
The Universal Power Supply (UPS) ............................................................................................14-10
The Transport Battery System (TBS) ..........................................................................................14-10
Caring for the Internal Battery .....................................................................................................14-11
Battery Replacement................................................................................................................14-11
Battery Disposal .......................................................................................................................14-11
Chapter 15 - Troubleshooting............................................................................ 15-1
Displays and Buttons.....................................................................................................................15-2