Vyaire bellavista 1000 User manual

Set Up and Start Up Guide
bellavistaTM 1000 and bellavistaTM 1000e

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
Dual Limb Circuits
1Gather equipment
Active Humidification:
– bellavistaTM iflow sensor 200 S,
adult/paediatric or iflow
40 S, neonatal sensor
(single patient use)
– Dual limb circuit for active
humidification
– Humidification chamber
– Temperature probe and
heated wire adapter
(specific to the humidifier
being used)
– Sterile water bag for
humidification
– Bacterial/viral filter for
inspiratory limb
– Optional following hospital
guidelines: bacterial/viral
filter for expiratory limb at
ventilator side
Passive Humidification:
– bellavistaTM iflow sensor 200 S,
adult/paediatric or iflow
40 S, neonatal sensor
(single patient use)
– Dual limb circuit for
passive humidification
– Bacterial/viral filter for
inspiratory limb
– Optional following hospital
guidelines: bacterial/viral
filter for expiratory limb at
ventilator side
– 1 x Heat Moisture Exchanger
(HME) at endotracheal
tube end
OR
– 1 x Heat Moisture Exchange
and bacterial/viral filter
(HMEF) at endotracheal
tube end
bellavistaTM iflow sensor
Dual limb circuit for active humidification
+ humidification chamber
Bacterial/viral filter
Dual limb circuit for passive humidification
HME HMEF

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
2Gather exhalation valve
- For single patient use -
dual limb adapter will be
in place – need a
bellavistaTM single patient
use exhalation valve
OR
- For reusable - clean
reusable integrated
exhalation valve cassette
(refer to cleaning guide for
reusable integrated
exhalation valve)
Dual limb adapter
+ single use
exhalation valve
Reusable integrated
exhalation valve cassette
3Attach single use exhalation
valve to the dual limb adapter
OR
Attach clean integrated
exhalation valve cassette
and lock into place
4For single patient use
exhalation valve, attach
tubing to red port
OR
For reusable integrated
exhalation valve, ensure
tubing is attached from side of
integrated exhalation valve
to red port (1000e)
Dual limb adapter
+ single use
exhalation valve
Reusable integrated
exhalation valve
Dual limb adapter
+ single use
exhalation valve
Reusable integrated
exhalation valve

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
5Active Humidification:
– Attach bacterial/viral filter
to the inspiratory port
– Attach the dry side tubing
to the filter on the
inspiratory port and attach
to the humidification
chamber
– Attach the inspiratory
tubing to the other port on
the humidification chamber
– Attach the expiratory
limb to the exhalation valve
(optional to attach
bacterial/viral filter
according to hospital
guidelines)
– Connect the temperature
probe and heated wire
adapter to the inspiratory
and expiratory limbs and
connect to the humidifier
Passive Humidification:
– Attach bacterial/viral filter
to the inspiratory port
– Attach the inspiratory
tubing to the filter on the
inspiratory port
– Attach the expiratory
tubing to the expiratory
valve (optional to attach
bacterial/viral filter
according to hospital
guidelines)
Dual limb adapter
+ single use
exhalation valve
Reusable integrated
exhalation valve
Dual limb adapter
+ single use
exhalation valve
Reusable integrated
exhalation valve

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
6Separate tubing on iflow sensor
and attach the blue tubing to
the blue port and clear tubing
to the silver port on bellavistaTM.
Hook orange calibration
adapter onto this tubing – this
is required for the circuit and
flow sensor test.
7Attach the iflow sensor to the
proximal end of the wye piece.
*If nebulisation is required, add
valved T-piece (002061) and
chamber with 7” tubing with
(002431) to the circuit and
attach to the nebulisation port
on the bellavistaTM side.
Before commencing
nebulisation, place this
adapter behind the wye on the
inspiratory limb to connect to
the circuit.
Dual limb adapter
+ single use exhalation
valve
Reusable integrated
exhalation valve

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
8Locate the power button
on the left-hand side of the
ventilator and press it once.
Power up takes approximately
90 seconds, during the
power-up process, bellavistaTM
automatically performs a
system test.
If any irregularities should arise,
the bellavistaTM generates an
alarm signal and the power-up
process is discontinued.
Once the ventilator is switched
on, you will need to perform a
circuit test (see Section 14).
*Connection Assist
For further information, press
the info button (<<i>>) on the
left- or right- hand side of
bellavistaTM.
On the screen, you will see the
side of the device with the
info being pressed. Here you
will find explanations of the
various connection ports and
how to connect the several
circuit configurations.
Info button

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
9Once turned on, the ‘Start
Screen’ will appear.
There are four sections –
‘Profile’, ‘Patient’, ‘Circuit’
and ‘Settings’.
Under ‘Profile’, select
‘New Patient’.
If the ventilator had been on a
patient and was on standby,
‘Last Patient’ can be selected
and the previous ventilation
settings can be resumed.
Up to 20 profiles can be saved
with 3 displayed at any time
underneath ‘New Patient’.
10 Under ‘Patient’, select Adult,
Paediatric or Neonatal.
Input height and sex
to calculate the ideal
body weight.
A lung injury can be input if
known and this will adjust the
initial ventilation settings.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
11 Under ‘Circuit’, select Invasive,
Non-Invasive ‘NIV’ or High Flow
Oxygen Therapy ‘HFOT’ and
nCPAP for neonatal.
Invasive mode will display a
picture of an endotracheal
tube at the top of the screen
and a black border.
Non-Invasive ‘NIV’ and nCPAP
will display a picture of a mask
at the top of the screen and a
blue border.
High flow oxygen therapy
‘HFOT’ will display a picture of
high flow nasal cannulas at
the top of the screen and a
green border.
For the circuit type, a dual limb
circuit will be circuit “E”.
Invasive
Non-Invasive
High Flow Oxygen Therapy

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
12 To enable the Automatic
Tube Compensation (ATC) -
enter the ‘Main Menu’, swipe
the screen once or press the
second dot in the top right
corner of the screen.
Select ‘Configuration Assist’.
Scroll to find ‘ATC’. Press
to enable.
Return to ‘Start Screen’.
13 Automatic Tube
Compensation (ATC)
Press ‘ATC’.
Input the endotracheal tube or
tracheostomy tube size.
You can select for inspiratory
or inspiratory + expiratory
compensation.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
14 Circuit Test
Select the ‘Circuit Test’ button
to perform the circuit test. It will
appear yellow until the circuit
test has been completed.
Press ‘Start’ and follow
the instructions.
15 With the acoustic signal, insert
the blind plug (occluded end
of the orange calibration
adapter) into the flow sensor
until the leak test has been
successfully completed with
the next acoustic signal.
16 As soon as indicated, reverse
the flow sensor - turn and
connect the sensor with
the adapter in the
opposite direction.
17 When prompted, remove the
orange adapter and turn the
flow sensor forward. Keep the
end open.
Ensure the flow sensor tubing
is running alongside
ventilator tubing.
The circuit test is completed
with the next acoustic signal.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
18 When the test is complete, it
will display a green tick
if passed.
If it fails, it will indicate failure
in red.
19 The ‘Circuit Test’ tile will now
appear black and displays the
date and time of the last test.
20 Under ‘Settings’, select the
arrow to expand the
settings section.
21 Once the initial ventilation
settings are confirmed, press
‘Start Ventilation’.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
22 Once ventilation has been
commenced, the ‘Cockpit’
screen will appear and
provides monitoring waveforms
and settings.
This screen is customisable,
press and hold a parameter to
remove or change.
4 dots at the top right of the
‘Cockpit’ screen indicate 4
dierent screens.
The ‘Cockpit’ is the second
screen out of four. If there are 3
screens only, the ‘Cockpit’ will
be the first screen.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
23 The first screen (option expert
ventilation) is the
‘Manoeuvres’ screen.
In the first tab, inspiratory
and expiratory holds can
be performed.
The second and third tab
is reserved for the ‘Lung
Recruitment Tool’ option.
24 The third screen is the ‘Settings
Assist’ where changes to
ventilation settings or modes
can be changed.
The top waveform represents
the current ventilation.
The bottom waveform is
displaying the changes in
timing and cycling when
settings are changed.
When you have changed
your settings touch ‘Apply’ to
confirm your changes.
25 The fourth screen is the
‘Backup Settings’ screen
to enable/disable ‘Apnoea
Backup’ and change backup
ventilation settings.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
26 AnimatedLung
To view the AnimatedLung,
press and hold the panel on
the left hand until the context
menu appears and choose
“Change or Add value” and
select ‘Animated Lung’. This
can be configured on the
cockpit or monitoring screen.
The AnimatedLung is a visual
cue to increase situation
awareness and displays
resistance and compliance of
the patient.
Redness around the trachea
indicates an increased
resistance or obstruction,
the severity of the increased
resistance is displayed in two
steps showing an increase in
airway resistance.
A decreased compliance
is shown in three dierent
steps showing a broader
red boundary around the
ventilated area.
Spontaneous trigger attempts
are symbolised through the
appearance of a diaphragm.
Changes won’t occur in
real time, compliance and
resistance values are averaged
over eight breathing cycles.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
27 The ‘Alarm Settings’ screen is
located in the bottom right
corner.
When a parameter is outside
the set alarm limit, it will be
highlighted in red or yellow.
The corresponding tile on the
‘Cockpit’ screen will also be
highlighted in red or yellow.
To change any alarm limits on
the alarm limits screen, select
the corresponding alarm and
move the slider to the desired
values and touch apply to
confirm the new limits.
Three dots in the top right
corner represent three screens.
28 There are 3 types of alarms.
To silence the alarm for 120
seconds, press the ‘bell’ icon
on the alarm banner.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
29 The second screen in ‘Alarm
Settings’ will show any current
alarms.
The third screen will show an
alarm history log with alarm
codes.
30 Functions such as’ O2Suction’
and ‘Manual Breath’ can be
found from the ‘Cockpit’ or by
entering the ‘Ventilation’ menu
at the bottom of the screen.
If the nebulisation function
is available, a button for
‘Nebulisation’ will also be
available here.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
31 To stop ventilation, press stop
ventilation and slide across
the confirmation window. This
will take you back to the ‘Start
Screen’.
If you press ‘Start Ventilation’
again, it will resume with the
last settings.
32 To lock the screen, press and
hold the ‘Main Menu’ button
and select ‘Lock Screen’. To
unlock, press and hold the
‘Main Menu’ button and press
‘Unlock Screen’.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
33 To access the in-built user
manual:
Press and hold any parameter
and press ‘Request Help’.
This will take you to the ‘User
Manual’.
Alternatively, press ‘Main Menu’,
swipe the screen twice to find
‘Help’. Press ‘User Manual’.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
34 Non-Invasive Ventilation
To change to non-invasive
(NIV) mode from the ‘Start
Screen’, select ‘NIV’, adjust the
mode and settings.
Press ‘Start Ventilation’.
35 A blue border will appear
around the screen to indicate
Non-Invasive ‘NIV’ mode.
Initially all patient related
alarms are suppressed for 120
seconds to allow fitting of the
mask without disturbance.

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Set Up and Start Up Guide - bellavistaTM 1000 and bellavistaTM 1000e 34727-001 Revision A (2021-10)
36 High Flow Oxygen Therapy
To change to high flow oxygen
therapy mode, select ‘HFOT’.
An alert message will appear
to inform that you are exiting
Invasive and Non-Invasive
modes. It states:
- Always use SpO2
monitoring during HFOT
- Use only active humidified
circuits
- Ventilation alarms are
suppressed during HFOT
- Use only high flow nasal
cannulas. Do not use nasal
CPAP masks or prongs.
Slide to confirm after reading
the instructions.
37 Press ‘Start Oxygen Therapy’
after adjusting your settings.
Flow delivery can be set up
to 80L/min. To go higher than
60L/min, confirm by touching
the padlock and adjust the
flow rate.