Weinmann VENTImotion Series Operating instructions

VENTI motion
BiLevel ST - Ventilation Unit
BiLevel ST – Aparato de respiración asistida
BiLevel ST - aparat do sztucznego oddychania
VENTI motion WM 24800
Description of unit and operating instructions for patients
Descripción del aparato y manual de instrucciones para los
pacientes
Opis urządzenia i instrukcja obsługi dla pacjentów
EN ES PL

English 3
Español 54
Polski 108

Contents 3
EN
English
Contents
1. Overview . . . . . . . . . . . . . . . . . . . 4
2. Description of unit . . . . . . . . . . . . . 8
2.1 Intended use . . . . . . . . . . . . . . 8
2.2 User qualification . . . . . . . . . . . 8
2.3 Functional description . . . . . . . . 8
3. Safety instructions . . . . . . . . . . . . 10
3.1 Safety instructions . . . . . . . . . . 10
3.2 Contraindications . . . . . . . . . . 12
3.3 Side effects . . . . . . . . . . . . . . 13
3.4 Special labelling on unit . . . . . 13
4. Set up unit . . . . . . . . . . . . . . . . . . 15
4.1 Set up and connect unit . . . . . . 15
4.2 Put on the Mask . . . . . . . . . . . 16
4.3 Accessories . . . . . . . . . . . . . 16
5. Operation . . . . . . . . . . . . . . . . . . 19
5.1 Start up the VENTI motion . . . . . 19
5.2 Auto switch-on . . . . . . . . . . . 20
5.3 Set soft start . . . . . . . . . . . . . 21
5.4 Set humidifier . . . . . . . . . . . . 22
5.5 After usage . . . . . . . . . . . . . . 23
5.6 Travelling with the
VENTI motion . . . . . . . . . . . . . 23
6. Hygienic preparation . . . . . . . . . 25
6.1 Intervals . . . . . . . . . . . . . . . . 25
6.2 Cleaning . . . . . . . . . . . . . . . 26
6.3 Disinfection, sterilization . . . . . 28
6.4 Change in patients . . . . . . . . . 29
7. Function check . . . . . . . . . . . . . . . 30
7.1 Intervals . . . . . . . . . . . . . . . 30
7.2 Method . . . . . . . . . . . . . . . 30
8. Troubleshooting . . . . . . . . . . . . . . 34
8.1 Malfunctions . . . . . . . . . . . . 34
8.2 Alarms . . . . . . . . . . . . . . . . 35
9. Maintenance . . . . . . . . . . . . . . . . 39
9.1 Intervals . . . . . . . . . . . . . . . 39
9.2 Filter change . . . . . . . . . . . . 40
9.3 Change pressure measuring
hose. . . . . . . . . . . . . . . . . . 42
9.4 Disposal . . . . . . . . . . . . . . . 42
10. Scope of supply . . . . . . . . . . . . . . 43
10.1Standard scope of supply. . . . 43
10.2Accessories . . . . . . . . . . . . . 43
10.3Spare parts . . . . . . . . . . . . . 45
11. Technical specifications . . . . . . . . 46
11.1Pneumatic diagram . . . . . . . . 48
11.2Safety distances . . . . . . . . . . 49
12. Warranty . . . . . . . . . . . . . . . . . . 50
13. Declaration of conformity . . . . . . . 51
14. Index . . . . . . . . . . . . . . . . . . . . . 52

4Overview
EN
19 Battery connection
VENTIpower
1. Overview
VENTImotion
2Connecting
cord
6Connection for humidifier
11 Pressure
measuring
hose
12 Hose system
8Sealing plug (2x)
13 Exhalation
system
5Control panel and display
4Serial interfaces
15 Headgear
7Unit outlet
14 Mask
10 Adapter
26 Humidifier switch with LED
27 Soft start
switch
22 On/off
switch
29 Rating plate 31 Carrying bag
30 VENTIclick
28 VENTIpower
25 Menu switch
1Bacteria filter
9Drying adapter
32 VENTI-O2
3Handle
21 Alarm acknowledgement switch with LED
23 Dial
24 Operating switches
20 Electrical connection
for VENTI-O2/
VENTI-O2plus oxy-
gen switching valves
16 Filter compartment
cover, air inlet
18 Cable secu-
ring clip
17 Supply connection
33 VENTI-O2plus

Overview 5
EN
1 Bacteria filter
For protecting patient from bacteria, especially if
the device is being used by several patients.
2 Connecting cord
For connecting the VENTImotion to the supply.
3 Handle
For transporting the unit.
4 Serial interfaces
Used to connect to devices for display and
analysis.
5 Control panel and display
For controlling and monitoring the VENTImotion
and connected accessories.
6 Connection for humidifier
For connecting the VENTIclick humidifier availa-
ble as an accessory.
7 Unit outlet
Respiratory air flows out from here to the patient
via the hose system and mask.
8 Sealing plug (2x)
For sealing the pressure measuring hose during
cleaning.
9 Drying adapter
Required if the hose system is being dried with the
VENTImotion.
10 Adapter
For connecting the hose system to the unit outlet.
11 Pressure measuring hose
For measuring the pressure in the mask and thus
for controlling flow.
12 Hose system
The air flows to the mask through the hose system.
The hose system consists of corrugated hose,
pressure measurement tube and adapter.
13 Exhalation system
Carbon dioxide-enriched expired air escapes
here during therapy.
14 Mask
Respiratory air at the necessary therapy pressure
is administered to the patient via the mask.
15 Headgear
For correct and secure positioning of the mask.
16 Filter compartment cover, air inlet
For covering and securely positioning the coarse
and fine dust filter.
17 Supply connection
This is where the connecting cord is attached to
the unit.
18 Cable securing clip
Prevents the unit being disconnected inadvertently
from the power supply.
19 Battery connection VENTIpower
For connecting the VENTIpower mobile power
supply available as an accessory.
20 Electrical connection for VENTI-O2/
VENTI-O2plus oxygen switching valves
For connecting the VENTI-O2and VENTI-O2plus
oxygen switching valves (VENTI-O2plus only for
VENTImotion and VENTIlogic from serial number
4000) which are available as accessories.
21 Alarm acknowledgement switch with LED
The alarm acknowledgement switch can be used
for temporary muting of alarms. The LED gives a
visual indication of alarms.
22 On/off switch
For switching the VENTImotion on and off.
23 Dial
Central control for the VENTImotion, for naviga-
ting in the menu.
24 Operating switches
For rapid setting by a doctor, locked out in
patient mode.

6Overview
EN
25 Menu switch
For switching between the standard display and the
menu.
26 Humidifier switch with LED
For setting humidifier stage. Six stages are availa-
ble. The LED indicates whether the humidifier is
activated.
27 Soft start switch
Used for activating Softstart and for setting the
Softstart time up to the maximum set by the
physician.
28 VENTIpower
Available as an accessory, to provide mains-inde-
pendent power to the VENTImotion.
29 Rating plate
Provides information about the unit, like serial num-
ber and year of manufacture.
30 VENTIclick
Available as an accessory, for humidifying and
heating respiratory air.
31 Carrying bag
For transporting the VENTImotion.
32 VENTI-O2/33 VENTI-O2plus
Available as accessories, used to deliver oxygen to
respiratory air.
Standard display during therapy:
1 Status line
This is where information about the status of the unit
is displayed, like filter change or maintenance due.
2 Soft start symbol
Indicates that soft start is activated, the number
showing time remaining in minutes.
3 Respiratory phase switch indicator
Indicates whether the current respiratory phase
switch is spontaneous or mandatory (spontaneous:
S, mandatory: T); the indicator switches from left
(inspiration) to right (expiration) depending on respi-
ratory phase; mandatory expiration is shown here.
4 Access to patient menu
The switch next to this menu item is used to switch
between the patient menu and the standard
display.
5 Bar chart for pressure indication
For graphical display of therapy pressure.
6 Ventilation parameters
The relevant current ventilation parameters are
displayed depending on the active mode.
7 Active ventilation mode
The active ventilation mode is displayed at this
point in the status line.
1Status line
7Active ventilation
mode
5Bar chart for pressure indication
4Access to patient menu
3Respiratory phase switch
indicator
2Soft start symbol
6Ventilation
parameters T

Overview 7
EN
Symbols used in the display
Abbreviations used in the display
Symbol Significance
Status line:
Soft start active, remaining time faded in
Filter change required
Maintenance required
Acoustic signal for the IPAPmin and VTmin alarms silent
Alarm for IPAPmin and VTmin alarms deactivated
Main window:
Low-priority alarm triggered
Medium-priority alarm triggered
Symbol Significance
Status line:
SS mode active
ST ST mode active
TT mode active
SX SX mode active
SXX SXX mode active
+V Volume compensation activated (after mode: e.g. SXX+V)
Main window:
IPAP Inspiration pressure
EPAP Expiration pressure
hPa Pressure indication in Hectopascal: 1,01973 hPa equal 1 cm H2O
fRespiratory frequency
SSpontaneously-triggered respiratory phase switch
TMandatorily-triggered respiratory phase switch

8Description of unit
EN
2. Description of unit
2.1 Intended use
The VENTImotion is a ventilation unit for non-invasive, non-life support ventilation of
adult patients with respiratory insufficiency in whom there is evidence of autonomous
respiratory drive. This corresponds to the following clinical pictures:
•restrictive and obstructive ventilation disorders like paresis of the dia-
phragm, OSAS, COPD
•disorders of the respiratory mechanism like scoliosis, deformity of the
thorax
• neurological, muscular and neuromuscular disorders
• central respiratory regulation disorders
The VENTImotion is not suitable for life-support use.
Use the unit only for the purpose described here.
2.2 User qualification
The VENTImotion may only be used by a doctor on an individual basis for a specific
patient.
When the VENTImotion is handed over to the patient, the doctor in charge or hos-
pital staff must instruct the patient in how the unit works.
2.3 Functional description
Provision of therapy pressure
An electronically-controlled fan draws in ambient air through a filter and delivers it to
the unit outlet. From here, the air flows through the hose system and the mask to the
patient.
Sensors detect the pressure in the mask and in the hose system and also the respira-
tory phase switch (trigger point). The fan accordingly provides the IPAP and EPAP
pressures set by the doctor.

Description of unit 9
EN
Therapy modes
The VENTImotion can be operated in six therapy modes: CPAP, S, ST, T, SX and
SXX mode. Your doctor will set the mode required for your therapy on the unit.
Your doctor can activate volume compensation. Minimum volume and maximum
pressure increase are set for this purpose. If the minimum volume is undershot, the
unit automatically increases pressure continuously until the set maximum pressure
(therapy pressure + max. pressure increase) is reached.
In time-controlled mode T and in assisted-controlled mode ST, your doctor can set
respiratory frequency in the range from 6 to 45 breaths a minute and inspiration time
in the range from 20 % to 67 % of the respiratory period.
In assisted modes S, SX and SXX and in assisted-controlled mode ST, your doctor
can select one of 6 trigger stages for both inspiration and expiration. Your doctor
can switch off the trigger for expiration. Expiration is then time-controlled.
If no breath is taken into the unit in S mode, the pressure is switched at a minimum
frequency of 6 breaths a minute.
Other functions
The soft start function makes it easier to fall asleep. Your doctor sets initial pressures
for inspiration and expiration which rise continuously to the therapy pressures during
the soft start phase. This function can be locked out by the doctor.
The VENTImotion has an auto switch-on system. If this is activated, the unit can be
switched on by a breath being taken into the mask. The unit is still switched off using
the on / off switch .
The display shows therapy mode and, depending on mode, the values currently
being applied for CPAP/IPAP and EPAP and for respiratory frequency (f). Spontane-
ous or mechanical respiratory phase switches are also displayed and the pressure
change shown in the form of a graph.

10 Safety instructions
EN
3. Safety instructions
3.1 Safety instructions
Read these operating instructions carefully. They form part of the unit and must be
available at all times. Use the unit only for the purpose described here (see “2.1 In-
tended use” on page 8).
For your own safety, the safety of your patients, and to comply with the requirements
of EU Directive 93/42 EEC, please observe the following points:
Operating the unit
Caution!
• Check that the supply voltage of the unit matches your supply volt-
age. The unit can operate with voltages of 115 V and 230 V. It sets
itself to one of these voltages automatically.
• Always secure the supply plug with the cable securing clip to pre-
vent the plug being pulled out inadvertently.
• The VENTImotion must be connected to an easily accessible supply
socket so that in the event of a malfunction, the supply plug can be
removed quickly.
• Do not place the unit near a source of heating or expose to direct
sunlight to prevent the unit overheating. Condensation could also
form in the VENTIclick humidifier which would then condense in the
hosesystem.
• Do not cover the unit with blankets etc.. The air inlet would be
blocked and the unit could overheat. This can lead to inadequate
therapy and damage to the unit.
• Maintain a safe distance between the VENTImotion and devices
which emit high-frequency radiation (e.g. mobile phones), other-
wise there may be malfunctions (see page 49.)
•An alternative ventilation system should be on hand in case of a unit
failure.

Safety instructions 11
EN
Caution!
• Third-party masks may be used only after approval from the manu-
facturer (Weinmann). Use of non-approved masks puts successful
therapy in jeopardy.
•If a pneumotachograph with a high flow resistance is used in deter-
mining flow rate to start or check therapy, the trigger function of the
VENTImotion may be restricted. If you have any questions, please
contact the manufacturer (Weinmann).
• No antistatic or electrically-conductive hoses may be used.
• Using the VENTIclick humidifier, bacteria filter and O2connection
valve VENTI-O2/VENTI-O2plus accessories may modify the char-
acteristics of the unit. Subsequent additions to these accessories
may render it necessary to readjust the unit parameters. Consult your
doctor if necessary.
•Please comply with Section “6. Hygienic preparation” on page 25
to prevent infection or bacterial contamination.
Transport/accessories/spare parts/repair
Caution!
•Do not transport the VENTImotion with the VENTIclick humidifier at-
tached. Tilting might cause water remaining in the VENTIclick to run
into the VENTImotion and damage it.
•If third-party items are used, functional failures may occur and fitness
for use may be restricted. Biocompatibility requirements may also
not be met. Please note that in such cases, any claim under warranty
and liability will be voided if neither the accessories nor genuine re-
placement parts recommended in the instructions for use are used.
• Have all inspections and repair work carried out only by the
manufacturer (Weinmann) or specialist staff.
Oxygen supply
Warning!
•When oxygen is introduced into the respiratory flow, smoking and
naked flames are prohibited. Risk of fire. The oxygen may be depos-

12 Safety instructions
EN
ited in clothing, bedlinen or hair. It can only be removed by
thorough ventilation.
Caution!
• Oxygen may only be delivered to the respiratory flow if oxygen
switching valves VENTI-O2, (WM 24200) and VENTI-O2plus,
(WM 27200) (can be used with therapy devices from serial number
4000) are used.
•Always follow the safety information included in the instructions for
your oxygen system.
3.2 Contraindications
The VENTImotion should be used only with particular caution, if at all, with the fol-
lowing diseases. In each case, the decision whether to treat with the VENTImotion
lies with the doctor in charge.
• Cardiac decompensation
• Severe cardiac arrhythmia
• Severe hypotension, particularly in conjunction with intravascular
volume depletion
• Severe epistaxis
• High risk of barotrauma
• Pneumothorax or pneumomediastinum
• Pneumoencephalus
• Cranial trauma
•Status following brain surgery and surgical procedure performed on
the pituitary gland or middle/inner ear
• Acute sinusitis, inflammation of the middle ear (otitis media) or
perforated eardrum
• Dehydration
Threatening situations have not been observed with the VENTImotion.

Safety instructions 13
EN
3.3 Side effects
The following undesired side effects may occur during short and long-term usage of
the VENTImotion:
•pressure points on the face caused by the mask and forehead padding
• reddening of skin on face
• blocked nose
• dry nose
• dry mouth in the morning
• feeling of pressure in sinuses
• irritation of conjunctiva of eyes
• gastrointestinal insufflation of air ("stomach bloating")
• nosebleeds.
3.4 Special labelling on unit
Front
7Unit outlet: outlet for ambient air at 4 - 35 hPa
6Socket: electrical connection for the VENTIclick humidifier, WM 24365; max.
power consumption at 40 V: 600 mA
19 20 4a 4b 16 6 733 34

14 Safety instructions
EN
Rear
16 Unit inlet: inlet for ambient air at room temperature
33 Servicing label: indicates when the next service is due.
34 Safety check label: (in Germany only) marks when the next safety check as per §6
of the German law relating to users of medical devices is required.
Side connection sockets
4a Connection for specialist staff to adjust therapy parameters with
WEINMANNsupport, WM 93305; max. power consumption at 12 V: 15 mA
4b Connection for optional additional SaO2devices; max. power consumption at 12
V: 25 mA
19 Connection for supply-independent operation using VENTIpower, WM 24100;
power supply: 12 V/40 V DC
20 Connection for controlling the VENTI-O2, (WM 24200) oxygen switching valve,
max. current consumption at 12 V: 125 mA and VENTI-O2plus (WM 27200)
oxygen switching valve, max. current consumption at 12 V: 135 mA
Rating plate
Do not dispose of the unit in domestic waste!
Protection class B
Protection class II, protective insulation
Year of manufacture

Set up unit 15
EN
4. Set up unit
4.1 Set up and connect unit
Set up the unit on a flat surface, e.g. on a bedside cabinet or on the floor next to the
bed. Keep a space of min. 5 cm between the rear of the unit and the wall, as the
air inlet is on the rear of the unit.
Caution!
Do not cover the unit with blankets etc.. The air inlet would be
blocked and the unit could overheat. This can lead to inadequate
therapy and damage to the unit.
1. Connect the connecting cord to the supply con-
nection of the unit. To do so, lift the cable securing
clip, plug the plug into the supply connection and
clip the cable securing clip over the plug.
Caution!
Always secure the supply plug with the cable se-
curing clip to prevent the plug being pulled out in-
advertently.
2. Connect the connectig cord to a supply socket.
The VENTImotion is designed for a supply voltage
of 115 V ~ to 230 V ~. "Weinmann VENTImotion"
appears in the display.
3. Plug the hose system adapter in the unit outlet.
The unit is now operational.
Cable-securing clip

16 Set up unit
EN
4.2 Put on the Mask
The VENTImotion is designed for use with nasal, nasal/oral and full facial masks.
Proceed as follows to put on the mask.
1. Adjust the forehead support of the l mask (if provided).
2. Connect the headgear/the headband to the mask and position the mask.
3. Adjust the headgear/headband so that the bulge of the mask only results in low
pressure to prevent pressure points on the face.
Please refer to the operating instructions for the relevant mask.
4.3 Accessories
Separate exhalation system
A separate exhalation system is required if you are using a mask without an integrat-
ed exhalation system.
Used carbon dioxide (CO2)-enriched air escapes from the mask through the exhala-
tion system. Without an exhalation system, the CO2concentration would rise to crit-
ical values in the mask and hose, thus hindering your breathing.
The exhalation system also allows you to breathe through the nose or mouth if the
unit malfunctions. In the event of a malfunction with a full facial mask, you breathe
through a safety valve on the mask.
The sleeve on the end of the hose system has a diam-
eter of 19.5 mm and fits over a 22 mm standard
cone. Put the exhalation system on the sleeve of the
creased hose.
Please refer to the operating instructions for your exha-
lation system.
Exhalation
system
Hose system
Sleeve

Set up unit 17
EN
Humidifier VENTIclick
The VENTIclick humidifier is positioned between the
VENTImotion and the hose system. The inlet connection
stub and the electrical connection of the heating element
must be pointing at the VENTImotion. Please also see
the operating instructions for the VENTIclick.
Note
If Fischer & Paykel humidifiers are used, the technical
data may change. The changed values are described
in the assembly instructions for hose adapter
WM 67340.
Oxygen supply using the VENTI-O2/VENTI-O2plus
The supply of oxygen must have been prescribed by
the doctor in charge.
For safety reasons (risk of fire), the direct introduction
of oxygen into the hose system or the mask is not per-
mitted without a special protective device.
With this therapy device, oxygen may only be delivered using oxygen switching
valves VENTI-O2, (WM 24200) and VENTI-O2plus (WM 27200). The VENTI-O2
allows up to 4 l/min. of oxygen to be delivered. In the event of a fault, the VENTI-O2
gives off the oxygen into the ambient air. This means that it cannot accumulate in the
unit. VENTI-O2plus can be used with VENTImotion and VENTIlogic from serial
number 4000. The VENTI-O2plus allows up to 15 l/min. of oxygen to be delivered.
In the event of a fault, the VENTI-O2plus switches itself off.
The oxygen can be supplied using an oxygen concentrator (e.g. Oxymat 3), central
gas supply system, liquid oxygen or an oxygen cylinder with a suitable pressure re-
ducer. The external oxygen source must be equipped with a flow-adjustment device
independent of the VENTI-O2.
You must follow the safety instructions for handling oxygen without fail, as well as the
operating instructions for the VENTI-O2/VENTI-O2plus oxygen valve and the oxygen
device used.

18 Set up unit
EN
Bacteria filter
If the VENTImotion is intended for use by several pa-
tients (e.g. in hospital), bacteria filter WM 24148
should be used to protect against infection. It is in-
stalled between the hose system and the VENTImotion
or the VENTIclick. Please also observe the enclosed
operating instructions for the bacteria filter.
Caution!
The bacteria filter represents an additional resistance in the air stream. This may
lead to a change in the response characteristics of the trigger. For this reason,
you should have the unit parameters reset if a bacteria filter is fitted retrospectively.
VENTIpower
For mains-power independant operation VENTIpower
is available.
VENTIpower can also be connected to VENTImotion in
parallel to mains power. VENTIpower then remains in
standby mode. If mains power fails, VENTIpower au-
tomatically supplies power to the therapy device with
a delay of about 4 seconds.
Using VENTIpower you can operate VENTImotion in-
dependant from mains power in the carrying bag
WM 24888. To do so place VENTIpower in the ded-
icated section of the carrying bag and connect it to the
therapy device.
Please also observe the operating instructions for
VENTIpower.

Operation 19
EN
5. Operation
5.1 Start up the VENTImotion
1. If your mask has no integrated exhalation system,
place the exhalation system on the end of the hose
system(see “ Separate exhalation system” on
page 16).
Caution!
Always use an exhalation system. Otherwise the
CO2concentration would rise to critical values in
the mask and hose, thus hindering your breathing.
2. Put on the mask (see “4.2 Put on the Mask” on
page 16) and connect the hose system including
the exhalation system to the mask (plug cone).
Please follow the relevant operating instructions for
the mask and exhalation systems.
3. Press the on / off switch . If auto switch-on is
activated, you can also position the mask and
switch on the VENTImotion by taking a breath
(see “5.2 Auto switch-on” on page 20).
Operating hours and the Weinmann software ver-
sion will appear in the display for approx. 3 se-
conds. The unit starts to convey air through the
hose system. The display switches to the standard
display.
The display shows the therapy mode set, therapy
pressures (only CPAP pressure in CPAP mode) and
current respiratory frequency.
When soft start is activated, the soft start indicator
appears with the remaining soft start time,
max. 30 minutes, or the max soft start time speci-
fied by the doctor (see “5.3 Set soft start” on
page 21).
On/off switch
Standard display
T
T

20 Operation
EN
The bar chart shows the inspiratory and expiratory
pressure curve.
The respiratory phase switch indicator shows whe-
ther the current respiratory phase was triggered
spontaneously by the patient (S) or mechanically
(T). Depending on the respiratory phase, the indi-
cator switches from left (inspiration) to right (expi-
ration). The illustration shows mechanically-trigge-
red expiration.
5.2 Auto switch-on
When auto switch-on is activated, you can switch on the VENTImotion using the on
/ off switch or by "taking a breath". You can only switch off the VENTImotion
using the on / off switch .
Activate auto switch-on
1. Seal the hose system or put on the mask.
2. Press the on / off switch to switch on the VENTImotion.
3. Press the menu switch . The patient menu ap-
pears in the display. The selection bar is over
Drying process.
4. Use the dial to select the menu item Auto switch-on
(Off) and press the dial.
Respiratory
phase switch
Soft start indicator
Bar chart
T