ZOLL 731 Series Manual

Portable Critical Care Ventilator
Operator’s Guide
Models: EMV+, AEV, Eagle II
731 Series
906-0731-01 Rev. J

The issue date for the ZOLL Portable Critical Care Ventilator Operator’s Guide (REF 906-0731-01 Rev. J)
is June, 2017.
Copyright © 2015 ZOLL Medical Corporation. All rights reserved. ZOLL, AEV, EMV+, Eagle II and
Smart Help are registered trademarks or trademarks of ZOLL Medical Corporation in the United States and/or
other countries. All other trademarks are the property of their respective owners.
Masimo Pulse Oximeter
This device uses Masimo SET® technology to provide continuous pulse oximeter and heart rate monitoring and
is covered under one or more of the following U.S.A. patents: 5,758,644, 5,823,950, 6,011,986, 6,157,850,
6,263,222, 6,501,975 and other applicable patents listed at www.masimo.com/patents.htm.
Limited Copyright Release
Permission is hereby granted to any military/governmental agency to reproduce all materials furnished herein
for use in a military/governmental service training program and/or other technical training program.
0123
ZOLL Medical Corporation
269 Mill Road
Chelmford, MA USA
01824-4105
ZOLL Medical Corporation
Newtonweg 18
6662 PV ELST
The Netherlands

906-0731-01 Rev. J ZOLL Portable Critical Care Ventilator i
Table of Contents
List of Figures
Chapter 1 General Information
Product Description ............................................................................................................ 1-1
How to Use this Manual...................................................................................................... 1-1
Operator’s Guide Updates .................................................................................................. 1-1
Unpacking........................................................................................................................... 1-2
Assembly ............................................................................................................................ 1-2
Symbols used on the Equipment ........................................................................................ 1-2
Conventions........................................................................................................................ 1-5
Abbreviations ...................................................................................................................... 1-6
Indications of Use ............................................................................................................... 1-7
Features ...................................................................................................................... 1-7
Warnings............................................................................................................................. 1-8
General ....................................................................................................................... 1-8
Pulse Oximeter ......................................................................................................... 1-10
Cautions .................................................................................................................... 1-11
FDA Tracking Requirements............................................................................................. 1-12
Notification of Adverse Events .......................................................................................... 1-13
Software License .............................................................................................................. 1-13
Limited Warranty ....................................................................................................... 1-14
Service.............................................................................................................................. 1-15
Chapter 2 Product Overview
ZOLL Ventilator Models ...................................................................................................... 2-1
Common Features ...................................................................................................... 2-1
EMV+ .......................................................................................................................... 2-2
AEV ............................................................................................................................. 2-2
Eagle II ........................................................................................................................ 2-3
MRI Variants (Eagle II MRI and EMV+ MRI) .............................................................. 2-3
Ventilator Controls and Indicators....................................................................................... 2-4
ZOLL Ventilator Features ........................................................................................... 2-5
Pneumatic Diagram ............................................................................................................ 2-6
Connector Panel .................................................................................................................2-7
Controls and Indicators....................................................................................................... 2-8
Display Screen .......................................................................................................... 2-17
Pop Up messages .................................................................................................... 2-20

TABLE OF CONTENTS
ii www.zoll.com 906-0731-01 Rev. J
Set-up................................................................................................................................2-23
External Gas Sources ...............................................................................................2-24
Ventilator Circuits: Connections ................................................................................2-26
Ventilator Circuits: Patient Connections ....................................................................2-27
Ventilator Circuits: Resistance, Compliance, and Deadspace ..................................2-28
Operating Power Selection and Stopping .................................................................2-29
Power Supply Connections .......................................................................................2-30
Self-Check ................................................................................................................2-31
Transducer Calibration (AUTO CAL) ........................................................................2-31
Pulse Oximeter Principles.................................................................................................2-32
Chapter 3 Operation
Overview .............................................................................................................................3-1
Introduction .................................................................................................................3-1
Pulse Oximeter ...........................................................................................................3-2
Operation ............................................................................................................................3-3
Modes of Operation ....................................................................................................3-3
Additional Adjuncts of Operation .................................................................................3-4
Spontaneous/Assisted Breath Trigger ........................................................................3-6
To Begin Ventilating ....................................................................................................3-7
To Change Settings ....................................................................................................3-8
Back Up Ventilator ......................................................................................................3-9
Pulse Oximeter ...........................................................................................................3-9
Humidification .............................................................................................................3-9
Hazardous Environment Filters......................................................................................... 3-11
Bacterial/Viral Filter Use ...........................................................................................3-11
Chemical/Biological Filter Use ..................................................................................3-12
Check Valve on Breathing Circuit when in Hazardous Environments ......................3-12
Harsh Environment Operation...........................................................................................3-13
Airborne Particulates .................................................................................................3-13
Extreme Temperature Environments ........................................................................3-13
Altitude ......................................................................................................................3-14
Rain and Snow ..........................................................................................................3-14
Use of Low Flow Oxygen ..................................................................................................3-15
Use In an MRI Environment..............................................................................................3-18
Chapter 4 Alarms
Smart Help Messages.........................................................................................................4-2
Alarm Priorities ............................................................................................................4-3
Ventilator Alarm Categories ................................................................................................4-4
731 Series Ventilator Alarms...............................................................................................4-9
Patient Alarms .............................................................................................................4-9
Device Alarms ........................................................................................................... 4-11
Environmental Alarms ...............................................................................................4-22

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Alarm Turn Off and Cancellation....................................................................................... 4-25
Alarm Turn Off at Extreme Range Limits .................................................................. 4-26
Alarm Cancellation in Alarm Configuration Menu ..................................................... 4-27
Chapter 5 Maintenance
Calibration Checks..............................................................................................................5-1
General Cleaning................................................................................................................5-2
Preventative Maintenance .................................................................................................. 5-2
Removable Foam Filter Replacement ................................................................................ 5-2
Fresh Gas/Emergency Air Intake Disk Filter Replacement................................................. 5-3
Internal Filter Change/Insertion .......................................................................................... 5-4
Post-Contaminated Environment Cleaning......................................................................... 5-6
Battery Maintenance........................................................................................................... 5-7
Battery Capacity ......................................................................................................... 5-7
Battery Care and Charging ......................................................................................... 5-7
Internal Battery Change/Insertion ............................................................................... 5-9
Recharging Guidelines ............................................................................................. 5-10
Troubleshooting ................................................................................................................ 5-11
Operator Correctable Problems ........................................................................................ 5-11
Operating Problems Requiring Service ............................................................................ 5-11
Storage ............................................................................................................................. 5-11
Appendix A Specifications
General ...............................................................................................................................A-1
Pulse Oximeter ...................................................................................................................A-3
IEC 60601-1........................................................................................................................A-4
Appendix B Accessories
Index

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List of Figures
EMV+ Ventilator ........................................................................................................................ 2-2
AEV Ventilator ........................................................................................................................... 2-2
Eagle II Ventilator ...................................................................................................................... 2-3
Eagle II MRI Ventilator .............................................................................................................. 2-3
ZOLL Ventilator Features .......................................................................................................... 2-4
Pneumatic Diagram .................................................................................................................. 2-6
Connector Panel ....................................................................................................................... 2-7
Example: Outlined/Normal Text ................................................................................................ 2-8
Controls ..................................................................................................................................... 2-9
Display Screen ........................................................................................................................ 2-17
Pop Up Message Example ..................................................................................................... 2-20
External Gas Sources ............................................................................................................. 2-24
Fresh Gas/Emergency Air Intake ............................................................................................ 2-25
Ventilator Circuit Device Connections ..................................................................................... 2-26
Ventilator Circuit, Patient Connections ................................................................................... 2-27
Connecting and Disconnecting the Power Supply .................................................................. 2-30
Power Supply Latching ........................................................................................................... 2-30
Pulse Oximeter Discrete Saturation Transformation ............................................................... 2-33
Hazardous Environment Filters ............................................................................................... 3-11
Check Valve Connection To Breathing Circuit ........................................................................ 3-12
Oxygen Reservoir Bag Assembly ........................................................................................... 3-17
ZOLL Ventilator Mounted On MRI Rolling Stand With IV Support Arm .................................. 3-19
MR Labels on ZOLL Ventilator ................................................................................................ 3-20
Smart Help Example ................................................................................................................. 4-1
Smart Help Display ................................................................................................................... 4-2
ZOLL Ventilator Storage Case ................................................................................................ 5-10

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Chapter 1906-0731-01 Rev. J
General Information
Product Description
The ZOLL Portable Critical Care ventilator is a small, extremely durable,
full-featured portable mechanical ventilator designed to operate in hospitals or severe and
under-resourced environments. It can be used in prehospital, field hospital and hospital settings.
How to Use this Manual
The ZOLL Portable Critical Care Ventilator Operator’s Guide provides information that
operators need for the safe and effective use and care of the ventilator. It is important that all
persons using this device read and understand all the information contained within.
Please throughly read the warnings section.
Procedures for unit care are located in Chapter 5, “Maintenance”.
Operator’s Guide Updates
An issue or revision date for this manual is shown on the front cover. If more than 3 years have
elapsed since this date, contact ZOLL Medical Corporation to determine if additional product
information updates are available.
All users should carefully review each manual update to understand its significance and then
file it in its appropriate section within this manual for subsequent reference.
Product documentation is available through the ZOLL website at www.zoll.com. From the
Products menu, choose Product Manuals.

GENERAL INFORMATION
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Unpacking
Carefully inspect each container for damage. If the shipping container or cushion material is
damaged, keep it until the contents have been checked for completeness and the instrument has
been checked for mechanical and electrical integrity. If the contents are incomplete, if there is
mechanical damage, or if the ventilator does not pass its electrical self-test, U.S.A. customers
should call ZOLL Medical Corporation (1-973-882-1212). Customers outside of the U.S.A.
should contact the nearest ZOLL authorized representative. If the shipping container is
damaged, also notify the carrier. If there is no apparent sign of mechanical damage, read
instructions contained within this manual before attempting operation.
Assembly
The unit only requires that the operator attach the breathing circuit to begin ventilation using
either internal or external power. Both the ventilator and breathing circuit are supplied clean
and are ready for use on a patient.
The unit’s batteries may not be installed within the unit (depending on the contractual
requirements or the storage environment as described in the “Battery Care and Recharging”
section). Battery installation may be required prior to operation.
Symbols used on the Equipment
Any or all of the following symbols may be used in this manual or on this equipment.
Symbol Description
Off
On
Direct Current: Identifies the location to connect external DC Power.
Mute / Cancel: Identifies button which mutes the active alarms or cancels
the parameter selection.
Accept / Confirm: Identifies button which accepts the parameter
selection.
ESD: Warns that connector pins should not be touched.

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Defibrillation Proof: Indicates the degree of protection against electrical
shock.
Alarm Bell: Identifies the number of off-screen alarms
Alarm Bell Outline: Identifies alarm limit settings; Identifies the on-screen
alarms.
Attention: High Priority Alarm Active.
Caution: Medium Priority Alarm Active.
Warning: Low Priority Alarm Active.
Mute: Active Alarm Audible Signal Muted.
Speaker: Active Alarm Audible Signal
Oxygen Supply: Oxygen Supply Connected.
External Power: Indicates the unit is operating using an external power
source.
No External Power: Indicates the unit is operating without an external
power source.
Internal Battery: Provides indication of battery capacity and charging.
Symbol Description

GENERAL INFORMATION
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No Internal Battery: Indicates when internal battery is not an available
power source.
Heart: Provides indication that the pulse oximeter is in use.
Rotary Encoder: Identifies the ROTARY ENCODER which allows
adjustment of a selected parameter value.
Do Not Re-Use: This item should not be re-used.
Do Not Discard: Follow all governing regulations regarding the disposal
of any part of this medical device.
Serial Number: Numbers following “SN” indicate the serial number.
BF Symbol: Protection against electric shock, Type B with floating
(F-type) parts.
Head w/ Mask: The unit is in Non-invasive Positive Pressure Ventilation
(NPPV) mode.
MR Symbol: Identifies the use of the device’s ability to perform in a MRI
environment.
Power Input Orientation: Locates the DC input identifying its point of
insertion.
Manufacturer: This symbol shall be adjacent to the name and address of
the manufacturer.
Manufacturer Date: Manufacturer Date Symbol identifies the device’s
date of manufacture.
Symbol Description