ZOLL Z Vent Manual

Z Vent Ventilator Operator’s Guide
9650-002360-01 Rev. A

The issue date for the ZOLL Ventilator Operator’s Guide (REF 9650-002360-01 Rev. A) is September, 2018.
Copyright © 2018 ZOLL Medical Corporation. All rights reserved. ZOLL, Z Vent, and Smart Help are
trademarks and/or registered 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.

9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide i
Contents
Chapter 1 General Information
Product Description ............................................................................................................ 1-1
How to Use this Guide ........................................................................................................ 1-1
Operator’s Guide Updates .................................................................................................. 1-2
Unpacking........................................................................................................................... 1-2
Assembly ............................................................................................................................ 1-2
Product Symbols.................................................................................................................1-2
Symbols on the Z Vent Ventilator Graphical User Interface................................................ 1-5
Conventions........................................................................................................................ 1-7
Abbreviations ...................................................................................................................... 1-8
Indications for Use .............................................................................................................. 1-9
Ventilation ................................................................................................................... 1-9
Pulse Oximetry (SpO2) ............................................................................................... 1-9
Features ...................................................................................................................... 1-9
Warnings........................................................................................................................... 1-10
General ..................................................................................................................... 1-10
Ventilator ................................................................................................................... 1-10
Pulse Oximeter ......................................................................................................... 1-11
Batteries .................................................................................................................... 1-12
User Safety ............................................................................................................... 1-12
Patient Safety ........................................................................................................... 1-12
MR Conditional Equipment ....................................................................................... 1-13
Cautions .................................................................................................................... 1-14
FDA Tracking Requirements............................................................................................. 1-14
Notification of Adverse Events .................................................................................. 1-15
Software License .............................................................................................................. 1-15
NO IMPLIED LICENSE ...................................................................................... 1-15
Limited Warranty ....................................................................................................... 1-15
Technical Support ............................................................................................................. 1-16
Returning a Ventilator for ZOLL Service ............................................................ 1-17
Chapter 2 Product Overview
Z Vent Ventilator Description .............................................................................................. 2-2
Main Features ............................................................................................................. 2-2
Controls and Indicators ............................................................................................... 2-3
Controls ............................................................................................................... 2-3
Indicators ............................................................................................................. 2-4
Display Screen ............................................................................................................ 2-4
Message Area ...................................................................................................... 2-5
Parameter Windows ............................................................................................ 2-5
Shared Icon Area ................................................................................................. 2-5

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ii www.zoll.com 9650-002360-01 Rev. A
Auxiliary Parameter Boxes .................................................................................. 2-5
Fresh Gas/Emergency Air Intake and Attachments .................................................... 2-6
Oxygen Reservoir Bag Assembly ........................................................................ 2-6
Top Panel ................................................................................................................... 2-7
Pulse Oximeter Compatibility ...................................................................................... 2-8
Power Sources ........................................................................................................... 2-8
Operating Using External DC Power ................................................................... 2-8
Operating Using Battery Power ........................................................................... 2-8
Pneumatic Design ....................................................................................................... 2-9
Oxygen Input: High Pressure Gas Supply ........................................................................ 2-10
High Pressure Oxygen Supply Hose ................................................................. 2-10
Patient Circuits.................................................................................................................. 2-12
Intended Use ............................................................................................................ 2-13
Use of Heat and Moisture Exchangers ..................................................................... 2-13
Attaching a Patient Circuit to the Ventilator .............................................................. 2-14
Specifications ............................................................................................................ 2-15
Pediatric/Adult, 6 ft Patient Circuit ..................................................................... 2-15
Pediatric/Adult, 12 ft Patient Circuit ................................................................... 2-15
Infant/Pediatric, 6 ft Patient Circuit .................................................................... 2-15
Infant/Pediatric, 12 ft Patient Circuit .................................................................. 2-16
Chapter 3 Setting Up the Z Vent Ventilator
1. Attach the Patient Circuit ................................................................................................ 3-2
2. Attach the High Pressure Oxygen Supply (Optional)...................................................... 3-3
3. Inspect Fresh Gas/Emergency Air Intake Filters ............................................................ 3-3
4. Connect Fresh Gas/Emergency Air Intake Attachments (Optional)................................ 3-4
3-Liter Reservoir Bag Assembly ................................................................................. 3-4
Bacterial/Viral (BV) Filter ............................................................................................ 3-5
Chemical/Biological C2A1 Filter ................................................................................. 3-5
5. Select the Ventilator’s Power Source.............................................................................. 3-6
Connecting the Power Supply .................................................................................... 3-7
6. Power On the Ventilator.................................................................................................. 3-8
7. Select Start Menu Option................................................................................................ 3-8
8. Change Operating Mode (Optional)................................................................................ 3-9
9. Change Parameter Values............................................................................................ 3-10
10. Perform Operational Test ............................................................................................ 3-11
11. Attach the Pulse Oximeter (Optional).......................................................................... 3-11
12. Attach Patient..............................................................................................................3-12
Chapter 4 Using the Z Vent Ventilator
Initial Operation with Default Parameter Settings ............................................................... 4-2
Default Parameter Settings for Adult, Pediatric and Mask CPAP ............................... 4-2
Adult Default Parameter Setting Values .............................................................. 4-2
Making a Choice From the Start Menu ....................................................................... 4-3

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9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide iii
Changing Parameter Settings............................................................................................. 4-4
Navigating the Parameter Windows Using Parameter Buttons .................................. 4-5
Changing a Parameter Setting ................................................................................... 4-6
Example 1 — Changing a Primary Parameter ..................................................... 4-6
Example 2 — Changing a Secondary Parameter ................................................ 4-6
Example 3— Changing a Context Menu Parameter ............................................ 4-6
Saving Changed Parameters for Future Use...................................................................... 4-7
Using the Last Settings Enabled on the Ventilator.............................................................. 4-7
Mode Parameter Window Options...................................................................................... 4-8
Primary Parameter ...................................................................................................... 4-8
Secondary Parameters and Alarm Thresholds/Limits ................................................ 4-8
Breath Target ....................................................................................................... 4-8
Leak Compensation ............................................................................................. 4-9
Context Menu ............................................................................................................. 4-9
Mode Parameter Window Reference ........................................................................ 4-10
BPM Parameter Window Options ..................................................................................... 4-11
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-11
Context Menu ........................................................................................................... 4-11
Control Parameter (I:E or Ti) ............................................................................. 4-12
Rise Time ........................................................................................................... 4-12
Cycle Off % Parameter ...................................................................................... 4-13
Spont Ti Limit Parameter ................................................................................... 4-13
BPM Parameter Window Reference ......................................................................... 4-14
Vt Parameter Window Options ......................................................................................... 4-15
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-15
Context Menu ........................................................................................................... 4-16
Vt Parameter Window Reference ............................................................................. 4-17
PIP Parameter Window Options ....................................................................................... 4-17
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-17
Context Menu ........................................................................................................... 4-18
PIP Parameter Window Reference ........................................................................... 4-19
FIO2 Parameter Window Options..................................................................................... 4-20
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-20
Context Menu ........................................................................................................... 4-20
FIO2 Parameter Window Reference ......................................................................... 4-21
SpO2 Parameter Window Options .................................................................................... 4-21
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-22
Context Menu ........................................................................................................... 4-22
SpO2 Parameter Window Reference ....................................................................... 4-23
HR (Heart Rate)................................................................................................................ 4-24
Secondary Parameters and Alarm Thresholds/Limits .............................................. 4-24
Context Menu ........................................................................................................... 4-24
HR Parameter Window Reference ........................................................................... 4-25
Manual Breath .................................................................................................................. 4-26
Plateau Pressure .............................................................................................................. 4-26
Plateau Pressure Maneuver ..................................................................................... 4-26
Popup Messages .............................................................................................................. 4-27
Popup Message List ................................................................................................. 4-29
Transitions ........................................................................................................................ 4-36

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iv www.zoll.com 9650-002360-01 Rev. A
Using the Main Menu........................................................................................................ 4-36
Alarm Configuration .................................................................................................. 4-36
Powerup .................................................................................................................... 4-37
Specifying Powerup Settings ............................................................................. 4-37
Specifying Custom Settings ............................................................................... 4-37
Specifying a Language ...................................................................................... 4-38
LCD Contrast ............................................................................................................ 4-38
LCD Brightness ......................................................................................................... 4-38
UTC Offset ................................................................................................................ 4-39
Unit Info .................................................................................................................... 4-39
Alarm History ............................................................................................................ 4-40
Chapter 5 Alarms
Alarm Overview ..................................................................................................................5-1
Muting Alarms..................................................................................................................... 5-3
Alarm Priorities ................................................................................................................... 5-3
High Priority ......................................................................................................... 5-3
Medium Priority .................................................................................................... 5-3
Low Priority (Advisory) ......................................................................................... 5-3
Popup Messages ................................................................................................................ 5-4
Alarm Types........................................................................................................................ 5-4
Patient Safety Alarms ................................................................................................. 5-4
Environmental and Use Alarms .................................................................................. 5-7
Self-Check Alarms ...................................................................................................... 5-9
Managing Alarms.............................................................................................................. 5-11
Alarm Muting ............................................................................................................. 5-12
Start Up Muting .................................................................................................. 5-12
Preemptive Muting ............................................................................................. 5-12
Disabling Alarms from the Alarm Configuration Menu .............................................. 5-14
Patient Detect Mode ................................................................................................. 5-14
Backup Modes .......................................................................................................... 5-15
Apnea Backup Mode ......................................................................................... 5-15
Alarm Summary ................................................................................................................ 5-16
High Priority Alarms .................................................................................................. 5-16
Medium Priority Alarms ............................................................................................. 5-22
Low Priority Alarms ................................................................................................... 5-31
Chapter 6 Operating Environments
Using the Ventilator in Harsh Environments ....................................................................... 6-1
Airborne Particulates .................................................................................................. 6-1
Extreme Temperature Environments .......................................................................... 6-2
Operating at High Temperatures ......................................................................... 6-2
Operating at Low Temperatures .......................................................................... 6-2
Altitude ........................................................................................................................ 6-3
Rain and Snow ........................................................................................................... 6-3

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9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide v
Using the Ventilator in Hazardous Environments................................................................ 6-3
Bacterial/Viral Filter Use ............................................................................................. 6-4
Chemical/Biological Filter Use .................................................................................... 6-4
Check Valve on Patient Circuit when in Hazardous Environments ............................ 6-5
Using the Ventilator in an MRI Environment ....................................................................... 6-6
Chapter 7 Maintenance
Inspecting the Ventilator ..................................................................................................... 7-1
Cleaning.............................................................................................................................. 7-2
Post-Contaminated Environment Cleaning ................................................................. 7-2
Fresh Gas/Emergency Air Intake Filters ............................................................................. 7-3
Inspecting and Replacing the Foam Filter .................................................................. 7-3
Inspecting and Replacing the Disk Filter .................................................................... 7-3
Replacing Ventilator Filters ................................................................................................. 7-4
Replacing the Foam Filter ........................................................................................... 7-4
Replacing the Disk Filter ............................................................................................. 7-4
Battery Maintenance........................................................................................................... 7-5
Battery Storage ........................................................................................................... 7-7
Ventilator Storage ....................................................................................................... 7-7
Battery Replacement and Shipping Regulations ........................................................ 7-8
Calibration Checks..............................................................................................................7-8
Electrical Safety Check....................................................................................................... 7-8
Troubleshooting .................................................................................................................. 7-9
Appendix A Specifications
General ...............................................................................................................................A-1
Pulse Oximeter ...................................................................................................................A-3
Device Classification...........................................................................................................A-3
Appendix B Accessories
Appendix C Pulse Oximeter Principles
Appendix D Troubleshooting Patient Circuits
Troubleshooting Procedure.................................................................................................D-1
Index

9650-002360-01 Rev. A ZOLL Z Vent Ventilator Operator’s Guide 1-1
Chapter 1
General Information
This chapter provides general information about the ZOLL Z Vent™ ventilator and the
ZOLL Z Vent Ventilator Operator’s Guide, which we provide with this product. Specifically,
this chapter provides:
•A brief description of the Z Vent ventilator.
•Information about this manual (ZOLL Z Vent Ventilator Operator’s Guide).
•A table that describes the symbols that appear on the Z Vent ventilator and in this manual.
•The Z Vent ventilator Indications for Use.
•A list of Warnings and Cautions regarding the use of the ventilator.
•Information regarding FDA tracking requirements, and the product’s warranty and software
license.
•How to contact ZOLL Medical Corporation for service to this product.
Product Description
The ZOLL Z Vent 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, aeromedical, field hospital and hospital settings.
How to Use this Guide
The ZOLL Z Vent Ventilator Operator’s Guide provides information that users 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 thoroughly read the warnings section.
Procedures for device care are located in Chapter 7, “Maintenance”.

General Information
1-2 www.zoll.com 9650-002360-01 Rev. A
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 web site at www.zoll.com. From the
Products menu, choose Product Manuals.
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 device 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 Self-Check test when turned on,
U.S.A. customers should call ZOLL Medical Corporation (1-978-421-9655). 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 device only requires that you attach the breathing circuit to begin ventilation using either
battery or external power. Both the ventilator and breathing circuit are supplied clean and are
ready for use on a patient.
Product Symbols
The following symbols appear on the ventilator or in this manual:
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.