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Automatic Transport Ventilator User Manual - O
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1. e600 Automatic Transport Ventilator User Manual O e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Table of Contents Chapter 1 Chapter 2 Chapter 3 Overview Chapter 4 Chapter 5 sc Ks 5 DES NASA IIS RR ETT 6 diviso S E ETK naa vale EE em T st Ani shan amet mania 7 54 Control and Display ESVOUL ammus smms n s v kute 7 5 2 nefe are o Smetonan N ee 8 I NE aamen eie E e EE eie 8 5 2 2 Control Selection AN OD uns maassa Osassa 8 Gi EO CK NRI 9 2 4 ALAS IS NES sive EI E EE beatae ea Geos 9 5 2 5 Mavebor A el m l k aan So a s mit 9 5 245 DAV MS museot kv aihe ota kontata neues 9 SLL SNES aasia utan dada HH 10 3 2 8 PAUSC RESUMEC iii ccccccccscccssccesscccsscceetsecssecesseeeeeseeetsesensecens 10 3 2 9 Manual Inspiratory Hold eem 11 545 External ae ena v Le dee 12 54 P tenkokoult IT 12 S 1 e1 aaaea a aa 13 S451 SEFE SN Layout orra a a a 13 3 5 2 Live Monitoring Parameters esee 15 3 6 SYMPDOS GINO ta EON S omit dnte IER Eu M pud 16 Preparation POI USS saamastaan tite e dirmi ct sudes 17 4 1 SLE o L TT 17 4 1 1 Connecting electrical power supply 17 4 1 2 Installing replacing the battery 17 4 1 5 Connecting the gas supply ccce 18 4 1 4 Connecting patient circuit 19 4 15 Turning Ventilator ON x suxseeenduicc
2. To lock the key membrane or cancel the lock function 1 Press Lock button I in Figure 1 The Lock symbol will be displayed on the screen 2 To cancel the Lock function press the Lock button lI again Note During lock function if any locked button is pressed the Lock symbol will flash while the locked button is pressed 5 2 4 Alarm Silence Alarm Silence button G in Figure 1 will silence audible alarms for 120 seconds It can also be selected when there is no alarm in order to silence potential alarms This function is activated or deactivated by pressing the Alarm Silence button once When selected Alarm Silence symbol will be displayed on the screen 3 2 5 Waveform Pressing Waveform selection button J in figure 1 will switch between the oressure and volume ventilation waveforms displayed on the screen 3 2 6 Day Night Day Night mode button F in Figure 1 will change brightness and contrast of the text waveform and background colors The user can select either one of the following by pressing the Day Night button once 1 Day mode Light background with dark text and waveform 2 Night mode Dark background with light color text and waveform In this mode all buttons and labelling information will also be illuminated 9 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 3 2 7 Cancel The Cancel button CK in Figure 1 allows the operator to return to the orevious settings if the l
3. Less than 6 cmH5O at 60 l min amp Less than Inhalation and Wu 6 cmH5O at 30 l min Operating 18 C to 50 C Rh 15 to 95 to 50 C Rh 18 C to 50 C Rh 15 to 95 to 95 Ventilator E E 40 C to 60 C Rh 15 to 95 O C to 40 C Environment Discharge 20 C to 60 C e Battery condition Pack Storage 20 C to 35 C low humidity and no Storage corrosive gas atmosphere Patient Operating 18 C to 50 C Rh 1596 to 95 Circuit 20 C to 60 C Rh 15 to 95 BTPS Volume measurements corrected to Body temperature 37 C and Barometric pressure 1O1 5Kpa under saturated conditions 10096 Humidity Note Measurement uncertainty 596 for volume parameters and 6 for pressure parameters 45 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 9 2 Circuit Description Flow Sensor Pressure Sensors Pressurized a Flow Pressure Safety E lati Sensor Optional 2 control Rate valve 4 Adapter HME Control E Filter Ambient Intake Venturi Filter Patient circuit Patient Ventilator When a gas source medical oxygen is supplied to the e600 ventilator via the gas input connection the gas will flow into the Flow control valve which is used to control both the flow and rate of ventilation The output of this valve is connected to a selector switch which is used to direct the flow path either directly to the ventilator output if 10096 ox
4. e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version CPR for intubated patients On screen intubated CPR animation Pav T T f T T T T T T T T T T T T T T 100 times chest compressians per minute low i ie Ventilation tequency 10 bpm Figure 13 b CPR waveform for intubated patient 35 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 5 3 Turning the Ventilator Off Press and hold the ON OFF button for 4 seconds the Ventilator will turn OFF 56 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Chapter 6 Post Use 6 1 Disconnect Device After Use a Turn off gas supply to the ventilator b Disconnect gas supply hose C Disconnect patient circuit from the output connector d Unplug the power cable from mains if no charging is required e Clean and disinfect according to section 8 1 in this manual 6 2 Storage Store ventilator within the following environmental range 40 C to 60 C Rh 15 to 95 e600 User Manual 15PL101O Rev 3 Mar 24 2015 57 English version Chapter 7 Alarms and Indicators 71 Ventilation Alarms Visual and Audible alarms continue until the cause of the alarm is resolved During alarm activation the user may press the Alarm Silence button G in Figure 1 which will silence the audible alarm for 2 minutes but the visual alarm will continue to flash until the cause of the problem is resolved During alarm silence sho
5. Healthcare providers navigate among the three start up figures by rotating the Control Selection Knob M and a square cursor will move around the selected figure Once the desired patient size is selected the user must confirm the selection by pressing the Control Selection Knob M to start ventilation If no selection occurs within 20 seconds the ventilator will start ventilation with child setting as its default start up 22 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Press the Control Selection Knob M to confirm the patient size selection and connect the patient valve to the patient the ventilator starts volume controlled A C V ventilation with default parameters listed in Table 1 depending on the selected patient size Figure 7 User can also pause the ventilation by pressing Pause Resume button H until all desired parameters are selected Note A C V with volume control is the default start up ventilation mode Set up the desired ventilation setting Health care providers may choose or change the ventilation mode or parameter setting any time during ventilation by the following method Rotate the Control Selection Knob M and move the yellow cursor Figure 8 to section 3 of the screen Figure 4 for ventilation mode setup or to the parameter to be set up located at section 6 of the screen Figure 4 The user must confirm the selection by pressing the Control Selection Knob M Once confirmed the
6. in which the ventilator switches to Assist Control ventilation A C V when the ventilator does not trigger patient s spontaneous breathing for a period of time T APNEA set by the user The parameters of back up A C ventilation are defaulted to volume ventilation based on the initial start up patient size selection unless changes are made by the user The trigger changes from pressure trigger P to 5 L min default flow trigger when the ventilator switches to APNEA back up Table 4 Default Ventilation Setting CPAP Parameter Range Default Child CPAP 4 20 cm H20 mio below baseine P P P 2cm H20 below base line 100 or 60 31 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Paw trigger windo Flow Figure 12 CPAP ventilation waveform 32 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version 5 2 4 CPR mode The CPR mode consists of timed chest compression audible prompts coupled with automatically delivered breaths for both intubated and mask ventilated patients There is also a visual animated display to guide the health care provider while performing CPR The CPR mode for masked ventilated patients is the default setting for this mode but changes can be made between the 2 sub modes at any time he CPR mode for masked ventilated patients consists of 2 phases chest compression and ventilation 5O chest compressions over 18 seconds are synchronized with audible promp
7. unqualified persons entities 3 Negligence 4 Normal wear and tear filters batteries patient circuits Warning It is recommended that the routine preventive maintenance shall be carried out at least every 6 months from date of purchase Repair and general overhaul of the ventilator must be carried out ky trained service personnel Evaluation of performance against manufacturer s specifications may be undertaken by suitably qualified personnel to determine if the ventilator is functioning within specification Any ventilators deemed to be out of specification must be returned to O Two Medical Technologies Inc or one of its approved Service Centers for service and or repair We recommend that a service contract be obtained with O Two Medical Technologies Inc or one of its approved Service Centers and that all repairs also be carried out by them Only authentic O Two Medical Technologies Inc spare parts may be used for maintenance Liability for proper function or damage The liability for the proper function of the apparatus is irrevocably transferred to the owner or operator to the extent that the apparatus is serviced or repaired by personnel not employed or authorized by O Two Medical Technologies Inc or if the apparatus is used in a manner not conforming to its intended use O Two Medical Technologies Inc cannot be held responsible for damage caused by non compliance with the recommendations given above The warranty a
8. was detected during the trigger period the ventilator will initiate mandatory ventilation at the end of trigger window Figure 11 Should the patient demand more flow than set by user he she can withdraw the excess from ambient Table 3 Default Ventilation Setting SIMV Bono Mv ua AISTI 20 37 o 50 wo ease w 38 20 0100 or 60 100 10 100 Pme wemi a 25 section Ti may be limited below its range depending on set I E ratio and rate 29 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Paw 1 Fbpm i 1 Fopm 1 1 1 Fbpm Mandatory spontaneous Synchornized Ventilation Ventilation Mandatory ventilation Trigger Trigger j window EA Trigger PEEP L t spontaneous spontaneous spontaneous window window window Ti Ti TIA Flow Figure 11 SIMV waveform 30 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 5 2 5 CPAP Continuous Positive Airway Pressure In CPAP mode the ventilator will deliver a continuous flow rate to generate airway pressure and use the control valve to maintain CPAP levels Figure 12 NOTE The default trigger in CPAP mode is pressure trigger P which is set at 2 cm HO below CPAP settings In this option the ventilator adjusts the amount of flow internally to maintain average airway pressure close to CPAP setting The CPAP mode is equipped with APNEA back up ventilation
9. After 1 second the ventilator will turn on but with no ventilation at this point If the button is pressed and released for less than a second the ventilator will remain OFF Note A C V with volume control VCV is the default start up ventilation mode for e600 19 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 4 2 Pre use Check The following check must be performed and confirmed by the Health care provider in the following cases e Prior to use e After replacing hoses patient circuits or batteries e Atleast every 6 months Visually inspect the ventilator for mechanical damage 2 Ensure that battery is fully charged 5 Ensure the e600 is connected to a gas supply Cylinder or piping system that delivers a minimum of 45 PSI 5 Bar and a maximum 87 PSI 6 Bar output pressure and a minimum 120 L min flow 4 Ensure that the patient circuit and monitoring hoses have been properly connected 5 Performance check Leak amp Function test To undertake the performance check you will need the following e Full Oxygen cylinder e Calibrated test lung Provided with the unit e Oxygen pressure regulator capable of delivering flow of 120 L min and maintaining a minimum pressure of 45 PSI 5 Bar and a maximum 87 PSI 6 Bar output pressure a Connect the 2 sensor hoses of patient circuit to sensor connectors 1 Q and 42 R and connect the corrugated hose of patient circuit to output connector S Refe
10. Only use approved medical oxygen compressed gas cylinders Always begin use with a full oxygen cylinder Secure oxygen cylinders so they do not fall over Keep away from excessive heat to avoid the risk of explosion Do not grease or lubricate oxygen fittings cylinder valves and pressure reducers and do not handle with greasy hands to avoid the risk of fire Only open or close cylinder valves by hand or with the correct cylinder wrench Open the valve slowly and fully Do not use any other tools Do not smoke or work in areas where open flames are present Oxygen supports combustion and exacerbates fires Only use a pressure reducer with an overpressure relief valve to limit the delivery pressure in case of a regulator failure To avoid ventilator malfunction do not attach the ventilator to a flow control valve or flow meter 18 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 4 1 4 Connecting Patient Circuit 1 Attach the O Two patient circuit Figure 3 to 22mm gas output connector S in Figure 2 2 Connect the 2 sensor hoses V in Figure 3 of the patient circuit to their corresponding connectors Q amp R in Figure 2 Caution Do not connect patient valve to the patient before turning on the ventilator 4 1 5 Turning Ventilator ON To turn on the ventilator Press the ON OFF button N in Figure 1 for one second During that second the associated green LED will start blinking at a high frequency
11. Pun 3 A Figure 8 24 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Vt 250 Showing selected Iul Rate LR Parameter with tai 1 3 solid contrasting background E T2 MN I A E as i 0 100 Figure 9 J E 25 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 5 2 Ventilation Modes The e600 ventilator is equipped with a number of ventilation modes to enable the healthcare provider to tailor the ventilator settings to the patient s specific respiratory requirements Ventilation could be delivered invasively ET tube or non invasively mask In all modes should the patient demand more flow than set by Health care provider he she can inhale the required volume from ambient Each ventilation mode has a default setting based on the initial patient size setting selection on startup which will be initiated on selection of that specific ventilation mode if no changes to the settings are made Notes When switching between ventilation modes any shared parameter will be carried over and any new parameter will be set to the default 26 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 5 21 A CV Assist Control Ventilation In AC mode Figure 10 the ventilator can deliver volume ventilation VCV with Tidal Volume and ventilation Rate setting according to patient size see Table 2 below During A C V mode the ventilator will deliver Controlled M
12. al 5PL1010 Rev 3 Mar 24 2015 English version 9 5 Electromagnetic Compatibility O Two e600 has been tested and complies with IEC 60601 1 2 2007 requirements Electromagnetic Emissions O Two e600 is intended for use in the electromagnetic environment specified below The user of O Two e600 should assure that it is not used in environments outside those specified Emission test Compliance Electromagnetic environment guidance The O Two e600 uses RF energy only for Uu its internal function Therefore its RF RF emissions Group 1 Me l emissions are very low and are not likely CISPR 11 to cause any interference with nearby electronic equipment RF emissions Class B The O Two e600 external power supply CISPR 11 is suitable for use in all establishments Harmonic including domestic establishments and emissions Class A those directly connected to the public IEC61000 3 2 low voltage power supply network that Voltage supply buildings used for domestic fluctuations purposes i a complies flicker emissions IEC61000 3 3 Electromagnetic Immunity test level level ESD IEC61000 4 2 8 kV air 15 kV air Electrical fast transient 2 kV for power 2 kV for power burst supply lines supply lines IEC61000 4 4 1 kV for 1 kV for input output lines input output lines 2 kV line to earth 2 kV line to earth Voltage dips short 596U1 for 0 5 cycle 596U1 for 0 5 cycle interruptions and voltage 4096U1 for 5 cycle 40 U f
13. andatory Ventilation CMV regardless of any patient s effort if the trigger Trig is disabled displayed with The default trigger for A C V is 5 L min but can be adjusted up to 15 L min If no inspiratory effort is detected during the trigger window the ventilator will initiate mandatory ventilation at the end of trigger window Should the patient demand more flow than set by user he she can withdraw the excess from ambient Table 2 Default Ventilation Setting A C V Bea Bane Ti may be limited below its range depending on set I E ratio and rate 27 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Paw CMY A CV PEEP Trigger window Trigger window Trigger window t T Trigger Point Flow Figure 10 A C V waveform 28 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 5 2 2 SIMV Synchronized Intermittent Mandatory Ventilation In SIMV mode the ventilator will deliver volume ventilation at the set Tidal Volume V and Rate BPM The default trigger for this mode is 3 L min but can be adjusted up to 15 L min if trigger condition is met the ventilator will deliver synchronized volume controlled mandatory ventilation In SIMV mode the selected breathing rate remains constant and the time of spontaneous breathing window will change if patient triggers the synchronized mandatory breath before the normal start of inhalation phase beginning of Ti If no effort
14. ast unconfirmed changes in settings are not required 3 2 8 Pause Resume During activation of the Pause Resume button H in Figure 1 the ventilator will stop ventilating with all buttons kept active if they are not locked except Manual Hold button To activate pause function proceed as follows 1 Press Pause Resume button H The Pause symbol will flash on the screen with the confirmation symbol amp and the Confirmation indicator L to guide users to activate pause function by pressing the Control Selection Knob M The symbol will be flashing for 10 seconds and then disappear if the Control Selection Knob M is not selected Users can also press the Cancel button K to quit this selection before 10 seconds Once activated a flashing yellow pause symbol will be displayed on the screen and ventilator will stop ventilating Note a During Pause there will be an audible alarm associated with the flashing yellow Warning indicator A in Figure 1 every 15 seconds Users can press Alarm Silence button to disable the audible alarm for 2 minutes but the yellow Warning indicator will continue flashing every 15 seconds b During Pause users can change and confirm new ventilation settings but no ventilation will occur unless Pause function is disabled To cancel Pause function press Pause Resume button H again The Resume symbol will flash on the screen with the confirmation symbol D and the Confirmation
15. ers or HME may increase breathing resistances Use pressure regulators maintaining a minimum output flow of 120 L min at a dynamic pressure of 45 PSI to ensure the proper functioning of the ventilator Operation of this ventilator outside the environmental condition range specified in this manual may result in reduction and or failure in the ventilator s performance In extreme temperature conditions the effect is not noticeable in terms of delivered ventilations but may cause excessive wear in ventilator or components over time Extreme low temperature reduces operation time of the battery Refer to 9 4 battery operating Time Operation of this ventilator outside the supply pressures range detailed in this manual may result in reduction in the ventilator s performance component failure low pressure alarm or possible loss of automatic cycling Operation of this ventilator outside the electrical power range detailed in this manual may result in reduction or failure in the ventilator s performance Component failure inadequate power of internal components may occur Operation of this ventilator below sea level or above 4 000 m 13 000 feet may result in reduction or failure in the ventilator s performance low pressure alarm or possible loss of automatic cycling The ventilator is intended for use in ground transport environments only A e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Cautions When the ventilat
16. ery shall be fully charged 8 5 Ambient Air Entrainment Filter he e600 entrains ambient air through the internal Venturi system for ventilation when the O concentration is set at 60 This provides not only decreased oxygen concentration but also increases the ventilator operating time on an oxygen cylinder Caution Always keep the ambient air entrainment port clear of obstructions Always replace the filter after use AN Warning Avoid particulate and or gaseous pollutants in the ambient air The entrainment of pollutants into the ventilator may cause the ventilator to malfunction or cause danger to the patient 8 4 Servicing It is recommended that the routine preventive maintenance shall be carried out as per the following table and the ventilator be returned to O Two Medical Technologies or a service center authorized by the manufacturer for inspection and service every 24 months Charging User Manual Battery fully Leak test ba da No leak observed Every 6 months N r Manual N normal Function check peek ene W abnorma Every 6 months User function observed l Meet product Every 24 Manufacturer Full service Service manual a or authorized specifications months service center Any malfunction unit should be returned to the manufacturer or an authorized service center since this product is not designed for field disassembly or service 43 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Chapter 9 Techn
17. i dae 19 A 2 Pre E E METER TUE 20 Operating InstlEletlOfis eusiiutis isses citat lue Bad i ee k ski 22 5 1 Startup amp setting the ventilation parameters 22 5 2 Ventilation modes eee enne een n 26 5 2 1 A C V Assist Control Ventilation ee 27 5 2 2 SIMV Synchronized Intermittent Mandatory 29 VERSON T eR EE 5 2 5 CPAP Continuous Positive Airway Pressure 5 92 2 PR INOA aes rate E LM Lm SAU Uke 33 5 5 Turning Ventilator OFF ii re Etre b Kulin o ides 56 1 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Chapter 6 Chapter 7 Chapter 8 Chapter 9 Chapter 10 Chapter 11 Chapter 12 Chapter 13 mecs 5 6 1 Disconnect device arter USE mussaasmeasisnes salt ben iun 57 O2 SLOLSUG aumstvicimeisen isto Merc Ld t ce E ona ee nme fries 57 PilavinS ana WACICALONS Jixuuebsadtumemidtuntsium a RE IRE 58 71 Ventilation Alarms eene 58 7Z2 Battery status ndiedbOL sueetistmenu Ee tem E e S 40 ys JEEDS ursa MUN MIL E ME MEE MM MS 4 Cleaning Preventive Maintenance amp Servicing 42 8 1 Cleaning amp DISINFECTION esee 42 8 2 Charging the Battery ose ette tuta A 42 8 5 Ambient Air entrainment Filter sese eee eee eee 43 cri eae TM CC THE miesten 43 BRZ eo af kore DAT E TNT 44 OV SPECIHOST kastaa asa A EE 44 OF as nre I Desctibbloll aereoa T a 46 9 5 Battery and Power Supply Hee 47 OA Battery Operati
18. ical Data 9 1 Specifications FEATURES Protection against Class Il electric shock Classification Protection against pe electric shock Type BF IEC60601 1 Protection against IP X4 water E A C V SIMV CPAP Mask CPR and Intubated 5 60 10 or 1BPM 50 2000 4ml 15 BTPS 50 1400 4ml 15 BTPS Yes set flow rate or pressure will be Maximum Maximum Inspiratory hold time Maximum Inspiratory hold time time PB SAK sec 0 4 20 1096 or 2 m R36 4 20 1096 or 2 cm H20 10 80 10 or 2 cm H20 O 20 s 1096 or 2 cm H20 buogspesnetiv Bom 1 15 or 2 k oor orig in CPAP APNEA back up time sec 10 60 0 55 Battery Operating time at room gt 18 hrs for default settings Data obtained temperature hrs using fully charged new battery Altitude compensation Altitude compensation up to upto 4000m 13000 feet 15000 upto 4000m 13000 feet CC rs e 4 Mounting Bracket l mobile setting Battery level Yes 44 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Parameter settings Control Selection Knob w o Battery 1 77 Internal Volume of the complete approx 690 ml without mask respiratory system reusable and l approx 800 ml with mask disposable Dead space of patient valve with jor mi elbow Compliance disposable hose 16 6 ml Kpa system Resistance of Patient Hose system
19. indicator L to guide users to resume ventilation by pressing the Control Selection Knob M When ventilation is resumed the ventilator will recommence ventilation with current settings shown on the screen unless new set up selections were made 10 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version 3 2 9 Manual Hold During exhalation phase if Manual Hold button E in Figure 1 is pressed a mandatory breath will be initiated and either the flow rate or set pressure control parameter will be delivered as long as the Manual Hold button is pressed or until time setting is achieved After I time if the button still pressed the ventilator will switch to inspiratory hold function in which the ventilator will cut the flow but will keep the exhalation port closed in order to block exhaled gas from going to ambient resulting in the maintenance of lung pressure The maximum inspiratory hold time is 6 seconds After that time the ventilator will switch to exhalation phase by opening airway pressure to ambient Note Manual Inspiratory Hold function exists in all modes except CPAP and CPR 11 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 3 3 External Connectors O DC Input connector P Air Intake filter Q Sensor connector 1 R Sensor connector 2 S 22mm gas output connector T Gas supply input Figure 2 3 4 Patient circuit U Breathing control hose Figure 3 V 2 press
20. ing Parameters are displayed at the section 2 of the screen Paw av cm H20 Paw AV is the average patient airway pressure measured during the last 60 seconds This measurement is monitored by the ventilator at all times and modes The number on the display will be updated every 15 seconds Mve CL Minute volume is the total exhaled volume for the last 60 seconds as calculated using the last 8 breaths The Mve will constantly change as the value is recalculated and displayed at the end of exhalation phase When unit is first turned on or resumed after pause or on selecting a new mode the Mve calculation will be based on first then second then third and so on until the 8 exhaled tidal volume when the above logic will be followed Rate BPM Rate BPM is the rate at which breaths are delivered in one minute It is the monitored breath rate calculated by measuring the time interval Tp in seconds between 2 breaths Rate BPM 60 Ty The number is updated after each breath This number will be displayed for both mandatory and spontaneous breathing phases Vte ml Tidal volume is the volume exhaled from the patient in mandatory or spontaneous Vte is calculated by the measurement of the entire expired flow displayed as a volume Vte display will be updated at the beginning of the next inspiratory phase The end of exhalation phase Paw peak CM HO Peak air way pressure is the maximum pressure measured during the inspirator
21. ing time is about 5 5 hours from fully discharged Batteries have a minimum of 200 discharge and charge cycles 40 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 7 5 LEDs y nb EC A Green color LED Continuous when unit is ON and flashing when unit is OFF Red or Yellow color LED Flashing during alarm warning situation LED color depends on the severity of the failure Green color LED Continuous when unit is connected to AC power source during both ON and OFF phases Orange color LED Continuous when unit is charging and off when battery is fully charged during both ON and OFF phases During OFF phase this light will start flashing when battery capacity drops to around 90 Green color LED Continuous when unit is operated using internal battery 41 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Chapter 8 Cleaning Preventive Maintenance amp Servicing 8 1 Cleaning and Disinfection Disinfect the ventilator housing and supply hose using a damp cloth with a commercially available legally marketed disinfectant solution which is compatible with the materials of manufacture in accordance with local protocols Do not use chlorine based cleaning agents Make sure no liquids enter the ventilator connections or the ventilator Do not immerse the e600 Ventilator or patient circuit or supply hoses in disinfectant or other liquids serious electric shock hazard and damage to the ven
22. instructions Replace battery e600 cannot be switched on 53 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Chapter 11 Abbreviations and Acronyms te Ratio of inspiration time to expirationtime O rre expiratory time 54 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Chapter 12 Accessories O Two Single Use Electronic Transport Ventilator circuit 6 1 85 m patient circuit RTA IS N dens 1 83 m input pressure hose 9 16 DISS nut OIFV4302 3 Intake filter case of 10 O1CV8040 cs a Power supply Cord Canada and the US OICV0106 Battery Pack O1CV910O e Ventilator External Power Supply OICVO105 SMART MOUNT Mounting Bracket for Road O1EV7035 ambulance FIXED MOUNT Mounting Bracket for mobile O1EV7036 setting EM IL Test lung O1TA8152 Bacterial and Viral Filter case of 4O Bacterial and Viral Filter unit n Dead space and Resistance 30 Lom of Viral O2RT7500 U and Bacterial filter 26 ml amp O 7 cmH2O When ordering the ventilator please specify the input hose and power cable connectors Note 55 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Chapter 15 WARRANTY O Two Warrants the e600 ventilator when used in accordance with the instructions contained within this Manual for a period of two years from the date of purchase except for the following cases 1 Using unspecified parts accessories 2 An attempt to service by
23. ithout PEEP 5 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 9 7 Oxygen Concentration delivered against different back pressures Flow Rate L min O Concentration 96 52 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Chapter 10 Trouble shooting Warning Please contact manufacturer if a problem cannot be rectified For the safety of the patient and the Health care providers DO NOT continue using the ventilator Leaking mask ETT Make sure mask fits all patient circuit disconnected patient parts are properly connected change circuit patient circuit Replace hose check tube position EON EAN Ta a Sessio check ventilation settings and correct Check patient ventilation circuit High Airway Pressure check tube position adjust Pmax alarm value Apnea spontaneous breathing failed or Switch to Assist Control ventilation ensure connections tight Replace disconnection faulty i a patient circuit sensor No Oxygen 20 PSI Change Oxygen cylinder de TIINA Change Oxygen cylinder Leakage measured expiratory volume is Check leakage in breathing system 40 lower than set Invalid settin Resolve parameters conflict by J resetting out of range parameters Battery No proper discharges charging Faulty quickly battery Battery empty no Change Battery connect power power supply supply send to O Two for repair or connected defective service Charge Battery as per
24. l present and no external leak was detected using the above processes the unit must be returned to the manufacturer or its authorised service center for service or repair Function check After confirming no leak is present in the ventilator with the mains electrical supply connected proceed as follows 1 2 10 1l 12 13 14 Turn on the ventilator and select child default setting Let the ventilator cycle a few times and during cycling disconnect power supply the back up system should switch immediately to internal battery power LED indicators should also switch to internal battery Check battery level Do not run the ventilator if battery level is low install a fully charged battery During ventilator cycling observe pressure wave and live ventilation parameters on the screen Disconnect the test lung and check for BCI breathing circuit integrity visual alarm associated with yellow warning indicator BCI audible alarm associated with red warning indicator must activate in 15 seconds Block patient output completely to activate Pmax alarm should be activated Re connect the test lung BCI visual and audible alarms should be de activated Change Vt and observe changes on the lung live ventilation parameters and the pressure wave form Change Rate and observe changes on the lung live ventilation parameters and the pressure wave form Change LE ratio or Ti and observe changes on the lung live ventilati
25. nd liability provisions of the terms of sale and delivery of O Two Medical Technologies Inc are likewise not modified by the recommendations given above 56 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version e600 O Two Medical Technologies Inc 7575 Kimbel Street Mississauga ON L5S 1C8 CANADA Telephone 905 677 9410 Fax 905 677 2035 N A Toll Free 1 800 387 3405 E mail resuscitationaotwo com www otwo com Marcel Houben r3 Rue Vinave 32 4030 LIEGE Belgique e600 User Manual ISPL1010 Rev 3 Mar 24 2015 57 English version
26. ng UME Jamesiae ehna k 48 9 5 Electromagnetic Compatibility see 49 960 Oxygen consum pblOFP eset aain pe ete abe deco bep a 5 9 7 Oxygen Concentration delivered against different back 52 I MOTO EE EEceBle meaeeunohe C T 53 Abbreviations and Acronyms eene eene nnne eee 54 ACCO ONE cp CES 99 NYS IEA IIE AN RH MN 56 2 e600 User Manual 15PL101O Rev 3 Mar 24 2015 English version Chapter Safety N Warnings Federal Law restricts this device to sale by or on the order of a physician The ventilator shall only be used for purposes specified under Intended Use The ventilator should only be used by qualified personnel trained in its use Strict adherence to all instructions contained within this manual is essential for safe use During use the patient must be constantly monitored by qualified personnel Alternate means of ventilation must be available in case of power failure or malfunction Keep away from open flames sparks and grease oil To avoid the risk of fire or explosion this ventilator must not be used with flammable gases or anaesthetic agents Operating the unit in a confined space will elevate oxygen levels The ventilation setting will be interrupted during battery replacement while the device is in operational mode and the external power supply is not connected Only use O Two specified hoses patient circuits and external power supplies to avoid affecting the output perfo
27. ns even when operating from an external power supply so that continuous ventilation is not interrupted in absence of external power e he use of batteries other than those specified may cause the ventilator to fail and or endanger the patient and operator 4 1 2 Installing replacing the battery 1 Make sure the ventilator is turned off and unplugged from mains electrical supply 2 Turn screw knob on battery compartment cover anticlockwise to open the cover downwards 5 Disconnect the battery leads and pull out the battery pack using its stand off Never pull the battery pack by its leads Caution Always use the battery stand off to pull out the battery pack never pull the battery by its leads Figure 5 4 Insert the fully charged battery such that the battery stand off is positioned upwards as per illustration below attach battery connectors Close cover and turn screw knob clockwise to secure Battery Stand off Battery Leads Figure 5 17 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 4 1 5 Connecting the Gas Supply Connect the gas supply hose to the gas supply input T in Figure 2 of the e600 Connect the other end of the hose to the pressure outlet of the pressure regulator or wall outlet of piped medical oxygen system Turn cylinder valve slowly and fully AN Warning Extra care must be taken when handling oxygen O The e600 must only be used with medical oxygen
28. on parameters and the pressure wave form Turn off PEEP and observe changes on the lung live ventilation parameters and the pressure wave form Activate pause night mode and flow waveform to ensure proper functions and screen display Turn off oxygen cylinder and check for low pressure and no pressure audible and visual alarms Turn off Ventilator by pressing ON OFF button for 4 seconds 21 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Chapter 5 Operating Instructions 5 1 Start Up and Setting the Ventilation Parameters a Turn on the ventilator To turn on the ventilator press the ON OFF button N in Figure 1 for one second During that second the associated green LED will start blinking at a high freguency After 1 second the ventilator will turn on but with no ventilation at this point If the button is pressed and released for less than a second the ventilator will remain OFF b Start default ventilation Once the ventilator is turned on 3 Solid Silhouettes start up figures Shown in Figure 6 will be displayed on the screen representing Infant Child and Adult patient sizes Each size comes with pre set parameters close to the patient s size to guide the user to select for instant start up This eliminates the need for a potentially long set up before starting ventilation Note Start up figures are used during start up only and are not active during ventilation Figure 6 Start up Figures
29. ontrol additional ventilator functions z210N orr W To turn on the ventilator Press the ON OFF button N in Figure 1 for one second during that second the associated green LED will start flashing at a high frequency After 1 second the ventilator will turn on but without ventilation until the appropriate patient size symbol is selected If the button is pressed and released for less than a second the ventilator will remain OFF To turn off the ventilator Press and hold the ON OFF button for 4 seconds the green power LED will start flashing at a high frequency After 4 seconds the ventilator will turn off and all ventilation will stop If the button is pressed and held for less than 4 seconds the ventilator will stay ON N Warning At approximately 2 of full battery capacity the ventilator will not start when in the off position or will shut down when operating 3 2 2 Control Selection Knob The Control Selection Knob M in Figure 1 is used to navigate between parameters change modes select primary function change when rotated and to confirm function changes when pressed Diagram below illustrates path of cursor when Control Selection Knob is rotated clockwise 8 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Key Membrane Controls 3 2 5 Lock Lock function will disable all buttons and the Control Selection Knob except for the ON OFF Alarm Silence and Day Night buttons which are enabled at all times
30. or 5 cycle variations on power supply 7O96U1 for 25 cycle O96U4 for 25 cycle input lines lt 5 U for 5s 596U for 5s IEC61000 4 11 Power freguency 50 60 Hz magnetic field IEC61000 4 8 49 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 3Vrms 5OkHz to 80 5 Vrms MHz outside ISM bands MHz in ISM bands IEC61000 4 3 80 MHz to 2 5 GHz Conducted RF IEC61000 4 6 O Two e600 is intended for use in the electromagnetic environment in which radiated RF disturbances are controlled The user can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the O Two e600 as recommended below according to the maximum output power of the communications equipment Rated maximum 150kHz to 800 150kHz to 800 80 MHz to 800 MHz to output power MHz outside MHz in ISM of ISM bands d bands d 1 2VP 3 5 3 VP 50 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 9 6 Oxygen Consumption For a D size cylinder capacity of 425 liters pressurized to 2015 PSI and with the e600 set to the Adult default setting Vt 500ml Rate 10BPM 100 Oxygen the pneumatic operating time is 85 minutes without PEEP O 2 min L and is 39 minutes with maximum PEEP 0 089 min L Duration of consumption of a cylinder in minutes is calculated approximately by dividing the liter content by the minute volume with or w
31. or is not in use always turn off the gas supply Never allow oil or grease to come into contact with any part of the cylinder regulator or ventilator After use always ensure that all components are cleaned in accordance with the instructions provided in this manual See section 8 1 Cleaning and Disinfection The use of this device in a carrying case may result in an increase in oxygen concentration or lower than intended ventilation volume when used in the 60 air mix mode When air mix mode is being used it is recommended that the ventilator be placed in its normal operating orientation and the air intake on the side of the ventilator is not obstructed Never operate the ventilator without an intake filter being fitted otherwise particles may contaminate the ventilator and affect its function This ventilator must only be serviced by the manufacturer or its authorized service centers Device single use patient circuits and battery packs should be safely discarded in accordance with local state and institutional laws and procedures Spare O Two patient circuits are recommended at all times The design of this Ventilator does not incorporate a negative pressure phase during either automatic or manual ventilation The external power supply and battery are component parts of the medical electrical equipment system The ventilator is considered as a high flow device as its maximum flow output at press
32. r to Figure 2 b Connect the other end of patient circuit to test lung c Connect Input hose to input connector T and the other side of input hose to pressure regulator outlet d Connect power supply to DC input socket Leak Test Once all connections are verified slowly and fully turn on the oxygen cylinder valve From the pressure regulator gauge reading ensure cylinder pressure is above 650 PSI 45 bar otherwise replace with new oxygen cylinder Once pressurized turn off the oxygen cylinder and observe the pressure regulator gauge reading If pressure does not drop more than 0 5 PSI every 30 seconds the system is free from leaks To identify and repair the leak 1 Release the remaining gas from the system 2 Tighten all connecters firmly 5 Slowly and fully turn on oxygen cylinder and repeat the above leak test procedure 20 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 4 f leak still present spray oxygen compatible leak detector on hose and connectors Replace input hose or regulator if necessary 5 Slowly and fully turn on oxygen cylinder 6 Turn on ventilator and select child default setting 7 Press and hold manual button E and observe the pressure wave form on the screen If pressure drops immediately inspect patient circuit connections and ensure all connectors are attached Use leak detector if needed 8 Turn off the ventilator and pressure source Note If leak is stil
33. rmance of the ventilator Antistatic or conductive hoses or tubing are not used in the Ventilator Breathing System Unauthorized modification of this medical device is prohibited Do not disassemble or modify any part of the ventilator except where described in this manual Any unauthorized disassembly will void the warranty Do not use this ventilator in toxic environments as entrainment of ambient room air during spontaneous breathing or air mix mode may permit toxic gases to be delivered to the patient Do not use this ventilator within a Magnetic Resonance Imaging MRI NMR NMI suite Do not use this ventilator in hyperbaric high pressure chambers 5 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version Do not use the external electrical power supply outdoors as moisture may affect its function Do not contact the connector from the power supply and the patient simultaneously The performance of this ventilator may be affected if used around portable and mobile RF telecommunication devices cell phones within the minimum distance specified in section 9 5 of this user manual Intake port on the patient valve must be left unobstructed for proper function amp safety When using a bacterial filter or HME Heat Moisture Exchanger connect the bacterial filter or HME to the patient connection between the elbow and the endotracheal tube or face mask note that this action will increase the dead space Bacterial filt
34. selected area will be highlighted with solid contrast background Figure 9 Navigate among the available settings by rotating the Control Selection Knob M Press the Control Selection Knob M to choose the desired setting The chosen setting will turn yellow with the flashing confirmation symbol e and the Confirmation indicator L to guide users to activate the setup by pressing the Control Selection Knob M again Press the Control Selection Knob M to activate the setup Or repeat the above steps to continue to set up the other parameters The operator can also press the Cancel button K to go back to previous parameters before activation Finally press the Control Selection Knob M to activate the multiple setting setup at once Note If no selection occurs within 10 seconds or the Control Selection Knob M is not pressed to confirm the changed parameter setting within 10 seconds changes will be cancelled and the previous parameter values will remain 23 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version AC V Settings Rate BPM MENS N 1 Table 1 A C V mode default settings vt 2 50 Rate 15 BPM ERT PEEP 5 cm H 0 Trig 3 Limin Pmin 3 Pax 25 A J cm Hz Figure 7 A C V mode screen w default parameters Child setting vt 250 Showing frame Rate 15 around Mv 27 Parameter during ma E selection Ti 4 9 zu
35. tilator may occur If the Ventilator is accidently submerged in any liquid it must be returned to the manufacturer for factory service Do not attempt to clean intake filter or patient circuit Using a wet or damp filter may result in inaccurate parameters and potentially damage the ventilator N warning Risk of Explosion Cleaning agents containing alcohol or grease become flammable when combined with compressed oxygen and can cause explosions 8 2 Charging the battery Caution The ambient temperature for charging the batteries must be between O C and 35 C Notes The Battery pack can be charged during operation he Battery pack may be charged using external power supply supplied with the unit or the optional DC to DC power supply 1 Connect one end of the external power supply charger to its supply 100 to 240 Volts or on board vehicle socket and the other end to the DC input socket O in Figure 2 located on the side panel of the ventilator The indicator lights up as follows Green LED Continuous when unit is connected to external power source during both ON and OFF phases 42 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version EZ Orange LED Continuous when unit is charging and off when battery is fully charged during both ON and OFF phases 2 Turn unit ON and observe battery level section 1 of the screen Refer to 7 2 Battery Status Indicator for exact battery charging status The batt
36. totton Solid symbol ism REIG N A During invalid N A N A to manual selection Solid symbol Setting Conflict N A During invalid N A N A selection Flash symbol Confirm N A after primary N A N A selection 59 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 7 2 Battery Status Indicator Battery status will be displayed in section 1 of the display Figure 4 There are two different status indicators showing battery discharging Takble 7 1 and charging Table 7 2 status respectively Table 7 1 Battery discharging status O capac ty O RON dui of No Alarm full capacity K BE 25 of full On screen symbol change to Yellow color and capacity flashing Approx 5 of full On screen symbol change to Red color and capacity flashing with associated Red color warning LED Table 7 2 Battery charging status O capacity O capacity O capacity O capacity N Warning At approximately 2 of full battery capacity the ventilator will not start when it is turned off or will shut down when it is turned on Note Battery capacity levels are detected from measured voltages and the capacities shown above are based on results from new batteries tested at room and low temperature Battery capacity levels are subject to change when old batteries are used Fully charged Batteries must be recharged after a maximum of 12 months without usage or when an orange flashing led is operating Battery Re charg
37. ts and on screen visual animations followed by two 1 second mandatory breaths within a 5 second ventilation phase The ratio between chest compressions and ventilations is 50 2 Figure 13a he CPR mode for intubated patients consists of continuous compressions indicated by an audible prompt and visual animation at a rate of 100 compressions per minute plus automatically delivered breath every 6 seconds Figure 135b The ventilation in CPR mode is flow controlled ventilation The default tidal volume is set according to the initial start up patient size selection when switching to CPR mode but could be adjusted to desired values The FIO is fixed at 10096 oxygen during CRP mode The ventilator will automatically compensate up to 30 of the required tidal volume Vt in case a leak is detected Beyond this limit low Paw visual and audible alarms will be activated to warn rescuer to either re apply the mask or increase the set tidal volume Table 5 Default Ventilation Setting CPR Parameter Range Default Child Adult Tidal Volume 6 1400 mb 10 80 cm H20 0 20 cm HO during time only 33 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version CPR for masked patients On screen chest compressing animation On screen ventilation animation Paw KTT PAE xe PETETA 30 times chest compressions 2 times wentilations Flow 18s 4si1s 2s 1s e Figure 13 a CPR waveform for masked patient 54
38. uld a new alarm develop the Alarm Silence function will continue and only the new alarm will be shown flashing on the screen Alarms will be visible in section 4 or section 7 of the display Figure 4 There could be multiple alarm warning symbols visible on the screen indicating multiple failures occurring at the same time In this case the visible and audible alarms will be based on highest priority alarm All ventilation alarms of e600 are listed in the following Table 6 58 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Table 6 Ventilation Alarms Svmbol Name Priorit visua a Audible Alarm Patient Circuit Hiah after 15 Flashin Flashing Yellow for 15 sec delay Two P a CI disconnect Breathing 2 i 15 seconds then bursts with five ORO seconds symbol circuit Integrity Red pulses LowPaw Low Airway Pressure High Flashing Two bursts with symbol five pulses HighPaw ISA Tweed High Flashing Two bursts with symbol five pulses Leak at 40 Flashing Two bursts with High below set Vt symbol five pulses No Oxygen Flashing Two bursts with 4 Low Oxygen l Flashing One burst with High input pressure Flashing Two bursts with sh APNEA WERE High Flashing Two bursts with symbol five pulses Flashing Low Battery Low Flashing N A N A symbol S N A Flashing Yellow every 15 N A symbol seconds N Flashing Two bursts with five pulses Solid symbol during Patient effort m m Patient patn
39. ure of 40 6 PSI is around 75 L min It should only be connected to a pipeline system that allows for the indicated high flow to avoid interfering with the operation of adjacent equipment Always ensure that all components are assembled correctly and ready for use Exhaled volume of the patient can differ from the measured exhaled volume due to leaks around the mask When selecting very small tidal volumes during ventilation of infants with take into consideration the dead space in the patient circuit 5 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Chapter 2 Intended Use The e600 is a time cycled and volume constant emergency and transport ventilator designed for use in the pre hospital intra hospital inter hospital and transport settings It is intended for use with adult child infant patients with a tidal volume from 50 ml upwards who are in respiratory and or cardiac arrest or respiratory distress and who require the ventilatory support 6 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version Chapter 3 Overview 3 1 Control and Display Layout N A M B C L D E K F J G H Figure 1 G Alarm Silence button N ON OFF button 7 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 3 2 Function Keys While all ventilation parameter settings are controlled by the Control Selection Knob M in Figure 1 there are a number of key membrane buttons which c
40. ure sensing hoses W one way intake valve X Exhalation port Y breathing valve Z Flow sensor adapter 12 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 5 5 Display 3 5 1 Screen Layout The screen is divided into 7 sections as shown below and each section is dedicated to display the following parameters Section 1 Section 2 Section 3 Section 4 Section 5 Section 6 Section 7 Note By changing the ventilation mode section 6 of the display will change accordingly to reflect the default or set up parameters for each mode Battery status during charge and discharge Live ventilation parameters Vte Mve Paw peak Paw av Rate Ventilation Modes A C V SIMV CPAP amp CPR Alarms Warnings Ventilation waveforms Set up parameters Confirmation request Patient effort Invalid or Conflict setting Figure 4 The followings are screen layouts for each ventilation mode t A C screen layout 13 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version SIMV mi Rate SIN SIMV screen layout SIMV Rate Mv Ii Pmax cmHzo Trig Limin N 0 b gt Vv CPAP screen layout IJ T APHEA lel CPR screen layout Ji mil 14 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version 3 5 2 Live Monitoring Parameters The following Live Monitor
41. y phase The displayed number on the screen represents the maximum pressure during mandatory inspiratory phase of A CV SIMV CPR modes as well as spontaneous inspiratory phase of CPAP mode This number will be updated at the end of each inspiratory phase Note Mve Rate and Daw Av are not active during CPR mode and displayed with 15 e600 User Manual 5PL1010 Rev 3 Mar 24 2015 English version 5 6 Symbols and Notations MN A Caution Consult instructions for use Warning Risk of injury and possible negative patient outcome Warns of material damage and negative patient outcome Offers useful tips to assist in the proper use of the equipment Confirmation Symbol Invalid Setting Symbol Conflict Setting Symbol Keep away from opened flames No smoking around ventilator Ingress protection rating Splash proof Do not immerse Class II equipment Protection against electric doesn t rely on Basic Insulation only additional safety precautions such as Double or Reinforced insulation are provided Type BF applied part 16 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version Chapter 4 Preparation for Use 4 1 Setup 4 1 1 Connecting electrical power supply The e600 is designed to operate using one of the following power options e Internal rechargeable battery pack e AC to DC external power supply Caution e A fully charged battery must be always installed for safety reaso
42. ygen ventilation is required or through a Venturi system used to entrain air to provide an oxygen concentration of 6096 46 e600 User Manual ISPL1010 Rev 3 Mar 24 2015 English version 9 5 Battery amp Power Supply Battery Pack Battery Cell Type Rechargeable Lithium lon Cell Type AICR19 65 3 Nominal Capacity 7500 mAh Min 111Wh Nominal Voltage 14 8V Max Charging 3750 MA Current Pio ense 16 8V 0 1V Voltage Dimension 144 x 62 x 42 Weight 642 g set EET Meet reguirements of E IEC62133 2002 Note The behaviour of the ventilator will not be affected while the battery is chargino AC DC Power Supply AC DC power Model PMP90 13 2 O1CVO105 supply Nominal Input er 110 220V DC Output Plug 2 5 x 5 5 x Imm DC Output Cable Length AC Power Cord Length Weight EMC performance Meet requirements of IEC60601 1 2 Meet requirements of IEC60601 Safety Standards 1 2005 Note Upon disconnecting AC Power supply Ventilator will automatically switch to Battery operation without affecting ventilator behaviour 47 e600 User Manual 15PL1010 Rev 3 Mar 24 2015 English version 9 4 Battery Operating Time Battery operation time ranges from 24 hours in Normal operation and temperature conditions to 15 hours in extreme operation and temperature COM l gt gt U b w o PEEP 18C c with PEEP 20C O O O c e C e I 2 O 2 I e e O e Battery Discharge time 48 e600 User Manu
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