USER MANUAL The Vest ® Airway Clearance System, Model 205
Contents
1. 05 gt 12Hz 01 04 25 12Min Press ON to Inflate 5 Hz Ramping as it counts down to zero NOTE Therapy settings can not be changed during Ramping stage 44 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 7 1115 necessary to pause the treatment during a session do as follows a Pressthe OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will deflate 7 Hz 4 5 MIN Press ON To Resume b Toresume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 8 Ifitis necessary to end the treatment session before it is complete press the OFF button twice NOTE Pressing the OFF button does not turn off the screen 9 When the OFF button is pressed twice the disposable garment deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press the ON button to continue to the main screen 10 When the treatment session is complete a The Session C2. c The garment will deflate 13 While the pause happens the patient should cough as prescribed 14 When the timer reaches zero the garment will inflate and therapy will resume NOTE If additional time is needed press the OFF control to pause the unit NOTE To resume therapy before the cough pause timer expires you can press ON or squeeze the Remote Control 15 Therapy will automatically end after it has gone through each WL C c nls Programming Point 16 If itis necessary to pause the treatment during a session do as follows The Veste Airway Clearance System Model 205 35 User Manual 140643 REV 6 a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE 7 Hz 6 5 MIN Press OFF To Pause When the unit is paused the disposable garment will deflate b To resume treatment press the ON button or the Remote Control again 17 When the time for a cough pause is reached these will happen a unit will pause b The display will change to show the pause duration timer c The garment will deflate 7 Hz 4 5 MIN Press ON To Resume Coush Needed Press ON To Resume
3. Once the main screen is visible unplug the unit and plug it back in The unit will automatically reconfigure in Spanish To switch back to English repeat the steps and choose ingles instead of Spanish Disable the Program Modes Program and Ramp 1 Press the left Up arrow button above NORMAL The Normal mode screen shows 2 Press the two outside Down arrow buttons for a minimum of 3 NORMAL PGM RAMP seconds or until the screen changes 3 Press the right Up arrow button above Programs Defaults Programs ENGLISH Spanish ACCEPT The Veste Airway Clearance System Model 205 25 User Manual 140643 REV 6 8 Press the right Up arrow button above pgm disable It will turn to PGM PGM ENABLE pgm see DISABLE To accept the change press the right Down arrow below ACCEPT To accept all changes and exit out of the menu press the right Defaults Programs Down arrow button ENGLISH Spanish ACCEPT below the word ACCEPT Once you have accepted the change the system will automatically re boot and go to the main screen of NORMAL Mode You will no longer be able to see the Program or Ramp mode programs To switch back to Program Mode repeat the steps starting a
4. above RAMP to run rI the previously created NORMAL PGM RAMP ramp program New New Ramp 9 2 The programmed points will be shown Press the ON button 05 gt 12Hz 01 gt 04 25 12Min to advance to the next Press ON to Inflate screen 3 Press the ON button The disposable garment will inflate 4 Press the ON button again to begin the program The screen will show the word Ramping during the ramp portion of the program The total treatment Time shows as it counts down to zero NOTE Therapy settings cannot be changed during Ramping stage 5 Hz Ramping 5 Ifit is necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will deflate The Veste Airway Clearance System Model 205 23 User Manual 140643 REV 6 6 Ifit is necessary to To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume end the treatment session before it is complete press the OFF button NOTE Pressing the OFF button does not turn off the screen 7 When the OFF button is pressed
5. Frequency setting press the left Up or Down 5 e N 2 oFF Ri arrow buttons rS until the prescribed treatment shows on the screen The Frequency or Hertz Hz may be set between 5 and 20 cycles per second b To adjust the Pressure setting press the middle Up or Down arrow buttons until the prescribed treatment Pressure shows on the screen The Pressure may be set between 1 and 10 c adjust the treatment Time press the right Up or Down arrow buttons until the prescribed treatment Time shows on the screen The treatment Time may be set between 1 and 60 minutes The Veste Airway Clearance System Model 205 13 User Manual 140643 REV 6 NOTE It is not necessary to stop the treatment to adjust the settings NOTE If the backlight turns itself OFF press any button to turn it back ON 3 Press the ON button The disposable garment will inflate 7 Hz 6 5 MIN NOTE Start Therapy Press ON If the unit is left in this mode for 10 minutes it will turn off 4 Press the ON button again to begin the treatment The set treatment Time shows as it counts down to zero 5 Ifit is necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will
6. NORMAL PGM RAMP New Pgm New Ramp The Veste Airway Clearance System Model 205 29 User Manual 140643 REV 6 Use The Vest Airway Clearance System software version 1 22 Make sure the unit is set up correctly Once power is connected the unit will show a blank screen for up to 15 seconds Then it will show the model number the total therapy hours for the unit and software revision This screen will show for 10 seconds or until you press the ON button NOTE To show the total therapy hours press the OFF button when the unit is on the main menu Normal Mode Normal Mode is using one Frequency Pressure and Time settings for the entire therapy session f ES NORMAL ON J 1 Press the Up arrow button above NORMAL for the standard operation mode The screen will show the previously programmed Frequency Pressure and treatment Time settings either factory settings or settings programmed by your clinical trainer based on your doctor s prescription 2 Confirm the settings on the screen If the settings match the prescribed treatment continue to step 3 Otherwise adjust the settings to match the prescription a To adjust the Frequency setting press the left Up or Down arrow buttons until the prescribed treatment shows on the screen The Frequency or Hertz Hz may be set between 5 and 2
7. 18 While the pause happens the patient should cough as prescribed 19 When the timer reaches zero the garment will inflate and therapy will resume NOTE If additional time is needed press the OFF control to pause the unit NOTE To resume therapy before the cough pause timer expires you can press ON or squeeze the Remote Control 20 If it is necessary to end the treatment session before it is complete press the OFF button twice NOTE Pressing the OFF button does not turn off the screen 36 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 21 When the OFF button is pressed twice the disposable garment deflates and the Incomplete X Min Remain message shows on the screen You must press the ON button to continue to the Program and Ramp main screen Incomplete 5 Min Remain Press ON for Main Menu 22 When the treatment session is complete a Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates 23 Unplug the system from its power source 24 Remove the Air Hoses from the Air Hose Ports on the disposable garment 25 Remove the disposable garment Use the Program Mode Runs a previously created New Program Mode see Set and Use the New Program Mode on
8. P300633005 Extra Large package of 5 gt 53 to 67 135 to 170 cm P300634005 XX Large package of 5 gt 67 to 75 170 cm to 190 cm P300600005 Starter Pack 1 Small 2 Medium 1 Large 1 Extra Large Single Patient Use Disposable Full SPU Vest Part Number P300200000 Description Child Medium 23 to 27 58 cm to 69 cm P300205000 Child Large gt 27 to 31 69 cm to 79 cm P300208000 gt 27 to 31 69 cm to 79 cm P300210000 Adult Extra Small slim Adult Small gt 31 to 36 79 cm to 91 cm P300215000 Adult Medium gt 36 to 45 91 cm to 114 cm P300220000 gt 45 to 52 114 cm to 132 Adult Large Stand and Air Pulse Generator Part Number Description 143512 Caster 142232 Remote Control Assembly P0049825 Disposable Air Hose 10 case The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 57 Part Number Description 142200 Rubber Mount Pad 142319 Power Cord 140660 Screw Kit mounting 205500 Stand Assembly 143513 Basket Assembly Size the Disposable Garments To size the disposable garment do as follows 1 Have the patient take a deep breath and hold it 2 Using a tape measure loosely measure around the patient at the largest part of their chest Women should be measured at the bust line 3 Select the disposable garment size based on t
9. Common prescriptions specify a treatment session Time to be between 10 and 30 minutes Prescribed treatment session times may be different Refer to the physician s orders or facility protocol How often should treatment sessions be given The Frequency of treatment sessions depends on the patient s underlying disease age and state of health The patient s physician will prescribe a schedule for the individual patient Is chest physiotherapy still necessary Inanumber of studies The Vesta Airway Clearance System has been shown to supply more effective Airway Clearance Therapy than conventional chest physiotherapy Typically it is not necessary to do chest physiotherapy along with therapy treatment sessions with The Vest Airway Clearance System Refer to the physician s order Is postural drainage still necessary The Vestg Airway Clearance System moves mucus by generating airflow within the lungs It works in any position so generally it should not be necessary to do postural drainage Refer to the physician s order 70 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 What will happen if a patient s treatment session is skipped One missed treatment session of the system may or may not immediately impact the patient s health However the key to help maintain the patient s health is consistent effective therapy Try to follow the patient s care plan as closely as possible C
10. 2 each 4A 5 x 20 mm Littlefuse part number F4AL250V Environmental Conditions for Transport and Storage Condition Temperature Range 40 F to 158 F 40 C to 70 C Relative humidity 95 non condensing Pressure 500 hPa to 1060 hPa Environmental Conditions for Use Condition Range Temperature 50 F to 93 F 10 C to 34 C ambient temperature Relative humidity range 30 to 75 non condensing Atmospheric Pressure 700 hPa to 1060 hPa 64 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 Classification and Standards Technical and Quality Assurance UL EN IEC 60601 1 CAN CSA C22 2 No 601 1 ISO 13485 Equipment Classification Class II Degree of Protection Against Electric Shock BF with type F applied part Classification According to Directive 93 42 EEC Degree of Protection Against Ingress of Water IPX 0 Degree of Protection Against the Presence of Flammable Anaesthetic Mixtures Not for use with flammable anaesthetics The Vest Airway Clearance System Model 205 is a continuous operation device classified with Underwriters Laboratories Inc UL in the United States and licensed with Health Canada The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 65 Guidance and Manufacturer s Declaration Electromagnetic Immunity The Vest Ai
11. 81 0 3 5715 3425 Nordic Region Sverige Denmark Norge Hill Rom AB Tel 46 0 8 564 353 60 Fax 46 0 8 564 353 61 se marketing hill rom com South East Asia Hill Rom Singapore Tel 65 0 6391 1322 Fax 65 0 6391 1324
12. 140643 REV 6 Move the Air Pulse Generator 1 Unplug the Air Pulse Generator from its power source 2 Stow the Power Cord on the holder on the back of the stand Ad CAUTION Failure to lower the Air Pulse Generator to the lowest position could cause it to tip over during transport 3 Lower the Air Pulse Generator to the lowest position Lift the brake release on all four casters Move the Air Pulse Generator to the applicable location Press down on the brake release to set the brakes on all four casters Adjust the height of the Air Pulse Generator to the desired position Plug the Air Pulse Generator into an applicable power source Brake released Brake set 52 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Raise or Lower the Air Pulse Generator 1 Hold the Height Adjustment Release Lever on the side of the stand 2 Pull the Height Adjustment Release Lever upwards toward to the shelf 3 Push down or pull up on the shelf to adjust the height 4 When the desired height is reached release the Height Adjustment Release Lever The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 53 Cleaning A WARNING Follow the product manufacturer s instructions Failure to do so could cause personal injury or equipment damage SHOCK HAZARD Unplug the unit from its pow
13. 15BF Medical Equipment with respect to electric shock fire mechanical and other specified hazards only in accordance with UL EN IEC 60601 1 and CAN CSA C22 2 No 601 1 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Symbol 0123 Definition The Vest Airway Clearance System Model 205 conforms to the European Medical Device Directive 93 42 EEC Units made before May 2 2008 CE The Vest Airway Clearance System Model 205 conforms to the European Medical Device Directive 93 42 EEC Units made after May 3 2008 Identifies a replaceable fuse link in an elec tronic circuit Manufacturer or distributor complies with the Waste Electric and Electronic Equipment Directive 2002 96 EC 5 Z Do Not Spray The Veste Airway Clearance System Model 205 63 User Manual 140643 REV 6 Specifications Feature Dimension Air Pulse Generator weight 17 lb 8 kg Air Pulse Generator height 9 5 24 1 cm Air Pulse Generator width 13 33 cm Air Pulse Generator depth 9 5 24 1 cm Stand weight 65 Ib 29 kg Stand height lowest position 29 73 6 cm Stand height highest position 39 99 1 cm Disposable garment material Wrap SPU Vest and Full SPU Vest Polyurethane coated nylon Electrical requirements 100 V AC to 230 V AC 50 60 Hz 3 4 Amps 100 V AC 2 0 Amps 230 V AC Fuse requirement
14. the disposable garment deflates and the Incomplete 5 Min Remain Incomplete X Min Remain message Press ON for Main Menu shows on the screen You must press the ON button to continue to the main screen 8 When the treatment session is complete a f The Session Complete message shows Session Complete The pulsations Press ON for Main Menu stop The disposable garment deflates Immediately unplug the system from its power source Remove the Air Hoses from the Air Hose Ports on the disposable garment Remove the disposable garment from the patient Change the Language 1 Press the Up arrow button above NORMAL The Normal mode screen shows 24 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Press the two outside Down arrow buttons for a minimum of 3 seconds or until the screen changes OFF Ki 7 Hz 6 5 MIN ON Press ON to Inflate 2 Press the Down arrow button below Spanish it will turn Spanish to SPANISH db pua To accept the change press the Down arrow button below ACEPTAR p ACCEPT in English e 7 J Once you have accepted the change the system will automatically re boot and go back to the main screen in Spanish
15. 0 02 950541 Fax 39 0 02 95328578 Nederland Hill Rom Medical Services BV Tel 31 0 347 32 35 32 Fax 31 0 347 32 35 00 sterreich Hill Rom Austria GmbH Tel 43 0 2243 28550 Fax 43 0 2243 28550 19 austria hill rom com Suisse Schweiz Hill Rom SA Tel 41 0 21 706 21 30 Fax 41 0 21 706 21 33 hrch info ghill rom St Paul MN Hill Rom Inc Tel 651 490 1468 or 800 426 4224 www thevest com Belgique Belgi Hill Rom Medical Services BV Tel 31 0 347 32 35 32 Fax 31 0 347 32 35 00 Deutschland Hill Rom GmbH Tel 49 0 211 16450 0 Fax 49 0 211 16450 182 Su Hong Kong Hill Rom Asia Ltd Tel 852 0 2297 2395 Fax 852 0 2297 0090 AA Hill Rom Japan Tel 81 0 3 5715 3420 Fax 81 0 3 5715 3425 New Zealand c o Hill Rom Australia Pty Ltd Tel 61 0 2 8814 3000 Fax 61 0 2 8814 3030 Portugal Hill Rom Iberia S L Tel 34 0 93 685 6009 Fax 34 0 93 666 5570 United Kingdom Hill Rom Ltd Tel 44 0 1530 411000 Fax 44 0 1530 411555 International Hill Rom Inc International Department Tel 1 0 812 934 8173 Fax 1 0 812 934 7191 www hill rom com international hill rom com Canada Hill Rom Canada Tel 800 267 2337 Espana Hill Rom Iberia S L Tel 34 0 93 685 6009 Fax 34 0 93 666 5570 Ireland Hill Rom Ltd Tel 353 0 1 413 6005 Fax 353 0 1 413 6030 dublin sales hill rom com EE c o Hill Rom Japan Tel 81 0 3 5715 3420 Fax
16. Manual 140643 REV 6 b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 6 Ifit is necessary to end the treatment session before it is complete press the OFF button twice NOTE Pressing the OFF button does not turn off the screen 7 When the OFF button is pressed twice the disposable garment deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press the ON button to continue to the main screen 8 When the treatment session is complete a The Session Complete message shows Session Complete Press ON for Main Menu b The pulsations stop c The disposable garment deflates 9 Unplug the system from its power source 10 Remove the Air Hoses from the Air Hose Ports on the disposable garment 11 Remove the disposable garment Set and Use the New Program Mode New Program Mode allows the programming of Program A and Program B modes each with up to eight 8 points with various settings within a single therapy session It also allows the programming of the Cough Pause feature reminder to cough 32 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 NOTE All the settings can be adjusted N
17. New Ramp Mode 19 Using the Ramp Mode 23 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Change the Language 24 Disable the Program Modes Program and Ramp 25 Set Facility Custom Default Settings 26 Use The Vest Airway Clearance System software version 1 22 0 saa ce eee 30 Normal Mode 00 0 0c eee eee ee eee 30 Set and Use the New Program Mode 32 Use the Program Mode 37 Set and Use the New Ramp Mode 40 Use the Ramp Mode 44 Change the Language 46 Disable the Program Modes Program and Ramp modes 47 Set Custom Default 48 Move the Air Pulse Generator 52 Raise or Lower the Air Pulse Generator 53 Cleanings ies Spay ele OD eS 54 General Cleaning 55 Steam Cleaning 0 eee 55 Cleaning Hard to Clean 55 Disinfecting sdy u sta shee iis Sh dak ug vba 55 Maintenance coder el cS RE ies Ma SA a 56 Disposable Garments and Replacement Parts 57 Size the Disposable Garments 58 service Calls oerte e Ae PR ene 58 Troubleshooting s
18. Point 9 Adjust Frequency Pressure and Time for each Program Point 1 thru 8 or change the time to zero after Programming Point 3 to make the previous point the last point The Veste Airway Clearance System Model 205 27 User Manual 140643 REV 6 10 11 12 13 14 Press the ON button to advance to the next default setting Adjust the Ramp Time Percent for the Default Ramp mode using the right Up and Down arrow buttons and press the ON button Adjust the Ramp Start Frequency and Pressure settings for default Ramp Mode by using the left and middle Up and Down arrow buttons and press the ON button Adjust the Ramp End settings for default Ramp Mode Frequency Pressure and Time using the Up and Down arrow buttons and press the ON button To accept all of the changes press the right Down arrow below ACCEPT 12 Hz 4 7 MIN Program Point 1 PGM ENABLE pgm disable ACCEPT 28 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 15 Once you have accepted the change it will automatically re boot the system and go back to the main screen 16 To switch back to previous patient default mode repeat the steps and select prev pt instead of default
19. Press ON for Main Menu stop c The disposable garment deflates 15 Unplug the system from its power source 16 Remove the Air Hoses from the Air Hose Ports on the disposable garment 17 Remove the disposable garment Set and Use the New Ramp Mode Creates a new Ramp Program to ease the patient from a lower setting to a higher setting during a limited period of the therapy session A WARNING Consult your physician if not using the prescription as provided Failure to do so can result in personal injury 1 Press the ON button 2 Press the UP arrow button above 1 a a CUSTOM NORMAL CUSTOM on c on OFF fo 2 P J En m 3 Pressthe Down arrow button below New Ramp New to adjust the program settings 40 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 4 Look at the settings on the screen Ramp Time Percent is the 25 Pct portion of the P 5 Ramp Time Pere treatment Time i 57 Z lt required to increase from the initial settings Ramp Start to the final settings Ramp End To adjust the percent to the prescribed therapy press the right Up or Down arrow buttons 5 Press the ON button to advance to the next screen
20. deflate 7 Hz 6 5 MIN Press OFF To Pause b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 6 Ifit is necessary to end the treatment session before it is complete press the OFF button NOTE Pressing the OFF button does not turn off the screen 14 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 7 When the OFF button is pressed the disposable garment deflates and the Incomplete 5 Min Remain Incomplete X Min Remain message Press ON for Main Menu shows on the screen You must press ON to continue to the main screen 8 When the treatment session is complete a f The Session Complete message shows Session Complete Press ON for Main Menu The pulsations stop The disposable garment deflates Immediately unplug the system from its power source Remove the Air Hoses from the Air Hose Ports on the disposable garment Remove the disposable garment from the patient Setting and Using a New Program Mode New Program Mode allows the caregiver to program up to eight 8 points with various settings within a single therapy session 1 Press the Down arrow below New Pgm to create a new program The scre
21. page 32 A WARNING Consult your physician before you change the prescribed settings Failure to do so can cause personal injury 1 Press the ON button The Veste Airway Clearance System Model 205 37 User Manual 140643 REV 6 2 Press the UP arrow button above CUSTOM 3 Press the Up arrow button above PGM A or PGM B to run the previously created program or selected default program 4 Press the ON button The disposable garment will inflate 5 Press the ON button again to begin the treatment program The set treatment Time shows as it counts down to zero for each Programming Point 6 The therapy will automatically end after it has gone through each of the Programming Points 7 Ifitis necessary to pause the treatment 12 Hz 4 7 MIN Program Point 8 during a session do as follows a Pressthe OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE 7 Hz 6 5 MIN Press OFF To Pause When the unit is paused the disposable garment will deflate 38 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 b To resume treatment press
22. the left Up or Down arrow buttons until the prescribed setting shows on the screen Frequency or Hertz Hz may be set between the Ramp Start setting and 20 cycles per second To adjust the Pressure setting press the middle Up or Down arrow buttons until the prescribed setting shows on the screen Pressure may be set between the Ramp Start setting and 10 20 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 c To adjust the treatment Time press the right Up or Down arrow buttons until the prescribed treatment Time shows on the screen The treatment Time may be set between and 60 minutes 7 Press the ON button to advance to the next screen This screen shows the summary of the ramp program you have just created 8 Press the ON button The disposable garment will inflate 05 gt 12Hz 01 04 25 12Min Press ON to Inflate 9 Press the ON button again to begin the therapy The screen will show the word eee Ramping during the ramp portion of the program The total treatment Time shows as it counts down to zero NOTE Therapy settings cannot be changed during Ramping stage 10 If it is necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue
23. to show on the screen NOTE When the unit is paused the disposable garment will deflate The Vestg Airway Clearance System Model 205 21 User Manual 140643 REV 6 b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 11 Ifit is necessary to end the treatment session before it is complete press the OFF button NOTE Pressing the OFF button does not turn off the screen 12 When the OFF button is pressed the disposable garment deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press ON to continue to the main screen 13 When the treatment session is complete a The Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose Ports on the disposable garment f Remove the disposable garment from the patient The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Using the Ramp Mode Allows the caregiver to run a previously created Ramp Program see Set and Use the New Ramp Mode on page 40 1 Press the Up arrow
24. 0 cycles per second 30 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 To adjust the Pressure setting press the middle 7 Hz 6 Up or Down Press ON To Conti arrow buttons until the prescribed treatment Pressure shows on the screen The Pressure may be set between 1 and 10 To adjust the treatment Time press the right Up or Down arrow buttons until the prescribed treatment Time shows on the screen The treatment Time may be set between and 60 minutes It is not necessary to stop the treatment to adjust the settings 3 Press the ON button The disposable garment will inflate NOTE If the unit is left in this mode for 10 minutes it 7 Hz 6 5 MIN Start Therapy Press ON will turn off 4 Press the ON button again to begin the treatment The set treatment Time shows as it counts down to zero 5 Ifit is necessary to pause the treatment during a session do as follows a NOTE Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen 7 Hz 6 5 MINIS Press OFF To Pause When the unit is paused the disposable garment will deflate The Veste Airway Clearance System Model 205 31 User
25. 6 Review the settings for Frequency and Pressure for the initial setting Ramp Start a adjust the Frequency setting press the left Up or Down arrow buttons until the prescribed treatment shows on the screen The Frequency or Hertz Hz may be set between 5 and 20 cycles per second b To adjust the Pressure setting press the middle Up or Down m 5 ior 9 Ram arrow buttons until the 3 prescribed treatment Pressure shows on the screen Pressure may be set between 1 and 10 7 Press the ON button to advance to the next screen 8 Review the settings on the screen Frequency and Pressure for the final setting Ramp End are shown as treatment Time a To adjust the Frequency setting press the left Up or Down arrow buttons until the prescribed setting shows on the screen Frequency or Hertz Hz may be set between the Ramp Start setting and 20 cycles per second The Veste Airway Clearance System Model 205 41 User Manual 140643 REV 6 To adjust the Pressure setting press the middle Up or Down arrow buttons until the prescribed setting shows on the screen Pressure may be set between the Ramp Start setting and 10 c To adjust the treatment Time press the right Up or Down arrow buttons until the prescribed treatment Time shows on the screen The treatment Time may be set between 1 and 60 min
26. HAZARD WARNING NOTE These document symbols may or may not be used in this manual The Vestg Airway Clearance System Model 205 1 User Manual 140643 REV 6 Precautions Federal USA law restricts this device to sale by or on the order of a physician Unplug this system immediately after you use it Do not use the system near flammable chemicals or products including flammable anaesthetics To do so could cause personal injury or equipment damage Use close supervision when this system is used by or near children or patients with physical limitations Use this system only for its intended use Use only those attachments that are specified by the manufacturer Patients that may have difficulty clearing secretions from the upper airway such as those with DMD or other advanced neuromuscular or neurological disorders may require specialized therapy regiments involving manually or mechanically assisted coughing or other techniques in conjunction with The Vest Airway Clearance System Model 205 therapy Please consult your physician to determine if additional therapy is appropriate To help prevent cross contamination replace the single patient use disposable garment between patients Only authorized persons should service the unit If service is necessary call Hill Rom Technical Support For contact information refer to the back cover For countries not listed on the back cover contact your distributor Do not
27. MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Transmitter 3 5 3 5 7 d Fars d V E E 0 01 W 0 12 m 0 12 m 0 23 m 0 1 W 0 37 m 0 37 m 0 74 m Iw 12m 12m 2 3 m 10W 3 7m 3 7m 7 4m 100 W 12m 12m 23m applies For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated with the use of the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE At 80 MHz to 800 MHz the separation distance for the higher frequency range NOTE These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 69 Frequently Asked Questions Is The Vest Airway Clearance System as effective as chest physiotherapy CPT Research has shown that the system is nearly three times as effective as the use of chest physiotherapy to move airway secretions Does The Vest Airway Clearance System effectively treat all areas of the lungs Yes Since the system oscillates the chest wall to create airflow it applies percussion to all lung areas to effectively treat all lobes of the lung at once How long should each Airway Clearance Therapy treatment session last
28. OTE You can program up to 8 different Programming Points each with its own combination of Frequency Pressure and treatment Time A WARNING Consult your physician before you change the prescribed settings Failure to do so can cause personal injury 1 Press the ON button MODEL 105 xxxxx x HRS Press ON To Continue Sd y 2 NORMAL CUSTOM on J 2 Press the UP arrow button above CUSTOM Ki 3 Doone of these a To program the Ramp mode press the Down arrow under RAMP NEW and see Set and Use the New Ramp Mode on page 40 b To program Program A or Program B press the Down arrow button below PGM A NEW or PGM B NEW and go to step 4 The Veste Airway Clearance System Model 205 33 User Manual 140643 REV 6 Press the Up or Down arrow for Cough Pause Reminder duration time between cough pauses A zero 0 time will turn off the Cough Pause feature PGM B Cough 8 MIN ON Reminder OFF lt lt S Press On to go to the next screen Press the Up or Down arrow to select the pause duration This will set the duration the unit pauses for coughs Press On t
29. REV 6 Remote Control Can be used instead of the ON OFF button to pause or resume the Air Pulse Generator Height Adjustment Release Lever Used to raise or lower the Air Pulse Generator to a comfortable working height Locking Casters Keeps the stand and Air Pulse Generator from unintentionally moving Stand Holds the Air Pulse Generator Storage Basket Can be used to store disposable garments Air Hose Connector Ports Air Hoses connect to the Air Hose Connector Ports on the front of the Air Pulse Generator Air Hoses Connect the disposable garment to the Air Pulse Generator Control Panel Shows the modes system settings and system messages The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Assembly 1 Align the two posts on the rubber mat with the holes in the top of the stand 2 Align the holes on the bottom of the Air Pulse Generator with the posts on the rubber mat NOTE The screen on the Air Pulse Generator faces the side of the stand that the basket is on 3 Install the four screws to attach the Air Pulse Generator to the stand Tighten but not overtighten the four screws with the supplied wrench The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Instructions for Use Put on the Disposable Single Patient Use SPU Vests NOTE It is recommended that a single layer of cot
30. RF 3 V m 3 V m 80 MHz to IEC 61000 4 3 80 MHz to 2 5 GHz a 3 JP 3 800 MHz 7 800 MHz to a gt B JP 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as found by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with this symbol Q The Veste Airway Clearance System Model 205 67 User Manual 140643 REV 6 The Veste Airway Clearance System Model 205 is intended for use in the electromagnetic environment specified below The customer or user of the Model 205 should make sure it is used in such an environment Immunity IEC 60601 Compliance Test Test Level Level Electromagnetic Environment Guidance NOTE At 80 MHz and 800 MHz the higher frequency range applies NOTE These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people NOTE Electromagnetic immunity was examined under normal operation at the time of testing Normal operation was the essential performance used Electromagnetic immunity was verified at settings of 4 for intensity and 12 Hz for frequency a Field strengths from fixed transmitters such as base stations fo
31. USER MANUAL The Vests Airway Clearance System Model 205 From Hill Rom Product No P205 140643 REV 6 2010 by Hill Rom Services Inc ALL RIGHTS RESERVED Units with a 51 XXXXX serial number are manufactured by HILL ROM INC 4349 CORPORATE ROAD CHARLESTON SC 29405 Units with a 52 XXXXX serial number are manufactured by HILL ROM SERVICES PRIVATE LIMITED 1 YISHUN AVENUE 7 SINGAPORE 768923 Authorized European Union Representative HILL ROM SAS B P 14 ZI DU TALHOUET 56330 PLUVIGNER FRANCE TEL 33 0 2 97 50 92 12 No part of this text shall be reproduced or transmitted in any form or by any means electronic or mechanical including photocopying recording or by any information or retrieval system without written permission from Hill Rom Services Inc Hill Rom The information in this manual is confidential and may not be disclosed to third parties without the prior written consent of Hill Rom Sixth Edition First Printing 2006 Printed in the USA 3M is a registered trademark of Minnesota Mining and Manufacturing Company Citris is a registered trademark of Beaumont Products Inc Dispatch is a registered trademark of Caltech Industries Inc Hill Rom is a registered trademark of Hill Rom Services Inc Matar is a registered trademark of Huntington Laboratories Inc The UL logo is a registered trademark of Underwriters Laboratories Inc The Vest is a registered t
32. When the treatment session is complete a The Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose Ports on the disposable garment f Remove the disposable garment from the patient The Veste Airway Clearance System Model 205 17 User Manual 140643 REV 6 Using the Program Mode Allows the caregiver the capability to use a previously created New Program Mode see Setting and Using a New Program Mode on page 15 1 Press the Up arrow above PGM to run the previously created program or selected New Pgm New Ramp default program 2 Press the ON button The disposable garment will inflate 3 Press the ON button again to begin the treatment program TUS s The set treatment Start Therapy Press ON Time shows as it counts down to zero for each Programming Point NORMAL PGM RAMP 4 The therapy will automatically end after it has gone 7 Hz 6 5 MIN through each of the Program Point 1 Programming Points 5 Ifit is necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The uni
33. al mode only and removes access to custom modes by the user 1 Press the ON button NORMAL 2 Press the left Up arrow button above NORMAL The Normal mode screen shows NORMAL 3 Press the two outside Down arrow buttons for a minimum of 3 seconds or until the screen changes 7 Hz 4 5 MIN 4 Press the right Up arrow button above Programs Defaults Programs ENGLISH Spanish ACCEPT 5 Press the right Up arrow button above pgm disable It will turn to PGM PGM ENABLE pgm disable ACCEPT DISABLE 6 To accept the change press the right Down arrow below ACCEPT pgm enable PGM DISABLE ACCEPT The Veste Airway Clearance System Model 205 47 User Manual 140643 REV 6 9 To accept all changes and exit out of the menu press the right Down arrow button below ACCEPT Once you have accepted the change the system will automatically re boot and go to the main screen of NORMAL Mode You will no longer be able to see the Program or Ramp mode programs To switch back to Program Mode repeat the steps starting at step 3 NOTE Press the Up arrow button above pgm enable at step 4 to enable the Program Mode It will change pgm enable to PGM ENABLE Set Custom Default Settings Allows th
34. al patients over multiple treatment sessions Clean The Vestg Airway Clearance System between patients or when visibly soiled if used on the same patient Replace the disposable garment between patients or when it is damaged Do not attempt to disinfect or sterilize the disposable garment for reuse with more than one patient We recommend that you clean the Air Pulse Generator and Remote Control with a soft cotton cleaning pad that is slightly moist with detergent and warm water Do not use excessive liquid or harsh cleansers Do not immerse The Vest Airway Clearance System in water or let liquids enter the Air Pulse Generator After you clean the system wipe it dry Steam Cleaning Do not use any steam cleaning device on the unit Excessive moisture can damage mechanisms in this unit Cleaning Hard to Clean Spots Air Pulse Generator to remove difficult spots or stains we recommend that you use standard household cleansers and a soft bristle brush To loosen heavy dried on soil you may first need to saturate the spot Do not put any component of The Vest Airway Clearance System in water Disinfecting When there is visible soil and between patient use we recommend that you disinfect the unit with an intermediate level tuberculocidal disinfectant The Veste Airway Clearance System Model 205 55 User Manual 140643 REV 6 Use the disinfectant as specified in the disinfectant manufacturer s instructions D
35. amp settings press the Down arrow below RAMP and go to step 18 d Press ON to accept changes or to advance to the next screen and go to step 21 9 set default Frequency Pressure and Time settings for Normal Mode adjust each by using the respective Up and Down arrow buttons press the ON button and return to step 8 The Veste Airway Clearance System Model 205 49 User Manual 140643 REV 6 10 Press the Up or Down arrow for Cough Pause Reminder duration time between cough pauses A zero 0 time will turn off the Cough Pause feature PGM B Cough 8 ON Reminder OFF lt lt S 11 Press On to go to the next screen 12 Press the Up or Down arrow to select the pause duration This will set the duration the unit pauses for coughs 13 Press On to go to the next screen 14 Press the Down arrow under Yes or No for the Auto Start feature NOTE Auto Start resumes therapy after cough pause duration expires PGM B Cough KD ON Timer 02 00 MI lt lt S PGM Cough Yes Auto Start 15 Press On to go to the next screen 16 Adjust Frequency Pressure and Time for each Program Point 1 thru 8 or change the time to zero after the last desired Program Point to make the pre
36. back cover Screen Shows RESTARTING 1 The system has experienced an unexpected event and is restarting 2 Ifthe problem is not corrected call Hill Rom Technical Support For contact information refer to the back cover 60 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Product Symbols Symbol A Definition Type B equipment with an F type applied part according to EN 60601 1 AN lt gt ON Dangerous voltage within the device may constitute a risk of electrical shock ON button starts the Air Pulse Generator starts therapy inflates the disposable gar ment moves to the next screen during pro gramming starts the unit after being paused OFF OFF button stops the Air Pulse Generator stops therapy deflates the disposable gar ment pauses therapy moves to previous screen during programming Frequency setting Pressure setting Time setting 1 gt 4 The Veste Airway Clearance System Model 205 61 User Manual 140643 REV 6 Definition Up arrow button increases the Frequency Pressure or Time setting Down arrow button decreases the Frequency Pressure or Time setting Remote Control Port Attention Consult accompanying documents Class II equipment double insulated according to EN 60601 1 gt lt o Not protected against water ingress ps Slo
37. ch other Make sure there is approximately 3 to 4 lt 8 cm to 10 cm between the bottom edge of the front of the Full SPU Vest and the patient patient s hip bone Connect the Air Hoses 1 Slide one end of each Air Hose into each Air Hose Connector Port on the oy front of the Air Pulse Generator Use a slight twist motion as you push My the Air Hose to help keep lt N it in position A bt R Sm The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 2 Connect the Air Hoses to the disposable garment For a Wrap SPU Vest do as follows a Remove the tear label from the disposable garment b Slide the other end of each Air Hose into the disposable garment Air Hose slits at least 2 5 cm c Use the Velcro loops on the side of the disposable garment to hold the Air Hoses in position For a Full SPU Vest slide the other end of each Air Hose over the disposable garment Air Hose Ports To help keep the Air Hoses in position slightly twist the Air Hoses as you push them over the Full SPU Vest Air Hose Ports The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 11 Set Up the Air Pulse Generator 1 Install the Remote Control into the Air Pulse Generator NOTE Use of the Remote Control is optional 2 Plug the Power Cord into the power inlet on the back of the Air Pulse Generator 3 Plug the Power Cor
38. ck cover No Air Pulses into the Disposable Garments 1 If the Remote Control is in use make sure it is firmly connected to the front panel of the Air Pulse Generator Make sure the Air Hoses are connected to the disposable garment and Air Pulse Generator Make sure the ON button has been pressed If the problem is not corrected call Hill Rom Technical Support For contact information refer to the back cover Screen Shows Please Call for Service Message The system has experienced an unexpected event Do as follows 1 Unplug the Power Cord from the Air Pulse Generator and then plug it in again If the problem is not corrected call Hill Rom Technical Support For contact information refer to the back cover An Air Hose Comes out of the Air Pulse Generator or Disposable Garments during Operation 1 Fully disconnect the Air Hoses from the Air Pulse Generator and the disposable garment Clean the inside and outside of these see Cleaning on page 54 Ends of the Air Hose Connection Ports on the disposable garment Air Hose Connector Ports outlets on the Air Pulse Generator Connect the Air Hoses to the Air Pulse Generator and disposable garment see Set Up the Air Pulse Generator on page 12 The Veste Airway Clearance System Model 205 59 User Manual 140643 REV 6 4 Ifthe problem is not corrected call Hill Rom Technical Support For contact information refer to the
39. d into a grounded three pronged outlet Software Version The software version is displayed on the opening screen when the unit is connected to AC power To use the 1 20 software go to Use The Vest amp Airway Clearance System software version 1 20 on page 13 To use the 1 22 software go to Use The Vest Airway Clearance System software version 1 22 on page 30 12 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Use The Vest Airway Clearance System software version 1 20 Make sure the unit is set up correctly Once power is connected the unit will show a blank screen for up to 15 seconds Then it will show the model number and the total therapy hours for the unit This screen will show for 10 seconds or until you press the ON button NOTE To show the total therapy hours press the OFF button when the unit is on the main menu 1 Press the Up arrow above NORMAL for the standard mode The screen will show the previously programmed Frequency Pressure and treatment Time settings or the default settings depending on how it was programmed NORMAL PGM RAMP New Pgm New Ramp 2 Confirm the settings on the screen If the settings match the prescribed treatment continue to step 3 Otherwise adjust the settings to match the prescription a To adjust the
40. e total therapy session 1 Press the Down arrow below New Ramp to adjust the program settings a e bl NORMAL PGM RAMP A New Pgm New Ramp lt S SA The Veste Airway Clearance System Model 205 19 User Manual 140643 REV 6 2 Look at the settings on the screen Ramp Time Percent is the portion of the Ramp Time Percent treatment Time required to increase 25 Pct from the initial settings Ramp Start to the final settings Ramp End To adjust the percent to the prescribed therapy press the right Up or Down arrows Press the ON button to advance to the next screen Review the settings for Frequency and Pressure for the initial setting Ramp Start To adjust the Frequency setting press the left Up or Down arrow buttons until the prescribed treatment shows on the screen The Frequency or Hertz Hz may be set between 5 and 20 cycles per second To adjust the Pressure setting press the middle Up or Down arrow buttons until the prescribed treatment Pressure shows on the screen Pressure may be set between 1 and 10 Press the ON button to advance to the next screen Review the settings on the screen Frequency and Pressure for the final setting Ramp End are shown as treatment Time 4 b 5 6 a b To adjust the Frequency setting press
41. e user to set the default settings for the modes of operation These settings will be the initial settings for all users 1 Press the ON button Press the Up arrow button above NORMAL The Normal mode screen shows Press the two outside Down arrows for a minimum of 3 seconds or until the screen changes Press the left Up arrow button above Defaults Defaults ENGLISH Programs Spanish ACCEPT 48 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 5 Press the right Up arrow button above default Defaults will change to DEFAULTS 6 accept the change press the right Down arrow button below ACCEPT DEFAULT ACCEPT 7 To adjust the Maximum Run Time use the Up and Down arrow buttons above and below MIN and then press the ON button 60MIN ON Maximum Run Time lt lt 1 8 Do one of these a To change the default Normal settings press the RAMP Up arrow above NORMAL and go to step 9 b To change the default settings of Program A press the Up arrow above PGM A or press the Down arrow below PGM B and go to step 10 c change the default R
42. en will show P 5 New y the Frequency 2 Z Pressure and NORMAL PGM RAMP treatment Time settings for the first Programming Point NOTE All the settings can be adjusted NOTE You can program up to 8 different Programming Points each with its own combination of Frequency Pressure and treatment Time The Veste Airway Clearance System Model 205 15 User Manual 140643 REV 6 For Programming Point 1 if the settings match the prescribed 12 Hz 4 7 MIN treatment continue to MESSER MUS MS E step 3 Otherwise adjust the settings to match the prescription by pressing the Up and Down arrows associated with Frequency Pressure and treatment Time Once you have Programming Point 1 proceed to Programming Point 2 by pressing the ON button to move to a previous Programming Point press the OFF button Adjust the settings to match the prescription and repeat for all 8 Programming Points 14 Hz 4 7 MIN Programming Point 2 If the prescription does not call for all 8 Programming Points after Programming Point 2 set the Time to 0 MIN for the following segments press the ON button to advance through the remaining Programming Points NOTE Once you change the Programming Point Time to 0 MIN and press the ON button it will take you to the start of the program to begin the
43. er source before you clean it Failure to do so could cause personal injury or equipment damage a SHOCK HAZARD Do not expose the unit to excessive moisture Personal injury or equipment damage could occur A CAUTION Do not use harsh cleansers solvents or detergents Equipment damage could occur The Vest Airway Clearance System Model 205 has been tested for compatibility with these detergents CAUTION Frequent exposure to Matar germicidal detergent may discolor the Air Pulse Generator Matar germicidal detergent e Wex Cide all purpose germicidal detergent Viraguard all purpose anti viral surface disinfectant 3M HB Quat disinfectant cleaner Virex II 256 disinfectant A CAUTION When you use Dispatch disinfectant CSI disinfectant spray or Citrus II amp hospital germicidal deodorizing cleaner make sure you wipe the unit dry Failure to do so could cause build up of residue or equipment damage Dispatch disinfectant CSI disinfectant spray e Citrus hospital germicidal deodorizing cleaner 54 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 General Cleaning WARNING To help prevent cross contamination replace the single patient use disposable garment between patients Failure to do so could cause patient injury or equipment damage NOTE The disposable garments are single patient use latex free disposable products for use on individu
44. ese eA 58 Air Pulse Generator Does Not Power On 59 No Air Pulses into the Disposable Garments 59 Screen Shows Please Call for Service Message 59 An Air Hose Comes out of the Air Pulse Generator or Disposable Garments during Operation 59 Screen Shows RESTARTING 60 Product Symbols 0 0 00 eee 61 Specifications sede ge DERE NEP Shee eee ee 64 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Classification and Standards Frequently Asked Questions The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 vi The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Document Symbols This manual contains different typefaces and symbols to make the content easier to read and understand Standard text used for regular data Boldface text emphasizes a word or phrase NOTE sets apart special data or important instruction clarification WARNING or CAUTION WARNING identifies situations or actions that may have an effect on patient or user safety To ignore a warning could cause patient or user injury CAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage CAUGHT HAZARD WARNING 4 zi CHEMICAL HAZARD WARNING te ELECTRICAL SHOCK
45. ete 5 Min Remain 1 Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press ON to continue to the main screen 15 When the treatment session is complete a The Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates 16 Unplug the system from its power source 17 Remove the Air Hoses from the Air Hose Ports on the disposable garment 18 Remove the disposable garment USE THE RAMP MODE Runs a previously created Ramp Program See Set and Use the New Ramp Mode on page 40 The Veste Airway Clearance System Model 205 43 User Manual 140643 REV 6 A WARNING Consult your physician if not using the prescription as provided Failure to do so can result in personal injury 1 Press the ON button 2 Press the UP arrow button above Custom 3 Press the Up arrow button above RAMP to run the previously created ramp program 4 The programmed points will be shown Press the ON button to advance to the next screen 5 Press the ON button The disposable garment will inflate 6 Pressthe ON button again to begin the program The screen will show the word Ramping during the ramp portion of the program The total treatment Time shows
46. he measurements provided 4 Disposable garments are designed for patients with a minimum thoracic length distance from the top of the shoulder to the waist of 10 25 cm p mwa vx Service Calls If service 15 necessary on The Veste Airway Clearance System Model 205 call Hill Rom Technical Support at 800 445 3720 If outside the US refer to the back cover for contact information When you contact Hill Rom be prepared to give the serial number from the product identification label The product identification label is on the rear panel of the Air Pulse Generator Troubleshooting A WARNING Only authorized persons should service The Vests Airway Clearance System Model 205 Service by unauthorized persons could cause personal injury or equipment damage If service is necessary on The Vest Airway Clearance System Model 205 call Hill Rom Technical Support For contact information refer to the back cover 58 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Air Pulse Generator Does Not Power On 1 Make sure the Power Cord is fully plugged into the electrical inlet on the rear panel of the Air Pulse Generator If necessary unplug the Power Cord from the Air Pulse Generator and then plug it in again Make sure the Power Cord is fully plugged into a known good outlet If the problem is not corrected call Hill Rom Technical Support For contact information refer to the ba
47. ic instability Pulmonary edema associated with congestive heart failure Bronchopleural fistula Subcutaneous emphysema Large pleural effusions or empyema Recent esophageal surgery Active or recent gross hemoptysis Pulmonary embolism Uncontrolled airway at risk for aspiration such as tube feeding or recent meal Distended abdomen Bronchospasm Suspected pulmonary tuberculosis Recently placed transvenous pacemaker or subcutaneous pacemaker Recent epidural spinal infusion or spinal anesthesia Recent spinal surgery or acute spinal injury Rib fractures with or without flail chest Surgical wound healing tissue recent skin grafts or flaps on thorax Burns open wounds and skin infections on the thorax Lung contusion Osteomyelitis of the ribs Osteoporosis Coagulopathy Complaint of chest wall pain The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Features A Air Pulse Generator F Stand B Push Bar G Storage Basket C Remote Control Air Hose Connector Ports D Height Adjustment Release I Air Hoses Lever E Four Locking Casters J Control Panel Air Pulse Generator When correctly connected the Air Pulse Generator controls the disposable garment and supplies pulsations to the chest wall Push Bar Permits the unit to be moved around a room or from room to room 6 The Veste Airway Clearance System Model 205 User Manual 140643
48. in the lungs This process moves mucus toward the large airways where it can be cleared by coughing or suctioning This type of Airway Clearance Therapy is referred to as High Frequency Chest Wall Oscillation HFCWO k r Introduction This manual includes instructions for setup use and maintenance of The Veste Airway Clearance System Model 205 It is to be used as a reference guide Please review all sections carefully before you use the system The Veste Airway Clearance System Model 205 is intended for use as prescribed by a physician Contraindications A WARNING If patient conditions exist that cause the use of The Vest Airway Clearance System Model 205 to present a risk to the patient do not use the unit except as directed by a physician Death or serious injury could occur The Veste Airway Clearance System Model 205 is contraindicated if these conditions are present Head and or neck injury that has not yet been stabilized Active hemorrhage with hemodynamic instability 4 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 Relative Contraindications If the patient has one or more of the conditions below carefully consider and assess the patient s case before you decide to use The Vest Airway Clearance System Model 205 Intracranial pressure ICP gt 20 mm Hg or patients in whom increased intracranial pressure is to be avoided Uncontrolled hypertension Hemodynam
49. o go to the next screen For Programming Point 1 if the settings match the prescribed treatment continue to step 9 Otherwise adjust the settings to match the prescription by pressing the Up and Down arrow buttons associated with Frequency Pressure and treatment Time Once you have set Programming Point 1 proceed to Programming Point 2 by pressing the ON button to move to a previous Programming Point press the OFF button Adjust the settings to match the prescription and repeat for all 8 Programming Points NOTE If the prescription does not call for all 8 Programming Points after programming the last prescribed programming point set the Time to 0 MIN for the following segment NOTE Once you change the Programming Point Time to 0 MIN and press the ON button it will take you to the start of the program to begin therapy 34 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 10 Press the ON button The disposable garment will inflate 12 Hz 4 7 MIN 11 Press the ON button Press ON to Inflate again to begin the treatment program The set treatment Time shows as it counts down to zero for each Programming Point 12 When the time for a cough pause is reached these will happen a The unit will pause b The display will Cough Needed change to show Press ON To Resume the pause duration timer
50. o not attempt to disinfect or sterilize the disposable garment for reuse with more than one patient Maintenance A WARNING Only authorized persons should service The Vesta Airway Clearance System Model 205 Service by unauthorized persons could cause personal injury or equipment damage Minimal routine maintenance and periodic cleaning are necessary for The Veste Airway Clearance System Model 205 Facilities should do these tests and examinations annually Unplug the Air Pulse Generator from its power source Examine the overall condition of the unit for damage or missing parts Examine the Power Cord and connector for cuts scrapes or other damage Do electrical safety tests in accordance with facility protocols Clean and disinfect the unit see Cleaning on page 54 Connect the Air Pulse Generator to a disposable garment and to an appropriate power source Make sure the unit is operational and that all functions operate correctly 56 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Single Patient Use Disposable Wrap SPU Vest Disposable Garments and Replacement Parts Part Number P300629005 Description X Small package of 5 19 to 23 48 cm to 58 cm P300630005 Small package of 5 223 to 33 58 cm to 84 cm P300631005 Medium package of 5 233 to 43 84 cm to 109 cm P300632005 Large package of 5 243 to 53 109 cm to 135 cm
51. odel 205 be UT for 5 Ur for 5 powered from an uninterruptible cycles cycles power supply or a battery 70 70 30 30 UT for 25 UT for 25 cycles cycles lt 5 UT lt 5 UT gt 95 dipin gt 95 dip in for 5 for 5 seconds seconds Power frequency 3 A m 3 A m Power frequency magnetic fields 50 60 Hz magnetic field 61000 4 8 should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE UT is the AC mains voltage prior to application of the test level 66 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 Guidance Manufacturer s Declaration Electromagnetic Immunity The Vesta Airway Clearance System Model 205 is intended for use in the electromagnetic environment specified below The customer or user of the Model 205 should make sure it is used in such an environment Immunity IEC 60601 Compliance P Test Test Level Level Electromagnetic Environment Guidance Portable and mobile RF communications equipment should be used no closer to any part of the Model 205 including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance ConductedRF 3 Vrms 3 5 61000 4 6 150 kHz to d E JP 80 MHz Radiated
52. omplete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates The Veste Airway Clearance System Model 205 45 User Manual 140643 REV 6 11 Unplug the system from its power source 12 Remove the Air Hoses from the Air Hose Ports on the disposable garment 13 Remove the disposable garment Change the Language 1 Press the ON button NORMAL 2 Press the Up arrow button above NORMAL The Normal mode screen shows NORMAL 3 Press the two outside Down arrow buttons for a minimum of 3 seconds or until the screen changes 7 Hz 4 5 MIN 4 Press the Down arrow button below the desired language It gt Defaults Programs will turn into all 5 ENGLISH Spanish ACCEPT capital letters 5 To accept the change press the Down arrow button below ACCEPT JAHRE r gua ingl s ESPA OL AC 6 Once you have a 52 z accepted the change S the system will automatically re boot and go back to the main screen in the applicable language 46 The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Disable the Program Modes Program and Ramp modes Disable the Program Modes allows the unit to operate in Norm
53. onsult the prescribing physician if a treatment session is missed 15 there a best time to do a therapy with The Vest Airway Clearance System Establish a schedule that is satisfactory for the patient and lets you do the therapy consistently Usually it is best to do therapy before meals Do all patients receive the same benefits from The Veste Airway Clearance System A Almost all patients will experience an increase in the amount of mucus that is moved The overall benefit depends on many factors which include the underlying disease patient s age and his or her present state of health Does The Vestg Airway Clearance System make patients feel better Patients often report that they are able to breathe better and have more energy after he or she receives therapy The Veste Airway Clearance System Model 205 71 User Manual 140643 REV 6 72 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 Global Headquarters US Hill Rom Inc 1069 State Route 46 E Batesville IN 47006 9167 Tel 800 445 3720 www hill rom com US Rental Therapy Hill Rom Inc Tel 800 638 2546 Australia Hill Rom Australia Pty Ltd Tel 61 0 2 8814 3000 Fax 61 0 2 8814 3030 Hill Rom Shanghai Tel 86 0 21 5396 6933 Fax 86 0 21 5383 3136 France Hill Rom SAS Tel 33 0 2 97 50 92 12 Service 33 0 820 01 23 45 Fax 33 0 2 97 50 92 00 Italia Hill Rom S p A Tel 39
54. operate the Air Pulse Generator without the disposable garment and Air Hoses attached Equipment damage could occur If it is difficult to connect the Air Hoses to the Air Pulse Generator or disposable garment do not use lubricant Equipment damage could occur If it is difficult to connect the Remote Control to the Air Pulse Generator do not use lubricant Equipment damage could occur Do not use harsh cleansers solvents or detergents Frequent exposure to Matar germicidal detergent may discolor the Air Pulse Generator The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 When you use Dispatch disinfectant or CSI disinfectant spray make sure you wipe the unit dry Failure to do so could result in the build up of residue or equipment damage Do not eat or drink during a therapy session To do so could cause a choking hazard Do not leave the garment on a patient for extended periods of time without a cloth barrier between the patient and the garment KEEP THESE INSTRUCTIONS The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Intended Use The Vest Airway Clearance System Model 205 was developed to provide effective Airway Clearance Therapy The system consists of a disposable garment attached to an Air Pulse Generator that rapidly inflates and deflates the disposable garment This causes the chest wall to be gently compressed and released which creates airflow with
55. r Manual 140643 REV 6 Table of Contents Document Symbols 1 Pr cautioris CR Red ORA OR RR Rs 2 Intended Use u re Reg temen ae 4 Introduction evertere PR Res 4 Contraindications cece asa eee eee 4 Relative Contraindications 5 F t res 4 oo ee Se RAT aa 6 Air Pulse Generator sz s u a a u a uk ence 6 Push o ae RU e ads 6 Remote Control uuu asya pay eee eee 7 Height Adjustment Release Lever 7 Locking Casters RI ei ie UAR eu 7 Stand S u Eee AE ERES 7 Storage Basket sess RR de 7 Air Hose Connector 7 Air HOSES svedese ee DA RM De eg E CURES 7 Control Panel RU Ree 7 Assembly fed eh AOI Mee kuya BIRT E up 8 Instructions for Use uu usu eee u oie Qu 9 Put on the Disposable Single Patient Use SPU Vests 9 Wrap SPU Vest RI RAS d aee 9 Full SPU Vest zzy vine eee E Y 10 Connect the Air Hoses 10 Set Up the Air Pulse Generator 12 Software Version 4 ee Dee REESE EIFE E Sev 12 Use The Vest Airway Clearance System software version 1 20 13 Setting and Using a New Program Mode 15 Using the Program Mode 18 Setting and Using a
56. r radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast can not be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters the electromagnetic site used should be considered If the measured field strength in the location in which the Model 205 is used is more than the applicable RF compliance level above the Model 205 should be monitored to make sure it operates correctly If it operates incorrectly additional measures may be necessary such as a change in the Model 205 s position or location b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 68 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Model 205 The Vesta Airway Clearance System Model 205 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or user of the Model 205 can help prevent electromagnetic interference if they maintain the minimum distance between portable and mobile RF communications equipment transmitters and the Model 205 The recommended distances in accordance are shown below Rated Maximum Separation Distance According to the Frequency of the Transmitter Output Power of the 159 kHz to 80
57. rademark of Hill Rom Services PTE Ltd Underwriters Laboratories Inc is a registered trademark of Underwriters Laboratories Inc The Veste Airway Clearance System Model 205 User Manual 140643 REV 6 Velcro is a registered trademark of Velcro Industries a Dutch corporation Viraguard is a registered trademark of Veridien Corp Virex is a registered trademark of S C Johnson amp Son Inc Wex Cide is a trademark of Wexford Labs Inc The information contained in this manual is subject to change without notice Hill Rom makes no commitment to update or keep current the information contained in this manual Hill Rom reserves the right to make changes without notice in design specifications and models The only warranty Hill Rom makes is the express written warranty extended on the sale or rental of its products To order additional copies of this manual 140643 refer to the back cover for contact information For countries not listed on the back cover contact your distributor NOTE The back cover is a comprehensive list of Technical Support contact information for Hill Rom The product discussed in this manual may not be available in all of the countries listed Revision Pages Affected Date Original Issue July 2006 2 All September 2007 3 All January 2008 4 All April 2008 5 All September 2008 6 All February 2010 The Veste Airway Clearance System Model 205 Use
58. rapy Press the ON button The disposable garment will inflate 12 Hz 4 7 MIN Press the ON button Press ON to Inflate again to begin the treatment program The set treatment Time shows as it counts down to zero for each Programming Point Therapy will automatically end after it has gone through each 12 Hz 4 7 MIN 2 Program Point 1 Programming Point 16 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 8 Ifitis necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will deflate b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 9 Ifit is necessary to end the treatment session before it is complete press the OFF button NOTE Pressing the OFF button does not turn off the screen 10 When the OFF button is pressed the disposable garment deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press ON to continue to the main screen 11
59. rway Clearance System Model 205 is intended for use in the electromagnetic environment specified below The customer or user of the Model 205 should make sure it is used in such an environment Immunity 60601 Compliance Electromagnetic Test Test Level Level Environment Guidance Electrostatic 6kV 6kV Floors should be wood concrete or discharge ESD contact contact ceramic tile If floors are covered 61000 4 2 8 air 8 kV air with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for 2 for Mains power quality should be that transient burst power supply power supply of a typical commercial or hospital TEC 61000 4 4 lines lines environment 1 for 1 kV for input output input output lines lines Surge 1 line s 1 line s Mains power quality should be that IEC 61000 4 5 to line s to line s of a typical commercial or hospital 2 line s 2 line s environment to earth to earth Voltage dips short lt 5 UT lt 5 UT Mains power quality should be that interruptions and 29596 dip in 295 dip in of a typical commercial or hospital voltage variations for 0 5 for 0 5 environment If it is necessary for on power supply the user to have continued operation input lines cycle cycle of the Model 205 during power IEC 61000 4 11 40 UT 40 UT mains interruptions it is 60 dip in 60 dip in recommended that the M
60. t step 2 NOTE Press the Up arrow button above pgm enable at step 4 to enable the Program Mode It will turn pgm enable to PGM ENABLE Set Facility Custom Default Settings 1 Press the left Up arrow button above NORMAL The Normal mode screen shows Press the two outside Down arrows for a minimum of 3 seconds or until the screen changes N NORMAL PGM RAMP 26 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 3 Press the left Up arrow button above Defaults Defaults Programs 4 Pressthe right Up ENGLISH Spanish ACCEPT arrow button above default default will change to DEFAULT default ACCEPT 5 To accept the change press the right Down arrow button below ACCEPT 6 To adjust the Maximum Run Time use the Up and Down arrow buttons above and below MIN and Maximum Run Time lt lt press the ON button 9 A s 7 To set default Frequency Pressure and Time settings for Normal Mode adjust each by using the respective the Up and Down arrow buttons and press the ON button 8 To adjust the default settings for Program Mode set each Programming Point sequentially Press the ON button to advance to the next Programming
61. t will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will deflate b To resume treatment press the ON button or the Remote Press ON To Resume Control again 7 Hz 4 5 MIN 18 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 6 Ifit is necessary to end the treatment session before it is complete press the OFF button NOTE Pressing the OFF button does not turn off the screen 7 When the OFF button is pressed the disposable garment deflates and the Incomplete 5 Min Remain 1 Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press ON to continue to the main screen 8 When the treatment session is complete a The Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable garment deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose Ports on the disposable garment f Remove the disposable garment from the patient Setting and Using a New Ramp Mode Allows the caregiver capability to create a new Ramp Program to ease the patient from a lower setting to a higher setting within the percent of th
62. the ON button or the Remote Press ON To Resume Control again 7 Hz 4 5 MIN 8 When the time for a cough pause is reached these will happen a The unit will pause b display will Cough Needed change to show Press ON To Resume the pause duration timer c The garment will deflate 9 While the pause happens the patient should cough as prescribed 10 When the timer reaches zero the garment will inflate and therapy will resume NOTE If additional time is needed press the OFF control to pause the unit 11 To resume therapy before the cough pause timer expires you can press ON or squeeze the Remote Control 12 If it is necessary to end the treatment session before it is complete press the OFF button twice NOTE Pressing the OFF button does not turn off the screen 13 When the OFF button is pressed twice the disposable garment deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message shows on the screen You must press the ON button to continue to the Program and Ramp main screen 14 When the treatment session is complete The Veste Airway Clearance System Model 205 39 User Manual 140643 REV 6 a The Session Complete message shows Session Complete b The pulsations
63. ton clothing be worn beneath the disposable garment Wrap SPU Vest 1 Turn the patient towards you 2 With the Wrap SPU Vest deflated begin to lay it flat on the bed so it is perpendicular with the patient s torso 3 Roll the patient away from you and on the open portion of the Wrap SPU Vest 4 Put the Wrap SPU Vest in position just beneath the patient s underarms and continue to pull the Wrap SPU Vest around the patient s torso 5 Roll the patient to a supine position 6 Pull both ends of the Wrap SPU Vest around the patient s chest and use the Velcro fasteners to temporarily attach both ends to each other Have the patient inhale deeply and then attach the ends of the Wrap SPU Vest so it fits close to the body but is not uncomfortable The Veste Airway Clearance System Model 205 9 User Manual 140643 REV 6 Full SPU Vest NOTE It is recommended that a single layer of cotton clothing be worn beneath the disposable garment 1 Adjust the Velcro fasteners at the shoulder straps so the bottom edge of the Full SPU Vest is level with the top of the Separate the front flaps of the Full SPU Vest at the Velcro fasteners Turn the Full SPU Vest so the front flaps will meet in front of the patient Then put the patient s arms through the arm openings in the Full SPU Vest With the Full SPU Vest deflated use the Velcro fasteners to attach the front flaps of the Full SPU Vest to ea
64. utes 9 Press the ON button to advance to the next screen This screen shows the summary of the ramp program you have just created 10 Press the ON button 05 gt 12Hz 01 04 25 12Min Press ON to Inflate The disposable garment will inflate 11 Press the ON button again to begin the therapy The screen will show the word Ramping during the ramp portion of the program The total treatment Time shows as it counts down to zero NOTE 5 Hz Ramping Therapy settings can not be changed during Ramping stage 12 If it is necessary to pause the treatment during a session do as follows a Press the OFF button or Remote Control once The unit will stop the pulsations but the settings will continue to show on the screen NOTE When the unit is paused the disposable garment will deflate 42 The Vestg Airway Clearance System Model 205 User Manual 140643 REV 6 b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 13 Ifit is necessary to end the treatment session before it is complete press the OFF button twice NOTE Pressing the OFF button does not turn off the screen 14 When the OFF button is pressed twice the disposable garment deflates and the Incompl
65. vious point the last point 17 Press the ON button to advance to the next default setting and return to step 8 12 Hz 4 7 MIN Program Point 1 50 The Vesto Airway Clearance System Model 205 User Manual 140643 REV 6 18 19 20 21 22 23 Adjust the Ramp Time Percent for the Default Ramp mode using the right Up and Down arrow buttons and press the ON button 5 lt S Adjust Ramp Start Frequency and Pressure settings for default Ramp Mode by using the left and middle Up and Down arrow buttons and press the ON button Adjust the Ramp End settings for default Ramp Mode Frequency Pressure and Time settings using the Up and Down arrow buttons and press the ON button and return to step 8 To accept all of the changes press the right Down arrow below ACCEPT Once you have accepted the change it Defaults Programs B A SN ENGLISH Spanish M 2 Z B will automatically re boot the system and go back to the main screen To switch back to previous patient default mode repeat steps 3 through 5 and select prev pt instead of default The Veste Airway Clearance System Model 205 51 User Manual
Download Pdf Manuals
Related Search