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USER MANUAL - The Vest® Airway Clearance System

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1. Look at the settings on the screen Ramp Time Percent is the portion of the treatment Time 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 arrows Press the ON button to advance to the next screen Review the settings for Frequency and Pressure for the initial setting Ramp Start 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 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 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 a To adjust the Frequency setting press the left Up or Down arrow buttons until the prescribed setting shows on the screen 20 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Frequency or Hertz Hz may be set between the Ramp Start setting and 20 cycles per second b To adjust the Pressure setting press the middle Up or Down arrow but
2. 3 Press the left Up arrow button above Defaults Defaults Programs 4 Press the 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 press the ON button Kn ON Maximum Run Time d S S j _ O AN The Vest Airway Clearance System Model 205 27 User Manual 140643 REV 2 10 11 12 To set default Frequency Pressure and Time settings for Normal Mode adjust E E e each by using the M B j respective the Up and SSC Kg Down arrow buttons and press the ON button To adjust the default settings for Program Mode set each Programming Point sequentially Press the ON button to advance to the next Programming Point 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 Press the ON button to advance to the next default setting 12 Hz 4 7 MIN Program Point 1
3. Adjust the Ramp Time Percent for the N Default Ramp mode ann e S using the right Up and on Ramp Time percent SEE TR Down arrow buttons X S n J and press the ON 9 S button Adjust the Ramp Start Frequency and Pressure settings for default Ramp MS TN UE Mode by using the left and middle Up and Down arrow buttons and press the ON button 28 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 13 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 14 To accept all of the changes press the right Down arrow below ACCEPT PGM ENABLE pgm disable ACCEPT 15 Once you have accepted the change it will automatically re boot the system and go back to the main screen NORMAL PGM RAMP New Pgm New Ramp 16 To switch back to previous patient default mode repeat the steps and select prev pt instead of default The Vest Airway Clearance System Model 205 29 User Manual 140643 REV 2 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 A CAUTION Failure to lower the Air Pulse Generator to the lowest position could cause it to ti
4. 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 vest 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 S Ka S 3 13 When the treatment session is complete a The Session Complete message shows Session Complete b The pulsations Press ON for Main Menu stop t c The disposable vest deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose ports on the disposable vest f Remove the disposable vest from the patient 22 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Using the Ramp Mode CG Allows the caregiver to run a previously created Ramp Program see Setting and Using a New Ramp Mode on page 19 1 Press the Up arrow above RAMP to run A AEE the previously created NORMAL PGM RAMP f ramp program New Pgm New Ramp OFF M 2 The programmed points will be shown Press the ON button 05212Hz 01704 25 12Min to advance to the next DD Press oN to inflate
5. P30063 1005 Medium package of 5 gt 33 to 43 84 cm to 109 cm P300632005 Large package of 5 743 to 53 109 cm to 135 cm P300633005 Extra Large package of 5 gt 53 to 67 135 cm to 170 cm P300600005 Starter Pack 1 Small 2 Medium 1 Large 1 Extra Large Single Patient Use Disposable Full SPU Vest Part Number Description P300200000 Child Medium 23 to 27 58 cm to 69 cm P300205000 Child Large 727 to 31 69 cm to 79 cm P300210000 Adult Small 731 to 36 79 cm to 91 cm P300215000 Adult Medium gt 36 to 45 91 cm to 114 cm P300220000 Adult Large gt 45 to 52 114 cm to 132 cm Stand and Air Pulse Generator Part Number Description 143512 Caster 142232 Remote Control Assembly 200495000 Air Hose 1 hose 142200 Rubber Mount Pad 142319 Power Cord 140660 Screw Kit mounting 205500 Stand Assembly The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 35 Part Number Description 143513 Basket Assembly Size the Disposable Vest To size the disposable vest 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 vest size based on the measurements provided 4 Disposable vests ar
6. Introduction This manual includes instructions for setup use and maintenance of i E The Vest 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 Vest Airway Clearance System Model 205 is intended for use as prescribed by a physician Contraindications AA 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 Vest 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 Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 Hemodynamic instability Pulmonary edema associated with congestive heart failure Bronchopleural fistula Subcutaneous emphysema Large pleural effusions or empyema Recent esophageal surgery Active or recent gross hemoptys
7. 140643 REV 2 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 e 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 vest between patients Only authorized persons should service the unit Ifservice 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 operate the Air Pulse Generator without the disposable vest and Air Hoses attached Equipment damage could occur fitis difficult to co
8. and other specified hazards only in accordance with UL EN IEC 60601 1 and CAN CSA C22 2 No 601 1 40 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Symbol Definition A 0123 Conforms to the European Medical Device Directive 93 42 EEC 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 a The UL logo is a registered trademark of Underwriters Laboratories Inc The Vest Airway Clearance System Model 205 41 User Manual 140643 REV 2 Specifications Feature Dimension Air Pulse Generator weight 17 1b 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 vest 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 2 each 4A 5 x 20 mm Littlefuse part number FAAL250V Environmental Conditions for Transport and Storage Condition Temperature Range 40 F to 158 F 40 C to 70 C Relative humidity 95 non condensing Pr
9. screen 3 Press the ON button The disposable vest will inflate 4 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 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 vest will deflate The Vest Airway Clearance System Model 205 23 User Manual 140643 REV 2 b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume 6 Ifitis 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 vest deflates and the Incomplete 5 Min Remain Press ON for Main Menu Incomplete X Min Remain message Ca o 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 mess
10. 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 ful 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 02 8814 3000 Fax 61 0 2 8814 3030 Portugal Hill Rom Iberia S L Tel 434 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 Company 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 Espa a 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 negra c o Hill Rom Japan Tel 81 0 3 5715 3420 Fax 81 0 3 5715 3425 Nordic Region Sverige Denmark Norge Hill Rom AB Tel 46 0 8 564 353 60 Fax 446 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
11. Control is in use make sure it is firmly connected to the Air Hose Connector Port on the front panel of the Air Pulse Generator Make sure the Air Hoses are connected to the disposable vest 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 Vest during Operation 1 Fully disconnect the Air Hoses from the Air Pulse Generator and the disposable vest Clean the inside and outside of these see Cleaning on page 32 Ends of the Air Hose e Connection Ports on the disposable vest Air Hose Connector Ports outlets on the Air Pulse Generator Connect the Air Hoses to the Air Pulse Generator and disposable vest see Set Up the Air Pulse Generator on page 12 The Vest Airway Clearance System Model 205 37 User Manual 140643 REV 2 4 Ifthe problem is not corrected call Hill Rom Technical Support For contact information refer to the back cover Screen Shows RESTARTING 1 The system
12. Disposable Vests and Replacement Parts 35 Size the Disposable Vest 000 eee ee eee ee 36 Service EE 36 Troubleshooting 36 Air Pulse Generator Does Not Power On 36 No Air Pulses into the Disposable Vest 37 Screen Shows Please Call for Service Message 37 An Air Hose Comes out of the Air Pulse Generator or Disposable Vest during Operation 37 Screen Shows RESTARTING sssssss 38 Product Symbols 0 e cece cee esee 39 Specifications EE 42 Classification and Standards 43 Frequently Asked Questions 48 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 A A 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 ACAUTION identifies special procedures or precautions that persons must obey to help prevent equipment damage CAUGHT HAZARD WARNING el CHEMICAL HAZARD WARNING LN ELECTRICAL SHOCK HAZARD WARNING CG The Vest Airway Clearance System Model 205 1 User Manual
13. 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 38 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Product Symbols Symbol A Definition Type B equipment with an F type applied part according to EN 60601 1 A 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 vest moves to the next screen during program ming starts the unit after being paused OFF OFF button stops the Air Pulse Generator stops therapy deflates the disposable vest pauses therapy moves to previous screen during programming Frequency setting Pressure setting e Time setting hj M 1 1 i The Vest Airway Clearance System Model 205 39 User Manual 140643 REV 2 Symbol 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 IPX 0 Not protected against water ingress os Sle C US 15BF Medical Equipment with respect to electric shock fire mechanical
14. make sure it is used in such an environment Immunity TEC 60601 Compliance Electromagnetic Environment Test Test Level Level Guidance Electrostatic 6kV 6kV Floors should be wood concrete or discharge ESD contact contact ceramic tile If floors are covered IEC 61000 4 2 8 kV air 8 kV air with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for 42 kV for Mains power quality should be that transient burst power supply power supply ofa typical commercial or hospital IEC 61000 4 4 lines lines environment l kV for kV for input output input output lines lines Surge 1kV 1kV Mains power quality should be that IEC 61000 4 5 differential differential of a typical commercial or hospital mode mode environment 2 kV 2 kV common common mode mode Voltage dips short lt 5 Uy lt 5 UT Mains power quality should be that interruptions and 95 dip in 29594 dip in of a typical commercial or hospital voltage variations Ur for 0 5 Ur for 0 5 environment If it is necessary for on power supply the user to have continued operation input lines cycle eyele of the Model 205 during power TEC 61000 4 11 40 UT 40 UT mains interruptions it is 60 dipin 60 dipin recommended that the Model 205 be UT for 5 UT for 5 powered from an uninterruptible cycles cycles power supply or a battery 70 UT 70 UT 30 dip in 30 dip in UT for 25 UT for 25 cycles cycles l
15. necessary Ina number of studies The Vest 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 Vest 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 48 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 Consult the prescribing physician if a treatment session is missed Is 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 Doall patients receive the same benefits from The Vest Airway Clearance System Almost all patients will experience an increase in the amount of m
16. 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 Vest Airway Clearance System Model 205 User Manual 140643 REV 2 47 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 1t 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 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
17. USER MANUAL The Vest Airway Clearance System Model 205 From Hill Rom 8 ih Product No P205 140643 REV 2 2007 by Hill Rom Services Inc ALL RIGHTS RESERVED Manufactured by HILL ROM 4349 CORPORATE ROAD CHARLESTON SC 29405 UNITED STATES 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 Second Edition First Printing 2006 Printed in the USA 3M is a registered trademark of Minnesota Mining and Manufacturing Company Citris II amp 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 trademark of Hill Rom Services Inc Underwriters Laboratories Inc is a registered trademark of Underwriters Laboratories Inc Velcro is a re
18. age shows Session Complete b The pulsations Press ON for Main Menu stop c The disposable vest deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose ports on the disposable vest f Remove the disposable vest from the patient Change the Language T Press the Up arrow button above NORMAL The Normal mode screen shows The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 2 Press the two outside Down arrow buttons for a minimum of 3 seconds or until the screen changes 7 Hz 6 5 MIN 3 Press the Down arrow button below Spanish it will turn Spanish to SPANISH Defaults ENGLISH 4 To accept the change press the Down arrow x button below ACEPTAR Be es aep ACCEPT in English V j 5 Once you have 2A accepted the change the system will automatically re boot and go back to the main screen in Spanish 6 Once the main screen is visible unplug the unit and plug it back in The unit will automatically reconfigure in Spanish 7 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 The Ve
19. ake 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 46 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Model 205 The Vest 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 ofthe 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Transmitter 3 5 3 5 7 d y P d le P d PAZ Vi E Ei 0 01 W 0 12m 0 12m 0 23 m 0 1 W 0 37m 0 37m 0 74m 1W 12m 12m 23m 10W 37m 37m 7 4m 100 W 12m 12m 23 m 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
20. atient Adjust the Velcro fasteners at the shoulder straps so the bottom edge of the Full SPU Vest is level with the top of the patient s hip bone Connect the Air Hoses I Slide one end of each Air Hose into each Air Hose Connector Port on the front of the Air Pulse Generator Use a slight twist motion as you push the Air Hose to help keep it in position T m 1 Velcro is a registered trademark of Velcro Industries BV a Dutch corporation 10 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 2 Connect the Air Hoses to the disposable vest For a Wrap SPU Vest do as follows a Slide the other end of each Air Hose into the disposable vest Air Hose slits b Use the Velcro loops on the side of the disposable vest to hold the Air Hoses in position For a Full SPU Vest slide the other end of each Air Hose over the disposable vest 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 1 Velcro is a registered trademark of Velcro Industries BV a Dutch company The Vest Airway Clearance System Model 205 11 User Manual 140643 REV 2 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 t
21. 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 1 Velcro is a registered trademark of Velcro Industries BV a Dutch corporation The Vest Airway Clearance System Model 205 9 User Manual 140643 REV 2 Full SPU Vest NOTE For comfort a single layer of cotton clothing should be worn under the Full SPU Vest The Full SPU Vest should be adjusted so that it is comfortable Separate the front flaps of the Full SPU Vest at the Velcro 1 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 each other Make sure there is approximately 3 to 4 8 cm to 10 cm between the bottom edge of the front of the Full SPU Vest and the p
22. ble soil and between patient use we recommend that you disinfect the unit with an intermediate level tuberculocidal disinfectant Use the disinfectant as specified in the disinfectant manufacturer s instructions Do not attempt to disinfect or sterilize the disposable vest for reuse with more than one patient Maintenance A WARNING Only authorized persons should service The Vest 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 Vest 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 32 Connect the Air Pulse Generator to a disposable vest and to an appropriate power source Make sure the unit is operational and that all functions operate correctly 34 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Single Patient Use Disposable Wrap SPU Vest Disposable Vests and Replacement Parts Part Number P300630005 Description Small package of 5 23 to 33 58 cm to 84 cm
23. e designed for patients with a minimum thoracic length distance from the top of the shoulder to the waist of 10 25 cm Service Calls If service is necessary on The Vest 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 AA WARNING Only authorized persons should service The Vest 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 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 36 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 back cover No Air Pulses into the Disposable Vest l If the Remote
24. ely unplug the system from its power source e Remove the Air Hoses from the Air Hose ports on the disposable vest f Remove the disposable vest from the patient The Vest Airway Clearance System Model 205 17 User Manual 140643 REV 2 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 IS 1 Dress 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 vest will inflate 3 Press the ON button again to begin the treatment program ZH TUN 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 fitis 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 vest will deflate 18 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 b To resume treatment press the ON button
25. er 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 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 minutes 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 The Vest Airway Clearance System Model 205 13 User Manual 140643 REV 2 3 Press the ON button The disposable vest 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 Pressthe 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 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 vest will deflate 7 Hz 6 5 MIN Press OFF To Pause b Toresume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Re
26. essure 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 42 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 Ha 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 1 Underwriters Laboratories Inc is a registered trademark of Underwriters Laboratories Inc The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 43 Guidance and Manufacturer s Declaration Electromagnetic Immunity The Vest Airway Clearance System Model 205 is intended for use in the electromagnetic environment specified below The customer or user of the Model 205 should
27. gistered trademark of Velcro Industries BV a Dutch corporation Viraguard is a registered trademark of Veridien Corp The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Table of Contents Document Symbols 1 Precautlolis EE H Intended Use 1i 2m RR RATER eer Ree 4 T trod ction xev ue ke See EE EORR 4 Contraindications 0 cece cece eee ene 4 Relative Contraindicat
28. he back of the Air Pulse Generator 3 Plug the Power Cord into a grounded three pronged outlet Use The Vest Airway Clearance System Model 205 Make sure the unit is set up correctly see Set Up the Air Pulse Generator onpage12 Once power B s trinus sunm is connected the unit will show a blank screen for up to 15 seconds Then it will show the software revision level and the total therapy hours for the unit This screen will show for 10 seconds or until you press the ON button 12 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 NOTE To show the total therapy hours press the OFF button when the display shows the main screen Use the Normal Mode 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 Frequency setting press the left Up or Down a GI ON to ESCH arrow buttons until the prescribed treatment shows on the screen The Frequency or Hertz Hz may be set between 5 and 20 cycles p
29. ingle patient use latex free inflatable products for use on individual patients over multiple treatment sessions Clean The Vest Airway Clearance System between patients or when visibly soiled if used on the same patient Replace the disposable vest between patients or when it is damaged Do not attempt to disinfect or sterilize the disposable vest 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 a 5 S E 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 1 Dispatch is a registered trademark of Caltech Industries Inc 2 Cistrus II is a registered trademark of Beaumont Products Inc The Vest Airway Clearance System Model 205 33 User Manual 140643 REV 2 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 visi
30. ions 5 LEE 6 Air Pulse Generator 6 Push B r 2 oue Ene ERE ERES Seet 6 Remote Control 42 cervier re RR err Eu 7 Height Adjustment Release Lever 7 Locking Casters NEEN s bp b b EU 7 e LEE H Storage Basket H Air Hose Connector Porte 7 Aur ltgeg Lus ier hace cette bia eects EE 7 Control Panel e dee at Aden AR 7 Assembly AEN SEENEN SEELEN EES EEN DERE 8 Instructions for Use 0 ee teens 9 Put on the Disposable Single Patient Use SPU eg DEE GM Cte 9 Wrap SPU Vest rise aron Eh ate pe Pe 9 Pull SPU Vest acu Ee 10 Connect the Air Hoses 10 Set Up the Air Pulse Generator 12 Use The Vest Airway Clearance System Model 205 ebe Ee CALL ECL ORS ORAS ES 12 Use the Normal Mode 13 Setting and Using a New Program Mode 15 Using the Program Mode 00 2000 18 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Setting and Using a New Ramp Mode 19 Using the Ramp Mode 23 Change the Language s eese 24 Disable the Program Modes Program and Ramp 25 Set Facility Custom Default Settings 27 Move the Air Pulse Generator 30 Raise or Lower the Air Pulse Generator 31 Clean Ae A gees ete rete S 32 General Cleaning ENEE ea eens 33 Steam Gleaning 6 s y Ou RM E RB ORE 33 Cleaning Hard to Clean Spot 34 Bisinfecting iie Vou a ewan es UR RN REN 34 Maintenances ee Die Ee Se ay d P 34
31. is 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 Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Features A Air Pulse Generator F Stand B Push Bar G Storage Basket C Remote Control H 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 vest 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 Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 worki
32. ng 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 vests 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 vest to the Air Pulse Generator Control Panel Shows the modes system settings and system messages The Vest Airway Clearance System Model 205 7 User Manual 140643 REV 2 Assembly 1 Align the two posts on the rubber mat with the holes in the top of the stand 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 Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Instructions for Use Put on the Disposable Single Patient Use SPU Vests NOTE For comfort a single layer of cotton clothing should be worn under the disposable vest The disposable vest should be adjusted so that it is comfortable Wrap SPU Vest 1 Turn the patient towards you 2 With the Wrap SPU Vest deflated begin to lay it flat on the
33. nnect the Air Hoses to the Air Pulse Generator or disposable vest do not use lubricant Equipment damage could occur e fitis 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 1 Matar is a registered trademark of Huntington Laboratories Inc 2 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 KEEP THESE INSTRUCTIONS 1 Dispatch is a registered trademark of Caltech Industries Inc The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Intended Use The Vest Airway Clearance System Model 205 was developed to provide effective Airway Clearance Therapy The system consists of a disposable vest attached to an Air Pulse Generator that rapidly inflates and deflates the disposable vest This causes the chest wall to be gently compressed and released which creates airflow within 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
34. or the Remote Press ON To Resume Control again 7 Hz 4 5 MIN 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 vest 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 S Y 9 s amp 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 vest deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose ports on the disposable vest f Remove the disposable vest 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 the total therapy session The Vest Airway Clearance System Model 205 19 User Manual 140643 REV 2 Press the Down arrow below New Ramp to adjust the program settings NORMAL PGM RAMP FR ON New Pgm New Ram d Kei S SA Jo amp
35. p over during transport 3 Lower the Air Pulse Generator to the lowest position 4 Lift the brake release on all four casters Brake released 5 Move the Air Pulse Generator to the applicable location 6 Press down on the brake release to set the brakes on all four casters 7 Adjust the height of the Air Pulse Generator to the desired position 8 Plug the Air Pulse Generator into an applicable power source Brake set 30 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 Vest Airway Clearance System Model 205 31 User Manual 140643 REV 2 Cleaning A WARNING Follow the product manufacturer s instructions Failure to do so could cause personal injury or equipment damage Y SHOCK HAZARD Unplug the unit from its power source before you clean it Failure to do so could cause personal injury or equipment damage Y 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 dete
36. rgents Equipment damage could occur The Vest Airway Clearance System Model 205 has been tested for compatibility with these detergents A CAUTION Frequent exposure to Matar germicidal detergent may discolor the Air Pulse Generator e Matar germicidal detergent e Wex Cide all purpose germicidal detergent e Viraguard amp all purpose anti viral surface disinfectant e 3M HB Quat disinfectant cleaner e Virex II 256 disinfectant 1 Matar is a registered trademark of Huntington Laboratories Inc 2 Wex Cide is a trademark of Wexford Labs Inc 3 Viraguard is a registered trademark of Veridien Corp 4 3M is a registered trademark of Minnesota Mining and Manufacturing Company 5 Virex is a registered trademark of S C Johnson amp Son Inc 32 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 II amp hospital germicidal deodorizing cleaner General Cleaning A WARNING To help prevent cross contamination replace the single patient use disposable vest between patients Failure to do so could cause patient injury or equipment damage NOTE The disposable vests are s
37. st Airway Clearance System Model 205 25 User Manual 140643 REV 2 2 Press the two outside Down arrow buttons for a minimum of 3 seconds or until the screen changes 3 Press the right Up arrow button above Programs Defaults Programs ENGLISH Spanish ACCEPT 4 Press the right Up arrow button above pgm disable It will turn to PGM PGM ENABLE pgm disable ACCEPT DISABLE 5 To accept the change press the right Down arrow below ACCEPT 6 To accept all changes and exit out of the menu press the right Down arrow button Mia suus inem below the word ACCEPT 7 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 8 Toswitch back to Program Mode repeat the steps starting at 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 26 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Set Facility Custom Default Settings 1 Press the left Up arrow button above NORMAL The Normal mode screen shows 2 Press the two outside Down arrows for a minimum of 3 seconds or until the screen changes
38. sume 6 fitis 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 Whenthe OFF button is pressed the disposable vest deflates and the Incomplete 5 Min Remain s Press ON for Main Menu Incomplete X Min Remain message shows on the screen S2 S ks s 3 14 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 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 Press ON for Main Menu b The pulsations stop c The disposable vest deflates d Immediately unplug the system from its power source e Remove the Air Hoses from the Air Hose ports on the disposable vest f Remove the disposable vest 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 NORMAL PGM RAMP The screen will show the Frequency Pressure and ON New Pgm New Ramp OFF v d S SA S Mn treatment Time settings for the first Programming Point NOTE All the settings can be adjus
39. t 5 UT 596 UT 79596 dip in 79596 dip in Ur for 5 UT for 5 seconds seconds Power frequency 3 A m 3 A m Power frequency magnetic fields 50 60 Hz magnetic field IEC 61000 4 8 should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Up is the AC mains voltage prior to application of the test level 44 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Guidance and Manufacturer s Declaration Electromagnetic Immunity The Vest 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 g a A 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 Conducted RF 3 Vrms 3V 3 5 IEC 61000 4 6 150 kHz to d Fs JP 80 MHz Radiated RF 3 V m 3 V m 80 MHz to IEC 61000 4 3 80 MHz to 2 5 GHz 3 5 d E JP 3 800 MHz _ 77 800 MHz to d 3 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufact
40. ted NOTE You can program up to 8 different Programming Points each with its own combination of Frequency Pressure and treatment Time 2 For Programming Point 1 if the settings match the prescribed treatment continue to step 3 Otherwise adjust the settings to match the prescription The Vest Airway Clearance System Model 205 15 User Manual 140643 REV 2 by pressing the Up and Down arrows associated with Frequency Pressure and treatment Time 3 Once you have Programming Point 1 proceed to Programming Point 2 MA nmm DURS CS 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 4 Ifthe 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 therapy 5 Press the ON button The disposable vest 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 coun
41. tons 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 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 vest will inflate 05212Hz 01704 25 12Min Press ON to Inflate 9 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 Therapy settings cannot be changed during Ramping stage 12 Hz 3 7 MIN Start Therapy Press ON 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 to show on the screen The Vest Airway Clearance System Model 205 21 User Manual 140643 REV 2 NOTE When the unit is paused the disposable vest will deflate b To resume treatment press the ON button or the Remote Control again 7 Hz 4 5 MIN Press ON To Resume
42. ts down to zero for each Programming Point Therapy will automatically end after it has gone 12 Hz 4 7 MIN through each Program Point 1 Programming Point 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 16 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 NOTE When the unit is paused the disposable vest 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 Ifitis 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 vest 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 S Ka S 3 11 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 vest deflates d Immediat
43. ucus 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 Vest 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 Vest Airway Clearance System Model 205 49 User Manual 140643 REV 2 50 The Vest Airway Clearance System Model 205 User Manual 140643 REV 2 Hill Rom Global Headquarters US Hill Rom Company Inc 1069 State Route 46 E Batesville IN 47006 9167 Tel 800 445 3720 www hill rom com US Rental Therapy Hill Rom Company Inc Tel 800 638 2546 Australia Hill Rom Australia Pty Ltd Tel 61 0 2 8814 3000 Fax 61 0 2 8814 3030 NS 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 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 Osterreich 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 G hill rom St Paul MN Hill Rom Company Inc Tel 651 490 1648 or 800
44. urer 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 3 The Vest Airway Clearance System Model 205 45 User Manual 140643 REV 2 The Vest 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 TEC 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 a Field strengths from fixed transmitters such as base stations for 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 m

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