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1. e The therapy settings are accessible fiwon cava ov through the left button below Peak Cough Fow eae reali Settings e The scroll buttons allow selection of desired parameter e Pressing Modify will allow changing the parameter highlighted in green OK validates the choice and Finish returns to main screen e Three Presets are available to save a group of settings for different circumstances The settings available are displayed in the table below Preset T23 Mode Auto Manual Cough Trak OFF ON Only available in Auto mode Inhale pressure 0 to 70 cmH O in increments of 1 cmH O Inhale flow Low Medium High Inhale time 0 to 5s in increments of 0 1s Only available in Auto mode Exhale pressure 0 to 70 cmH O in increments of 1 cmH O Exhale time 0 to 5s in increments of 0 1s Only available in Auto mode Pause time 0 to 5s in increments of 0 1s Only available in Auto mode with Cough Trak OFF Oscillation OFF Inhale Exhale Both Frequency 1 to 20 Hz in increments of 1 Hz Only available if Oscillation set Amplitude 1 to 10 cmH O in increments of 1 cmH O Only available if Oscillation set Note Any change of setting made during therapy will automatically take effect at the beginning of that phase in the next cycle Monitoring view and icons e Press the up button below Menu e While Option is highlighted in green press Select and navigate down to
2. patient synchronization dial is provided in the center of herapy Feature Adults Pediatrics Effective pressure 35 up to 45 cmH O adjust to patient condition Inhale time ins 2 to 3 1 to 2 Exhale time ins 2to3 2 or less Pause time ins 2to3 As small as possible In Auto mode Oscillation The higher the frequency and the lower the During inspi amplitude the less the patient will feel the and or exp time oscillation we suggest starting at a high frequency and low amplitude and adjusting the settings until the patient is comfortable Cough Trak For patients who have some inspiratory drive this triggering feature feature will trigger on the patient s inspiration to help In Auto mode synchronize the therapy with the patient s effort Mode and Therapy parameters can be titrated modified in Preset Manual mode to evaluate the best therapy for the patient before setting up automatic settings Up to 3 different Presets can be saved to provide different therapies i e prophylactic use mucus plugs lung volume recruitment etc Data Data such as peak cough flow tidal volume management SpO or time counters available in detailed view ON can be useful for both setting therapy parameters and assessing therapy efficiency DirectView Therapy data recorded internal memory and SD EncorePro card peak cough flow tidal volume pressure SpO heart rate pattern of usage A The settings should always be checked be
3. CoughAssist E70 Quick start guide Device overview 6 Device menu Starting therapy Mask fitting Modifying therapy settings Monitoring view and icons Suggested guidelines for therapy PHILIPS S RESPIRONICS sense and simplicity Device overview Display screen Manual switch to activate inhale right and exhale left phases Power on Power off Perform action specified on screen Navigate menus or change setup Standby Peak Cough Flow 222 min ss FA Tidal Voume 514 mi 40 2 0 Menu amp Breathing circuit connection Fan exhaust Air outlet must be kept uncovered Detachable battery Filter Air inlet ac power inlet Remote control connector USB connector for service only SpO connector pc power inlet Note When the remote control foot pedal is connected the manual switch is disabled ip Starting therapy How to start stop therapy PHILIPS PHILIPS _ mm RESPIRONICS RESPIRONICS 1 Auto 05 24 2012 05 02 PM wHo wv 1 Auto 05 24 2012 07 04 PM wg v v aE N A l l l Settings Menu A Therapy Settings Menu A Standby C f C C ne C J To start therapy To stop therapy Connect the device to AC e Select Standb
4. Detailed View e Press Modify and Edit to change OFF or ON e Press OK to validate e Press Finish and Exit to return to the main screen Note When selecting detailed view OFF the following parameters are not displayed Peak Cough Flow SpO HR Tidal Volume Exhale and Inhale Time setting and counter 2 Pause Time setting To change monitoring view Detailed View ON s 60 40 20 0 20 40 1 Auto 03 01 2012 07 04 PM 60 cmH20 Peak Cough Flow 280 ymin g Tidal Volume 507 mi 40 2 0 cmH20 Sec Inhale Detailed View OFF 1 Manual 03 01 2012 07 02 PM mie wv 0 20 40 60 cmH20 Ppt py ppp py py yt 40 cmH20 Inhale Symbols and icons Color code green pause W Pulse oximeter green means yellow exhale connected flashing blue inhale Q With means questionable data SD card inserted g A Breath synchronization tool displayed remaining time of each phase during Auto mode SD card error Memory card writing copying data to SD card No measurement is performed or questionable data Full access Informational message information available in the Remote control Information Log foot pedal connected Power source in use indicator External battery indicator box is placed around the red few minutes left battery being used Charging indicator detachable Det
5. achable battery indicator battery is being charged red few minutes left Suggested guidelines for the Adapting to the patient For a patient using this device for the first time it is advisable to begin with lower pressures such as 10 15 cmH O positive and negative pressure and low inhale flow It will familiarize the patient with the feel of mechanical insufflation exsufflation As the patient becomes more comfortable with the therapy progressively increase the inspiratory and expiratory pressures by 5 to 10 cmH O each sequence of 4 to 6 breaths Effective pressures may be around 35 45 cmH O the screen during Auto mode Standard treatment procedure Cough Trak may also be enabled to help synchronize the therapy with the patient s inspiratory effort to make acclimation to the therapy easier Oscillation can be enabled to enhance mobilization and improve bronchial drainage General therapy description e 1 cough cycle is composed of an inspiratory expiratory and pause phase e 4 to 6 cough cycles compose a sequence 20 to 30 seconds of resting time is suggested between sequences allowing for secretion removal A treatment is composed of 4 to 6 sequences and can be performed several times a day whenever needed Preferably therapy should be performed in the morning before meals and bedtime Tip To help the patient understand and become comfortable with the therapy the
6. e refer to the latest for complete information regarding the CoughAssist E70 device 2012 Koninklijke Philips Electronics N V All rights are reserved PHILIPS CoughAssist E70 is registered trademark of Philips Philips Healthcare reserves the right to make changes in specifications and or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication Broudy AE 7 2 12 MCI 4104775 PN 1099397
7. fore beginning therapy Guidelines are intended to serve only as reference They do not supersede established medical protocols or instructions from physician To access device menu press the up button below the menu The menu selection and their corresponding parameters are displayed in the table below Options Information Log Clear Patient Data Safely Remove SD Card Write Event Log to SD Card LCD brightness date format time format month day year hour and minutes Only in Full access mode menu access detailed view language pressure units therapy hours SpO heart rate HR peak cough flow tidal volume serial number model number software version calibration date SD card capacity detach battery serial number detach battery cycles therapy hours Informational messages about the device will be indicated by the icon The log menu displays the list of messages that occurred i e battery not charging or replace battery and allows them to be cleared Allows clearing previous data from device memory and SD card to record new data i e for a new patient Allows removing SD card without risk of losing or damaging recorded information follow messages displayed on screen Copies event log data from the device to the SD Card follow message displayed on screen Mask fitting To choose a well fitted Landmarks mask ensure the Side of mouth entire mouth and nose are
8. included inside the mask Below the lower lip Bridge of nose zone Make sure the top of the cushion is not too high on the bridge of the nose area No leak should remain Mask size cm Infant Toddler Small adult Medium adult Large adult s te F Mouthpiece Trach Toddler Small medium adapter mask and large masks Philips Healthcare is part of Royal Philips Electronics How to reach us www philips com healthcare healthcare philips com Asia 49 7031 463 2254 Europe Middle East Africa 49 7031 463 2254 Latin America 55 11 2125 0744 North America 1 425 487 7000 800 285 5585 toll free US only Philips Respironics 1010 Murry Ridge Lane Murrysville PA 15668 Customer Service 1 724 387 4000 800 345 6443 toll free US only Philips Respironics International Headquarters 33 1 47 28 30 82 Philips Respironics Asia Pacific 65 6882 5282 Philips Respironics Australia 61 2 9947 0440 1300 766 488 toll free Australia only Philips Respironics China 86 400 828 6665 86 800 828 6665 Philips Respironics Deutschland 49 8152 93 06 0 Philips Respironics France 33 2 51 89 36 00 Philips Respironics Italy 39 039 203 1 Philips Respironics Sweden 46 8 120 45 900 Philips Respironics Switzerland 41 6 27 45 17 50 Philips Respironics United Kingdom 44 800 1300 845 www philips com respironics This guide contains abstracted information from the User Manual pleas
9. y or DC power source or use a ff the detachable battery o turn power off press e Press to power on the device e Select Therapy to start the treatment Bagis hos ae How to lock unlock Limited access lock permits the user to select between Preset therapy settings while Full access unlock will allow the user to change all settings PHILIPS RESPIRONICS 1 Auto 05 24 2012 05 02 PM wHo s ai P gt Peak Cough Fow 222 mn Me 4 TidatVoume 514 mi 40 2 0 om0 Se Inhale a To temporarily unlock the device e While in Standby press the down button below Menu and hold manual switch D to the right for 5 seconds Note When g appears on the main screen the device is unlocked If the Access menu is not set to Full the device will switch automatically to limited access after 5 minutes of inactivity PHILIPS mm RESPIRONICS ip LCD Brightness ee To select access option e Press the up button below Menu e While Option is highlighted in green press Select e While Menu Access is highlighted press Modify and then Edit to select Limited or Full access e Press OK to validate e Press Finish and Exit to return to the main screen Modifying therapy settings To modify settings
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