Instruction for Use
Contents
1. 1 000 hours in normal ambient air Permitted humidity for operation and storage lt 95 rh no condensation System resistance at an air flow rate of 60 l min at patient connection opening VENTImotion 2 with tube system WM 24130 and Silentflow WM 23600 VENTImotion 2 with tube system WM 23737 VENTIclick WM 24365 and bacteria filter WM 24148 kPa s 0 20 kPa s 0 31 61 Technical data EN VENTImotion 2 with VENTImotion 2 VENTIclick Filters and smoothing techniques Actual values recalculated after every breath no averaging Mean values calculated across all breaths since the device was started up Leakage calculated continuously updated after every breath AirTrap statistics calculated across all breaths since the device was started Volume compensation in the slow stage the device checks after every 8 breaths whether the target volume has been reached and changes pressure by 0 5 hPa If the pressure reaches a corridor around the target volume the device switches to precise control At the moderate stage the device checks after every 5 breaths whether the target volume has been reached and changes pressure by 1 0 hPa If the pressure reaches a corridor around the target volume the device switches to precise control At the fast stage the device checks after every breath whether the target vol2. The device has an auto switch on function If this is activated the device can be switched on by the patient taking a breath in the breathing mask The device is still switched off by the On Off key C Description of device CEN 11 3 Safety instructions 3 1 Safety information Read these instructions for use through carefully They are a component part of the product Use the device only for the intended use described see 2 1 Intend ed use on page 9 For your own safety and that of your patients and in accordance with the require ments of directive 93 42 EEC observe the following instructions 3 1 1 Operate the device Caution Check whether the power supply voltage on the device matches your local electricity supply The device can work with voltages of 115 V and 230 V It automatically adjusts to one of these voltages Always secure the plug of the power cord on the power supply unit with the cable securing clip to prevent the plug being discon nected inadvertently The device must be connected to an easily accessible socket so that the plug can be disconnected quickly in the event of a fault Do not set up the device close to a radiator and do not expose it to direct sunlight so as to stop the device overheating and form ing condensation Do not cover the device with blankets or similar This blocks the air inlet and the device may overheat This may lead to inade quate therapy and damage to t
3. Code Sealing plug s still on pressure measurement tube after hygiene treatment Remove both sealing plugs Disconnect the power supply and then reconnect it Switch device back on without tube system If there are faults which cannot be remedied immediately contact your specialist dealer immediately to have the device repaired Do not continue operating the de vice to prevent greater damage 49 Faults EN 9 Servicing 9 1 Intervals We recommend having servicing safety checks and repair work performed only by the manufacturer Weinmann or by authorized specialist dealers Check regularly whether the two filters are dirty e The coarse dust filter should be cleaned once a week and replaced at least every 6 months e The fine filter must be replaced after no more than 1 000 operating hours filter change indicator appears in the status line For hygiene reasons we recommend replacing the following parts at the intervals stated e Pressure measurement tube every 6 months earlier if dirty e Complete mask system every 6 to 12 months depending on dirt e Exhalation system in accordance with the associated instructions for use Germany only The device must be subjected to a safety check Sicherheitstechnische Kontrolle STK at regular intervals The legally specified intervals for performing the safety check as per 6 of the German law governing medical devices and their
4. homecare VENTImotion 2 Home ventilation device Description of device and instructions for use for devices from serial number 10 000 WEINM ANN medical Mtechnology Contents Sara Seok SEEN SB WN oS 2 3 3 1 3 2 3 3 3 4 4 1 4 2 4 3 4 4 5 1 9 2 5 3 5 4 5 9 6 1 6 2 6 3 6 4 7 1 7 2 8 1 8 2 Overview Default display during therapy 5 Symbols used in the display Abbreviations used in the display 7 Safety instructions 8 Description of device 9 Intended use 4 9 Owner operator and user qualification 9 Description of function 10 Safety instructions 12 Safety information 12 Contraindications 14 Side effects Particular markings on the device 16 Set up device 5 18 Set up device 18 Connect device 18 Put on breathing mask 20 ACCESSOrIEScH a Sea Backs 20 Operation 2 0202000 24 Start up VENTImotion2 24 Functions in the default display 25 Functions in the menu After use Traveling with VENTImotion 2 31 Hygiene treatment 32 tervals ited a tere 32 Cleaning 4 rn 3 ees 33 Disinfect sterilize 36 Change of patient 38 Function check 39 Intervals sci hoist th Sc A 39 Method 20 0 202 rn 39 Faults 22 32s eee eh 44 Faults t a et oi a
5. 7 Push the filter compartment lid into the housing until the latch engages 9 2 2 Change fine filter The fine filter needs changing when it goes dark in color but in any event after no more than 1 000 op erating hours T IPAP 26 6hPa 40 hPa EPAP 4 0nPa 30 f 12 min 2 z TT 33 NM Filter change indicator In this case filter change indicator appears per manently in the status line Proceed as follows to change the fine filter 1 Push the latch of the filter compartment lid and take it off Replace the fine filter with a new fine filter Dispose of the old filter with ordinary domestic waste 4 Insert the filter compartment lid into the opening in the housing bottom edge first 5 Push the filter compartment lid into the housing until the latch engages 9 2 3 Reset filter change indicator After you have changed the fine filter you have to reset the filter change indica tor This is necessary even if you have replaced the filter before 1 000 operating hours have elapsed 1 Press the Menu key to call up the Menu Patient menu Drying process Auto switch on Off 52 CEN Servicing ST Filter change Reset filter change NO 7 9 2 4 Bacteria filter Use the dial to select the menu item Filter change The query Reset filter change appears Set Yes with the dial If you want to cancel the process use the dial to select No an
6. Drying adapter WM 24203 Carrying bag WM 24995 Power cord WM 24177 Power supply unit WM 27804 Coarse dust filter WM 24880 Fine filter packed WM 15026 Instructions for use for VENTImotion 2 WM 67011 Patient record WM 67046 10 2 Accessories The following accessories are not included in the scope of supply and must be ordered separately if required Parts Order number VENTIclick respiratory air humidifier WM 24365 VENTIsupport evaluation software only for medical and technical WM 93305 professionals Tube system sterilizable consisting of WM 24120 creased tube sterilizable WM 24122 pressure measurement tube WM 24038 adapter with pressure connector WM 24149 sealing plugs 2x WM 24115 Bacteria filter complete WM 24148 Scope of supply EN 55 Order Farts number VENTI O oxygen supply valve WM 24200 VENTI O plus oxygen supply valve WM 27200 VENTIpower battery incl case WM 27630 Analogbox D A WM 27560 12 V inverter WM 24616 24 V inverter WM 24617 Silentflow WM 23600 a complete alternative exhalation WM 23685 JOY CEstrap head strap WM 26290 HEADstrap head strap WM 26360 JOYCE vented size S WM 26110 JOYCE vented size M WM 26120 JOYCE vented size L WM 26130 JOYCE vented size XL WM 26140 JOYCE vented 40 hPa size S WM 26111 JOYCE vented 40 hPa size M WM 2612
7. When the device is handed over to a patient as the physician supervising treat ment or a member of the hospital staff you must provide instruction in the func tion of the device Description of device EN 9 2 3 Description of function 2 3 1 Display and operation The parameters below can be read off the display e Therapy mode e CPAP or IPAP and EPAP e Respiratory frequency f e Spontaneous or mechanical respiratory phase change e Pressure change Your doctor can set the ventilation parameters in standby and in normal mode Your doctor can set the device using several keys which allow direct access to the most important parameters e PAP e EPAP e frequency e inspiration time The dial is used to control navigation through the menu 2 3 2 Provision of therapy pressure A fan takes in ambient air through a filter and pumps it to the device outlet port The air flows to the patient from here through the tube system and the breathing mask Sensors detect the pressure in the breathing mask and in the tube system as well as the respiratory phase change trigger point The fan provides the IPAP and EPAP pressures set by the doctor to suit this information 10 CEN Description of device 2 3 3 Therapy modes The device can be operated in the following therapy modes T TA ST CPAP The mode required for your therapy will be set on the device by your doctor In adaptive controlled TA mode the device automatical
8. gt gt Note Indicates material hazards If you do not follow this instruction material damage may result 8 EN Overview 2 Description of device 2 1 Intended use VENTImotion 2 is a ventilation device for non invasive ventilation in home care type environments not for life support purposes of adult patients with respirato ry insufficiency who have a tidal volume of at least 160 ml and can be proven to have an independent respiratory drive This corresponds to the following diseases e obstructive respiratory disorders such as COPD e restrictive respiratory disorders such as scolioses deformities of the thorax e neurological muscular and neuromuscular disorders such as pareses of the diaphragm for example e central respiratory regulation disorders e obstructive sleep apnea syndrome OSAS VENTImotion 2 is not suitable for life support use 2 2 Owner operator and user qualification As an owner operator or user you must be familiar with the operation of this medical device Observe the legal requirements for operation and use in Germany the regula tions governing owner operators of medical devices apply in particular Basic rec ommendation get a person authorized by Weinmann to provide you with proper instruction about the handling use and operation of this medical device You may only make individual settings to this device for a specific patient if you are the physician supervising treatment
9. Adjust head strap so that breathing mask seals replace if necessary Breathing mask Replace breathing mask defective Filter change l apt l Clean or change filter as quickly as indicator Filter dirty possible 9 2 page 51 appears Battery discharged Internal battery of device exhausted Press alarm acknowledgement key have battery replaced by a specialist dealer so that course of therapy is recorded correctly 44 CEN Faults Fault fault Cause of fault Remedy message Internal clock of Press alarm acknowledgement key I VENTImotion 2 not have clock set by your doctor so that Clock not set set course of therapy is recorded correctly The device must be checked over or serviced by Weinmann or a specialist appears dealer as soon as possible Check whether the correct power Service indicator Incorrect power VENTIclick Eos supply unit plug with yellow marking humidifier not pp y is connected at the bottom socket connected at working yellow If appropriate replace power battery connection supply unit and use correct socket If there are faults which cannot be remedied immediately contact your specialist dealer immediately to have the device repaired Do not continue operating the de vice to prevent greater damage 8 2 Alarms A distinction is made between two types of alarm e low priority alarms in
10. at very high ventilation pressures Electrical rating 115 230 VAC 50 60 Hz Tolerance 20 10 Current consumption in operation standby 230 V 115V 230V 115V 0 17 A 0 3 A 0 34A 06A 0 050 A 0 108 A 0 050 A 0 108 A Classification to EN 60601 1 Type of protection against Protection class Il electric shock Type BF Degree of protection against electric shock Electromagnetic compatibility EMC to EN 60601 1 2 EN 55011 radio interference suppression radio interference immunity EN 61000 3 2 EN 61000 3 3 EN 61000 4 2 to 6 EN 61000 4 8 EN 61000 4 11 Mean sound pressure level operation to EN ISO 17510 at a distance of 1 m from the device in the patient position Sound pressure level of alarm approx 32 dB A at 20 hPa approx 30 dB A at 15 hPa approx 28 dB A at 12 hPa approx 26 dB A at 10 hPa approx 24 dB A at 7 hPa min 62 dB A Technical data CEN 59 VENTImotion 2 with VENTImotion 2 VENTIclick PAP pressure range EPAP pressure range CPAP pressure range Pressure precision ncrement 6 to 40 hPa 4 to 20 hPa 4 to 20 hPa up to 35 hPa 0 6 hPa from 35 hPa 1 5 hPa 0 2 hPa 1 hPa Imbar 1 cm H20 inimum stable limit pressure PLSmin min pressure in the 0 hPa event of a fault aximum stable limit pressure lt 60 hPa PLS max max pressure in the event of a fault Respiratory freq
11. integrated exhala tion system The used air which contains carbon dioxide CO es capes from the breathing mask through the exhala tion system Without an exhalation system the CO concentration in the breathing mask and tube may rise to critical values and thus inhibit your breathing The exhalation system enables you to breathe through your nose or mouth even if the device fails In the case of full face masks breathing is effected through a safety valve on the breathing mask in the event of a fault The sleeve on the end of the tube system has a diam eter of 19 5 mm and fits over a standard 22 mm ta 20 CEN Set up device pered connector Push the exhalation system into the sleeve of the creased tube Follow the instructions for use for your exhalation system 4 4 2 VENTIclick respiratory air humidifier The VENTIcl ick respiratory air humidifier is plugged between the device and the tube system The input connector stub and the electric connection for the heating rod must be pointing towards the device Follow the instructions for use for the VENTIclick 4 4 3 Oxygen supply with VENTI O VENTI O plus VENTI O plus The supply of oxygen must have been prescribed by the supervising doctor For safety reasons risk of fire it is not permitted to supply oxygen directly to the tube system or to the breathing mask without a special safety device On this device the
12. owners operators Is 2 years In addition servicing must be performed as a preventative maintenance measure at the following intervals e after every 5 000 operating hours service indicator appears in the status line or e after 2 years see service label on rear of device whichever comes first 50 CEN Servicing The safety check and service include check for completeness visual inspection for mechanical damage filter change cleaning the device replacing any defective parts complete check of device functions and pressure displays battery change final check as per test instruction WM 27811 9 2 Filter change 9 2 1 Change coarse dust filter Use only genuine Weinmann filters If third party filters are used any claim under warranty is voided and restricted function and biocompatibility may result 1 If the VENTIcl ick respiratory air humidifier is connected disconnect it from the device This will prevent water running into the device when you change the filter You should also follow the instructions for use for VENTIclick Push the latch of the filter compartment lid and take it off Remove the coarse dust filter from the filter compartment lid Dispose of it with ordinary domestic waste Place a clean coarse dust filter in the filter compartment lid Insert the filter compartment lid into the opening in the housing bottom edge first Servicing EN 51
13. standby mode Plug the red drying adapter supplied into the device outlet port Press the Menu key to reach the menu Use the dial to select the menu item Function check and press the dial The message window Function check running opens The remaining time for the function check is displayed Function check CEN 41 7 2 6 Alarms When you press the On Off key the device performs a self test of the sensor system This checks that the alarm system is working If a fault occurs during the self test an error message appears in the main screen see also 8 Faults on page 44 1 Once the function check has been successfully com pleted the message Function check ok appears and VENTImotion 2 returns to the default display If an implausible value is detected during the func tion check the message Flow sensor implausible Sensor system implausible or Implausible pressure measurement appears In this event proceed as follows Close the window using the Menu key Disconnect the power supply for 5 min Check whether the drying adapter has been attached properly Perform the function check again If the message Flow sensor implausible Sensor sys tem implausible oder Implausible pressure measure ment appears again contact your specialist dealer immediately to have the device repaired Check the buzzer and the status indicators each time the device is switc
14. the bar graph in the default display Specified values T TA and ST mode prescribed value Permitted deviation Maximum 1 phase minute 7 2 3 Check triggering This check is only necessary if the device is being operated in ST mode le Switch off the device by keeping the On Off key cb depressed for 2 seconds 2 Fit the breathing mask 3 Switch on the device by pressing the On Off key 4 Puton the breathing mask and breathe normally In ST mode your respiratory frequency must be above the prescribed frequency to stop the time con trolled trigger of the device becoming active Requirement The device must react to the switch in respiratory phases by changing pressure level If the trigger for exhalation does not work it may have been switched off or trigger lockout time may have been activated Ask your doctor whether this is the case 40 CEN Function check 7 2 4 Check Softstart This check is not necessary if Softstart has been disabled by the doctor 1 Switch on Softstart by pressing the Softstart key lt The Softstart display lt 4 appears and Softstart time is displayed 7 2 5 Flow sensor pressure sensor 2 Drying process Auto switch on Off Filter change rw Function check back 3 ST Patient menu X Drying process Auto switch on Off Filter change aFunction check Note A function check of the flow sensors pressure sensors can only be carried out in
15. this case the data can be called up for up to two years The alarm list is cleared after two years or following a service A maximum of 100 alarms is stored and displayed after which the oldest alarms in each case are over written Further information and a list of possible alarms can be found in the section entitled 8 Faults on page 44 Operation EN 29 5 4 After use Take off the head strap with the breathing mask Keep the On Off key depressed for 2 seconds to switch off the device The fan switches off and the duration of the pre vious therapy appears in the display The device then switches to standby mode WEINMANN VENTImotion 2 appears in the display Take the tube connection and the exhalation system if present off the breathing mask Clean the breathing mask and the exhalation system see 6 Hygiene treatment on page 32 Tip to save electricity you can disconnect the plug of the power cord from the socket when the device is not in use The saved therapy parameters and settings will be retained 30 CEN Operation 5 5 Traveling with VENTImotion 2 VENTImotion 2 may be transported a relatively long distance only in the carrying bag provided for it You need to pack the following in the carrying bag e device e power supply unit e power cable e tube system incl drying adapter e breathing mask incl exhalation system e VENTIclick res
16. 1 JOYCE vented 40 hPa size L WM 26131 JOYCE vented 40 hPa size XL WM 26141 JOYCE GEL vented size S WM 26112 JOYCE GEL vented size M WM 26122 JOYCE GEL vented size L WM 26132 JOYCE non vented size S WM 26160 JOYCE non vented size M WM 26170 JOYCE non vented size L WM 26180 JOYCE non vented size XL WM 26190 JOYCE non vented 40 hPa size S WM 26161 JOYCE non vented 40 hPa size M WM 26171 JOYCE non vented 40 hPa size L WM 26181 JOYCE non vented 40 hPa size XL WM 26191 56 CEN Scope of supply Parts uber JOYCE GEL non vented size S WM 26162 JOYCE GEL non vented size M WM 26172 JOYCE GEL non vented size L WM 26182 JOYCE Full Face vented size S WM 26410 JOYCE Full Face vented size M WM 26420 JOYCE Full Face vented size L WM 26430 JOYCE Full Face vented size XL WM 26440 JOYCE Full Face vented 40 hPa size S WM 26411 JOYCE Full Face vented 40 hPa size M WM 26421 JOYCE Full Face vented 40 hPa size L WM 26431 JOYCE Full Face vented 40 hPa size XL WM 26441 JOYCE Full Face GEL vented size S WM 26412 JOYCE Full Face GEL vented size M WM 26422 JOYCE Full Face GEL vented size L WM 26432 JOYCE Full Face vented size S WM 26413 JOYCE Full Face vented size M WM 26423 JOYCE Full Face vented size L WM 26433 JOYCE Full Face vented size XL WM 26443 JOYCE Full Face non vented 40 hPa size S WM 26461 JOYCE Full Face non vented 40 hPa s
17. Head strap accessory For correct secure positioning of the breathing mask 18 Service label and safety check STK label Germany only The service label indicates when the next service is required The safety check STK label Germany only indicates when the next safety check as per 6 of the German law governing medical devices and their owners operators is required 19 Filter compartment lid air inlet For covering and securely positioning the coarse dust and fine filters 20 Power supply connection yellow This is where the connecting cable for the power supply unit is connected 21 Connection for battery VENTIpower For the VENTlpower electricity supply indepen dent power supply available as an accessory ac cessory 22 Connection for O supply valve VENTI O For connecting the VENTI O and VENTI O gt plus oxygen supply valves available as an accessory ac cessory 23 Alarm acknowledgement key with LED The alarm acknowledgement key is for the tem porary muting of alarms The LED is for displaying the alarms visually 4 CEN Overview 24 On Off key For switching the device on and off 25 Dial Central control element of the device for navigat ing in the menu 26 Operating keys For the doctor to make rapid settings disabled in Patient mode 27 Menu key For switching from the default display to the menu and back 28 Humidifier key with LED For setting humidifier st
18. a Device in TA mode automatic analysis phase running Am Device in TA mode manual analysis phase running Ww Volume compensation activated comes after mode e g ST Hh AirTrap control activated comes after mode e g ST Main window default display IPAP nspiration pressure EPAP Exhalation pressure hPa Pressure quoted in hectopascals 1 01973 hPa correspond to 1 cm H O f Respiratory frequency S Spontaneous triggering of respiratory phase change T andatory triggering of respiratory phase change B nspiration trigger blocked during an exhalation Overview EN 1 4 Safety instructions Safety instructions indicate information relevant to safety You will find safety instructions within instructions before a step which includes a risk to people or objects Safety instructions consist of the warning symbol pictogram a word to indicate the level of hazard information about the hazard and instructions on how to avoid the hazard There are three levels of warning instruction depending on the degree of hazard DANGER Indicates an unusually large hazard If you do not follow this instruction severe irreversible injuries or death will result Warning Indicates an unusually large hazard If you do not follow this instruction severe irreversible injuries or fatal injuries may result Caution Indicates a hazard If you do not follow this instruction slight or moderate injuries may result gt
19. age Six stages are avail able The LED indicates whether the humidifier is activated 29 Softstart key For activating Softstart and for setting Softstart time up to the maximum value set by the doctor In TA mode this key is for triggering an analysis phase manually 30 VENTIpower accessory Obtainable as an accessory for electricity inde pendent power supply of the device 31 Device ID plate Provides information about the device such as se ial number and year of manufacture 32 VENTIclick accessory Obtainable as an accessory for humidifying and heating respiratory air 33 Carrying bag For transporting the VENTImotion 2 34 VENTI O VENTI O plus accessory For supplying oxygen to the breathing mask 1 1 Default display during therapy 7 Active ventilation mode IPAP 18 0 hPa EPAP 6 0 hPa f 12 min 6 Ventilation parameters 1 Status line 5 Bar graph for pressure display 2 Softstart symbol 30 20 10 0 hPa Display for respiratory phase T chan ge Il Menu P _ 4 Access to patient menu 1 Status line This is where information about device status for example filter change or servicing due is dis played 2 Softstart symbol Indicates that Softstart is activated the number indicates remaining time in minutes 3 Display for respiratory phase change Indicates whether the current respiratory phase change is spontaneous or man
20. bi ent air VENTI O plus Pressure sensor for device pressure Pressure sensor for Nonreturn Naive Flow sensor Einer eleien m Measuring Optional Optional Ventilation tube Exhalation section humidifier bacteria filter 1 8m system Patient mask nasal cannula or full face mask patient pressure 11 2 Safety distances Recommended safety distances between portable and mobile HF telecommunication devices e g cellphones and the VENTImotion 2 Nominal power of Safety distance depending on transmission frequency HF device inm in W 150 KHz 80 MHz 80 MHz 800 MHz 800 MHz 2 5 GHz 0 01 0 04 0 04 0 07 0 1 0 11 0 11 0 22 1 0 35 0 35 0 70 10 1 11 1 11 2 21 100 3 50 3 50 7 00 Further technical data are available from the manufacturer Weinmann on request or provided in the hospital manual and in the servicing and repair instructions 64 EN Technical data 12 Warranty Weinmann gives the customer a limited manufacturer warranty on new original Weinmann products and any replacement part fitted by Weinmann in accordance with the warranty conditions applicable to the product in question and in accor dance with the warranty periods from date of purchase as listed b
21. d press the dial The process is can celled If you have selected Yes with the dial and confirmed it the message Filter change reset appears for approx 3 seconds If bacteria filter WM 24148 is being used change the particulate filter in the bacteria filter in accordance with the associated instructions for use 9 3 Change pressure measurement tube Adapter 1 FED or S 2 ape Sleeve f 4 5 6 7 Release the sleeve of the creased hose from the adapter Pull the pressure measurement tube out of the creased tube Pull the pressure measurement tube off the adapter Push the new pressure measurement tube onto the adapter Hold up the creased tube and insert the free end of the new pressure measurement tube Push the sleeve of the creased tube onto the adapter Dispose of the old pressure measurement tube Servicing EN 53 9 4 Disposal Do not dispose of the device with domestic waste To dispose of the device K properly contact an approved certified electronics scrap dealer You can m Obtain the address from your Environment Officer or your local authority The device packaging cardboard and inserts can be disposed of in paper recycling facilities 54 CEN Servicing 10 Scope of supply 10 1 Standard scope of supply VENTImotion 2 WM 27800 Parts Order number VENTImotion 2 basic device WM 27810 Tube system WM 24130
22. datory spontane ous S mandatory T depending on the respira tory phase the display switches from left inspiration to right exhalation Likewise indicates whether the inspiration trigger at the start of an exhalation stage is blocked EI Overview CEN 5 due to trigger lockout time being activated for example 4 Access to patient menu The key next to this menu item enables you to switch to the menu and back to the default dis play 5 Bar graph for pressure display For the graphical display of therapy pressure 6 Ventilation parameters Corresponding current ventilation parameters are displayed as a function of which mode is active 7 Active ventilation mode The ventilation mode which is active is displayed at this point in the status line 1 2 Symbols used in the display Symbol Meaning Status line 110 Softstart active remaining time faded in Filter change required Acoustic signal for IPAP in and Vtmin alarms silent Alarm for IPAP min and Vmin alarms deactivated Servicing required Physician functions enabled Physician functions locked Fan off Main window N Low priority alarm triggered N N Medium priority alarm triggered 1 3 Abbreviations used in the display Symbol Meaning Status line T T mode active TA TA mode active ST ST mode active CPAP CPAP mode active A
23. dicated by the symbol in the alarm window a continuous yellow status indicator and an acoustic alarm buzzer e medium priority alarms indicated by the symbol N inthe alarm window a flashing yellow status indicator and an acoustic alarm buzzer There are no so called high priority alarms on this device as it may not be used for life support ventilation 8 2 1 Mute alarms The physician supervising treatment can deactivate the acoustic alarm of the phys iological alarms Vmin and IPAP n symbol Bin the status line In this case the corresponding alarm simply appears in the display and the yellow status indicator is permanently on Faults CEN 45 8 2 2 Deactivate alarms If the symbol EJ appears in the status line physiological alarms V and IPAP nin have been deactivated 8 2 3 Acknowledge alarms If an alarm is triggered by a fault in this case discon nection alarm press the alarm acknowledgement key ZX The acoustic alarm pauses for approx 120 A AN seconds Disconnection Once the acoustic alarm has been acknowledged the default display appears again The fault which has not yet been eliminated continues to be dis played in the status line and the yellow status indica tor flashes or is on until the fault is eliminated 2 Disconnection PAP 18 0npa 30 hPa EPAP 6 0nPa 20 f 28 min gl 5 Tt 76 1 N v Om mem f the fault is not eliminated within 120 seco
24. drying adapter supplied into the device outlet port Plug the adapter of the tube system onto the red drying adapter Press the Menu key The selection bar is on Drying process Press the dial to start the drying process The device now dries the tube system Remaining drying time is displayed The device switches off automatically after 30 minutes You can interrupt the process at any time by pressing the Menu key amp for 2 seconds 5 If the tube system still has damp spots after drying start the drying process again Remove the drying adapter from the device outlet port 34 CEN Hygiene treatment 6 2 3 Clean housing Warning Risk of injury from electric shock If the device is powered liquids e g cleaning agents may cause an electric shock and injure people Disconnect the connecting cable of the power supply unit from the power supply socket before cleaning the housing Do not immerse the device in disinfectants or other liquids Wipe down the device the power supply unit and the power cord with a soft damp cloth Take off the filter compartment lid Remove the coarse dust filter Clean the filter compartment lid under running water until there are no residues Dry the filter compartment lid carefully Put the coarse dust filter and the filter compartment lid back in 6 2 4 Clean coarse dust filter change fine filter T 2 Take off the filter compartm
25. elow The war ranty conditions can be downloaded from www weinmann de on the Internet We can also send you the warranty conditions on request In the event of a claim under warranty contact your specialist dealer Product Warranty period Weinmann devices including accessories except masks for sleep diagnosis sleep therapy home ventilation oxygen medicine and 2 years emergency medicine Masks including accessories rechargeable batteries batteries unless quoted differently in the technical documentation 6 months sensors tube systems Disposable products None Warranty EN 65 13 Declaration of conformity Weinmann Ger te f r Medizin GmbH Co KG declares herewith that the prod uct complies fully with the respective regulations of the Medical Device Directive 93 42 EEC The unabridged text of the Declaration of Conformity can be found on our website at www weinmann de 66 CEN Declaration of conformity Weinmann Ger te f r Medizin GmbH Co KG P O Box 540268 D 22502 Hamburg Kronsaalsweg 40 D 22525 Hamburg T 49 0 40 5 47 02 0 F 49 0 40 5 47 02 461 E info weinmann de www weinmann de Center for Production Logistics Service Weinmann Ger te f r Medizin GmbH Co KG Siebenstiicken 14 D 24558 Henstedt Ulzburg WM 67011c 03 2013 EN partner for life WEINM NN medical Mtechnology
26. ency f in 1 min e Softstart display if activated with remaining Softstart time maximum 30 minutes or the max imum Softstart time specified by the doctor see 5 2 1 Set Softstart on page 25 e bar graph shows the pressure curve for inspira tion and exhalation Display for respiratory phase change indicates whether the current respiratory phase was triggered spontaneously by the patient S or by the machine T The display also shows whether the inspiration trigger is blocked at the start of an exhalation B Note The softstart function is not available in TA mode In TA mode trigger an analysis phase manually by pressing the Softstart key see also 2 3 3 Therapy modes on page 11 The Softstart function makes it easier for you to fall asleep or to become accustomed to higher ventila tion pressures If Softstart is activated pressures gradually rise to your therapy level If your doctor has enabled the Softstart function you can select Softstart time in 5 minute increments up Operation EN 25 IPAP epap 4 0 f 29 Kit min to a maximum time of 30 minutes Your doctor may limit the maximum time to less than 30 minutes Operate the device Press the Softstart key until the Softstart window appears Change the Softstart time using the dial Alternatively press the Softstart key several times in succession to increase Softstart time in 5 minute increments 4 To save the Soft
27. ent lid Remove the coarse dust filter from the filter compartment lid and clean it under clean running water until there are no residues Replace the fine filter The fine filter cannot be cleaned It must be replaced every 1 000 operating hours Leave the coarse dust filter to dry The coarse dust filter must be completely dry before the device is started up Hygiene treatment EN 35 5 Put the coarse dust filter back in and close the 6 2 5 Clean accessories filter compartment lid Cleaning of the accessories is described in the relevant instructions for use 6 3 Disinfect sterilize 6 3 1 Device 6 3 2 Tube system You may disinfect the following parts when re quired e g in the event of infectious diseases or unusual contamination Housing Power supply unit Power cord Tube system Bacteria filter housing Accessories Follow the instructions for use for the disinfectant used We recommend wearing suitable gloves e g household or disposable gloves when disinfecting Disinfect the housing power supply unit and power cord simply by wiping with disinfectant We recom mend terralin protect for this purpose Sterilization of the device is not permitted Creased tube WM 24130 transparent can be washed in hot water at a temperature of up to 70 C Sterilization is not permitted 36 CEN Hygiene treatment 6 3 3 Accessories Creased tube WM 24120 gray can be steam sterilized
28. fault display appears You can also select back with the dial and then press the dial to confirm If you do not press any key for 5 minutes the display switches back to the default display You need the menu item Filter change in the course of servicing see 9 2 Filter change on page 51 This is where you reset the symbol for the filter change indicator You need the menu item Function check in the course of the function check so that you can check the function of the flow sensor and the pressure sen sor see 7 2 5 Flow sensor pressure sensor on page 41 28 CEN Operation 5 3 5 Alarm list ST Patient menu Auto switch on Off Filter change Function check back PN VTmin IPAPmin leakage VTmin VTmin IP WIPAPmin 15 01 09 10 13 01 49 amp 15 01 09 10 11 01 17 amp 15 01 09 10 11 00 28 amp 17 01 42 10 22 00 00 back The Alarm list menu item is required to display all the alarms which have occurred 1 Press menu key to call up the Patient menu 2 Use the dial to select the Alarm list menu item and press the dial to confirm The Alarm list with all the alarms which have occurred to date appears in the display All alarm types listed in the Physiological alarms and Technical alarms tables are recorded in an alarm list with date time and duration when the alarm threshold is reached The alarm list is retained even if the entire power supply fails In
29. he device Maintain a safe distance between the device and devices which emit HF radiation e g cellphones see page 64 otherwise there may be malfunctions An alternative ventilation system should be kept to hand in case the device fails 12 CEN Safety instructions Third party makes of mask may only be used with the consent of the manufacturer Weinmann The success of therapy is jeopar dized by the use of non approved breathing masks If apneumotachograph with a high flow resistance is used to de termine flow rate at the start of therapy or to check it then trig ger function may be restricted In the event of questions contact the manufacturer Weinmann No antistatic or conductive tubes may be used The drying adapter supplied may not be used during ventilation as this leads to inadequate therapy and the device may sustain damage Using the VENTIclick bacteria filter and VENTI O and VENTI O plus O supply valve accessories may change the characteristics of the device Adding to these accessories subsequently may make it necessary to reset the device parameters Consult your doctor if necessary Follow the section entitled 6 Hygiene treatment on page 32 to prevent an infection or bacterial contamination 3 1 2 Transport Accessories Replacement parts Repair Caution Do not transport the device with the respiratory air humidifier connected otherwise residual water from the respiratory air humidif
30. hed on listen for the buzzer and ensure that the status indicator has come on Check power failure alarm Starting up the device Then disconnect the power cord from the socket the display goes out and the buzzer sounds 42 CEN Function check Note The device must have been connected to the power supply for at least 5 minutes before this test is performed Once the function check is complete switch the device off again by pressing the On Off key Function check CEN 43 8 Faults 8 1 Faults Fault fault message Cause of fault Remedy No running noise nothing in display No power to device Check power cord and power supply unit connecting cable are securely connected Possibly check function of the socket by connecting another device e g a lamp to it Device cannot be switched on by a breath being taken into it Auto switch on not activated Activate auto switch on Softstart cannot be switched on Softstart function is disabled Clarify with your doctor whether the Softstart function can be enabled for your therapy Softstart time Maximum Softstart Clarify with your doctor whether the maximum Softstart time can be Device running but not reaching set IPAP pressure cannot be set to 30 time limited by extended to 30 minutes for your min doctor therapy Filters dirty Clean change filters 9 2 page 51 Breathing mask leaking
31. ier may run into the device and damage it If third party items are used functional failures and bioincompat ibility may occur In such cases be aware that any claim under warranty and liability will be voided if neither the accessories nor the genuine replacement parts recommended in the instructions for use are used Have servicing and repair work performed only by the manufacturer Weinmann or professional staff Safety instructions EN 13 3 1 3 Oxygen supply Warning e f oxygen is being supplied to the respiratory flow smoking and N naked flames are prohibited Risk of fire Oxygen may become de posited in clothing bedclothes or hair It can be removed only by thorough ventilation Caution e Oxygen may only be supplied to the respiratory flow using the VENTI O and VENTI O plus O supply valves e It is essential to observe the safety instructions in the instructions for use for your oxygen system 3 2 Contraindications The device should be used with particular caution or not at all with the following diseases The decision about therapy is the responsibility of the supervising doctor in the individual case e Cardiac decompensation e Severe cardiac arrhythmias e Severe hypotension especially in combination with intravascular volume depletion e Severe epistaxis e High risk of barotrauma e Pneumothorax or pneumomediastinum e Pneumoencephalus e Skull trauma e Status following brain surger
32. in devices to EN 285 Temperature 134 C minimum dwell time 5 minutes Follow the instructions in EN ISO 17665 1 with regard to validation and monitoring Disinfecting We recommend gigasept FF as a disinfectant Perform the same steps as described in 6 2 1 Clean tube system on page 33 After disinfecting rinse all parts thoroughly in distilled water Leave the parts to dry completely Allow the tube system to drip dry Dry the tube system with the device see 6 2 Cleaning on page 33 For disinfecting sterilizing the accessories see the instructions for use in question Hygiene treatment EN 37 6 4 Change of patient If you are operating the device with bacteria filter please note the following e change the bacteria filter or e sterilize the bacteria filter and change the particulate filter inside it If you want to operate the device for a different pa tient without using a bacteria filter you must subject the device to a hygiene treatment beforehand This must be performed by the manufacturer Weinmann or by a specialist dealer e The procedure for the hygiene treatment is de scribed on the servicing sheet and in the servic ing and repair instructions for the devices 38 CEN Hygiene treatment 7 Function check 7 1 Intervals Perform a function check at least every 6 months If you find faults during the function check you may not use the device again until the fa
33. ize M WM 26471 JOYCE Full Face non vented 40 hPa size L WM 26481 JOYCE Full Face non vented 40 hPa size XL WM 26491 JOYCE Full Face GEL non vented size S WM 26462 JOYCE Full Face GEL non vented size M WM 26472 JOYCE Full Face GEL non vented size L WM 26482 When using other mask systems follow the relevant instructions for use Scope of supply EN 57 10 3 Replacement parts Parts Order number Tube system consisting of WM 24130 creased tube can be disinfected WM 24108 pressure measurement tube WM 24038 adapter with pressure connector WM 24149 sealing plugs 2x WM 24115 Coarse dust filter WM 24880 Fine filter packed WM 15026 Set of replacement filters for a year packed 3x fine filter 2x coarse dust filter MEIST Carrying bag WM 24995 Power cord WM 24177 Power supply unit WM 27804 Drying adapter WM 24203 58 EN Scope of supply 11 Technical data VENTImotion 2 with VENTImotion 2 VENTIc ick Product class to directive 93 A2 EEC Dimensions W x H x D in mm 230 x 120 x 280 230 x 120 x 395 Weight approx 3 7 kg approx 4 0 kg Temperature range Operation Storage 5 C to 35 C 40 C to 70 C Air pressure range 600 1100 hPa allows operation at up to 4000 m altitude automatic altitude adaptation Keep leakages small below 700 hPa as the device may no longer be able to compensate
34. kk Os Ct 44 AINS 2s ee 45 Servicing 02 020eeeeee 50 CEN Contents 10 1 10 2 10 3 11 11 1 11 2 12 13 Intervals i Sisk u Ban BME 50 Filter change 2 2 2 51 Change pressure measurement PUD G8 rn ahs nern 53 DISPOSAL nee ee 54 Scope of supply 55 Standard scope of supply 55 ACC SSOMES 2a nenn 55 Replacement parts 58 Technical data 59 Pneumatic diagram 63 Safety distances 64 Warranty cccceeeeaee 65 Declaration of conformity 66 1 Overview VENTImotion 2 17 Head strap Z K 11 Drying adapter 1 Bacteria filter 2 Power supply 16 Breathing mask unit 3 Power cord 15 Exhalation syste 10 Sealing plugs 2x 9 Device outlet port 4 Cable securing clip 5 Handle 14 Tube system 13 Pressure measurement tube 12 Adapter 6 Serial ports 7 Control panel and displays 8 Connection for respiratory air humidifier 18 Service label and safety check STK label 23 Alarm acknowledgement key with LED Germany only WEINM NN 22 Connection for O gt supply valves 21 Connection for battery VENTIpower 28 Humidifier key with LED connection yellow ee an Device ID plate 34 VENTI O VENTI O plus 33 Carrying bag Overview EN 3 1 Bacteria filter accessory For protecting the device from contamination when several pa
35. ly adapts to your personal respiratory rhythm and provides therapy pressure at precisely this rhythm In time controlled mode T and in assisted controlled mode ST your doctor can set respiratory frequency in a range from 6 to 45 breaths per minute and inspiration time in a range from 15 to 67 of respiratory period In assisted controlled mode ST your doctor can select one of 6 trigger stages for exhalation and inspiration He can switch off the trigger for exhalation Exhalation is then time controlled In addition the device also provides the option of completely blocking the inspi ration trigger for the duration of exhalation Once this adjustable trigger lockout time has elapsed the inspiration trigger detects respiratory effort on inspiration at the set sensitivity as before Your doctor can set volume compensation To this end he sets minimum volume and maximum pressure rise He can then set volume compensation in three stages slow medium fast If the minimum volume is undershot the device continually increases pressure up to the maximum pressure set therapy pressure maximum pressure rise 2 3 4 Other functions The Softstart function makes it easier to fall asleep or to become accustomed to higher ventilation pressures Your doctor will set initial pressures for inspiration and exhalation which will continuously rise to therapy pressures during the Softstart phase This function can be disabled or limited by the doctor
36. midifier is activated the green LED next to the humidifier key comes on 5 3 Functions in the menu 5 3 1 Drying process You need the drying process during the hygiene treatment to dry the tube system see 6 2 1 Clean tube system on page 33 5 3 2 Activate deactivate auto switch on ST Patient menu Auto switch on Off Filter change Function check x back Auto switch on switches on the device automatically as soon as you start breathing through the mask You can still switch the device on using the On Off key amp Note Auto switch on can only be activated or deactivated in standby mode 1 Press the Menu key amp to call up the Patient menu Under the menu item Auto switch on you see the current setting On Off Operation EN 27 ST Patient menu Drying process Auto switch on Off Filter change Function check 7 Auto switch on Function ON Patient menu 4 A Auto switch on Off Filter change Function check Alarm list back 5 3 3 Filter change 5 3 4 Function check 2 To change the setting use the dial to select the menu item Auto switch on and press the dial to confirm The message Auto switch on ON Auto switch on OFF appears for approx 2 seconds The device then switches back to the Patient menu The cur rent setting On Off is shown in the Auto switch on menu line 3 To exit the menu keep pressing the Menu key back until the de
37. n the side Connection for professionals to set therapy parameters using VENTIsupport max current consumption at 12 V 15 mA Connection for optional auxiliary devices such as Analogbox max current consumption at 12 V 25 mA 16 CEN Safety instructions Connection for controlling O supply valves VENTI O maximum current consumption at 12 V 125 mA VENTI O plus maximum current consumption at 12 V 135 mA Device ID plate Do not dispose of the device in domestic waste Protection class BF Protection class Il protective insulation Manufacturer RBiE Gb p lt Follow instructions for use CE 0197 CE 0197 symbol Confirms that the product conforms to the applicable European directives Safety instructions CEN 17 4 Set up device 4 1 Set up device Note Material damage from overheating A blocked air supply can lead to overheating and thus to damage to the device Maintain a distance of at least 5 cm between the wall and the rear of the device Donot cover the device with blankets or other materials Place the device on a flat surface for example a bed side table or on the floor next to the bed 4 2 Connect device Note Material damage from incorrect parts being used If you operate the device with a power supply unit other than the one supplied the device may be dam aged Use only the power supply uni
38. nds of the acknowledgement the acoustic alarm buzzer sounds again 8 2 4 Sequence of displays with simultaneous alarms If several alarms are triggered simultaneously they are displayed in accordance with the hierarchy outlined below Medium priority alarms 1 Device fault 2 Disconnection Low priority alarms 1 IPAP min 2 IPAP_ 3 Vmin 46 CEN Faults If medium priority and low priority alarms occur at the same time medium priority alarms are shown first 8 2 5 Physiological alarms Display Alarm Cause of fault Remedy Filter dirty Clean or change filter A Breathing mask Adjust head strap so that breathing Minimum leaking mask seals replace if necessary Vimin respiratory volume ere IN undershot ee ING MaSK Replace breathing mask Low priority erective Senne Check settings implausible Filter dirty Clean or change filter IPAP sin leakage N Minimum therapy pressure undershot Low priority Breathing mask leaking Adjust head strap so that breathing mask seals replace if necessary Breathing mask defective Replace breathing mask Settings implausible Check settings 47 Faults CEN 8 2 6 Technical alarms Medium priority measurement tube Display Alarm Cause of fault Remedy PN Pressure sensor Device fault Medium priority d fecdtiv Have device repaired IS N Pressure l Dr
39. ops of water in Excessive measurement cane Dry pressure measurement pressure Jtube blocked p tube as described in 6 2 Disconnection NA Medium priority Tube system not connected to the device correctly or not connected at all Check the tube connection on the device Device being operated with open mask mask not put on Put on the mask or switch off the device Medium priority Device overheating as a result of direct Device fault N N sunlight Allow device to cool down Device being find a more suitable Excessive __ _ operated outside location to set it up temperature Medium priority permitted temperature range 48 CEN Faults Display Alarm Cause of fault Remedy Check power cord and power supply unit connecting cable are No power to securely connected If Acoustic signal device necessary check the for at least 120 function of the socket Display seconds no using a different device vanished display e g a lamp Medium priority Disconnect VENTIpower VENTIpower from VENTImotion 2 and battery discharged ange up again Continu operating VENTImotion 2 via a power socket Problems in the Disconnect the power electronics or in the Isupply and then reconnect program sequence it Switch device back on Drops of water in Device fault pressure Dry pressure measurement n tube as described in 6 2 ZN A Medium priority measurement tube
40. piratory air humidifier if present e VENTI O VENTI O plus oxygen supply valve if present Take replacement filters and all the instructions for use too If you want to take the VENTImotion 2 onto an air craft as hand baggage find out before departure whether any formalities are involved You can obtain a certificate for transport in an aircraft from the manufacturer Weinmann Operation CEN 31 6 Hygiene treatment 6 1 Intervals You should check the filters at regular intervals and wipe down the housing and the filter compartment lid You can wash the head strap You should also observe the following intervals Intervals Activity Clean tube system see 6 2 Cleaning on page 33 In accordance with the instructions for use in question Daily clean breathing mask clean bacteria filter clean the exhalation system after every use clean VENTIclick respiratory air humidifier Every 24 operating hours Change particulate filter in bacteria filter Weekly Clean breathing mask thoroughly in accordance with the instructions for use Clean coarse dust filter Every 1 000 operating hours Change fine filter filter change display earlier if dirty Every 6 months Change coarse dust filter earlier if dirty or worn Replace pressure measurement tube earlier if dirty see 9 3 Change pressure measurement tube on page 53 Ann
41. racteristics so have the device parameters reset if a bacteria filter is fitted retrospectively You can use VENTlpower to operate the device inde pendently of the electricity supply You can connect VENTIpower to the device in paral lel to the regular electricity supply top socket If the regular electricity supply fails VENTloower under takes the supply of power to the device after a delay of approx 4 seconds VENTlpower must be switched on for this Follow the instructions for use for VENTlpower We recommend NOT using the respiratory humidifi er at the same time as operating the device using VENTIpower This considerably reduces the time for which VENTlpower can supply power 22 CEN Set up device 4 4 6 Analogbox D A The Analogbox makes it possible to transmit the fol lowing therapy parameters from the device to the PSG system Mask pressure Flow e Leakage flow e Tidal volume e Effort in TA mode only e Fighting in TA mode only The Analogbox converts the digital signals output by the device into analog signals The analog signal out put is proportional to the measured value The Analogbox is connected to the serial port of the device Set up device EN 23 5 Operation 5 1 Start up VENTImotion 2 rap 6 0 hPa EPAP 4 0 hPa f 22 min 0 Default display Caution Risk of injury from missing exhalation system If there is no exhalation sys
42. start time press the Menu key or the dial The Softstart time displayed is saved and the Softstart window closes automatically Tip if you press no key for 4 seconds the Softstart time displayed is likewise saved The settings are re tained after the device is switched off The device automatically starts in Softstart mode if this was activated for the previous use Softstart can be switched off or on at any time by a brief press of the Softstart key 5 2 2 Set humidifier stage rap 6 0 Humidifier You can use respiratory air humidifier VENTIclick to humidify and heat respiratory air provided by the de vice Heating output can be selected in 6 stages Fol low the instructions for use for VENTIclick 1 Operate the device 2 Press the humidifier key until the Humidifier Stage window appears If you press the humidifier key without a respira tory air humidifier being attached the device does not switch on this function 26 CEN Operation 3 Set humidifier stage using the dial Alternatively press the humidifier key until the desired heating stage is reached 4 Confirm your entry by pressing the dial or the menu key The window closes automatically The setting is now active Tip the device automatically starts with VENTIclick activated if this was activated the last time the device was used VENTIclick can be switched off or on at any time with a brief press of the humidifier key If the hu
43. supply of oxygen is permitted only using the VENTI O WM 24200 and VENTI O plus WM 27200 oxygen supply valves It is possible to supply up to 4 l min of oxygen using VENTI O In the event of a fault the VENTI O gives the oxygen off into the atmosphere thus preventing it from accumulating in the device It is possible to supply up to 15 I min of oxygen using VENTI O plus In the event of a fault the VENTI O plus switches off The oxygen can be supplied via an oxygen concen trator e g Oxymat 3 the central gas supply facility liquid oxygen with a continuous flow or an oxygen cylinder with the corresponding pressure reducer Set up device CEN 21 4 4 4 Bacteria filter 4 4 5 VENTlpower The external oxygen source must have a flow adjust ment device independent of the VENTI O It is essential in this process to follow the safety in structions for handling oxygen as well as the instruc tions for use for the oxygen supply valves and the oxygen device used If the device is intended for use by several patients e g in a hospital your doctor must use bacteria fil ter WM 24148 to prevent infections It is plugged between the tube system and VENTImotion 2 VENTIclick You should also follow the instructions for use enclosed with the bacteria filter for this The bacteria filter represents an additional resistance to the air flow This may effect a change in trigger re sponse cha
44. t with yellow plug supplied The yellow marking enables you to assign the power supply unit to the device correctly 18 CEN Set up device Plug the yellow plug of the power supply unit supplied into the yellow power supply socket of the device Connect the power cord to the power supply unit Always secure the plug of the power cord with the cable securing clip to prevent the plug being disconnected inadvertently Connect the power supply plug to a power supply socket The power supply unit automatically adjusts to the electricity supply voltage 115 or 230 V Plug the adapter of the tube system into the device outlet port The device is now operational Set up device EN 19 4 3 Put on breathing mask 4 4 Accessories The device is intended for operation with nasal can nulas oro nasal cannulas and full face masks Fol low the instructions for use for the breathing mask in question Put on the breathing mask as follows 1 Adjust the forehead support of the breathing mask if there is one Connect the head strap to the breathing mask Put on the breathing mask 4 Adjust the head strap so that the mask cushion creates only a slight pressure so as to avoid pres sure points on the face 4 4 1 Separate exhalation system Exhalation sys tem Sleeve Tube system A separate exhalation system is required if you are using a breathing mask without
45. tem the CO concen tration in the breathing mask and tube rises to critical values and inhibits breathing Always use an exhalation system If your breathing mask has no integrated exhala tion system plug the exhalation system onto the end of the tube system see 4 4 1 Separate ex halation system on page 20 Put on the breathing mask see 4 3 Put on breathing mask on page 20 Connect the tube system including exhalation system to the breathing mask tapered push connector Follow the instructions for use for the breathing mask and exhalation system in question Press On Off key If Auto switch on is activated you can also put on the breathing mask and switch on the device by taking a breath see 5 2 Functions in the de fault display on page 25 Operating hours and the Weinmann software ver sion appear in the display for approx 3 seconds The buzzer sounds and the device starts pumping air through the tube system The display switches to the default display 24 CEN Operation 5 2 Functions in the default display 30 PAP 18 0 ha 20 EPAP 6 0 hPa 10 f 12 min Bar graph Respiratory phase change 5 2 1 Set Softstart The following parameters are shown in the default display e set therapy mode T TA ST CPAP e therapy pressures IPAP und EPAP in hPa only CPAP pressure in CPAP mode Tip 1 01973 hPa correspond to 1 cm H O e current respiratory frequ
46. tients are using the device 2 Power supply unit For providing the device with power 3 Power cord Connects the power supply unit to the power supply 4 Cable securing clip Prevents the device being disconnected from the power supply inadvertently 5 Handle For lifting the device 6 Serial ports For connecting to devices to display and evaluate herapy data 7 Control panel and displays For controlling and monitoring the device and connected accessories 8 Connection for respiratory air humidifier For connecting the VENTIclick respiratory air hu midifier 9 Device outlet port The respiratory air flows to the patient from here via the tube system and breathing mask 10 Sealing plugs 2x For sealing the pressure measurement tube dur ing cleaning 11 Drying adapter Required to dry the tube system and for the func ion check 12 Adapter For connecting the tube system to the device out et port 13 Pressure measurement tube For measuring the pressure prevailing in the breathing mask 14 Tube system The air flows to the mask through the tube sys tem The tube system consists of a creased tube pressure measurement tube and adapter 15 Exhalation system accessory This is where the exhaled air containing carbon di oxide escapes during therapy 16 Breathing mask accessory Respiratory air at the required therapy pressure is administered to the patient via the breathing mask 17
47. ually Replace tube system 32 CEN Hygiene treatment 6 2 Cleaning 6 2 1 Clean tube system 1 Take the tube system off the device and the exhalation system Pull out one end of the pressure measurement tube shake a little if necessary and seal it with the sealing plug supplied At the other end seal the small opening of the adapter with the second sealing plug so that no water can get in Clean the creased tube with a little detergent in hot water so that there are no residues Rinse the inside of the tube thoroughly in the process Flush the creased tube thoroughly inside and outside with clean hot water Shake out the tube system thoroughly Hang up the tube system and allow it to drip dry well to prevent moisture penetrating the VENTImotion 2 Remove the plugs from the pressure measurement tube Hygiene treatment CEN 33 6 2 2 Dry the tube system with the device A SI u sl ST Patient menu Drying process Auto switch on Off Filter change Function check back CAUTION Risk of injury as a result of inadequate therapy If the red drying adapter is used during ventilation inadequate supply to the patient and damage to the device may result Do not use the drying adapter during ventilation Note The drying process can only run in standby mode If water gets into the pressure measurement tube accidentally plug the red
48. uency 6 to 45 1 min Precision 0 5 1 min ncrement 1 1 min LE Ti inspiration time 15 to 67 of respiratory period increment 1 precision 1 s Adjustable in 6 stages separate for inspiration and exhalation Trigger stage exhalation trigger can be switched off in ST mode Speed of pressure rise Adjustable in 6 stages Speed of pressure drop Adjustable in 6 stages Precision of volume at 23 C 15 measurement Flow at max speed at 22 hPa 200 l min 190 l min 16 5 hPa 220 l min 205 l min 11 hPa 240 l min 220 l min 5 5 hPa 260 l min 240 l min 4 hPa 265 l min 240 l min O hPa 285 l min 260 l min Tolerance 15 l min 15 l min Flow at max speed with bacteria filter at O hPa 270 l min 250 l min Tolerance 15 min 15 l min 60 CEN Technical data VENTImotion 2 sa est Heating of respiratory air as per HMV Heilmittelveroranung 2 5 C Depends on heating stage German regulations governing pharmaceutical products Short term pressure constancy a ks n Fa measured to prEN 17510 2005 R 14 hPa me hPa and HMV Heilmittelverordnung ae 10 hPa Ri A hPa German regulations governing N 7 hPa a lt 0 5 hPa pharmaceutical products in at 5 hPa i lt 05 hPa ERAR MOJE at 4hPa Ap lt 0 5 hPa Long term pressure constancy a measured to prEN 17510 2005 Ap 0 2 ee Fine filter degree of separation up to 2 um gt 99 7 Fine filter service life
49. ults have been elim inated 7 2 Method 1 Assemble the device ready for use with tube system exhalation system and power cord 2 Seal the opening of the tube system e g with a thumb or the palm of your hand 3 Switch on the device by pressing the On Off key 4 If TA mode is active wait approx 4 minutes until the analysis phase is complete 5 If Softstart is switched on switch it off by pressing the Softstart key lt Depending on the operating mode set now check the functions below Function I Mode CPAP T TA ST Pressure precision Respiratory frequency minimum frequency Triggering Softstart Flow sensor Alarms If the values functions quoted below are not met contact your specialist dealer 7 2 1 Check pressure precision 1 Wait about 1 minute Function check CEN 39 2 Then read off the CPAP pressure displayed or if appropriate the IPAP EPAP pressure displayed in the bar graph and check whether the values displayed match prescribed values 7 2 2 Check respiratory frequency minimum frequency This check is not necessary if the device is being operated in CPAP mode Ae Observe the following sequence the device switches periodically between the IPAP and EPAP pressure levels Count the IPAP phases within one minute and compare them with the dis play You can recognize the IPAP phase by the louder operating noise
50. ume has been reached and changes pressure by 1 5 hPa If the pressure reaches a corridor around the target volume the device switches to precise control Physiological alarms triggered in the event of the alarm limit being undershot during at least three of the last five breaths reset if the alarm limit is exceeded during at least three of the five subsequent breaths All values determined under ATPD conditions ambient temperature and pressure dry C The right to make design modifications is reserved 0197 62 CEN Technical data 11 1 Pneumatic diagram 11 1 1 VENTImotion 2 with VENTI O Venting ambient air 1 pressure source 0 5 6 bar Flow regulator Optional O valve Flow sensor Inlet for ambi Fitter element Fan Measuring Optional Optional Ventilation tube Exhalation ent air section humidifier bacteria filter 1 8m system Pressure sensor for device pressure Pressure sensor for patient pres VENTImotion 2 Patient mask nasal cannula or full face mask 11 1 2 VENTImotion 2 with VENTI O plus 0 pressure ource 0 5 6 bar Tow regulator up to max 15 l min Inlet for am
51. y and following surgical intervention on the pituitary gland or the middle inner ear e Acute sinusitis otitis media or perforated eardrum e Dehydration Dangerous situations involving this device have not yet been observed 14 CEN Safety instructions 3 3 Side effects When using the device the following undesired side effects may occur in short term or long term use e pressure points on the face from the breathing mask and fore head cushion e reddening of facial skin e blocked nose e dry nose e dry mouth in the morning e sensation of pressure in the sinuses e irritation of the conjunctiva mucous membranes of the eye e gastrointestinal insufflation of air bloating e nosebleeds Safety instructions CEN 15 3 4 Particular markings on the device Front 3 gt Device outlet port ambient air outlet at 4 40 hPa 8 Socket electrical rating for VENTIclick respiratory air humidifier WM 24365 max current consumption at 40 V 600 mA Rear Service label indicates when the next service is required Safety check STK label Germany only indicates when the next safety check as per 6 of the German law governing medical devices and their owners operators is required Device input inlet for ambient air at room temperature Power supply with 12 V 40 V DC power supply unit connection for electricity supply independent operation using VENTIpower Connecting sockets o
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