LTV Series Ventilators
Contents
1. Fax 763 398 8403 www carefusion com2. Turn the Set Value knob until PNT ASSIST is displayed 1 Press the Select button Set Value 7 2 the Set Value knob until the desired setting is displayed NORMAL or PULSE Yaz Selec 3 Press the Select button 2 The PNT ASSIST option is only available on ventilators with software version 3 15 or higher installed P N 19819 001 Rev LTV Series Ventilators 36 EXTENDED FEATURES Alarm Operations Exit To return to the top of the ALARM OP menu PRA 1 Turn the Set Value knob until EXIT is displayed 5 7 2 Press the Select button while EXIT is displayed P N 19819 001 Rev A LTV Series Ventilators 37 Ventilator Operations Variable Rise Time The variable Rise Time option is used to select the rise time profile for Pressure Control and Pressure Support breaths The rise time profiles are numbered 1 through 9 where 1 is the fastest rise time and 9 is the slowest rise time After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button and RISE TIME is displayed 1 Press the Select button 2 PROFILE x is displayed where x is the currently set value Set Value ve 3 the Set Value knob until the desired Rise Time Profile is displayed N 4 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 38 EXTENDED FEATURES Ventilator Operations Variable Flow Termination The V
3. menu item is displayed P N 19819 001 Rev A LTV Series Ventilators 11 Vent Alarm Test The Vent Inop Alarm Test is used to verify that the Inop Alarm is working correctly To run the Vent Inop Alarm Test 1 2 To run the Vent Inop Alarm Test the ventilator must be on running for at least 60 seconds and the Ventilator Checkout menu must be enabled Turn the ventilator off by pressing and holding the On Standby button for a minimum of 3 seconds DO NOT press the Silence Reset button Observe the ventilator for 15 seconds e Listen for the alarm tone e Watch the Vent Inop LED For all ventilators verify that both of the following conditions existed e The alarm tone sounded continuously for the full 15 second duration e The Vent Inop LED illuminated continuously for the full 15 second duration If a Patient Assist Call System or Remote Alarm is connected via the ventilator s Patient Assist Port verify the device also activates audible visual as specified by its manufacturer Sience Silence the alarm by pressing the Silence Reset button For ventilators with audio sound symbol 2 on the back panel label verify the following condition existed e Aconfirming audible chirp occurred after the alarm was silenced Sandby P N 19819 001 Rev A LTV Series Ventilators 12 Ventilator Checkout Tests When the Ventilator Checkout Tests have been completed proceed to Exit for instruct
4. 2 Press the Select button to return to the model number option To view LTM compatibility 1 Press the Select button while LTV XXXX is displayed e LTM will be displayed if software and internal hardware in the LTV Ventilator are LTM compatible 2 Press the Select button to return to the model number 15 P N 19819 001 Rev LTV Series Ventilators 52 EXTENDED FEATURES Ventilator Operations Valve Home Position After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button To view the valve home position Set Valve Turn the Set Value knob until Vhome is displayed where XXX is the home position for the flow valve installed in the ventilator Set Defaults The Set Defaults option is only displayed and accessed through the VENT CHECK and VENT MTNCE menus and is used to reset user settable Controls and Extended Features settings to their factory set default values See Ventilator Checkout Tests Set Defaults for instructions on how to set default values and the LTV Series Ventilators Operator s Manual for factory set default values P N 19819 001 Rev A LTV Series Ventilators 53 Ventilator Operations Exit To return to the top of the VENT OP menu Set Value 1 Turn the Set Value knob until EXIT is displayed 2 Press the Select button XDCR ZERO This item is used to view the Transducer Autozero results and sche
5. Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed Turn the Set Value knob until LPP ALARM is displayed Press the Select button Set Value Turn the Set Value knob until the desired setting is displayed 8 ALL BREATHS ONLY Press the Select button P N 19819 001 Rev A LTV Series Ventilators 34 EXTENDED FEATURES Alarm Operations High PEEP Alarm This menu item is used to set a high PEEP alarm value When the current PEEP value exceeds the set high PEEP alarm value an audible alarm will be sounded and a flashing HIGH PEEP message will be displayed After accessing Extended Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed Turn the Set Value knob until HIGH PEEP is displayed 1 Press the Select button 2 Turn the Set Value knob until the desired setting is displayed HI PEEP OFF or PEEP xx 3 Turn the Set Value knob until the desired setting is displayed 4 4 Press the Select button HIGH PEEP alarm is only available on ventilators with software version 3 15 or higher installed P N 19819 001 Rev A LTV Series Ventilators 35 Alarm Operations PNT Assist This menu item is used to configure the patient Assist Port output signal to be generated for use with remote alarm systems After accessing Extended Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed
6. on the right side of the ventilator These are non interchangeable Luer fittings QL 22 mm Outlet Port 3 Connect the Exhalation Valve driver line to the port marked Exh Valve on the right side of the ventilator P N 19819 001 Rev A LTV Series Ventilators 63 P N 19819 001 Rev This page intentionally left blank LTV Series Ventilators 64 30 40 30 20 10 OXYGEN INPUT FLOW Ipm P N 19819 001 Rev A Assumes 1 2 Ration LTV Series Ventilators 65 Oxygen Computer Chart To determine O2 Input Flow 1 Find the desired FIO on the horizontal axis 2 Project up to the minute volume 3 Project horizontally to the left vertical axis and read the oxygen flow To determine O Concentration 1 Find the input flow on the vertical axis 2 Project horizontally right to the minute volume 3 Project vertically down to the horizontal axis and read the FIO P N 19819 001 Rev A LTV Series Ventilators 66 ALARMS How to Silence and Reset Alarms To silence an alarm press the Silence Reset button ese To reset an alarm that has been corrected press the Silence Reset button r ilence Reset again Alarm Cause Solution APNEA XX bpm Occurs when the time since the last breath Reevaluate the start exceeds the set Apnea Interval When patient s condition an Apnea alarm occurs the ventilator will en
7. 19 001 Rev A LTV Series Ventilators 28 Navigating the Extended Features Menus To enter the Extended Features menu in normal ventilation mode press and hold the Monitor Select button for three seconds Set Value To view the next item in a menu turn the Set Value knob clockwise M Fe To view the previous item turn the Set Value knob counterclockwise 5 To enter a menu item or select setting press the Select button Sot Value gin lt lt To exit a menu turn the Set Value knob until the EXIT option is displayed then press the Select button or press Control Lock a P N 19819 001 Rev A LTV Series Ventilators 29 Alarm OP Alarm Vol Vent OP Apnea Int HP Delay Rise Time LPP Alarm Flow Term High PEEP Time Term Event Trace PNT Assist PC Flow Term Leak Comp NPPV Mode CTRL Unlock Language VER Usage RT XDCR Data Setting Set Date Displays Real Time Set Time Transducer Data Date Format N XDCR Zero Model Number Serial Number Performs Transducer Valve Home Position Autozero Set Defaults Exit P N 19819 001 Rev A LTV Series Ventilators 30 EXTENDED FEATURES Alarm Operations Alarm Volume After accessing Extended Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed 1 Press the Select bu
8. C CareFusion LTV Series Ventilators LTV 900 950 and 1000 Quick Reference Guide P N 19819 001 ASSISTANCE CareFusion Respiratory Systems 22745 Savi Ranch Parkway Yorba Linda California 92887 4645 USA Tel 763 398 8500 800 754 1914 Fax 763 398 8403 Website www carefusion com Email _ Itvservice carefusion com P N 19819 001 Rev A LTV Series Ventilators TABLE OF CONTENTS Front and Side Panel Reference 1 Front Panel Display and 1 Side Panel an ea kevan ke Zab A b ya san e kak nens 3 Turning the Ventilator On and 5 Turning the Xizan alan a ee e e e einen 5 Turning the Ventilator Off lt iecit 6 Ventilator Checkout Tests cederet traen 7 PAIRE 8 5 9 Control 16S ep ded ee A 10 Test uu eR Rte ERR 11 Vent Alarm Test ictor eerte metier ra v na iae ak Ha WE AL R 12 Set Defa ulls rte f eerte ioa tenant Bande 13 REIHE 14 Variable Controls 2 iei ires 15 Setting Up Modes of Ventilation ees
9. ORED DATA The monitored data displays may be automatically scrolled or manually scrolled To cycle through the available monitored data automatically from a halted scan press the Monitor Select button twice Pressing the Select button once while scan is active shall halt scanning and the currently display monitor shall remain in the display window Each time you press the button once the next data item in the list will be displayed To resume scan press the scan button twice The monitored data is displayed in the following order Display Description PIP Displays the Peak Inspiratory Pressure measured during the inspiratory phase PIP is not updated for spontaneous breaths Displays a running average of the airway pressure for the last 60 seconds Displays the pressure in the airway circuit at the end of exhalation Displays the breaths per minute and includes all breath types Displays the exhaled tidal volume as measured at the patient wye P N 19819 001 Rev LTV Series Ventilators 27 Display Description Displays the exhaled tidal volume for the last 60 seconds as calculated from the last 8 breaths Displays the ratio between measured inspiratory time and measured exhalation time Both normal and inverse E Ratios are displayed Is based on the Tidal Volume and Inspiratory Time settings Displayed when selected and whenever Tidal Volume or Inspiratory Time is selected for change P N 198
10. ariable Flow Termination is used to select the percentage of peak flow used for cycling Pressure Support breaths Pressure Support breaths are cycled from inspiration to exhalation when the flow reaches the set percentage of the peak flow or when flow goes below 2 lpm When Pressure Control Flow Termination is enabled the Variable Flow Termination setting is used for flow termination of Pressure Control breaths as well After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Sot 1 Turn the Set Value knob until FLOW TERM is displayed 2 Press the Select button 3 OF PEAK xx is displayed where xx is the current Flow Termination setting 17 4 Turn the Set Value knob until the desired Flow Termination percentage em is displayed 5 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 39 Ventilator Operations Variable Time Termination The Variable Time Termination is used to select maximum inspiratory time for cycling Pressure Support breaths Pressure Support breaths are cycled from inspiration to exhalation if this time is reached before the flow reaches the set percentage of the peak flow When a breath is cycled based on the time setting the Pressure Support display is flashed briefly After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displaye
11. calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed 5 If Pressure ventilation is selected set the Pressure Control Not available on the LTV 900 6 Set the Inspiratory Time The calculated peak flow Vcalc is displayed in the window while Inspiratory Time is being changed Veale only applies to volume ventilation Set LTV 1000 only Set the Sensitivity to dash Set the High Pressure Limit alarm 0 Set the Low Pressure alarm 1 2 Set the Low Minute Volume alarm 1 1 12 Set the PEEP control on the exhalation valve P N 19819 001 Rev A LTV Series Ventilators 18 SETTING UP MODES OF VENTILATION Setting Up Assist Control Mode P N 19819 001 Rev A LTV Series Ventilators set the ventilator up Assist Control mode 1 Press the Select button twice to toggle the modes between Assist Control and SIMV CPAP Select the Assist Control mode 2 Press the Select button twice to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired Not available on the LTV 900 3 Set the Breath Rate 4 If Volume ventilation is selected set the Tidal Volume The calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed 5 If Pressure ventilation is selected set the Pressure Control Not available on the LTV 900 6 Set the Inspiratory Time The calculated peak
12. ckout Test ALARM is displayed 24 8 8 le P N 19819 001 Rev A LTV Series Ventilators 7 Alarm Test The alarm Test is used to verify that the audible alarm is working correctly 1 Press the Select button while ALARM is displayed 2 Verify the audible alarm is sounded e Patient Assist Call System or Remote Alarm is connected via the ventilator s Patient Assist Port verify the device also activates audible visual as specified by its manufacturer 3 When the alarm has sounded for at least 2 seconds press the Select button again e The audible alarm is silenced and the next menu item is displayed 4 For ventilators with an audio sound symbol 2 on the back panel label verify confirming audible chirp occurs after the alarm is silenced P N 19819 001 Rev A LTV Series Ventilators 8 Ventilator Checkout Tests Display Test The display Test is used to verify that the ventilator displays are working correctly To run the Display Test 1 Press the Select button while DISPLAY is displayed 2 All segments of the 7 segment control displays all dots of the dot matrix window displays and all LEDs are illuminated e The External Power and Charge Status LEDs are tested and verified when the AC adapter is connected to the ventilator see page 7 e The Vent Inop LED is tested and verified during the Vent Inop Alarm Test see page 12 3 end the display test press the Select button a
13. d Press the Select button gm 1 the Set Value knob until TIME TERM is displayed 2 Press the Select button 3 TERM sec is displayed where xx is the current Time Termination setting 4 Turn the Set Value knob until the desired Time Termination is p n displayed 2 5 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 40 EXTENDED FEATURES Ventilator Operations Pressure Control Flow Termination The Pressure Control Flow Termination option is used to enable or disable flow termination for Pressure Control breaths When this option is on Pressure Control breaths are cycled at the set percentage of peak flow if it is reached before the set Inspiratory Time elapses The percentage of peak flow is set in the Variable Flow Termination option After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Set Value 1 the Set Value knob until PC FLOW TERM is displayed 2 Press the Select button 3 PC FLOW or PC FLOW OFF is displayed 25 4 Turn the Set Value knob until the desired state is displayed U 5 Press the Select button 19819 001 LTV Series Ventilators 41 Ventilator Operations Leak Compensation Use the Leak Compensation option to enable or disable tracking of the Baseline Flow to improve trigg
14. d Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button 1 Turn the Set Value knob until CTRL UNLOCK is displayed a 2 Press the Select button 3 UNLOCK EASY UNLOCK HARD is displayed lan EON 4 Turn the Set Value knob until the desired setting is displayed 5 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 44 EXTENDED FEATURES Ventilator Operations Language Selection After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button 1 the Set Value knob until LANGUAGE is displayed 2 Press the Select button 3 ENGLISH or the currently selected language is displayed Sot vake 4 the Set Value knob until the desired language is displayed J 5 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 45 Ventilator Operations Software Versions After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Turn the Set Value knob until VER xx xx xx is displayed where is the current software version Usage Meter After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Turn the Set Value knob until USAGE xxxxx x is displayed where XXXXX X is the current
15. dule the Transducer Autozero to be run see the LTV Series Operator s Manual for more information P N 19819 001 Rev A LTV Series Ventilators 54 EXTENDED FEATURES Ventilator Operations RT XDCR DATA This menu displays the Real Time Transducer Data please see the Service Manual for more information EVENT TRACE This menu displays the Events Codes stored by the ventilator see the LTV Series Service Manual for more information P N 19819 001 Rev A LTV Series Ventilators 55 Ventilator Operations Exiting Extended Features To return to Monitored Parameters E ln 1 Turn the Set Value knob until EXIT is displayed e 2 Press the Select button 3 Repeat Steps 1 and 2 until the Monitored Parameters are displayed U P N 19819 001 Rev A LTV Series Ventilators 56 USING AC DC POWER Using the AC Adapter To run the ventilator from an external AC power source 1 Connect the power jack straight or 90 from the AC adapter to the power port earlier version ventilators or power port pigtail connector current version ventilators on the left side of the ventilator 2 Connect the proper AC power cable 110 or 220 V plug to the AC power adapter 3 Connect the 110 or 220 V power cable to a suitable power source While the ventilator is plugged in the internal battery is continuously charged CAUTION Release Button To avoid damaging the ventilator or the power con
16. e eene nnne 17 Setting Up Control Mode dixa e k l kadan xuleka b kade san s nnne nnns 17 Setting Up Assist Control kk kk 19 Setting Up SIMV lie k lek 21 P N 19819 001 Rev A LTV Series Ventilators iii S ling U CPAP MOd gt 5 e ay E kn REOR 23 Setting Up NPPV Mode eee leke N lere k se ii lekere kav eye 25 Monitored Data 1 a kanin 27 Extended Features i xanl liali kal ki sallana kal n ka haaa su k y ka uk Maka ka nek R ka KERA Wak k 29 Using AC DC POWET Haa 57 Using the AG Adapler 57 Using an External DC Power SOUFrC EEE EEE nennen 58 Power Displays and Indicators 1 11 1111 59 Attaching a Breathing 63 Oxygen Computer Charte lt sikke l kl ke kek a raks kus HEK kun de En w neda ka ke be kad KENE EH BER ake 65 ILI KWE ka k R ke da kun E ka WE ROKA ER k law k aa ra WE HAE KA KE KEKE ke ka 67 P N 19819 001 Rev A LTV Series Ventilators iv FRONT AND SIDE PANEL REFERENCE Front Panel Display and Description P N 19819 001 Re
17. ering when a circuit leak is present When Leak Compensation is on the system is gradually adjusted to maintain set sensitivity if the leak is stable and there is no auto cycling After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Set Value Turn the Set Value knob until LEAK COMP is displayed Press the Select button LEAK COMP LEAK COMP OFF is displayed Turn the Set Value knob until the desired state is displayed 4 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 42 EXTENDED FEATURES Ventilator Operations NPPV Mode After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button P N 19819 001 Rev A LTV Series Ventilators Sot Valve Minn 2 Turn the Set Value knob until the MODE is displayed Press the Select button 4 NPPV MODE ON NPPV MODE OFF is displayed Sot vavo Turn the Set Value knob until the desired state is displayed 3 Press the Select button ML B 43 Ventilator Operations Control Unlock When the Easy method is selected unlock the controls by pressing and releasing the Control Lock button When the Hard method is selected unlock the controls by pressing and holding the Control Lock button for 3 seconds After accessing Extende
18. flow Vcalc is displayed in the window while Inspiratory Time is being changed Veale only applies to volume ventilation 7 Set LTV 1000 only 8 Set the Sensitivity to a setting from 1 to 9 9 Set the High Pressure Limit alarm Set the Low Minute Volume alarm 0 Set the Low Pressure alarm 1 2 Set the PEEP control on the exhalation valve 1 1 1 P N 19819 001 Rev A LTV Series Ventilators 20 SETTING UP MODES OF VENTILATION Setting Up SIMV Mode 8 P N 19819 001 Rev LTV Series Ventilators 21 set the Ventilator up SIMV mode 1 uA oon N Press the Select button twice to toggle the modes between Assist Control and SIMV CPAP Select the SIMV CPAP mode Press the Select button to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired Not available on the 900 Set the Breath Rate If Volume ventilation is selected set the Tidal Volume The calculated peak flow Vcalc is displayed the window while Tidal Volume is being changed If Pressure ventilation is selected set the Pressure Control Not available on the LTV 900 Set the Inspiratory Time The calculated peak flow is displayed in the window while Inspiratory Time is being changed Veale only applies to volume ventilation Set the Pressure Support if desired Set 0 LTV 1000 only Set the Sensitivity
19. gain and the next menu item is displayed P N 19819 001 Rev A LTV Series Ventilators 9 Control Test The Control Test is used to verify that the ventilator buttons and controls are working correctly To run the Control Test 1 Press the Select button while CONTROL is displayed 2 SELECT is displayed in the display windows 3 To test each control press the button The name of the button is displayed in the display window To test the Set Value knob turn it clockwise and counterclockwise The direction of rotation is displayed in the display window 4 To exit the control test press the Select button again and the next menu item is displayed Sot Value K UZA 1 P N 19819 001 Rev LTV Series Ventilators 10 Ventilator Checkout Tests Leak Test The Leak Test is used to test the patient circuit for leaks The patient circuit should be tested with all accessories such as humidifiers or water traps in place To run the Leak Test 1 Cap or otherwise occlude the patient circuit wye 2 Press the Select button while LEAK is displayed e To perform the Leak Test the ventilator closes the exhalation valve sets the flow valve to a near closed state elevates the turbine motor speed and elevates the circuit pressure e Atthe conclusion of the test the display shows LEAK xx x pass or fail where XX X is the measured leak 3 To exit the Leak Test press the Select button again and the next
20. ions to exit the vent check mode or see below concerning the use of the Set Defaults option Set Defaults The Set Defaults option is used to reset user settable Controls and Extended Features settings to their factory set default values see the LTV Series Ventilators Operator s Manual for factory set default values To set the default values Sot Value o 1 Turn the Set Values knob until EXIT is displayed and press the Select button 2 e VENT CHECK is displayed 2 Turn the Set Values knob until VENT OP is displayed and press the Select button 3 Turn the Set Values knob until DEFAULTS is displayed and press the Select button e SET DEFAULTS is displayed 4 Press the Select button while SET DEFAULTS is displayed ona e Except for the Language selected and the Date Time settings and format all user settable Controls and Extended Features options are reset to their factory set default values e ADEFAULTS SET alarm will be generated the next time the ventilator is powered up in normal ventilation mode see Alarms DEFAULTS SET for additional information P N 19819 001 Rev LTV Series Ventilators 13 Exit To return to any of the VENT CHECK tests turn the Set Value knob until the desired test is displayed To Exit 1 Press the Select button while EXIT is displayed and VENT CHECK is displayed Sot Valve S o 7 2 the Set Value knob until EXIT is displayed again 3 P
21. nector press the release button on the connector before removing it from the ventilator power port pigtail connector P N 19819 001 Rev LTV Series Ventilators 57 Using an External DC Power Source To run the ventilator from an external DC power source 1 Connect the power port of the external DC power adapter cable to the power port on the left side of the ventilator earlier version ventilators or the power port pigtail connector current version ventilators 2 Connect the DC jack to the DC power source P N 19819 001 Rev A LTV Series Ventilators 58 POWER DISPLAYS AND INDICATORS Indicators The Battery Level indicator shows the level of available internal battery power while running from the internal battery Approximate Battery Time nominal settings LED Color Battery Level Internal battery level is acceptable 45 minutes Internal battery level is low 10 minutes Internal battery level is critically low 5 minutes Ventilator is running on AC or External Battery P N 19819 001 Rev A LTV Series Ventilators 59 Indicators Charge Status When the ventilator is plugged into an External Power source it automatically charges the internal battery LED Color Charge Status Flashing The ventilator is performing pre charge qualification testing of the Amber battery prior to starting the charge process This happens when external power is first applied to the ventilator The qualificati
22. nternal battery operation requirements Attach ventilator to an external AC or DC power source P N 19819 001 Rev A LTV Series Ventilators Alarms Alarm Cause POWER LOW Occurs when the ventilator is operating external power and the voltage drops to the low level Solution Evaluate power requirements REMOVE PTNT Occurs when the ventilator is powered up in the Ventilator Checkout or Ventilator Maintenance modes The ventilator is not delivering gas Ensure patient is disconnected from ventilator and is being ventilated by alternative means RESET A RESET alarm occurs if the ventilator restarts following a condition other than being shut down by pressing the On Standby button May be caused by Internal Battery depletion during operation or ESD If the problem reoccurs remove from service and contact your Service Rep or CareFusion 2 Only available on ventilators with software version 3 13 or higher installed P N 19819 001 Rev A LTV Series Ventilators 73 Alarm Cause Solution XDCR FAULT Occurs when a transducer autozero test Press Silence Reset fails button twice to reset alarm If problem occurs frequently remove from service and contact your Service Rep or CareFusion P N 19819 001 Rev A LTV Series Ventilators 74 CareFusion CareFusion Respiratory Systems 22745 Savi Ranch Parkway Yorba Linda California 92887 4645 USA Tel 763 398 8500 800 754 1914
23. number of hours the ventilator has been operation P N 19819 001 Rev A LTV Series Ventilators 46 EXTENDED FEATURES Ventilator Operations Communications Setting The ventilator may be connected to printer a graphics monitor or a modem The Communications Setting option is used to select the communications protocol for data transmission After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Sot Value 1 Turn the Set Value knob until COM SETTING is displayed gsm 2 Press the Select button Y 3 MONITOR or the currently selected protocol is displayed 4 Turn the Set Value knob until the desired protocol is displayed lt 5 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 47 Ventilator Operations Set Date After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button 1 Turn the Set Value knob until SET DATE is displayed 2 Press the Select button 3 The current date is displayed in the currently selected date format Control Lock 4 Press the Control Lock button to exit or continue to modify the Date To modify the Date 1 Press the Select button YEAR xxxx is displayed Turn the Set Value knob until the desired year is displayed Press the Select button MONTH xx is displayed Turn the Set Val
24. on process normally takes a few seconds but may take up to an hour on a deeply discharged battery The internal battery is charged to full level The battery has not reached a full charge level and is still charging The ventilator has detected a charge fault or internal battery fault The internal battery cannot be charged Contact your CareFusion Certified Service Technician P N 19819 001 Rev A LTV Series Ventilators 60 POWER DISPLAYS AND INDICATORS Indicators External Power The External Power indicator shows the level of external power while the ventilator is operating from an external power source When the ventilator is running from the internal battery the External Power indicator is off When running from external power the indicator shows the following levels External Power level is acceptable External Power level is low External power may be provided by connecting the ventilator to an external battery or to an external AC power source P N 19819 001 Rev A LTV Series Ventilators 61 P N 19819 001 Rev This page intentionally left blank LTV Series Ventilators 62 ATTACHING BREATHING CIRCUIT How to attach a patient breathing circuit Flow Xducer Ports 1 Connect the main breathing tube to the 22 mm outlet port on the right side of the ventilator Exh Valve Port 2 Connect the two exhalation flow transducer sense lines to the ports marked Flow Xducer
25. or is switched from On to occurs during Vent Inop Standby operation remove e ventilator detects any condition ventilator from service that is deemed to make the ventilator contact your unsafe Service Rep LOCKED The LOCKED message is displayed when Press the Control Lock a button is pressed while the controls are button locked No audible alarm is given If locked alert continues press and hold the Control Lock button for three seconds LOW MIN VOL Occurs when the exhaled minute volume is Examine Exhalation less than the set Low Minute Volume Valve body for disconnects Reevaluate patient P N 19819 001 Rev A LTV Series Ventilators 71 Alarm Cause Solution LOW PRES Occurs when the average oxygen inlet Increase O inlet pressure is less than the minimum pressure acceptable inlet pressure of 35 PSIG If using cylinder replace used cylinder with a new one LOW PRES Occurs when the peak inspiratory pressure Examine Patient for a machine or assist breath is less than Circuit for disconnect the Low Pressure setting Reevaluate ventilator settings Reevaluate patient NO CAL DATA Occurs when the ventilator detects invalid Remove ventilator NO CAL or missing calibration records on power up from service perform Calibration procedure POWER LOST when the ventilator is operating Evaluate power external power and the voltage drops below the useable level and switches to i
26. oximal disconnects pressure sense line has become Check pressure disconnected sensing lines for e low side exhalation flow occlusions transducer sense line has become disconnected e proximal pressure sense line is pinched or occluded HIGH PRES Occurs when the average oxygen inlet Reduce inlet pressure exceeds the acceptable limit for pressure the type of oxygen source P N 19819 001 Rev A LTV Series Ventilators 69 Alarm Cause Solution HIGH PEEP Occurs when the ventilator detects one of Reevaluate ventilator the following conditions settings e The patient circuit positive end Disassemble clean expiratory pressure PEEP exceeds reassemble the the High PEEP alarm setting Patient Circuit e Patient Circuit Exhalation valve Exhalation Valve and and or PEEP valve occluded PEEP Valve HIGH PRES Occurs when the circuit pressure exceeds Reevaluate ventilator the set High Pressure Limit setting settings Inspect Patient Circuit for occlusions or kinks Reevaluate patient HW Fault Occurs when the ventilator detects a alarm reoccurs problem with the ventilator hardware contact your Service Rep or CareFusion 3 The HIGH PEEP alarm is only available on ventilators with software version 3 15 or higher installed P N 19819 001 Rev A LTV Series Ventilators 70 Alarms Alarm Cause Solution INOP A ventilator INOP occurs when If an INOP alarm e ventilat
27. put External DC power port earlier version or DC power port pigtail connector current version H Patient Assist Patient Assist Call jack l Comm Port Communications port J 0 Inlet Oxygen Inlet fitting K Filter Air Inlet P N 19819 001 Rev A LTV Series Ventilators TURNING THE VENTILATOR ON AND OFF Turning the Ventilator On To turn the LTV ventilator on 1 3 Connect the ventilator to an external power source e The AC power adapter may be used or the ventilator may be connected to an external battery f you do not connect the ventilator to an external power source it will operate from the internal battery Press and release the On Standby button The ventilator will commence operation e The On Standby LED is lit and the Power On Self Tests POST are run During POST e The front panel displays are illuminated e Verify the audible alarm is activated for 1 second only on ventilators with a 2 symbol on the back panel label e Verify a confirming audible chirp is activated only on ventilators with a 2 symbol on the back panel label Once POST is successfully completed the ventilator begins operating using the stored control settings On Standby P N 19819 001 Rev A LTV Series Ventilators 5 Turning the Ventilator Off To turn the LTV ventilator off Disconnect the patient from the ventilator On Standby Press and hold the On Standby button for 3
28. ress the Select button m Select The Ventilator performs a Self Test POST and resumes normal operation P N 19819 001 Rev A LTV Series Ventilators 14 VARIABLE CONTROLS P N 19819 001 Rev A LTV Series Ventilators To set a variable control 1 Select the control by pressing the associated button The display for the selected control will be displayed at normal brightness and all other control displays will be dimmed 2 Change the control value by rotating the Set Value Knob Rotate clockwise to increase and counter clockwise to decrease the value 2 3 The new control value goes into effect when the operator e Presses the selected button again or e Selects another control or e Presses the Control Lock button or e Waits 5 seconds Control Lock All controls will then return to their normal brightness P N 19819 001 Rev A LTV Series Ventilators 16 SETTING UP MODES OF VENTILATION Setting Up Control Mode P N 19819 001 Rev LTV Series Ventilators set the ventilator up Control mode 1 Press the Select button twice to toggle the modes between Assist Control and SIMV CPAP Select the Assist Control mode 2 Press the Select button twice to toggle between Volume and Pressure ventilation Select Volume or Pressure as desired Not available on the 900 3 Set the Breath Rate 4 If Volume ventilation is selected set the Tidal Volume The
29. seconds The ventilator ceases operating the audible alarm sounds continuously and the Vent Inop LED is lit Silence Press the Silence Reset button to silence the audible alarm e Verify a confirming audible chirp is activated immediately after the Ri alarm is silenced only on ventilators with a 2 symbol the back panel label The ventilator continues to charge the internal battery as long as it is connected to an external power source Note The Vent Inop LED will remain lit for a minimum of 5 minutes and does not affect battery life P N 19819 001 Rev A LTV Series Ventilators 6 VENTILATOR CHECKOUT TESTS WARNING Disconnect the patient from the ventilator prior to running the Ventilator Checkout tests and ventilate the patient using an alternative method The ventilator does not deliver gas during the Ventilator Checkout tests To enable the Ventilator Checkout menu 1 Begin with the ventilator in Standby mode off and connected to a valid AC power source e Verify that the External Power and Charge Status LEDs are illuminated 2 Press and hold the Monitor Select button While holding the Select button press the On Standby button e REMOVE PTNT alarm message is displayed audible alarm is sounded 3 Clear the alarm by pressing the Silence Reset button e Audible alarm is silenced and VENT CHECK is displayed 4 Press the Select button to move to the first test e The first Ventilator Che
30. ter Apnea Back up ventilation mode Reevaluate ventilator settings APNEA An Apnea alarm has occurred and cleared Reevaluate the The ventilator is no longer in Apnea Back patient s condition up mode Reevaluate ventilator settings P N 19819 001 Rev A LTV Series Ventilators 67 Alarm Cause EMPTY Occurs when the ventilator is operating from the internal battery power and the batter charge level is critically low This alarm can be temporarily silenced but cannot be cleared Solution Attach the ventilator to external AC or DC power BATTERY LOW Occurs when the ventilator is operating from internal battery power and the battery charge level is low Attach the ventilator to external AC or DC power Reevaluate power requirements DEFAULTS Occurs during POST when the ventilator detects an invalid setting stored in non volatile memory Push the Silence Reset button twice to reset alarm Reevaluate ventilator settings DEFAULTS SET Occurs when the ventilator is first powered up after the SET DEFAULTS option has been used to reset all controls and extended features settings to their factory Push the Silence Reset button twice to reset alarm Reevaluate ventilator P N 19819 001 Rev A LTV Series Ventilators 68 Alarms Alarm Cause Solution DISC SENSE Occurs when the ventilator detects one of Check Patient Circuit the following conditions assembly for e The patient circuit or pr
31. the Set Value knob until DATE FORMAT is displayed 2 Press the Select button 3 MM DD YYYY or the currently selected date format is displayed Set Value 4 Turn the Set Value knob until the desired format is displayed 5 Press the Select button P N 19819 001 Rev LTV Series Ventilators 50 EXTENDED FEATURES Ventilator Operations PIP LED After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Set Value 1 the Set Value knob until PIP LED is displayed 2 Press the Select button 3 PIP LED ON or PIP LED OFF is displayed 4 Turn the Set Value knob until the desired setting is displayed 5 Press the Select button g lt in FUNT f N P N 19819 001 Rev A LTV Series Ventilators 51 Ventilator Operations Model Number Serial Number After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button To view the LTV model number sii Turn the Set Value knob until LTV is displayed where is the model of the ventilator e To view the LTV serial number 1 Press the Select button while XXXX is displayed e The serial number is displayed on the left side of the display area as XXXXXX where XXXXXX is the serial number of the ventilator
32. to a setting from 1 to 9 Set the High Pressure Limit alarm Set the Low Pressure alarm Set the Low Minute Volume alarm Set the PEEP control on the exhalation valve P N 19819 001 Rev A LTV Series Ventilators 22 SETTING UP MODES OF VENTILATION Setting Up CPAP Mode 8 P N 19819 001 Rev A LTV Series Ventilators 23 To set the ventilator up CPAP mode 1 Press the Select button twice to toggle the modes between Assist Control and SIMV CPAP Select the SIMV CPAP mode Press the Select button twice to toggle between Volume and Pressure ventilation for Apnea backup Select Volume or Pressure for Apnea backup Not available on the LTV 900 Set the Breath Rate to Off dashes If Volume ventilation is selected set the Tidal Volume for Apnea backup The calculated peak flow Vcalc is displayed in the window while Tidal Volume is being changed If Pressure ventilation is selected set the Pressure Control for Apnea backup Not available on the LTV 900 Set the Inspiratory Time for Apnea backup The calculated peak flow Vcalc is displayed in the window while Inspiratory Time is being changed Vcalc only applies to volume ventilation Set the Pressure Support if desired NOTE Although Tidal Volume Pressure Set O2 LTV 1000 only Control and Insp Time are dimmed Set the Sensitivity to a setting from 1 to 9 they should be set to clinically AEG appropriate levels as the ventilator
33. tton 2 VOL xx dBA is displayed where xx is the currently set volume Set Value 3 the Set Value knob until the desired setting is displayed 4 Press the Select button 7 P N 19819 001 Rev LTV Series Ventilators 31 Alarm Operations Apnea Interval After accessing Extended Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed Turn the Set Value knob until APNEA INT is displayed Press the Select button APNEA xx sec is displayed where xx is the currently set Apnea interval Sot Valve Turn the Set Value knob until the desired setting is displayed gm Press the Select button P N 19819 001 Rev A LTV Series Ventilators 32 EXTENDED FEATURES Alarm Operations High Pressure Alarm Delay This menu item is used to select immediate or delayed audible notification for High Pressure alarms After accessing Extended Features ALARM OP is displayed Press the Select button and ALARM VOL is displayed Turn the Set Value knob until HP DELAY is displayed 1 Press the Select button Select gp L 2 Turn the Set Value knob until the desired setting is displayed NO DELAY DELAY 1 BRTH or DELAY 2 BRTH 3 Press the Select button P N 19819 001 Rev A LTV Series Ventilators 33 Alarm Operations Low Peak Pressure Alarm This item is used to select the type of breaths that the Low Pressure Alarm applies to After accessing Extended
34. ue knob until the desired month is displayed Press the Select button DAY xx is displayed Turn the Set Value knob until the desired day is displayed Press the Select button to accept the new date Set Value u 2 N 9 1I Q N gt P N 19819 001 Rev LTV Series Ventilators 48 EXTENDED FEATURES Ventilator Operations Set Time After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button Sot vavo 2 7 1 Turn the Set Value knob until SET TIME is displayed lm 2 Press the Select button 3 current time is displayed Control Lock 4 Press the Control Lock button to exit or To modify the Time 1 Press the Select button HOUR xx is displayed TR ge n sm Turn the Set Value knob until the desired hour is displayed Press the Select button MIN xx is displayed Turn the Set Value knob until the desired minute is displayed Press the Select button to accept the new time The seconds are automatically reset to 00 2 ayy P N 19819 001 Rev LTV Series Ventilators 49 Ventilator Operations Date Format The Date Format option is used to select the display format for the current date After accessing Extended Features ALARM OP is displayed Turn the Set Value knob until VENT OP is displayed Press the Select button T 1
35. uses Set the High Pressure Limit alarm these settings for Apnea back up Set the Low Pressure alarm for Apnea backup ventilation Set the Low Minute Volume alarm Set the PEEP control on the exhalation valve P N 19819 001 Rev A LTV Series Ventilators 24 SETTING UP MODES OF VENTILATION Setting Up NPPV Mode wo i i O lt E s u u u u P N 19819 001 Rev A LTV Series Ventilators 25 set the Ventilator up in NPPV mode nN neket OS 222322 Set the ventilator controls for Control Assist Control SIMV CPAP mode as described in the preceding section Set the ventilator controls for Volume or Pressure ventilation as described in the preceding section Set all other ventilation parameters as described in the previous section Set the High Pressure Limit alarm Enter Extended Features by pressing and holding the Monitor Select button for 3 seconds Turn the Set Value knob until VENT OP is displayed Press the Monitor Select button Turn the Set Value knob until NPPV Mode is displayed Press the Monitor Select button Turn the Set Value knob until NPPV On is displayed Press Monitor Select button The NPPV LED will be illuminated Exit the Extended Features menus by turning the Set Value knob until Exit is displayed and pressing Select button until monitored data is displayed in the window P N 19819 001 Rev A LTV Series Ventilators 26 MONIT
36. v A LTV Series Ventilators A B C Mode and Breath Selection Selects ventilation modes Selects breath types Power Turns ventilator or to Standby Variable Control Settings Sets ventilation characteristics such as Tidal Volume and Breath Rate Display Window Displays Alarm Messages Monitored Data Extended Features menu Airway Pressure Display Displays real time airway circuit pressure Patient Effort Indicator LED is lit briefly each time a patient trigger is detected Power Source Displays power source and charge levels Variable Alarm Settings Sets variable alarm levels Alarm Silence Reset Silences audible alarms Clears visual alarms Set Value Knob Changes variable control settings Navigates Extended Features menu Special Controls Activates special controls such as Manual Breath Low Pressure Source Insp Exp Hold or Control Lock feature P N 19819 001 Rev A LTV Series Ventilators 2 FRONT AND SIDE PANEL REFERENCE Side Panel Descriptions Left Side Earlier Versions F Left Side Current Version P N 19819 001 Rev A LTV Series Ventilators A 22mm Outlet Port Patient Breathing Circuit outlet port Flow Xducer Flow Transducer high pressure sensing port Flow Xducer Flow Transducer low pressure sensing port D Exh Valve Exhalation Valve drive line port E Alarm Sounder Port F Cooling Fan DC In
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