BIO-TEK VT-1B User manual

T

l'O!

|

O

VENTILATOR

TESTERS

Models

OPERATOR'S

VT-1B & VT-2

MANUAL

BIO-TEK

INSTRUMENTS,

INC.

BIO-TEK®

INSTRUMENTS,

INC.

MODELS

VT-1B & VT-2

OPERATOR’S

MANUAL

PART

REVISION

VENTILATOR

MANUAL

NUMBER

8801015

A

TESTERS

BIO-TEK HIGHLAND WINOOSKI, 802-655-4040 800-451-5172 800-242-4685 TELEX FAX

0-1

INSTRUMENTS,

PARK,

VT

(SERVICE)

94-0136

802-655-7941

BIO

BOX

998

05404-0998

TEK

SHVT

INC.

USA

DOCUMENT

REVISION

RECORD

Revision,

A

date,

3/4/1996

and

section

Table

2.3-1

Table

2.3-2

Section

2.5

2.5-1

2.5-3

2.6

Changes

Power

Input:

Changed

“100/115/230/240

Deleted

Changed specification

Added on

Item

“The

electronic

Revised

Deleted

Revised

Table printer”

Power

timing

Note:

pressure,

1,

Printer,

printer

unit.”

Figure

second

Figures

2.6-1: with

Output.

measurement

from

“Infant

volume

second

rests

on

2.5-1,

paragraph.

2.5.2-1

Replaced

“Citizen

“100/115/230

VAC.”

“t

.01%”

respiration

and

flow

sentence:

the

top

and

references

IDP

3110

accuracy

to

“+

2.5% + 1

rates

settings.”

Changed

of

the

tester’s

2.5.3-1.

to

“Seiko

printer.”

VAC”

are

dependen

to

LSD.”

to

read

DPU

”

Section

Note:

3.1

3.3

4.1

5

Above

Part

Number

changes

8801015.

were

made

to

Part

Item

7:

Revised

Item

24.c.,

seconds”

“standard printer.”

Deleted

Table

paragraphs

plugged

Number

to

second

5-1,

into

8801000

printer

first

sentence:

“less

than

Seiko

DPU-40

sentence.

paragraph.

PRINTER:

with

“Check

the

correct

20

Replaced

and

released

operating

Changed

seconds”;

printer”

to

see

line

instructions.

to

second

if

the

power.”

on

“about

20

changed

“Citizen

and

th

printer

is

|

~

Bio-Tek®

is a registered

0-2

trademark

of

Bio-Tek

Instruments,

Inc.

TABLE

OF

CONTENTS

DOCUMENT TABLE LIST LIST INTRODUCTION

UNPACKING

2

2.1

2.2

2.3

2.4

2.4.1

2.4.2

2.5

2.5.1

2.5.1.1

OF

FIGURES

OF

TABLES

MODELS

Summary

Applications Model Model

Adult

Infant

Model

Ventilator

REVISION

CONTENTS

AND

INSPECTION

VT-1B & VT-2

of

Features

VT-1B VT-1B

Lung:

VT-1B

Tester

Definitions

RECORD

or

VT-2

Adult

Location

or

VT-2

Front

of

Keys

DESCRIPTION

and

Potential

Specification

Lung

and

Description

and

Description

Electronics

Panels

Model

Unit

Users

VT-2

of

Adult/Infant

Components

Lungs

2.5.2

2.5.3

2.6

2.7

INSTALLATION

3

3.1

3.2

3.3

3.4

3.6.1

3.6.2

3.6.3

3.6.4

3.6.5

RE

Ventilator Ventilator

Accessories Optional

Preparation

Operating

Set-Up

Setting

Applications Connecting Ventilator

Status Full

Auto

Trend Assist

Accessories

of

Up

Test

Repeat

Test

Tester Tester

Precautions

User-Programmable

the

Tests

AND

for

Use

Models

Ventilator

Rear Side

Panels

OPERATION

VT-1B

Panel

0-3

Parameters

and

to

the

VT-2

Model

for

VT-1B

Computer

or

VT-2

Control

Lung

A

TABLE

OF

CONTENTS

(CONTINUED)

3.6.5.1

3.6.6

3.6.6.1

3.6.6.2

3.6.6.3

3.6.6.4

3.6.7

3.6.7.1

3.6.7.2

3.6.7.3

3.6.7.4

3.6.8

3.6.8.1

3.6.8.2

4

SAFETY,

4.1

4.2

4.3

Assist

Leak

Lung Patient

Patient

Test

and

Leak

with

Compliance

Test

Tubing

Ventilator + Patienc

Waveform

Volume Airway Lung Air

External

External External

Monitor

Waveform

Pressure

Flow

Tests

Pressure Flow

Waveform

MAINTENANCE,

Electrical

Safety

Cleaning Storage

and

Shipping

Adult

Tests

Leak

Test

Compliance

Tubing

Tests

Monitor

Waveform

Wavcforı

Moni'or

Test

Lung

Test

Compliance

Monitor

STORAGE

&

SHIPPING

Test

Π

^

+

>

ra

一

da

>>>

In

>

Ον

>

O

>

00

とと

OO

5

6

APPENDIX

Ad A.2 A.3

A.3.1

A.3.1.1

A.3.1.2

А.3.1.3

A.3.1.4

TROUBLESHOOTING

REFERENCES

A

Ventilator ANSI Lung

Classification

Inspiratory

Change

Testing

Standards

Ventilators:

from

Expiratory

Change

from

Standards

for

Ventilators

Background

Phase

Inspiration

Phase

Expiration

to

0-4

Expiration

Inspiration

Page

TABLE

OF

CONTENTS

(CONTINUED)

A-H

A-17

A-19 A-19 A-20

A-21

B-1

A.3.2

A4

A

4.1

А.4.1.1 A.4.1.2 А.4.1.3

Α.4.2

APPENDIX

B.1

Principles

Theory

Algorithms

Time

Pressure

Volumes,

Hardware

B

Airway

of

Dynamic

of

Operation

Readings

Flows,

and

Software

Restrictors

Leak,

Ventilator

and

Testing

Compliance

0-5

LIST

OF

FIGURES

2-8

2-12

2-13

2-14

2-16

2-19

3-14

3-19

3-22

3-25

3-28

2.4.1-1

2.4.1-2

2.4,2-1

2.4.2-2

2.5-1

2.5.1-1

2.5.2-1

2.5.3-1

3.3-1

3.5-1

3.6-1

3.6.1-1

3.6.2-1

Ventilator

Adult

Infant

Switch

Isometric

Ventilator

Model

Set-Up

Restrictor

Breath

Status

Full

Lung

and

VT-1B

Printout

Cycle

Test

Tester

Top

Fixed

Lever

View

Printout

of

Tester

or

and

Paticnt-Y

Diagram

Printout

VT-2

Adult

Plate

Overlay

Compliance

Settings

the

Mode!

Keypad

Rear

Analog

Lung

(Profile}

with

Models

for

Adult/Infant

VT-1B

Panel

Jutputs

Connection

Short-Form

(Cut-Away

or

VT-2

Instructions

View)

Lung

Ventilator

Tester

3-31

3-32

3-34

3-38

3-42

3-46

3-47

3-48

3-50

3-51

3.6.7.3-1

3.6.7.3-2

3.6.4-1

3.6.5-1

3.6.5.1-1

3.6.6.1-1

3.6.6.3-1

3.6.7.1-1

3.6.7.1-2

3.6.7.2-1

3.6.7.2-2

Trend

Normal

Assist

Leak

Compliance

Volume

Airway

Lung

Test

versus

Test

Waveform

Monitor

Pressure

Printout

Assisted

Printout

Test

Printout

Waveform

Monitor

Waveform

Monitor

Breaths

Display

Printout

Display

Printout

0-6

Page

3-52

3.6.7.4-1

LIST

Air

Flow

OF

FIGURES

Waveform

(CONTINUED)

Display

3-53

3-54

3-55

4-3

A-10

A-12

A-18

A-22

A-23

3.6.7.4-2

3.6.8.1-1

3.6.8.2-1

4.3-1

A.3.1.1-1

A.3.1.4-1

A.3.2-1

A.4-1

A.4.2-1

A.4.2-2

Air

Flow

External

Repacking

Inspiratory

Expiratory

Primary

Ventilator

Monitor

High

Flow

the

to

Ventilation

Tester

Printout

Pressure

Monitor

Model

Expiratory

Inspiratory

System

Hardware

Software

Monitor

Printout

VT-1B

Variables

or

Phases

Configuration

Block

Printout

VT-2

Diagram

Ventilator

Block

Tester

Diagram

0-7

Page

LIST

OF

TABLES

2-4

2-6

2-10

2-21

2-22

3-6

3-21

5-1

A-2

2.3-1

2.3-2

2.4.1-1

2.6-1

2.7-1

3.3-1

3.3-2

3.4-1

3.4-2

3.6-1

5-1

А.1-1

Models

Test

Specifications

Parabolic

Models

Simulated

Reference

Data

Computer

Modes

Settings

Troubleshooting

Ventilator

VT-1B

and

Monitor

Restrictors

VT-1B

Patient

Units

Communication

Keyboard

for

Simulated

Testing

and

VT-2

Modes,

and

VT-2

and

VT-2

Conditions

Defined

Bio-Tek

Standards

Specifications

Measurements,

Calibrated

Accessories

Optional

Protocol

Input

Commands

Normal

Ventilator

to

Defined

Accessories

and

Computer

and

Breathing

Testers

and

Performance

Flow

Control

Waveform

in a Normal

Rates

Requirements

Monitor

Patient

A-3

A-12

A-14

A-16

А.1-2

A.3.2-1

A.3.2-2

A.3.2-3

A.3.2-4

ANSI

Relationships

Simulated

Gas

Effects

Z79.7

Patient

Reference

of

Gas

General

between

Units

Reference

Requirements

Ventilation

Conditions

Units

0-8

Variables

The

Bio-Tek

simulate

not temperature,

ditions,

way NTPD, ments and the tenance,

normal

previously

partial

resistance

&

such

cost

efficient

hospital

service,

Models

relative

STPD).

as

efficient

with

VT-1B

as

well

available.

humidity,

pressures

and

compliance,

These

use

of

documented

equipment

INTRODUCTION

and

as

pathological

They

compressibility

of

different

devices

use

of

personnel,

instruments

verification,

VT-2

are

as

well

address

test

Ventilator

patient

designed

gas

mixtures,

as

several

time

for

patient

results,

or

litigation.

to

gas

which

Testers

load

conditions

compensate

of

gases

different

reference

hospital

and

money;

treatment

are

under

units

issues and

in

useful

stand-alone

and

provide

for

barometric

dynamic

lung

impedances

(ATPD,

per

JCAHO

safe,

proper,

hospitals.

for

preventive

devices

test

pressure,

breathing

ATPX,

require-

effective,

They

provide

that

results

con-

of

air-

BTPS,

main-

0-9

1.1

To

Unpacking

prevent

I.

2.

3.

4.

5.

1

and

Inspection

damage

Lay

name

Open

Use

If

you

rying

Inspect

physical instructions,

Department

the

plate

the

both

do

case

to

carrying

face-up

snap

hands

not

top

the

Model

damage

UNPACKING

the

ventilator

case

and

locks

of

to

lift

anticipate

and

bottom

VT-1B

and/or

call

the

Bio-Tek

at:

1-800-24-BIOTK.

AND

tester,

on a vibration-free

the

carrying

the

instrument

repacking

in

or

missing

handle

the

VT-2

Customer

always

pointed

case

out

the

shipping

lung,

items.

unit

To

INSPECTION

unpack

and

of

box.

electronics

report

Service

it

in

work

toward

the

within a short

remove

carrying

damage

at

surface

you.

the

unit,

1-800-451-5172

the

top.

following

with

case

bottom.

time,

store

and

accessories

and

receive

manner:

the

or

Bio-Tck

the

car-

for

further Service

6.

To

report

ice,

Biomedical

missing

Department.

items,

call

Bio-Tek

Instruments

and

ask

for

Customer

Serv-

1-1

2

MODELS

VT-1B

&

VT-2

DESCRIPTION

Bio-Tek

Model the

Other

and

following

2.1

VT-2

Model

than

VT-2

1.

2.

3.

4.

5.

6.

7.

Summary

manufactures

Adult/Infant

VT-1B

that,

differ

additional

Enhanced

Trend

External

Auto-Zero,

Computer

Carrying

Test,

of

Features

by

the

from

Pressure

Flow,

Pressure,

Control

Case

and

sells

Ventilator

having

two

units

the

Bio-Tek’s

features:

Accuracy,

provided

with

and

the

an

infant

are

identical

wheels.

Potential

Model

Tester.

lung

Users

VT-IB

The

assembly

in

design

models

Adult

latter

and

model

with

operation.

because

RS232,

Ventilator

differs

2

infant

they

and

Tester

physically

lung

compliances.

The

Model

incorporate

and

VT-1B

the

from

the

I.

The

Models

simple

2.

The

tests

3.

Fourteen compensate

ATPX,

the

4.

The as

5.

Volume,

recorder

6. A printer

7.

A

collection

to

user

and

BTPS,

unit.

display

well

as

bi-directional

VT-IB

operate.

interface

enters

parameters

data

flow,

via

is

and

data

for

differences

NTPD,

allows

in

and

the

tester’s

provided

specialized

and

VT-2

is a keyboard

by

responding

can

be

STPD)

the

user

tabular

RS232

form.

pressure

analog

for

hard

interface

performance

ventilators

of

measured

between

and

to

observe

waveforms

output

copy

2-1

are

pressure-sensitive

to

prompts

in

reference

actual

volume,

jacks.

of

test

provides

analyses.

on

automated

unit

test

conditions

flow,

may

also

results

computer

cost-effective,

pads;

an

LCD

test

conditions

and

be

and

other

the

display.

modes;

by

preprogramming

pressure

recorded

data.

control

portable

user

initiates

the

user

(ATPD,

waveforms

on a chart

for

and

can

ATPS,

data

The

following

*

Dedicated

*

Provides

*

Test

results

*

Corrects

*

Choice

*

Volume,

*

Volume,

*

Status/quick

*

Full

Test/Auto-Repeat

*

General

*

Printer

*

Complies

The

Bio-Tek

adultand

28

in

for

of

6

reference flow, flow,

flow

port

with

ventilator

list

highlights

infant

measurements

2-to-4

atmospheric

2 airway

test

and

with

ANSI,

breath

pressure

to

check

pressure

printer,

ISO,

testers

the

ventilator

through

cycles

and

units

for

waveform

pressure

ventilator

for

15

measurements

RS232

ASTM

features

13

gas

conditions

volumes

displays

analog

controls

measurements

computer

standards

can

be

used

of

the

tester

test

modes

&

flows

outputs

control

by

Models

the

following

VT-1B

*

Trending

*

Tests

*

Tests

* *

Microprocessor

*

6-linc

*

Menu

*

Self * *

*

Upgradcable

*

Carrying

with

Leak

&

LCD

driven

test/diagnostic

Easy

calibration

Auto-zero

organizations

and

VT-2

of

Tidal

lung

any

gas

compliance

based

graphic

and

for

transducer

design

case

with

testers:

Volume

impedance

mixture

tests

display

user

friendly

software

check

whecls.

and

agencies:

drift

l.

2.

3.

4.

5.

6.

7.

8.

9.

2.2

Applications

Ventilators

performance

Laboratory

better

than

available, according

Federal

regulatory

Organizations

Respiratory

Hospital

Equipment quality

Colleges

Training

Preventive

Ventilator

are

studies

the

there

to

clinical

biomedical

control,

and

organizations

maintenance

dealers and

used

be

clinically

indicate

older

was

criteria.

agencies

evaluation

for

therapists

manufacturers,

production

professional

and

manufacturers’

as

life-support

acceptable,

that

models;

no

however,

convenient

pulmonary

clinical

sales

and

schools

and

service

devices;

new

generation

medical

of

engineers

and

design,

without

until

method

devices

physiologists

technicians

and

marketing,

service

departments

organizations

representatives.

therefore,

potential

of

ventilators

the

Bio-Tek

to

evaluate

inspection

it

is

important

risks

perform

Ventilator

ventilator

and

calibration,

that

to

the

substantially

Testers

performance

their

patients.

were

The

Models

of:

neonatal,

ventilators.

VT-IB

and

pediatric,

Additional

VT-2

ventilator

adult

critical

applications

are

testers

care,

listed

home

as

are

dedicated

the

care,

anesthesia,

following

to

test

the

performance

and

items 1 through

transport

19,

bacteria

filters

lt.

pressure

gauges/meters

breathing

calibration

compressors

CPAP/PEEP

demand

flow

9.

10.

These available

ventilation

IPPB

patient

testers

1.

The

2.

The ensure proper

actual

about

on

circuit

syringes

valves

meters

regulators

machines

breathing

are

also

a

ventilator’s

patients,

tester

patient

can

could

valves

devices

circuits

capable

for

example:

help

diagnose

be

operation

conditions.

of

providing

performance,

ventilator

used

by

during

long-term

12.

13.

14.

15.

16.

17.

18.

19.

valuable

as

failure

ventilator

pressure

pulmonary

equipment

resuscitators

respirometers

spirometers

ventilators

wall

air/gas

information

well

as

the

at

the

manufacturers

treatment

regulators

relief

of

valves

function

outlets

effects

patient’s

and

patients

test

not

previously

of

artificial

bedside.

physicians by

simulating

to

The synchronometer

instability

The

their

Studies

perfusion percentage respiratory

of

The

determine

2.3

Model

Table

Testers.

Measurements,

2.3-1

Table

ventilator

device

appropriate

exercise

device

VT-1B

gives

2.3-2

and

other

could

can

be

and

mass

of

oxygen

mechanics

testing,

could

appropriate

or

VT-2

the

general

provides

Performance

tester

to

be

applications

conducted

Specifications

could

investigate

respiratory

used

in

transfer

delivered and

lung

and

remote

be

integrated

trcatment.

specifications

information

Specifications

be

used

incidents

syndromes

the

development

on

patients.

and

realistic

in

lungs,

and

impedance,

ventilator

of

on

2-3

in

conjunction

of

pneumothorax,

during

of

results

proper

carbon-dioxide

with

the

for

therapy

work

alarm/surveillance

a

patient-management

Model

various

the 2 models.

infant

ventilators,

of

VT-IB

Test

ventilation.

obtained

during

concentration

breathing

and

with

hemodynamic

and

to

intensive

systems.

VT-2

Monitor

a

ventilator

to

determine

in

and

efficacy

system

Ventilator

care,

lungs,

to

Modes,

The

following

*

Dedicated

*

Provides

*

Test

results

*

Corrects

*

Choice

*

Volume,

*

Volume,

*

Status/quick

*

Full

Test/Auto-Repcat

*

General

*

Printer

*

Complies

The

Bio-Tek

1.

2.

3.

4.

list

highlights

adult

28

for

of 6 reference

flow, 2 pressure flow,

flow

port

with

Federal

Organizations

Respiratory

Hospital

and

measurements

in

2-to-4

atmospheric

airway

test

to

check

and

pressure

with

printer,

ANSI,

ventilator

regulatory

biomedical

the

infant

breath

ISO,

testers

therapists

ventilator

through

cycles

and

units

for

waveform

pressure

ventilator

for

15

measurements

RS232

ASTM

agencies

for

evaluation

features

gas

conditions

volumes & flows

analog

measurements

computer

standards

can

be

and

clinical

of

tester

13

test

displays

outputs

controls

used

of

medical

pulmonary

the

Modcis

modes

control * Upgradcable

by

the

following

physiologists

engineers

VT-1B

*

Trending

.*

Tests

*

Tests

*

Microprocessor

*

6-linc

*

Menu

*

Self

*

Carrying

devices

and

with

Leak & compliance

LCD

driven

test/diagnostic

Easy

calibration

Auto-zero

organizations

technicians

and

of

case

VT-2

Tidal

lung

any

graphic

and

for

transducer

design

with

testers:

Volume

impedance

gas

mixture

tests

based

display

user

friendly

software

check

whecls.

and agencics:

drift

5.

6.

7.

8.

9.

2.2

Applications

Ventilators

performance Laboratory

better

available,

according

The of: ventilators.

than

Models

neonatal,

Equipment quality

Colleges

Training

Preventive

Ventilator

studies

there

to

control,

are

used

be

clinically

the

older

was

clinical

VT-1B

pediatric,

Additional

manufacturers,

production

and

professional

organizations

maintenance

dealers

as

indicate

criteria.

and

life-support

that

models;

no

convenient

VT-2

adult

applications

sales

and

schools

and

service

manufacturers’

devices;

acceptable,

new

however,

ventilator

critical

are

and

design,

organizations

without

generation

until

method

testers

care,

listed

as

marketing,

service

representatives.

therefore,

potential

of

ventilators

the

Bio-Tek

to

evaluate

are

dedicated

home

the

care,

following

inspection

departments

it

and

is

important

risks

Ventilator

ventilator

to

anesthesia,

items | through

to

perform

test

the

calibration,

that

their

the

patients.

substantially

Testers

performance

and

were

transport

19.

2-2

Table

2.3-1.

Models

VT-IB

and

VT-2

Specifications

Analog

Compliances

Outputs

(C)

(L/cmH,O)

(per

ANSI)

Awy

Resistor (cmH,O/L/min) (per

ANSI)

Set-Up

(R,)

Choices

Volume Fiow

Airway

ADULT

.05 02 01

NOTE: (or altitude

Pressure

(VT-IB/VT-2)

(C50) (020) (C10)

Infant

717

to

777

in

the

specification

ADULT

(VT-IB/VT-2)

50

20

5

NOTE:

All

resistors

Time:

Date:

Equipment

ID: Atmospheric Relative

Room/Gas Pressure

Reference

Humidity:

Temp.:

Units:

1 1

À

compliances

mmHg).

two

models,

from

Bio-Tek.

INFANT

are

Pres.:

Volt = I Volt = 50 Volt = 20

INFANT

.003

(C3)

001

(CI)

are

within

Although

customers

500

200

parabolic

12-hour

Entry

Up

to 600 0

to

15

to

cmH,O

Pressure; for

others.)

ATPX, ATPD,

or

NTPD,

measurements,

liter

(Adult

only)

LPM

(Adult

only)

cmH O (Adult 4 Infant)

(VT-2)

ANSI

specifications

readings

may

and

accuracies

obtain

higher

altitude

(VT-2

types.

format,

in

Month/Day/Year

16

numeral

to

800

mmHg

AM

or

digits

PM

format

100%

50°C

or

psi for

(cmH,O,

ATPS,

for

all

External

mmHg,

volume

High

or

BTPS,

and

from

are

not

infant

kPa

STPD,

flow

sea

level

affected

lungs

to

885

above

per

feet this

ANSI

Auto-Zero

Audible

Pressure

Over-

Alarm

Every

time a TEST

every

10

minutes

lung

pressure

pressure.

Over

125

cmH, O in

or

MONITOR

if

still

in

any

transducers.

Infant

Manual

or

2-44

one

Adult

key

is

mode,

ZERO

lungs.

selected

for

and/or

airway

external

and

Computer

Table

Control

2.3-1.

Models

VT-IB

Via

IBM

PC-compatible,

2400

Baud

Rate; 8 Data

1

Transmitting

set-up

requirements.

and

Port,

VT-2

Specifications

25-pin,

bits; I Stop XON/XOFF (Cable

for

(Continued)

D-type

protocol.

RS232

male-to-female

bit, 0 Parity; | Receiving

Refer

to

port,

Bio-Tek

RS232

Section

Part

#75004.)

port.

port

3.4

and

for

Printer

Power

Warm-Up

Operating

Temperature

Dimensions

Weight

NOTE: atmospheric measurements

Interface

Input

Time

The

pressure;

analog

and

waveform

therefore,

calculations

Standard

100/115/230/240

15

15°

VT-2: VT-IB:

outputs

they

made

parallel

minutes

to

50°C

62.2

20.5

12.3

do

not

through

after

cm x 50.8

kg

are

Centronics

VAC

power

cm x 50.8

(45

Ib)

kg

(27

Ib)

not

compensated

provide

the

use

of

output.

switch

on,

cm x 30

cm x 21.6

quantitative

an

selectable,

from

room

cm

(24.5" x 20" x 12")

cm

data

oscilloscope

50/60

Hz,

60

temperature

(24.5" x 20" x 8.5")

for

temperature,

sufficient

or

high-speed

(25°C).

to

support

chart

Volt-Amperes.

humidity,

recorder.

and

detailed

Table

MEASUREMENTS

I:E

RATIO

INSP.

EXP.

EXP. CYCLE

RESPIRATION

TIME

INSP.

HOLD

TIME

PRESSURE

2.3-2.

βατε]φίοφιο

Test

and

Monitor

[TEST

Oi<i

atras

<|

-lelolulololsizlilxix

0100

o

5

uo

0/0

ee oje oje oje

MODESÍ

Jel

<|

MONITOR

出

WAVEFORMS

<

wii

zl

i|

Modes,

(gis)

<|

Measurements,

MODES | RANGE/UNITS

lu

[SE

Lio

al

lolrir

1:99 & 39:1

O

TO

O

TO

ο

ΤΟ

ο

TO

O

TO

O

TO 75

and

60

15

99

120

Performance

SECS

SECS SECS SECS

SECS

BPM

ACCURACY

+

2.5% + 1

Specifications

|

RESOLN

(DISPLAY)

LSD

0.1

PEAK/MAX MIN

MEAN

INSTANT

PEAK/MAX

MIN

INSTANT

ASSIST EXTERNAL COMPL

VOLUME

ADULT

INFANT

x

TV

INSTANTANEOUS BASELINE, MİNUTE VOLUME

FLOW

INSP

EXP

INSTANT LEAK EXT

DEFAULT:

(MANAS

Note:

AWY

PRES,EEP

AWY

PRESSURE

AWY

LUNG

PRESSURE

LUNG

PRES

HIGH

LANCE

TIDAL

VARIATION

PEEP

FLOW

RATE

GAS

FLOW

C=.05

KANUNGÜ)

Infant

PRES

VOLUME | @|

VOL

oje 61006

ee

o

oje

ο

@/@

1@/@/@

©

eee

ee oje

ο

(AIR,

O2.N,0.CO, & (02)

L/emH20:

respiration

ATM

rates

PR=760

are

e 0

ο

ο o

e

ο

e

ο

©

o

0 ©

o ο ©

ο

-15

0

@ | 0

O

0.005 3

TV TV

0

10

mmHg:

Rh=S0X;

dependent

on

pressure,

TEMP»

TO

125

cmH20f

TO 7 psi(cm,0) TO

250

ml/cmH,O

TO

2.2

LITERS | £33

TO

0.3

LITERS | +42

TO

993

OF TV RANGE RANGE

TO

199

LITERS

O

TO

250

LPM

TO

75

LPM

NTPO

25*C;

volume

AIR | +51

MV:BTPS;

and

flow

21%f.s. ょ LSD

#21f.s.

TV

TV & FLOW:ATPX:

settings.

ει

5Ό

+

21

RDG

RDG + 4LSD | 0.001

ACCURACY

RDG ¢ 4LSD

0.1

l

0.001

0.001 ο.οι

1

0.1 l

PRES:cmH20

2-6

2.4

Model

The

Models

under

infant human explanation

physiologic

ventilators.

adult

VT-1B

of

Adult

VT-IB

and

load

These

pediatric

how a ventilator

Lung

and

VT-2

conditions;

lungs

lungs.

have

closely

interfaces

Model

built-in

the

Model

Refer

VT-2

Adult/Infant

adult

VT-2

approximate

to

Section

with

Bio-Tek’s

lung

also

the A.3:

Lungs

models

has

physiological

to

built-in

Theory

ventilator

test

adult

infant

characteristics

of

Operation,

testers.

ventilators

lungs

to

for

test

of

an

2.4.1

Figure

individual

Adult

2.4.1-1

1.

Lung:

components

2.2 bellows

The except

constrained during

Thoracic

precision

Compliance

to

the

centimeter

against a calibrated

and

standard

Actual the

Identified

amplification)

changes

trapped atmosphere, the predictable

Also, average changes

effects

Location

shows

Liter

lung

0.05

bellows

gas

under

the

identified

Bellows:

as

the

lung,

is

simulated

in a longitudinal

to

filling

hinge

plate

state

gas

were

area,

in

as

of

and

alloy

adjustment

point

of

water

L/cmH,O

(ANSI

rotation

(lung)

as

the

once

in

each

the

at

given

pressure,

thereby

actual

radial

profile

be

arcuate

the

lung

steel

and

position

outputs

actual

one

the

internal

bellows

and

Description

of

the

on

the

The

Bio-Tek

with a residual

by

an

elastomer

direction.

in

shape,

lung.

stiffness

spring

of

(L/cmH,O)

scale.

are

detented

ASTM)

about

through

for

every

bellows

contained

atmosphere

pressure

the

reducing

(or,

which

is

achieved

the

top

The

testing.

its

an

encoder

a

transistor-transistor

~0.003 L change

will

within

bellows

geometric

expansion

of

Components

Models

figure

inversely,

plate,

pressure,

adult

to

hinge

angular

always

volume

pressure.

will

plate

VT-1B

are

described

Adult

volume

bellows,

This

causing a hinged

is

stretched

by

the

and

can

lung

aid

in

axis

in

the

be

in

the

bellows

expand rise. or

incompressible

are

included.

and

VT-2

as

follows:

Lung

is

figure,

The

model

(RV)

of

constrained

longitudinal

compliance)

by

positioning

actual

be

set

compliance

set-up

used

displacement

logic-compatible

in

under a pressure

most

instances

amount

some

volume

consists

1.8

liters.

top

rise of

of

compliance,

by

positioning

ease

and

to

measure

the

ADT

lung

volume.

of

and

the

radially,

readout lung

adult

to

limit

expansion

plate

to

is

simulated

the

lung

the

spring

settings

repeatability

tidal

transducer

(with

greater

will

be

such

compression

compliance

is

volume,

lung.

of a 2.2

expansion

is

further

raise

(rotate)

by

top

plate.

relative

in

liters

the

spring

of

0.01,

volume

(ADT).

mechanical

signal

Because

than

less

than

setting.

increasing

in

terms

and

such

The

liter

a

per

0.02

for

that

the

one

if is

its of

The

bellows,

corresponding

at

adult

rest,

RV

for 2 lungs.

retains

2-7

a

gas

volume

typical

of

the

average

Airway

Patient-Y

—

ο

Inlet

Position

Encoder

©

2.2L

Bellows

X

Compliance

Gas

x

、

Port

7

Settings

/

一

7

|

Sliding

Adapter

Intrapulmonary polyurethane

cradle oro-pharynegeal

airway.

Lifting within when

pressure

2.

Gas

allows into

concentration plate

concentrations and

—

Port:

the

metabolic

/

parabolic

L

Restrictor

Figure

the

in

attachment

over

2.4.1-1.

hose

assembly

of

the

lung

the

patient

measured

Near

lung

the

studies.

is

measuring

delivered

High

Airway

pressure

connected

includes

or

upper-airway

top

plate

and

airway.

through

the

back

of

sensors

provided

bellow

Pressure

Ventilator

(from

to a pressure

will

The

assist

mode,

the

of

the

for

sensors.

thus

to

the

Port

—

Compliance

Tester

within

a

side

pressure

produce a subambient

procedure

appropriate

top

measuring

installation

enables

lung

Adult

the

tap-off

with

plate

‘he

removable

or

performance

Lung

lung)

port

from

for the

on

the

is

used

the

amount

pressure

of

the

adult

gas

concentration.

of

any

measurements

Spring

(Profile)

is

measured

within

inlet

side

differential

to

trigger a ventilator

of

port.

lung

of

several

gas

port

of

respiratory

through

the

measurement

of

subambient

is a gas

through

of

bellows.

the

simulated

pressure

port

This

opening

types

the

various

perfusion

a

1/8" The

of

ON

cycling

that

of

gas

lung

gas

3.

Compliance

spring lung

lung

accordance

settings repeatability

Settings:

between a fixed

plate.

to

rest

of

The

at

with

0.01, for

compliance

one

proposed

0.02 standard

Compliance

horizontal

spring

of 3 notched

ASTM

and

0.05

L/cmH,0

(ANSI

metal

is

moved

compliance

s:andards.

and

ASTM)

2-8

is

simulated

bar

are

at

the

along

settings

The

detented

testing.

by a vertically

bottom

the

along

adult

to

right

aid

and side

the

lung

in

set-up

mounted

the

movable

of

the

adult

top

plate,

compliance

ease

in

and

Compliance

4. by a precision plate.

relative

either

low

compliance

5.

High

adult

pressures

Spring:

Compliance

to

the

towards

Pressure

lung

assembly

of

sources

alloy

hinge

or

of

Port:

Thoracic

steel

adjustment

point

away

the

lung.

The

is

connected

outside

from

external

and

spring

of

which

is

the

top

the

bellows,

directly

the

lung/ventilator

lung

is

achieved

plate.

high

pressure

stiffness

stretched

by

By

one

to a pressure

(compliance)

the

positioning

moving

is

able

port

system.

by

rise

of

the

compliance

to

simulate a high

on the

right

transducer

is

simulated

the

lung

the

side to

measure

top

spring

or

a

of

the

Parabolic input

mounted

The restrictors

assembly been

at 2 defined

Airway

coming sliding airway

Patient-Y: ventilator. A

adapter

Position and

volume Transducer

‘raw

into

to

the

on a sliding

airway

located

calibrated

Inlet/Sliding

from

adapter.

inlet

parabolic

is

En

hinged

of

signals’

the

lung;

Airway

bellows

is

(resistors)

flow

the

and

The

It

airway

pushed

at

air

(ADT)

proportional

this

Restrictor:

simulated

on

in

the

rates,

ventilator.

A

the

patient-Y

is

attached

restrictor

in.

er: A metal

the

other

or

gas

mounted

ADT

through

airway

to

the

Adapter:

parabolic adapter

inlet

by 1 of a set

be

inserted

front

laboratory

as

shown

is

to

the

plate

provides

injected

to

is

called

Air

or

gas

interchangeable

adapter.

between 2 female

plate

of

the

to

be

within

in

the

Table

The

patient-Y

It is

attached

airway

pushed

is

lung

(resistor)

attached

at

the

at

the

by

an

to

the hinged

amount

position

restrictor

into

end

is

arcuate

from a ventilator’s

parabolic

of 5 plug-in

15

test

lung.

prescribed

2.4.1-1.

to

the

adult/infant

of

pushing

inserted

to

the

motion

lung.

part

of

air

encoder.

is

the

top

or

These

at

the

lung

by

(resistor)

tubing

it

onto

in

the

airway

of

the

directly

An

Angular

of

the

any

gas

patient-Y

airway

calibrated mm

ports

restrictors

limits

end

pushing

the

lung

of

is

inserted

lung

assemblies.

coming

sliding

inlet,

bellow

plate

mixture

is

restrictors

parabolic

in a cradle

have

resistance

the

tubing

it

onto

the

in

the

from

at

the

adapter.

and

the

one

end

to

the

provides

injected

=.

2-9

—

πο.

WE

Table

2.4.1-1.

Parabolic

Restrictors

Calibrated

to

Defined

Flow

Rates

Parabolic

[Linear

R

'

These R,

ro R so

the

characteristic

Restrictor

Eguivalent)'

parabolic

Ryn.

and

restrictors

R,,

equation:

Flow

26.7

50.2

61

---

ーーーー

—

ue

have

linear

resistors

Rates

(liters/minute)

ーー

24.4

ーー

---

ーー

oo

been

designed specified

specifically

by

ASTM

---

4.4

---

176

27.

to

produce

F1100-90.

---

108

flow

characteristics

The

flow

characteristics

to

match are

the

R,

defined

in

Pressure

where K is

*

Rso

liters/minute

К» К» Ro

R в,

orifice

defined

= = =

=

diameter

data

drop = K

(+/-

5%)

8925

cmH,

2440

1087 1761

2.700

is

too

point

is

8925

(Flow)2

empirically

cmH,O

for

each

O/L2sec2*

small

relative

instead

of

10661.

to

restrictor

the

plate

2-10

as

follows:

thickness

for

the

square

law

to

apply;

constant

for

45

The

position

uncompensated

calculated.

11.

Short-Form that user-programmable Section

2.4.1-2.

provides

encoder

Instructions

3:

Installation

translates

measurement

Overlay:

a

handy parameters

and

angular

of

the

gas

On

summary

and

for

Operation).

displacement

in

the

top

of

instructions

performing

This

overlay

lung

plate

of

the

from

of

ventilator

is

which

the

lung

for

reproduced

bellows

is

an

setting

tests

into

volume

overlay

(refer

as

Figure

an

is

up

to

2.4.2

By

mounting ventilator

Figure that

and the

this

ANSI

Figure adult

lung.

Infant

mounting

2.4.2-1

are

used

nconatal

keypad

portion

and

2.4.2-2

and

1.

2.

Lung:

the

electronics

testers

to

(0.001

and

is

ASTM

infant

ADULT/INFANT whether

transducer

ADULT/INFANT

the

toggle

and

that

Location

the

infant

can

is a cut-away

obtain

display

not

shown

standards.

shows

lung

the

switch

air

and

Description

)

lung

assembly

be

packaged

view

the 2 compliances

L/cmH,0)

must

in

the

and

adult

is

used

from

be

the

switch

between

Toggle

lung

for

Lung

to

ensure

the

lungs.

removed

figure.

settings

measurement.

ventilator

of

on

the

over

the

infant

in

the

same

of

the

infant

required

Note

that

to

expose

These

that

the 2 compliance

Switch:

pressure

Select

that

Lever:

the

desired

is

directed

Components

same

carrying

fixed

enable

transducer

lung,

lung

to

the

The

This

base

showing

simulate

portion

the

lungs

the

settings

toggle

lever

lung

to

plate

the

case.

infant

are

user

or

is

it.

as

the

overall

designed

switch

the

used

chosen

size

the 2 internal

infant

of

available

the

lung

to

choose

position

infant

in

(0.003

tester

compartment

conjunction

adult

of

to

confirm

on

lung

the

between

Model

lung,

L/cm

that

the

determines

and

Bio-Tek

canisters

H,0)

houses

and

with

the

infant

pressure

with

VT-2

3.

Infant

compliance

0.003

canisters

and

Compliance

of

the

0.001.

as

shown

lung

These

in

Selector

must

compliance

Figure

Lever:

also

be

2.4.2-1.

When

selected.

values

the

are

infant

The

user

determined

lung

can

by

is

selected

choose

the

between

size

of

the

INSTAUMENT

6

7

8

Connect Switch 1

printer

ane

printer

Connect

a

port Step

w

displayed Position

Insert

Connect

power

on

instrument

13

needed

cable

25-pin D type

computer

through

instructions

comphance

parabolic

patient y to

SET-UP

set-up

OPERATION

CHANGE PARAMETEAS

COMPLIANCE

PERFORM A TEST

MONITOR A WAVEFORM

EXTERNAL

PRINT

OUT

ASSISTANCE

VENTILATOR

cord

connect

adaptor

and

mais

connector

to

is

desired

procedure

spring/lever

restrictor

in

shamg

SET-UP

SELECTION

PRESSURE

FLOW

DATA

using

away

adaptor

on

・

R$232

keypad

and

lung

modes

inlet

ACTION

Press

(PROMPT ) unul

Make

then

selection

Press

compliance lever

Position ADULTINFANT

of

keypad

Press TEST

on

display.

Press

WAVEFORM

Re-press max, Re-press

Press

press

source

Adult

Press

Insert Adaptor;

Airway

Press

Сай

3-800-451-5172.

(ESCAPE) . then

change

(Infant)

WING

(ESCAPE ) ,

MODE

min

to

lung

(ESCAPE).

A20

intet

TESTER

Airway

inlet/

Sliding

Adaptor

selaction

and

then

until

appears.

Make

„then

spring

(Adult)

SELECT

toggle

then

key.

Follow

,

than

key

for

graphic WAVEFORM values

of

waveform.

key

to

return

.

men

port

on

right

model.

then

restrictor

into

leave

it

disconnected

(CHANGE

appears

compliance

selection

position

or

lever

and

switch

in

press

instructions

press

display.

key

for

real-time,

to

graphics.

CZERO) . then

:

connect

pressure

side

of

Sliding

from

Parabolic Restrictor

Pationt-y

SET-UP)

front

desired

.

Figure

2.4.1-2.

ATPD

Arpx

BTPS

37"Clbody) NTPD STPO

Adult

REFERENCE TEMP

Ambient

| |

20°C

xe

Lung

UNITS

PRESS

Ambient

760mmHg

REL

Ambient

Top

HUM

OF

1008

о,

+

Plate

Overlay

2-12

WARNING

BEFORE UNIT,

TIGHTLY

DOWN

COMPLIANCE

SPRING

with

TRANSPORTING

SCREW

AT

01

Lem

НЮ

Short-Form

Instructions

0.003

L/cmH,0

INFANT

001

LAmH20

Figure

003

2.4.2-1.

COMPLIANCE

>

©

Infant

Lung

Fixed

Compliance

ADULT

Models

LUNG

INFANT

(Cut-Away

SELECT

>

O

View)

ADULT

INFANT

Figure

2.4.2-2.

Switch

and

Lever

2-13

Settings

for

Adult/Infant

Lung

2.5

Model

VT-1B

or

VT-2

Electronics

Unit

Figure the additional

Citizen

IDP

3110

Printer

2.5-1

user

1.

2.

3.

shows

to

the

components

Printer:

provide a hard

electronic

Over-Pressure the

pressures

Analog

located

an

physical

left-hand

Outputs:

on

isometric

location

of

the

ventilator

The

Models

copy

unit.

Alarm

side

panel

exceed

the

125

side

view

of

the

VT-IB

of

the

Speaker:

of

cmH,O

Refer

to

panels.

of

the

Model

components

tester

not

described

and

VT-2

test

results.

The

the

ventilator

inside

the

Section

2.5.3

VT-I B or

described

are

speaker

tester.

adult

for a complete

in

these

equipped

The

printer

for

The

or

infant

VT-2.

the

This

view

the

preceding 2 sections

sections.

with a Citizen

rests

on

the

over-pressure

alarm

will

emit

lungs.

description

is

included

IDP

top

alarm

an

audible

of

and

3110

printer

of

the

is

located

tone

the

components

to

orient

identify

to

tester’s

on

when

Analog

Outputs

Pressure

Alarm

Speaker

Figure

2.5-1.

Isometric

View

of

the

Model

2-14

VT-1B

or

VT-2

Ventilator

Tester

2.5.1

Ventilator

The

front

panel

2.5.1-1. stretching (ESCAPE), programmable

(PRINT). numeric

access pads

high 3:

Installation

Space

information

The

across

The

data

the

waveform

is

describe

pressure

is

provided

that

Tester

consists

LCD

to

zero

parameters

pads

entry

monitors

monitor d in

and

for

could

Front

display

the

front

the

in

the

block

(EXT

Operation.

entering

not

Panel

of a liquid

gives

instructions

display

transducer

(CHANGE

block

headed

is

at

lower

PRES),

(VOLUME,

the

be

entered.

and

following

other

information

crystal

panel

center.

display

just

before

SET-UP,

TEST

The

to

monitor

LUNG

section and

and

displays

below

testing

OPTION,

MODE

pads

PRES,

such

(LCD)

the

external

are

in

the

external

AIRWAY

within

as

all

and

data

input

data

during

display

PROMPT

pressed

block

the

ventilator

are

pressure

to

head

flow

(EXT

PRES,

context

settings

pads

set-up

AHEAD),

initiate

of

and

pressed

(ZERO),

automated

WAVEFORM

FLOW).

AIR

FLOW),

ventilator

used

as

shown

testing.

to

exit

to

enter

and

to

are

The

to

testing

for a test

in

Figure

The

pads

from

tests

user-

print

data

tests.

The

pressed

use

of

access

in

Section

and

other

to

ail

the

2.5.1.1

TOP

ROW

1.

2.

3.

4.

5.

6.

Definitions

KEYS

ESCAPE:

ZERO:

port.

CHANGE

change

OPTION:

on

the

LCD.

PROMPT

test

results.

PROMPT

displayed

of

Keys

Enables

SET-UP:

the

default

During

AHEAD:

BACK:

test

the

user

values.

parameter

Enables

results.

user

to

zero

Enables

set-up,

Enables

exit

the

from

tests.

the

transducer

user

enables

user

to

user

to

change

the

advance

prompt

when

the

user

during

back

using

the

parameters

to

select

various options

parameter

during

high

pressure

previously

set-up and

parameter

external

set

or

displayed

set-up

and

to

7.

PRINT:

Enables

the

user

to

transmit

data

2-15

and

print data.

BIO-TEK VT-1B User manual

Specifications and Main Features

Frequently Asked Questions

User Manual