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

Section

Section

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

Section

Section

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

Deleted

Table

paragraphs

plugged

Number

to

second

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

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:

Lung:

VT-1B

Tester

Definitions

RECORD

or

VT-2

Adult

Location

Location

or

VT-2

Front

of

Keys

DESCRIPTION

and

Potential

Specification

Lung

and

and

Description

and

Description

Electronics

Panels

Model

Unit

Users

VT-2

of

of

Adult/Infant

Components

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

Test

Repeat

Test

Test

Tester
Tester

Precautions

User-Programmable

the

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

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

Tubing

Ventilator + Patienc

Waveform

Volume
Airway
Lung
Air

External

External
External

Monitor

Waveform

Pressure

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

Test

Lung

Test

Compliance

Monitor

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

to

0-4

Expiration

Inspiration

Page

TABLE

OF

CONTENTS

(CONTINUED)

A-H

A-17

A-17

A-19
A-19
A-20

A-21

B-1

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

Readings

Flows,

and

Software

Restrictors

Leak,

Ventilator

and

Testing

Compliance

0-5

LIST

OF

FIGURES

2-8

2-12

2-13

2-13

2-14

2-16

2-19

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

Model

Set-Up

Restrictor

Breath

Status

Full

Lung

Lung

and

VT-1B

VT-1B

Printout

Cycle

Test

Test

Tester

Top

Fixed

Lever

View

Printout

of

Tester

or

or

and

Paticnt-Y

Diagram

Printout

VT-2

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

3-50

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

Volume

Airway

Airway

Lung

Lung

Test

versus

Test

Test

Waveform

Monitor

Pressure

Pressure

Pressure

Pressure

Printout

Assisted

Printout

Printout

Test

Printout

Printout

Waveform

Monitor

Waveform

Monitor

Breaths

Display

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

External

Repacking

Inspiratory

Expiratory

Primary

Ventilator

Ventilator

Ventilator

Monitor

High

Flow

the

to

to

Ventilation

Tester

Tester

Tester

Printout

Pressure

Monitor

Model

Expiratory

Inspiratory

System

Hardware

Software

Monitor

Printout

VT-1B

Variables

or

Phases

Phases

Configuration

Block

Block

Printout

VT-2

Diagram

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

Models

Simulated

Reference

Data

Computer

Modes

Settings

Troubleshooting

Ventilator

VT-1B

and

Monitor

Restrictors

VT-1B

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

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

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

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

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.

previous

by a bi-directional

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

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

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

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

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

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

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

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

and

with

hemodynamic

and

to

intensive

systems.

VT-2

Monitor

a

ventilator

to

determine

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

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

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

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

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:

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

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:

VT-2:
VT-IB:

outputs

they

made

parallel

minutes

to

50°C

62.2

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

TIME

INSP.

HOLD

HOLD

TIME

PRESSURE

2.3-2.

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SECS

SECS
SECS
SECS

SECS

BPM

ACCURACY

+

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Specifications

|

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(DISPLAY)

LSD

0.1

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MIN

MEAN

INSTANT

PEAK/MAX

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INSTANT

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AWY

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pressure,

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125

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TO

250

ml/cmH,O

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2.2

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TO

0.3

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TO

993

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RANGE
RANGE

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199

LITERS

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TO

250

LPM

TO

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LPM

NTPO

25*C;

volume

AIR | +51

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and

flow

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#21f.s.

TV

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TV & FLOW:ATPX:

settings.

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RDG

RDG + 4LSD | 0.001

RDG + 4LSD | 0.001

ACCURACY

ACCURACY

RDG ¢ 4LSD

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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

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

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

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

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

of

the

compliance

to

simulate a high

on the

right

transducer

is

simulated

the

lung

the

side
to

measure

top

spring

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

the

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

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

of

is

inserted

lung

assemblies.

coming

sliding

inlet,

bellow

related

Displacement

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

R

R

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

---

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

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

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

is

it.

as

the

overall

designed

switch

the

used

chosen

size

the 2 internal

infant

of

available

the

lung

to

choose

position

infant

in

in

(0.003

tester

compartment

conjunction

adult

of

to

confirm

on

lung

the

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

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

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

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

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

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

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

Enables

SET-UP:

the

default

During

AHEAD:

BACK:

test

the

the

user

values.

parameter

Enables

results.

user

to

to

zero

Enables

set-up,

Enables

exit

the

the

the

from

tests.

the

transducer

user

enables

user

to

user

to

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

displayed

set-up

and

to

7.

PRINT:

Enables

the

user

to

transmit

data

2-15

and

print data.

gi

BIO-TEK

ESCAPE} | ZERO

TEST

sassi

MODE

VENTILATOR

CHANGE]

o

|} 1 |] 2 ||

TESTER

[OPTION]

|FROMET]

3

[PROMETI | PRINT

wue|

WAVEFORM

|

時

TEST | |

REPERTI | TEST | |

Test | |

LEAR | |

ENTER

Figure

4

7

2.5.1-1.

Ventilator

2-16

5

8

6

9

Tester

Keypad

“Pres | |

PRES

tou

FLOW

TEST

MODE

1.

KEYS

STATUS

some

Minute
readings
adjust

and

2.

FULL

readings
to

the

3.

AUTO-REPEAT:

feature
performance

to

troubleshoot

at

user

4.

ASSIST

Assist-Control

the

lung

the

Minimum

TEST:

key

and

Volume

are

ventilator

can

use

TEST:

pertaining

ones

in

for

preprogrammed

TEST:

would

Assist

Pressure,

Airway

The

commonly

(MV),

updated

controls

this

feature

By

using a single

to

STATUS

Because

other

parameters

over

several

intermittent

The

modes

trigger a breath

of

Pressure.

unit

provides

required

Breath

continuously

to

the

Rate,

to

determine

calibrate

characteristics

TEST.

of

the

and a need

hours

problems,

intervals

tester

tests

ventilators

cycle

positive

or

the

means

information

and

Inspiratory

for

every

optimum

the

ventilator.

key

operation,

of

the

unavailability

to

continuously

or

days

for

repeatability/endurance

the

tester

of

from 5 to

the

120

Sensitivity

where a breathing

from

the

negative

End

of

obtaining

such

as

breath

so

settings

the

delivered

of

the

carries

minutes.

Control

ventilator.

Expiratory

and

Tidal

Flow

user

that

and

can

Volume

Rate.

the

performance

breaths

percentage

monitor

out

the

FULL

and

effort

The

simulated

tester

Pressure,

displaying

(TV),

These

user

can

obtain

in

addition

variation

ventilator

tests

TEST

Assisted

displays

and

all

or

or

by

5.

6.

WAVEFORM

1.

2.

3.

LEAK
lung

and

patient

TREND

instances
between
feature

Tidal
tester

Volume

prints

KEYS

VOLUME:

is

displayed

same

key a second

values

AIRWAY

EXT
mode,

PRES:

from

TEST:

the

tubing

TEST:

where

the

to

monitor

of

the

PRES:

Measures

Model

(use'the

an

user

Variation

out

the

On

selecting

and

selected

Description

General

0-75

psi

the

VT-2

adult

Even

intermittent
programmed
Tidal

with

Volume.

with

Full

Test

any

continuously

time,

Instantaneous,

parameter

purpose

or

equivalent

leak

infant

lung

the

fault

time

respect

values

one

updated

are

the

pressure

rate

of

lung.

only

for

AUTO-REPEAT

in

intervals.

Based

to

the

for a faulty

of

these

every

displayed.

same

as

in

cmH,0.

the

Model

Measures

this

type

ventilator

The

on a user

first

reading

breath.

keys,

the

other

Maximum,

for

VOLUME,

measurements

VT-1B

the

leak

of

LEAK

feature,

performance

tester

programmed

as

corresponding

breath.

and

Minimum

preceding.

can

and

rate

TEST).

there

may

therefore

percentage

the

reference,

By

pressing

be

made

VT-2

of

external

may

occur

waveform

Numeric

in

adult

be

in

has

of

the

the

this

a

4.

LUNG

PRES:

Description

the

same

2-17

as

for

VOLUME,

preceding.

5.

6.

AIR

EXT
from

FLOW:

FLOW:

10-75

Description

General

Ipm.

the

purpose

same

flow

VOLUME,

for

as

measurements

preceding.

can

be

made

in

this

mode,

NUMERI

2.5.2

KEY

0,

1.

2.

3.

Ventilator

1.9:

mode.

CLEAR:

ENTER:

advances

Fuses:
(Refer

Power

the

correspond

RS232
female
of

the

This

to

Tester

The

to

Section

Input

line

voltage

Serial

connector.

ventilator

These

key

This

the

Rear

fuses

Jack:

to

common

keys

clears

key

next

Panel

are

2.6:

(on

Port:

This

tester.

can

be

used

wrong

enters
step.

located

Accessories,

The

the

in

power

the

line

usage

in

The

RS232

is a bi-directional

(Refer

to

enter

entries

numeric

the

upper

for

input

voltage

the

user’s

serial

to

Section

preferred

made

values

lefthand

fuse part

jack

that

select
locale.

port

RS232

3.4

during

selected

numbers.)

is

installed,

dial)

on

the
to

for

installation

values

the

set-up

corner

should

rear

enable

during

mode.

during

(see

Figure

the

fuse

be

panel

computer

procedures.)

the

set-up

set-up,

selected

is a 25-pin

2.

>.

size,

control

and

2-1).

and

to

2.5.3

The

faces

Lung.

Ventilator

components

the

1,

Printer

select

ON/OFF

the

display

Analog
electronics

arranged

ver-Pressure

audible

The

Port:

switch

rear

Tester

on

and

alarm

speaker

This

located

Switch:

panel.

Side

the

right

front

Outputs:

unit

are

and labeled

Alarm

in

case

is

shown

is a 36-pin

at

this

The

main

Panels

side

panel

panel

On

the

as

shown

Speaker:

of

in

keypad)

the

analog

lung

Figure

parallel

port.)

power

of

left

outputs

in

The

over-pressurization

2.5-1.

2-18

is

the

have

side

Figure

Centronics

toggled

Model

been

panel

for

2.5.3-1.

speaker

connector.

ON

and

VT-1B

described

connection

on

of

or

the

the

(greater

OFF

VT-2

in

Section

Model

to a chart

left

side

(Note

by

(when

VT-1B

panel

than

the

switch

the

2.4.1:

125

the

mode

on

viewer

Adult

or

VT-2

recorder,

emits

an-

cmH,0).

o

Figure

2.5.3-1.

Model

VT-1B

2-19

or

VT-2

Analog

Outputs

2.6

Accessories

Accessories
included

Bio-Tek

2.7

Optional

in

Table

in

part

Optional

accessories

2.7-1.

for the

an

accessories

numbers

Accessories

(not

Model

to

be

VT-IB

pouch

used

provided

that

for

with

or

ordering

VT-2

accompanies

the

(with

are

unit

the

the

listed

unless

exception

unit.

requested

in

The

Table

of

this

accessories

2.6-1.

by

the

user)

manual)

and

are

are

their

listed

2-20

Bio-Tek
Part
Number

Quantity

Supplied

Table

2.6-1.

Description

Models

VT-IB

and

VT-2

Accessories

6770042

91068

8802025

75004

97128

97129

8810114

48129
48130

48131
48163
48323

1

1

hs
ui

=

—

Accessories

Shipping

Carrying

IBM

Printer

Citizen

Printer

Centronics

Parabolic

Rps

Rp20

p50

Rp200
Rpsoo

box

case

male-female

Şu

IDP

paper

Airway

(for

VT-2)

(for

VT-2)

box

serial

t

3110

printer,

roll

for

printer

Restrictors:

Citizen

cable

interface

with

(parallel,

cable

instruction

male-male)

manual

and

power

supply

75010

75011

75012
75013

48023
46028

8810131

49342

8801000

Power

Cord

European

(one

of

(“Schuko”

the

following):

and

French)
U.S.
United

Kingdom

Australian

Fu

.75A

3AG

ya
—

375A

On/off

Adapter,

Operator's

Slo-Blo

3AG

valve

rubber

Manual

Slo-Blo

(for

h

(100

(230

patient

hose

and

125

VAC

tubing)

VAC

usage)

usage)

2-21

!

Bio-Tek
Part

Number

Table

2.7-1.

Description

Models

VT-1B

and

VT-2

Optional

Accessories

|

|

--

48133

48134

INFANT

The
compliance

VT-2,
can
specifications

Model

however,

be

purchased

LUNG

VT-2

between

meet

at

Port

Adapters:

Hudson

Ohio

OPTIONS

normally

717

our

on a made-to-order

other

VT-2

VT-2
VT-2B
VT-2C

VT-2D

VT-2E
VT-2F

VT-2G

VT-2H

O,

O,

port

TO

supplied

and

777

published

altitudes

Model

(Standard)

port

adapter

adapter

MEET

has

mmHg

specifications.

are

needed.

ANSI

infant

only.

basis

COMPLIANCE

lungs

if

Atmospheric

717

699

681

664

646
628

611

593

Actual

The

infant

--777

--

757

--

738

--

719

--

700

--

680

--

661

--

642

that

FOR

meet

readings

following

lungs

Pressure

mmHg

mmHg

mmHg

mmHg

mmHg
mmHg

mmHg
mmHg

HIGH

ANSI

obtained

models

that

Range

ALTITUDES:

specifications

by the

(B

through

comply

with

for

Model

H)

ANSI

2-22

3

INSTALLATION

AND

OPERATION

Before
should

1.

2.

3.

4.

3.1

Preparation

Follow

overlay

installing

observe

Ensure

Ensure

Remember

temperature,
provide
through

Remember

front

accepts
accept
the

user

is

sounded.

VT-2

the

procedure

on

the

and

the

following:

that

that

quantitative
the

that

panel,

the

the

input

wishes

has

not

for

Use

Model

operating

the

tester

all

safety

that

the

humidity,

use

of

when

an

audible

user’s

input, a high

(because

to

enter

Absence

detected

below

to

VT-1B

the

is

inspected

precautions

analog

and

data

an

oscilloscope

the

is

of

any

any

prepare

or

VT-2

Model

VT-1B

as

are

waveform
atmospheric

sufficient

or

user

presses

tone

is

produced.

beep

an

inappropriate

out

of

the

audible

input.

the

instrument

electronics

or

VT-2

described

followed

outputs

pressure;

to

support

high-speed

any

keypad

is

sounded.

key

acceptable

tone

signifies

for

unit

as

Ventilator

in

Section

(refer

If

are

therefore,

detailed

chart

on

the

If

the

is

pressed

range

to

recorder.

Model

that

use.

(Refer

described

Tester,

1.

Section

not

compensated

measurements

the

ventilator

VT-IB

instrument

or

because

of

values), a low

the

Model

to

the

in

Section

4.1).

they

VT-1B

rear

2.5.2.)

the

do

or

does

the

user

for
not

made

tester

VT-2

not

data

beep

or

panel

1.

Remove

2.

Using a coin

Model

3.

Connect

VT-1B

4.

Flip

to

ON.

second,

VT-1B

the

the

the

or

VT-2

ON/OFF

The

then

power

or

or

power

display

the

cord

from

screw

VT-2

driver,

electronic

cord

from

electronics

switch

should

display

SET-UP

Use
Use

should

numeric
PROMPT

the

accessories

unit

at

select

the

the

unit.

to

back

the

power

the

wall

of

show a copyright

show:

Time:

keys

key

12:00

to

to

3-1

bag.

proper

input

outlet.

the

ventilator

AM

enter

value.

advance.

line

voltage

jack

at

message

at

the

back

the

back

of

tester

electronics

for a fraction

the

of

the

Model

unit

of

a

If

it

does

Make
plate

are

Make
adult

If

you

1)

Plug

2)

Connect

the

not,

sure

the 4 screws

tightly

sure

the

lung

is

will

be

the

back

the

unit

may

on

screwed

transparent

not

loose.

using

the

printer:

printer

the

of

power

printer

the

printer.

cable

be

malfunctioning.

the

round

plate

on.

tubing

attached

supply

to

the

into

printer

the

Call

sealing

to

the

sliding

wall

outlet.

port

on

1-800-451-5172

the

gas

port

on

the

airway

back

adapter

of

the

for

help.

the

top

of

the

on

the

electronics

adult

front

of

unit

and

lung

the

to

NOTE:

3)

Turn

the

check

the

the

printer's

NOTE:

If

desired,

electronic

connections.

Record

temperature

humidity

3.2

Operating

The

Models

microprocessor-based

Precautions

VT-IB

Select a vibration-free

Avoid

attach a chart

unit.

(or

approximate)

of

and

technologies.

operating

The

connector

printer

Ensure

of

the

VT-2

ON

connections

operator's

that

The

overlay

the

gas

air.

incorporate

the

tester

will

and

push

made
manual.

the

printer

recorder

on

the

atmospheric

to

be

used.

sensitive

Observe

surface

in

on

an

engage

PAPER

above.

is

to

the

the

unit

If

you

the

following

which

area

with

in

only

one

FEED.

If

the

printer

on-line.

analog

near

mechanical,

to

output

the

jacks

pressure

will

be

precautions

place

the

high

electromagnetic

orientation.

If

the

printer

still

does

jacks

on

shows

of

the

environment.

using

room

pneumatic,

to

Model

VT-IB

does

not

not

work

the

left

side

where

to

make

Record

air,

record

electronic,

ensure

interference.

proper

or

VT-2

the

work

properly,

properly,

of

the

the

the

relative

and

and

safe

tester.

refer

to

3-2

3.3

3.

Set-Up

Do

not

test a ventilator

will

cause

VT-1B

or

of

User-Programmable

incorrect

VT-2

lungs.

while a heated

readings

and

Parameters

humidifier

condensation

is

connected

problems

within

to

the

it.

Model

This

Before

be

used

1.

2.

3.

4.

5.

6.

7.

8.

The

parameters

VT-1B

display.

should

testing

by

the

Date

Compliance

Ventilator

Atmospheric

Relative

Temperature

Reference

Units

or

VT-2

Once

take

less

the

ventilator,

tester

and

humidity

in

which

are

unit

the

user

than

to

make

time

setting

ID

pressure

of

units

entered

front

one

the

calculations

of

the

ventilator

(ATPD,

pressure

by

panel

is

familiar

minute.

user

the

ventilator

ATPS,

values

pressing

in

response

with

must

source

define

and

ATPX,

are

the

the

the

to

display

source

to

light

to

procedure,

gas

STPD,

be

displayed

grey

prompts

gas

following

data:

BTPS,

(cmH,O

numeric

on

the

the

complete

parameters,

NTPD)

or

keypads

Model

mmHg).

on

VT-1B

sequence

which

the

or

of

will

Model

VT-2

steps

NOTE:

BACK

Follow

state

of

i.

At

key

the

the

Make

3.3.

for use

any

to

go

to a previous

sequence

Model

sure

If

time

during

of

VT-IB

you

you

are

(Section

the

page.

steps

below

or

VT-2

have

completed

entering

3.3),

SET-UP

the

SET-UP

Use
Use

to

set

display

the

this

set-up

following

numeric
PROMPT

procedure,

up

the

is

shown

procedures

sequence

display

Time:

key

key

3-3

the

user

can

user-programmable

before

should

12:00

to

to

each

defined

directly

AM

enter

advance.

step.

in

after

appear:

value.

press

parameters.

Sections

preparing

the

3.1

PROMPT

through

the

The

unit

|

e

E

a.

If

interacting

you

want

to

with

enter

the

this

unit,

set-up

press

sequence

ESCAPE.

to

change a parameter

The

display

should

after

show:

2.

b.

Press

the

Press

ENTER

example:

CLEAR

EXAMPLE:

The

display

CHANGE

last

0:xx

to

re-enter

set-up

to

enter

will

Time

should

SELECT

SET-UP.

procedure.

the

be

read

the

correct

is

2:06

PM.

SET-UP

Use

Use

show:

SET-UP

The

time

in a 12-hour

as

12:xx.

time.

Enter

numeric

PROMPT

TEST

time

206.

Time:

Time:

displayed

If

an

02:06

key

to

key

to

12:00

will

format

invalid

AM

enter

value.

advance.

AM

be

(i.e.,

time

the

time

0:00

to

12:59).

was

entered , press

entered

in

For

3.

If

applicable,

press

OPTION

EXAMPLE:

NOTE:
changed

Once

by

change

again).

PM

the

is

set,
user

Invalid

"AM"

desired.

SET-UP

the

internal

or

until

TO

Press

the

time

"PM"

OPTION,

Time:

clock

unit

3-4

was

by

pressing

will

is

switched

entered.

02:06

PM

keep

OPTION.

running

off.

(To

return

until

the

to

AM,

time

is

4.

Press

PROMPT

AHEAD

or

ENTER

to

enter

the

date.

Enter

from

Ol

month
CLEAR

Press

CLEAR

EXAMPLE:

6-digit

to

12.

entered.

and

date

in

Date

Any

re-enter;

and

enter

Date

is

SET-UP

Use

Use

the

form

number

2-digit

the

display

SET-UP

Invalid

correct

September

Date:

numeric

Prompt

must

year

24,

keys

to

advance.

[Month/Day/Year].

be

is

acceptable.

will

show:

Date:

date

was

date.

1985.

MM/DD/YY

to

enter

within

MM/DD/YY

entered.

Enter

value.

maximum

If

you

092485.

Month

number

number

make a mistake,

of

must

days

be

for

press

Press

PROMPT

Move
required.

step.

asterisk

If

AHEAD

next

the

asterisk

SET-UP

SET-UP

Units

Use
Use

to

or

ENTER.

OPTION

PROMPT

desired

is

already

Date:

The

Compliance:

in

L/cmH,O

key

compliance

next

09/24/85

display

to

key

to

to

should

*.05

02

01

003

001

change

advance.

value

the

desired

show:

setting.

by

pressing
value,

OPTION

go

to

the

as

next

NOTE:

VT-2

settings,

By

lung

The

only.

selecting

conditions

.003

If

you

these

test

appropriate

and

.001

have a Model

readings

compliance

such

as

those

compliance

VT-IB

will

not

be

shown

in

values

Adult

Ventilator

displayed.

and

resistor

Table

are

for

values,

3.3-1.

the

infant

Tester and

the

user

lung

application

you

select

can

simulate a spectrum

the

of

the

.003

Model

or

.001

of

|

Condition

AdulvPediatri

Normal

Pneumothorax

Asthma

COPD

Collapsed
Emphysema

Normal

Infant

Newborn

|

Post-operative
Hyalin

Intubated

Premature

Premature

or

Bronchitis

(Chronic

Pulmonary

Lung

Pediatric

(2.8

Disease

(1.35 — 2

3 — 4.5

Ib)

Extreme

Obstructive

Disease)

kg, 6 Ib)

kg,

Table

3,3-1.

Simulated

Compliance

0.05

0.02

or

0.05

0.02

0.01 20

0.01

0.01

0.003

0.003

or

0.001

0.003

0.003

0.001

0.01

0.001

Patient

(C)

Conditions

Airway

Resistor

20
20

50

50

50

20

50

50
200

200

or

500

50

200

(R)

ГО

Lhm

EXAMPLE:

Compliance

desired

is

0.02

L/cmH,0.

Press

OPTION

once.

Ensure
compliance

a.

Adult:
ADULT/INFANT
see

Figure

1.

Move
matching

appropriate

2.

Move
of
one

that

the

quarter

the

you

the

the

spring;

Ensure

2.4,2-2)

adult

selected

that
lung

are

compliance

compliance

compliance

spring

unscrew

of a full

SET-UP

Units

or

in

Step

selector

in

by

unscrewing

turn.

Compliance:

in

L/cmH,O

infant

7,

the

ADULT/INFANT

the

ADULT

spring

by

position

the

lung

compliance

preceding.

(located

positions.

on

the

right

positioning

on

the

the

knob

counterclockwise

under

top

black

05

*02

01

003
001

side

the

of

knob

setting

toggle

the

of

spring

the

on

VT-2

the

adult

the
(towards

matches

switch

electronics

adult

lung

pointer

lung.

righthand

the

and

box

to

the

to

the

side

yourself)

3.

Hold

the

spring

assembly

position

4.

Tighten
position

NOTE:

the

other

too

tight,

been
compliances.
unit

set

has

years.

If

you

inaccurate,

the

problem.

Department

1-800-451-5172

recalibration.

top

and

is

in a vertical

until

and

the

as

the

black

you

the

do

Under

screws

or

has

with

Unlcss

been

dropped,

suspect

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Hotline

bottom

spring

top

assembly

knob;

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conditions

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mechanical

extra

precision

the

refer

this

to

determine

space

your

to

at:

portions

position);

pointer

clicks

ensure

that

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parts

below

at

the

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the

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lung

volume,

Section

is

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successful,

1-800-24-BIOTK

of

the

spring

use

both

is

over

the

into a notch.

the

spring

you

cven

if

its

lower

factory

damaged

should

5:

whcther

remain

flow,

Troubleshooting,

your

assembly

hands.

appropriate

remains

unscrew

the

guide

to

attain

or

calibrated

and

pressure

call

or

Customer

adult

or

spring

rail.

bent

the

(note

Then

in

the

tighten

appears

The

correct

in

transit

readings

to

try

Bio-Tek

Service

lung

that

the

move

compliance

the

vertical

any

loose,

spring

for

or

several

to

locate

Service

has

lung

the

are

requires

of

at:

9.

b.

Infant:

Press

1.

Switch
lung

2.

Switch

3.

Switch

underneath
SET-UP.

PROMPT

The

the

selector

the

the

AHEAD

following

ADULT/INFANT

lever

under

ADULT/INFANT

INFANT

the

electronic

or

steps

apply

the

COMPLIANCE

ENTER;

to

toggle

clectronic

airway

box)

to

the

the

Model

switch

lever

lever

the

compliance

display

box

to

should

VT-2

and

the

to

the

INFANT.

(located

show:

only.

ADULT/INFANT

infant

you

positions.

in

front

selected

of

in

and

이
an

ene

10.

11.

Enter
mistake,

EXAMPLE:

Press

ID

PROMPT

number

press

Ventilator

(up

CLEAR

AHEAD

SET-UP

Use

numeric

Use

PROMPT

to

16

and

ID

SET-UP

or

SET-UP

Vent.

key

digits)

re-enter.

is

#1256.

Vent.

ENTER.

Atmos.

ID:

to

key

to

of

ventilator

Enter

ID:

1256

Pressure:

enter

advance.

1256.

value.

to

be

760

tested.

mmHg

If

you

make

a

12.

Enter

mistake,
already

atmospheric

press

CLEAR

shown

on

Use
Use

pressure

and

the

display,

numeric
PROMPT

of

re-enter.

go

keys

key

test

environment

to

the

3-8

to

enter

to

advance.

If

the

following

value.

in

atmospheric

Step

mmHg.

pressure

13.

If

you

is

make

the

a

value

NOTE:
using
lung

displayed

specifications

lungs

It is

the

infant

compliances

readings

necd

to

very

at

mect

important

lung

section

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even

other

ANSI

to

enter

of

ANSI

atmospheric

standards

if

the

infant

standards

the

the

Model

up

lungs

conditions.

beyond

correct

VT-2.

to

777

themselves

these

atmospheric

The

mmHg

Call

Bio-Tek

limits.

Model

and

may

pressure

VT-2

will

not

mect

if

your

not

when

infant

affect

ANSI

infant

EXAMPLE:

show:

NOTE:

show:

If

you

wish

pressure.

Atmospheric

If

you

you

SET-UP

Use

Use

enter

SET-UP

Value

can

pressure

Atmos.

numeric

PROMPT

outside

Atmos.

entered

use

the

is

Pressure:

keys

key

of

the

Pressure:

was

default

720

mmHg.

to

enter

to

advance.

valid

invalid.

value

720

values.

range

of

Enter

mmHg

(600

760

720;

to

800)

mmHg

the

display

the

display

for

atmospheric

will

will

13.

Press

relative

NOTE:

50%,

PROMPT

as

humidity:

The

range

shown

in

AHEAD

SET-UP

Use

Use

for

the

or

R.H.:

numeric
PROMPT

relative

preceding

ENTER;

50%

keys

key

humidity

display.

3-9

the

to

enter

to

advance.

display

value.

is 0 to

100%

will

and

show

the

the

prompt

default

value

for

is

ーー

a.

If

you

enter a number

exceeding

this

range,

the

display

will

show:

14.

b.

Enter a valid

Enter

if
mistake,
value

CAUTION:

EXAMPLE:

relative

you

relative

are

(50%)

humidity

using a wall

press

CLEAR

already

Do

Room

humidity

SET-UP

Value

number

shown

not use a heated

air

is

75%.

SET-UP

RH:

entered

and

of

the

outlet

and

on

is

to

Enter

RH:

press

or

re-enter.

the

be

was

invalid.

ENTER.

ventilator

tank(s)

If

display,

humidifier

used

as

75.

75%

source

as

the

the

go

at

the

gas

gas

source(s).

relative

to

the

following

any

time.

ventilator

(from 0 to

humidity

Step

gas

source,

100).

If

is

you

the

15.

Enter

make
default

and

its

0

a

15.

16.

Press

Enter

CLEAR

PROMPT

Only

shown

EXAMPLE:

the

AHEAD

SET-UP

Use
Use

the

temperature

values

and

on

the

15°

re-enter.

display),

Gas

temperature

SET-UP

or

numeric
PROMPT

(in

to

50°

If

go

ENTER.

Gas

degrees

will

the

to

the

Gas

Temp:

keys

key

be

gas

temperature

next

is

30°

Temp:

3-10

25

deg

to

enter

value.

to

advance.

centigrade)
accepted.

is

step.

centigrade.

30

deg

C

C

If

of

you

the

Enter

the

ventilator

make a mistake,

default

value

30.

source

(25°

gas.

press

already

17.

Press

PROMPT

AHEAD

or

ENTER.

NOTE:
to a ventilator’s
the

ventilator.

with

this

18.

Move

example)

asterisk

acceptable,

reference

EXAMPLE:
twice

asterisk

to

When

information;

for

is

units.

move

comparing

The

next

Minute

already

go

to

If

the

settings,

ATPD

SET-UP
Minute

Use

OPTION

Use

PROMPT

ventilator

if

to

Volume

next

to

the

next

asterisk

SET-UP
Minute

Ref.

Vol.

Only

Model

it

is

important

not,

call

desired

the

units

step.

reference

next

to

Ref.

Vol.

Only

Units:

key

key

VT-1B

manufacturer

Bio-Tek’s

reference

by

Refer

units

ATPD.

Units:

ATPD
ATPS
ATPX

to

change

to

advance.

to

pressing

desired

to

are

*ATPD
ATPS

ATPX NTPD

or

STPD
*BTPS

NTPD

setting.

VT-2

select

Biomedical

units

OPTION

or

Table

desired,

volume

the

should

(defined

if

the

3.3-2

STPD

BTPS

and

flow

same reference

be

able

to

Product

as

default

for

press

Manager.

in

the

required.

setting

definitions

the

OPTION

readings

units

provide

following

If

(BTPS)

of

as

you

the

is

the

key

19.

Press

PROMPT

AHEAD

SET-UP
Other

Use

Use

or

ENTER.

Ref.

Vol & Flows

OPTION

PROMPT

Units:

key

to

key

ATPD
ATPS
*ATPX

change

to

advance.

STPD

BTPS

NTPD

setting.

Table

3.3-2.

Reference

Units

Defined

|

|

Reference
Unit

ATPD

ATPS
ATPX

BTPS

|

NTPD
STPD

|

|

|

ATPD
ATPS
ATPX

BTPS

NTPD

STPD

=>

=>

=>

=>

=>

=>

20.

Ambient

Ambient

Ambient

Body

Normal

Standard

Move

readings

Flow)

units

Temperature

Ambient

Ambient
Ambient

37° C (body)

20°

C

ος

temperature
temperature

temperature

temperature,

temperature

temperature

asterisk

(¢.g.,

by

desired

next

Tidal

pressing

or

ambient

OPTION

if

the

and
and

and

and

pressure,

and

to

desired

Volume,

default

pressure,

pressure,

pressure,

pressure,

pressure,

reference

Baseline

as

required.

(ATPX)

Pressure

Ambient

Ambient
Ambient

Ambient
760

mmHg

760

mmHg

dry

air

saturated

existing

saturated

dry

air

dry

air

Volume,

If

is

acceptable,

air

humidity

air

units

the

asterisk

for

Inspiration

Relative
Humidity

0%

100%

Ambient

100%
0%
0% (Dry)

other

is

proceed

(Dry)

(Saturated)

(Saturated)

(Dry)

volume

and

already

to

the

and

flow

Expiration

next

to

the

next

step.

NOTE:

to a ventilator’s

the

ventilator.

with

EXAMPLE:

the

asterisk

When

this

information;

NTPD

moves

comparing

settings,

The

ventilator

if

reference

next

SET-UP

Other

Model

it is

important

manufacturer

not,

call

units

to

NTPD.

Ref.

Units:

Vol & Flows

3-12

VT-1B

Bio-Tek’s

are

or

to

desired.

ATPD

ATPS

ATPX

VT-2

select

Biomedical

volume

the

should

Press

STPD

BTPS

*NTPD

same

be

able

Product

OPTION

and

flow

reference

to

provide

Manager.

3

readings

units

times

as

you

until

21.

Press

PROMPT

AHEAD

or

ENTER.

22.

Move
except
asterisk

acceptable,

EXAMPLE:
Press

asterisk

High

is

already

proceed

OPTION

SET-UP

Use
Use

next

to

External

next

to

It is

desired

key

twice.

SET-UP

Pres.

OPTION

PROMPT

the

units
Pressure
to

the

next

to

Pres.

the

have

Units:

key

key

desired

by

units

step.

all

Units:

mmHg

*cmH20

kPa

to

change

to

advance.

pressing

desired

pressure

mmHg

*cmH20

kPa

for

setting.

all

measured

OPTION

or

if

readings

the

pressure

as

required.

default

displayed

readings

If

(cmH,0)

in

mmHg.

the

is

23.

24.

Press

If

you

a.

b.

PROMPT

desire a printout

Make
Section

Make

sure

3.1).

sure

AHEAD

Print

Use

Use

the

the

Set-Up?

OPTION

PROMPT

of

printer

printer

or

ENTER.

the

is

correctly

contains

‘yes

key

key

set-up

3-13

no

to

change

to

advance.

parameters:

hooked

at

least 4 inches

setting.

up

and

of

powered

paper.

on

(refer

to

c.

Press

PROMPT

Citizen

printer

AHEAD.

included

with

The

printout

the

will

take

ventilator

tester.

less

than

20

seconds

using

the

25.

If

you

NOTE:
data,

the

Section

A

printout

do

not

If a computer

computer

3.4

for

installation

of

the

desire a printout

is

screen

sample

SETAP

Vent.

ID:

Compliance = .05
Atmos.

RH.

=50%

Gas

Temperature = 25

Ref.

Units

Ref.

Units

Pres.

Units = caM20

Figure

connected

will

procedures.)

set-up

132645

Pressure = 760

(Minute

(Other

3.3-1.

of

to

display

just

completed

Vol.

Vol 4 Flows) = ATPX

Set-Up

the

set-up

the

Model

the

same

ang

deg

C

У) = BTPS

Printout

parameters:

VT-1B

messages

is

shown

02/04/96

2:29

M

or

VT-2

as

in

Figure

and

the

printout.

3.3-1.

set

up

to

accept

(Refer

to

26.

a.

b.

The

Press

OPTION

Press

PROMPT

display

should

to

advance

AHEAD.

now

show

asterisk

the

message:

Please

warm-up

wait

Time

next

to

"no"

until

15-minute

period

remaining:

is

complete.

xx:xx.

on

display.

3-14

The

time

remaining

is

updated

every

second.

NOTE:

up

longer

15

was

transported

If

sufficient

he
ventilator
been

bypass

step.

At

appear

The

27.

The

is

about

it

will

minutes

recently

the

unit

cannot

warmed

the

the

end

automatically.

following

temperature

38°

C.

take

is

recommended

switched

in a very

has

recently

warm-up

wait

the

connection

up

sufficiently,

warm-up

of

the

message

PLEASE

The

to

reach

ON

cold

period,

full

and

period,

warm-up

should

inside

colder

environment,

this

from

and

is

been

or

if

15

minutes,

testing

however,

press

period,

now

ZERO

the

the

temperature.

room

still

switched

the

(Sections

ESCAPE,

THE

electronics

unit

temperature

warm.

a

longer

user

decides

it

test

the

display

appear:

TRANSDUCERS

is

when

off

is

possible

3.5
results

then

unit

A

minimum

If

the

warm-up

after

and

shown

when

it

(25°

unit

for

3.6).
may

ZERO,

it is

is

first

C),
has
is

having
some

to

proceed

If

not

and

in

the

fully

turned

warm-up

unless

been

stored

recommended.

been

on

other

the

be

accurate.

go

next

reason

directly

unit

to

step

warmed

on, the

time

the

unit

for

that

has

not

the

next

will

of

or

a

to

To

28.

29.

Any

or

following

1.

2.

Make
to

the

Press
followed

Proceed

VT-2

Section

all

of

the

Press

Press

sure

lung,

ZERO.

by

to

lung.

3.6:

the

sequence

ESCAPE.

CHANGE

Vent

the

then

press

the

lungs

disconnect

SELECT

Section

If

Ventilator

user-programmable

of

The

you

steps

SET-UP

are

TEST.

3.5:

have

below:

vented

it.

message

already

Tests.

to

lung

to

ZERO.

to

atmosphere.

TRANSDUCERS

Connecting

properly

parameters

enter

the

atmosphere;

the

ventilator

connected

can

set-up

sequence.

If

patient

be

ZEROED

to

the

the

ventilator,

changed

tubing

should

Model

at

is

connected

proceed

any

appear,

VT-IB

time

or

to

by

3-15

3.

Press

wish

4.

Make

5.

Press

changes,

6.

Press

3.4

Setting

The

Model

Tester
switching

computer

TEST,

automatically

function

cannot

have

can

and

key.

be

displayed

PROMPT

to

the

PROMPT

ESCAPE

Up

the

VT-1B

computer

the

testers

be

MONITOR

on

The

change.

desired

proceed

Models

Adult

control

ON,

used

to

modes.

the

computer

waveforms

on

AHEAD

change.

AHEAD

to

Step

to

exit

VT-1B

Ventilator

capability

either

control

AIl

the

computer

repeatedly

to

6,

below.

from

the

and

Tester

the

tester

or

access

readings

screen

displayed

screen.

continue

sequence

VT-2

for

and

(provided

information

appearing

so

that

on

to

through

Computer

the

front

it is

the

page

through

the

entirely.

Control

Model

by

panel

Models

VT-2

the

bi-directional

keys

from

on

the

mot

necessary

to

sequence

Adult/Infant

or

the

tester

tester

VT-IB

the

parameter

to

make

Applications

RS232).

specified

during:

display

to

and

also

press

VT-2,

you

other

Ventilator

After

keys

on

SET-UP,

appear

the

PRINT

however,

a

Table

feature

computer

You
have
Description,
ready

3.4-1
as

are

now

used a Bio-Tek

to

begin

gives

well

as

keyboard

ready

to

learn

operating

pertinent

the

data

input

to

set

Ventilator

the

information

communication

commands

up

the

ventilator

Tester,

location

the

unit,

and

please

and

proceed

about

protocol

the

waveform

test

function

to

Section

the

ventilator

required.

parameters.

read

Section

of

all

3.5.

monitor

If

2:

of

the

tester

Table

modes.

this

Models

components.

computer

3.4-2

is

the

identifies

first

VT-1B

time

and

If

control

the

you

VT-2

you

are

3-16

Table

3.4-1.

Data

Communication

Protocol

and

Computer

Control

Requirements

Table

Keyboard

Baud
Receiving
Transmitting

RS232

Program:

3.4-2.

Rate

Port:

Computer

VT-1B/VT-2

TOP

DATA

Port

Port

COMPUTER

IBM
RS232

Use any
MESSAGE,

Keyboard

COMPUTER

LINE

COMMUNICATION

2400

1
1

CONTROL

PC

compatible,

25-pin

D-type

Asynchronous/Serial

O-MODEM,

Input

KEYBOARD

REQUIREMENTS

25-pin

male-female

CROSSTALK)

Commands

INPUT

K

b

PROTOCOL

Parity
Data

Stop

D-type

female

(Bio-Tek

Communications

and

Waveform

COMMANDS

Γ

ou

Bits

Bits

ton

connector.

part

program

Monitor

VT-1B/VT-2

NUMERICAL
(Light

Grey

oo

#75004)

(e.g.,

Modes

SECTION

Area)

の

内
ヨガ

ゴ
の
で

zo>zmw

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ог

ESCAPE

ZERO
CHANGE
OPTION

PROMPT

PROMPT

PRINT

TEST

MODES

STATUS

FULL
AUTO
ASSIST

TEST

REPEAT

TEST
LEAK/COMP
TREND

VOLUME
LUNG

PRESSURE

AIRWAY

SET-UP

FORWARD
BACK

TEST

TEST

TEST

WAVEFORM

PRESSURE

ロー
ら

ー
らら

よら
は

ひみ

oo

MONITOR

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H
o

3-17

MODES

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ENTER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER
NUMBER

AIR

EXT.

EXT.

0

I

2

3
4
5

6

7
8

9

FLOW

PRESSURE

FLOW

3.5

Connecting

the

Ventilator

to

the

Model

VT-IB

or

VT-2

Lung

NOTE:
testers

Follow

.

The

will

the

Model

display

sequence

ilator:

Connect

Remove

IT

TIENT- Y TO

If
restrictor
both

If

R,

minute.
are

Refer
illustration

VT-IB

or

readings,

of

steps

the

the

IS

RECOMMENDED

you

will

to

ends

and a length

you

are

not

200

Ryser

Refer

provided

to

the

VT-2

cannot

test

high

although

below

patient

breathing

be

be

R,,

in

Figure

to

their

accuracies

to

connect

tubing

mask

AVOID

following a ventilator

used

with a lung

following

And

R,,)

to

Table

Section

3.5-1

perform

the

the

circuit

from

TO

CROSS-CONTAMINATION

comparable

such a protocol,

from

the

3.3-1

for

2,

Table

for

an

following

frequency

ventilator

to

the

ATTACH A STANDARD

manufacturer’s

model,

to

accessories

simulated

2.4.1-1.

illustration

Steps 7 through

(>75

BPM)

cannot

be

guaranteed.

to

be

tested

the

ventilator

patient-Y

select a connector

that

of

select

patient

of

as

of

the

the

parabolic

one

of

box.

The

conditions.

the

restrictor

test

10.

ventilators

to

the

Model

required.

patient

the

tubing

BACTERIA

BETWEEN

protocol

piece

baving a 15mm

airway

parabolic

restrictor

Parabolic

and patient-y

or

Jet

ventilators;

VT-IB

circuit.

FILTER

VENTILATORS.

that

does

not

restrictors.

airway

values

restrictors

are

given

restrictor

connection.

or

VT-2

TO

call

outer

in

pressure

however,

lung

THE

for

any

diameter

(R_.,

cmH.

Refer

the

before

PA

airway

at

Oftiter/

drops

to

this

10.

11.

12.

Pull

out

It

should

the

airway

Insert

either

Push

in

so

that

it

Connect

Select

the

LATOR

Proceed

the

sliding

pull

inlet.

the

sliding

is

snugly

the

desired

HUMIDIFIER.

to

Section

adapter

out

far

end

of

the

adapter

connected

patient-y

settings

3.6

enough

parabolic

until

to

the

on

to

test

on

the

to

allow

airway

the

to

the

sliding

the

ventilator

the

ventilator.

front

of

the

the

parabolic

restrictor

resistor’s

parabolic

adapter.

and

Model

airway

or 15

center

airway

switch

VT-IB

or

restrictor

mm

connector

is

flush

inside

restrictor

it

on.

DO

VT-2

of

or

15

NOT

adult

lung

or

15

mm

into

the

adult

mm

connector).

SWITCH

as

far

connector

the

airway

lung

front

ON

as

THE

it

will

to

fit

inlet.

inlet

(i.e.,

VENTI

go.

into

3-18

Parabolic
Restrictor

Airway

Airway

dina

Sliding

Inlet/

A

Adapter

Figure

3.5-1.

Restrictor

and

Patient-Y

Connection

Patient

-Y

3-19

3.6

Ventilator

This

section

VT-1B

3.6.1

Status

3.6.2

Full

3.6.3

Auto-repeat

3.6.4

Trend

3.6.5

Assist

3.6.6

Leak

3.6.6.1

3.6.6.2

3.6.6.3

3.6.6.4

Tests

describes

and

VT-2:

test

test

test

test

and

compliance

Model

leak

test
Patient
Patient

Ventilator + patient

compliance

full

VT-1B

tubing
tubing

the

test

test

various

tests

or

VT-2

leak

test

compliance

tubing

test

lung

and

test

monitor

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

modes

Waveform

Volume
Airway

monitor

Lung
monitor

Air

External

External
External

and

flow

available

monitor

waveform

pressure

pressure

waveform

tests

pressure
flow

for

the

tests

monitor

waveform

waveform

monitor

test

test

Models

NOTE:
the

(STATUS

TEST).

waveform
LUNG

After 3 synchronizing

tone
except
breath

erroneous.

test

at

cycle,

1.

2.

The

mode

TEST,

The

pads

PRES,

the

the

Press

Press

tests

keypads

tests

AIRWAY

start

leak

the

Should

ESCAPE.

ZERO.

described

ASSIST

described

on

the

of

and

Model

this

on

the

TEST,

right

PRES,

breaths,

the

inspiratory

compliance

VT-1B

occur:

The

following

PLEASE

Vent
then

in

in

Sections

side

AIR

the

or

Sections

left

side

FULL

of

the

FLOW,

Model

phase

tests.

VT-2

message

ZERO

the

lung

press

ZERO.

3.6.1
of

TEST,

3.6.7

Model

EXT

VT-!B

of

If

the

is

not

THE

to

through

the

Model

LEAK

and

3.6.8

VT-1B

PRES,

or

each

breath

tone

occurs

triggering

should

TRANSDUCERS

atmosphere;

3.6.6
VT-IB

TEST,

are

or

VT-2

EXT

VT-2

appear:

should

detected

at

properly

are

performed

or

AUTO

performed

front

FLOW).

some

and

VT-2

REPEAT,

by

panel

produce

in

all

other

readings

by

pressing

front

TREND

pressing

(VOLUME,

an

audible

test

point

may

panel

the

modes

in

the

be

3.

4.

Unhook

lung.

Wait

the

until

patient-Y

the

lung

from

plate

the

comes

sliding

to

rest.

3-20

adapter

on

the

Model

VT-1B

or

VT-2

5.

6.

7.

8.

It

may

be
ventilator
values

available

are

Press

ZERO.

followed

Reconnect

Press

the

If

the

unit

warmed
(Customer

convenient

under

given

modes

test

in

are

by

SELECT

the

desired

still

up

for

Service)

to

to

Table

shown

The

message

TEST.

patient-Y.

test

pad

appears

the

minimum

or

1-800-24-BIOTK

begin

testing

simulate

3.6-1.

in

the

TRANSDUCERS

to

resume

not

to

be

recommended

by

normal

Parameters

Table

2.3-1

testing.

triggering

(Service

adjusting

breathing

that

in

the

ZEROED

properly

15

minutes,

Hotline)

the

Model

VT-1B

in a normal

can

be

measured

Specifications

and

the

call:

for

help.

or

patient.

for

Section.

should

1-800-451-5172

unit

VT-2

appear,

has

and
Appropriate
cach

of

been

the

the

Table

Model

VT-1B

Compliance

Resistance

Ventilator

Tidal

Rate

LE

3.6-1.

or

VT-2

(R,)

volume

Settings

(L/cmH,0)

for

Simulated

800

Normal

ADULT

0.05

20

mL

10

BPM

1:1.5

3-21

Breathing

INFANT

0.003

50

50

mL

30

BPM

1:2.33

in a Normal

PEDIATRIC

0.01

20

250

20

1:2

Patient

mL

BPM

The

following

with

the

All

volumes

exhaled

Model

l.

2.

3.

4.

volumes.

items

VT-1B

You

may

changed
after

selecting a test

A

ventilator

control

the

Unless

BTPS;

There
pressure,

waveform

continuous

settings.

settings.

ventilator

default

other

is

displayed

Waveform

should

or

VT-2:

get

erroneous

after

selecting

may

output

values

volume

continuous

and

flow

and tabular
analog

in

the

be

remembered

any

other

take

some

It

is

recommended

to

the

are

and

analog output

waveforms

output

automated

monitors

when

readings

test

than

time

Model

changed

flow

readings
(uncompensated)

(Section

if

or

if

STATUS

before

VT-1B

during

readings

for

during

test

beginning

the

PEEP

any

control

TEST

delivering

to

wait

5-to-10

or

VT-2

set-up,

are

given

(uncompensated)

Adult

monitor

for

modes

3.6.7)

(Sections

display

the

setting

on

the

on

the

the

breaths

Ventilator

minute

in

NTPD.

settings;

modes.

airway

inhaled

testing

ventilator

Model

output

of

pressure

3.6.1

of a ventilator

on a ventilator

VT-1B

specified

before

Tester.

volume

volume,

on-line

There

for the

through

volumes.

is

changed

or

VT-2.

on

connecting

is

given

airway

display

is

only

Infant

3.6.6)

are

is

its

in

of

BREATHING

TIME

Figure

3.6-1.

——

CYCLE

Breath

3-22

ni

|

Cycle

ТЕН

Diagram

3.6.1

Status

The

status

Both

The

status

performing

a

patient.

To

perform a status

test

I.

Breath

2.

Tidal

3.

Minute

4.

Inspiratory/expiratory

volumes

test

1.

Make

Test

measures 4 key

rate

(in

volume

volume

measured

can

be

more

extensive

test:

sure

you

BPM)

(in

(in

are

used

have

parameters

the

reference

the

reference

(IE)

ratio.

exhaled

as a reference

tests

completed

volumes.

(such

units

as

the

of

the

selected)

units

in

OVP's)

procedures

ventilator:

selected)

setting

or

the

before

defined

ventilator

connecting

in

Sections

controls

the

ventilator

3.3

before

and

to

3.4.

2.

Press

ESCAPE

i

3.

Press

STATUS

if

SELECT

TEST.

STATUS

Please
breaths

The

wait

TEST

are

is

following

TEST

while
sampled.

not

displayed.

message

two

should

appear:

3-23

This

message

while
raw

displayed:

the

data.

Model
At

the

will

start

remain

VT-IB

of

or

the

on

VT-2

the

third

display

determines

breath

cycle,

during 2 complete

the

sampling

the

following

rate

breath

and

data

cycles

collects

should

be

where:

aa.a

b.bbb

CC.CC

d:

dd

STATUS

Breath

Tidal
Minute

EE

Ratio

=

breath

=

tidal
flow"

=

minute

selected

=

inspiratory/expiratory

or

TEST

Rate

Volume

Volume

rate,

in

volume,

measurements

volume,

by

user

Il

breaths

in

reference

in

in

aa.a

BPM

b.bbb L [reference
cc.cc L [reference
d:

d.d

[or

d.d:

d)

per

minute

units

for

selected

reference

latest

ratio

by

units

set-up

user

for

units]

units]

“other

in

latest

minute

volume

set-up

volume

and

d.d: d =

The

display

subsequent

Do

not

change

after

pressing

NOTE:
settings,
STATUS.

Press
appearing

as

NOTE:

computer

A

PRINT

often

sample

expiratory/inspiratory

will

be

breath.

the

positive end

STATUS

To

test

at

wait

until

at

any

on

the

display

as

desired.

If a computer

screen.

status

test

updated

TEST.

different

ventilator

time,

at

the

is

connected,

printout

at

expiratory

PEEP

has

if

desired.

time

is

shown

3-24

ratio.

the

start

of

the

pressure

levels,

delivered a few

PRINT

The

the

same

Figure

press

data

is

pressed.

3.6.1-1.

inspiratory

setting

ESCAPE,

breaths,

printed

This

message

on

change

will

may

will

phase

the

and

be

be

appear

of

each

ventilator

ventilator

then

press

the

data

repeated

on

the

Manually

spaces

Press

NOTE:
sigh
VT-1B/VT-2

provided

ESCAPE

control

record

This

on

Figure

the

for

at

any

test

the

will

correspond

3.6.1-1.

parabolic

that

purpose

time

can

also

ventilator

to

be

Status

resistor

on

exit

used

is

to

the

Test

value

the

printout.

from

the

to

measure

pressed,

sigh

volume.

Printout

and

status

the tidal

test.

SIGH

ventilator

Volumes:
volume

settings

If

reading

the

in

the

manual

on

the

3-25

3.6.2

The

ventilator
tests
analyze

For

Full

full

and

ventilator

each

Test

test

provides

for a given

varying

full

test

the

the

user

set

of

the

ventilator

performance

following

with

detailed

ventilator

settings

throughout a spectrum

ventilator

control

from

parameters

information
settings.
test

to

By

test,

of

are

on

the

performance

performing a series

the

user

can

obtain

clinical

calculated

patient

and

conditions.

displayed:

of

of

data

the

full

to

Breath

Inspiratory/expiratory

Inspiration

Inspiration

Expiration

Expiration

Cycle

Tidal

Minute volume

10.

Peak

1.

Peak

12.

End

13.

Mean

rate

time

hold time

time

hold

time

volume

airway

lung

pressure+

expiration

pressure/cycle

time

(exhaled)*

(exhaled)*

pressure+

pressure+

+

(I:E)

ratio

*

in

+

in

positive

reference

pressure

or

units

units

selected,

negative

selected

values

14.

15.

To

perform a full

Inspiratory

Expiratory

Make

3.4.

Completion

Press

Attach
Inlet/Sliding

test:

sure

you

ESCAPE

the

flow

flow

rate*

rate*

have

completed

of a status

if

SELECT

ventilator

Adapter.

to

test

TEST

be

the

procedures

(Section

is

not

tested

3-26

3.6.1)

displayed.

to

the

defined
is

also

Model

in

Sections

recommended.

VT-IB

or

3.3

VT-2

through

Airway

e

4.

5.

Turn

Press

the

ventilator

FULL

TEST.

on.

The

following

message

should

appear:

This

message

performs

a.

The

determine

b.

The

subsequent

Values
output

parameters.

by

measured

in

pressing

the

Model

Model

stages

The

PROMPT

FULL

Please

displayed

will

remain

following:

VT-1B

the

sampling

VT-IB

breaths.

or

calculated

of 4 displays.

user

may

AHEAD.

TEST

wait.

or

or

Data

after 4 breaths.

on

the

VT-2

VT-2

rate

then

uses

and

then

for the

The

step

will

display

the

collect

calculates

first

through

be

while

first 2 complete

parameters

display

the

the

raw

all

the

Model

data.

readings

"page"

subsequent

given

VT-1B

breath

above

shows

display

during

the

or

VT-2

cycles

the

are

then

first

"pages"

to

2

4

6.

7.

Do

not

readings

The

readings

data:

a.

Reset

b.

Return

Press

PRINT

NOTE:
is

used.

A

sample

change

are

displayed.

are

the

ventilator

to

if

Data

will

full-test

any

not

Step

desired

ventilator

updated

controls

2,

preceding.

while

be

automatically

printout

viewing

is

shown

setting

as

they

as

desired.

output

in

3-27

after

are

any

of

Figure

pressing

in

the

the

via the

3.6.2-1.

FULL

status

displays.

RS232

test.

port

TEST,

To

until

obtain

if a computer

the

new

CUITE

da.

ME

in
in
ča

OU

8.

Manually

spaces

Press

ESCAPE

¿cia

ak

Airway

Peax

Lung

End

Expir,

Mean

Airway

Insp.

Exp,

Flow

Figure

record

provided

at

the

for

any

parabolic

that

time

Time

Pr,

Pr,

Flow

3.6.2-1.

purpose

to

Pr.

Pr,

exit

=

3

=

39

=

28,48

=

Я. 2 смН20

=

č.3

=

=

Full

resistor

on

the

from

cmH20

cmHzo

56

LPM

ETPS

22

LPM

STPS

Test

Printout

value

printout.

the

full

and

test.

ventilator

settings

in

the

3-28

3.6.3

The

Auto

full

Repeat

test

automatically
performance
ventilator

To

begin a full

1.

2.

3.

problems.

Make

3.4.

Press

Press

auto-repeat

at

specific

during

test

sure

Completion

ESCAPE

AUTO

in

you

burn-in,

the

REPEAT.

mode

time

is

intervals.

endurance

auto-repeat

have

completed

of a status

if

SELECT

used

TEST

The

when

It is

testing,

mode:

the

procedures

test

(Section

is

not

following

it

is

desired

useful

3.6.1)

displayed.

message

for

and

to

have a full

monitoring

for

investigating

defined
is

also

recommended.

should

drift

in

Sections

appear:

test

repeated

of

ventilator

intermittent

3.3

through

4.

5.

6.

7.

3.6.4

Trend

NOTE:

The

TREND

prescribed

and

for

Use

the

to

120).

Press
(see

ENTER.

Section

results,

Press

ESCAPE

Manually
space

provided

Test

This

test

TEST

limit.

obtaining

numeric

If

you

3.6.2),

and

outputting

record

can

be

is

used

It

is

data

AUTO

Enter

pads

REPEAT

interval

to

enter

make a mistake,

The

Model

automatically

data

at

any

time

the

parabolic

for

that

purpose

used

to

test

to

monitor

useful

on/y

for

when

monitoring

such a variation

the

VT-1B

via

to

exit

sighs.

any

in

minutes:

interval

press

or

CLEAR

VT-2

desired

and

will

then

performing a full

the

RS232

from

resistor

on

the

Tidal

port

this

mode.

value

printout.

Volume

performance

each

and

occurs.

for

full

re-enter.

operate

test,

printing

time

ventilator

variation

based

on

test,

in

the

interval

above

delivered

in

minutes

full

test

out

settings

or

(5

mode

the

test

elapses.

in

the

below

volume

a

To

begin a TREND

1.

Make

3.6.

sure

TEST:

you

have

completed

the

procedures

3-29

defined

in

Sections

3.4

through

Select
and

operate

test).

Press

Press

desired

ESCAPE.

TREND

ventilator

ventilator

TEST.

The

settings;

until

its

following

connect

output

message

patient

stabilizes

will

tubing

(determine

appear

to

on

VT-airway

by

using

the

display:

inlet;

status

Use

the
variation
mistake

Press

ENTER.

2

breaths

the

FULL

Tidal

to

Press
display
the

Press

or

greater

PRINT

RS232

ESCAPE

Volume

appropriate

(from 3 to

and

entered

The

to

sample,

TEST):

variation

than

if

desired.

at

the

time

port

if a computer

to

TREND

Enter

Use
Use

100%).

an

tester

The

the

PRINT

exit

TEST

T.V. % Variation:

numeric

PROMPT

numeric

invalid

process,

unit

value

desired

The

from

Press

will

then

is

the

keys

key

keys

value.

operate

display,

and

Tidal

data
pressed.

is

attached.

TREND

to

enter

to

advance.

to

CLEAR

in

and

monitors

FULL

Volume

printed

Data

mode.

value.

enter

to

re-enter

the

TREND

print

each

TEST

variation.

will

will

the

the

breath

readings

be

be

desired

the

reference

the

automatically

%

value

mode

and

if a breath

data

appearing

Tidal

if

and

use

readings

prints

you

the

out

output

Volume

made

first

(as

the

is

equal

on

the
via

a

in

%

Manually

provided

record

on

the

the

resistor

printout

(see

values

Figure

3-30

and

ventilator

3.6.4-1).

settings

in

the

spaces

Insp.

Flow

Exp,

Flow

一

一

一

Figure

一

3.6.4-1.

=

Ξ

=

-

=

.

=

= n

=
=

一

一

Trend

3-31

8

3

1

4

E

回

i

DI

一

一

Test

一

一

Printout

一

一

3.6.5

The

mode

operate.

and

Assist

assist

and

an

Test

test

to

calibrate

See

Figure

assisted

is

used

3.6.5-1

breath.

to

the

determine

full

range

for a diagram

the

of

assist

sensitivity

pressures

of

the

of

the

under

difference

ventilator

which

between

in

patient

the

ventilator

a

normal

assist

can

breath

AIRWAY

PRESSURE

|

3.6.5.1

To

Assist

perform

Test

an

assist

Figure

with

test:

3.6.5-1.

Adult

NORMAL
BREATH

TIME

Lung

Normal

ASSISTED
BREATH

—

versus

Assisted

Breaths

MINIMUM

PRESSURE

AIRWAY

1.

Make

3.4.

2.

Adjust
during

the

NOTE:

mode

provides

You
back

triggers

between a triggered

sure

Completion

the

the

ventilator.

Use

or

it.

will

need

of

the

as

you

have

completed

of a status

ventilator

expiration

the

Synchronized

Intermittent

to

test

Model

desired.

VT-1B

Set a low

assist

test

controls

hold

period

Demand

the

control

or

breath

the

procedures

(Section

so

that

an

of

the

Intermittent

Ventilation

setting

VT-2

lung

breath

rate

and a mandatory

3-32

defined

3.6.1)

effort

plate

is

also

(negative

ventilator’s

Mandatory

(IDV)

by

applying

and

observing

to

allow

in

Sections

recommended.

pressure)

breath

Ventilation

mode

upward

the

distinction

breath

(see

cycle

if

the

if

Figure

3.3

at

will

ventilator

force

the

ventilator

to

through

the

lung

trigger

(SIMV)

at

the

be

made

3.6.5-1).

You
pneumatic

Press

may

performance

ESCAPE

wish

actuator

study,

if

to

attach

to

such

SELECT

the

as

TEST

an

external,

top

to

determine

is

plate

not

displayed.

motor-driven

to

carry

the

work

out

of

breathing.

cam

a

system,

more

Or

repeatable

。

Press

Allow 2 breaths
plate
negative

must
different

trigger

The

inspiration

calculate

ASSIST

during

pressure.

be

less

forces

the

Model

and display

TEST.

the

than

ventilator.

VT-!B

and

The

ASSIST

Please
breaths

wait

to

be

expiratory

The

15

to

approximate

or

expiration

the

following

TEST

while

are

sampled.

generated.

hold

absolute

cmH,0

VT-2

to

will

hold

following:

display

two

Then

period

value

avoid

the

monitor

phases

should

gently

in a smooth,

of

error.

minimum

the

of

lift

airway

each

appear:

the

steady

negative

Repeat

patient

pressure

breath

back

pressure

several

effort

cycle

of

pull

the

lung

to

generated

times

required

during

and

top

create

using

to

the

will

where:

All

pressures

latest

ΧΧΧ.
yyy.y

zzz.z

set-up.

ASSIST

End

Min.
Assist

=
=

=

are

These

TEST

Expir.

Airway

end
minimum

assist

displayed

values

Pr. = xxx.x

Pr. = yyy.y

Pressure = zzz.z

expiratory

airway

pressure

in

are

[cmH20

[cmH20

[(cmH2O

pressure

pressure

(EEP - APmin)

the

pressure

updated

at

3-33

(EEP)

(APmin)

units

the

or

or

end

mmHg]

or

mmHg]

mmHg]

selected

of

each

by

the

breath

user

cycle.

in

the

6.

Press

appearing
automatically

A

sample

PRINT

assist

on

at

any

the

display

output

test

time

at

this

data

printout

if

desired.

the

time

via

is

shown

the

The

PRINT

RS232

Figure

data

printed

is

pressed.

port.

3.6.5.1-1.

will

Pressing

be

the

PRINT

data

will

7.

Manually

spaces

Press

provided

ESCAPE

record

at

the

for

any

parabolic

that

purpose

time

to

resistor

on

exit

the

from

value

printout.

the

assist

and

test.

ventilator

settings

in

the

esistor

cest

End
Min.

Assist

TNT

Figure

Value!

Settinag:

Expir.

Airway

Pressure

3.6.5.1-1.

Pr.

Pr.

ünü

Assist

3-34

A

Test

|

Printout

3.6.6

The

Each

Leak

leak

I.

of

and

and

The

infant

The

The

The
(if

these

Compliance

compliance

leak

rate

lung;

leak

rate

compliance

compliance

the

ventilator

tests

is

described

tests

of

of

of

Tests

can

the

Model

the

external

the

external

of

all

attached

design

in a separate

be

used

VT-1B

patient

allows).

to

determine:

and

tubing

patient

tubing,

subsection:

VT-2

adult

circuit;

tubing

circuit;

including

lung

tubing

and

the

inside

Model

the

ventilator

VT-2

I

3.6.6.1

3.6.6.2

3.6.6.3

3.6.6.4

To

perform

sequence

user

from

3.6.6.1

To

measure

infant

Lung

leak
Patient
Patient

tubing
tubing

Ventilator + patient

any

leak

to

perform a leak

omitting

Lung

Leak

the

Test

leak

one

rate

lung:

Make

If

you

sure

have

you

using a compliance
L/cmH,O
procedure
or

0.003

for

but

L/cmH,O

test

leak

test

compliance

tubing

or

compliance

test

or

the

of

have

not

yet

the

first,

other

the

compieted

performed

value

infant

test,

then a compliance

test.

Model

of

lung.

entered a compliance

(infant):

test

compliance

the

user

(Refer

VT-1B

the

the

0.01
If

to

and

procedures

set-up

L/cmH,O

you

value

test.

will

the

VT-2

procedure

have

other

be

prompted

test.

This

following

adult

in

Sections

(Section

for the

previously

than

in

does

not

procedures.)

lung

and

Model

3.4

through

3.3),

adult

lung

completed

0.01

L/cmH,O

the

display

prevent

3.6.

do

so

or

the

set-up

(adult)

the

VT-2

now

0.003

a.

b.

c.

d.

Press

ESCAPE

Press

CHANGE

Press

PROMPT

Press

OPTION

(adult)

or

0.003

if

SELECT

SET-UP.

AHEAD

until

L/cmH,0

the

TEST

until

the

asterisk

(infant).

3-35

is

not

displayed.

compliance

comes

to

rest

setting

next

to

display

0.01

L/cmH,O

appears.

e.

Press

Set

the

a.

Set

b.

Move

c.

Ensure
positioned
lever

ESCAPE.

compliances.

the

ADULT/INFANT

the

ADULT/INFANT

that

the

at

0.01

for the

infant

compliance

L/cmH,O

lung

toggle

selector

spring

for

the

1s

positioned

switch

lever

on

the

adult

at

to

the

to

right

lung

0.003

desired

the

desired

side

or

that

L/cmH,O.

position.

position.

of

the

the

adult

lung

compliance

is

Replace
lung

with
VT-1B
into

connected

Set

Press

Press

or

the

the

ventilator’s

ESCAPE

LEAK

the

parabolic

the

Ros

VT-2

airway

to

TEST.

lung

inlet.

the

restrictor.

if

SELECT

airway

(if

it

sliding

Then

respiration

The

following

LEAK/COMPLIANCE

To

perform a leak

some

air

eguipment

Press

is

not

adapter

TEST

into

push

to

ENTER

restrictor

mode

already

and

in

to

is

not

display

test,

the

lung

be

tested.

on

the

in

place)

inserting

the

sliding

manual.

displayed.

should

TEST

inject

and

when

ready.

seal

Model

by

either

adapter

appear:

VT-1B

pulling

end

so

or

out

of

that

VT-2

the

the

restrictor

it

is

adult

Model

snugly

—

Attach

Open

10.

Connect

11.

Generate a single

VT-1B
lung

lung.

12.

Close

the

the

the

or

plate

the

ON/OFF

ON/OFF

patient

VT-2

about 2 inches

ON/OFF

valve

valve.

tubing

inspiration

lung.

valve

to

from

The

inspiration

at

to

the

from

the

trap

airway

the

back

the

3-36

inlet/sliding

ventilator

the

ventilator

should

or

approximately

air

in

the

to

the

to

be

sufficient

lung.

adapter.

ON/OFF

partially

to

200

mL

valve.

fill

raise

for

the

the

the

Model

adult

infant

13.

Press

ENTER

to

begin

the

test.

The

following

display

should

appear:

During

leak

rate

volume

should

the

by

change

then

next

taking

be

displayed:

LEAK/COMPLIANCE

Testing

10

to

15

seconds,

10

volume

for

5-second

Leak

Rate

Lung

Pres.

To

perform

to

seal

inflated

Press

ENTER

the

Model

readings

intervals

=

0.0

=

yy.y

compliance

lung.

TEST

at

is

LPM

[cmH2O

when

VT-1B

one-second

measured

or

test,

use

ready.

or

VT-2

intervals.

and

mmHg]

valve

will

the

calculate

The

average

following

the

data

14.

where:

Press

Manually
spaces

PRINT

of

the

patient

the

above

The

data
PRINT
computer

A

sample

provided

xx.x

=

leak

yy.y = lung

determined,

to

record

tubing

leak

rate

printed

is

pressed.

is

attached.

leak

test

record

the

for

rate

of

pressure

this

circuit

value

will

be

Data

will

printout

parabolic

that

purpose

Model

in

leak

from

the

is

VT-1B

(lung

be

interior)

pressure

rate.

in

subsequent

the

leak

data

appearing

automatically

shown

in

resistor

on

the

3-37

or

VT-2

at

units

selected.

If

you

testing,

rate

of

Figure

value

printout.

tung,

which

wish

the

output

3.6.6.1-1.

and

leak

to

you

entire

on

the

ventilator

in

LPM

rate

determine

will

need

system.

display

via

the

RS232

was

the

leak

to

subtract

at

the
port

settings

in

rate

time

if

a

the

LEAK/COMPLIANCE
Vent.

ID:

Resistor

Test

Leak

Lung

Resistor

Tast

818354

Value:

Settings:

Rate

Pras,

Value:

Settings:

TEST

8.1

14.4

LPM

caH20

93/14/39

3:94

PM

3:95

PM

15.

16.

If

you

a.

b.

Press

wish

Open

Proceed

ESCAPE

Leak

Rate

Lung

Pres.

Compliance
Starting
Final

ο

Figure

to

proceed

the

ON/OFF

to

Step 2 of

at

any

Pres, = 14,1

Pras,

NN

3.6.6.1-1.

directly

valve.

Section

time

to

to a compliance

exit

=

0.8 LPN

=

{4,2

=

5,9

=

12.7

Leak

3.6.6.3

from

caH20

nl/cnH20

caH20
caH2i

Test

or

3.6.6.4.

the

leak

Printout

test:

test.

ㅣ

3-38

3.6.6.2

Use

the

1-12.

13.

14.

15.

16.

17.

Patient

adult

lung

Follow

Disconnect

Disconnect
been

Plug

Open

Press

Tubing

disconnected.

all

the

ENTER

Leak

only

to

Steps I through

the

patient

the

exhalation

patient

ON/OFF

tubing

to

begin

Test

find

valve.

the

leak

12

of

tubing

valve

openings.

the

test.

rate

of

Section

from

on

the

3.6.6.1.

the

ventilator.

the

patient

external

tubing

patient

if

tubing:

it

has

not

already

NOTE:
encountered

The

During

leak

pressure drop

It

is

following

the

next

rate

from

recommended

during

in

normal

display

LEAK/COMPLIANCE

Testing

10

to

volume

cmH,0/minute.

Leak
Lung

to

ventilation.

should

15

seconds,

changes

Rate

Pres.

perform

appear:

the

at

=

x.xx

=

yy.y

this

test

TEST

Model

specific

LPM

[cmH20,

at a lung

VT-1B

intervals,

mmHg

or

pressure

VT-2

as

or

will

well

kPa}

that

may

calculate

as

rate

be

the

of

To

perform

valve

Press

to

compliance

seal

inflated

ENTER

3-39

when

test,

lung.

ready.

use

where:

18.

19.

xx.x = leak

These

Press

patient
adult
obtained

The

PRINT

computer

A

Manually
spaces

If

values

PRINT

lung

data

sample

provided

you

wish

rate

liters

yy.y = system

will

be

to

record

tubing

here.

is

circuit,

(found

printed

pressed.

is

attached.

leak

test

record

to

proceed

in

will

Data

printout

the

for

that

of

patient

per

minute

pressure

continually

this

leak

subtract

the

test

defined

be

the

will

be

is

shown

parabolic

purpose

directly

tubing + Model

(lung

interior),

updated.

rate.
the

data

automatically

resistor

to a compliance

on

the

To

determine

leak

rate

in

Section

appearing

in

Figure

value

printout.

VT-IB

in

pressure

the

for the

3.6.6.1)

on

the

output

3.6.6.1-1.

and

test:

via

ventilator

or

units

leak

Model

from

display

the

VT-2

selected

rate

VT-1B

the

at

RS232

settings

lung,

of

just

or

leak

the

port

in

VT-2

rate

time

in

the

if

the

a

20.

3.6.6.3

Use

the

1.

a.

b.

c.

Press

Patient

adult

If

you

test:

a.

b.

Unplug

Re-attach

Proceed

ESCAPE

Tubing

lung only

Follow

Press

the

are

not

steps 1 through

ENTER.

patient

the

patient

to

Step 2

at

any

Compliance

to

find

entering

Wait

tubing

tubing

of

Section

time

to

Test

the

compliance

this

until

ends.

3.6.6.3

exit

sequence

10

of

the

to

the

from

of

Section

leak

test

ventilator.

or

3.6.6.4.

the

leak

test.

the

patient

immediately

3.6.6.1.

results

tubing:

after

appear.

performing a leak

Ignore

them.

|

3-40

2.

Generate

VT-1B

lung

3.

Close

lung.

4.

Disconnect

5.

Disconnect

6.

Seal

7,

Press

or

plate

the

all

patient

ENTER.

a

single

VT-2

about 2 inches

ON/OFF

the

the

inspiration

adult

patient

exhalation

tubing

The

lung.

valve

following

from

The

at

the

to

trap

tubing

openings.

from

valve

display

the

ventilator

inspiration

back.

the

air

the

ventilator.

if

it

has

not

should

should

in

the

already

appear:

or

be

Model

been

partially

sufficient

VT-1B

disconnected.

fill

or

the

to

raise

VT-2

Mo

.

adult

|

i

8.

9.

Open

Press

the

ON/OFF

ENTER.

LEAK/COMPLIANCE

Attach
the

valve.

The

following

LEAK/COMPLIANCE

Compliance
Starting
Final

equipment

valve

Press

Pres.

Pres.

and

ENTER

display

open

=

=
=

to

be

the

when

should

xx.x
yy.y

77.2

TEST

tested

valve.

ready.

appear:

TEST

mi/cmH20

[cmH20,

[стН2О,

to

mmHg,

mmHg,

or

or

kPa]

kPa]

where:

XX.X = compliance

yy.y

=

lung

pressure

22.2 = lung

pressure

of

patient

before

after

3-41

tubing,

opening

opening

in

ml/cmH,O

ON/OFF

ON/OFF

valve

valve

NOTE:
encountered

It

is

recommended

during

normal

to

perform

ventilation.

this

test

at a lung

pressure

that

may

be

10.

11.

Press

Press

PRINT
display
the

RS232

A

sample

ESCAPE

if

at

the
port

compliance

desired.

time

if a computer

at

any

LEAK/COMPLIANCE
Vent.

Resistor

Tast

Leak

Luna

PRINT

test

time

10:

Value:

Settings:

Rate

Pras,

The

printout

to

019354

data

is

pressed.

is

attached.

exit

TEST

=

=

printed

is

from

8.1

{4.4

Data

shown

the

LPM

cmH20

will

be

the

will

be

in

Figure

compliance

43/14/39

3:04

PM

data

appearing

automatically

3.6.6.3-1.

test.

on

output

the
via

Resistor

Jest

Leak
Lung

Compliance = 5.0

Starting
Final

UL

一

一

Figure

Value:

Settings:

Rate
Pres.

Pras. = 14.1

Pras,

一

3.6.6.3-1.

=

=

=

一

Compliance

B.A

LPM

14.2

cmH20

ml/cnH20

cmH20

12,7

cmH20

3-42

3:45

一 一

Test

FH

Printout

3.6.6.4

This

To

ventilator:

Ventilator + Patient

test

find

the

1.

2.

3.

can

be

performed

compliance

If

you

are

test:

a.

Follow

b.

Press

readings.

Generate a single
VT-1B
lung

Close
lung.

or

plate

the

of

not

entering

Steps | through

ENTER.

VT-2

adult

about 2 inches

ON/OFF

Tubing

only

the

Wait

inspiration

valve

Compliance

on a ventilator

entire

this

until

lung.

at

to

patient

sequence

10

of

Section

the

from

The

inspiration

the

back.

trap

Test

having a closed

tubing

leak

the

the

circuit,

immediately

3.6.6.1.

test

results

ventilator

should

air

in

the

internal

including

after

appear.

to

partially

be

sufficient

Model

tubing

tubing

performing a leak

Ignore

fill

VT-IB

or

circuit.

inside

these

the

to

raise

VT-2

the

Model

the

adult

4.

Disconnect

5.

Disconnect
end.

6.

Seal

7.

Press

all

remaining

ENTER.

the

expiration

the

exhalation

The

tube

of

valve

patient

following

LEAK/COMPLIANCE

Attach
the

equipment

valve

Press

tubing

display

and

ENTER

the

patient

and

seal

|

openings.

should

to

open

the

when

the

TEST

be

valve.

tested

tubing

expiration

appear:

to

ready.

from

the

tube

ventilator

at

the

ventilator

end.

3-43

8.

Open
appear:

the

ON/OFF

valve

and

press

ENTER.

The

following

display

should

9.

where:

Press

PRINT
display
the

RS232

A

sample

LEAK/COMPLIANCE

Compliance
Starting
Final

хх.х = compliance

yy.y = lung

zz.z = lung

if

desired.

at

the

time

port

if a computer

compliance

Pres.

pressure

pressure

PRINT

test

=

xx.x

Pres.

of

The

is

printout

=

yy.y

=

Zz.z

ventilator + patient

before

after

data

pressed.

is

opening

opening

printed

Data

attached.

is

shown

TEST

ml/cmH20
[стН2О,

[cmH20,

ON/OFF

ON/OFF

will

will

in

Figure

mmHg,

mmHg,

tubing,

valve

valve

be

the

data

be

automatically

3.6.6.3-1.

or

kPa]

or

kPa]

in

ml/cmH,0

in

units

in

units

appearing

selected

selected

on

output

the
via

Manually
spaces

10.

Press

3.6.7

The
parameters:

Waveform

Model

1.

Volume

2.

Airway

3.

Lung

4.

Air

ESCAPE

VT-1B

pressure

flow

record

provided

Monitor

or

(inhaled)

pressure

(from

the

parabolic

for

that

purpose

at

any

time

Tests

VT-2

allows

(measured

(measured

differentiating

to

exit

the

at

the

inside

resistor

on

the

from

user

to

Model

the

Model

the

volume

3-44

value and

printout.

the

compliance

monitor

VT-1B

VT-1B

readings)

ventilator

test.

waveforms

or

VT-2

or

VT-2

of

airway

lung)

settings

the

following

inlet)

in

the

Each

of

these

waveform

monitors

is

described

in a separate

subsection:

3.6.7.1

3.6.7.2

3.6.7.3

3.6.7.4

1.

The
side

LUNG

2.

Corresponding

keypad

3.

The

calculations

behind.

4.

There

that
numeric

5.

If

the
instantaneous,
waveform.

Volume

Airway
Lung

pressure

Air

flow

waveform
of

the

PRES

is

pressed

graphic

is

no

are

displayed,

equivalent

previously

waveform

pressure

waveform

waveform

monitors

Model

and

AIR

graphic

for the

waveform

made

be

RS232

selected

maximum,

monitor

waveform

monitor

are

VT-IB

FLOW.

waveforms

first

displays

internal

or

printer

although

values

monitor

accessed

or

VT-2

if

will

keypad

and

monitor

front

time.

are

not

software

output

PRINT

be

printed

is

pressed a second

minimum

by

are

at

pressing

panel:

displayed

in

real

and

may

any

time

key

is

out

instead

numeric

the

VOLUME,

on

time;

they

be

for

pressed

values

keypads

the

are

up

to 2 breath

any

of

during

of

the

time,

the

of

the

on

the

AIRWAY

screen,

generated

the

waveforms

this

mode,

waveform.

tester

corresponding

right

PRES,

when

from

cycles

the

displays

a

3.6.7.1

To

monitor

Volume

1.

2.

3.

4.

NOTE:

PRINT

the

Make

3.4.

Set

the

Press

Press

NOTE:

herein

These

key

is

Waveform

volume

sure

delivered

you

Completion

ventilator

ESCAPE

VOLUME.

The

depending

readings

depressed.

Monitor

have

completed

of a status

controls

if

SELECT

The

graphic

graphic

on

display

the

are

available

by a ventilator:

the

procedures

test

(Section

as

desired.

TEST

type

is

not

display

may

of

ventilator

shown

vary

via

the

RS232

defined

3.6.1)

is

displayed.

in

Figure

slightly

being

and

in

also

recommended.

3.6.7.1-1

from

tested.

printer

Sections

the

display

ports

3.3

should

if

the

through

appear

depicted

3-45

The

axes

2

breaths

breath.

appear,

remain
for the

Re-press

tidal

volume,

Volume

Tidal

Baseline

Volume

will

are

The

with

fixed

infant

VOLUME

Volume

Figure

appear

detected.

x-axis

each

at a maximum

lung.

and

3.6.7.1-1

immediately

will

division

for

baseline

=

instantaneous

=

maximum

=

volume
to

PEEP.

A

new

rescale

representing

2.2 L for

tabular

volume.

in

Volume

and

waveform

to

display

volume

volume

lung

at

Waveform

the

waveform

will

allow

at

0.5

second.

the

adult

of

real-time

reading

measured

atmospheric

Display

be

least

lung

during

will

be

generated

one

complete

The

vertical

and a maximum

instantaneous

the

test

pressure

or

generated

every

breath

axis

volume,

volume

after

second

to

will

0.2

L

due

The

following

display

VOLUME

Volume

Tidal

Baseline

should

Volume

Volume

appear:

MONITOR

3-46

x.xx L [reference
y.yy L [reference
z.zz L [reference

units]

units]

units]

Press

VOLUME

again

to

return

to

the

graphic

display.

Press
Tidal
graph
complete

attached,

A

Manually

space

PRINT

and

will

sample

provided

Baseline

result

breath

numeric

volume

record

at

any

time

volumes

in a printout

analyzed;

data

monitor

the

parabolic

for

that

“VOLUME

Vent.

ID:

Resistor

Tast

Settings:

for a printout

will

graphs

will

be

automatically

printout

resistor

purpose

MONITOR

919354

Value!

on

be

printed.

of

numeric

cannot

is

the

shown

value

printout.

of

numeric

Pressing

data

be

printed.

transferred

in

Figure

and

93/14/89

3:88

data

in

PRINT

corresponding

3.6.7.1-2.

ventilator

РМ

while

If a computer

via

the

tabular

viewing

to

the

RS232

settings

form.

last

port.

in

the

a

is

Press

NOTE:

other

be

re-zeroed.

lungs.

ESCAPE

If,

without

than

zero

Return

Volume

)

Tidal

Baseline

Figure

at

any

values

Press

to

the

Volume

Volume

3.6.7.1-2.

time

to

any

input

on

the

ESCAPE,

mode

you

ини

Volume

exit

from

to

top

instantaneous

then

were

3-47

4

o

=

=

»

waveform

either

press

in.

CD

Monitor

of

the

ZERO

Printout

monitoring.

lungs,

line,

twice

you

the

with

notice a reading

transducers

no

input

need

to

to

the

3.6.7.2

To

monitor

I.

2.

3.

4.

Airway

airway

Make

3.4.

Adjust

Press

Press

appear.

Pressure

pressure:

sure

you

Completion

the

ventilator

ESCAPE

AIRWAY

75

Waveform

have

completed

of a STATUS

as

if

SELECT

PRES.

Monitor

the

test

desired.

TEST

The graphic

is

procedures
(Section

not

display

3.6.1)

displayed.

defined

is

shown

in

Sections

also

recommended.

in

Figure

3.3

3.6.7.2-1

through

should

AP
cmH20

The

axes

breaths
breath.

appear,

remain

_ 1 5 1

Figure

will

are

detected.

The

with each

fixed

3.6.7.2-1.

appear

x-axis

division

between

Airway

immediately;

A

new

will

rescale

representing

-15

to

75

y

Pressure

the

waveform

to

cmH,0.

waveform

allow

Waveform

will

at

0.5

『

be

least

second.

ď

Display

will

be

generated

one

complete

The

i

generated

every

vertical

after

second

breath

axis

2

to

will

3-48

5.

Re-press
pressure

test.

The

AIRWAY

and

following

the

PRES

maximum

display

AP

MONITOR

for

tabular display

and

minimum

should

appear:

of

lung

real-time

pressures

instantaneous

measured

during

lung

the

NOTE:
system.

6.

Press

AIRWAY

7.

Press
Maximum

viewing a graph
the

attached,

NOTE:

other than

be

lungs.

A

Manually

space

PRINT

last

re-zeroed.

sample

provided

The

minimum

and

complete

data

If,

without

zero

Return

airway

record

PRES

at

any

minimum

will
breath

will

values

Press

to

the

pressure

the

for

Airway

Max

Airway

Min

Airway

Airway

again

time

result

analyzed;

be

automatically

any

on

ESCAPE,

mode

parabolic

that

purpose

Pressure

Pres. = yy.y

Pres.

Pressure

to

return

for a printout

pressures

in a printout

input

the

top

you

monitor

will

graphs

transferred

to

either

instantaneous

then

press

were

in.

printout

resistor

on

the

=

xx.x

zz.z

[pressure

corresponds

to

the

graphic

of

be

printed.

of

cannot

of

the

ZERO

is

value

printout.

[pressure
[pressure

to

display.

numeric

numeric

be

printed.

via the

lungs,

line,

twice

shown

and

in

ventilator

units]
units]

units)

any

PEEP

data

Pressing

data

RS232

you

the

transducers

with

Figure

in

the

in

tabular
PRINT

corresponding

If a computer

output.

notice a reading

no

input

3.6.7.2-2.

settings

form.

while

need

to

in

to

is

to

the

the

8.

Press

ESCAPE

at

any

time

to

exit

3-49

from

waveform

monitoring.

3.6.7.3

To

monitor

1.

2.

3.

4.

Lung

Make

3.4.

Adjust

Press

Press
appear:

(EFS

Pressure

lung

pressure:

sure

Completion

the

ESCAPE

LUNG

Airway

Max

Min

Figure

Waveform

you

ventilator

PRES.

Pressure

Airway

irwau

3.6.7.2-2.

Monitor

have

completed

of a status

as

if

SELECT

The

=

Pres

=

Pres

=

Airway

the

test

desired.

TEST

graphic

Pressure

procedures

(Section

is

not

display

Monitor

defined

3.6.1)

displayed.

is

shown

Printout

also

recommended.

in

Te

in

Sections

Figure

3.3

through

3.6.7.3-1

should

757

LP
cmH2O

-15

-

|

-

Figure

3.6.7.3-1.

Lung

3-50

Pressure

Waveform

Display

The

axes
breaths
breath.

appear
remain

will

appear

are

detected.

The

x-axis

with each

fixed

between

immediately;

A

will

rescale

division

-15

to

the

new

waveform

to

allow

representing

75

cmH,O.

waveform

will

at

least

0.5

second.

will

be

generated

one

be

complete

The

generated

every

vertical

afte’

second

breath

axis

to

will

Re-press

pressure

test.

|

ì

NOTE:

Press

Press
Maximum
viewing a graph

the
attached,

The

LUNG

PRINT

last

LUNG

and

maximum

following

The

minimum

PRES

at

and

complete

data

PRES

display

LP

Lung
Max.
Min.

again

any

minimum

will

breath

will

be

for

tabular

and

minimum

should

MONITOR

Pressure

Lung

Pres. = yy.y

Lung

Pres. = xx.x

Lung

Pressure

to

return

time

for a printout

pressures

result

automatically

in a printout

analyzed;

display

lung

appear:

=

xx.x

[pressure
[pressure
[pressure

will

correspond

to

the

graphic

of

will

be

of

graphs

transferred

of

real-time

pressures

display.

numeric

printed.

numeric

cannot

via

instantaneous

measured

units]
units]
units)

to

PEEP

data

Pressing

data

printed.

the

RS232

during

in

the

system.

in

tabular
PRINT

corresponding

If a computer

output.

form.
while

lung

the

to

is

A

sample

lung

pressure

Figure

monitor

LP

MONITOR

Yant,

19:

Resistor

Test

Lung

Max.
Min.

3.6.7.3-2.

Value!

Settinas!

Pressure

Lung
Lung

919354

Pres,
Pres,

Lung

3-51

printout

=

14.3

=

24,5

=

-9。3

Pressure

is

shown

omH20

cmH29
cmH20

Monitor

in

Figure

93/14/39

3:49

PA

Printout

3.6.7.3-2.

8.

Manually

space

Press

provided

ESCAPE

record

for

at

the

that

any

parabolic

purpose

time

to

exit

resistor

on

the

printout.

from

value and

waveform

ventilator

monitoring.

settings

in

the

3.6.7.4

To

monitor

1.

2.

3.

4.

NOTE:

other

be

lungs.

Air

Make

3.4.

Adjust

Press

Press

than

re-zeroed.

Return

Flow

Waveform

the

air

sure

Completion

the

ESCAPE

AIR

150

If,

without

zero

values

Press

to

flow

to

you

have

ventilator

if

FLOW.

any

input

on

the

ESCAPE,

the

mode

Monitor

the

lung:

completed

of a status

as

desired.

SELECT

TEST

The graphic

you

test

to

either

top

instantaneous

then

press

were

in.

the

procedures

(Section

is

not

display

of

the

ZERO

defined

3.6.1)

is

displayed.

in

Figure

lungs,

line,

the

twice

in

also

recommended.

3.6.7.4-1

you

notice a reading

transducers

with

no

input

Sections

should

3.3

appear:

need

to

the

through

to

Low

|

рт

-150

The

axes

breaths

breath.

appear,
remain
LPM

for

will

are

The

with

fixed

infant.

LTD

T

Figure

appear

detected.

x-axis

each

division

between

す

『

3.6.7.4-1.

immediately;

A

new

will

rescale

representing

-150

to

Air

Flow

waveform

to

+150

3-52

y

the

allow

LPM

ㅣ

y

Waveform

waveform

will

at

0.5

second.

for

adult

Y y

be

least

Display

will

be

generated

one

complete

The

and

between

O

1

y

generated

every

vertical

-100

一

y

after

second

breath

axis

to

2

to

will

+100

5.

Re-press
and

maximum

The

following

AIR

FLOW

and

display

for

minimum

should

tabular display

flow

rates

appear:

of

real-time

measured

instantaneous

during

the

test.

flow

rate

6.

7.

Press

AIR

Press
Pressing
data
printed.

NOTE:

other

be

lungs.

A

PRINT

corresponding

than

re-zeroed.

Return

sample

FLOW

PRINT

If,

zero

air

FLOW

Flow
Insp.
Exp.

again

at

any

while

without

values

Press

to

the

flow

monitor

MONITOR

Rate

Flow

Rate

Flow

Rate

to

return

time

to

any

ESCAPE,

mode

for a printout
viewing a graph
the

last

complete

input

on

to

the

top

then

you

were

printout

xxx
yyy
zzz

to

the

graphic

will

breath

either

instantaneous

press

in.

is

shown

of

ZERO

LPM
LPM

LPM

of

numeric

result

the

in

[reference

[reference

[reference

display.

data

in a printout

analyzed;

lungs,

line,

the

twice

Figure

3.6.7.4-2.

units]
units]

units]

in

tabular

of

graphs

you

notice a reading

transducers

with

no

input

form.

numeric

cannot

need

to

be

to

the

FLOW

Vent.

Flow

Insp.

Exp.

一

一

Figure

MONITOR

1):

219354

Rate

Flow

Flow

3.6.7.4-2.

©

Air

3-53

z

=
=

-4

56
32

Flow

33/14/29

Stat

LPM

8TPS

LPM

9795

LPM

37195

LL

Monitor

PM

O

Printout

8.

Manually
space

Press

provided

ESCAPE

record

at

for

any

the

that

parabolic

purpose

time

to

resistor

on

exit

the

from

value

printout.

waveform

and

ventilator

monitoring.

settings

in

the

3.6.8

This
gases

useful

pressure/flow

3.6.8.1

LOW
source
and
display
airway

HIGH

be

External

section

outside

in

External

PRESSURE

pressure

selecting

will

inlet/sliding

PRESSURE

made

with

1.

Connect

located
necessary.

2.

Press

psi

Tests

describes

the

Ventilator

verifying

regulators,

Pressure

measurements

to

the

Airway

indicate

the

Model

on

EXT

as

well

methods

and

performances

compressure

Test

the

transparent

Pressure

instantaneous

adapter

measurements

the

the

PRES

as

after

VT-1B

high

right

monitor

cmH,O.

of

measuring

patient

of

of

air

tubing

monitor

pressure.

completing

of

air

or

VT-2:

pressure

side

of

keypad.

(See

Figure

tubing

related

output,

up

to

attached

keypad.

up

to

source

the

general

loop.

devices,

etc.

125

cmH,O

to

The

Reconnect

your

measurements.

75

psi

to

the

adult

3.6.8.1-1

The

lung.

display

external

These

such

can

the

top

(or

equivalent

EXTERNAL

for

the

pressures

features

as

be

made

airway

line

the

transparent

Use

the

will

indicate

printout.)

and

are

intended

wall

air/gas

by

connecting

inlet/sliding

reading

adapter

in

cmH,0)

PRESSURE

the

on

tubing

flows

to

outlets,

adapter,

the

tester’s

to

can

port

supplied

pressure

of
be

the

the

also

if

in

Figure

.

一 一

3.6.8.1-1.

HIGH

PRESSURE

Vent,

ID:

919354

Pressure

Pressure

External

MONITOR

=

=

High

3-54

1.4

PSI

115

cmH20

Pressure

93/14/39

3:93

Monitor

PM

Printout

|

3.6.8.2

External

Flow

Test

General

sources:

flows

Pull

Connect
push

Switch

cmH,O

Press

Remove

Apply a flow

NO,,

Press

various

of

out

the

the В 20

the

adapter

on

as

ESCAPE,

the

CO。,

EXT

gases.

various

pressure

or

sliding

the

Ventilator

then

gas

pressure

of

CO).

FLOW.

(See

gases

Parabolic

back

gas

can

adapter

into

units,

ZERO

port

through

The

Figure

be

measured

in

front

Airway

the

lung

Tester,

twice.

cover

the

resistor

display

3.6.8.2-1

of

the

Resistor
inlet.

follow

on

top

will

for

the

by

the

adult

o“

for

indicate

printout.)

lung

to

the

the

set-up

the

adult

at

least 5 seconds

VT-1B/2,

as

far

sliding

procedure,

lung

flow

in

from

as

adapter.

plate.

liters/minute

it

will

(air,

diff:

Do

selecting

go.

O,,

NOT

N,,

for

EXTERNAL
Vent.

Pressure
àir/C9

-.

02
N2

N20/C02

ŞA

Figure

3.6.8.2-1.

1D:

FLOW

MONITOR

914554

Drop

External

=
=
2

=
=

21.9
58
56

59
4?

Flow

cmH20
LPN
LPM

LP"
LPN

Monitor

3/14/39
3:02

PM

Printout

|

A

3-55

4

This

section

4.1

Electrical

4.2

Cleaning

4.3

Storage

4.1

Electrical

The

Ventilator

electrical
microamps,

The
simplicity;
user

personnel.
unit
(Service

4.2

safety

Model

should

through

Cleaning

VT-IB

however,

never

Ifa

Hotline)

and

the

SAFETY,

contains

instructions

and

Safety

Tester

to

meet

its

ground

or

VT-2

there

open

problem

ventilation

for

assistance.

MAINTENANCE,

for:

safety

shipping

should

be

tested

AAMI/AISO/JCAHO

wire

resistance

is

especially

are

several

either

the

electronics

arises

that

requires

grating),

call:

periodically

requirements.

should

free

of

electrical

shock

hazards

box

or

opening

1-800-451-5172

STORAGE

with a Bio-Tek

Its

be

fess

than

0.5

hazard

inside

the

the

the

lung

before

electronics

(Customer

&

Electrical

chassis

ventilator

leakage

ohms.

during

use

consulting

unit

(such

Service)

tester

SHIPPING

Safety

because

Analyzer

should

electronics

with

as

or | -800-24-BIOTK

not

of

Bio-Tek

debris

exceed

its

external

falling

for

unit.

The

service

into

500

the

To

clean

1.

2.

3.

parts

of

the

Unplug

Use a mild

Remove

electronics

the

unit.

soap

on a damp

soap

residue

unit

casing

with a clean,

(not

and

wet)

dry

front

cloth

for

cloth.

panel:

cleaning.

4.3

To

Storage

store

1.

2.

or

Pack

Set
(0.01

and

ship

the

Shipping

the

Model

all

accessories

adult

L/cmH,0).

lung

VT-1B

in

the

compliance

or

VT-2

accessories

spring

unit

after

pouch.

at

the

use:

upper

end

of

the

lung’s

top

plate

Wedge

the

When
the

Securely

Store

with

the

adult

lung

replacing

outside

fasten

the

the

top

Model

recommended.

have

reasonably

warmer

To

1.

ship

Call

environments

the

the

Number.

2.

Put

the
orientation
face

of

small

foam

side.

the

are

oriented

all

of

the

Most

large

Model

Bio-Tek

(Call:

carrying

(with

the

box).

sguare

top

of

as

clasps

VT-1B

on

or

carrying

electronic

temperature

should

VT-1B

or

Service

1-800-24-BIOTK

case

in

the

top

Seal

the

provided

the

carrying

shown

the

outside

VT-2

case

not

VT-2:

Department

the

original

of

the

box

with

case,

in

Figure

of

(in

the

face

up.

components

tolerances;

cause

component

to

for

the

shipping

carrying

with

reinforced

the

unit

between

make

sure

4.3-1.

the

carrying

original

Storage

obtain a Return

Service

case

shipping

at

in

the

Model

short-term

failure.

Hotline.)

box,

in

corresponding

tape.

the

spring

the 4 stand-off’s

case.

box,

if

desired)

room

temperature

VT-1B

storage

Authorization

the

original

to

in

the

or

colder

top

and

on

is

VT-2

or

Bio-Tek
carton
the

shipping

Part

#91068).

may

other

not

than

box,

accept

the

please

the

Model

original

order

VT-1B

shipping

another

4-2

or

box.

from

VT-2

If

you

Bio-Tek

if

it

is

shipped

have

Instruments

lost

back

or

damaged

(Bio-Tek

in

a

a

Stand-Off's

4

Figure

4.3-1.

Repack

ing the

Model

VT-1B

4-3

or

ΥΤ-2

Ventilator

Tester

5

TROUBLESHOOTING

PROBLEM

DISPLAY

No

display

only

after

or

power

Table

display

ON.

5-1.

Troubleshooting

ON

for

short

time

Bio-Tek

SOLUTION

Switch
tion.

Ensure

it

is

Ensure
at

both

Ensure
on

back

If

source

selector

Switch

Ventilator

VT!

power

not

fluctuating

power

ends.

voltage

of

VT

voltage

switch

VT

power

Testers

power

is

available

cord

selector

is

set

position,

switch

to

at

significantly.

is

properly

switch

to

source

is

higher

switch

than

check

ON.

OFF

source,

connected

position

voltage.

voltage

fuses.

posi-

and

No

long

1

VT

readings

delay.

refera

to

or

both

readings

Model

VT-1B

displayed

and

Model

after

VT-2

Ventilator

5-1

Ensure
and

LUNG

position

selected

test.

Press

ESCAPE,

STATUS
controls
breaths

For

Status

STATUS
ting

on

waiting
tilator
test

other

changed

Testers.

ADULT/INFANT

SELECT

corresponding

in

SET-UP

repeat

test)

after

and

waiting

for

ventilator

test,

press

test

after

the

ventilator

for

five

output

if

to

ventilator

desired,

lever

and

ventilator

test

selecting

for

output

ESCAPE,

fixing

to

ten

breaths

stabilize.

controls

except

toggle

are

to

compliance

(other

five

to

the

if

desired

During

for

switch

in

desired

under

than

ventilator

to

ten

stabilize.

and

select

PEEP

set-

and

for

ven-

this

can

be

PEEP.

Table

5-1.

Troubleshooting

Bio-Tek

Ventilator

Testers

(Continued)

PROBLEM

DI

No

readings

PRINTER

Printer

Y

does

or

readings

not

power

displayed

up

or

operate.

after

long

delay.

‘SOLUTION

For

EXT.

pressure

For
pressure
port,
sliding

way

flow
least

Check
position.

Check
correct

Ensure
printer

is

EXT.

tubing

proper

adapter

towards

from
three

if

printer

to

see

line

proper

port

PRES.

FLOW

measurements,

connected

measurements,

is

connected

restrictor

with

you,

and
source
seconds.

ON/OFF

if

the

power.

printer

of

VT

through

printer

to

to

VT

is

connected

the

adapter

that

switch

cable

the

printer.

ensure

input.

to

airway

pulled

there

is

the

restrictor

is

plugged

is

connected

ensure

pressure

to

the

all

constant

for

is

in

ON

into

source

airway

the

at

the

from

If a printer
it

should

Check

follow

Ensure

other

than

be

Parallel

for

paper

instructions

there

is

Centronics.

jam

in

paper

the

one

in

the

printer.

printer

in

the

printer.

supplied

If

manual.

is

so,

used,