CareFusion 8400ST, 8400STi User manual
8400STº
&
8400ST%
VOLUME
SERVICE
NOTE:
This
to
The
information
the
8400ST®°i
8400ST®
alsoapplies
is
located
name
is
referred
to
in
the
VENTILATOR
MANUAL
to
the
8400ST%;,
back
throughout
of
the
manual
Specific
the
contents
information
under
Addendums.
of
this
manual.
pertaining
only
©
1995
Bird
Products
Corporation
EE
aa
Bird
1100
(619)
(800/
©
Products
Corporation
Bird
Center
778-7200 M TLX:
328-4139 m FAX:
Drive,
Palm
Springs,
9103805605
(619)
778-7269
CA
92262
Bird
Products
Corporation
MANUAL
REVISION
8400ST
Service
/8400STi
Manual
Date
March
1998
Revision
pee
Rev.
Pages
D
Service
Manual
本
March
1898
Rev.
D
This
_
Corporation
Products
activity
trained
CORPORATION
UNAUTHORIZED
UNAUTHORIZED
service
Corporation
on
or
WARNING
manual
trained
its
products
authorized
is
and
IS
NOT
REPAIRS,
PROCEDURES.
intended
authorized
does
personnel.
not
by
other
RESPONSIBLE
for
condone
than
OR
use
service
Bird
BIRD
ANY
!
by
Bird
or
approve
Products
PRODUCTS
REPAIRS
Products
personnel.
FOR
Bird
of
service
Corporation
ANY
MADE
BY
Use
installation,
and
the
injury
shall
All
Products
warranty
of
the
equipment
equipment.
including
bear
maintenance
(see
warranty
incorrect
removal,
full
responsibility
card)
Corporation
status
part
servicing,
may
This
of
result
may
death.
performed
must
the
or
the
in
damage
also
The
be
service
subject
result
purchaser
and
within
authorized
representative
unit.
failure
checkout
liability
to
or
in
damage
and
the
applicable
exercise
or
calibration
possible
to
installer
for
the
above.
in
advance
in
order
due
care
malfunction
property
of
warranty
by
to
in
of
parts
and
these
Bird
parts
period
retain
the
of
the
CONTENTS
-
GENERAL
SECTION
INFORMATION
1:
Introduction,
-
Overhaul
Definition
.ee
of
Repair - Maintenance
PAGE
'
1-1
SECTION
SECTION
SECTION
SECTION
SECTION
SECTION
MAINTENANCE
SECTION
SECTION
2:
3:
4:
5:
6:
7:
8:
9:
SpecificationS
Description
Assembly
Overview
System
M
PNEUMALIC
E
8400ST
Warnings,
Cleaning
OVERHAUL
Maintenance
8400ST
of
the
Display,
Instructions
of
the
8400ST
OperatiOn
....ononoocononcnonnnonoranonnroncnanaconconoconcanocraronon
Circuit
Cauiions
and
Boards
and
Sterilization
Service
Tools & Equipment
Controls
nr
Volume
Theory
NoteS
..........
Policy
List
ーー
昌和
and
Alarm
2-1
Indicator...............
3-1
4-1
Ventilator
ee
nora
onareorancoronons
of
Operation.............................
irene
rire
rire
receiver
ee
rene
nine
eeeeeneno
아아아
once
5-1
5-2
5-9
6-1
7-1
8-1
9-1
SECTION
SECTION
SECTION
SECTION
SECTION
10:
11:
12:
13:
14:
NES
Disassembly
Assembly
Critical
μμ
Component
Operational
&
Performance
画
Pre-CalbratiOn
B
Calibration
m
Post
Calibration/Final
E
Pertormance
IM
inserer
Removal/Replacement
Verification
TeSt
Procedures
issssseisnsnesnesnse
μϱ””ϱϱϱϱἛϱἛϱρρυ---
sise
Assembly
κ
μμ
μμ
esse
neee
aeeereeemeeremerenesenn
ke
ste v snes
steen
renen
Procedures..............
sarao
esser
sr
10-1
11-1
12-1
13-1
14-1
sense
INDEX
SECTION
SECTION
SECTION
SECTION
SECTION
SECTION
SECTION
15:
16:
17:
18:
19:
20:
21:
Troubleshootind
m
Clinica!
m
Electronic
Schemalics・
DrawindS
AS
APPend
m
Explanation
Service
Non-Recoverable
Warranty
ϱ.ϱϱΓϱΓϱϱϱίμυ-
of
Bulletins
.......--cccsececetecsscessecesesssecccasesesesseresstseetareesaetesorsnsssseeessess
PAGE
ito
ee
rroccrnicroniono
A
15-1
16-1
17-1
18-1
Abbreviations
"sise
"Ventinop"Codes..............................-0004.......
19-1
20-1
21-1
O
1997
Contact
Dealer
_
Customer
Bird
Products
ORDERING
your
Bird
or
Bird
Products Corporation
Service
1100
Paim
(760)
(800)
Fax:
Corporation
INFORMATION
Products
Department
Bird
Center
Springs,
778-7200
328-4139
(760)
778-7274
Corporation
directly:
Drive
CA
92262
or
TECHNICAL
Contact
Bird
Technical
Paim
Products
Service
1100
Bird
Springs,
(760)
778-7200
BIRD
(800)
[(800)
INFORMATION
Corporation
Department
Center
CA 92262
directly:
Drive
or
HELPLINE
934-BIRD
934-2473]
SECTION
Introduction
1
8400ST / 8400STi
Volume
Ventilator
Service
Manual
SECTION
1
INTRODUCTION
The
8400ST
Manual
theories
bleshooting,
instructions
technician
lator.
The
Service
for
use
that
is, a person
8400ST
authorized
ter.
Any
dures
should
that
be
Corporation
specific
theory
of
Operating
or
Sections 2 through 7 of
Service
oughly
familiar
Maintenance
service
INGS,
given
CAUTIONS,
particular
‘Sections 8 through
the
details
replacement
the
8400ST
structured
problem
replacing
manual
repair
on
of,
the
printed
however,
provided
complete
subassemblies
by
factory
Volume
contains
of
operation,
replacement,
to
assist a qualified
in
the
Manual
by
an
authorized
that
service
repairs,
exceed
referred
operating
operation,
Instruction
personnel
on
to a
that
does
for
complete
to
technical
seminar
by
Bird’s
Technical
with
procedures
this
equipment.
attention.
related
of
defective
ventilator.
around
defective
defective
not
example,
circuit
give
can
trained
pneumatic
maintenance
adjustments,
the
to
instructions
should
the
and
17
to
the
cover
schematic
the
information.
technical
Ventilator
Service
and
calibration,
and
maintenance
service
of
is
specifically
service
has
attended
conducted
Service
Training
or
scope
the
Service
of
Bird
this
Products
Center.
and
refer
to
the
8400ST
Manual,
P/N
this
manual.
become
Operating
before
The
NOTES
of
this
manual
the
diagnoses
subassemblies
This
manual
concept
of
subassembly
subassembly.
diagnoses
component
board
subassemblies;
information
service
be
technician
replaced
personnel.
electronic
trou-
the
venti-
intended
person;
a
or
Cen-
proce-
manual
For
clinical
L1141,
thor-
and
attempting
WARN-
should
isolating
Defective
in
be
cover
and
of
is
a
and
The
and
failures
is
the
field
Only
factory
attempt
ventilator.
are
diagnosis
based
Bird's
on
subassembly
training
on
how
maintenance
The
maintenance
ventilator
nance
includes
through
follows:
Every
Every
Every
15,000
1000
3000
5000
hours:
The 15,000
any
factory
important,
done
using
nents
tion.
in
considered
trained
however,
only
provided
addition,
complete
Performance
performed
this
manual,
All
repair
15,000
facility
available
in
and
hour
where
to
technicians.
trained
personnel
and
repair
service
fault
analysis
level
and
also
to
perform
of
the
ventilator.
schedule
preventative
the
first
15,000
hours:
examine
replace
necessary.
hours:
verify
calibration.
hours:
replace
filter
COMPLETE
OVERHAUL
hour
overhaul
service
that
the
maintenance
by
Bird
Products Corpora-
no
overhaul
until
Verification
accordance
maintenance,
overhaul,
proper
qualified,
can
service
trained
should
of a 8400ST
training
and
classes
repair
include
the
15,000
for a 8400ST
mainte-
hours
inlet
as
transducer
bacteria
in
patient
may
be
done
technician.
the
overhaul
compo-
should
an
Operational
test
has
been
with
Section
including
be
done
equipment
service
at
the
detailed
hour
as
filter;
circuit.
by
It
is
be
be
14
of
the
at
any
is
SECTION
2
Specifications
8400ST / 8400STi
Volume
Ventilator
Service
Manual
SECTION
PRODUCT
2
SPECIFICATIONS
CONTROLS
Power
Modes
*Tidal
Peak
*Breath
Volume
Flow
Rate
Waveforms
Pressure
Assist
Support
Sensitivity
PEEP/CPAP
Manual
Inspiratory
Sigh
Alarm
Alarm
AC
Alarm
Back
“Maximum
blender.
Breath
Hold
Sigh
Volume..............
Sigh
High
Silence
Reset
Line/ALT
Volume
Up
Breath
Minute
Volume
Control
Assist/Control,
Square,
-1
Touch
6
On/Off
Pressure
PWR
]
Rate
- 1
Limit...........
Source
Capability - 56 L @
50
10
Decelerating
Off
to
to
-20
cmH,O,
0
to
Button
seconds
Sigh/100
1.5x
Tidal
(up
(up
to
Touch
for
On/Off
(VO)
SIMV
&
CPAP
to
2000
to
120
Ipm
0
to
80
bpm
50
cmH,O
OFF
30
cmH,O
Activated
(maximum)
breaths
Volume
to
3000
1.5x
140
cmH,O)
-
60
seconds
Button
Slide
Switch
AC
or
Operation
74
to
84
0
to
80
bpm
50
PSIG
intet
ml
mi)
set
DC
dB
to
MONITORS
Power
Minute
-
Tidal
Breath
“ON”
Volume
Volume
Rate
ーー
LE Ratio
Airway
Battery
Patient
Pressure
"ON"
Inspiratory
Hourmeter
ALARMS
.
High
Pressure
Low
Peak
Low
Baseline
Low
Minute
High
Breath
Low
Inlet
Apnea
Interval
Ventilator
CIRC
|;
Mode
1:1.0
Effort
Limit
Pressure
-
Pressure
Volume
Rate
Gas
Inoperative
Switch
Position
Green
to
99
-20
Yellow
0
Off,
-20
17
10
Red
Flashing
Rotating
Indicator
0
to
130.0
0
to
9999
0
to
255
or
1.0
to
(INVERSE)
to
140
cmH,0
Indicator
Yellow
Indicator
to
99,999
1
to
140
cmH,O
2 to
140
cmH,O
to
+30
cmH,O
01099.9Ｌ
Sto
150
PSIG
(1.19
to
Internal
kg/cm?)
60
seconds
Indicator
Display
Display
Lamp
L
mi
bpm
99:1
Lamp
Lamp
hours
7
bpm
Lamp
2-1
INPUTS
Electrical
100
VAC + 10% - 15%,
§0/60
120
50/60
220
50/60
240
50/60
11.8 - 16VDC, 5 amps
Hz,
0.75
amps
VAC + 10% - 15%,
Hz,
0.58
amps
VAC + 10% - 15%,
Hz,
0.35
amps
VAC + 10% - 15%,
Hz,
0.32
amps
Pneumatic
30 - 70
OUTPUTS
Data
PSIG
Link
(2.10 - 4.90
Optical
Interface
PHYSICAL
WEIGHTS & DIMENSIONS
Dimensions
Ventilator
only
Ventilator & Stand
Ventilator & Compressor
-
-
-
-
(maximum)
kg/cm?)
Link
Module-RS232
H - 9"
W - 16"
D-
13
H - 51
W - 21”
D - 24"
Н - 55"
W - 16"
D - 25
Fuse
Rating
1.25SB
1.00SB
.63SB
.63SB
for
8400ST
(22.9cm)
(40.6cm)
1/2"
(34.3cm)
1/2"
(130.8cm)
(53.3cm)
(60.9cm)
(138.7ст}
(40.6cm)
'/2"(64.8)
Weight
Ventilator
Ventilator & Stand
Ventilator & Compressor
SHIPPING
Dimensions
Ventilator
Ventilator & Stand
Ventilator
&
Compressor
Weight
Ventilator
Ventilator & Stand
Ventilator
&
Compressor
NOTE:
without
only
INFORMATION
only
w/Accessories
only
w/Accessories
Product
notice.
specifications
32
80
185
H - 15"
W - 19"
D - 18"
H-40'/"
W - 30
D - 22
-
W - 24"
D - 19"
H - 38
W - 22"
D - 35
38
95
63
142
are
subject
Ibs
(14.5kg)
Ibs
(36.4kg)
Ibs.
(84.1kg)
(38.1cm)
(48.3cm)
(45.7cm)
(102cm)
‘/e"
(76.5cm)
7%"
(58cm)
31"
(78.7ст)
(60.9cm)
(48.3cm)
‘/2"
(97.4cm)
(55.9cm)
"42"
(90.2cm)
lbs
(17.3kg)
Ibs
(43.2kg)
lbs
(28.6
lbs
(64.5kg)
to
change
kg)
SECTION
3
Description
and
of
Alarm
the
Display,
Controls
Indicator
8400ST / 8400STi
Volume
Ventilator
Service
Manual
SECTION
DESCRIPTION
Assist | SIMV
Control | CPAP
3
OF
THE
DISPLAY,
CONTROLS
AND
ALARM
INDICATORS
FRONT
PANEL
8400ST
3-1
DESCRIPTION
E
CONTROLS
OF
THE
DISPLAY,
CONTROLS
AND
ALARM
INDICATORS
Control | CPAP
MODE
Dual
basic
Two
are
set
SIMV
Two
operating
selected,
the
is
selected,
decelerates
the
CONTROL
function
operating
basic
used
up
any one
and
waveform
peak
mechanical
control
operating
in
conjunction
CPAP.
selections.
inspiratory
flow
setting.
flow
to
for
mode.
selections
with
of
four
ventilation
options
is
50%
delivered
are
When a square
flow
When
initially
of
the
selecting
available
is
delivered
delivered
peak
breath.
flow
(=
CONTROL
breath
modes:
decelerating
flow setting
delivery
and
rate
and
for
each
waveform
at a
constant
waveform
at
the
waveform
引
CPAP
sensitivity
Control,
peak
at
Assist/Control,
of
the
two
flow
rate
flow
the
conclusion
and
controls
basic
delivery
equal
flow
delivery
setting,
then
to
is
to
of
Tidal
Voll
KM
~
O
Peak
Flow
(Ut
TIDAL
Sets
assisted
ㅣ
PEAK
Sets
assisted
waveform,
phase.
before
VOLUME
the
volume
and
Range:
FLOW
the
maximum
and
this
For
deceleration.
Range:
of
Apnea
CONTROL
Apnea
is
decelerating
CONTROL
gas
delivered
Back
50
to
2000
flow
delivered
Back
the
flow
10
to
3-2
to
Up
Ventilation
mi
to
Up
Ventilation
rate
delivered
waveform,
120
lpm
the
patient
the
for
this
for
breaths.
patient
breaths.
is
the
the
during
entire
peak
controlled,
controlled,
For
square
inspiratory
flow
delivered
_©_
Rate
MM
ーー
©
PEEp
eno)
.
7
_—-
ce
a
BREATH
Sets
the
patient
of
ventilation.
PEEP/CPAP
Establishes
exhalation
baseline
SENSITIVITY
Sets
spontaneous
RATE
number
per
minute
Range:
the
and
pressure.
Range: 0 to
the
trigger
CONTROL
of
ventilator
in
the
0 to
CONTROL
pressure
the
start
CONTROL
level
below
(CPAP),
initiated
Control,
80
bpm
in
the
of
the
next
30
cmH,O
baseline
pressure
breaths
Assist/Control
patient
supported,
circuit
inspiration.
pressure
and
to
be
delivered
and
SIMV
between
Also
known
for
the
assisted
to
the
modes
the
end
of
as
initiation
of
breaths.
©
PRESSURE
Pressure
Support
lO
Back
Up
Breath
Rate
tbpml
Sets
breath.
NOTE:
total
NOTE:
inspiratory
BACK
Sets
Back
lower
Range:
the
inspiratory
This
control
Range:
This
patient
the
Up
than
pressure
Pressure
time
UP
BREATH
breath
Breath
the
-1
to
SUPPORT
patient
is
OFF, 0 to
control
control
sets
Support
limit.
RATE
rate
to
Rate
-20
cmH,O,
CONTROL
circuit
functional
50
the
pressure
equals
(See
be
cannot
Breath
PEEP + Pressure
in
the
Description
used
be
Rate
OFF
pressure
in
SIMV/CPAP
cmH,O
8400ST
during
set
to
setting.
during a spontaneous
mode
level
above
Support.
has a preset 3 second
of
Indicators
Apnea
any
Back
value
only.
PEEP.
in
this
Up
Ventilation.
(other
than
The
section.)
zero)
3-3
DESCRIPTION
w
ALARMS
High
Peak
Pressure
temH.0O)
OF
THE
DISPLAY,
HIGH
This
alarm
patient
immediately:
1.
Both
2.
The
ratory
ventilator
kinks
and
.
If
the
normal
mains
seconds
longer
CONTROLS
PRESSURE
establishes
system.
audible
ventilator
flow
or
the
patient
ventilation
above
than 3 seconds,
Once
and
will
is
stopped
is
operating
occlusions,
audible
and/or
portion
pressure
the
is
AND
LIMIT
the
maximum
violated,
visual
be
High
indicators
forced
and
correctly
patient
of
resets
will
resume.
Pressure
above
the
ALARM
ALARM
the
following
into
an
the
exhalation
and
pressure
the
alarm
to
baseline
If
the
Alarm
baseline
following
INDICATORS
allowable
events
will
be
activated.
exhalation
valve
there
pressure
are
will
be
will
cease.
within 3 seconds,
ventilator
Limit
will
occur:
pressure
state,
opens.
no
reset
pressure
for
more
plus 3 cmH,O
in
will
occur
i.e.,
If
patient
to
baseline
than
the
inspi-
the
circuit
re-
0.3
for
M
The
to
decrease,
valve,
Ш
At
attempt
the
M
Once
m
The
the
The
value
times
breath.
safety
back
baseline
to
give
sequence
corrected,
High
reset
button
of
the
the
set
High
The
value
Range: 1 to
Silence:
Audible:
Visual:
system
via a bleed
to
baseline
pressure + 3
another
will
repeat
the
Pressure
is
activated.
alarm
setting
Pressure
cannot
140
Yes
Intermittent
Flashing
solenoid
orifice
pressure.
breath.
as
ventilator
Limit
exceed
cmH,O
Digital
will
cmH,0,
explained
indicator
is
automatically
Limit
“Beep”
open
in
the
mainflow
the
If
the
problem
will
resume
will
upon
the
the
140
Display
and
pressure
outlet
ventilator
is
above.
normal
remain
delivery
cmH,O
flashing
increased
maximum.
will
check
will
reset
not
resolved,
operation.
until
to
1'/2
of a Sigh
begin
and
NOTE:
This
alarm
cannot
be
set
below
3-4
PEEP
+1
cmH,
0.
Low
Peak
Pressure
{emtt20)
|
9
Low
PEEP/
CPAP
Pressure
ο
χο
O
LOW
The
tails
breath.
LOW
The
pressure
ventilation
:
PEAK
Low
Peak
to
exceed
This
Range:
Silence:
Audible:
Visual:
PEEP/CPAP
Low
PEEP/CPAP
drops
cycle
Range:
Silence:
PRESSURE
Pressure
the
alarm
alarm
is
Off, 2 to
Yes
Intermittent
Flashing
PRESSURE
below
for
longer
-20
to
Yes
ALARM
alarm
setting
active
the
for
140
Digital
Pressure
alarm
than
+30
cmH,O
is
activated
during
all
breath
cmH,O
“Beep”
Display
ALARM
Alarm
setting
0.5
seconds.
if
the
the
inspiratory
types.
-
is
activated
at
any
time during
airway
phase
if
the
pressure
of
a
airway
the
Audible:
Visual:
NOTE:
to
detect
controlled.
LOW
‘Low
Minute
Vol.
m
This
ured
not
applies
Low
return
MINUTE
alarm
by
exceed
is
the
the
to
all
Range: 0 to-99.9
Silence:
Audible:
Intermittent
Flashing
PEEP/CPAP
of
ventilatory
VOLUME
activated
volume
breath
monitoring
alarm
types.
Yes
Intermittent
“Beep”
Digital
alarm
drive
ALARM
whenever
setting.
L
The
“Beep”
Display
can
be
of a patient
the
minute
system
at
Low
set
below
previously
ventilation,
the
exhalation
Minute
Volume
zero
baseline
being
as
meas-
valve,
Alarm
does
Visual:
Flashing
Digital
3-5
Display
DESCRIPTION
OF
THE
DISPLAY,
CONTROLS
AND
ALARM
INDICATORS
High
Breath
Rate
{bpm)
Apnea
Interval
{sec.)
HIGH
The
(spontaneous
|
9
APNEA
This
or
audible
is
BREATH
High
Breath
Range: 3 to
Silence:
Audible:
Visual:
INTERVAL
alarm
spontaneous)
initiated.
sets
and
visual
Apnea
Range:
Silence:
Audible:
Visual:
RATE
Rate
plus
the
are
10
Flashing
ALARM
alarm
machine)
150
Yes
Intermittent
Flashing
apnea
sensed
alarm
Interval
to
60
Yes
Intermittent
is
activated
exceeds
bpm
“Beep”
Digital
time
interval.
within
is
activated
alarm
Digital
is
seconds
“Beep”
Display;
the
Display
If
the
selected
and
Apnea
active
in
if
the
alarm
no
breaths
all
modes.
total
breath
setting.
(either
time
interval,
Back
Up
rate
machine
an
Ventilation
"AP"
alternates
FLOW
The
ducer.
operation
Depression
alarm
Depression
until a flow
ventilator.
TRANSDUCER
8400ST
If
the
of
Ш
An
audible
“.--”
appears
window.
m
The
Monitor
and
Breath
for
60
transducer
is
designed
flow
transducer
the
ventilator,
alarm
in
section
Rate.
of
the
Alarm
seconds.
of
the
Alarm
DISCONNECT
to
sounds
the
Low
Silence
Reset
assembly
with
operate
assembly
the
will
with
following
Minute
sequentially
button
button
is
again
Apnea
Volume
Interval
ALARM
or
without
is
disconnected
will
occur:
display
will
silence
will
defeat
connected
setting
the
alarm
only
the
the
flow
trans-
during
setting
audible
to
display
I:E
Ratio
audible
the
alarm
ALARM
SILENCE
ALARM
LOUDNESS
Sitence
Reset
e
)
Allows
nal.
period
NOTE:
power
button
sumed.
ALARM
Resets
no
ventilator
Will
ALARM
Located
audible
the
Activating
will
to
for
longer
not
operator
restore
Duration:
During
the
ventilator,
3-5
seconds
RESET
the
visual
exists.
operation.
reset a Ventilator
LOUDNESS
on
the
alarm
to
this
control
the
60
an
alarm
alarm
Resets
Defeats
rear
panel,
level.
temporarily
audible
seconds
condition
continuous
will
indication
disable
again,
silence
Apnea
Inoperative
the
within
alarm.
resulting
depression
the
of
Back
flow
transducer
alarm
the
audible
the
60
second
from
of
alarm
any
Up
condition.
loudness
until
alarm
ventilation
disconnect
knob
alarm
silence
loss
of
electrical
the
alarm
power
condition
is
which
to
normal
alarm.
varies
sig-
silence
re-
the
D
Low
Inlet
Gas
CEB
Ventlnop.
LOW
Alarm
pressure
drops
and
visual
alarm
a)
b)
c)
d)
Range:
INLET
is
below
can
Low
Clogged
Regulator
System
GAS
activated
drops
16
Ventilator
be
caused
inlet
inlet
pressure
Silence:
Audible:
Visual:
74dB
below
PSIG
gas
malfunction
to
84dB © 1
ALARM
whenever
17
PSIG
(1.12
Inoperative
by
any
pressure
filter
iransducer
No
Continuous
Flashing
3-7
meter
ventilator
(1.19
kg/cm?).
kg/cm?)
of
LED
for 1 second,
state
the
following
malfunction
Tone
interna!
will
be
signaled.
conditions:
system
If
this
pressure
an
audible
gas
The
DESCRIPTION
«ib
Low
Inlet
GERD
Vent
Inop.
OF
Gas
THE
DISPLAY,
VENTILATOR
This
delivery
patient
The
following
*a)
*b)
c)
*
These
ventilator
been
CONTROLS
INOPERATIVE
alarm
Ventilator
condition
and
activate a safety
to
breathe
Inoperative
conditions
Loss
of
electrical
Extended
PSIG
cm?)
Asystem
system,
corrected.
(1.12
for i sec.
either
are
recoverable
will
resume
AND
causes
spontaneously
state
occur:
power
low
ventilator
kg/cm?)
failure
or
is
detected
electrical
Ventilator
normal
ALARM
ALARM
the
ventilator
system,
from
will
be
inlet
gas
greater
or
operation
than
by
the
mechanical,
Inoperative
INDICATORS
to
cease
allowing
“room”
activated
pressure,
ventilator
once
the
air.
24
PSIG
conditions,
the
normal
non-apneic
if
any
less
(1.68
control
conditions
of
the
than
kg/
The
gas
16
have
Silence:
]
Audible:
Visual:
“CIRC”
This
faults
pressure
pressure
displayed
alarm.
transducer
alarm:
DISPLAY
alarm
m
While
than
longer
detects
by
comparing
transducer
mismatch
in
The
Inspiration:
in
29
than
a)
Loss
b)
Loss
c)
System
Continuous
Flashing
possible
pressure
occurs, a “CIRC”
the
“Monitors”
following
and
the
machine
the
inspiratory
cmH,O
100
above
msec,
of
Electrical
of
Iniet
failure:
Alarm
LED
patient
measurements
and
the
machine
display
differences
pressure
phase,
or 9 cmH,O
the
alarm
Power:
Gas
Pressure:
no
circuit
pressure
message
window
between
transducer
if
the
below
will
yes
no
or
pressure
from
transducer.
will
along
the
machine
activate.
with an
airway
pressure
airway
transducer
the
airway
be
visually
pressure
will
activate
pressure
Ifa
audible
the
is
more
for
3-8
“CIRC”
DISPLAY
m
Exhalation:
(Cor't)
While
than
longer
Once
tion
machine
PEEP
10 - 12
an
attempt
mismatch
pressures
mal
The
a)
b)
in
29
than 1 second,
activated,
phase
ventilation.
following
with
pressure)
control.
seconds,
to
condition
drops
Blocked
Occluded
breathing
the
exhalation
cmH,O
above
the
the
higher
fed
If
the
the
allow
the
below
conditions
airway
or
kinked
circuit
phase,
or 9 cmH,O
the
alarm
ventilator
to
mismatch
safety
patient
no
longer
PEEP
pressure
is
of
the
the
exhalation
and
to
exists
+ 3
can
cause
inspiratory
if
the
machine
below
will
activate.
immediately
two
pressures
servo
condition
exhalation
breathe
cmH,O
sensing
continues
spontaneously.
and
the
the
this
alarm
port
or
expiratory
pressure
airway
forced
(either
for
purposes
valves
higher
unit
will
to
be
is
pressure
to
the
exhala-
airway
for
greater
will
be
opened
When
of
the
two
resume
activated:
limb
of
more
for
or
of
than
nor-
*
in
the
c)
NOTE:
the
0.05
rise
to
patient
“CIRC”
lieved.
the
ventilator
not
resolved,
been
Transducer
pressure
Silence:
Audible:
Visual:
When
to
0.1
100
cmH,O.
airway
alarm
Once
implemented.
failure
transducer)
Flashing
the
airway
Ipm
pressure.
notification, a solenoid
the
pressure
resets
the
process
(either
No
Intermittent
pressure
Purge
The
pressure
Approximately
and
attempts
"BEEP"
Digital
Flow
causes
is
relieved
will
repeat
airway
Display
sensing
seen
opens
back
to
cycle
until
pressure
port
becomes
the
manometer
on
the
manometer
10
seconds
and
pressure
to
baseline
again.
corrective
or
machine
from
If
the
action
blocked,
pressure
is
not
the
is
re-
+3
cmH,O,
blockage
has
to
is
DESCRIPTION
OF
THE
DISPLAY,
MODE/WAVEFORM
CONTROLS
AND
ALARM
DISCREPANCY
INDICATORS
DISPLAY
M
INDICATORS
Rotating
gives
properly
waveform
audible
is
attained.
Should
lator
tings
audible
Should
ventilator
waveform
alerts
PRESSURE
illumination
visual
located
selection.
alarm
the
is
in
operation,
for
mode
alerts
the
power-up, a default
will
will
be
Silence:
Audible:
Visual:
of
indication
in
one
Accompanying
that
will
mode
mode
switch
the
and
waveform.
will
be
activated.
switch
be
selected.
activated.
Yes
Intermittent
Rotating
corner
SUPPORT
one
corner
that
the
mode
of
the
available positions
only
reset
when
not
be
properly
8400ST
not
square
INSPIRATORY
will
Concurrently,
be
properly
position
Concurrently,
“BEEP”
illumination
in
of a four
selection
the
stay
“Monitors”
corner
visual
correct
positioned
in
the
the
positioned
of
SIMV
the
visual
of
one
TIME
square,
switch
for
mode
display
switch
previous
and
corner
display
LIMIT
positioning
while
visual
during
decelerating
and audible
of a
is
not
and
is
an
venti-
set-
and
initial
four
window.
Pressure
inspiratory
the
peak
tial
air
terminated
flash.
em
Patient
Effort
PATIENT
Indicates
ity
setting.
breath
Support
time
value
leak
in
and
EFFORT
when
This
types:
on
the
limit.
Should
during
the
the
an
Assisted,
that
system),
Pressure
INDICATOR
inspiratory
indicator
3-10
8400ST
inspiratory
breath
the
Pressure
Support
effort
will
flash
Pressure
incorporates a preset 3 second
flow
fail
to
(as
might
Support
control
meets
at
Supported
or
the
initiation
reach
occur
with a substan-
breath
digital
exceeds
of
and
Spontaneous.
25%
will
display
the
sensitiv-
the
following
of
be
will
-
EE
RATIO
LED
FLASHING
m
MONITORS
am
Power
am
Battery
O
+.
Indicates
flash
as
and
flow
the
set
POWER
Green
is
“ON”
Power
BATTERY
Yellow
external
VDC.
NOTE:
Source)
MONITOR
an
inverse
long
as
the
create
parameters
"ON”
Indicator
and
switch
Indicator
12
Back
position.
an
INDICATOR
lamp,
AC
power
is
in
INDICATOR
lamp,
VDC
SELECT
power
panel
l'E
ratio
combination
inverse
no
AC
switch
BUTTON
l'E
longer
illuminates
is
connected
Line
position.
illuminates
source.
must
has
been
of
set
ratio.
create
when
when
Input
be
in
set.
breath
The
an
inverse
the
and
power
the
This
rate,
flashing
main
the
AC
unit
is
operating
must
DC
(ALT
indicator
tidal
volume
will
stop
l'E
ratio.
power
Line/ALT
switch
be
11.8 - 16
PWR
will
when
」
from
Depression
parameters.
1)
Minute
When
on
Min,
Vol.
jumps
MINUTE
Displays
flow
transducer.
average
Total
1000
Updated
Breath
mi)
of
this
Volume;
pressed
from 4 to
VOLUME
minute
as
on a breath
repeatedly,
follows:
Rate X Sum
button
2)
Tidal
1.
DISPLAY
volume
Minute
by
3-11
allows
of
volume
Of
breath
for
visual
Volume;
sequentially
all
breath
Last 8 Tidal
3)
:E
types
is
calculated
basis.
displays 1 through
display
Ratio;
as
Volumes
4)
measured
on
of
monitored
Breath
an
eight
(ml)/8 X (1L/
Rate.
4,
by
the
breath
then
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