Fisher Airvo 2 User manual

AIRVO™ 2

Technical Manual

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BEFORE YOU START

This Technical Manual is intended for clinical engineering / technical personnel. It deﬁnes the technical speciﬁcations, setup, servicing and troubleshooting information, for the AIRVO 2 humidiﬁer. It applies to all lot numbers from 140910 and above.

OTHER REFERENCES

• Refer to the AIRVO 2 User Manual for detailed instructions for use.

• Watch the AIRVO 2 DVD to learn how to set up and use the AIRVO 2. Also available on YouTube.

• Download the AIRVO 2 Simulator App to learn how to use the AIRVO 2. You can change settings, simulate faults and test your skills. Available from the Apple, Google Play and Windows App stores.

• Visit the Fisher & Paykel education & resources website (https://www.fphcare.co.nz/education/) to ﬁnd self-paced online courses and local training events.

• If the unit is ever used by multiple patients, the unit must be cleaned and disinfected between patients according to instructions in the Disinfection Kit Manual (900PT600).

• For further assistance, please contact your Fisher & Paykel Healthcare representative.

•

TABLE OF CONTENTS

1. General information ................................................................................................................................. 4

Package contents ....................................................................................................................................................................... 4

AIRVO 2 and accessories ........................................................................................................................................................ 5

2. Setting up AIRVO 2 for ﬁrst use ......................................................................................................... 6

Advanced settings ..................................................................................................................................................................... 8

3. Acceptance/performance checks ...................................................................................................... 13

4. Servicing ...................................................................................................................................................... 15

5. Spare Parts .................................................................................................................................................. 16

Appendix A: IEC 60601-1-2 EMC tables ................................................................................................ 19

Appendix B: User interface ﬂow charts ................................................................................................ 21

Appendix C: Default values ........................................................................................................................ 23

Appendix D: Troubleshooting Guide ...................................................................................................... 24

Appendix E: Tube and Chamber Kit labels .......................................................................................... 30

Appendix F: Error Flowchart ..................................................................................................................... 30

1. GENERAL INFORMATION

The AIRVO 2 is a humidiﬁer with integrated ﬂow generator that delivers warmed and humidiﬁed respiratory gases to spontaneously breathing patients through a variety of patient interfaces.

PACKAGE CONTENTS

AIRVO 2 humidiﬁer

(PT101xx)

Oxygen inlet extension kit

(900PT422)

AIRVO 2 User Manual AIRVO 2 Swingtag AIRVO 2 DVD

Disinfection Kit

(900PT600)

WARNING

UNDER NO CIRCUMSTANCES SHOULD THE

AIRVO 2 BE OPENED OR ANY OF THE SIX

FASTENING SCREWS ON THE UNDERNEATH

SIDE OF THE DEVICE BE LOOSENED.

OPENING THE UNIT WILL AFFECT THE

OXYGEN SEALS INSTALLED INSIDE, WHICH

WILL COMPROMISE THE SAFETY OF THE

DEVICE.

Air ﬁlter (x2)

(900PT913)

Power cord

(900PT410xx)

HOSPITAL

STAND

POLE

MOUNTING

TRAY

ON/OFF (STANDBY)

MUTE

DOWN

MODE

AIRVO 2 AND ACCESSORIES

DISPLAY

OXYGEN

INLET PORT

SERIAL PORT

Heated

breathing

tube

Patient

interface

HEATED BREATHING TUBE

CONNECTION PORT

MEASUREMENT POINT OF

DISPLAYED DEW POINT

TEMPERATURE

CHAMBER PORTS

Water chamber

POWER CORD

and

CONNECTOR

AIR FILTER

FILTER COVER

AIRVO 2

(PT101xx)

HEATER

PLATE

FINGER GUARD

AUTO-FILL WATER CHAMBER (MR290) (with adapter ﬁtted)

2. SETTING UP AIRVO 2 FOR FIRST USE

1. REMOVE THE AIRVO 2 FROM ITS PACKAGING

Place the AIRVO 2 on the 900PT405 pole mounting tray, on the 900PT421 hospital stand.

2. CONNECT THE POWER CORD

Plug the power cord connector into the socket on the back of the AIRVO 2.

3. ATTACH THE OXYGEN INLET EXTENSION KIT

Refer to the instruction sheet included with the kit itself.

4. ATTACH WATER CHAMBER AND HEATED BREATHING TUBE

The water chamber and heated breathing tube must be connected to carry out the following setup and testing procedures.

If you have not been supplied with a reusable HC360 water chamber, you can use an MR290 chamber instead.

5. SWITCH ON UNIT

Switch on the unit by pressing the On/O button.

6. WARM-UP

The unit will begin to warm up.

“Warm-up” symbol

7. READY FOR USE

The “Ready for use” symbol means that the system is ready for the patient to use.

“Ready for use” symbol

ADVANCED SETTINGS

When you see the “Warm-up” or “Ready for use” symbols, hold a combination of three buttons (Up, Down and Mute) for 5 seconds, to view and change advanced settings.

This button combination is for use by clinical engineering / technical personnel only.

AIRVO 2 / myAIRVO 2 MODE

You can change the unit from “AIRVO” (hospital) mode to “myAIRVO” (home / long-term care) mode, eg. for patients going home.

Contact Fisher & Paykel Healthcare for a myAIRVO 2 User Manual.

To change the mode:

Hold the Up and Down buttons for 3 seconds to “unlock” the setting.

Use the Up button to select myAIRVO 2.

Press the Mode button to conﬁrm the change and/or move on to the next screen. Note that the unit will reset itself if it is switched between AIRVO 2 and myAIRVO 2 modes.

LANGUAGE

You can set the AIRVO 2 / myAIRVO 2 to one of 22 language settings:

English Nederlands Svenska Polski

Deutsch Português

Español Dansk

Français Suomi Ελληνικά

Italiano Norsk

简体中文

繁体中文

日本語

[simp.]

[trad.]

Русский

עברית

Română

To change the language:

Hold the Up and Down buttons for 3 seconds to “unlock” the setting.

Use the Up and Down buttons to select the desired language.

العربية

Türkçe

Press the Mode button to conﬁrm the change and/or move on to the next screen.

ENVIRONMENT SETTINGS (FOR DEFAULT MODE)

A clinician may change the “Environment Settings”, to customise individual AIRVOs for dierent environments (eg. intensive care, general care areas, emergency departments). The “Environment Settings” chosen will put limits on the “Patient Settings” that the operator can choose when in normal use.

This screen deﬁnes the “Environment Settings” for the AIRVO 2 when in Default Mode (ie. non-“Junior Mode”).

Minimum dew-point

temperature (°C)

Minimum ﬂow (L/min) The lowest ﬂow that the operator will be able to

Maximum ﬂow (L/min) The highest ﬂow that the operator will be able

Maximum oxygen fraction (%) The highest oxygen fraction that the operator

Minimum oxygen fraction (%) The lowest oxygen fraction that the operator

Note that, for Oxygen display, this is a measurement only, not a control setting. The operator changes the measured oxygen fraction by altering the AIRVO 2 target ﬂow setting and the ﬂow of oxygen connected to the unit (e.g. from a ﬂowmeter)

- there is no closed-loop control.

The lowest target dew-point temperature that the operator will be able to select.

Possible Settings: 31, 34, 37 °C If this is set to 31, the operator can select a target dew-point temperature between 31 and 37. ie. 31, 34 or 37 (°C). If the patient is tracheostomised, a clinician may wish to set this value to 37, so that the operator can only select a target dew-point temperature between 37 and 37, ie. only 37 (°C). Note: The maximum dew-point temperature setting is always 37 °C in Default Mode.

select.

Possible Settings: 10 to 60 in increments of 5 L/min, always less than or equal to Maximum Flow setting.

Example: If this is set to 10, the operator will be able to select ﬂows down to 10 L/min. If this is set to 25, the operator will be able to select ﬂows down to 25 L/min.

to select.

Possible Settings: 10 to 60 in increments of 5 L/min, always greater than or equal to Minimum Flow setting.

Example: If this is set to 60, the operator can select ﬂows up to 60 L/min. If this is set to 35, the operator can select ﬂows up to 35 L/min.

may set the unit to.

Possible settings: 30 - 100% in increments of 5% O2.

The unit will alarm if the measured oxygen fraction exceeds this value. Note: Even if this ‘Maximum oxygen fraction‘ setting is set to 100%, any time the measured oxygen fraction exceeds 95%, the oxygen reading will pulse red and the device will beep.

may set the unit to.

Possible settings: 21 or 25% O2.

When set to 25% the unit will alarm if the measured oxygen fraction is below this value. This allows detection of oxygen being disconnected.

To change the environment settings:

Hold the Up and Down buttons for 3 seconds to “unlock” the ﬁrst setting.

Use the Up and Down buttons to change the setting, then press the Mode button to progress to the next setting.

Press the Mode button to conﬁrm the change and/or move on to the next screen.

100

ENVIRONMENT SETTINGS (FOR JUNIOR MODE)

This screen deﬁnes the “Environment Settings” for the AIRVO 2 when in Junior Mode.

Junior Mode Enable/Disable

Enabled

Disabled

Dew-point

temperature (°C)

Minimum ﬂow (L/min) The lowest ﬂow that the operator will be able to

Maximum ﬂow (L/min) The highest ﬂow that the operator will be able

Maximum oxygen fraction (%)

Minimum oxygen fraction (%) The lowest oxygen fraction that the operator

- there is no closed-loop control.

When this option is enabled (default), the operator can enter Junior Mode from the Home Screen, by holding the Mode button for 5 seconds.

When this option is disabled, entering Junior mode is not possible. Consider disabling this option if the unit will never be used on pediatric patients.

The only dew-point setting in Junior Mode is 34 °C.

select.

Possible Settings: 2 to 25 in increments of 1 L/min, always less than or equal to Maximum Flow setting.

If this is set to 10, the operator will be able to select ﬂows down to 10 L/min.

to select.

Possible Settings: 2 to 25 in increments of 1 L/min, always greater than or equal to Minimum Flow setting.

If this is set to 15, the operator can select ﬂows up to 15 L/min.

The highest oxygen fraction that the operator may set the unit to.

Possible settings: 30 - 100% in increments of 5% O2.

may set the unit to.

Possible settings: 21 or 25% O2.

When set to 25% the unit will alarm if the measured oxygen fraction is below this value. This allows detection of oxygen being disconnected.

To change the environment settings:

Hold the Up and Down buttons for 3 seconds to “unlock” the ﬁrst setting.

Use the Up and Down buttons to change the setting, then press the Mode button to progress to the next setting.

Press the Mode button to conﬁrm the change and/or move on to the next screen..

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Fisher Airvo 2 User manual

Specifications and Main Features

Frequently Asked Questions

User Manual