Fisher Airvo 2 User manual

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AIRVO2

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

3

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

AIRVO 2 User Manual

AIRVO 2 Swingtag

AIRVO 2 DVD

(PT101xx)

 

 

 

Oxygen inlet extension kit

Disinfection Kit

Air filter (x2)

Power cord

(900PT422)

(900PT600)

(900PT913)

(900PT410xx)

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.

4

AIRVO 2 AND ACCESSORIES

 

 

 

 

Patient

MUTE ON/OFF (STANDBY)

interface

 

 

 

 

 

Heated

 

 

 

 

breathing

UP

 

 

 

tube

 

DISPLAY

 

DOWN

 

 

 

 

 

 

 

MODE

 

 

 

HEATED BREATHING TUBE

 

 

 

 

 

 

 

 

 

 

OXYGEN

CONNECTION PORT

HOSPITAL

 

 

 

 

 

INLET PORT

MEASUREMENT POINT OF

STAND

 

 

 

 

POLE

 

DISPLAYED DEW POINT

 

MOUNTING

 

TEMPERATURE

TRAY

CHAMBER PORTS

Water chamber

SERIAL PORT

POWER CORD FILTER COVER

and

HEATER

CONNECTOR

PLATE

 

AIRVO2

(PT101xx)

AIR FILTER

FINGER

GUARD

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

5

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.

6

5. SWITCH ON UNIT

Switch on the unit by pressing the On/Off 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

7

Fisher Airvo 2 User manual

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

pl

العربية

ar

Deutsch

Português

 

[simp.]

Русский

ru

Türkçe

tr

Español

Dansk

 

[trad.]

עברית

he

 

 

Français

Suomi

 

 

Ελληνικά

el

 

 

Italiano

Norsk

 

 

Română

ro

 

 

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.

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

8

ENVIRONMENT SETTINGS (FOR DEFAULT MODE)

A clinician may change the “Environment Settings”, to customise individual AIRVOs for different environments (eg. intensive care, general care areas, emergency departments). The “Environment Settings”

95chosen 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

The lowest target dew-point temperature that

temperature (°C)

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.

Minimum flow (L/min)

The lowest flow that the operator will be able to

 

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.

Maximum flow (L/min)

The highest flow that the operator will be able

 

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.

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

95may 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.

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

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.

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,

95then 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.

9

 

ENVIRONMENT SETTINGS (FOR JUNIOR MODE)

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

 

 

Junior Mode Enable/Disable

 

When this option is enabled (default), the

95

 

 

 

 

 

 

 

 

operator can enter Junior Mode from the Home

 

 

 

Enabled

 

Screen, by holding the Mode button for 5

 

 

 

 

seconds.

 

 

 

 

 

 

 

 

 

 

 

 

When this option is disabled, entering Junior

 

 

 

Disabled

 

mode is not possible.

 

 

 

 

 

 

Consider disabling this option if the unit will never

 

 

 

 

 

 

be used on pediatric patients.

 

 

 

 

 

 

 

 

 

Dew-point

 

The only dew-point setting in Junior Mode is

 

 

temperature (°C)

 

34 °C.

 

 

 

 

 

 

 

 

 

Minimum flow (L/min)

 

The lowest flow that the operator will be able to

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

 

Maximum flow (L/min)

 

The highest flow that the operator will be able

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

 

Maximum oxygen fraction (%)

 

The highest oxygen fraction that the operator

 

 

 

 

 

 

may set the unit to.

 

 

 

95

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

 

Minimum oxygen fraction (%)

 

The lowest oxygen fraction that the operator

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

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.

 

 

 

 

 

 

 

 

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..

10

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