Newport Medical Instruments, Inc.
1620 Sunower Ave.
Costa Mesa, CA 92626
Tel: 1.714.427.5811
Tel: 1.800.451.3111 (USA Only)
Fax: 1.714.427.0489
Customer Service ext. 282
www.ventilators.com
email: Info@ventilators.com
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Manual Revision History
HT70 Operating Manual OPRHT70-2
RevisionsDateDescription
Rev AOctober 2011New release
Rev BNovember 2011Miscellaneous type corrections,
text change on page 3-3, 7-1, 7-3
regarding Power Pac.
Rev CMay 2012Add Operating Manual Reivison.
Notice regarding the following
change: Pulse Oximeter accessory
and related functions no longer
available.
Rev DJuly 2012Software update ver. P05.12.10
and above, Remove references
to optional Pulse Oximeter (not
available), Change Slope/Rise
setting was: 1 is fastest, is: 1 is
slowest.
Rev ENovember 2012Update to correct image reversal
in F-1 and F-2, callout labels on
various drawings converted to
numbers and referenced in text or
added to table. Remove reference
to Aequitron nurse call systems.
Replace warranty details with who
to contact information.
Rev FJune 2013
Add information about the
Aequitron Remote Alarm System.
OPRHT70-2 F0613
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Contact Information
Thank you for using the Newport HT70 family of ventilators. With
the HT70 you not only get a great ventilator, you get the support
of Newport Medical. Since 1981 we have maintained a focused
commitment to the design, production and sale of ventilators. We
have dedicated our efforts to providing ventilators that are easy to
use, clinically versatile, and cost effective.
We know that ventilatory support is critical in emergency and critical
care situations. But for many of our customers, it is also a part of
their daily lifestyle. The HT70 Ventilators offer home care users the
expanded mobility that allows them to experience more freedom in
their lives than many have ever known before.
We have designed this manual to be comprehensive and still very
user friendly. For the best performance from your HT70 Ventilator,
please take the time to review this manual completely.
See our contact information on the following page for complete
details.
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Contact Information
Contact Information
Telephone:
+1.714.427.5811
1.800.451.3111 (US only)
Fax:
+1.714.427.0489
Departments:
Customer Service (Ext. 282)
Technical Services (Ext. 500) available 24/7
Clinical Support (Ext. 123) available 24/7
Operational Hours:
Days: Monday through Friday
Hours: 8:00 am to 5:00 pm (PST)
Emergency After-hours: 24-Hour Clinical and Technical Support
Email:
Customer Service: customers@ventilators.com
Clinical Education and Support: clinical@ventilators.com
Technical Education and Support: techservice@ventilators.com
Internet:
www.ventilators.com
Shipping Address:
Newport Medical Instruments
Attn: Receiving Department
1620 Sunower Avenue
Costa Mesa, CA 92626, USA
EC REP
Authorized European Representative
Emergo Europe
Molenstraat 15
2513 BH, The Hague
The Netherlands
OPRHT70-2 F0613
FOLDOUT DRAWINGS
Use the following drawings as reference while reviewing
the manual sections
Unfold to view drawing on reverse side
OPRHT70-2 F0613
Figure F-1 English Version- Front Panel Overview
1
9
10
1. Breath Delivery Indicator LED. Flashes green with every breath delivered by the
ventilator.
2. External Power LED. Lights green whenever external power is connected. This
also indicates that the Internal Dual Battery System is being charged.
3. Manual Inflation button. Press and hold this button to deliver ow to the patient.
The ventilator will deliver ow at the current settings while the button is pressed.
Flow delivery is limited to a maximum of 3 seconds or until the High Pressure
alarm setting is reached.
11
2
3
4
5
6
12
13
14
15
16
4. Brightness button. Press this button repeatedly to scroll to one of four screen
brightness levels.
5. Device Alert LED. Lights red when there is a device alarm. Take the ventilator out
of service and use an alternate means of ventilation until resolved.
6. Patient Gas Output. Attach patient breathing circuit tubing here.
7. Proximal Pressure Line connector. Attach proximal pressure tubing here.
1. Breath Delivery Indicator LED. Flashes green with every breath delivered by the
ventilator.
2. External Power LED. Lights green whenever external power is connected. This
also indicates that the Internal Dual Battery System is being charged.
3. Manual Inflation button. Press and hold this button to deliver ow to the patient.
The ventilator will deliver ow at the current settings while the button is pressed.
Flow delivery is limited to a maximum of 3 seconds or until the High Pressure
alarm setting is reached.
5
4
6
3
2
11
15
12
13
14
4. Brightness button. Press this button repeatedly to scroll to one of four screen
brightness levels.
5. Device Alert LED. Lights red when there is a device alarm. Take the ventilator out
of service and use an alternate means of ventilation until resolved.
6. Patient Gas Output. Attach patient breathing circuit tubing here.
7. Proximal Pressure Line connector. Attach proximal pressure tubing here.
Figure F-3 HT70 Plus Model Touch Screen (Hospital Domain)
1
1. Screen Selections buttons. Touching any one of these buttons will take you to the new
screen. The More screen includes links to Event, Trends, Wave and Utility screens.
2. Mode selector. Touching this button scrolls through the mode choices. The mode will
not change until you press the Accept button.
3. Breath Type selector. Touching this button toggles the breath type choice. The breath
type will not change until you press the Accept button.
4. Help button. Touching this button enables a tutorial for each feature on the screen.
6
7
8
9
Touch the help button then touch any button for an explanation of that feature.
5. Monitored Data buttons. Touching any one of these four buttons opens a screen with a
view of monitored parameter choices to display in that button.
6. Message display. This area shows all informational and alarm messages and current
NIV selection, mode, and breath type selection. During an alarm violation this area will
light red for High Priority, amber for Medium Priority and yellow for Low Priority alarms
and display the alarm message.
7. Battery Charge Level indicator. Shows the charge level of the “Power Pac” battery
pack (blue icon) during external power or Power Pac use or the charge level of the
Backup Battery (red icon) during Backup Battery use.
8. Pressure Bar. Indicates dynamic pressure in the patient circuit in green, the High and
Low Pressure Alarm settings in red and the peak pressure of the last breath in green.
2
3
4
5
F-3
10
11/12
9. Parameter Setting buttons. Touching any one of these buttons will activate the
parameter to allow adjustments.
10. Patient Effort indicator. Flashes green to show a spontaneous patient effort.
11. Domain button. The HT70 can be set up in one of three Domains: Basic, Transport and
Hospital. Touch to scroll through the Domain choices. Press Accept to conrm choice.
12. AutoLock/Unlock button. This button is only visible if Auto Lock is enabled and the
panel is locked. Touch and hold for 3 seconds to unlock touch screen buttons.
NOTE: While operating on battery power with Power Save enabled and all alarms cleared, the
touch screen will go to sleep after 2 minutes. Just touch the screen to bring it back into view.
Intended Use .......................................................1-3
Warnings, Cautions and Notes ......................... 1-4
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Introduction
Brief Device Description
The Newport HT70 family of ventilators are state of the art ventilators
that combine ruggedness, ease of use and clinical prociency with
exceptional mobility to provide ventilatory support for infant, pediatric
and adult patients in emergency care, transport, critical care,
subacute care and home care applications. They are also ideal for
emergency preparedness applications.
The compact, lightweight HT70 ventilator is built for hard work with a
durable polymer exterior and robust overall design that stands up to
harsh environments.
The HT70 Ventilator denes ease of use with all essential controls at
your ngertips using a simple membrane button and touch screen
combination. There are no complicated menus or difcult sequences
to follow in order to make necessary adjustments for common
operations.
A three-tiered management domain system makes it very easy
for critical caregivers to manage all controls while providing quick
access to the more essential elements in transport situations
and signicantly enhanced safety and simplicity in the homecare
environment.
1
Sophisticated Clinical Capabilities
In addition to its durability and ease of use, the HT70 ventilator offers
the complete array of clinical capabilities needed for managing
critical patients.
The twin micro-piston pump’s ability to deliver a variable ow enables
the HT70 to provide a full range of operating modes and breath types
with servo-controlled, leak-compensated PEEP. Leak compensation
helps to improve triggering and avoid auto-triggering when a leak is
present. The HT70 may be used with an endotracheal tube, tracheal
tube, face mask, nasal mask or prongs, or mouthpiece.
There are 3 models for the HT70 series of ventilators:
HT70S HT70 Basic for use when Pressure Support is not
needed.
HT70 HT70 Classic, adds Pressure Support and related
parameters and Trends screen
HT70PM HT70 Plus, adds on-airway ow sensor option with
graphics, ow trigger and exhaled volumes
The HT70 Basic and Classic models provide monitoring of inspiratory
tidal volume (every breath), inspiratory minute volume, total
respiratory rate, peak pressure, mean pressure and baseline (PEEP)
pressure. Real-time patient circuit pressure is displayed at all times
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Introduction
on the airway pressure gauge on the face panel. A comprehensive
alarm system is built-in to alert the user to violations of user-set or
ventilator safety limits. An optional built-in oxygen sensor allows
monitoring of O2 with high and low O2 alarms.
The HT70 Plus model adds an on-airway ow sensor with onscreen
graphics, exhaled tidal and minute volume monitoring/alarms, and ow
trigger. This manual describes the HT70 Plus model and will denote
features that are not available on the HT70 and HT70S models.
Gas delivery to the patient may be enriched with oxygen (0.21-1.00)
using either the optional Air Oxygen Entrainment (50 psi) Mixer or
optional Low Flow Oxygen Reservoir.
Exceptional Mobility
The ventilator’s unique design provides maximum mobility and safety
for short or long distance transport of critically ill patients and also for
patients who are going about their normal activities of daily life. This
exceptional mobility is derived from two sources: Newport’s patented,
power conserving dual-micro-piston technology which eliminates the
need for an external compressed gas source, and the Internal Dual
Battery System which allows virtually continuous use from battery
power through hot-swappable technology.
The HT70’s micro-pistons use a fraction of the power that is
consumed by turbines and blowers. This enables longer battery use
time. Our patented system also uses considerably less supplemental
oxygen than turbine or blower systems, again improving mobility for
transport or homecare use. The superior technology of our micropiston system over the turbine and blower systems allow the HT70
to ventilate safely over a wide range of environmental conditions and
altitudes.
The HT70’s twin micro-piston internal pump is made of mechanically
moving components. As with any other gas delivery system
made of moving components, it may emit a minor level of noise
during operation. This is not a malfunction and does not affect the
performance of the ventilator.
The Internal Dual Battery System consists of two independent but
coordinated lithium ion batteries, the Power Pac battery, located on
the back of the ventilator and the Backup Battery inside the ventilator.
The Internal Dual Battery System can provide up to 10 hours of
operation at standard settings when new and fully charged. This
system assures continued support during transport, daily activities or
power outages.
1-2
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Introduction
The detachable Power Pac is ‘hot-swappable’. That is, if more battery
time is needed, a depleted Power Pac can easily be removed from the
back of the HT70 and replaced with a recharged Power Pac without
interrupting ventilation. No tools are needed. The secondary Backup
Battery maintains operation without interruption when the Power Pac
is swapped out and also provides a minimum of 30 minutes of full
operation when all other power sources are depleted. The Power Pac
weighs two pounds and is charged anytime the ventilator is connected
to an external power source (AC or DC). It can also be charged
separately.
The HT70 may be operated from a variety of AC (100-240 VAC @ 50 /
60 Hz) or DC (12-24 VDC) external power sources or from the Internal
Dual Battery System. The optional DC Auto Lighter Power Adapter
accessory enables connection to an automobile-type DC outlet. Any
time the ventilator is connected to external power, both batteries in
the Internal Dual Battery System are charging, whether or not the
ventilator is in use.
Travel Certified
1
The HT70 has been tested for and meets requirements for use in
helicopter and xed wing transport and for use on commercial airlines.
Before traveling, be sure to speak with your airline representative
about their particular concerns and clear all of your equipment with
them well before your departure. The labeling that the FAA requires to
be on the ventilator is located on the bottom of the HT70.
Intended Use
Newport HT70 family of ventilators is intended to provide continuous
or intermittent positive pressure mechanical ventilatory support for the
care of individuals who require mechanical ventilation through invasive
or noninvasive interfaces.
Specically, the Newport HT70 family of ventilators is applicable
for infant, pediatric and adult patients greater than or equal to 5 kg
(11 lbs) in hospital, sub-acute, emergency department, and home
care environments as well as for transport and emergency response
applications.
NOTE:
Federal law (US) restricts sale by or on the order of a physician.
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Introduction
Ventilator Configurations
Newport Medical offers ve congurations for the 3 models in the
HT70 family of ventilators. See Table 1. In addition, the front control
panel labeling is available in various languages and regional power
cords, i.e. North American, European, etc., can be specied. See
your Newport Medical Representative for details.
Table 1
Part NumberDescriptionDistinguishing Features
HT70PMHT70 Plus
HT70M
HT70S
HT70SM
HT70
HT70, w/o
Oxygen Sensor
HT70, with
Oxygen Sensor
HT70, Basic w/o
Oxygen Sensor
HT70, Basic with
Oxygen Sensor
Full featured with Flow sensor,
graphics and built-in oxygen monitor
with alarms.
Classic features
No built-in oxygen monitor
Classic features
Includes built-in oxygen monitor with
alarms
Classic features except:
• No Pressure Support or Pressure
Support parameters
• No Trends
• No built-in oxygen monitor
Classic features except:
• No Pressure Support or Pressure
Support parameters
• No Trends
Includes built-in oxygen monitor with
alarms
Warnings, Cautions, and Notes
Please review all WARNINGS and Cautions outlined in this manual
before operating the ventilator.
Use of the product requires full understanding and strict observation
of all sections of these instructions. The equipment is only to be used
for the purposes specied under Intended Use and in conjunction
with appropriate patient observation and monitoring. Observe
all WARNINGS and Cautions that appear in this manual and on
equipment labels.
WARNING
1-4
A warning describes a condition that can cause injury.
OPRHT70-2 F0613
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1
Caution:
equipment.
NOTE:
convenient.
General Notes
The Newport HT70 has been designed to accommodate connectivity
with nurse call/monitoring systems. Because it is not possible to
anticipate every conguration of hardware and software associated
with nurse call/monitoring system, it is the user’s responsibility to
conrm proper functionality of the system when used in conjunction
with the HT70. Verication of alarms, alerts and patient data
transmissions is required. If the system performance is not as
expected, contact Newport Medical Technical Support for assistance
troubleshooting the set-up. Do not use the HT70 ventilator with a
nurse call/monitoring system until the functionality of the ventilator/
system combination has been conrmed.
General Cautions
Do not place liquids on or near the ventilator.
A caution describes a condition that can cause damage to
A note emphasizes information that is important or
Damage can occur if the HT70 is exposed to extreme temperatures.
Do not store the HT70 in areas where it may be exposed to
temperatures below -40° C (-40° F) or above 65° C (149° F).
To avoid the risk of electric shock, the ventilator should not be
opened by anyone other than an approved service provider.
General Warnings
The design of the HT70 ventilator, the Operating and Service
manuals, and the labeling on the ventilator take into consideration
that the purchase and use of the equipment is restricted to trained
professionals, and that certain inherent characteristics of the
ventilator are known to the operator. Instructions, warnings and
caution statements are therefore limited to the specics of the HT70.
This manual excludes references to various hazards which are
obvious to medical professionals and operators of this equipment
including consequences of product misuse, and potential adverse
effects in patients with abnormal conditions.
Transport of patients with the HT70 requires that medical staff
have a good working knowledge of the ventilator’s use and
problem resolution. Proper emergency backup equipment must be
immediately available during transport.
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Product modication or misuse can be dangerous. Newport Medical
Instruments, Inc. disclaims all liability for the consequences of
product alterations or modications, as well as for the consequences
which might result from the combination of this ventilator with other
products, whether supplied by Newport or by other manufacturers,
unless such a combination has been specically endorsed by
Newport Medical. There is a risk of explosion if used in the presence
of ammable anesthetics.
A patient connected to a ventilator requires the constant attention of
trained caregivers to the patient’s condition.
Ventilator alarms are a critical element in the safety net of patient
care. It is extremely important for patient safety that caregivers
immediately identify and correct alarm violations.
Always have an alternate power source and means of ventilation
available when the ventilator is in use so that they are easy to access
in case of a mechanical or system problem.
If a fault is detected in the ventilator and its life support functions are
in doubt, immediately discontinue use; use an alternative method of
ventilation until the fault has been corrected. Contact your service
provider immediately.
Do not block the Emergency Gas Intake (on the bottom panel) or the
Fresh Gas Intake Port (on the right side panel).
Always use appropriate monitors to ensure sufcient oxygenation
and ventilation (such as a pulse oximeter and/or a capnograph) when
the HT70 Ventilator is in use on a patient.
The optional Air/Oxygen Entrainment Mixer and Low Flow Oxygen
Reservoir are designed to operate with medical grade oxygen.
Ensure that the oxygen source is not empty before and during
the use of the optional Air/Oxygen Entrainment Mixer or Low Flow
Oxygen Reservoir.
To avoid putting stress on the internal pump and compromising
gas delivery to the patient, ensure that the Air/Oxygen Entrainment
Mixer is not connected to the gas intake port on the ventilator when
performing a Circuit Check. Ensure that the oxygen supply is enabled
any time the optional Air/Oxygen Entrainment Mixer is secured in
place while ventilating.
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Calibrated oxygen monitoring at clinically appropriate levels is
required for patient safety when supplemental oxygen is in use. The
optional built-in oxygen sensor on the HT70 allows High and Low O2
alarms to be enabled which can be used to assure proper oxygen
de livery.
Always plug the HT70 into an external power supply source whenever
it is available, even when HT70 is not in use, to keep the Internal
Dual Battery System fully charged and to ensure best battery
performance. Check battery capacity on the front panel before
detaching from external power.
When installing a replacement Power Pac during battery operation,
always ensure that the charge level LED on the replacement pack is
green, indicating 90% or higher charge level.
Always ensure that the green External Power LED lights when the
ventilator is connected to an external AC or DC power source.
To maintain grounding integrity when using AC power, only connect
to properly grounded receptacles.
1
Use only the Newport supplied AC Power Supply (p/n PWR3204P)
with the HT70 ventilator and HT70 Power Pac (p/n BAT3271A).
Always disconnect the external power supply prior to servicing.
After servicing the HT70, it must pass the Operational Verication
Procedure (OVP) before it is returned to patient use. See the HT70
Service Manual.
Do not use electrically conductive breathing circuits. Always use
clean and dry breathing circuits.
Always use a clean, dry lter in the following locations: a standard
bacteria lter on the gas output, a prox line (bacteria) lter on the
proximal pressure tubing port and an intake (bacteria) lter behind
the lter cover.
Adding attachments or other components or sub-assemblies to the
ventilator breathing circuit system can increase the patient’s work of
breathing and/or add resistance to patient exhalation.
Always ensure that the audible alarm loudness level is set at a
volume that can be heard by the caregiver. Do not use the ventilator
in an environment where audible alarms cannot be heard by the
caregivers.
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The functioning of this machine may be adversely affected by the
operation of other medical equipment, such as high frequency
surgical(diathermy) equipment, debrillators or short-wave therapy
equipment in the vicinity.
This device has undergone EMC testing and found to be in
conformance with IEC 60601-1-2:2001 and meets the requirement of
CISPR11:2004 (Class B), IEC 61000-3-2:2006, and IEC 61000-3-3:1955
+ A1:2001 + A2:2005. These requirements are designed to provide
reasonable protection against harmful interference in a typical medical
installation, as well as in homecare environments. The equipment
generates, uses and can radiate radio frequency energy and, if not
installed and used in accordance with these instructions, may cause
harmful interference to other devices in the vicinity. However, there is
no guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference with other devices,
which can be determined by turning the equipment off and on, the
user is encouraged to try to correct the interference by one or more of
the following measures;
• Reorient or relocate the receiving device.
• Increase the separation between the equipment.
• Connect the equipment into an outlet on a circuit different from
that to which the devices(s) is connected.
• Consult the manufacturer or eld service technician for help.