O_TWO e700 User Manual

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e700

e700e700

Automatic Transport

Automatic Transport VVVVentilator

Automatic TransportAutomatic Transport

User Manual

User ManualUser Manual

e700 User Manual

entilator

entilatorentilator

(15PL1009 - Rev.10 Dec 21, 2016) English version

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3.1 Control and Display Layout

…………………………………..

………..

3.2 Function Keys

……………………………………………………..

………..

…… 8

3.2.1 ON/OFF

……………………………………………………..

………..

…… 8

3.2.2 Co

rol S

ection K

nob……………………………

………..

…… 8

3.2.3 Lo

ck…………………………………………………………….

………..

…… 9

3.2.6 Day/night

…………………………………………………

………..

…… 9

3.3 External Connectors

………………………………………………

………..

3.4 Patient circuit

………………………………………………

………..

4.1.1 Connecting electrical power supply …………………….

4.1.5 Turning Ventilator ON

……………………………………

4.2 Pre

use check ………………………………………………………………………

5.2

Table of Contents

Table of ContentsTable of Contents

Chapter 1 Safety……………………………………………………………………………………………

…………………………………………………………………………………………….... 3

…………………………………………………………………………………………………………………………………………………………………………………………

Chapter 2 Intended Use…………………………………………

Chapter 3

Chapter 4

Overview ………

3.2.4 Alarm Silence……………………………………………..………..…… 9

3.2.5 Waveform …………………………………………………………..…… 9

3.2.7 Cancel ………………………………………………………..………..…… 10

3.2.8 Pause/Resume………………………………………..………..……… 10

3.2.9 Manual / Inspiratory Hold ……………………..………..…… 11

3.5 Display ……………………………………………………………………………….. 13

3.5.1 Screen Layout ……………………………………………..………..…… 13

3.5.2 Live Monitoring Parameters ………………………………..…… 15

3.6 Symbols & Notations ……………………………………………………….. 17

Preparation For Use ……………………………………

4.1 Set up ……………………………………………………………………………………… 18

…………………………………………………………………………………

……………………………………………………………………………………

…………………………………………………………………………………….

……………………………………………………………………………. 7

………………

…………………………………………………………………………….…………………………………………………………………………….

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…………………………………………………………………………

……………………………………… 6

………………………………………………………………………………

……………………………. 18

…………………………….…………………………….

Chapter 5

4.1.2 Installing / replacing the battery ………………………… 18

4.1.3 Connecting the gas supply ………………………………….. 19

4.1.4 Connecting patient circuit …………………………………… 20

Operating Instructions ………………………………………………………………

5.1 Startup & setting the ventilation parameters ……………….. 23 Ventilation modes…………………………………………………………………. 27

5.2.1

A/C V (Assist Control Ventilation) ……………………………….

5.2.2

Ventilation) ……………………………………………………………………….

5.2.3

5.2.4. CPAP (Continuous Positive Airway Pressure)…………..

5.2.5 CPR mode ………………………………………………………………. 36

5.3 Turning Ventilator OFF …………………………………………………….. 39

SIMV (Synchronized Intermittent Mandatory

BiLVL (Biphasic Positive Airway Pressure). ………………

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Chapter 6 Post use ……………………………………………………………………………………

…………………………………………………………………………………… 40

…………………………………………………………………………………………………………………………………………………………………………

6.1 Disconnect device after use …………………………………………….. 40

6.2 Storage ………………………………………………………….…………………….. 40

Chapter 7 Alarms and Indicators ………………………………………………………………

……………………………………………………………… 41

………………………………………………………………………………………………………………………………

7.1 Ventilation Alarms …………………………………………………………….. 41

7.2 Battery status indicator ……………………………………………………. 43

7.3 LEDs …………………………………………………………………………………….. 44

Chapter 8 Cleaning, Preventive Maintenance & Servicing ………………………

……………………… 45

………………………………………………

8.1 Cleaning & Disinfection ……………………………………………………. 45

8.2 Charging the Battery ……………………………………………………. 45

8.3 Ambient Air entrainment Filter ………………………………………….. 46

8.4 Preventive Maintenance and Servicing ……………………………… 46

Chapter 9 Technical Data …………………………………………………………………………..

9.1 Specifications ……………………………………………………………………..

9.2 Circuit Description …………………………………………………………….

………………………………………………………………………….. 48

…………………………………………………………………………..…………………………………………………………………………..

…………………………………………………………………….. 48

……………………………………………………………………..……………………………………………………………………..

……………………………………………………………. 50

…………………………………………………………….…………………………………………………………….

9.3 Battery and Power Supply ……………………………………………….. 51

9.4 Battery Operating time …………………………………………………….. 52

9.5 Electromagnetic Compatibility ………………………………………. 53

9.6 Oxygen consumption ……………………………………………………….. 55

Chapter 10

Chapter 11

Chapter 12

Chapter 13

9.7 Oxygen Concentration delivered against different back

pressures …………………………………………………………………..……….. Trouble Shooting ……………………………………………………………

Abbreviations and Acronyms……………………………………………………

Accessories ……………………………………………………………….

Warranty ……………………………………………………………………………………..

……………………………………………………………….………………

……………………………………………………………….……………………………………………………………….

…………………………………………………………………………………….. 60

……………………………………………………………………………………..……………………………………………………………………………………..

……………………………………………………………………….

…………………………………………………………………………………………………………………………

…………………………………………………… 58

…………………………………………………………………………………………………………

…………. 57

………….………….

……………… 59

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Chapter 1 Safety

WWWWarning

arningssss

arningarning

Safety

SafetySafety

 Federal Law restricts this device to sale by or on the order of a physician.

 The ventilator shall only be used for purposes specified under “Intended

Use”.

 The ventilator should only be used by qualified personnel trained in its

use.

 Strict adherence to all instructions contained within this manual is

essential for safe use.

 During use, the patient must be constantly monitored by qualified

personnel.

 Alternate means of ventilation must be available in case of power failure

or malfunction.

 Keep away from open flames, sparks and grease/oil. To avoid the risk of

fire or explosion this ventilator must not be used with flammable gases or anaesthetic agents. Operating the unit in a confined space will elevate oxygen levels.

 The ventilation setting will be interrupted during battery replacement

while the device is in operational mode and the external power supply is not connected.

 Only use O-Two specified hoses, patient circuits and external power

supplies to avoid affecting the output performance of the ventilator. Antistatic or conductive hoses or tubing are not used in the Ventilator Breathing System.

 Unauthorized modification of this medical device is prohibited. Do not

disassemble or modify any part of the ventilator except where described in this manual. Any unauthorized disassembly will void the warranty.

 Do not use this ventilator in toxic environments as entrainment of ambient

room air during spontaneous breathing or air mix mode may permit toxic gases to be delivered to the patient.

 Do not use this ventilator within a Magnetic Resonance Imaging (MRI,

NMR, NMI) suite.

 Do not use this ventilator in hyperbaric (high pressure) chambers.

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 Do not use the external electrical power supply outdoors as moisture may

affect its function.

 Do not contact the connector from the power supply and the patient

simultaneously.

 The performance of this ventilator may be affected if used around

portable and mobile RF telecommunication devices (cell phones) within the minimum distance specified in section 9.5 of this user manual.

 Intake port on the patient valve must be left unobstructed for proper

function & safety.

 When using a bacterial filter or HME (Heat Moisture Exchanger) connect

the bacterial filter or HME to the patient connection between the elbow and the endotracheal tube or face mask, note that this action will increase the dead space. Bacterial filters or HME may increase breathing resistances.

 Use pressure regulators maintaining a minimum output flow of 120 L/min

at a dynamic pressure of 45 PSI to ensure the proper functioning of the ventilator.

 Operation of this ventilator outside the environmental condition range

specified in this manual may result in reduction and or failure in the ventilator’s performance. In extreme temperature conditions the effect is not noticeable in terms of delivered ventilations but may cause excessive wear in ventilator or components over time. Extreme low temperature reduces operation time of the battery (Refer to 9.4 battery operating Time).

 Operation of this ventilator outside the supply pressures range detailed in

this manual may result in reduction in the ventilator’s performance, component failure, low pressure alarm or possible loss of automatic cycling.

 Operation of this ventilator outside the electrical power range detailed in

this manual may result in reduction or failure in the ventilator’s performance. Component failure, inadequate power of internal components may occur.

 Operation of this ventilator below sea level or above 4,000 m (13,000

feet) may result in reduction or failure in the ventilator’s performance, low pressure alarm or possible loss of automatic cycling.

 The ventilator is intended for use in the prehospital, intrahospital,

interhospital and ground transport environments only.

 Connecting the patient circuit to a patient prior to turning on the

ventilator may cause a calibration error.

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CCCCaution

autionssss

autionaution

 When the ventilator is not in use, always turn off the gas supply.

 Never allow oil or grease to come into contact with any part of the

cylinder, regulator, or ventilator.

 After use, always ensure that all components are cleaned in accordance

with the instructions provided in this manual. (See section 8.1 - Cleaning and Disinfection).

 The use of this device in a carrying case may result in an increase in

oxygen concentration or lower than intended ventilation volume when used in the 60 % air mix mode. When air mix mode is being used it is recommended that the ventilator be placed in its normal operating orientation and the air intake on the side of the ventilator is not obstructed.

 Never operate the ventilator without an intake filter being fitted,

otherwise particles may contaminate the ventilator and affect its function.

 This ventilator must only be serviced by the manufacturer or its

authorized service centers.

 Device, single use patient circuits and battery packs should be safely

discarded in accordance with local state and institutional laws and procedures. .



Spare O-Two patient circuits are recommended at all times.

 The design of this Ventilator does not incorporate a negative pressure

phase during either automatic or manual ventilation.

 The external power supply and battery are component parts of the

medical electrical equipment system.

 The ventilator is considered as a high flow device as its maximum flow

output at pressure of 40.6 PSI is around 75 L/min. It should only be connected to a pipeline system that allows for the indicated high flow to avoid interfering with the operation of adjacent equipment.

 Always ensure that all components are assembled correctly and ready

for use.

 Exhaled volume of the patient can differ from the measured exhaled

volume due to leaks around the mask.

 When selecting very small tidal volumes during ventilation of infants

with, take into consideration the dead space in the patient circuit.

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Chapter 2 Intended Use

Intended Use

Intended UseIntended Use

The e700 is a time-cycled, volume-constant and pressure-controlled emergency and transport ventilator designed for use in the pre-hospital, intrahospital, inter-hospital and transport settings. It is intended for use with Adult, child, infant patients with a tidal volume from 50 ml upwards who are in respiratory and/or cardiac arrest or respiratory distress and who require the ventilatory support.

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Chapter 3 Overview

HHHH

JJJJ

EEEE

DDDD

CCCC

BBBB

NNNN

Overview

OverviewOverview

3.1 Control and Display Layout

AAAA

MMMM

LLLL

KKKK

FFFF

GGGG

Figure 1

Figure 1Figure 1

IIII

A - Warning indicator H – Pause/Resume button B – Battery operation indicator I – Lock button C – External power indicator J – Waveform selection button D – Battery charging indicator K – Cancel button E – Manual / Hold button L – Confirmation indicator light F – Day / Night mode button M – Control Selection Knob G – Alarm Silence button N – ON/OFF button

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Direction for clockwise knob rotation

Direction for clockwise knob rotationDirection for clockwise knob rotation

Direction for clockwise knob rotation

3.2 Function Keys

While all ventilation parameter settings are controlled by the Control Selection Knob (M) in Figure 1, there are a number of key membrane buttons which control additional ventilator functions:

3.2.1 ON/OFF

To turn on the ventilator, Press the ON/OFF button (N) in Figure 1 for one second, during that second the associated green LED will start flashing at a high frequency. After 1 second the ventilator will turn on but without ventilation until the appropriate patient size symbol is selected. If the button is pressed and released for less than a second, the ventilator will remain OFF.

To turn off the ventilator, Press and hold the ON/OFF button for 4 seconds, the green power LED will start flashing at a high frequency. After 4 seconds the ventilator will turn off and all ventilation will stop. If the button is pressed and held for less than 4 seconds, the ventilator will stay ON.

Warning

WarningWarning

At approximately 2% of full battery capacity, the ventilator will not start when in the off position or will shut down when operating.

3.2.2 Control Selection Knob

The Control Selection Knob (M) in Figure 1 is used to navigate between parameters, change modes, select primary function change when rotated, and to confirm function changes when pressed. Diagram below illustrates path of cursor when Control Selection Knob is rotated clockwise.

Control Selection Knob

Control Selection Knob Control Selection Knob

rotation contour

rotation contourrotation contour

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Key Membrane Controls

3.2.3 Lock

Lock function will disable all buttons and the Control Selection Knob except for the ON/OFF, Alarm Silence and Day/Night buttons, which are enabled at all times.

To lock the key membrane or cancel the lock function:

1- Press Lock button (I) in Figure 1. The Lock symbol will be displayed on

the screen.

2- To cancel the Lock function, press the Lock button (I) again.

Note:

Note: Note:

During lock function, if any locked button is pressed, the Lock symbol will flash while the locked button is pressed.

3.2.4 Alarm Silence

Alarm Silence button (G) in Figure 1 will silence audible alarms for 120 seconds. It can also be selected when there is no alarm in order to silence potential alarms. This function is activated or deactivated by pressing the Alarm Silence button once.

When selected, Alarm Silence symbol will be displayed on the screen.

3.2.5 Waveform

Pressing Waveform selection button (J) in figure 1 will switch between the pressure and volume ventilation waveforms displayed on the screen.

3.2.6 Day/ Night

Day/ Night mode button (F) in Figure 1 will change brightness and contrast of the text, waveform and background colors. The user can select either one of the following by pressing the Day/ Night button once:

1- Day mode: Light background with dark text and waveform;

2- Night mode: Dark background with light color text and waveform. In this

mode all buttons and labelling information will also be illuminated.

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3.2.7 Cancel

The Cancel button (K) in Figure 1 allows the operator to return to the previous settings if the last unconfirmed changes in settings are not required.

3.2.8 Pause/ Resume

During activation of the Pause/ Resume button (H) in Figure 1, the

ventilator will stop ventilating with all buttons kept active (if they are not locked) except Manual/ Hold button.

To activate pause function, proceed as follows:

1. Press Pause/ Resume button (H). The Pause symbol will flash on the screen with the confirmation symbol

and the Confirmation indicator (L) to guide users to activate pause function by pressing the Control Selection Knob (M).

2. The symbol will be flashing for 10 seconds and then disappear if the Control Selection Knob (M) is not selected. Users can also press the Cancel button (K) to quit this selection before 10 seconds.

3. Once activated, a flashing yellow pause symbol will be displayed on the screen and ventilator will stop ventilating.

Note

NoteNote

a. During Pause, there will be an audible alarm associated with the

flashing yellow Warning indicator (A) in Figure 1 every 15 seconds. Users can press Alarm Silence button to disable the audible alarm for 2 minutes but the yellow Warning indicator will continue flashing every 15 seconds.

b. During Pause, users can change and confirm new ventilation

settings but no ventilation will occur unless Pause function is disabled.

4. To cancel Pause function, press Pause/ Resume button (H) again. The “Resume” symbol will flash on the screen with the confirmation symbol

and the Confirmation indicator (L) to guide users to resume

ventilation by pressing the Control Selection Knob (M).

5. When ventilation is resumed, the ventilator will recommence ventilation with current settings shown on the screen unless new set-up selections were made.

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3.2.9 Manual/ Hold

During exhalation phase, if Manual/ Hold button (E) in Figure 1 is pressed, a mandatory breath will be initiated and either the flow rate or set pressure control parameter will be delivered as long as the Manual/ Hold button is pressed or until I-time setting is achieved.

After I-time if the button still pressed, the ventilator will switch to inspiratory hold function in which the ventilator will cut the flow but will keep the exhalation port closed in order to block exhaled gas from going to ambient resulting in the maintenance of lung pressure.

The maximum inspiratory hold time is 6 seconds. After that time, the ventilator will switch to exhalation phase by opening airway pressure to ambient.

Note:

Note:Note:

Manual/ Inspiratory Hold function exists in all modes except CPAP and CPR.

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SSSS

QQQQ

PPPP

OOOO

Y Z

Fig

FigFig

Fig

ure 2

ure 2ure 2

ure 2

3.3 External Connectors

TTTT

RRRR

OOOO– DC Input connector

PPPP – Air Intake filter

QQQQ – Sensor connector #1

RRRR – Sensor connector #2

SSSS – 22mm gas output connector

TTTT – Gas supply input

3.4 Patient circuit

U: Breathing control hose

V: 2 pressure sensing hoses

W: one way intake valve

X: Exhalation port

Y: breathing valve

Z: Flow sensor adapter

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3.5 Display

A/C screen layout

A/C screen layoutA/C screen layout

A/C screen layout

3.5.1 Screen Layout

The screen is divided into 7 sections as shown below and each section is dedicated to display the following parameters:

Section 1:

Section 1: Battery status during charge and discharge.

Section 1:Section 1:

Section 2:

Section 2: Live ventilation parameters (Vte, Mve, Paw

Section 2:Section 2:

Section 3:

Section 3: Ventilation Modes (A/C V, SIMV, BiLVL, CPAP & CPR).

Section 3:Section 3:

Section 4:

Section 4: Alarms/ Warnings.

Section 4:Section 4:

Section 5:

Section 5: Ventilation waveforms.

Section 5:Section 5:

Section 6:

Section 6: Set up parameters.

Section 6:Section 6:

Section 7:

Section 7: Confirmation request/ Patient effort/ Invalid or Conflict

Section 7:Section 7:

setting.

3 1

peak

, Paw

, Rate).

Note:

Note:Note:

Fig

Figure 4

ure 4

FigFig

ure 4ure 4

By changing the ventilation mode, section 6 of the display will change accordingly to reflect the default or set up parameters for each mode.

The followings are screen layouts for each ventilation mode:

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BiLVL screen layout

BiLVL screen layoutBiLVL screen layout

BiLVL screen layout

CPAP screen layout

CPAP screen layoutCPAP screen layout

CPAP screen layout

SIMV screen layout

SIMV screen layoutSIMV screen layout

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CPR screen layout

CPR screen layoutCPR screen layout

3.5.2 Live Monitoring Parameters

The following Live Monitoring Parameters are displayed at the section 2 of the screen:

Paw

(cm H

PawPaw

AVAV

(cm H

(cm H(cm H

O):

O):O):

2222

Paw AV is the average patient airway pressure measured during the last 60

seconds. This measurement is monitored by the ventilator at all times and modes. The number on the display will be updated every 15 seconds.

Mve

(L):

MveMve

(L):(L): Minute volume is the total exhaled volume for the last 60 seconds as calculated using the last 8 breaths. The Mve will constantly change as the value is recalculated and displayed at the end of exhalation phase. When unit is first turned on or resumed after pause or on selecting a new mode, the Mve calculation will be based on first then second then third and so on until the 8th exhaled tidal volume when the above logic will be followed.

Rate (BPM):

Rate (BPM):Rate (BPM): Rate (BPM) is the rate at which breaths are delivered in one minute. It is the monitored breath rate calculated by measuring the time interval (Tb in seconds) between 2 breaths. Rate (BPM) = 60 / Tb. The number is updated after each breath. This number will be displayed for both mandatory and spontaneous breathing phases.

Vte

(ml):

VteVte

(ml):(ml): Tidal volume is the volume exhaled from the patient in mandatory, spontaneous or PSV (Pressure Support Ventilation) breaths. Vte is calculated by the measurement of the entire expired flow displayed as a volume. Vte display will be updated at the beginning of the next inspiratory phase (The end of exhalation phase).

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Paw

(cm H

PawPaw

Peak

PeakPeak

(cm H

(cm H(cm H

O):

O):O):

2222

Peak air way pressure is the maximum pressure measured during the inspiratory phase. The displayed number on the screen represents the maximum pressure during mandatory inspiratory phase of A/CV, SIMV, BiLVL, CPR modes as well as spontaneous inspiratory phase of CPAP mode. This number will be updated at the end of each inspiratory phase.

Note:

Note: Note:

Mve, Rate and Paw are not active during CPR mode and displayed with “--“

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3.6 Symbols and Notations

Consult instructions for use.

Caution!

Note:

Warning! Risk of injury and possible negative patient outcome.

Warns of material damage and negative patient outcome.

Offers useful tips to assist in the proper use of the equipment.

Confirmation Symbol

Invalid Setting Symbol

Conflict Setting Symbol

Keep away from opened flames.

No smoking around ventilator.

IPX4

Ingress protection rating: Splash-proof. Do not immerse.

Class II equipment. Protection against electric doesn’t rely on Basic Insulation only, additional safety precautions such as Double or Reinforced insulation are provided.

Type BF applied part.

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Chapter 4 Preparation for Use

Battery Stand off

Fig

FigFig

Fig

ure 5

ure 5ure 5

ure 5

Preparation for Use

Preparation for UsePreparation for Use

4.1 Setup

4.1.1 Connecting electrical power supply

The e700 is designed to operate using one of the following power options:

• Internal rechargeable battery pack

• AC to DC external power supply.

Caution:

Caution:Caution:

• A fully charged battery must be always installed for safety reasons, even when operating from an external power supply so that continuous ventilation is not interrupted in absence of external power.

• The use of batteries other than those specified may cause the ventilator to fail and/or endanger the patient and operator.

4.1.2 Installing / replacing the battery

1 Make sure the ventilator is turned off and unplugged from mains

electrical supply.

2 Turn screw knob on battery compartment cover anticlockwise to open

the cover downwards.

3 Disconnect the battery leads and pull out the battery pack using its

stand-off. Never pull the battery pack by its leads.

Caution!

Caution! Caution!

Always use the battery stand off to pull out the battery pack, never pull the battery by its leads (Figure 5).

4 Insert the fully charged battery such that the battery stand-off is

positioned upwards (as per illustration below), attach battery connectors. Close cover and turn screw knob clockwise to secure.

Battery Leads

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4.1.3 Connecting the Gas Supply

1 Connect the gas supply hose to the gas supply input (T) in Figure 2 of

the e700.

2 Connect the other end of the hose to the pressure outlet of the pressure

regulator or wall outlet of piped medical oxygen system.

3 Turn cylinder valve slowly and fully.

Warning

WarningWarning

Extra care must be taken when handling oxygen:

o The e700 must only be used with medical oxygen.

o Only use approved medical oxygen compressed gas cylinders.

o Always begin use with a full oxygen cylinder.

o Secure oxygen cylinders so they do not fall over.

o Keep away from excessive heat to avoid the risk of explosion.

o Do not grease or lubricate oxygen fittings, cylinder valves and

pressure reducers, and do not handle with greasy hands to avoid the risk of fire.

o Only open or close cylinder valves by hand or with the correct

cylinder wrench. Open the valve slowly and fully. Do not use any other tools.

o Do not smoke or work in areas where open flames are present.

Oxygen supports combustion and exacerbates fires.

o Only use a pressure reducer with an overpressure relief valve to

limit the delivery pressure in case of a regulator failure!

o To avoid ventilator malfunction do not attach the ventilator to a

flow control valve or flow meter.

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4.1.4 Connecting Patient Circuit

1. Attach the O-Two patient circuit (Figure 3) to 22mm gas output

connector

(S) in Figure 2

2. Connect the 2 sensor hoses (V) in Figure 3 of the patient circuit to their corresponding connectors (Q) & (R) in Figure 2.

3. DO NOT connect the patient circuit to a patient until the ventilator is turned on (Step 4.1.5) and three Solid Silhouettes start-up figures (Shown in Figure 6) are displayed.

4.1.5 Turning Ventilator ON

To turn on the ventilator, Press the ON/OFF button (N) in Figure 1 for one second. During that second the associated green LED will start blinking at a high frequency. After 1 second the ventilator will turn on but with no ventilation at this point.

If the button is pressed and released for less than a second, the ventilator will remain OFF.

Note

Note:

NoteNote

Do not connect the patient circuit to a patient or the test lung before turning on the ventilator.

- A/C V with volume control (VCV) is the default start-up ventilation mode for e700.

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4.2 Pre-use Check

The following check must be performed and confirmed by the Health care provider in the following cases:

• Prior to use

• After replacing hoses, patient circuits or batteries.

•

At least every 6 months.

Visually inspect the ventilator for mechanical damage

2 Ensure that battery is fully charged. 3 Ensure the e700 is connected to a gas supply (Cylinder or piping system)

that delivers a minimum of 45 PSI (3 Bar) and a maximum 87 PSI (6 Bar) output pressure and a minimum 120 L/min flow

4 Ensure that the patient circuit and monitoring hoses have been properly

connected.

5 Performance check (Leak & Function test):

To undertake the performance check, you will need the following:

• Full Oxygen cylinder.

• Calibrated test lung (Provided with the unit).

• Oxygen pressure regulator capable of delivering flow of 120 L/min and

maintaining a minimum pressure of 45 PSI PSI

(6 Bar)

output pressure.

a- Connect Input hose to input connector (T) and the other side of input

hose to pressure regulator outlet. b- Connect power supply to DC input socket. c- Connect the 2 sensor hoses of patient circuit to sensor connectors #1 (Q)

and #2 (R) and connect the corrugated hose of patient circuit to output

connector (S) (Refer to Figure 2). d- Once the ventilator is started, connect the other end of patient circuit to

test lung.

Leak Test

Leak TestLeak Test

(3 Bar)

and a maximum 87

Once all connections are verified, slowly and fully turn on the oxygen cylinder valve. From the pressure regulator gauge reading, ensure cylinder pressure is above 650 PSI (45 bar) otherwise replace with new oxygen cylinder.

Once pressurized, turn off the oxygen cylinder and observe the pressure regulator gauge reading. If pressure does not drop more than 0.5 PSI every 30 seconds, the system is free from leaks.

To identify and repair the leak:

To identify and repair the leak:To identify and repair the leak:

1- Release the remaining gas from the system. 2- Tighten all connecters firmly. 3- Slowly and fully turn on oxygen cylinder and repeat the above leak test

procedure.

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4- If leak still present, spray oxygen compatible leak detector on hose and

connectors. Replace input hose or regulator if necessary. 5- Slowly and fully turn on oxygen cylinder. 6- Turn on ventilator and select child default setting. 7- Press and hold manual button (E) and observe the pressure wave form

on the screen. If pressure drops immediately, inspect patient circuit

connections and ensure all connectors are attached. Use leak detector if

needed. 8- Turn off the ventilator and pressure source.

Note:

Note: Note:

If leak is still present and no external leak was detected using the above processes, the unit must be returned to the manufacturer or its authorised service center for service or repair.

Function check

Function checkFunction check

After confirming no leak is present in the ventilator, with the mains electrical supply connected, proceed as follows:

1- Turn on the ventilator and select child default setting. 2-

Let the ventilator cycle a few times and during cycling disconnect power supply, the back up system should switch immediately to internal battery power. LED indicators should also switch to internal battery.

Check battery level. Do not run the ventilator if battery level is low, install a fully charged battery.

During ventilator cycling, observe pressure wave and live ventilation parameters on the screen.

Disconnect the test lung and check for BCI (breathing circuit integrity) visual alarm associated with yellow warning indicator. BCI audible alarm associated with red warning indicator must activate in 15 seconds.

Block patient output completely to activate Pmax alarm should be activated.

Re-connect the test lung, BCI visual and audible alarms should be deactivated.

Change Vt and observe changes on the lung, live ventilation parameters, and the pressure wave form.

Change Rate and observe changes on the lung, live ventilation parameters and the pressure wave form.

10-

Change I:E ratio or Ti and observe changes on the lung, live ventilation parameters and the pressure wave form.

11- Turn off PEEP

parameters and the pressure wave form.

and observe changes on the lung, live ventilation

12- Activate pause, night mode, and flow waveform to ensure proper

functions and screen display.

13- Turn off oxygen cylinder and check for low pressure and no pressure

audible and visual alarms.

14- Turn off Ventilator by pressing ON/OFF button for 4 seconds.

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Fig

FigFig

Fig

ure 6

ure 6ure 6

ure 6

Chapter 5 Operating

Operating Instructions

OperatingOperating

Instructions

InstructionsInstructions

5.1 Start Up and Setting the Ventilation Parameters

a. Turn on the ventilator:

To turn on the ventilator, press the ON/ OFF button (N) in Figure 1 for

one second. During that second the associated green LED will start

blinking at a high frequency. After 1 second the ventilator will turn on but

with no ventilation at this point. If the button is pressed and released for

Note: turned on and three Solid Silhouettes figures (Figure 6) are displayed.

less than a second, the ventilator will remain OFF.

Note: Do not connect the patient circuit to a patient before the ventilator is

Note: Note:

b. Start default ventilation:

Once the ventilator is turned on, 3 Solid Silhouettes start-up figures

(Shown in Figure 6) will be displayed on the screen representing Infant,

Child and Adult patient sizes. Each size comes with pre-set parameters

close to the patient’s size to guide the user to select for instant start-up.

This eliminates the need for a potentially long set up before starting

ventilation.

Note:

Note:Note:

Start-up figures are used during start up only and are not active during

ventilation.

Start

Start----up Figures

up Figures

StartStart

up Figuresup Figures

Healthcare providers navigate among the three start-up figures by

rotating the Control Selection Knob (M) and a square cursor will move

around the selected figure. Once the desired patient size is selected, the

user must confirm the selection by pressing the Control Selection Knob

(M) to start ventilation. If no selection occurs within 20 seconds, the

ventilator will start ventilation with child setting as its default start-up.

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Press the Control Selection Knob (M) to confirm the patient size

selection and connect the patient valve to the patient, the ventilator

starts volume controlled A/C V ventilation with default parameters listed

in Table 1 depending on the selected patient size (Figure 7). User can

also pause the ventilation by pressing Pause/ Resume button (H) until all

desired parameters are selected.

Note:

Note:Note:

A/C V with volume control is the default start-up ventilation mode.

c. Set up the desired ventilation setting:

Health care providers may choose or change the ventilation mode or

parameter setting any time during ventilation by the following method:

Rotate the Control Selection Knob (M) and move the yellow cursor

(Figure 8) to section 3 of the screen (Figure 4) for ventilation mode

setup, or to the parameter to be set up located at section 6 of the screen

(Figure 4). The user must confirm the selection by pressing the Control

Selection Knob (M). Once confirmed, the selected area will be

highlighted with solid contrast background (Figure 9).

Navigate among the available settings by rotating the Control Selection

Knob (M). Press the Control Selection Knob (M) to choose the desired

setting. The chosen setting will turn yellow with the flashing

confirmation symbol and the Confirmation indicator (L) to guide

users to activate the setup by pressing the Control Selection Knob (M)

again.

Press the Control Selection Knob (M) to activate the setup. Or repeat the

above steps to continue to set up the other parameters. The operator

can also press the Cancel button (K) to go back to previous parameters

before activation. Finally, press the Control Selection Knob (M) to

activate the multiple setting setup at once.

Note:

Note:Note:

If no selection occurs within 10 seconds or the Control Selection Knob (M) is not pressed to confirm the changed parameter setting within 10 seconds, changes will be cancelled and the previous parameter values will remain.

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AC/V Settings

AC/V SettingsAC/V Settings

AC/V Settings

Infant

InfantInfant

Infant

Child

ChildChild

Child

Adult

AdultAdult

Adult

Rate (BPM)

30 15 10

Vt (ml) 100 250 500

Mv (L)

3.7 5

P max (cm H

O) 25 25 30

Mv max (L)

30 30 30

Mv min (L)

0.5 0.5 0.5

Ti (Sec.)

1.0 1.33

2.0

I:E 1:2 1:2 1:2

PCV (cm H

O) - - -

Figure

FigureFigure

Figure

----

7777

Figure

FigureFigure

Figure

----

8888

Showing frame

(calculated values)

PEEP (cm H2O) 5 5 5

P min (cm H2O) 3 3 3

O2 (%) 100% 100% 100%

F trig. (L/min) 3 3 3

Table

Table----1111

TableTable

A/C V mode default settings

A/C V mode default settingsA/C V mode default settings

A/C V mode screen w/ default parameters (Child setting)

e700 User Manual

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Showing selec

ted

Figure

Figure----9999

FigureFigure

Parameter with solid contrasting background

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5.2 Ventilation Modes

The e700 ventilator is equipped with a number of ventilation modes to enable the healthcare provider to tailor the ventilator settings to the patient’s specific respiratory requirements. Ventilation could be delivered invasively (ET tube) or non-invasively (mask).

In all modes, should the patient demand more flow than set by Health care provider, he/she can inhale the required volume from ambient.

Each ventilation mode has a default setting (based on the initial patient size setting selection on startup) which will be initiated on selection of that specific ventilation mode if no changes to the settings are made.

Note

Notessss

NoteNote

When switching between ventilation modes, any shared parameter will be carried over and any new parameter will be set to the default.

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5.2.1 A/C V (Assist Control Ventilation).

Default

DefaultDefault

Default

Tidal

Rate

Vt & f

I:E ratio

Ti*

Trig.

Mv max

Mv min

P max.

time only

Table

TableTable

Table

----

2222

Default Ventilation Setting

Default Ventilation SettingDefault Ventilation Setting

Default Ventilation Setting

----

A/C V

A/C V A/C V

A/C V

In this mode the ventilator can deliver volume ventilation (VCV) if Tidal Volume (Vt) is selected (Figure 10.a) or pressure ventilation (Figure 10.b) if Pressure Controlled Ventilation (PCV) is selected. Choosing either volume or pressure ventilation will result in disabling the other parameter (Vt or PCV). Disabled parameter will be displayed with (-) on the screen.

Volume control ventilation (VCV) with Tidal Volume and ventilation Rate setting according to patient size is the default start up for this mode (see Table-2 below).

During A/C V mode, the ventilator will deliver Controlled Mandatory Ventilation (CMV) regardless of any patient’s effort if the trigger (Trig.) is disabled (displayed with (-)).

The default trigger for A/C V is 3 L/min but can be adjusted up to 15 L/min.

If no inspiratory effort is detected during the trigger window, the ventilator will initiate mandatory ventilation at the end of trigger window. Should the patient demand more flow than set by user, he/she can withdraw the excess from ambient.

Parameter

Parameter Range

ParameterParameter

Volume

PEEP

PCV

P min.

Calculated based on

(OFF, 4-20 cm H2O) 5.0 5.0 5.0

(OFF, 4-50 cm H2O)

0-20 cm H2O during I

Manual

Range

RangeRange

(50 - 2000 ml) 100 250 500

(5 - 60 BPM) 30 15 10

(1:4 – 3:1) 1:2 1:2 1:2

(0.2 – 9 sec.) 1.0 1.33 2.0

(OFF, 1 -15 L/min) 3.0 3.0 3.0

(100% or 60% O2) 100 100 100

(2 -40 L) 30 30 30

(0.5 – 35 L) 0.5 0.5 0.5

10 -80 cm H2O 25 25 30

Refer to Manual and

I-Hold section

Infant

Infant Child

InfantInfant

2.0 3.7 5.0

Off, unless

selected

3.0 3.0 3.0

ready ready ready

Child Adult

ChildChild

Off, unless

selected

* Ti may be limited below its range depending on set I:E ratio and rate.

Adult

AdultAdult

Off, unless

selected

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Figure

FigureFigure

Figure

----

10.a

10.a10.a

10.a

A/C V waveform with volume control

A/C V waveform with volume controlA/C V waveform with volume control

A/C V waveform with volume control

Figure

FigureFigure

Figure

----

10.b

10.b10.b

10.b

A/C V waveform with pressure control

A/C V waveform with pressure controlA/C V waveform with pressure control

A/C V waveform with pressure control

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5.2.2 SIMV (Synchronized Intermittent Mandatory Ventilation).

Default

DefaultDefault

Default

Ti* (0.2 - 9 sec)

1.0 1.33 2.0

In this mode the ventilator will deliver volume ventilation at the set Tidal Volume (Vt) and Rate (BPM)

The default trigger for this mode is 3 L/min but can be adjusted up to 15 L/min. if trigger condition is met, the ventilator will deliver synchronized volume controlled mandatory ventilation.

In SIMV mode the selected breathing rate remains constant and the time of spontaneous breathing window will change if patient triggers the synchronized mandatory breath before the normal start of inhalation phase (beginning of Ti).

If no effort was detected during the trigger period, the ventilator will initiate mandatory ventilation at the end of trigger window. Should the patient demand more flow than set by user, he/she can withdraw the excess from ambient.

PSV (Pressure Support Ventilation- Figure 11.b)

PSV is a form of assisted ventilation for the patient who is breathing spontaneously but whose respirations are insufficient. The ventilator provides an inspiratory flow based on the patient’s inspiratory effort. Ventilator sensitivity to the patient’s inspiratory effort is operator adjusted by using the “Trig.” Control and the inspiratory flow rate is tailored to patients demand by the ventilator. The point at which the ventilator cycles off (stated as a percentage of Peak flow) is based on measured airway pressure and the peak inspiratory pressure and PEEP which are set by the operator.

Table

Table----3333

TableTable

Default Ventilation Setting

Default Ventilation Setting---- SIMV

Default Ventilation SettingDefault Ventilation Setting

SIMV

SIMVSIMV

Parameter

ParameterParameter

Tidal Volume Rate (5 - 60 BPM) 30 15 10 Mv Calculated based on Vt & f 2.0 3.7 5.0 I:E ratio (1:4 – 3:1) 1:2 1:2 1:2

PEEP (OFF, 4-20 cm H2O) 5.0 5.0 5.0

PSV (OFF, 4-35 cm H2O)

Trig. (1 -15 L/min) 3.0 3.0 3.0 Termination 20-80% of maximum set flow O2 % Mv max (2 -40 L) 30 30 30 Mv min (0.5 – 35 L) 0.5 0.5 0.5 P max. 10 -80 cm H2O 25 25 30 P min. 0-20 cm H2O

Manual

Refer to Manual and I-Hold

* Ti may be limited below its range depending on set I:E ratio and rate.

Range

RangeRange

(50 - 2000 ml) 100 250 500

(100% or 60%) 100 100 100

(during I time only)

section

e700 User Manual

Infant

Infant Child

InfantInfant

Off, unless

selected

50% 50% 50%

3.0 3.0 3.0

ready ready ready

(15PL1009 - Rev.10 Dec 21, 2016) English version

Child Adult

ChildChild

Off, unless

selected

Off, unless

selected

Adult

AdultAdult

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Figure

FigureFigure

Figure

----

11.a

11.a11.a

11.a

SIMV

SIMV SIMV

SIMV

waveform w

waveform wwaveform w

waveform w

/o pressure support

/o pressure support/o pressure support

/o pressure support

Figure

FigureFigure

Figure

----

11.b

11.b11.b

11.b

SIMV

SIMV SIMV

SIMV

waveform w

waveform wwaveform w

waveform w

ith pressure support

ith pressure supportith pressure support

ith pressure support

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5.2.3 BiLVL (Biphasic Positive Airway Pressure)

Default

DefaultDefault

Default

Rate

(5 - 60

BPM)

30 15 10

selected

Mv max

(2 -40 L)

30 30 30

section

BiLVL mode is similar to SIMV but comes with pressure ventilation. By setting both inhalation pressure (Pi) and exhalation pressure (PEEP) levels, the ventilator will deliver pressure controlled mandatory breaths at set rates (Bpm). The default trigger for spontaneous breathing window is 3 L/min but can be adjusted up to 15 L/min.

Similar to SIMV, in BiLVL mode the selected breathing rate remains constant and the time of spontaneous breathing window will change instead if patient triggered the synchronized mandatory ventilation before the normal start of the inhalation phase (beginning of Ti).

If no effort is detected during the trigger period, the ventilator will initiate mandatory ventilation at the end of trigger window. Should the patient demand more flow than set by user, he/she can withdraw the excess from ambient.

PSV (Pressure Support Ventilation- Figure 12.b)

NOTE:

The peak/plateau pressure is the Pressure Support level plus the PEEP.

Table

Table----4444

TableTable

Default Ventilation Setting

Default Ventilation Setting---- BiLVL

Default Ventilation SettingDefault Ventilation Setting

BiLVL

BiLVLBiLVL

Parameter

ParameterParameter

Pi (OFF, 4-50 cm H2O) 15 15 15

PEEP (OFF, 4-20 cm H2O) 5 5 5 I:E ratio (1:4 – 3:1) 1:2 1:2 1:2 Ti* (0.2 - 9 sec) 1.0 1.33 2.0

PSV (OFF, 4-35 cm H2O)

Trig. (1 -15 L/min) 3.0 3.0 3.0 Termination 20-80% of maximum set flow 50% 50% 50% O2 %

Mv min (0.5 – 35 L) 0.5 0.5 0.5 P max. 10 -80 cm H2O 25 25 30 P min. 0-20 cm H2O

Manual

(100% or 60% O2) 100 100 100

Refer to Manual and I-Hold

* Ti may be limited below its range depending on set I:E ratio and rate.

Range

RangeRange

(during I time only)

e700 User Manual

Infant

Infant Child

InfantInfant

Off, unless

3.0 3.0 3.0

ready ready ready

(15PL1009 - Rev.10 Dec 21, 2016) English version

Child Adult

ChildChild

Off, unless

Adult

AdultAdult

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Figure

FigureFigure

Figure

----

12.a

12.a12.a

12.a

BiLVL

BiLVL BiLVL

BiLVL

waveform w

waveform wwaveform w

waveform w

/o pressure support

/o pressure support/o pressure support

/o pressure support

Figure

FigureFigure

Figure

----

12.b

12.b12.b

12.b

BiLVL

BiLVL BiLVL

BiLVL

waveform w

waveform wwaveform w

waveform w

ith pressure support

ith pressure supportith pressure support

ith pressure support

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5.2.4. CPAP (Continuous Positive Airway Pressure)

In CPAP mode, the ventilator will deliver a continuous flow rate to generate airway pressure and use the control valve to maintain CPAP levels (Figure

13).

There are 2 breathing modes available for the patient during CPAP. The first mode is with spontaneous breathing when the optional pressure support is set to “-”. In this option the ventilator adjusts the amount of flow internally to maintain average airway pressure close to CPAP setting.

The other mode is when the optional PSV (Pressure Support) is set to a desired value. The ventilator will deliver the set PSV pressure starting at triggering point and until the exhalation phase starts.

NOTE: The d

The default trigger in CPAP mode is pressure t

The dThe d 2 cm

2 cm HHHH

2 cm2 cm

The CPAP mode is equipped with APNEA back up ventilation in which the ventilator switches to Assist Control ventilation (A/C V) when the ventilator does not trigger patient’s spontaneous breathing for a period of time (T APNEA) set by the user. The parameters of back up A/C ventilation are defaulted to volume ventilation based on the initial start up patient size selection unless changes are made by the user.

The trigger changes from pressure trigger (P) to 3 L/min default flow trigger when the ventilator switches to APNEA back up.

PSV (Pressure Support Ventilation)

NOTE: The peak/plateau pressure is the Pressure Support level plus the PEEP.

efault trigger in CPAP mode is pressure trigger (P

efault trigger in CPAP mode is pressure tefault trigger in CPAP mode is pressure t

O below CPAP settings.

O below CPAP settings.O below CPAP settings.

2222

rigger (P) which is set at

rigger (Prigger (P

) which is set at

) which is set at ) which is set at

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Table

Default

DefaultDefault

Default

CPAP

(4-

20 cm H

O) 5 5 5

Mv (A)

Will be c

alculated based on Vt & f

2.0 3.7 5.0

P max.

10 -80 cm H

O 25 25 30

Figure

FigureFigure

Figure

----

1313

CPAP ventilation

CPAP ventilation CPAP ventilation

CPAP ventilation

waveform

waveformwaveform

waveform

Table----5555

TableTable

Parameter

Parameter Range

ParameterParameter

PSV (OFF, 4-35 cm H2O) OFF OFF OFF

Trig.

Termination

O2 % T APNEA (10-60 seconds) 20 20 20 Vt(A) (50 - 2000 ml) 100 250 500 Rate (A) (5 - 60 BPM) 30 15 10

I:E ratio (A) (1:4 – 3:1) 1:2 1:2 1:2 Mv max (2 -40 L) 30 30 30 Mv min (0.5 – 35 L) 0.5 0.5 0.5

P min. 0-20 cm H2O during I time only 3.0 3.0 3.0

Default Ventilation Setting

Default Ventilation Setting---- CPAP

Default Ventilation SettingDefault Ventilation Setting

Range

RangeRange

(P or 1 -15 L/min)

P = 2 cm H2O below base line

(20 – 80 % of maximum set flow)

or 2 cm H2O below baseline in

CPAP mode only

(100% or 60%) 100% 100% 100%

CPAP

CPAPCPAP

Infant

Infant Child

InfantInfant

P P P

50 % 50% 50%

Child Adult

ChildChild

Adult

AdultAdult

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Default

DefaultDefault

Default

5.2.5 CPR mode

The CPR mode consists of timed chest compression audible prompts coupled with automatically delivered breaths for both intubated and mask ventilated patients. There is also a visual animated display to guide the health care provider while performing CPR.

The CPR mode for masked ventilated patients is the default setting for this mode but changes can be made between the 2 sub-modes at any time.

The CPR mode for masked ventilated patients consists of 2 phases, chest compression and ventilation. 30 chest compressions over 18 seconds are synchronized with audible prompts and on screen visual animations, followed by two, 1 second, mandatory breaths within a 5 second ventilation phase. The ratio between chest compressions and ventilations is 30:2.

The CPR mode for intubated patients consists of continuous compressions indicated by an audible prompt and visual animation at a rate of 100 compressions per minute plus automatically delivered breath every 6 seconds (10 BPM).

The default ventilation in CPR mode is flow controlled ventilation. The default tidal volume is set according to the initial start-up patient size selection when switching to CPR mode but could be adjusted to desired values. Optional pressure controlled ventilation is provided by setting the PCV pressure parameter. If PCV parameter is selected, the flow controlled ventilation will be disabled. The FiO2 is fixed at 100% oxygen during CRP mode.

The ventilator will automatically compensate up to 30% of the required tidal volume Vt in case a leak is detected. Beyond this limit, low Paw visual and audible alarms will be activated to warn rescuer to either re-apply the mask or increase the set tidal volume.

Table

Table----6666

TableTable

Tidal Volume (50 - 1400 ml) 100 250 500 PCV (OFF, 4-50 cm H2O) OFF OFF OFF Mv max (2 -40 L) 30 30 30 Mv min (0.5 – 35 L) 0.5 0.5 0.5 P max. P min. (0-20 cm H2O during I time only) 3 3 3

Default Ventilation Setting

Default Ventilation Setting---- CPR

Default Ventilation SettingDefault Ventilation Setting

Parameter

Parameter Range

ParameterParameter

Range

RangeRange

(10 -80 cm H2O) 40 40 60

CPR

CPRCPR

Infant

Infant Child

InfantInfant

Child Adult

ChildChild

Adult

AdultAdult

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CPR for masked patients

On screen chest compressing animation

CPR for masked patients

CPR for masked patientsCPR for masked patients

Figure

Figure----14.a

FigureFigure

14.a CPR

14.a14.a

CPR waveform

waveform for masked patient

CPR CPR

waveform waveform

for masked patient

for masked patientfor masked patient

On screen ventilation animation

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Figure

FigureFigure

Figure

----

14.b

14.b14.b

14.b

CPR

CPR CPR

CPR

waveform

waveform waveform

waveform

for intubated patient

for intubated patientfor intubated patient

for intubated patient

CPR for intubated patients

CPR for intubated patients CPR for intubated patients

On screen intubated CPR animation

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5.3 Turning the Ventilator Off

Press and hold the ON/OFF button for 4 seconds, the Ventilator will turn OFF.

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Chapter 6 Post U

6.1 Disconnect Device After Use

a. Turn off gas supply to the ventilator.

b. Disconnect gas supply hose.

c. Disconnect patient circuit from the output connector.

d. Unplug the power cable from mains if no charging is required.

e. Clean and disinfect according to section 8.1 in this manual

6.2 Storage

Store ventilator within the following environmental range:

- 40oC to +60oC, Rh: 15% to 95%.

Post Use

Post UPost U

sese

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Chapter 7 AAAAlarms and Indicators

larms and Indicators

larms and Indicatorslarms and Indicators

7.1 Ventilation Alarms

Visual and Audible alarms continue until the cause of the alarm is resolved.

During alarm activation the user may press the Alarm Silence button (G) in Figure 1 which will silence the audible alarm for 2 minutes but the visual alarm will continue to flash until the cause of the problem is resolved.

During “alarm silence”, should a new alarm develop, the Alarm Silence function will continue and only the new alarm will be shown flashing on the screen.

Alarms will be visible in section 4 or section 7 of the display (Figure 4).

There could be multiple alarm/warning symbols visible on the screen indicating multiple failures occurring at the same time. In this case the visible and audible alarms will be based on highest priority alarm.

All ventilation alarms of e700 are listed in the following Table-7.

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Table

Patient Circuit

Flashing Yellow for

15 sec. delay

Two

Solid symbol

Table----7777 Ventilation Alarms

TableTable

Symbol

Symbol Name

SymbolSymbol

Ventilation Alarms

Ventilation AlarmsVentilation Alarms

Name Priority

NameName

disconnect (Breathing

circuit Integrity)

Low Airway Pressure High

High Airway Pressure High

Low mi nute Volume High

High Minute Volume High

Priority

PriorityPriority

High after 15

seconds

Visual Alarm

Visual AlarmVisual Alarm

Alarm symbol

Alarm symbol Warning LED

Alarm symbolAlarm symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Warning LED

Warning LED Warning LED

15 seconds then

Red

Audible

Audible Audible

Alarm

AlarmAlarm

bursts with five

pulses

Two bursts with

five pulses

Two bursts with

five pulses

Two bursts with

five pulses

Two bursts with

five pulses

Blocked airway

Leak (at 40% below set Vt)

Low Inhalation

Pressure

No Oxygen

≤ 20 PSI

Low Oxygen

≤ 40 PSI

High input pressure

≥ 90 PSI

APNEA High

Empty Battery

Low Battery

Pause N/A

High

Medium

High

Play N/A

High

Low

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Flashing

symbol

Red

Yellow

Red

N/A N/A

Yellow every 15

seconds

N/A N/A

Two bursts with

five pulses

Two bursts with

five pulses

Two bursts with

five pulses

Two bursts with

five pulses

One burst with

three pulses

Two bursts with

five pulses

Two bursts with

five pulses

Two bursts with

five pulses

N/A

Lock N/A Solid symbol N/A N/A

Alarm Silence N/A Solid symbol N/A N/A

Patient effort Low

Invalid setting- Refer

to manual

Setting Conflict N/A

Confirm

during Patient

N/A

Solid symbol

During invalid

Solid symbol

During invalid

Flash symbol

N/A

after primary

e700 User Manual

effort

selection

N/A N/A

selection

(15PL1009 - Rev.10 Dec 21, 2016) English version

N/A N/A

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7.2 Battery Status Indicator

Battery status will be displayed in section 1 of the display (Figure 4). There are two different status indicators showing battery discharging (Table-8.1) and charging (Table-8.2) status respectively.

Tab

Table

le----8.1

8.1 Battery discharg

TabTab

lele

Battery discharging

8.18.1

Battery dischargBattery discharg

ing status

status

inging

statusstatus

Table

Table----8.2

TableTable

8.2 Battery

8.28.2

Full Capacity No Alarm

Approx. 75% of full

Approx. 50% of

Approx. 25% of full

Approx. 5% of full

Battery charg

Battery Battery

charging

chargcharg

Full Capacity No Alarm

capacity

full capacity

capacity

ing status

status

inging

statusstatus

95% of full

capacity

90% of full

capacity

No Alarm

On screen symbol change to Yellow color and

flashing

On screen symbol change to Red color and

flashing with associated Red color warning LED.

No Alarm

Warning

WarningWarning

80% of full

capacity

65% of full

capacity

No Alarm

At approximately 2% of full battery capacity, the ventilator will not start when it is turned off or will shut down when it is turned on.

Note:

Battery capacity levels are detected from measured voltages and the capacities shown above are based on results from new batteries tested at room and low temperature. Battery capacity levels are subject to change when old batteries are used.

Fully charged Batteries shall be recharged after 6 months without usage or when battery discharging LED turns orange and flashing. Battery Re-charging time is about 5.5 hours from fully discharged. Batteries have a minimum of 200 discharge and charge cycles.

4343

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Page 45

Green color LED

- Continuous when unit is ON and flashing

7.3 LEDs

when unit is OFF.

Red or Yellow color LED – Flashing during alarm/ warning situation. LED color depends on the severity of the failure.

Green color LED - Continuous when unit is connected to AC power source during both ON and OFF phases.

Orange color LED - Continuous when unit is charging and off when battery is fully charged during both ON and OFF phases. During OFF phase this light will start flashing when battery capacity drops to around 90 %.

Green color LED - Continuous when unit is operated using internal battery.

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Chapter 8 Cleaning

Green LED

- Continuous when unit is connected to external power

Orange LED

- Continuous when unit is charging and off when

battery is fully charged during both ON and OFF phases.

Cleaning,

CleaningCleaning

, Maintenance

, ,

Maintenance &&&& SSSServicing

MaintenanceMaintenance

ervicing

ervicingervicing

8.1 Cleaning and Disinfection

Disinfect the ventilator housing and supply hose using a damp cloth with a commercially available, legally marketed disinfectant solution which is compatible with the materials of manufacture in accordance with local protocols. Do not use chlorine based cleaning agents. Make sure no liquids enter the ventilator connections or the ventilator.

Do not immerse the e700 Ventilator or patient circuit or supply hoses in disinfectant or other liquids, serious electric shock hazard and damage to the ventilator may occur. If the Ventilator is accidently submerged in any liquid it must be returned to the manufacturer for factory service.

Do not attempt to clean intake filter or patient circuit. Using a wet or damp filter may result in inaccurate parameters and potentially damage the ventilator.

Warning

Warning Warning

Risk of Explosion!

Risk of Explosion!Risk of Explosion!

Cleaning agents containing alcohol or grease become flammable when combined with compressed oxygen and can cause explosions.

8.2 Charging the battery

1. Connect one end of the external power supply/charger to its supply (100 to 240 Volts or on-board vehicle socket) and the other end to the DC input socket (O) in Figure 2 located on the side panel of the ventilator. The indicator lights up as follows:

source during both ON and OFF phases

2. Turn unit ON and observe battery level (section 1 of the screen), Refer to 7.2 Battery Status Indicator for exact battery charging status. The battery shall be fully charged.

Caution

CautionCaution

The ambient temperature shall be between 0 oC and 35 oC during battery charge.

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Notes

Charging

User Manual

Battery fully

Every 6

User Manual

Every 6

Function

User Manual

No abnormal

Every 6

Manufacturer

Notes

NotesNotes

 The Battery pack can be charged during operation.  The Battery pack may be charged using external power supply

supplied with the unit or the optional DC to DC power supply.

 The Battery pack should be replaced after 200 charge/discharge

cycles or if the battery pack will not fully charge (as indicated on the battery display on the ventilator) or if the ventilator doesn’t run for more than 5 hours on a single charge.

8.3 Ambient Air Entrainment Filter

The e700 entrains ambient air through the internal Venturi system for ventilation when the O2 concentration is set at 60%. This provides not only decreased oxygen concentration but also increases the ventilator operating time on an oxygen cylinder.

Caution

CautionCaution

Always keep the ambient air entrainment port clear of obstructions. Always replace the filter after use.

Warning

WarningWarning

Avoid particulate and/or gaseous pollutants in the ambient air! The entrainment of pollutants into the ventilator may cause the ventilator to malfunction or cause danger to the patient.

8.4 Preventive Maintenance and Servicing

It is recommended that routine preventive maintenance (PM) and servicing shall be carried out as per the following:

Type

Type Description

TypeType

PMPM

PM Leak test

PMPM

Servicing

ServicingServicing

Description

DescriptionDescription

battery

check

Level II service

Procedure

Procedure Criteria

ProcedureProcedure

Chapter 8.2

Chapter 4.2

Service manual

Criteria Schedule

CriteriaCriteria

charged

No leak observed

function observed

Meet product specifications

Schedule

ScheduleSchedule

months

Every 2

years

ByBy

User

or authorized

service center

Servicing

ServicingServicing

Full service

Service manual

e700 User Manual

Meet product specifications

(15PL1009 - Rev.10 Dec 21, 2016) English version

Every 6

years

Manufacturer

4646

Page 48

Preventive Maintenance

Preventive Maintenance Preventive Maintenance

To ensure proper operation of the ventilator, regular inspection and checking of the device and accessories for correct function should be undertaken by a responsible member of staff. It is recommended that a preventive maintenance record be maintained for each unit.

The battery should be charged and the ventilator be checked for leakage and proper function at least every six months, and more frequently in high use applications. Any malfunction unit should be returned to the manufacturer or an authorized service center since this product is not designed for field disassembly or service. Unauthorized repairs will nullify the product warranty.

Level II service

Level II serviceLevel II service The device shall be returned to the manufacturer or a service center authorized by the manufacturer for bi-annual Level II service every 2 years.

Manufacturer full service

Manufacturer full serviceManufacturer full service The device shall be returned to O-Two Medical Technologies for Manufacturer Full Service every 6 years.

Warning

WarningWarning Any malfunction unit should be returned to the manufacturer or an authorized service center since this product is not designed for field disassembly or service.

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Chapter 9 Technical Data

FEATURES

FEATURESFEATURES

FEATURES

e700

e700 e700

e700

Protection against

Circuit Control Source

Electric

A/C

A/CA/C

A/C

(VCV,PCV),

SIMV

SIMVSIMV

SIMV

w/ PSV,

BiLVL

BiLVLBiLVL

BiLVL

w/ PSV,

Supporting ventilation

PSV: 0, 4

35 cm.H2O

Ventilation

Rate

5 – 6

Minute Volume (L)

Calculated

Tidal Volume (ml)

50 –

2000

BTPS *

Yes, set flow rate or pressure will be

Maximum Inspiratory hold time

sec.

I:E Ratio

1:4 – 3:1

PSV

OFF, 4

– 35

O2 (%)

60 or 100

Pmin (cm H

O) 0 –

PCV (cm H

O) 4-50

Ti (sec.)

0.2 – 9

1 -15, or 2

cm.

H2O below baseline in CPAP

Inhalation Pressure (cm H

O) 4-50

APNEA back up time (sec.)

10-

Battery Operating time at

room

18 hrs for default settings

(Data obtained

Altitude compensation

up to 4000m (13000 feet)

Battery Hot Swap

Built

in Battery charger

Yes

AC/DC power supply

100

240VAC/ 19VDC, 4.74

Patient

circuit

O-

Two Electronic Ventilator Circuit

Mounting brackets for road ambulance and

Technical Data

Technical DataTechnical Data

9.1 Specifications

Device class per MDD II b

Class II

Type BF

IP X4

Classification per IEC60601-1

electric shock Protection against electric shock

water

Power Source Compressed Oxygen, 45 to 87 PSI (3-6 Bar)

Ventilation modes

Tidal Volume in CPR mode (ml) 50 - 1400

Manually triggered Ventilation

PEEP (cm H2O) 0,4-20

CPAP (cm H2O) 4-20

Pmax (cm H2O) 10 – 80

CPAP

CPAP w/ PSV, Mask CPR

CPAPCPAP

CPR and Intubated CPR

CPRCPR

(± 10% or ± 2 cm.H2O)

(± 10% or ± 1BPM)

± (4ml + 15%)

BTPS *

delivered during I time then Inspiratory hold

(± 20%)

(± 10% or ± 2 cm.H2O)

(± 15%)

(± 10% or ± 2 cm.H2O)

(± 20%)

Trigger sensitivity (L/min)

Pressure ventilation Termination 20% - 80% of max. Flow

temperature (hrs.)

Mounting Bracket

e700 User Manual

mode only

(± 10% or ± 2 cm.H2O)

(± 0.5s)

using fully charged new battery)

mobile setting

(15PL1009 - Rev.10 Dec 21, 2016) English version

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Page 50

Display 4.3" Color TFT

Mve,Vte

,Paw

,PAW

, Rate

(bpm

Parameter settings

Control Selection Knob

Gas Supply Pressure

Yes

Airway Pressure limits

Yes

Battery status

Yes

Breathing Circuit Integrity

Yes

Audible silence

Yes, 120 second max

Dimensions (mm)

250 x 200 x 155

Weight (Kg)

with Battery

2.4

ead space of patient valve with

Compliance (disposable) hose

Live monitoring

(AV)

Battery level

(Peak)

Real time waveform Pressure or Flow DAY/NIGHT display mode Yes

Lock key function Yes Pause function Yes Noise level in normal use Less than 65 dBA

Alarms (Visual and Audible)

Alarms (Visual and Audible)Alarms (Visual and Audible)

Minute Volume limits

APNEA

Leakage and Blockage

w/o Batter Internal Volume of the complete respiratory system (reusable and disposable)

approx. 690 ml without mask

approx. 800 ml with mask

Yes

1.77

elbow

system Resistance of Patient Hose system (Inhalation and Exhalation):

Operating

Less than 6 cmH2O at 60 l/min & Less than

- 18oC to +50oC, Rh: 15% to 95%

Approx. 35 ml

16.6 ml/Kpa

6 cmH2O at 30 l/min

Ventilator

Storage - 40oC to +60oC, Rh: 15% to 95% Charge 0oC to +40oC

Environment condition

* BTPS: Volume measurements corrected to Body temperature 37 oC and Barometric pressure 101.3Kpa under saturated conditions (100% Humidity).

Note: Measurement uncertainty: 5% for volume parameters and 6% for pressure parameters.

Battery Pack

Patient Circuit

Discharge

Storage

Operating

- 20oC to +35oC, low humidity and no

- 18oC to +50oC, Rh: 15% to 95%

- 20oC to +60oC

corrosive gas atmosphere.

Storage - 20oC to +60oC, Rh: 15% to 95%

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9.2 Circuit Description

Patient

Ventilation

Patient

Patient Patient

Patient

circuit

circuitcircuit

circuit

Venturi

Intake

Flow

Sensor

Pressure

Pressurized

Ambient

Flow

control

Filter

When a gas source (medical oxygen) is supplied to the e700 ventilator via the gas input connection, the gas will flow into the Flow control valve which is used to control both the flow and rate of ventilation. The output of this valve is connected to a selector switch which is used to direct the flow path either directly to the ventilator output (if 100% oxygen ventilation is required) or through a Venturi system used to entrain air to provide an oxygen concentration of 60%.

Sensors

Pressure/

Rate

Control

Ventilator

VentilatorVentilator

Safety

valve

Sensor

Adapter

Optional

HME

Filter

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9.3 Battery & Power Supply

Max. Charging

Meet requirements of

AC/DC power

DC Output Cable

AC Power Cord

Meet requirements of IEC60601

Battery Pack

Battery Cell Type Rechargeable Lithium Ion Cell

Type 4ICR19/65-3 Nominal Capacity 7500 mAh, Min 111Wh Nominal Voltage 14.8V

Current Max. Charging Voltage

3750 mA

16.8V ± 0.1V

Dimension 144 x 62 x 42 Weight 642 g

Test specification

IEC62133:2002

Note: The behaviour of the ventilator will not be affected while the battery is charging.

AC/DC Power Supply

supply Nominal Input Voltage

Model PMP90-13-2 O1CV0105

110/ 220V

Nominal Frequency 50/ 60 Hz Input Current 1.2 A for 115 V, 0.06 A for 230 V Output Voltage 19V DC Output Current 4.74 A Maximum

DC Output Plug 2.5 x 5.5 x 11mm

Length

Length Weight 642 g

EMC performance Meet requirements of IEC60601-1-2

Safety Standards

Note: Upon disconnecting AC Power supply, Ventilator will automatically switch to Battery operation without affecting ventilator behaviour.

6’

1:2005

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Battery Discharge time

9.4 Battery Operating Time

Battery operation time ranges from 24 hours in Normal operation and temperature conditions to 15 hours in extreme operation and temperature.

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Emission test

Emission testEmission test

Emission test

Compliance

ComplianceCompliance

Compliance

Electromagnetic environment

Electromagnetic environment Electromagnetic environment

Electromagnetic environment

----

The

OOOO

----

Two

TwoTwo

Two

e700

e700e700

e700

uses RF energy only for

RF emissions

The

OOOO

----

Two

TwoTwo

Two

e700

e700e700

e700

external power supply

Harmonic

Electrostatic discharge

± 6 kV contact

± 8

kV contact

Electrical fast transient/

± 2 kV for power

Surge IEC61000

-4-5

± 1 kV line to line;

Power frequency (50/60

3 A/m

30 A/m

9.5 Electromagnetic Compatibility

OOOO----Two

Two e70

TwoTwo

requirements.

Electromagnetic Emissions

OOOO----Two

Two e700

TwoTwo below. The user of OOOO----Two environments outside those specified:

e700

0 has been tested and complies with IEC 60601-1-2:2007

e70e70

0 0

e700 is intended for use in the electromagnetic environment specified

e700 e700

Two e700

TwoTwo

e700 should assure that it is not used in

e700 e700

guidance

guidanceguidance

RF emissions

Group 1

CISPR 11

emissions

Class B

Class A IEC61000-3-2 Voltage fluctuations/ flicker emissions

complies

IEC61000-3-3

Electromagnetic Immunity

Immunity test IEC60601 required

(ESD) IEC61000-4-2

its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference with nearby electronic equipment

is suitable for use in all establishments including domestic establishments and those directly connected to the public low-voltage power supply network that supply buildings used for domestic purposes.

Actual compliance

test level

± 8 kV air

± 15 kV air

level

burst IEC61000-4-4

Voltage dips, short interruptions and voltage variations on power supply input lines IEC61000-4-11

Hz) magnetic field IEC61000-4-8

supply lines ± 1 kV for input/output lines

± 2 kV line to earth <5%UT for 0.5 cycle 40%UT for 5 cycle 70%UT for 25 cycle <5%UT for 5 s

e700 User Manual

(15PL1009 - Rev.10 Dec 21, 2016) English version

supply lines ± 1 kV for input/output lines

± 2 kV line to earth <5%UT for 0.5 cycle 40%UT for 5 cycle 70%UT for 25 cycle <5%UT for 5 s

5353

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Conducted RF

3Vrms: 50kHz to 80

3 Vrms

10Vrms: 150kHz to 80

10 Vrms

Radiated RF

10 V/m @

0 V/m

150kHz

to 800

150kHz to 800

80 MHz to

800 MHz to

0.01

0.12

0.23

0.1 0.4 0.4 0.4 0.7

10 3.8 3.8 3.8 7.3

IEC61000-4-6

MHz outside ISM bands

MHz in ISM bands

IEC61000-4-3

OOOO----Two

Two e700

e700 is intended for use in the electromagnetic environment in which

TwoTwo

e700 e700 radiated RF disturbances are controlled. The user can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the OOOO---Two

Two e700

e700 as recommended below, according to the maximum output power

TwoTwo

e700 e700

of the communications equipment:

Rated

maximum output power of transmitter

1 1.16 1.2 1.2 2.3

100 12 12 12 23

MHz outside ISM bands d =

√

3.5/3 *

80 MHz to 2.5 GHz

Separation distance (m)

Separation distance (m)Separation distance (m)

MHz in ISM bands d = 1.2

√

800 MHz d = 1.2

2.5 GHz

√

d = 2.3

√

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9.6 Oxygen Consumption

For a “D” size cylinder (capacity of 425 liters), pressurized to 2015 PSI and with the e700 set to the Adult default setting (Vt= 500ml, Rate= 10BPM, 100% Oxygen) the pneumatic operating time is 85 minutes without PEEP (0.2 min/L) and is 39 minutes with maximum PEEP (0.089 min/L).

Duration of consumption of a cylinder in minutes is calculated approximately by dividing the liter content by the minute volume with or without PEEP.

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Page 57

0 cmH

60 cmH2O

30 cmH2O

5 cmH2O

9.7 Oxygen Concentration delivered against different back pressures

100

15 cmH2O

0 20 40 60 80 100 12 0

Flow Rate

OOOO

Concentration

Concentration Concentration

2222

%%%%

Flow Rate

Flow RateFlow Rate

L/min

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Chapter 10 Trouble shooting

Check patient, ventilation circuit,

Apnea, spontaneous

Leakage, measured

Trouble shooting

Trouble shootingTrouble shooting

Warning

WarningWarning

Please contact manufacturer if a problem cannot be rectified. For the safety of the patient and the Health care providers DO NOT continue using the ventilator.

Message/fault

Message/fault cause

Message/faultMessage/fault

Leaking mask, ETT, disconnected patient circuit

Low Airway Pressure

cause Remedy

causecause

Remedy

RemedyRemedy

Make sure mask fits / all patient circuit parts are properly connected./change patient circuit

Replace hose, check tube position, check ventilation settings and correct

High Airway Pressure

Low minute Volume Check patient / reset parameters.

High Minute Volume Check patient / reset parameters.

Low inhalation pressure

check tube position, adjust Pmax alarm value

Check mask, patient Integrity

Obstructed Airway Check airway, patient

breathing failed or disconnection, faulty sensor

No Oxygen ≤ 20 PSI

Low Oxygen(40-21 PSI)

expiratory volume is

Switch to Assist Control ventilation, ensure connections tight, Replace patient circuit

Change Oxygen cylinder

Check leakage in breathing system.

40% lower than set.

Invalid setting

Battery discharges quickly

e700 cannot be switched on

No proper charging/Faulty battery Battery empty/no power supply connected/defective

Resolve parameters conflict by resetting out of range parameters

Charge Battery as per instructions/Replace battery

Change Battery/connect power supply/ send to O-Two for repair or service

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Page 59

A/C V

Assist Control Ventilation

BiLVL

phasic Positive Airway

pressure

CPR

Cardio Pulmonary Resuscitation

Rate

Ventilation

rate

(number

of breaths per minute)

Termination

% of Maximum flow value

I:E Ratio of inspiration time to expiration time

Mve

Exhaled

Minute Volume

O2 (%) Percentage of Oxygen inspired

Paw (peak)

Peak airway pressure

PCV

Pressure cont

ol Ventilation

PEEP

Positive End Expiratory Pressure

Pi Inhalation Pressure

Pmax

Maximum ai

rway pressure

P min

Minimum airway pressure

SIMV

Synchronized Intermittent Mandatory Ventilation

APNEA

Te Expiratory time

Ti Inspiration time

Trig.

Triggering flow

rate

Vte

Exhaled

Tidal volume

Vt Tidal volume

Chapter 11 Abbreviations

Abbreviations and

AbbreviationsAbbreviations

and Acronyms

andand

Acronyms

AcronymsAcronyms

Term

Term Explanation

TermTerm

BCI Breathing Circuit Integrity (Patient circuit disconnect)

CPAP Continuous Positive Airway Pressure

LED Light Emitting Diode

Mv Minute volume

Paw (AV) Average airway pressure

Explanation

ExplanationExplanation

PSV Pressure Support Ventilation

TFT Thin Film Transistor

Apnea Alarm time

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Chapter 12 Accessories

O-Two Single

Use Electronic

Transport Ventilator

PVC 6’

(1.83 m) input pressure hose

– 9/16” DISS

nut

Power supply Cord (Canada and the US)

“FIXED MOUNT”

Mounting Bracket

for mobile

Bacterial and Viral Filter case of 40 / Bacterial and

02RT7500/U

Item

ItemItem

Accessories

AccessoriesAccessories

Part

Part Order number

PartPart

Order number

Order numberOrder number

circuit 6’ (1.83 m)patient circuit

fitting Intake filter-case of 10

01CV8030

01FV4302 *

01CV8040-cs

01CV0106

5. Battery Pack 01CV9100

6. e Ventilator External Power Supply 01CV0105

“SMART MOUNT” Mounting Bracket for Road

ambulance

setting

01EV7035

01EV7036

9. 1L Test lung 01TA8152

10.

Viral Filter unit. Dead space and Resistance (@ -30 Lpm) of Viral and Bacterial filter: 26 ml & 0.7 cmH2O

Note

NoteNote

****When ordering the ventilator please specify the input hose and power cable connectors.

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Chapter 13 WARRANTY

WARRANTY

WARRANTYWARRANTY

O-Two Warrants the e700 ventilator, when used in accordance with the instructions contained within this Manual, for a period of two years from the date of purchase except for the following cases:

1. Using unspecified parts/accessories

2. An attempt to service by unqualified persons/entities

3. Negligence

4. Normal wear and tear (filters, batteries, patient circuits)

Warning

WarningWarning

It is recommended that the routine preventive maintenance shall be carried out at least every 6 months from date of purchase. Repair and general overhaul of the ventilator must be carried out by trained service personnel. Evaluation of performance against manufacturer’s specifications may be undertaken by suitably qualified personnel to determine if the ventilator is functioning within specification. Any ventilators deemed to be out of specification must be returned to OTwo Medical Technologies Inc. (or one of its approved Service Centers) for service and/or repair.

We recommend that a service contract be obtained with O-Two Medical Technologies Inc. (or one of its approved Service Centers) and that all repairs also be carried out by them.

Only authentic O-Two Medical Technologies Inc. spare parts may be used for maintenance.

Liability for proper function or damage

Liability for proper function or damage Liability for proper function or damage

The liability for the proper function of the apparatus is irrevocably transferred to the owner or operator to the extent that the apparatus is serviced or repaired by personnel not employed or authorized by O-Two Medical Technologies Inc. or if the apparatus is used in a manner not conforming to its intended use.

O-Two Medical Technologies Inc. cannot be held responsible for damage caused by non-compliance with the recommendations given above.

The warranty and liability provisions of the terms of sale and delivery of O-Two Medical Technologies Inc. are likewise not modified by the recommendations given above.

e700 User Manual

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Page 62

Marcel Houben

4030 LIEGE Belgique

eeee700

700

700700

SN ____________

SN ____________SN ____________

OOOO----Two

Two Medical Technologies Inc.

Medical Technologies Inc.

TwoTwo

Medical Technologies Inc.Medical Technologies Inc.

45A, Armthorpe Road, Brampton,

45A, Armthorpe Road, Brampton, 45A, Armthorpe Road, Brampton, Ontario, Canada, L6T 5M4

Ontario, Canada, L6T 5M4

Ontario, Canada, L6T 5M4Ontario, Canada, L6T 5M4 Offi

Office: +1 905 792 OTWO (6896)

ce: +1 905 792 OTWO (6896)

OffiOffi

ce: +1 905 792 OTWO (6896) ce: +1 905 792 OTWO (6896)

N.A. Toll Free: +1 800 387 3405

N.A. Toll Free: +1 800 387 3405N.A. Toll Free: +1 800 387 3405 Fax: +1 905 799 1339

Fax: +1 905 799 1339

Fax: +1 905 799 1339Fax: +1 905 799 1339 Email: [email protected]

Email: [email protected]

Email: [email protected]Email: [email protected] Web: otwo.com

Web: otwo.com

Web: otwo.comWeb: otwo.com

Rue Vinave, 32

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