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CHAPTERTITLE PAGE
1.INTRODUCTION
1.1 Warranty 1
1.2Warnings1
1.3Terms and Definitions3
1.4CAREvent
® MRI4
1.5General Information5
1.6General Description5
1.7Principles of Operation6
1.8Modes of Operation7
1.9Alarms and Gauges9
1.10Accessories11
1.1 1Control Adjustment12
1.12Technical Data14
2.PREPARATION FOR USE
2.1Component List16
2.2Connection of Hoses17
2.3Pre-use Functional Check17
3.OPERATING INSTRUCTIONS
3.1Setting of the V entilation Parameters21
3.2Frequency/Minute Volume Chart21
3.3Operation in Extreme Conditions22
4.AFTER USE CLEANING AND TESTING
4.1Dismantling and Cleaning22
4.1.1Changing the Air Int ake Filter23
4.2After Use and Monthly Checking23
5.MAINTENANCE SCHEDULE
5.1Annual Preventative Maintenance
Inspection24
6.TROUBLE SHOOTING CHART25
7.CAREvent
27
®
ACCESSORIES27
1. INTRODUCTION
1.1Warranty
The CAREvent® ATV, ATV+ and MRI are manufactured from the finest
quality materials. Each individual part is subject to strict quality control
tests to ensure exceptionally high standards. The manufacturer warrants
to the purchaser of the Automatic T ransport V entilator that its component
parts are free from defects in material and workmanship for a period of
two years from the date of purchase. The manufacturer will replace and/
or repair all parts of the Automatic T ransport Ventilator at its option for two
years from the date of purchase at no cost to the purchaser, upon the
notification of the defects, in writing by the purchaser and confirmation of
said defect by the manufacturer. All shipping costs shall be borne by the
purchaser. The manufacturer shall be liable under this warranty only if
the Automatic Transport Ventilator and its parts have been used and
serviced in the normal manner described in the instruction manual. There
are no other expressed or implied warranties. This warranty gives no
specific legal rights.
NOTE:THIS DEVICE MUST BE SERVICED BY AN O-TWO SYSTEMS
kinked or cut.hose.
Gas supplyReplace pressure
regulator faultyregulator.
Automatic circuit shut-offPoor patient circuitCheck all circuit
not activating on demandintegrity/looseconnections and
breathing.connections orhose for tears/
Breathing System IntegrityPatient circuit hasRe-connect
Alarm Soundsbecome disconnectedcircuit.
Tidal volume beingAdjust ventialtor
delivered is toosettings
low .
Demand flowrate lowSupply pressureFaulty gas
or not functioningtoo low (Low Inputsupply regulator.
Pressure Alarm will
sound).
1.2Warnings
The CAREvent
and qualified personnel.
Caution: Federal Law restricts this to sale by or on the order of a physician.
The following precautions should always be observed:
1.READ THIS MANUAL PRIOR TO ATTEMPTING TO USE THE
VENTILATOR.
2.WHEN THE UNIT IS IN USE, DO NOT SMOKE OR USE NEAR OPEN
FLAME EITHER DURING USE OR WHEN CHANGING THE
CYLINDER.
3.WHEN NOT IN USE, AL WA YS TURN OFF THE GAS SUPPLY .
4.NEVER ALLOW OIL OR GREASE TO COME INT O CONTACT WITH
ANY P ART OF THE CYLINDER, REGULA T OR OR VENTILA T OR.
5. THIS DEVICE IS NOT DESIGNED FOR USE WITH HEA TED
HUMIDIFIERS
®
ATV , A TV+ and MRI are intended for use by suitably trained
1
Gas supplyReplace cylinder.
cylinder low or
empty.
Regulator outputReplace regulator
insufficient.
Cylinder valve notOpen valve fully.
fully open.
Brand of circuit usedUse only O-Two
may be entrainingapproved circuits
room air through
expiratory port
Airway Pressure AlarmIncorrectly selectedSelect a higher
sounds.airway pressure.pressure.
Airway obstructed.Correct the
obstruction.
Selected MinuteChange the settings
Volume too high /selected.
Frequency of
ventilation too slow.
26
6.TROUBLE SHOOTING CHART
NOTE:If any of the remedies do not resolve the problem
you are experiencing please contact your nearest
Approved Service Centre.
6.DO NOT DISASSEMBLE ANY P ART OF THE VENTILA T OR EXCEPT
WHERE DESCRIBED IN THIS MANUAL AS ANY UNAUTHORIZED
DISASSEMBL Y WILL INV ALIDATE THE WARRANTY.
7.AFTER USE, ALWAYS ENSURE THAT ALL COMPONENTS ARE
CLEANED IN ACCORDANCE WITH THE INSTRUCTIONS PROVIDED
IN THIS MANUAL. (SEE SECTION 4)
SYMPTOM PROBABLE CAUSE REMEDY
ATV does not function Gas supply exhausted Replace cylinder.
in any mode Gas supply not turned on Open cylinder valve
fully.
Supply hose not connected Connect supply hose.
to regulator outlet.
Gas pressure regulator
faulty. Replace pressure
regulator.
Gas supply hose kinked
or cut. Replace supply hose.
ATV does not functionManual/AUTO switch in theSwitch to AUTO
in automatic modeManual position.
Internally clogged orifice inSwitch selector
the Frequency or Minute knobs to a different
Volume controls.position.
Other control knobs mayCheck all selector
be incorrectly positioned.knob positions.
·
InsufficientIncorrect control settingCheck selector
ventilationsselection.positions.
Other control knobs may
be incorrectly positioned.Check selector
positions.
Internal blockage in MinuteSwitch to another
Volume Control.Minute Volume
setting.
Pressure relief settingCheck selector
too low.position.
·
25
8.ALWAYS USE THE CHECK LIST TO ENSURE THAT ALL
COMPONENTS ARE REASSEMBLED CORRECTLY AND READY
FOR USE.
9.IT IS RECOMMENDED THA T AN AL TERNA TIVE MEANS OF
VENTILATING THE PATIENT BE AVAILABLE IN CASE OF GAS
SUPPL Y F AILURE.
10.DURING USE, THE P A TIENT SHOULD NOT BE LEFT UNA TTENDED.
1 1.THE USE OF THIS DEVICE IN AREAS WHERE THE AMBIENT AIR
MA Y BE HAZARDOUS OR EXPLOSIVE SHOULD BE A VOIDED AS
ENTRAINMENT OF AMBIENT AIR DURING THE USE OF THE AIR
MIX MODE WILL PERMIT THE P ATIENT TO INHALE A TMOSPHERIC
GAS.
12.ONL Y THE CAREvent® MRI UNIT MA Y BE USED IN A MAGNETIC
RESONANCE IMAGING DEP ARTMENT .
13.ONLY PATIENT CIRCUITS SUPPLIED BY O-TWO SYSTEMS
SHOULD BE USED, AS THE USE OF OTHER CIRCUITS MAY
ADVERSELY AFFECT THE OUTPUT PERFORMANCE OF THE A TV .
14.THE USE OF GAS PRESSURE REGULATORS THAT DO NOT
MAINT AIN A MINIMUM OUTPUT PRESSURE AND FLOWRATE IN
LINE WITH THE REQUIREMENTS OF THE SPECIFICATION MAY
CAUSE THE DEVICE TO FAIL RESUL TING IN THE P A TIENT NOT
BEING VENTILA TED.
15.THE USE OF THIS DEVICE IN CARRING CASE OF ANY TYPE MA Y,
WHEN USED IN THE 60% AIR MIX MODE, RESULT IN AN INCREASE
IN OXYGEN CONCENTRA TION. IF THE AIR MIX MODE IS TO BE
USED IT IS RECOMMENDED THA T THE VENTILA TOR BE PLACED
IN ITS NORMAL OPERATING ORIENTATION AND THAT THE AIR
INTAKE ON THE REAR OF THE VENTILATOR IS NOT
OBSTRUCTED.
2
1.3Terms and Definitions
5.MAINTENANCE SCHEDULE
Airway Resistance: Pressure drop across the airway per unit flow.
A T V:Automatic Transport V entilator
CM V :Controlled Mandatory Ventilation.
CPAP:A positive pressure applied to the lungs during
all ventilation phases (Continuous Positive
Airway Pressure).
Demand V alve:A valve that delivers gas to the patient at a
flowrate equivalent to that demanded by the
patient’s inspiratory effort.
Expiratory Phase:The time period from the end of the inspiratory
flow to the end of the expiratory flow .
Expiratory Time (Te):Duration of the expiratory phase.
Frequency (f):The number of breaths in one minute (also
expressed as BPM).
5.1Annual Preventative Maintenance Inspection
It is recommended that the ventilator is returned to a service centre
(authorized by the manufacturer to undertake service and repair of this
device) for an Annual Preventative Maintenance inspection (more
frequently in high use areas). The inspection will incorporate a full
diagnostic test of all parameters. When complete, a certificate of
compliance will be issued to cover the device for the next service period.
This maintenance inspection, providing it is carried out by an authorized
service centre, will not affect the product warranty.
®
:Guidelines 2000 compliance. Complies with the
G2K
requirements of the ERC and AHA for 15:2
compression:ventilation ratio.
Inspiratory Flow:The flow delivered to the patient by the ventilator
during the inspiratory phase.
Inspiratory Phase:The interval from the start of the inspiratory flow
to the start of the expiratory phase.
Inspiratory Time (Ti):Duration of the inspiratory phase.
Lung Compliance:Volume added per unit pressure increase when
gas is added to a human or artificial lung.
324
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