1047358 Rev NRespironics V60 Ventilator User Manual vii
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viii Respironics V60 Ventilator User Manual 1047358 Rev N
Chapter 1. Warnings, cautions, and notes
Before using the Respironics V60 Ventilator on a patient, familiarize yourself
with this user manual, particularly the safety considerations listed. Be aware,
however, that this manual is a reference only. It is not intended to supersede
your institution’s protocol regarding the safe use of assisted ventilation.
DefinitionsWARNING:Alerts the user to the possibility of injury, death, or other serious adverse
reactions associated with the use or misuse of the device.
CAUTION:Alerts the user to the possibility of a problem with the device
associated with its use or misuse, such as device malfunction, device
failure, damage to the device, or damage to other property.
NOTE:Emphasizes information of particular importance.
GeneralWARNING:An alternative means of ventilation shall be available whenever the
ventilator is in use. If a fault is detected in the ventilator, disconnect the
patient from it and immediately start ventilation with such a device. The
ventilator must be removed from clinical use and serviced by authorized
service personnel.
WARNING:Use the Respironics V60 Ventilator on spontaneously breathing patients
only. It is an assist ventilator and is intended to augment the ventilation of
a spontaneously breathing patient. It is not intended to provide the total
ventilatory requirements of the patient.
WARNING:We do not recommend you use the Respironics V60 Ventilator on patients
who require ventilation at predetermined tidal volumes. The ventilator
provides continuous positive airway pressure (CPAP) and positive
pressure ventilation (S/T, PCV, and AVAPS, and PPV) and is indicated for
assisted ventilation only. These modes do not provide ventilation with
guaranteed tidal volume delivery.
WARNING:We do not recommend you use AVAPS on patients who require rapid and
frequent IPAP adjustments to maintain a consistent tidal volume. AV APS, a
volume targeted mode, changes the IPAP setting in order to achieve the
target tidal volume. During AVAPS setup, there may be a period of time
before the target tidal volume is achieved. AVAPS is ideal for more
stabilized patients.
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WARNING:To reduce the risk of CO2 rebreathing, make sure EPAP pressures and
exhalation times are sufficient to clear all exhaled gas through the
exhalation port. In noninvasive ventilation continuous air flow through the
port flushes exhaled gases from the circuit. The ability to completely
exhaust exhaled gas from the circuit depends on the EPAP setting and I:E
ratio. Higher tidal volumes further increase the volume of CO
rebreathed
2
by the patient.
WARNING:To reduce the risk of CO
rebreathing, monitor the patient for changes in
2
respiratory status at the start of ventilation and with each change in
ventilator settings, circuit configuration, or patient condition. Pay
attention to ventilator alarms that warn of increased CO
rebreathing risk.
2
WARNING:To ensure accuracy of oxygen administration and to monitor for the
presence of contamination (incorrect gas connected), use an external
oxygen monitor to verify the oxygen concentration in the delivered gas.
WARNING:To reduce the risk of fire, use the ventilator in well-ventilated areas away
from flammable anesthetics. Do not use in a hyperbaric chamber or other
similarly oxygen-enriched environments. Do not use near an open flame.
WARNING:To reduce the risk of electric shock from liquid entering the device, do
not put a container filled with a liquid on the ventilator.
WARNING:The nurse call/remote alarm should be considered a backup to the
ventilator’s primary alarm system.
WARNING:To ensure that the alarm will be heard, make sure the alarm loudness is
adequate and avoid blocking the alarm speakers beneath the ventilator.
WARNING:Do not leave the ventilator unattended when stationed on an incline.
WARNING:The V60 ventilator may cause radio interference or may disrupt the
operation of nearby equipment. It may be necessary to take mitigation
measures, such as re-orienting or relocating the ventilator or shielding
the location.
WARNING:Use of non-approved accessories, transducers or cables may increase
EMC emissions or decrease the EMC immunity performance of the
equipment.
CAUTION:Federal law (USA) restricts this device to sale by or on the order of a
physician.
CAUTION:The Respironics V60 Ventilator is designed to operate in the
temperature range of 5 to 40 ºC (41 to 104 ºF). To minimize the risk
of overheating the device, do not operate adjacent to heaters or other
heat sources.
NOTE:The displays shown in this manual may not exactly match what you
see on your own ventilator.
NOTE:Pressures are indicated on the ventilator in cmH
O. Millibars and
2
hectopascals (hPa) are used by some institutions instead. Since
1 millibar equals 1 hPa, which equals 1.016 cmH
O, the units may
2
be used interchangeably.
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Chapter 1
Warnings, cautions, and notes
NOTE:The ventilator is not intended for use as an ambulance transport
ventilator or as an Automatic T ransport Ventilator as described by the
American Hospital Association and referenced by the FDA. It is
intended to allow the patient to be transported within the hospital
setting using a cart to move the ventilator.
NOTE:When attachments or other components or subassemblies are added
to the ventilator breathing system, the pressure gradient across the
ventilator breathing system, measured with respect to the ventilator
outlet, may increase.
NOTE:To ensure the correct performance of the ventilator and the accuracy
of patient data, use only Respironics-approved accessories with the
ventilator. See Appendix C, “Parts and accessories”.
NOTE:This Respironics V60 Ventilator and its recommended accessories
that have patient contact are not made with natural rubber latex.
NOTE:If an alarm persists for no apparent reason, discontinue ventilator use
and contact Philips.
NOTE:If you detect any unexplained changes in the performance or visual
displays of the ventilator, discontinue ventilator use and contact
Philips.
NOTE:The Respironics V60 Ventilator does not support automatic record
keeping.
NOTE:All ventilator mode and alarm settings, alarm messages and
significant events are retained and automatically logged, even when
power is lost.
Preparing for
ventilation
WARNING:Connect the ventilator only to an appropriate medical-grade oxygen
source.
WARNING:To reduce the risk of hypoxia, connect only oxygen to the high-pressure
connector at the rear of the ventilator.
WARNING:To reduce the risk of fire, do not use a high-pressure oxygen hose that is
worn or contaminated with combustible materials like grease or oil.
WARNING:The Respironics V60 Ventilator is designed to use ambient air and high
pressure 100% oxygen. No other gases should be used.
WARNING:Do not use the ventilator with helium or mixtures with helium.
WARNING:Do not use the ventilator with nitric oxide.
WARNING:To prevent possible asphyxia and to reduce the risk of CO
take these precautions with respect to mask and exhalation port use:
- Use only an oro-nasal mask with an anti-asphyxia valve or a nasal
mask for noninvasive ventilation.
- Do not occlude the exhalation port.
- Turn on the ventilator and verify that the port is operational before
application. Pressurized gas from the ventilator should cause a
continuous flow of air to exhaust from the leak port, flushing exhaled
gas from the circuit.
rebreathing,
2
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Warnings, cautions, and notes
- Never leave the mask on the patient while the ventilator is not
operating. When the ventilator is not operating, the exhalation port
does not allow sufficient exhaust to eliminate CO
Substantial CO
rebreathing may occur.
2
from the circuit.
2
WARNING:The patient’s exhaled volume can differ from the measured exhaled
volume due to leaks around the mask during noninvasive ventilation.
WARNING:To ensure normal air circulation and exchange, do not cover or block the
ports on the ventilator. Do not block the air inlet panel on the right side of
the ventilator.
WARNING:Do not cover or position the ventilator so as to adversely affect its
operation or performance. Use the V60 in an upright position that does
not block the air inlet.
WARNING:To reduce the risk of the device overheating and possible burn injury, do
not block the fan intake at the rear of the ventilator.
WARNING:To prevent possible patient injury and possible water damage to the
ventilator, make sure the humidifier is set appropriately.
WARNING:When using a humidifier, always use either a circuit with a water trap or a
heated wire circuit to minimize patient risk from condensate in the
circuit.
WARNING:To prevent the possibility of inadequate humidification, pay close
attention to the humidifier’s functioning when operating the ventilator at
an ambient temperature > 30 ºC (86 ºF). The ventilator warms the air
delivered to the patient above ambient temperature, which may impair the
humidifier’s performance.
WARNING:To reduce the risk that the patient will aspirate condensed water from the
breathing circuit, position any humidifier lower than both the ventilator
and the patient.
WARNING:To prevent possible patient injury and equipment damage, do not turn the
humidifier on until the gas flow has started and is regulated. Starting the
heater or leaving it on without gas flow for prolonged periods may result
in heat build-up, causing a bolus of hot air to be delivered to the patient.
Circuit tubing may melt under these conditions. Turn the heater power
switch off before stopping gas flow.
WARNING:To reduce the risk of fire, use only patient circuits intended for use in
oxygen-enriched environments. Do not use antistatic or electrically
conductive tubing.
WARNING:To prevent patient or ventilator contamination, always use a main flow
bacteria filter on the patient gas outlet port. Filters not approved by
Respironics may degrade system performance.
WARNING:During ventilation, patient exhalate is released into room air. Use of a
patient circuit with a filter on its exhalation port is recommended.
WARNING:To reduce the risk of bacterial contamination or damage, handle bacteria
filters with care.
WARNING:Any additional accessories in the patient circuit may substantially
increase flow resistance and impair ventilation.
WARNING:Avoid adding resistive circuit components on the patient side of the
proximal pressure line. Such components may defeat the disconnect
alarm.
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Chapter 1
Warnings, cautions, and notes
WARNING:To reduce the risk of strangulation from patient tubing, use a tubing
support arm and secure the proximal pressure line with clips.
WARNING:To reduce the risk of electric shock, connect the ventilator to an AC
supply mains with protective earth only.
WARNING:Do not use extension cords, adapters, or power cords with the ventilator
that are not approved by Respironics.
WARNING:To prevent unintentional disconnection of the power cord, always use the
correct, Philips-supplied power cord and lock it into place with the power
cord retainer before you switch the ventilator on. The retainer is designed
to hold the connector end of the Philips-supplied cord securely in place.
WARNING:The V60 ventilator should not be positioned in a way that makes it
difficult to disconnect from mains power if necessary. Disconnect from
supply mains by removing the power cord from the wall outlet.
WARNING:To reduce the risk of electric shock, regularly inspect the AC power cord
and verify that it is not frayed or cracked.
WARNING:To reduce the risk of strangulation, route the power cord to avoid
entanglement.
WARNING:To reduce the risk of power failure to the ventilator , pay close attention to
the battery’s charge level. The battery’s operation time is approximate and
is affected by ventilator settings, discharge and recharge cycles, battery
age, and ambient temperature. Battery charge is reduced at low ambient
temperatures or in situations where the alarm is continuously sounding.
WARNING:Always check the status of the oxygen cylinders before using the
ventilator during transport.
WARNING:Provide external oxygen monitoring to minimize patient risk in case of O
supply loss or ventilator failure.
WARNING:To ensure the ventilator’s safe operation, always verify ventilator
operation as described in “Verify ventilator operation” on page 5-5 before
using the ventilator on a patient. If the ventilator fails any tests, remove it
from clinical use immediately. Do not use the ventilator until necessary
repairs are completed and all tests have passed.
WARNING:To prevent possible patient injury due to nonannunciating alarms, verify
the operation of any remote alarm device before use.
WARNING:To prevent possible patient injury, always return alarm settings to
hospital-standard values after verifying ventilator operation.
WARNING:Manufacturer default settings are not appropriate for all patients. Prior to
using the ventilator, verify that the current alarm settings or defaults are
appropriate for each particular patient.
CAUTION:To prevent possible damage to the ventilator, ensure that the
connection to the oxygen supply is clean and unlubricated, and that
there is no water in the oxygen supply gas.
CAUTION:For 120 V equipment, grounding reliability can only be achieved
when it is connected to an equivalent receptacle marked “hospital
only” or “hospital grade.”
2
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Warnings, cautions, and notes
CAUTION:Oxygen hose configurations using SIS connectors generate higher
resistance to flow. Therefore, a minimum supply pressure of 53 psig
is recommended when adding supplemental O
adapters such as the O2 transport manifold.
accessories with SIS
2
OperationWARNING:To prevent possible patient injury, avoid setting alarm limits to extreme
values, which can render the alarm system useless.
WARNING:PPV limits are not intended to be the primary ventilator alarms and should
not be substituted for the alarms found in the Alarm Settings window.
WARNING:To prevent the delivery of excessive pressure or volume, set the PPV
limits appropriately. Delivery of excessive pressure or volume can occur
from a sudden increase in mask leak, inappropriate settings, or a plugged
or kinked proximal pressure line. Conversely, insufficient treatment may
result if limits are set too low.
WARNING:Nebulization or humidification can increase the resistance of breathing
system filters. When using a nebulizer or humidifier, monitor the
breathing system filter frequently for increased resistance and blockage.
WARNING:Using a jet nebulizer can cause inadvertent alarms and affect the
accuracy of delivered FiO
pneumatic nebulizers to 10 L/min or use a vibrating mesh nebulizer.
. To reduce patient risk, limit the flow of
2
Alarms and messagesWARNING:If AC power fails and the backup battery is not installed or is depleted, an
audible and visual alarm annunciates for at least 2 minutes. Immediately
discontinue ventilator use and secure an alternative means of ventilation.
As in most ventilators with passive exhalation ports, when power is lost,
sufficient air is not provided through the circuit and exhaled air may be
rebreathed.
Care and
maintenance
WARNING:To reduce the risk of electric shock, power down the ventilator and
disconnect it from AC power before cleaning, disinfecting, or servicing it.
WARNING:To prevent patient or ventilator contamination, inspect and replace the
main flow bacteria filter between patients and at regular intervals (or as
stated by the manufacturer).
WARNING:To prevent possible patient injury, inspect and verify the proper operation
of the exhalation port regularly during use.
WARNING:To reduce the risk of fire, explosion, leakage, or other hazard, take these
precautions with respect to the battery:
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Chapter 1
Warnings, cautions, and notes
- Do not attempt to disassemble, open, drop, crush, bend or deform,
insert foreign objects into, puncture, or shred the battery pack; modify
or remanufacture it; immerse or expose it to water or other liquids;
expose it to fire, excessive heat (including soldering irons); or put it in
a microwave oven.
- Replace the battery only with another battery specified by the
manufacturer.
- Follow all instructions for proper use of the battery.
- Do not short-circuit the battery or allow metallic or conductive objects
to contact the battery connector housing.
- Use the battery with the Respironics V60 Ventilator only.
WARNING:Modification of the V60 ventilator and associated equipment is not
permitted and may compromise ventilator operation and patient safety.
Service should only be performed by qualified service personnel.
WARNING:This product consists of devices that may contain mercury, which must be
recycled or disposed of in accordance with local, state, or federal laws.
(Within this system, the backlight lamps in the monitor display contain
mercury.)
CAUTION:Do not attempt to sterilize or autoclave the ventilator.
CAUTION:To prevent possible damage to the ventilator, use only those cleaning
and disinfecting agents listed in this manual.
CAUTION:To prevent possible damage to the ventilator, do not drip or spray any
liquids directly onto any surface including the front panel,
touchscreen, and navigation ring.
CAUTION:Never clean or disinfect the touchscreen with an abrasive brush or
device, since this will cause irreparable damage.
CAUTION:To avoid introducing foreign matter into the ventilator and to ensure
proper system performance, change the air inlet filter at regular
intervals (or as stipulated by your institution).
CAUTION:T o ensure proper system performance, use a Respironics-approved air
inlet filter.
CAUTION:Because some environments cause a quicker collection of lint and
dust than others, inspect the filters more often when needed. The air
inlet filter should be replaced; the cooling fan filter should be
cleaned.
CAUTION:To prevent possible damage to the ventilator, always ship it with the
original packing material. If the original material is not available,
contact Philips to order replacements.
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Warnings, cautions, and notes
First-time installationWARNING:Never attempt to disconnect or connect the battery during operation.
CAUTION:To prevent possible damage to the ventilator, always secure it to its
stand or securely place it on a flat, stable surface that is free of dirt
and debris. Do not use the ventilator adjacent to, or stack it with,
other equipment.
Communications
interface
WARNING:Connect to the ventilator only items that are specified as part of or
compatible with the ventilator system. Additional equipment connected to
medical electrical equipment must comply with the respective IEC or ISO
standards. Furthermore, all configurations shall comply with the
requirements for medical electrical systems (see IEC 60601-1-1 or
clause 16 of edition 3 of IEC 60601-1, respectively). Anybody connecting
additional equipment to medical electrical equipment configures a
medical system and is therefore responsible for ensuring that the system
complies with the requirements for medical electrical systems. Also be
aware that local laws may take priority over the above mentioned
requirements. If in doubt, consult Philips.
WARNING:The USB port is not currently available for use. DO NOT connect or attempt
to power any equipment from the USB port.
WARNING:It is the responsibility of the end user to validate the compatibility and use
of information transmitted from the ventilator to the device to be
connected to the ventilator.
WARNING:The data provided through the communications interface is for reference
only. Decisions for patient care should be based on the clinician’s
observations of the patient.
WARNING:To prevent possible patient injury due to nonannunciating alarms, verify
the operation of any remote alarm device before use.
WARNING:To ensure the functionality of the remote alarm, connect only Respironics-
approved cables to the remote alarm port.
CAUTION:The remote alarm port is intended to connect only to an SELV (safety
extra-low voltage and ungrounded system with basic insulation to
ground), in accordance with IEC 60601-1. To prevent damage to the
remote alarm, make sure the signal input does not exceed the
maximum rating of 24 VAC or 36 VDC at 500 mA with a minimum
current of 1 mA.
Diagnostic modeWARNING:To prevent possible patient injury , do not enter the diagnostic mode while
a patient is connected to the ventilator. Verify that the patient is
disconnected before proceeding.
1-8 Respironics V60 Ventilator User Manual 1047358 Rev N
Chapter 2. Symbols
Refer to these tables to interpret symbols used on the ventilator labels and
packaging and on the ventilator screen. To interpret symbols pertaining to
accessories, refer to their instructions for use.
Table 2-1: Symbols used on ventilator labels and packaging
SymbolDescription
Warning: Risk of explosion. Do not use in the presence of flammable anesthetics.
Attention, consult the accompanying documents.
Read the user manual before using the ventilator.
(Blue) It is mandatory for the operator to consult the accompanying documents.
Protective earth (ground)
T ype B applied part, wh ich is equi pment that provid es a particular deg ree
of protection against electric shock, particularly in regard to allowable
leakage current and of the protective earth connection
Requires alternating current (AC)
Degree of fluid ingress protection provided by the enclosure (drip-proof)
Alarm and remote alarm
Two states of control: ON and Shutdown
Battery
European Conformity. Symbol is on rear panel of ventilator.
1047358 Rev NRespironics V60 Ventilator User Manual 2-1
Chapter 2
ECREP
Symbols
Table 2-1: Symbols used on ventilator labels and packaging (continued)
SymbolDescription
Brazilian Conformity. Certification by INMETRO (National Institute of Metrology, S tandard izati on a nd Indu stri al Qu ali t y)/SGS (Soc iete Gene ra le d e
Surveillance).
GOST R. Conformity mark, Russia Federation.
Date of manufacture
Manufacturer
EC representative
Serial number
Order number
Lot or batch number
Model number
Use by date
RS-232 serial input/output
USB port
Oxygen
(Yellow) Warning
Ethernet connection
2-2 Respironics V60 Ventilator User Manual 1047358 Rev N
Table 2-1: Symbols used on ventilator labels and packaging (continued)
(On power cord)
SymbolDescription
Accept button on the navigation ring
Adjustment direction on the navigation ring
Canadian Standards Association approval
Do not disassemble. Refer to authorized service personnel.
Product must be disposed of in accordance with the WEEE directive.
Chapter 2
Symbols
Noninvasive ventilation (patient with mask)
Invasive ventilation (intubated patient)
Do not block the cooling fan Inlet (at the rear of the ventilator).
No pushing. Do not push on the ventilator screen. Tipping hazard.
T otal mass (weight) of the v entilator , ventilator stan d, and standard setup.
See page 10-5 for more information.
Hospital-grade
1047358 Rev NRespironics V60 Ventilator User Manual 2-3
Chapter 2
廢電池請回收
Symbols
Table 2-1: Symbols used on ventilator labels and packaging (continued)
SymbolDescription
Recycle
Recycle (Taiwan)
RoHS (China). Administrative Measure on the Control of Pollution C aused
by Electronic Information Products. Contains RoHS substances with 50
years environmentally friendly use period (EFUP).
uR UL recognition symbol
Direct current (DC). Symbol is on backup battery.
Rechargeable battery. Symbol is on backup battery.
Lithium-ion battery. Battery must be recycled or disposed of properly.
Symbol is on backup battery.
Battery option
C-Flex software option
AVAPS software option
PPV software option
Auto-Trak+ software option
2-4 Respironics V60 Ventilator User Manual 1047358 Rev N
Table 2-2: Symbols used on graphical user interface
SymbolDescription
Alarm (audible)
Alarm is silenced
Alarm
Alarm reset
Informational message
Alarm message is displayed. Touch to hide alarm messages.
Alarm message is hidden. Touch to display alarm messages.
Chapter 2
Symbols
Increase and decrease (adjustment arrow) buttons. Adjusts a setting or
selects a value.
Accept button. Accepts set values.
Cancel button. Cancels set values.
+2:00 minutes button. Adds two minutes to 100% O
Ventilator is powered by AC power and the optional battery is installed.
Ventilator is powered by AC power and the optional battery is not installed.
Ventilator is powered by the battery. This symbol shows the approximate
battery time remaining in hours and minutes, and it shows the capacity
graphically.
delivery.
2
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Chapter 2
Symbols
Table 2-2: Symbols used on graphical user interface (continued)
SymbolDescription
Help button. Touch to display onscreen help information.
Vertical autoscale button. Autoscales the Y axis of the graphs to fit the
data currently displayed.
Pause button. Freezes waveforms in the Waveform window.
Pause in progress
Resume button. Resumes all waveform graphs from a paused state.
V
E
V
T
T
I/TTOT
Time base adjust button. Rescales the X axis of the graph display data at
3, 6, 12, and 24 second increments.
Duty cycle. Inspiratory time divided by total cycle time.
No valid data to display
Data is under range
Data is over range
Pressure, centimeters of water
Flow, liters per minute. BTPS compensated.
Volume, milliliters
2-6 Respironics V60 Ventilator User Manual 1047358 Rev N
Table 2-2: Symbols used on graphical user interface (continued)
SymbolDescription
User-set Ramp Time. Ramp graphic fills in as Ramp Time progresses.
Ramp Time is OFF (no ramp time set).
Intentional leak. The number corresponds to the leak symbol printed on
Philips Respironics masks.
Chapter 2
Symbols
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Chapter 2
Symbols
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2-8 Respironics V60 Ventilator User Manual 1047358 Rev N
Chapter 3. General information
Intended useThe Respironics V60 Ventilator is an assist ventilator and is intended to
augment patient breathing. It is intended for spontaneously breathing
individuals who require mechanical ventilation: patients with respiratory
failure, chronic respiratory insufficiency, or obstructive sleep apnea in a
hospital or other institutional settings under the direction of a physician.
The ventilator is intended to support pediatric patients weighing 20 kg (44 lb)
or greater to adult patients. It is also intended for intubated patients meet i ng
the same selection criteria as the noninvasive applications. The vent ilator is
intended to be used by qualified medical professional s, such as physicians,
nurses, and respiratory therapists. The ventilator is intended to be used only
with various combinations of Respironics-recommended patient circuits,
interfaces (masks), humidifiers, and other accessories.
ContraindicationsThe Respironics V60 Ventilator is contraindicated for patients with any of the
following conditions:
•Lack of spontaneous respiratory drive
•Inability to maintain a patent airway or adequately clear secretions
About CO2
rebreathing
•At risk for aspiration of gastric contents
•Acute sinusitis or otitis media
•Hypotension
•Untreated pertussis
•Epistaxis (nosebleed)
As with mask ventilation in general, patient CO2 rebreathing may occur under
some circumstances. Follow these guidelines to minimize the potential for CO
rebreathing. If rebreathing is a significant concern for a particular patien t a nd
these guidelines are not sufficient to acceptably reduce the potential for CO
rebreathing, consider an alternative means of ventilation.
•Increase EPAP to decrease the potential for CO
pressures produce more flow through the exhalation port, which helps
to purge all CO
•Be aware that the potential for CO
inspiratory time increases. A longer inspiratory time decreases
exhalation time, allowing less CO
the next cycle. In such circumstances, higher tidal volumes further
increase the volume of CO
from the circuit to prevent rebreathing.
2
rebreathing increases as
2
to be purged from the circuit before
2
rebreathed by the patient.
2
rebreathing. Higher
2
2
2
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General information
Potential side effectsAdvise the patient to immediately report any unusual chest discomfort,
shortness of breath, or severe headache. Other potential side effects of
noninvasive positive pressure ventilation include: ear discomfort,
conjunctivitis, skin abrasions due to mask/patient interface, and gastric
distention (aerophagia). If skin irritation or breakdown develops from the use of
the mask, refer to the accompanying mask instructions for appropriate action.
General descriptionThe Respironics V60 Ventilator (Figure 3-1) is a microprocessor-controlled,
bilevel positive airway pressure (BiPAP) ventilatory assist system that provides
noninvasive positive pressure ventilation (NPPV) and invasive ventilatory
support for spontaneously breathing adult and pediatric patie nts.
Figure 3-1: Respironics V60 Ventilator
Ventilation modes. The ventilator offers a range of conventional pressure
modes, CPAP (continuous positive airway pressure), PCV (pressure-controlled
ventilation), and S/T (spontaneous/timed). The volume-targeted AVAPS
(average volume-assured pressure support) mode combines the attributes of
pressure-controlled and volume-targeted ventilation. The optional PPV mode
provides pressure ventilation in proportion to the patient’s efforts.
Auto-Trak Sensitivity allows the ventilator to automatically compensate for
intentional and unintentional leaks by maintaining a stable baseline and
adjusting trigger and cycle thresholds for optimum patient-to-ventilator
synchrony. The optional Auto-Trak+ feature lets you further adjust the level of
Auto-Trak Sensitivity.
User interface. The ventilator’s ergonomic design, including a 12.1-inch (31cm) color touchscreen, a navigation ring, and key panel, lets you easily access
ventilator settings and monitored parameters.
Monitoring. The ventilator displays monitored parameters as numbers and as
real-time waveforms (curves or scalars).
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Chapter 3
General information
Alarms. The ventilator’s operator-adjustable and nonadjustable alarms help
ensure the patient’s safety.
Power and gas supplies. The ventilator uses as its primary power source AC
mains. An optional internal backup battery powers the ventilator typically for
6 hours.
The ventilator uses high-pressure oxygen. An integral blower pressurizes gas for
delivery to the patient.
NOTE:Oxygen delivered through the compressed gas hose and blower is
used as fresh gas.
Mounting. The ventilator can be mounted to a stand. When equipped with the
optional cylinder holder, the stand can accommodate two E-size oxygen
cylinders. An oxygen manifold kit is available, which allows two oxygen
cylinders and one wall oxygen supply line to be used as inputs to the ventilator.
Communications interface. The ventilator can output data through the RS-232
serial port upon receiving a command from a host computer or bedside
monitoring system. The ventilator is equipped with a remote alarm/nurse call
connection to activate alarms remotely.
Upgradability via Respi-Link
remote diagnostic system. The Respi-Link interface
permits software upgrade and remote troubleshooting of the ventilator through
the RS-232 port.
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Chapter 3
Oxygen
monitor
Humidifier
Oxygen
cylinder
Patient circuit
Mask
Bacteria filter
General information
Physical descriptionPatient circuits, masks/patient interfaces, and accessories
Figure 3-2 shows the Respironics V60 Ventilator with its patient circuit and
accessories. Table 3-1 on page 3-5 lists recommended patient circuits,
masks/patient interfaces, and other accessories for use with the ventilator.
Appendix C provides ordering information for parts and accessori es.
Figure 3-2: Respironics V60 Ventilator with accessories
3-4 Respironics V60 Ventilator User Manual 1047358 Rev N
Chapter 3
General information
Table 3-1: Recommended parts and accessories
PartUse...
Patient circuitSingle-limb patient circuit intended for
noninvasive or invasive ventilation. To
minimize turbulence, we recommend that
you use smooth-bore tubing. Use a circuit
listed in Appendix C.
WARNING:
During ventilation, patient exhalate is
released into room air. Use of a patient
circuit with a filter on its exhalation port is
recommended.
Patient interface (noninvasive or invasive)• Respironics masks listed in Appendix C
• Invasive interface (tracheostomy or ET
tube)
Exhalation portPhilips Respironics exhalation port listed in
1047358 Rev NRespironics V60 Ventilator User Manual 3-5
Chapter 3
1
6
5
4
2
3
Key panel
789
General information
Ventilator unit
Figure 3-3 through Figure 3-5 show the controls, indicators, and other
important parts of the ventilator unit .
Figure 3-3: Front view
NumberDescription
1Graphical user interface. Color LCD (liquid crystal display) with touchscreen.
2Navigation ring. Lets you adjust values and navigate the graphical user interface
by rotating the finger on its touchpad.
3Accept button. Activates selections.
4Proximal pressure port. Connection for tubing that monitors patient pressure in
5Ventilator outlet (To patient) port. Main connection for the patient circuit.
6Alarm speakers (beneath ventilator)
7Alarm LED. Flashes during a high-priority alarm. On continuously during a
8Battery (charged) LED. Flashes when battery is charging. On continuously when
9ON/Shutdown key with LED. T urns on AC power and initi ates ventilator shutdown.
the patient circuit.
Delivers air and oxygen in prescribed pressures to the patient.
ventilator inoperative condition.
battery is charged. Off when ventilator is running on battery or when the
ventilator is off and AC power is not connected.
LED is continuously on when AC power is connected.
3-6 Respironics V60 Ventilator User Manual 1047358 Rev N
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