Philips V60 User Manual

Respironics V60 V entilator

User Manual

For Technical Support and Customer Service, contact:

USA and Canada: 800-345-6443 or 724-387-4000
Respironics Europe, Africa, Middle East: [phone]
Respironics Asia Pacific: [phone]
Facsimile: [phone]

USA

Respironics California, Inc.
2271 Cosmos Court
Carlsbad, CA 92011

Email and web addresses

[e-mail]
[e-mail]
www.philips.com\healthcare

Authorized European representative

Respironics Deutschland GmbH
Gewerbestrasse 17
D-82211 Herrsching
Germany
[phone]

© 2009 Respironics and its affiliates.
All rights reserved.

This work is protected under T itle 17 of the United States copyright code and is the sole property of Respironics.
No part of this document may be copied or otherwise reproduced, or stored in any electronic information
retrieval system, except as specifically permitted under United States copyright law, without the prior written
consent of Respironics.

Table of contents

1. Warnings, cautions, and notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

General. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1

Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3

Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Alarms and messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5

First-time installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-6

Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-7

2. Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-9

3. General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

About CO

Potential side effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

Contraindications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

General description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-2

Physical description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4

rebreathing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1

2

Patient circuits, masks/patient interfaces, and accessories . . . . . . . 3-4

Ventilator unit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6

Graphical user interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

4. Principles of operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

System operational overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1

Pneumatic system operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Breath delivery characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Control variable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Triggering, cycling, and leak adaptation . . . . . . . . . . . . . . . . . . . . 4-2

Baseline pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2

Pressure rise time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Negative pressures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Oxygen concentration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Auto-Trak Sensitivity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Triggering . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Cycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-3

Leak adaptation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5

Ventilation modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7

CPAP mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-8

PCV mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-9

S/T mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10

AVAPS mode (optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11

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5. Preparing for ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Connecting external devices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Connecting oxygen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1

Installing the patient circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2

Connecting to AC power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

About the optional backup battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4

Starting up the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Shutting down the ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6

Navigating the graphical user interface . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Preoperational check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

Required materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-8

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9

Alarm tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

High Inspiratory Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

Low Tidal Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10

Patient Disconnect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

Patient Circuit Occluded . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

6. Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1

Changing the mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2

Changing control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Making batch setting changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3

Changing individual ventilator settings . . . . . . . . . . . . . . . . . . . . . . 6-4

Using the Ramp Time function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5

Changing alarm settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6

Selecting the mask and exhalation port . . . . . . . . . . . . . . . . . . . . . . . . . 6-7

Running the exhalation port test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-10

Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Other functions: the Menu window . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Loudness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Mask/Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Vent Info (ventilator information) . . . . . . . . . . . . . . . . . . . . . . . . . 6-11

Screen Lock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Standby . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-12

Help function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-14

Table of modes and control settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-15

7. Patient monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Display conventions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1

Table of monitored parameters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Scaling the waveform axes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2

Freezing and unfreezing waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3

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8. Alarms and messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Responding to alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-1

Setting alarm loudness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4

Silencing alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Manually resetting alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5

Clearing autoreset alarms from the Alarms list . . . . . . . . . . . . . . . . 8-5

Hiding/displaying alarm messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

Alarms and other messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6

9. Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Decontamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Ventilator exterior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1

Touchscreen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-2

Bacteria filter, patient circuit, and other accessories . . . . . . . . . . . 9-2

Preventive maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3

Replacing the air inlet filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

Cleaning or replacing the cooling fan filter . . . . . . . . . . . . . . . . . . 9-5

Removing and replacing the battery . . . . . . . . . . . . . . . . . . . . . . . 9-6

Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Storage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Repairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

Repacking and shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6

10. Technical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Control settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1

Patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-2

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Menu window settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3

Operator-accessible diagnostic mode functions. . . . . . . . . . . . . . . . . . 10-4

Physical characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4

Environmental specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Pneumatic specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Electrical specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5

Other specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6

A. First-time installation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Unpacking and inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-1

Mounting the ventilator . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-2

Installing the optional battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-3

Installing oxygen inlet connector and AC power cord (Outside the USA and Ja-

pan only). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-6

Installing the oxygen manifold kit . . . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

Configuration and screen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . A-7

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Table of contents

B. Communications interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-1

RS-232 serial and analog I/O port. . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Pinout of connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-2

Communications protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-3

Commands and transmission conventions . . . . . . . . . . . . . . . . . . . B-3

Remote alarm port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B-12

C. Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

One-year warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

Warranty limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C-1

D. Parts and accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

Adult masks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-1

Pediatric masks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3

Exhalation ports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-3

Patient breathing circuits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4

Bacteria filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4

Operator maintenance parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-4

Other parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D-5

E. Regulatory compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1

Electromagnetic compatibility (EMC). . . . . . . . . . . . . . . . . . . . . . . . . . . E-1

Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E-1

F. Diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1

Entering the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-1

System settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-3

Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-4

Date/Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-6

Pressure Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-7

Restore Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-8

Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-9

Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-10

Service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-11

Significant Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-11

Touchscreen calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-13

Exiting the diagnostic mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F-13

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Glossary-1

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Index-1

vi Respironics V60 Ventilator User Manual 1047358 Rev A

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.

Definitions WARNING: 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.

General WARNING: 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 Respironics­authorized 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 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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Warnings, cautions, and notes

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: Be aware of the possibility of contamination from patient exhalate being

exhausted into the room through the exhalation port.

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: To reduce patient risk of hypoxemia, keep free-flowing oxygen away from

air inlet of 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.

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.

NOTE: The ventilator is not intended for use as an ambulance transport

ventilator or as an Automatic Transport 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.

1-2 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 1

Warnings, cautions, and notes

NOTE: To ensure the correct performance of the ventilator and the accuracy

of patient data, we recommend you use only Respironics-approved
accessories with the ventilator. See Appendix D, “Parts and
accessories”.

NOTE: This Respironics V60 Ventilator and its recommended accessories

that have patient contact are free of latex.

NOTE: If an alarm persists for no apparent reason, discontinue ventilator use

and contact Respironics.

NOTE: If you detect any unexplained changes in the performance or visual

displays of the ventilator, discontinue ventilator use and contact
Respironics.

NOTE: The Respironics V60 Ventilator does not support automatic record

keeping.

Preparing for
ventilation

WARNING: Connect the ventilator to an appropriate medical-grade oxygen source

only. The source must be able to deliver 100% oxygen regulated to 276
to 600 kPa (40 to 87 psig).

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: Always check the status of the oxygen cylinders before using the

ventilator during transport.

WARNING: To prevent possible asphyxia and to reduce the risk of CO

take these precautions with respect to mask and exhalation port use:

WARNING: Use only a mask with an exhalation port or a nasal mask for noninvasive

ventilation.
WARNING: Do not occlude the exhalation port.
WARNING: 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.
WARNING: 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

rebreathing may occur.
WARNING: To ensure normal air circulation and exchange, do not cover or block the

ports on the ventilator or ventilator circuit. Do not block the air inlet panel

on the right side of the ventilator.
WARNING: To prevent possible patient injury and possible water damage to the

ventilator, make sure the humidifier is set to appropriate temperature and

humidification settings.

from the circuit. Substantial CO

2

rebreathing,

2

2

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Chapter 1

Warnings, cautions, and notes

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, we recommend you use a

Respironics-approved main flow bacteria filter on the patient gas outlet
port. Filters not approved by Respironics may degrade system
performance.

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: 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, Respironics-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 Respironics-supplied cord
securely in place.

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, 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.

1-4 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 1

Warnings, cautions, and notes

WARNING: To ensure the ventilator’s safe operation, always run the full

preoperational check described in “Preoperational check” on page 5-8

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, disconnect the patient from the

ventilator before running the preoperational check. Make sure another

source of ventilatory support is available.
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 the preoperational check.

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.”

Operation WARNING: To prevent possible patient injury, avoid setting alarm limits to extreme

values, which can render the alarm system useless.

Alarms and messages WARNING: 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 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:

1047358 Rev A Respironics V60 Ventilator User Manual

1-5

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.

CAUTION: Do not attempt to sterilize or autoclave the ventilator.
CAUTION: To prevent possible damage to the ventilator, use only those cleaning

agents listed in this manual.

CAUTION: To prevent possible damage to the touchscreen, take care when

cleaning it. Do not drip water and/or soap solution. After cleaning and
rinsing, remove all moisture with a dry, soft cloth. Never clean 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 Respironics to order replacements.

First-time installation WARNING: 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.

1-6 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 1

Warnings, cautions, and notes

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 Respironics.

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 mode WARNING: 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.

1047358 Rev A Respironics V60 Ventilator User Manual

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Chapter 1

Warnings, cautions, and notes

(This page is intentionally blank.)

1-8 Respironics V60 Ventilator User Manual 1047358 Rev A

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

Symbol Description

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.

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

Date of manufacture

Manufacturer

1047358 Rev A Respironics V60 Ventilator User Manual 2-9

Chapter 2

(On power cord)

Symbols

Table 2-1: Symbols used on ventilator labels and packaging (continued)

Symbol Description

RS-232 RS-232 serial input/output

USB port

Oxygen

Ethernet connection

Accept button on the navigation ring

Adjustment direction on the navigation ring

Canadian Standards Association approval

Do not disassemble. Refer to Respironics-authorized service personnel.

Product must be disposed of in accordance with the WEEE directive.

Noninvasive ventilation (patient with mask)

Invasive ventilation (intubated patient)

Do not block the cooling fan Inlet (at the rear of the ventilator).

Hospital-grade

2-10 Respironics V60 Ventilator User Manual 1047358 Rev A

Table 2-1: Symbols used on ventilator labels and packaging (continued)

3

50C

20C

-

Symbol Description

This side up

Recycle

Fragile

Keep dry

Do not stack > 3 high

Chapter 2

Symbols

Do not stack > 7 high

Limit temperature to between -20 and 50 ºC (-4 and 122 ºF)

Hazmat class 9

Fire hazard

uR UL recognition symbol

Battery option

1047358 Rev A Respironics V60 Ventilator User Manual 2-11

Chapter 2

Symbols

Table 2-2: Symbols used on graphical user interface

Symbol Description

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.

Increase and decrease (adjustment arrow) buttons. Adjusts a setting or
selects a value.

Accept button. Accepts set values.

Cancel button. Cancels set values.

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.

Help button. Touch to display onscreen help information.

2-12 Respironics V60 Ventilator User Manual 1047358 Rev A

Table 2-2: Symbols used on graphical user interface (continued)

Symbol Description

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.

Chapter 2

Symbols

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.

Estimated minute ventilation
Estimated exhaled tidal volume

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

User-set Ramp Time. Ramp graphic fills in as Ramp Time progresses.

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Chapter 2

Symbols

Table 2-2: Symbols used on graphical user interface (continued)

Symbol Description

Ramp Time is OFF (no ramp time set).

Intentional leak. The number corresponds to the leak symbol printed on
Respironics masks.

2-14 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 3. General information

Intended use The 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 meeting
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.

About CO2 rebreathing

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

Potential side effects Advise 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.

2

2

1047358 Rev A Respironics V60 Ventilator User Manual 3-1

Chapter 3

General information

Contraindications The 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

• At risk for aspiration of gastric contents

• Acute sinusitis or otitis media

• Hypotension

• Untreated pertussis

• Epistaxis (nosebleed)

General description The 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.

Auto-Trak Sensitivity allows the ventilator to automatically compensate for
unintentional leaks by maintaining a stable baseline and adjusting trigger and
cycle thresholds for optimum patient-to-ventilator synchrony.

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.

3-2 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 3

General information

Monitoring. The ventilator displays monitored parameters as numbers and as

real-time waveforms (curves or scalars).
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.

Mounting. The ventilator can be mounted to the universal stand. When
equipped with the optional cylinder holder, the stand can accommodate two E­size oxygen cylinders.

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 Respironics Respi-Link

remote diagnostic system. The Respi-

Link interface permits software upgrade and remote troubleshooting of the
ventilator through the RS-232 port.

1047358 Rev A Respironics V60 Ventilator User Manual 3-3

Chapter 3

Oxygen

monitor

Humidifier

Oxygen

cylinder

Patient circuit

Mask

Bacteria filter

Exhalation port

General information

Physical description Patient circuits, masks/patient interfaces, and accessories

Figure 3-2 shows the Respironics V60 Ventilator with its patient circuit and
accessories. T a ble 3-1 on page 3-5 lists recommended patient circuits, masks/
patient interfaces, and other accessories for use with the ventilator. Appendix
D provides ordering information for Respironics parts and accessories.

3

Figure 3-2: Respironics V60 Ventilator with accessories

3-4 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 3

General information

Table 3-1: Recommended parts and accessories

Part Use...

Patient circuit Single-limb patient circuit intended for

noninvasive or invasive ventilation. To mini­mize turbulence, we recommend that you
use smooth-bore tubing. Use a Respironics
circuit listed in Appendix D or the equiva­lent.

Patient interface (noninvasive or invasive) • Respironics masks listed in Appendix D

• Invasive interface (tracheostomy or ET
tube)

Exhalation port Respironics exhalation port listed in Ap pen-

dix D or the equivalent

Inspiratory filter Respironics main flow (inspiratory) bacteria

filter listed in Appendix D or the equivalent

Humidifier • Fisher & Paykel

• Hudson RCI CONCHATHERM or
CONCHATHERM Neptune

Oxygen monitor • CRITERION

(PN 8-100661-00)

• Teledyne MX300 oxygen monitor

• An equivalent that complies with ISO
7767

MR810 or MR850

OxiCheck oxygen analyzer

1047358 Rev A Respironics 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

Number Description

1 Graphical user interface. Color LCD (liquid crystal display) with touchscreen.
2 Navigation ring. Lets you adjust values and navigate the graphical user interface

by rotating the finger on its touchpad.
3 Accept button. Activates selections.
4 Proximal pressure port. Connection for tubing that monitors patient pressure in

5 Ventilator outlet (To patient) port. Main connection for the patient circuit. Deliv-

6 Alarm speakers (beneath ventilator)
7 Alarm LED. Flashes during a high-priority alarm. On continuously during a venti-

8 Battery (charged) LED. Flashes when battery is charging. On continuously when

9 ON/Shutdown key with LED. T urns on AC power and initi ates ventilator shutdown.

the patient circuit.

ers air and oxygen in prescribed pressures to the patient.

lator inoperative condition.

battery is charged. Off when ventilator is running on battery or when the venti-

lator 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 A

Figure 3-4: Side view

1
2

Chapter 3

General information

Number Description

1 Ventilation vents. Allow intake of air for delivery to the patient.
2 Air inlet filter (under side panel). Filters the air for delivery to the patient.

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Chapter 3

83

1

7 3 6 54 3 2

General information

Figure 3-5: Rear view

Number Description

1 Backup battery (compartment under side panel). Optional, 6-hour backup bat-

tery.
2 Remote alarm/nurse call connector
3 Reserved for future use
4 Power cord retainer
5 Power cord
6 RS-232 serial and analog I/O connector (female DB-25). Connects to hospital

information systems and other serial devices, and functions as an interface

for analog signals. Connects Respi-Link

for software updates.
7 Cooling fan filter
8 High-pressure oxygen inlet connector

remote diagnostic system gateway

3-8 Respironics V60 Ventilator User Manual 1047358 Rev A

Chapter 3

15

Window/window tabs

(see page 6-1)

Help button
(see page 6-14)

Waveforms window

(see page 7-1)

Patient data window

(see page 7-1)

Power symbols

(see page 5-5)

Alarm status bar

(see page 8-2)

Compressed waveforms window with Alarms/
Messages list
(see page 8-2)

General information

Graphical user interface

Through the graphical user interface (Figure 3-6) you make ventilator settings
and view ventilator and patient data. During ventilation, the upper screen
displays alarms and patient data. The middle screen displays real-time
waveforms and alarm and informational messa ges. The lower screen lets you
access modes and other ventilator settings, display help information, and see

.

the power status.

1047358 Rev A Respironics V60 Ventilator User Manual 3-9

Figure 3-6: Parts of graphical user interface

Chapter 3

General information

(This page is intentionally blank.)

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