Respironics V60, V60 Plus Service manual (2019) [gb]

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Respironics V60/V60 Plus Ventilator
Service Manual
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For technical support and customer service, contact:
USA and Canada: 1 International: www.philips.com. Select your location to access contact information.
Philips Healthcare is a part of Royal Philips
-800-722-9377
All Rights are reserved. Reproduction in whole or in part in any form or by any means, electrical, mechanical or otherwise is prohibited without the written consent of the copyright holder. Unauthorized copying of this publication may infringe copyright and reduce the ability of Philips to provide accurate and up-to-date information to users. Non Philips product names may be trademarks of their respective owners.
Manufacturer
Respironics California, LLC 2271 Cosmos Court Carlsbad, California 92011 USA
Respironics California, LLC. reserves the right to make changes to both this service manual and to the product it describes. Product specifications are subject to change without notice. Nothing contained within this service manual is intended as any offer, warranty, promise or contractual condition, and must not be taken as such.
Printed in the USA.
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Table of Contents
1 Introduction and Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
1.1 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
1.2 Recommended Test Equipment, Tools, and Supplies . . . . . . . . . . . . . . .12
1.3 Where to Go for Help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
2 Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
2.1 General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
2.2 Preparing for Ventilation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18
2.3 Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
2.4 Operation in High Flow Therapy (HFT). . . . . . . . . . . . . . . . . . . . . . . . . .22
2.5 Alarms and Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
2.6 Care and Maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
2.7 First-Time Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
2.8 Communications Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
2.9 Diagnostic Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
3 Theory of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
3.1 Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
3.1.1 Air Inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
3.1.2 Air Inlet Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
3.1.3 Air Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30
3.1.4 Machine and Proximal Pressure Transducers . . . . . . . . . . . . . . .30
3.1.5 Barometric Pressure Transducer . . . . . . . . . . . . . . . . . . . . . . . .30
3.1.6 Oxygen Pressure Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . .30
3.1.7 Manifold, Oxygen Inlet Filter, Filter Element . . . . . . . . . . . . . . .31
3.1.8 Oxygen Solenoid Valve . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
3.1.9 Oxygen Flow Sensor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
3.1.10 Blower . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
3.1.11 Solenoid Valves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
3.2 Electronics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
3.2.1 Power Management (PM) PCBA . . . . . . . . . . . . . . . . . . . . . . . .33
3.2.2 Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
3.2.3 Internal Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
3.2.4 CPU PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
3.2.5 Motor Controller (MC) PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . .38
3.2.6 Data Acquisition (DA) PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . .38
3.2.7 Flow Sensors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38
3.2.8 User Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
3.2.9 LCD Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
3.2.10 Backlight Inverter PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
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4 Installation, Test, and Inspection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
5 Periodic Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
3.2.11 Touchscreen Assembly. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
3.2.12 Nav-ring Assembly (Rotary Adjustment) . . . . . . . . . . . . . . . . . . .40
3.2.13 Power Switch Overlay. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
3.2.14 Switch PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
3.2.15 UI PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40
3.3 Electronic Signal Paths . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
4.1 Assembly and Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
4.2 Record Ventilator Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54
4.3 Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
4.4 Preoperational Check. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55
4.5 Returning the Ventilator to Operation . . . . . . . . . . . . . . . . . . . . . . . . . .57
4.6 Electrical Safety/Preoperational Check Data Form . . . . . . . . . . . . . . . . .59
5.1 Exterior and Touchscreen Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
5.1.1 Approved Cleaning Agents . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
5.1.2 Cleaning Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .64
5.2 Exterior and Touchscreen Disinfection . . . . . . . . . . . . . . . . . . . . . . . . .64
5.2.1 Approved Disinfecting Agents . . . . . . . . . . . . . . . . . . . . . . . . . .65
5.2.2 Disinfecting Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
5.3 Annual Preventive Maintenance Instructions . . . . . . . . . . . . . . . . . . . . .66
6 Diagnostic Mode and Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . 73
6.1 System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
6.1.1 Selecting a Language. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75
6.1.2 Setting Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .77
6.1.3 Restoring Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . .78
6.1.4 Selecting Pressure Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80
6.1.5 Enabling Software Options . . . . . . . . . . . . . . . . . . . . . . . . . . . .81
6.1.6 Baud Rate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .82
6.1.7 Alarm Volume Escalation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83
6.2 Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .84
6.2.1 Viewing Ventilator Information . . . . . . . . . . . . . . . . . . . . . . . . .84
6.2.2 Pneumatic Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85
6.2.3 Output Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86
6.2.4 Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88
6.3 Touchscreen Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93
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6.4 Diagnostic Codes, Alarms, and Troubleshooting . . . . . . . . . . . . . . . . . . .94
6.5 Miscellaneous Troubleshooting Tips . . . . . . . . . . . . . . . . . . . . . . . . . .107
7 Reports and Software Downloads . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109
7.1 Setting Up the Service PC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110
7.1.1 Setting Up the Serial Interface Using Tera Term. . . . . . . . . . . .110
7.2 Generating a Diagnostic Report (DRPTA) . . . . . . . . . . . . . . . . . . . . . . .121
7.3 Clearing the Significant Event Log . . . . . . . . . . . . . . . . . . . . . . . . . . .124
7.4 Downloading Ventilator Software. . . . . . . . . . . . . . . . . . . . . . . . . . . . .125
7.4.1 Software Download Instructions . . . . . . . . . . . . . . . . . . . . . . .125
7.4.2 Software Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126
7.4.3 Preoperational Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .129
7.4.4 Returning the Ventilator to Operation. . . . . . . . . . . . . . . . . . . .131
7.5 Preoperational Check Data Form. . . . . . . . . . . . . . . . . . . . . . . . . . . . .132
7.6 Programming the Ventilator Serial Number and Power-On Hours . . . . . .134
7.6.1 Programming the Ventilator Serial Number. . . . . . . . . . . . . . . .134
7.6.2 Programming Ventilator Power-On Hours . . . . . . . . . . . . . . . . .135
7.7 Upgrading Power Management PCBA PMC (PIC) Firmware . . . . . . . . . .138
7.7.1 Required Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .138
7.7.2 Installing MPLAB IDE V8.92 (for 32-bit Windows users) . . . . . .139
7.7.3 Configuring the MPLAB IDE V8.92 Program. . . . . . . . . . . . . . .142
7.7.4 PM PCBA PMC (PIC) Firmware Installation (MPLAB IDE V8.92) 144
7.7.5 Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .149
7.7.6 Installing MPLAB X IPE V2.10 (for Windows x86/x64 users) . . .149
7.7.7 Configuring MPLAB X IPE V2.10. . . . . . . . . . . . . . . . . . . . . . .152
7.7.8 PM PCBA PMC (PIC) Firmware Installation (MPLAB X IPE V2.10) . . 155
7.7.9 Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .161
8 Component Removal and Installation. . . . . . . . . . . . . . . . . . . . . . . . . . .163
8.1 Repacking and Shipping . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .165
8.2 Disconnecting All Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .166
8.3 Air Inlet Filter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .167
8.4 Internal Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .168
8.5 Top Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .170
8.6 AC Inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .171
8.7 Fan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .172
8.8 Oxygen Inlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173
8.9 DA PCBA to MC PCBA Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .174
8.10 MC PCBA Retention Bracket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .175
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8.11 Motor Controller (MC) PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .176
8.12 Separating the UI from the Base . . . . . . . . . . . . . . . . . . . . . . . . . . . .178
8.13 Front Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .179
8.14 Gas Outlet Port. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .180
8.15 UI Retainer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .181
8.16 Proximal Pressure Port . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .182
8.17 Alarm Speakers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .183
8.18 Power Management (PM) PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . .184
8.19 Power Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .186
8.20 CPU PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .187
8.21 Real-Time Clock Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .188
8.22 Left Side Wall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .189
8.23 Gas Delivery Subsystem (GDS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .190
8.24 Right Side Wall. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .192
8.25 Oxygen Inlet Filter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .193
8.26 Data Acquisition (DA) PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .194
8.27 Oxygen Solenoid Valve. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .196
8.28 Air and Oxygen Flow Sensor Assembly. . . . . . . . . . . . . . . . . . . . . . . . .197
8.29 Solenoid Valves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .199
8.30 Blower . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .200
8.31 Opening the User Interface (UI)/ Rear Bezel . . . . . . . . . . . . . . . . . . . .201
8.32 Power Switch Overlay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .202
8.33 Switch PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .203
8.34 Front Bezel, Touchscreen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .204
8.35 LCD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206
8.35.1 Original (HYDIS) LCD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .206
8.35.2 2nd-Generation (NEC) LCD. . . . . . . . . . . . . . . . . . . . . . . . . . .208
8.36 User Interface (UI) PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210
8.36.1 Original UI PCBA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210
8.36.2 2nd-Generation UI PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . .211
8.37 Backlight Inverter PCBA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212
8.38 LCD Tray . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .212
8.39 Bottom Feet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .213
8.39.1 Removing Bottom Feet Configured for the Universal Stand . . . .213
8.39.2 Convert Ventilator Feet From Universal Stand to
V60/V60 Plus Stand Configuration . . . . . . . . . . . . . . . . . . . . .214
8.40 Labels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .215
8.41 Component Replacement Data Form . . . . . . . . . . . . . . . . . . . . . . . . . .217
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9 Performance Verification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .219
9.1 Performance Verification Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .220
9.2 Pneumatic Calibration Analyzer Setup. . . . . . . . . . . . . . . . . . . . . . . . .224
9.2.1 Measurement Selection Screen . . . . . . . . . . . . . . . . . . . . . . . .224
9.2.2 Averaging Setup Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .225
9.2.3 Trigger Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226
9.2.4 Configurations Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .226
9.3 Performance Verification Procedures. . . . . . . . . . . . . . . . . . . . . . . . . .230
9.3.1 Preliminary Cleaning, Inspection, and Setup . . . . . . . . . . . . . .230
9.3.2 View and Record Ventilator Information . . . . . . . . . . . . . . . . . .230
9.3.3 Electrical Safety (Test 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . .232
9.3.4 Leak Tests (Test 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .234
9.3.5 Controls (Test 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237
9.3.6 Pressure Accuracy (Test 4) . . . . . . . . . . . . . . . . . . . . . . . . . . .239
9.3.7 Air Delivery/Flow Accuracy (Test 5) . . . . . . . . . . . . . . . . . . . . .243
9.3.8 Oxygen Flow Accuracy (Test 6) . . . . . . . . . . . . . . . . . . . . . . . .247
9.3.9 Oxygen Mix Accuracy (Test 7) . . . . . . . . . . . . . . . . . . . . . . . . .249
9.3.10 S/T Performance (Test 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . .252
9.3.11 Alarms (Test 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .254
9.3.12 Power Fail (Test 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .256
9.3.13 Internal Battery (Test 11). . . . . . . . . . . . . . . . . . . . . . . . . . . .257
9.3.14 Returning Ventilator to Operation . . . . . . . . . . . . . . . . . . . . . .259
9.4 Performance Verification Troubleshooting/Repair . . . . . . . . . . . . . . . . .261
9.4.1 Test 1: Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . .262
9.4.2 Test 2: Leak Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263
9.4.3 Test 3: Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .263
9.4.4 Test 4: Pressure Accuracy . . . . . . . . . . . . . . . . . . . . . . . . . . .264
9.4.5 Test 5: Air Delivery/Flow Accuracy. . . . . . . . . . . . . . . . . . . . . .264
9.4.6 Test 6: Oxygen Flow Accuracy. . . . . . . . . . . . . . . . . . . . . . . . .264
9.4.7 Test 7: Oxygen Mix Accuracy . . . . . . . . . . . . . . . . . . . . . . . . .265
9.4.8 Test 8: S/T Performance. . . . . . . . . . . . . . . . . . . . . . . . . . . . .265
9.4.9 Test 9: Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265
9.4.10 Test 10: Power Fail . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265
9.4.11 Test 11: Internal Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . .266
9.5 Electrical Safety Data Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .267
9.6 Performance Verification Data Form . . . . . . . . . . . . . . . . . . . . . . . . . .268
1049766 Rev K V60/V60 Plus Ventilator Service Manual 7
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Table of Contents
10 Replacement Parts List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 277
11 Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 303
10.1 Complete Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .279
10.2 Recommended Inventory Parts List. . . . . . . . . . . . . . . . . . . . . . . . . . .286
10.3 Ventilator Chassis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .289
10.4 Pneumatics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .291
10.5 Electronics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .292
10.6 Accessory Part Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296
10.7 Universal Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .298
10.8 V60/V60 Plus Stand . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .300
11.1 Control Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .304
11.2 Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .306
11.3 Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .307
11.4 Menu Window Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .308
11.5 Operator-Accessible Diagnostic Mode Functions. . . . . . . . . . . . . . . . . .309
11.6 Physical Characteristics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .310
11.7 Environmental Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .311
11.8 Pneumatic Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .312
11.9 Electrical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .313
11.10 Other Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .314
11.11 Contact Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .315
12 Respi-Link Remote Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 317
12.1 Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .317
12.2 Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .318
12.3 Availability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .318
A Service Bulletins. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 319
A.1 Downloading Bulletins from InCenter . . . . . . . . . . . . . . . . . . . . . . . . .319
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 321
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Chapter 1. Introduction and Intended Use

1.1 Intended Use ........................................................................11
1.2 Recommended Test Equipment, Tools, and Supplies ................12
1.3 Where to Go for Help .............................................................14
1049766 Rev K V60/V60 Plus Ventilator Service Manual 9
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Chapter 1
Introduction and Intended Use
The V60/V60 Plus ventilator is a microprocessor-controlled, positive pressure ventilator assist system. The ventilator provides noninvasive and invasive ventilatory support for spontaneously breathing adult and pediatric patients.
The ventilator has a variety of modes and monitoring capabilities to assist in assessing performance and patient-to-ventilator synchrony. The safety features include in-depth alarms and a variety of integrated safety and self-diagnostic features. Many system functions are automatically checked at startup and during operation.
The ventilator includes a touchscreen user interface (UI) and navigation ring (nav-ring) that lets the operator select ventilator and alarm settings and displays of ventilator and patient data.
The ventilator is designed to be upgradeable, and features communications capabilities and an internal battery backup option.
Read this manual thoroughly before performing service or maintenance on the ventilator. This manual includes advanced troubleshooting, calibration, and maintenance instructions for the ventilator. All maintenance and repair work should be performed by qualified biomedical technicians who have appropriate training and authorization to provide maintenance, repair, and service for the ventilator.
Review the operating instructions for the ventilator before running tests, checking operational readiness, or initiating patient use. These instructions include important information about ventilator safety and operation.
For additional information about accessories or related equipment, such as humidifiers and remote alarm systems, refer to the appropriate instruction manual prior to operating the ventilator. Review the applicable warnings and cautions in the ventilator user manual before operating the ventilator.
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Chapter 1
Introduction and Intended Use

1.1 Intended Use The V60/V60 Plus 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 ventilator is intended to be used by qualified medical professionals such as physicians, nurses, and respiratory therapists. The ventilator is intended to be used only with various combinations of Philips-recommended patient circuits, interfaces (masks), humidifiers, and other accessories.
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Chapter 1
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1.2 Recommended Test Equipment,
Table 1-1 lists the recommended tools, test equipment, and supplies required to service and maintain the ventilator.
Tools, and Supplies
Table 1-1: Recommended Test Equipment, Tools, and Supplies
Description
Test equipment
Digital multimeter (DMM) accurate to three decimal places
Electrical safety Analyzer Dale LT 544D or equivalent N/A
Pneumatic calibration analyzer capable of measuring low pressure (cmH (liters)
Temperature/humidity monitor Fisher Scientific 11661-14 or
Test lung IngMar QuickLung or equivalent N/A
O), flow rate (LPM), and volume
2
V60/V60 Plus service kit
Manufacturer and model or
Philips part number
Local supplier N/A
Certifier FA Plus or equivalent
• Controller: 1037695
• High Flow Module: 1037696
•O
Sensor Kit: 1037156
2
equivalent
• Controller: 989805612991
• High Flow Module: 989805612971
•O2Sensor Kit: 989805612921
Order number
N/A
Service Kit includes: 1054291 453561512121
Adapter, 22-mm OD, both ends 1002505 453561506281
Adapter, torque, GDS air inlet collar 1111163 453561531671
Adapter, USB to serial 1022895 989805643371
BIPAP test adapter, 0.25-in. 332353 453561517281
Cable assembly, HIS/EMR null modem. 1080588 989805629921
Cable, TTL communications 1058778 453561512951
Circuit tube, 18-in. smooth-bore, package of 2 1000060 453561507171
Coupling, straight, silicone 500-1000-43 453561505771
Forceps, locking, red plastic 1058432 453561512941
Plug, low-pressure 1058270 453561512911
23
Plug, tapered
Plug, tapered
Pressure pick-off port (O
Proximal pressure line tubing 312112 989805609321
/32 - 61/64 in., silicone, package of 2 1055322 453561512731
9
/16 - 3/4 in., silicone 1055323 453561512741
enrichment attachment) 312710 989805609421
2
12 V60/V60 Plus Ventilator Service Manual 1049766 Rev K
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Introduction and Intended Use
Table 1-1: Recommended Test Equipment, Tools, and Supplies
Chapter 1
Description
Remote alarm test cable 1027818 453561508001
Remote alarm test cable adapter 1027817 453561507991
Syringe, system leak test 1058271 453561512921
Valve, ball 1058431 453561512931
Valve, O
Hose kit
Note: Use one hose kit with the O off valve P/N 1122489 (sold separately, not included in the service kit)
Whisper Swivel II
/regulator shut-off 1122489 989805654391
2
/regulator shut-
2
Manufacturer and model or
Philips part number
1122456 (US)
Hose kit, O FML HT
1122488 (EMEA)
hose kit, O DISS F x NST PR
1122457 (Australia)
hose kit, O x NST PR
1123977 (Canada)
hose kit, O DISS M x DISS F
332113
, DISS FML HT x DISS
2
, DISS F x NST SK,
2
DISS F x SIS SK, DISS F
2,
, DISS M x DISS M,
2
Order number
989805654361 (US)
989805654381 (EMEA)
989805654371 (Australia)
989805654401 (Canada)
989805617951
Service tools and supplies
Adapter, 25-pin to 9-pin 1058403 453561509661
Cleaning cloth Local supplier N/A
Fitting, system leak test syringe (replacement) 1060263 453561512961
Isopropyl alcohol Local supplier N/A
Lubricant, Dupont, KRYTOX GPL 226 1101835 or equivalent 453561529261
Metric hex key set (rounded ends), 1.5 - 4 mm Local supplier N/A
Mild detergent or antiseptic wipes Local supplier N/A
Needle nose pliers Local supplier N/A
Oxygen sensor (replacement for Certifier FA Plus) 1001454 or equivalent 989805611611
PC or laptop (required for downloading software and capturing diagnostic codes)
Pliers Local supplier N/A
Screwdriver, #0 Phillips Local supplier N/A
Required: Windows XP or newer operating system, serial port or USB port
N/A
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Chapter 1
Introduction and Intended Use
Table 1-1: Recommended Test Equipment, Tools, and Supplies
Description
Screwdriver, #1 Phillips Local supplier N/A
Screwdriver, #2 Phillips Local supplier N/A
Screwdriver, #3 Phillips Local supplier N/A
Socket, deep, 5/16-in. Local supplier N/A
Socket, deep, 9/16-in. Local supplier N/A
Plug, blockout, RJ45 1116109 453561533851
Torque driver capable of 11.2 to 283 N-cm (1 to 25 in.-lb)
Torque driver capable of 226 to 1130 N-cm (20 to 100 in.-lb)
Vacuum, ESD-safe 3M Model 497-AJM or equivalent N/A
Workstation, antistatic 3M Model 725 or equivalent N/A

1.3 Where to Go for Help

Call the Response Center nearest you or visit Philips’ website below.
In the United States call: 1-800-722-9377.
Manufacturer and model or
Philips part number
Local supplier N/A
Local supplier N/A
Order number
For other telephone numbers worldwide, go to:
www.healthcare.philips.com
1. Select your location and language.
2. Click the About drop-down menu.
3. Select Contact.
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Chapter 2. Warnings and Cautions

2.1 General ................................................................................16
2.2 Preparing for Ventilation ........................................................18
2.3 Operation .............................................................................21
2.4 Operation in High Flow Therapy (HFT) .....................................22
2.5 Alarms and Messages ............................................................22
2.6 Care and Maintenance ...........................................................22
2.7 First-Time Installation ............................................................24
2.8 Communications Interface ......................................................24
2.9 Diagnostic Mode ...................................................................25
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Chapter 2
Warnings and Cautions
Before servicing the V60/V60 Plus ventilator, read and understand this service manual, especially safety considerations. These safety considerations are for reference only, and are not intended to supersede your institution’s protocol for service or safe use of noninvasive ventilation.
The instructions in this manual are primarily reserved for use by an authorized service technician.
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.

2.1 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 authorized service personnel.
WARNING: Use the 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 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. AVAPS, 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.
WARNING: To reduce the risk of CO
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
rebreathing, make sure EPAP pressures and
2
rebreathed by the patient.
2
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Chapter 2
Warnings and Cautions
WARNING: To reduce the risk of CO2 rebreathing, monitor the patient for changes in
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
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 oxygen toxicity, keep free-flowing oxygen away from
the air inlet of the ventilator.
rebreathing risk.
2
WARNING: The 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 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 ventilator is designed to operate in the temperature range of 5
to 40ºC (41 to 104ºF). 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 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
1049766 Rev K V60/V60 Plus Ventilator Service Manual 17
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Chapter 2
Warnings and Cautions
intended for to allow the patient to be transported within the hospital setting using a stand 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 Philips-approved accessories with the ventilator. See the user manual for more information.
NOTE: The ventilator and its recommended accessories that have patient
contact are not made of natural rubber latex.
NOTE: If an alarm persists for no apparent reason, discontinue ventilator use
and contact Philips.

2.2 Preparing for Ventilation

NOTE: If you detect any unexplained changes in the performance or visual
displays of the ventilator, discontinue ventilator use and contact Philips.
NOTE: The 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.
WARNING: Connect the ventilator only to an appropriate medical-grade oxygen source.
WARNING: The ventilator requires a pressurized oxygen supply that provides a minimum
flow of 175 SLPM. Do not use any devices such as valves, hoses, Grab n’ Go regulators, or other brands of combined cylinder/regulators that limit the supply of oxygen flow below 175 SLPM.
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 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.
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Chapter 2
Warnings and Cautions
WARNING: To prevent possible asphyxia and to reduce the risk of CO2 rebreathing, 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.
Never leave the mask on the patient while the ventilator is not operating. When the ventilator is not operating, the exhalation port does not let sufficient exhaust eliminate CO rebreathing may occur.
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.
from the circuit. Substantial CO2
2
WARNING: Do not cover or position the ventilator so as to adversely affect its operation
or performance. Use the ventilator 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 > 30ºC (86ºF). 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.
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Warnings and Cautions
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 Philips 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.
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 Philips.
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 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.
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Warnings and Cautions
WARNING: Provide external oxygen monitoring to minimize patient risk in case of O2
supply loss or ventilator failure.
WARNING: Always verify ventilator operation as described in the user manual 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.”
CAUTION: Oxygen hose configurations using SIS connectors generate higher
resistance to flow. Therefore, a supply pressure of 53 to 87 psig is recommended when adding supplemental O adapters such as the O
transport manifold.
2
accessories with SIS
2

2.3 Operation WARNING: 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 to 10 L/min or use a vibrating mesh nebulizer.
1049766 Rev K V60/V60 Plus Ventilator Service Manual 21
. To reduce patient risk, limit the flow of pneumatic nebulizers
2
Page 22
Chapter 2
Warnings and Cautions

2.4 Operation in High Flow Therapy (HFT)

WARNING: When transitioning from an HFT interface to an NIV mask, ensure that an
exhalation port is placed in the circuit and is unobstructed to reduce the risk
rebreathing.
of CO
2
WARNING: When transitioning from ventilation to HFT, remove the NIV mask and use only
a Philips-approved HFT interface to minimize pressure buildup and patient discomfort.
WARNING: When transitioning from HFT to ventilation, remove the nasal cannula as these
are restrictive and may defeat alarms such as patient disconnect. Using a nasal cannula in an NIV mode may lead to hypercarbia due to the inability to provide pressure support.
WARNING: Patient alarms are not available during HFT, as the therapy uses an open
system. A nasal cannula occupies only a portion of the nares and a patient can breathe through the mouth, which prevents estimation of patient parameters such as tidal volume, respiratory rate, pressure, and minute ventilation. Provide external monitoring, including oximetry, to inform the clinician of a change in the patient’s condition.
WARNING: During HFT, verify that an occlusive patient interface is not being used.
Occlusive patient interfaces include a cannula fully sealed within the nares, an NIV mask, or a direct connection to a tracheostomy tube or endotracheal tube. Remove any occlusive interface immediately as this may expose the patient to unintended high pressures.

2.5 Alarms and Messages

2.6 Care and Maintenance

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.
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.
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Chapter 2
Warnings and Cautions
WARNING: To reduce the risk of fire, explosion, leakage, or other hazard, take these
precautions with respect to the battery:
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 let metallic or conductive objects contact the battery connector housing.
Use the battery with the V60/V60 Plus ventilator only.
WARNING: Modification of the 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 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 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: To ensure proper system performance, use a Philips-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.
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Chapter 2
Warnings and Cautions
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.

2.7 First-Time Installation

2.8 Communications Interface

WARNING: Never attempt to disconnect or reconnect 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.
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 with 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 Philips-
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.
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Chapter 2
Warnings and Cautions

2.9 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.
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Chapter 2
Warnings and Cautions
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Page 27

Chapter 3. Theory of Operation

3.1 Pneumatics ..........................................................................28
3.1.1 Air Inlet .................................................................29
3.1.2 Air Inlet Filter .........................................................29
3.1.3 Air Flow Sensor .......................................................30
3.1.4 Machine and Proximal Pressure Transducers ..............30
3.1.5 Barometric Pressure Transducer ...............................30
3.1.6 Oxygen Pressure Transducer .....................................30
3.1.7 Manifold, Oxygen Inlet Filter, Filter Element ..............31
3.1.8 Oxygen Solenoid Valve .............................................31
3.1.9 Oxygen Flow Sensor .................................................31
3.1.10 Blower ...................................................................32
3.1.11 Solenoid Valves .......................................................32
3.2 Electronics ...........................................................................33
3.2.1 Power Management (PM) PCBA ................................33
3.2.2 Power Supply ..........................................................34
3.2.3 Internal Battery .......................................................34
3.2.4 CPU PCBA .............................................................34
3.2.5 Motor Controller (MC) PCBA .....................................38
3.2.6 Data Acquisition (DA) PCBA .....................................38
3.2.7 Flow Sensors ..........................................................38
3.2.8 User Interface .........................................................39
3.2.9 LCD Assembly .........................................................39
3.2.10 Backlight Inverter PCBA ..........................................39
3.2.11 Touchscreen Assembly .............................................40
3.2.12 Nav-ring Assembly (Rotary Adjustment) .....................40
3.2.13 Power Switch Overlay ..............................................40
3.2.14 Switch PCBA ..........................................................40
3.2.15 UI PCBA ................................................................40
3.3
Electronic Signal Paths ........................................................41
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Chapter 3
Theory of Operation

3.1 Pneumatics The pneumatic subsystem delivers and monitors pressurized gas to the patient

The V60/V60 Plus ventilator is a microprocessor-controlled gas flow control and monitoring system that can deliver air and oxygen to augment or replace the work normally performed by the patient’s respiratory system. The ventilator uses electromechanical control circuits, flow and pressure monitors, and software programs to deliver pressure controlled breaths.
The ventilator includes a user interface (UI), internal blower, and gas delivery subsystem (GDS) that mixes air and oxygen. The ventilator can operate from a 40 to 87 psig (276 to 600 kPa) medical grade oxygen source for enriched oxygen operation. The internal power supply that can operate from mains (100 to 240 V AC 50/60 Hz) or internal battery (14.4 V DC) power. The ventilator also includes several communications interfaces.
Ventilator schematic diagrams are available upon request.
in response to commands from the CPU subsystem. The pneumatic subsystem includes these components:
•Manifold
•Blower
Oxygen solenoid valve
Air and oxygen flow sensors
Pressure transducers
Solenoid valves
Motor controller (MC) PCBA
Data acquisition (DA) PCBA
The ventilator uses ambient air and high-pressure oxygen. Air enters through an inlet filter. Oxygen enters though a high-pressure inlet, and a proportional valve provides the operator-set concentration. The system mixes the air and oxygen, pressurizes it in the blower, and then regulates it to the user-set pressure. To do this, the ventilator compares the proximal (patient) pressure measurement with the ventilator outlet (machine) pressure, and adjusts the machine pressure to compensate for the pressure drop across the inspiratory filter, patient circuit, and humidifier. This helps ensure accurate and responsive pressure delivery and leak compensation.
The ventilator delivers gas to the patient through a main flow (inspiratory) bacteria filter, a single-limb patient breathing circuit, a humidification device (optional), and a patient interface such as a mask or ET tube. A pressure tap proximal to the patient is used to monitor patient pressure. The internal exhalation port continually clears gas from the ventilator airway to ensure delivery of an accurate oxygen mixture.
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Figure 3-1 shows the ventilator pneumatic schematic.
High pressure
oxygen inlet
O2 inlet filter
O2 inlet
pressure
Proportional
solenoid valve
Sintered flow
normalizers
Bypass
element
O2 flow
sensor
Mixing
air & O
2
Air flow
sensor
Bypass
element
Air inlet
filter
Ambient air
inlet
Blower
Internal exhalation port
Patient port
Barometric
pressure sensor
Machine
pressure sensor
Proximal
pressure sensor
Machine pressure
line
Purge
solenoid
Ambient pressure
Ambient pressure
Ambient pressure
Proximal pressure
276 to
600 kPa /40 to
87 psi
Air inlet
Air inlet filter
Chapter 3
Theory of Operation
Figure 3-1: Ventilator Pneumatic Subsystem Schematic

3.1.1 Air Inlet

Ambient air is entrained through the air inlet.
1049766 Rev K V60/V60 Plus Ventilator Service Manual 29

3.1.2 Air Inlet Filter

The air inlet filter is designed to filter 5-micron particles at 70% efficiency at 150 SLPM flow.
Page 30
Chapter 3
Oxygen pressure transducer
Machine pressure transducer
Proximal pressure transducer
Barometric pressure transducer
DA PCBA
Air flow sensor
Manifold
Theory of Operation

3.1.3 Air Flow Sensor

The air flow sensor measures a subset (bypass flow) of total flow in the pneumatic air path and interpolates the measurements according to constants that are calculated during gas delivery subsystem (GDS) calibration. The air flow sensor also helps provide closed-loop control of gas flow during oxygen blending.

3.1.4 Machine and Proximal Pressure Transducers

The machine and proximal pressure transducers on the DA PCBA measure the machine and proximal pressure over a range of -20 to +65 cmH
O.
2

3.1.5 Barometric Pressure Transducer

The barometric pressure transducer on the DA PCBA measures barometric pressure over a range of 525 to 850 mmHg.

3.1.6 Oxygen Pressure Transducer

The oxygen pressure transducer on the DA PCBA can measure accurate inlet pressures over a range of 0 to 100 psig. An alarm results if oxygen supply pressure is below 40 psig (276 kPa) or above 92 psig (634 kPa).
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Chapter 3
Manifold
Oxygen solenoid valve
Manifold
Oxygen flow sensor
Manifold
Oxygen inlet filter
Oxygen filter element
Oxygen breather vent
Theory of Operation

3.1.7 Manifold, Oxygen Inlet Filter, Filter Element

The manifold includes a connection for the oxygen inlet to accommodate country-specific oxygen connections. The manifold provides the pneumatic interfaces to the air inlet, oxygen inlet, blower inlet, and proximal and machine pressure lines.
The oxygen inlet filter removes 5-micron particles from the oxygen gas supply. A 40-micron sintered bronze filter element acts to reduce turbulence in the oxygen flow. The 40-micron oxygen breather vent reduces noise in the oxygen flow.

3.1.8 Oxygen Solenoid Valve

The oxygen solenoid valve and valve driver circuitry control the flow of oxygen according to the set O
and flow. The oxygen solenoid valve is closed when
2
there is a loss of power or system reset.

3.1.9 Oxygen Flow Sensor

The oxygen flow sensor measures a subset (bypass flow) of the total flow. These measurements are interpolated according to constants that are calculated during GDS calibration. Together, the oxygen solenoid valve and flow sensor provide closed-loop control for delivered oxygen flow.
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Chapter 3
Solenoid valves
SOL3, SOL4: Proximal pressure autozero solenoids. SOL4: Also connects machine pressure to the proximal pressure transducer during autozero.
SOL2, SOL4: Machine pressure autozero solenoids
SOL1: Purge solenoid, uses the machine pressure line to purge the proximal pressure line
Manifold
Solenoid valves (x4)
Manifold
Solenoid valves (x4)
BlowerBlower
Theory of Operation

3.1.10 Blower

The blower is controlled by the MC PCBA, and generates flow and pressure for the system. The blower includes an impeller, housing, and a three-phase brushless DC motor. The blower delivers a maximum pressure of less than 125 cmH revolutions per minute (RPM) in 120 msec from a nominal 5- to 25 cmH
O in a dead-head condition, can accelerate from 10,000 to 22,500
2
O
2
pressure rise. Maximum motor speed is approximately 40,000 RPM. The blower motor has internal Hall Effect sensors that are monitored by the MC PCBA and measure impeller speed.

3.1.11 Solenoid Valves

Four solenoid valves are mounted on the manifold and controlled by the DA PCBA. These three-way autozero solenoids include SOL1 (purge solenoid), SOL2 and SOL4 (machine pressure autozero solenoids), and SOL3 and SOL4 (proximal pressure autozero solenoids).
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Chapter 3
PM PCBA
Theory of Operation

3.2 Electronics The electronics system provides software-based control and monitoring, power

management, user input, display, subsystem I/O, external communication, and alarms. The electronics system includes a Cirrus EP9307 microcontroller for control and monitor processing.
Control tasks include breath delivery, patient data calculation, and alarm detection/response. Monitoring tasks include controlling the LCD, front panel keys and indicators, inputs, and primary alarm output. An independent watchdog control provides safety monitoring.
The electronics system includes:
Power management (PM) PCBA
Power supply
Internal battery
CPU PCBA
Motor controller (MC) PCBA
Data acquisition (DA) PCBA
Flow sensors
User interface
Liquid crystal display (LCD)
Backlight inverter PCBA
Touchscreen assembly
Nav-ring assembly
Power switch overlay
Switch PCBA
User interface (UI) PCBA

3.2.1 Power Management (PM) PCBA

Battery charging and management circuitry.
Internal supply voltages (supply voltages: 3.3 V, 5 V, 12 V, 35 V).
Fan power and tachometer monitoring.
Backup alarm control circuitry, including power fail detection.
Power switch control circuitry.
System alarm and reset management.
Electrical interfaces between the CPU PCBA, LCD, and the user interface (UI) PCBA.
Includes an EEPROM for programmed data, board identification
1049766 Rev K V60/V60 Plus Ventilator Service Manual 33
information, and PM PCBA power-on hours.
Page 34
Chapter 3
Internal battery
Power supply
CPU PCBA
Theory of Operation

3.2.2 Power Supply

Provides ventilator and battery recharging power from AC line voltage.
Converts AC line voltage (90 to 264 VAC, 50 to 60 Hz) into 24 VDC power.
Includes input over-current, output over-voltage, and output current­limiting protection.

3.2.3 Internal Battery

14.4-V, 11.0-Ah lithium-ion battery has a run-time of at least six hours under normal conditions.
Provides operating power when AC power is not available.
Provides charge and temperature status to the PM PCBA.
Internal circuitry monitors battery status, provides self-contained fault control features, and communicates this information to the PM PCBA.
Recharges in approximately 5 hours.
Recommended replacement every 5 years based on the date of manufacture recorded on the battery label (also viewable on the Ventilator Information screen in Diagnostic mode).

3.2.4 CPU PCBA

Microprocessor: once in a run state, the microprocessor can only be reset by a watchdog timeout or out-of-specification power condition. Monitors operation of the ventilator and controls delivery of air and oxygen to the patient. Verifies safe ventilator operation.
Flash memory: 8 MB program storage.
RAM: 8 MB for program execution and volatile data storage.
EEPROM: 4 KB of storage for board-specific information (including operating hours, time since last service, serial numbers, part numbers, and software and hardware revisions).
Watchdog timer: disables the blower and oxygen flow if not strobed by software within a predefined time window that is independent of the CPU master clock. In addition, ensures that software is operating.
Real-time clock (RTC): a time of day clock that provides the date and time to the ventilator, and is powered by a dedicated 3-V lithium coin cell battery.
LCD interface supports a display of 1024 horizontal x 768 vertical pixels in 256 colors with a refresh rate of at least 50 Hz. The
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Theory of Operation
CPU PCBA controls LCD brightness by varying a control voltage over a range of 0 to 3.5 V (minimum to maximum brightness).
Touchscreen interface supports a five-wire type touchscreen.
Nav-ring rotary adjustment interface with a minimum resolution of 24
ticks per revolution.
User key switches: interfaces to front panel keys.
Alarm subsystem: includes a speaker driver circuit for the two main
speakers, a backup piezo alarm, and a three-wire relay-controlled remote alarm interface (normal open, NO, or normal closed, NC) on the ventilator back panel. Table 3-1 summarizes the characteristics of the remote alarm interface.
Blower speed monitor measures blower speeds from 3,000 to 50,000
RPM with 2% accuracy.
Electrical interfaces to the power management (PM) and motor
controller (MC) PCBAs.
Two USB ports and an Ethernet connection are not used at this time.
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 remote diagnostic system gateway for software updates. Table 3-2 summarizes hospital information system (HIS) RS-232 port pinout.
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Chapter 3
Remote alarm connector and cable
NO
NC
Common
Sleeve
Tip
Ring
Theory of Operation
Table 3-1: Remote Alarm Interface
Component Description
NO contact Normally open (NO) relay contact. An open contact indicates
that a high-priority alarm is not active. A closed contact indicates that a high priority alarm is active.
NC contact Normally closed (NC) relay contact. A closed contact indicates
that a high-priority alarm is not active. An open contact
indicates that a high priority alarm is active. Common contact Used with both NO and NC protocols. Remote alarm
connector Remote alarm
description
Standard 1/4-inch female audio (ring, tip, sleeve) connector.
The remote alarm port allows high-priority alarm conditions to be
annunciated away form the ventilator (for example, when the
ventilator is in an isolation room). The ventilator sends alarm
signal to a remote alarm through the remote alarm connector at
the back of the ventilator.
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 Philips-
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.
NOTE: Selecting Alarm Silence deactivates the remote alarm.
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Table 3-2: Ventilator HIS Serial Communications Port Pinout
1
13
2514
Pin Signal I/O Description
1 HIS_RS232_SHLD Power HIS RS232 cable shield
2 HIS_RS232_TxD Output HIS RS232 transmit data output
3 HIS_RS232_RxD Input HIS RS232 receive data input
4 HIS_RS232_RTS Output HIS RS232 ready to send
5 HIS_RS232_CTS Input HIS RS232 clear to send
6 HIS_RS232_DSR Input HIS RS232 data set ready
Chapter 3
Theory of Operation
7 HIS_SIG_RTN Power HIS RS232 signal common
8 PULSE_OX_IN Input Pulse oximeter analog Input
9 HIS_DIG_IN0 Input HIS digital input #0, 0-3.3 V digital logic level (0-5 V tolerant)
10 HIS_DIG_IN1 Input HIS digital input #1, 0-3.3 V digital logic level (0-5 V tolerant)
11 HIS_ANALOG_IN00 Input HIS analog input #0, 0-5.0 V analog voltage level
12 HIS_ANALOG_IN01 Input HIS analog input #1, 0-5.0 V analog voltage level
13 HIS_SIG_RTN Power HIS RS232 signal common
14 HIS_DIG_IN2 Input HIS digital input #2, 0-3.3 V digital logic level (0-5 V tolerant)
15 HIS_DIG_IN3 Input HIS digital input #3, 0-3.3 V digital logic level (0-5 V tolerant)
16 HIS_DIG_OUT0 Output HIS digital output #0, 0-3.3 V digital logic level
17 HIS_DIG_OUT1 Output HIS digital output #1, 0-3.3 V digital logic level
18 HIS_DIG_OUT2 Output HIS digital output #2, 0-3.3 V digital logic level
19 HIS_DIG_OUT3 Output HIS digital output #3, 0-3.3 V digital logic level
20 HIS_RS232_DTR Output HIS RS232 data terminal ready
21 HIS_SIG_RTN Power HIS RS232 signal common
22 nHIS_BOOT_SEL Input Boot select signal: 0 = download, 1 = flash
23 HIS_ANALOG_OUT0 Output HIS analog output #0, 0-5.00 V analog voltage level
24 HIS_ANALOG_OUT1 Output HIS analog output #1, 0-5.00 V analog voltage level
25 HIS_ANALOG_OUT2 Output HIS analog output #2, 0-5.00 V analog voltage level
SHLD Chassis Power Cable shield
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Chapter 3
DA PCBA
Oxygen Flow Sensor
Air Flow Sensor
MC PCBA
Theory of Operation

3.2.5 Motor Controller (MC) PCBA

Controls the blower motor according to speed or current as commanded by ventilator software.
Provides electrical interfaces to the DA PCBA, oxygen and air flow sensors, fan, and primary speaker.
Includes monitoring of an embedded temperature sensor in the blower motor.
Includes analog to digital converters (ADCs) and digital to analog converters (DACs) for flow control and monitoring.
Includes two energy storage capacitors that increase motor power usage efficiency and power a backup audible alarm (a piezo alarm) and Alarm LED for at least two minutes.
Includes EEPROM for calibration data, board identification information, and MC PCBA power-on hours.

3.2.6 Data Acquisition (DA) PCBA

Provides precision measuring and signal conditioning.
Includes analog-to-digital converters (ADCs) and digital-to-analog converters (DACs) for flow and pressure monitoring signals.
Controls the oxygen solenoid valve with 12-bit accuracy.
Includes barometric (measurement range 525 to 850 mmHg) and oxygen pressure (measurement range 0 to 100 psig) transducers.
Includes individual patient proximal and machine pressure transducers (measurement range -20 to +65 cmH
2
O).
Includes EEPROM for calibration data, board identification information, and DA PCBA power-on hours.
Drives the solenoid valves mounted to the manifold.
Interfaces to the air and oxygen flow sensors.

3.2.7 Flow Sensors

Calibrated to the specific gas (air or oxygen).
Provides the signal source for the oxygen and air flow signals. Converts manifold gas flow into an analog signal, which is sent to DA PCBA for filtering and conversion.
Air flow sensor measures flows from -240 to 240 SLPM. Oxygen flow sensor measures flows from 0 to 240 SLPM.
Includes EEPROM for calibration data, board identification information, and power-on hours for each flow sensor.
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Theory of Operation
Backlight inverter PCBA
LCD assembly
User interface

3.2.8 User Interface

Includes indicators and controls for setting and monitoring
parameters.
Includes LCD, backlight inverter PCBA, touchscreen, power switch
overlay, rotary adjustment (nav-ring) assembly, UI PCBA, and switch PCBA.
Audible alarms: Primary audio alarm includes two alarm speakers in
the base unit (adjustable from 60 to 95 dBA at 1 m), one connected through the PM PCBA, and one connected through the MC PCBA. Backup audio alarm (piezo alarm) mounted on the CPU PCBA.

3.2.9 LCD Assembly

12.1-in. diagonal flat panel, 768 x 1024 pixels with 6-bit color.
Connects to backlight inverter PCBA and CPU PCBA through the
PM PCBA.
Chapter 3
HYDIS LCD: Cold cathode fluorescent lamp (CCFL) backlight with
10,000-hour minimum life (half initial brightness).
NEC LCD: CCFL backlight with 50,000-hour minimum life (half initial
brightness).

3.2.10 Backlight Inverter PCBA

Provides an adjustable backlight drive voltage.
Backlight dimming capability using a 0 to 3.5-V control voltage from
the CPU PCBA through the PM PCBA.
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Chapter 3
UI PCBA
Switch PCBA
Power switch overlay
Nav-ring assembly
Touchscreen assembly
Theory of Operation

3.2.11 Touchscreen Assembly

Uses a robust five-wire resistive panel.
Resolves touches in a configuration 0.3 x 0.3-in. matrix.

3.2.12 Nav-ring Assembly (Rotary Adjustment)

Rotary adjustment used to change setting values.
Center push-button (on switch PCBA) to accept a value of a selected field.

3.2.13 Power Switch Overlay

Includes the power switch, and embedded indicators for power status, battery charge status, and alarms.

3.2.14 Switch PCBA

Interconnects between rotary adjustment and UI PCBA and CPU PCBA.
Provides a center push button and interface to nav-ring.
Connects to UI PCBA.

3.2.15 UI PCBA

Provides a connection for backlight PCBA, touch panel, switches, and switch PCBA to PM PCBA.
Mounts behind the LCD and provides connectors to the backlight inverter PCBA, power switch overlay, switch PCBA, and touchscreen.
Connects to the PM PCBA.
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Chapter 3
Theory of Operation

3.3 Electronic Signal Paths

The following table summarizes the electronic signal paths for ventilator components.
Table 3-3: Ventilator Signal Paths
Component Signal Path Sequence
Air flow sensor DA PCBA, MC PCBA, CPU PCBA Alarm indicator Power switch overlay, UI PCBA, PM PCBA, CPU PCBA Backlight inverter PCBA Input: UI PCBA, PM PCBA, CPU PCBA
Output: LCD CCFL Barometric pressure transducer DA PCBA, MC PCBA, CPU PCBA Battery indicator Power switch overlay, UI PCBA, PM PCBA, CPU PCBA Blower motor MC PCBA, DA PCBA, CPU PCBA CPU PCBA DAC CPU PCBA DA PCBA ADC DA PCBA, MC PCBA, CPU PCBA DA PCBA DAC DA PCBA, MC PCBA, CPU PCBA Ethernet connector CPU PCBA Fan MC PCBA, CPU PCBA, PM PCBA LCD Power: PM PCBA. Signal: PM PCBA, CPU PCBA.
CCFL: Backlight inverter PCBA Internal battery PM PCBA Speaker #1 MC PCBA, CPU PCBA Speaker #2 PM PCBA, CPU PCBA MC PCBA ADC MC PCBA, CPU PCBA MC PCBA DAC MC PCBA, CPU PCBA Nav-ring assembly Switch PCBA, UI PCBA, PM PCBA, CPU PCBA Remote alarm connector CPU PCBA Oxygen flow sensor DA PCBA, MC PCBA, CPU PCBA Oxygen inlet pressure sensor DA PCBA, MC PCBA, CPU PCBA Oxygen solenoid valve DA PCBA Power indicator Power switch overlay, UI PCBA, PM PCBA, CPU PCBA Power supply Input: AC inlet. Output: PM PCBA. Power switch Power Switch Overlay, UI PCBA, PM PCBA, CPU PCBA Proximal pressure sensor DA PCBA, MC PCBA, CPU PCBA Solenoid valves DA PCBA Switch PCBA UI PCBA, PM PCBA, CPU PCBA Touchscreen UI PCBA, PM PCBA, CPU PCBA USB device connector CPU PCBA USB host connector CPU PCBA
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Theory of Operation
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Figure 3-2 shows a wiring diagram for the main assembly.
Chapter 3
Theory of Operation
Figure 3-2: Main Assembly Wiring Diagram
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Chapter 3
Theory of Operation
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Figure 3-3 shows a wiring diagram for the UI subsystem.
Chapter 3
Theory of Operation
Figure 3-3: UI Assembly Wiring Diagram
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Chapter 3
Theory of Operation
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Figure 3-4 shows a block diagram of the ventilator voltages.
Chapter 3
Theory of Operation
Figure 3-4: Respironics V60 Voltages Block Diagram
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Chapter 3
Theory of Operation
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Figure 3-5 shows a block diagram of the PM PCBA.
Chapter 3
Theory of Operation
Figure 3-5: Power Management (PM) PCBA Block Diagram
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Chapter 3
Theory of Operation
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Figure 3-6 shows a block diagram of the MC PCBA.
Chapter 3
Theory of Operation
Figure 3-6: Motor Controller (MC) PCBA Block Diagram
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Theory of Operation
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Chapter 4. Installation, Test, and Inspection

4.1 Assembly and Installation ......................................................54
4.2 Record Ventilator Information .................................................54
4.3 Electrical Safety ....................................................................55
4.4 Preoperational Check .............................................................55
4.5 Returning the Ventilator to Operation ......................................57
4.6 Electrical Safety/Preoperational Check Data Form .....................59
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This chapter outlines the steps required to install and test the V60/V60 Plus ventilator. Use the form at the end of the chapter to record all data.
NOTE: It is not required that Philips install the ventilator, but this option may
be available at an additional cost.

4.1 Assembly and Installation

4.2 Record Ventilator Information

Assemble and install all items according to the IFU included with each accessory and as shown in the ventilator user manual.
1. Connect the ventilator to AC power.
2. If the ventilator is not already in Diagnostic mode, press and hold the nav-ring Enter button, and press the On/Shutdown button on the user interface. Within 5 seconds of the power up, release and press the nav-ring Enter button again to enter the Diagnostic menu.
3. Touch Service to display the Ventilator Information screen and record the following information on the Electrical Safety/Preoperational Check Data Form (section 4.6):
Ventilator serial number
Software options, includes:
•PPV
AVAPS
•C-Flex
Ramp
Auto-Trak+
•HFT
Total power-on hours
Since last PM hours
PIC software version
PMC PLD version
Battery lot ID
Battery manufacture date
4. Turn the ventilator off.
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4.3 Electrical Safety For a complete description of the electrical safety test, see section 9.3.3.

Required equipment:
0.25-in. test adapter (P/N 453561517281)
Needle nose vise grips
Electrical safety analyzer
1. Check that the ground resistance is < 0.2 ohm at these test points:
Gas outlet port
Proximal pressure port
Oxygen fitting retention plate
2. Attach the 0.25-in. test adapter to the gas outlet port.
3. Turn the ventilator on and check that the cooling fan is operating
correctly.

4.4 Preoperational Check

4. Check that the forward and reverse leakage current is:
< 300 microamperes (µA) for ventilators connected to 100-120 VAC/60 Hz
< 500 microamperes (µA) for ventilators connected to 220-240 VAC/50 Hz
5. Remove all test equipment.
The electrical safety test is complete.
Required equipment:
Breathing circuit (P/N 989805609611-box/10) or equivalent
1-L test lung (P/N 989805611871) or equivalent
1. Connect the ventilator to AC power.
2. Connect an oxygen supply to the ventilator.
3. Connect the breathing circuit to the ventilator (see the ventilator user manual for circuit setup).
4. Attach the test lung to the end of the breathing circuit.
5. Press the On/Shutdown button to start the ventilator in normal ventilation mode.
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6. Verify that both the backup alarm (high pitch) and the primary alarm (lower tone) sound momentarily during start up.
7. Verify the active mask and exhalation port in the Messages window is set to Other. If not see Selecting the Mask and Exhalation Port instructions in chapter 6 of the User Manual. The window should display this information before proceeding:
Mask: Other, Exh Port: Other
Use Menu to change
8. Select these ventilator settings and alarm limits, reset any alarms if necessary:
Ventilator settings Alarm settings
Mode: S/T High Rate: 90 BPM
IPAP: 10 cmH2O Low Rate: 1 BPM
EPAP: 6 cmH2O Hi VT: 2500 mL
Rate: 4 BPM Lo VT: OFF mL
I-Time: 1.00 sec HIP: 50 cmH2O
Rise: 1 LIP: OFF cmH2O
Ramp: OFF Low VE: OFF L/min
O2: 21% LIP T: 20 secs
9. Verify that the test lung expands during inspiration, collapses during exhalation, and there is a continuous flow of gas from the exhalation port.
10. Disconnect the proximal line from the ventilator, verify a Proximal Pressure Line Disconnect alarm is activated with the following results:
Audible alarm sounds
Alarm message appears
Alarm LED flashes
11. Reconnect the proximal line from the ventilator and verify that the audible alarm is automatically silenced.
12. Press the Alarm Reset button on the touchscreen to clear the alarm messages. Go to step 16 if no internal battery is installed.
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13. Disconnect the ventilator from AC power and verify the following:
Ventilator switches to internal battery
Running on Internal Battery appears in the Alarm window
Battery in use icon appears
ON/Shutdown LED remains green
Audible alarm sounds approximately every 30 seconds
14. Reconnect the ventilator to AC power and verify that the ventilator
operation is uninterrupted, the AC icon is displayed and the Battery In Use icon turns off.
1 5. V er if y th a t t he B at te r y L ED i s o n o r fl as h in g .
(on = battery charge state is 90-100%, flashing = battery is being charged)
4.5 Returning the Ventilator to
Operation
16. Turn the ventilator Off.
The preoperational check is complete.
1. Remove all test equipment, tools and materials from the ventilator.
2. If the ventilator is not already in diagnostic mode, press and hold the nav-ring Enter button, and press the On/Shutdown button on the user interface. Within 5 seconds of the power-up, release and press the nav-ring Enter button again to enter the Diagnostic menu.
3. Touch System Settings, and then touch Restore Default Settings.
4. Touch Date/Time and verify that the date and time are correct, if not set appropriately.
5. Turn ventilator off.
6. Enter the required information on the electrical safety and PM labels.
7. Affix the labels to the ventilator (Figure 4-1), and apply a chemical­resistant label over the electrical safety and PM labels.
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PM label
Electrical safety
label
Installation, Test, and Inspection
Installation is complete.
Figure 4-1: Electrical Safety and PM Label Placement
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4.6 Electrical Safety/
Preoperational Check
Data Form
Complete this form whenever an installation is performed. Make copies of this form for data collection.
Date: Serial number
Customer information
Name:
Address:
City/State:
Account no.:
Preliminary ventilator cleaning and inspection Circle one
Cleaned ventilator exterior? YES NO
Inspected cooling fan filter? YES NO
Inspected air inlet filter? YES NO
Record ventilator information
Installed options (circle all that apply):
Software version: PMC PLD
Total power-on hours: Battery lot ID:
hours since last PM: Battery mfg
PIC software version:
PPV AVAPS C-Flex Ramp Auto-Trak+ HFT
Other: ____________________________________________________
version:
date:
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Electrical safety Circle one Passed
Proper cooling fan operation? PASS FAIL
Proximal pressure port GND resistance (< 0.2 Ω)
Gas outlet port GND resistance (< 0.2 Ω) ΩΩΩ
Oxygen fitting retainer screw resistance (< 0.2 Ω)
Forward leakage current: 100-120V VAC: < 300 µA, 220-240 VAC: < 500 µA
Reverse leakage current: 100-120V VAC: < 300 µA, 220-240 VAC: < 500 µA
Preoperational check
Audible alarms 6 Pass Fail
Inspiration / exhalation 9 Pass Fail
Proximal pressure line disconnect 10, 11 Pass Fail
Internal battery (circle N/A if not installed)
N/A 13 - 15 Pass Fail
value
Step(s) Circle one
Failed value Value after
repair
ΩΩΩ
ΩΩΩ
µA µA µA
µA µA µA
Did the electrical safety/preoperational check pass? Circle one
Pass Fail
Returning ventilator to operation
Restore default settings 3 Pass Fail
Correct date/time 4 Pass Fail
Technician name (print): Date
Technician signature:
Step(s) Circle one
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Chapter 5. Periodic Maintenance

5.1 Exterior and Touchscreen Cleaning ..........................................64
5.1.1 Approved Cleaning Agents ........................................64
5.1.2 Cleaning Instructions ...............................................64
5.2 Exterior and Touchscreen Disinfection .....................................64
5.2.1 Approved Disinfecting Agents ...................................65
5.2.2 Disinfecting Instructions ..........................................65
5.3 Annual Preventive Maintenance Instructions ............................66
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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: 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.)
NOTE: It is the user’s responsibility to comply with the information provided
in this chapter.
NOTE: Cleaning, disinfection and sterilization are most effective if soiling is
not allowed to dry on a medical device.
NOTE: Disinfection and sterilization are most effective on medical devices
that were previously cleaned.
NOTE: For all V60/V60 Plus hardware accessories recommended by Philips,
follow the cleaning and disinfection guidelines described in this chapter. For multi-patient interfaces and circuit accessories, consult the product instructions for use. For single patient use accessories, no cleaning and disinfection is needed.
To ensure the safety and reliability of the ventilator, follow these maintenance procedures along with your own institutional policies for cleaning, disinfecting, and maintaining equipment.
Perform cleaning, sterilizing, and periodic maintenance procedures (Table 5-1) to ensure consistent ventilator operation. Hospital personnel can perform all maintenance tasks except the annual preventive maintenance procedures (the preventive maintenance procedures must be performed by a qualified service technician). The ventilator user manual also summarizes periodic care and maintenance procedures.
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Table 5-1: Periodic Maintenance Procedures
Frequency Component Maintenance
Chapter 5
Periodic Maintenance
Monthly Cooling fan filter Inspect for occlusions, dust lint, etc. If discolored or dirty, replace or remove and wash or rinse
250 hours Air inlet filter Inspect and replace as required (environments with more lint and dust may require more frequent
Annually • Air inlet filter
• Cooling fan filter
5 years Battery Replace battery (P/N 1076374 / 989805626941)
thoroughly and let dry completely before reinstalling.
replacement).
• Install annual preventive maintenance kit (P/N 1054378 / 453561512681). Kit contents are subject to change.
• Clean ventilator interior and exterior.
• Inspect the oxygen inlet filter.
• Complete performance verification procedure.
• Philips recommends that the operational software be updated to the current version during this service.
Battery replacement is based on the date of manufacture. The date of manufacture is on the battery label and in Diagnostic mode on the Ventilator Information screen.
CAUTION: Only qualified service technicians are to install preventive maintenance kits or perform service
procedures.
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5.1 Exterior and Touchscreen
Cleaning
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: Do not attempt to sterilize or autoclave the ventilator.
NOTE: Use of unapproved cleaning and disinfecting agents may cause
damage to the enclosure, touchscreen, or parts of the ventilator.

5.1.1 Approved Cleaning Agents

The following cleaning agents are acceptable for use on the touchscreen and exterior surfaces of the ventilator:
•Clean water
Soapy water with Medivators Intercept detergent, per manufacturer's recommendation at 1/3 oz (10 mL) per gallon of warm tap water. (Benzalkonium chloride 4.8%, diethylene glycol monoethyl ether
4.8%, lactic acid 1.4%, alkyl polyglycoside 1.4%)
5.2 Exterior and Touchscreen
Disinfection

5.1.2 Cleaning Instructions

1. Apply cleaning agent to a soft lint-free cloth or use a disposable wipe. The cloth or wipe should be saturated but not dripping.
2. Wipe cleaning agent over the entire exterior surface and touchscreen of the ventilator.
3. Continue wiping until all visible contaminants and soiling are removed.
4. Rinse with a clean, water-dampened cloth and let dry completely before reuse.
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.
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CAUTION: Never clean or disinfect the touchscreen with an abrasive brush or
device, since this will cause irreparable damage.
CAUTION: Do not attempt to sterilize or autoclave the ventilator.
NOTE: Use of unapproved cleaning and disinfecting agents may cause
damage to the enclosure, touchscreen, or parts of the ventilator.

5.2.1 Approved Disinfecting Agents

The following disinfecting agents are acceptable for use on the touchscreen and exterior surfaces of the ventilator:
Table 5-2: Exterior Disinfection
Disinfectant
Solution of 1 part 5% sodium hypochlorite (bleach) diluted in 9 parts deionized water. 70% isopropyl alcohol 3% hydrogen peroxide PDI Super Sani-Cloth® germicidal disposable wipes
(n-Alkyl (68% C12, 32% C14) dimethyl ethylbenzyl ammonium chlorides (0.25%); n­Alkyl (60% C14, 30% C16, 5% C12, 5% C18) dimethyl benzyl ammonium chlorides (0.25%); Isopropyl Alcohol (55%))
NOTE: Use only this brand and type. Other brands and types may have both active and inactive ingredients that can damage the ventilator.

5.2.2 Disinfecting Instructions

1. Apply cleaning agent to a soft lint-free cloth or use a disposable wipe.
The cloth or wipe should be saturated but not dripping.
2. Wipe disinfecting agent over the entire exterior surface of the
ventilator.
3. Let the disinfectant remain on the surface for the contact times
indicated in the specifications for the disinfecting agent.
4. Rinse with a clean cloth dampened with water and let dry completely
before reuse.
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5.3 Annual Preventive
Maintenance
Instructions
Follow these steps to perform the annual preventive maintenance (PM) procedure on the ventilator.
NOTE: The annual PM procedure must be performed by a qualified service
technician in an appropriate setting, such as a biomedical repair facility. Use a clean patient circuit and filters when performing any testing or operational checkout.
NOTE: Philips recommends that the operational software be updated to the
current version during the annual preventive maintenance.
1. Clean the exterior of the ventilator using universal precautions (including mask, gloves, eye protection) and following the instructions in section 5.1 and disinfect as needed using the instructions in section 5.2.
2. Enter Diagnostic mode by pressing and holding the nav-ring Enter button and turn on the ventilator by pressing the On/Shutdown button on the user interface. Within 5 seconds, press the nav-ring Enter button again to enter Diagnostic mode. The Diagnostics Menu appears (Figure 5-1).
Figure 5-1: Diagnostics Menu
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3. Touch Service to display the Ventilator Information screen (Figure 5-
2).
Figure 5-2: Ventilator Information Screen
4. Record the following information on the Performance Verification Data
Form (section 9.6):
Software options
Ventilator serial number
Software version
Total power-on hours
Hours since last PM
Battery lot number
Battery manufacture date
5. Generate a diagnostic report (DRPTA) for the ventilator (section 7.2).
6. Turn off the ventilator by pressing the On/Shutdown button.
7. Disconnect all power, remove the top cover, and remove the EMI
shroud from the power supply (section 8.19).
8. Use an electrostatic discharge (ESD) safe vacuum to remove any
accumulated dust and debris from the inside the ventilator enclosure.
9. Inspect all electrical and pneumatic connections.
10. Replace the air inlet filter (section 8.3).
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Filter retainer
Cooling fan
filter
Periodic Maintenance
11. Remove the oxygen filter cap from the GDS (section 8.25). Inspect the oxygen inlet filter for contamination or debris and verify that it is properly installed.
12. From outside the bottom enclosure, use a small screwdriver or needle nose pliers to remove the filter retainer, then replace the cooling fan filter (Figure 5-3).
Figure 5-3: Cooling Fan Filter Retainer
13. Reassemble the ventilator and complete the Performance Verification Data Form (section 9.6).
14. If the ventilator is not already in diagnostic mode, press and hold the nav-ring Enter button and turn on the ventilator by pressing the On/ Shutdown button on the user interface. Within 5 seconds, release and press the nav-ring Enter button again to enter Diagnostic mode.
15. Turn on the PC and connect a standard 9-pin male/female RS-232 null modem cable and a 9-pin to 25-pin female/male adapter between the PC serial port and the ventilator.
16. Click on the Tera Term icon to enable communication with the ventilator.
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17. Type:
#RESETPM (all caps) in the dialog box, and press Enter to reset hours since last
PM to zero (Figure 5-4).
Chapter 5
Figure 5-4: Reset Hours since Last PM Command
18. When the hours since last PM have been successfully reset, the dialog
box displays:
?RESETPMOK
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19. Type
#CLRLOG (all caps) in the dialog box, and press Enter to clear the diagnostic log
(Figure 5-5).
Figure 5-5: Clear Diagnostic Codes Command
20. When the diagnostic log has been successfully cleared, the dialog box displays:
?CLRLOGOK
21. Touch System Settings, and then touch Restore Default Settings.
22. Touch Date/Time and correct the date and time if necessary.
23. Turn the ventilator off by pressing the On/Shutdown button.
24. Upon successful completion of the performance verification, hours reset, and restoring the default settings, enter the required information on the PM and electrical safety labels.
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PM label
Electrical safety
label
Periodic Maintenance
25. Affix the labels to the ventilator (Figure 5-6).
Figure 5-6: Electrical Safety and PM Label Placement
26. Apply a clear chemical-resistant label over the electrical safety and
PM labels.
27. The annual PM is complete.
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Chapter 6. Diagnostic Mode and
Troubleshooting
6.1 System Settings ....................................................................75
6.1.1 Selecting a Language ..............................................75
6.1.2 Setting Date and Time .............................................77
6.1.3 Restoring Default Settings ........................................78
6.1.4 Selecting Pressure Units ..........................................80
6.1.5 Enabling Software Options .......................................81
6.1.6 Baud Rate ..............................................................82
6.1.7 Alarm Volume Escalation .........................................83
6.2 Service .................................................................................84
6.2.1 Viewing Ventilator Information ..................................84
6.2.2 Pneumatic Controls .................................................85
6.2.3 Output Controls .......................................................86
6.2.4 Miscellaneous .........................................................88
6.2.4.1 Significant Event Log ..............................89
6.2.4.2 Download Mode ......................................90
6.2.4.3 Touchscreen Diagnostics .........................91
6.2.4.4 Touchscreen Diagnostic Information .........92
6.3 Touchscreen Calibration .........................................................93
6.4 Diagnostic Codes, Alarms, and Troubleshooting ........................94
6.5 Miscellaneous Troubleshooting Tips ......................................107
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Diagnostic Mode and Troubleshooting
Use Diagnostic mode to perform these functions:
System settings: language, ventilator date and time, pressure units,
Service: ventilator information, pneumatics and outputs screens (for
Touchscreen calibration.
This chapter also provides detailed information on diagnostic codes and troubleshooting (section 6.4).
WARNING: Do not enter Diagnostic mode while a patient is connected to the ventilator.
NOTE: This mode is primarily reserved for use by a qualified service
To enter Diagnostic mode:
1. Press and hold the nav-ring Enter button then press and release the
2. Within five seconds, press the nav-ring Enter button again to enter the
restore default settings, enable software options, and Baud rate.
troubleshooting), and miscellaneous features (viewing the significant event log, downloading software, touchscreen diagnostics, high pressure leak test, and system leak test).
technician.
ventilator On/Shutdown button on the user interface.
Diagnostics Menu (Figure 6-1).
Figure 6-1: Diagnostics Menu
3. To exit Diagnostic mode at any time, press the On/Shutdown button.
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6.1 System Settings The System Settings button provides access to these functions (Figure 6-2):

Language (language button is a different color)
Date/Time
Pressure Units
Restore Default Settings
Software Options
Baud Rate
Figure 6-2: Diagnostic Mode: System Settings

6.1.1 Selecting a Language

The Set Language screen lets you select the language displayed during ventilation mode.
NOTE: Screens displayed after touching the Service button from the
Diagnostics Menu appear in English, regardless of the selected language.
1. From the System Settings screen, touch Language.
2. Touch the language button on the Set Language screen (Figure 6-3).
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Figure 6-3: Set Language Screen
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3. The screen shows the selected language (Figure 6-4).
Chapter 6
Figure 6-4: Set Language - Apply or Cancel
4. To apply the new language, touch Ventilator Shutdown.
To exit without changing the language, touch Cancel.

6.1.2 Setting Date and Time

The Set Date and Time screen lets you update the ventilator date and time. The ventilator uses these settings for the significant event log, and does not adjust settings for daylight savings.
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1. From the System Settings screen, touch Date/Time.
2. Enter the date and time, then touch Accept (Figure 6-5). To exit without changing the date and time, touch Cancel.
Figure 6-5: Set Date and Time Screen

6.1.3 Restoring Default Settings

The Restore Default Settings screen lets you restore ventilation and alarm settings to their default values. This function does not change other settings such as brightness, loudness, language, Baud rate, or pressure units.
1. From the System Settings screen, touch Restore Default Settings.
2. Touch Restore Defaults on the Restore Default Settings screen (Figure 6-6). To exit without restoring default settings, touch Cancel.
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Figure 6-6: Restore Default Settings Screen
3. When all ventilator and alarm settings have been restored to factory
default values, the screen displays this message:
Ventilation and Alarm Settings have been restored to factory defaults.
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6.1.4 Selecting Pressure Units

The Set Pressure Units screen lets you select what unit of pressure the ventilator displays during ventilation and Diagnostic modes.
1. From the System Settings screen, touch Pressure Units.
2. Touch the selected pressure unit button on the Set Pressure Units screen (Figure 6-7).
Figure 6-7: Set Pressure Units Screen
3. The screen displays the selected pressure unit and this message:
Pressure units will apply after a ventilator shutdown and restart.
4. To apply the new unit of pressure, touch Ventilator Shutdown. To exit without changing the unit of pressure, touch Cancel.
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6.1.5 Enabling Software Options

Every software option has a unique enable code for each ventilator. A unique option code is required for each software option before it can be enabled.
NOTE: Do not install an option until you have verified that the ventilator serial
number on the enclosure matches the serial number shown on the Ventilator Information screen (Figure 6-11). If a serial number must be reprogrammed, do so before enabling an option.
1. From the System Settings screen, touch Software Options.
2. Use the on-screen keypad on the Enable Software Options screen
(Figure 6-8) to enter the option code, then touch Accept.
Figure 6-8: Enable Software Options Screen
3. If the option code is invalid, the screen prompts you to reenter.
4. When the software option has been successfully enabled, the screen
displays Enabled: followed by the option name.
5. Repeat as needed to enable additional options.
6. To exit the Enable Software Options screen at any time, touch Back to
System Settings.
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6.1.6 Baud Rate

The Set Baud Rate screen lets you change the ventilator Baud rate for serial communications during ventilation mode. Diagnostic mode always uses 19,200 Baud.
1. From the System Settings screen, touch Baud Rate.
2. Touch the button to select the Baud rate (Figure 6-9).
Figure 6-9: Set Baud Rate Screen
3. The screen then displays this message:
Baud rate is now set to:
followed by the selected Baud rate.
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6.1.7 Alarm Volume Escalation

The Alarm Volume Escalation function escalates alarm volume to its maximum if an operator input is not detected within 40 seconds after a high priority alarm occurs. Alarm volume automatically returns to the user setting when the ventilator detects a touch on the touchscreen or a button press.
NOTE: The Alarm Escalation function is only available in software versions
2.30 or later.
Enable or disable the Alarm Volume Escalation function from Diagnostic mode:
1. From the System Settings screen, select Alarm Volume Escalation.
2. The current setting appears at the top of the screen.
3. Touch Enable or Disable to change the setting (Figure 6-10).
Figure 6-10: Set Alarm Volume Escalation Screen
4. The new setting takes effect after you turn the ventilator off and on
again.
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6.2 Service The Service button provides access to these functions:

Ventilator information
Pneumatic controls
Output controls
Miscellaneous (significant event log, download mode, and touchscreen
NOTE: Service button functions are intended for use by qualified service

6.2.1 Viewing Ventilator Information

Ventilator information is used for periodic maintenance and troubleshooting.
1. From the Service screen, touch the Vent Info tab.
diagnostics, high pressure leak test, and system leak test).
technicians.
2. The Ventilator Information screen displays software options, serial numbers, software versions, power-on hours, hours since last PM, and information on the internal battery and PCBAs (Figure 6-11).
Figure 6-11: Ventilator Information Screen
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6.2.2 Pneumatic Controls

This Pneumatic Controls screen lets you adjust flows, pressures, oxygen concentrations, and the state of each solenoid.
1. From the Service screen, touch the Pneumatics tab.
2. The screen displays real-time diagnostic information and pneumatic
controls (Figure 6-12). Table 6-1 summarizes the acceptable ranges for the information that appears at the top of the screen.
Chapter 6
Figure 6-12: Pneumatic Controls Screen
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Temperatures
Blower Celsius ≤ 95ºC Motor Celsius ≤ 60ºC
Battery Celsius ≤ 100ºC Data Celsius ≤ 60ºC
CPU Celsius ≤ 60ºC
Voltages
1.8V Supply 1.73 to 1.88 V 24V Supply 22.6 to 26.88 V
3.3V Supply 3.04 to 3.52 V 35V Supply 32.85 to 40.15 V
5V Supply 4.50 to 5.60 V Backup Volts 3.12 to 3.48 V
Table 6-1: Pneumatic Control Specifications
12V Supply 11.5 to 13.0 V Battery Volts
10.0 V (fully discharged) to
16.9 V (charged)
Amp/RPM
Blower Amp
Blower RPM
Battery Amp
Varies. Occasional 1 A peak at VMOTOR ~14.3 V and 21,000 RPM and 0.5 A peak at VMOTOR ~7 V and 10,000 RPM
0 (blower not turning: 3000 RPM displayed) to ~22 V at ~31,000 RPM
+2.6 to 0.0 A (battery charging to charge complete); ~1.0 A at VBATT ~15 V without blower running
Battery %
Indicates battery health

6.2.3 Output Controls

The Output Controls screen lets you set and verify wrap, analog, and digital outputs.
1. From the Service screen, touch the Outputs tab.
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2. The screen shows diagnostic information and output controls (Figure
6-13).
Figure 6-13: Output Controls Screen
Results:
For any of the DAC Wrap signals, the ADC count out should be equal to the DAC count in ± 23 counts over the full range of 0 to 4050 counts. An out-of­specification result could be a fault in any one of the following:
ADC chip internal fault
DAC chip internal fault
Addressing error of the ADC or DAC
SPI interface failure (DAC only reads data from SPI bus, ADC reads
and writes data)
DAC Wrap feedback path shorted to adjacent signal or open
Note that a fault of Vref will not necessarily show up here as the paired DAC and ADC chips use a common reference voltage. There is at least one other ADC input that is generated from a separate reference (that is, 3.3V supply) that would fail if Vref were off significantly.
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6.2.4 Miscellaneous

The Miscellaneous screen lets you access the significant event log, touchscreen diagnostics, download mode, high pressure leak test, and system leak test.
1. From the Service screen, touch the Misc tab.
2. The screen includes the Significant Event Log, Download Mode, Touchscreen Diagnostics, High Pressure Leak Test, and System Leak Test buttons (Figure 6-14).
Figure 6-14: Miscellaneous Screen
3. To exit the Miscellaneous screen at any time, touch Back to Diagnostics Menu.
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6.2.4.1 Significant Event Log
The significant event log lets you view a log of setting changes, alarms, and diagnostic codes.
1. From the Miscellaneous screen, touch Significant Event Log.
2. You can use the arrow buttons to page through the significant event
log (Figure 6-15) 25 entries at a time.
Figure 6-15: Significant Event Log
3. To display the beginning or end of the significant event log, touch the
To Newest or To Oldest button.
See section 7.2 for information on interpreting the significant event log and saving it to a computer.
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6.2.4.2 Download Mode
The Download Mode screen lets you load operational software onto the CPU PCBA.
1. From the Miscellaneous screen, touch Download Mode to prepare the
2. When the software download is complete, the download complete
ventilator for a software download. See section 7.4 for more information on downloading software.
screen appears (Figure 6-16).
Figure 6-16: Download Complete Screen
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6.2.4.3 Touchscreen Diagnostics
The touchscreen Diagnostics screen lets you verify touchscreen x and y coordinates.
1. From the Miscellaneous screen, touch Touchscreen Diagnostics.
2. At the touchscreen diagnostics screen (Figure 6-17), touch the screen
in multiple places to verify correct touchscreen function.
Chapter 6
Figure 6-17: Touchscreen Diagnostics Screen
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6.2.4.4 Touchscreen Diagnostic Information
The Touchscreen Diagnostics screen exits and returns to the Misc tab
The Touchscreen Diagnostics screen displays a grid with the following
The Touchscreen Diagnostics screen displays a cursor at the calibrated
The Touchscreen Diagnostics screen displays the ADC (raw) and the
screen when the nav-ring Enter button is pressed.
pixel line coordinates: 64, 128, 256, 384, 512, 640, 704, and 755 for the X direction and 64, 128, 256, 384, 512, 640, 768, 896, and 960 in the Y direction in the portrait oriented screen layout.
coordinate location where a user touch is detected. The calibrated coordinate location is the initial user touch location adjusted by calibration algorithm.
cursor (pixel) coordinate values of the location where a user touch is detected.
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6.3 Touchscreen Calibration

The Touchscreen Calibration button lets you calibrate the touchscreen x and y coordinates (Figure 6-18):
1. From the Diagnostics Menu, touch Touchscreen Calibration.
NOTE: If the Touchscreen Calibration button does not respond, press the nav-
ring Enter button to begin.
2. Follow the onscreen instructions to perform the calibration. Touch the middle of each target with a blunt, narrow object.
Figure 6-18: Calibrate Touchscreen
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6.4 Diagnostic Codes, Alarms, and
Troubleshooting
This section lists possible ventilator diagnostic codes (generated by the ventilator when an event such as a setting change or fault condition is detected, or when an alarm indicates patient or ventilator conditions), and the recommended repair for each. Follow the repair procedures in order until the problem is resolved.
NOTE: See Chapter 8 for information on removing and replacing ventilator
components. See Chapter 9 for performance verification procedures.
Table 6-2: Diagnostic Codes and Troubleshooting
Diagnostic
code
High-priority error conditions that preclude continued safe operation of the ventilator. A Vent Inop alarm displays on the screen, turns on remote alarm interfaces, and disables oxygen flow and blower operation. Immediately place the patient on another means of ventilatory support. CBIT = continuous built-in tests. POST = power on self test.
1000 (CBIT) 3.3 V supply failed.
Twenty consecutive measurements of the 2.20 V supply are greater than
3.52 V.
1001 (CBIT) 12 V supply failed.
Description Recommended repair
1000-10FF Vent Inop Diagnostic Codes
Replace the PM PCBA.
Replace the PM PCBA.
Twenty consecutive measurements of the 12.0 V supply on the DA PCBA are less than 10.5 V or greater than 14.0 V.
1002 (CBIT) Blower temperature too high.
Blower temperature is greater than or equal to 115º C for longer than 10 min.
1003 (CBIT) Internal temperature high at CPU PCBA.
The internal temperature measured on the CPU PCBA is greater than 70º C for longer than 5 seconds.
1004 (CBIT) Internal temperature high at DA PCBA.
The internal temperature measured on the DA PCBA is greater than 70º C for longer than 5 seconds.
1005 (CBIT) Internal temperature high at MC PCBA.
The internal temperature measured on the MC PCBA is greater than 70º C for longer than 5 seconds.
1006 (CBIT) DA PCBA ADC failed.
DAC output is not equal to 150 counts for 6 consecutive measurements.
1. Verify that the cooling fan is operational
2. Replace the blower.
3. Replace the MC PCBA.
Replace the CPU PCBA.
1. Verify that the cooling fan is operational.
2. Replace the DA PCBA.
1. Verify that the cooling fan is operational.
2. Replace the MC PCBA.
1. Replace the DA PCBA to MC PCBA cable.
2. Replace the DA PCBA.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Chapter 6
Diagnostic
code
1007 (POST)
1008 (CBIT)
1009 Pressure regulation high.
Machine and proximal pressure sensors failed.
Auto-zeroing of machine and proximal pressure transducers in POST failed.
The proximal pressure was 25 cmH listed below and greater than the HIP setting for 1 second ± 20 msec:
Pressure limit
• CPAP mode: CPAP setting
• S/T mode: IPAP setting
• PCV mode: IPAP setting
• AVAPS mode: IPAP Max Pressure setting
• PPV mode: IPAP setting for machine-initiated breaths, PPV Max P for patient-initiated breath
or
The measured machine pressure is 25 cmH limit listed below + the estimated pressure drop due to the air flow through the patient circuit, and it is greater than HIP setting for 1 second ± 20 msec:
Description Recommended repair
1. Replace the DA PCBA to MC PCBA cable.
2. Replace the DA PCBA.
3. Replace the MC PCBA.
4. Replace the PM PCBA.
5. Replace the CPU PCBA.
1. Verify the proximal and machine tubing connections.
O greater than the pressure limit
2
O greater than the pressure
2
2. Verify the pressures and flows.
3. Replace the DA PCBA.
4. Replace the MC PCBA.
Pressure limit
• CPAP mode: CPAP setting
• S/T mode: IPAP setting
or
The measured proximal pressure was greater than or equal to 64 cmH or the machine pressure was greater than or equal to 64 cmH second ± 20 msec.
100A (CBIT) DA PCBA ADC reference failed.
The ADC reading from the measured 3.3 V supply is less than 2703 - 290 counts or greater than 2703 ± 165 counts for 6 consecutive samples, scheduled to be 10 ms apart.
100B (POST) Watchdog test failed.
Watchdog timer was not strobed as expected with an 8-ms and a 12-ms window.
O for 1
2
O
2
1. Verify 3.3V in diagnostics.
2. Verify 2.5V ref on DA PCBA (see Figure 6-19).
3. Replace the DA PCBA to MC PCBA cable.
4. Replace the DA PCBA.
5. Replace the PM PCBA.
6. Replace the CPU
1. Replace the CPU PCBA.
2. Replace the MC PCBA.
3. Replace the flow sensor assembly.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Diagnostic
code
Description Recommended repair
1100-11FF Check Vent Diagnostic Codes
High-priority error conditions that require immediate attention. Ventilator continues to operate with limited performance. Do not use the ventilator until the problem is corrected. CBIT = continuous built-in tests. POST = power on self test.
1100 (CBIT)
1101 Ventilator restarted due to anomalies detected during operation.
1102 (POST)
1104 (POST)
1105 (POST)
1106 (POST) Machine pressure sensor calibration data error.
Program CRC test failed.
The CRC of the ventilator program block in RAM is computed periodically and compared with stored CRC value to ensure that the program image is valid. When the CRC values do not match, the ventilator restarts.
This could include invalid or corrupted information, unanticipated situations, or object allocation errors.
Primary alarm failed.
When the Primary Audible Alarm Test fails for either speaker, alarms are annunciated using both the primary and backup audio devices.
Backup alarm failed.
When the Backup Audible Alarm Test fails, alarms normally annunciated by the backup audio device use the primary speakers.
Alarm LED failed.
Either (1) the LED is on and the voltage signal from the power management controller is less than 1.0 V or greater than 2.5 V or (2) the LED is off and the voltage is greater than or equal to 0.5 V.
1. Reload the software.
2. Replace the CPU PCBA.
Replace the CPU PCBA.
1. Listen for audible sound from the speakers.
2. Verify that the speakers are connected.
3. Verify that the braided wires are not touching the speaker housing.
4. Replace speaker #1 (MC PCBA).
5. Replace speaker #2 (PM PCBA).
6. Replace the CPU PCBA.
1. Replace the CPU PCBA.
2. Replace the PM PCBA.
3. Replace the MC PCBA.
1. Replace the power switch overlay.
2. Replace the PM PCBA (PM PCBA only if LED is functioning).
3. Replace the UI PCBA.
4. Replace the UI to PM PCBA cable.
Replace the DA PCBA.
When the integrity of the calibration data cannot be verified for the machine pressure transducer, the proximal pressure sensor is used to measure machine pressure (solenoid 3 is de-energized; solenoid 4 is energized). Proximal pressure is not measured and pressure-related alarms are compromised.
1107 (POST)
1108 (POST)
1109 (CBIT)
Proximal pressure sensor calibration data error.
When the integrity of the calibration data cannot be verified for the proximal pressure transducer, the proximal pressure is not measured and pressure-related alarms are compromised.
Machine pressure sensor autozero failed.
The proximal pressure sensor is used to measure machine pressure (solenoid 3 de-energized; solenoid 4 energized), the proximal pressure is not measured, and pressure-related alarms are compromised.
Replace the DA PCBA.
1. Verify pin alignment between solenoids and the DA PCBA.
2. Replace the machine auto-zero solenoid (SOL 2 and SOL 4).
3. Replace the DA PCBA.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Chapter 6
Diagnostic
code
110A (POST)
110B (CBIT)
110C (CBIT) Machine pressure sensor range error.
110D (CBIT) Proximal pressure sensor range error.
110E (POST) Air flow sensor calibration data error.
110F (POST) Oxygen flow sensor calibration data error.
1110 (POST) Oxygen pressure sensor calibration data error.
Proximal pressure sensor autozero failed.
The proximal pressure is not measured and pressure-related alarms are compromised.
The proximal pressure sensor is used to measure machine pressure (solenoid 3 de-energized; solenoid 4 energized), proximal pressure is not measured, and pressure-related alarms are compromised.
The proximal pressure is not measured and pressure-related alarms are compromised.
When the integrity of the calibration data cannot be verified for the air flow sensor, the ventilator continues to operate with air only. Flow-related patient data is disabled. In AVAPS mode, the default volume is used. Standby is disabled. Volume, leak, disconnect, and occlusion alarms are compromised.
When the integrity of the oxygen flow sensor calibration data cannot be verified, the ventilator continues to operate with air only.
Description Recommended repair
1. Verify pin alignment between solenoids and the DA PCBA.
2. Replace the proximal auto-zero solenoid (SOL 3 and SOL 4).
3. Replace the DA PCBA.
1. Cycle the ventilator power to reset the proximal pressure sensor.
2. Replace the DA PCBA.
1. Cycle the ventilator power to reset proximal pressure sensor.
2. Replace the DA PCBA.
1. Replace the flow sensor cable.
2. Replace the flow sensor assembly.
3. Replace the DA PCBA.
1. Replace the flow sensor cable.
2. Replace the flow sensor assembly.
3. Replace the DA PCBA.
Replace the DA PCBA.
When the integrity of the oxygen supply pressure transducer calibration data cannot be verified, the ventilator continues to operate with air only.
1111 (CBIT) Oxygen device failed.
The ventilator continues to deliver breaths targeting the 21% oxygen concentration setting regardless of the user-set oxygen setting.
1112 (CBIT) Oxygen pressure sensor range error.
The ventilator continues to deliver breaths targeting the 21% oxygen concentration setting regardless of the user-set oxygen setting.
1113 (POST) Barometer calibration data error.
When the integrity of the barometer calibration data cannot be verified, the ventilator uses the default barometric pressure of 686.0 mmHg (approximately 900 m/2953 ft above sea level).
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1. Inspect the oxygen inlet filter for contamination or debris.
2. Perform the high pressure leak test (section 9.3.4).
3. Verify oxygen flows (section 9.3.9).
4. Replace the oxygen valve.
5. Replace DA PCBA.
1. Verify correct oxygen pressure sensor function.
2. Replace the DA PCBA.
Replace the DA PCBA.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Diagnostic
code
1114 Barometer sensor range error.
When a barometer range test fails 150 consecutive times, the ventilator uses the default barometric pressure of 686.0 mmHg (approximately 900 m/2953 ft above sea level).
1115 Auxiliary alarm supply failed.
Three consecutive measurements of the auxiliary alarm supply were less than 9.0 V or greater than 11.0 V.
1116 (CBIT) 1.8 V supply failed.
Twenty consecutive measurements of the 1.80 V supply were less than
1.73 V or greater than 1.88 V.
1117 (CBIT) 3.3 V supply failed.
Twenty consecutive measurements of the 3.30 V supply were less than
3.04 V.
1118 (POST) 5 V supply failed.
Three consecutive measurements of the 5 V supply were less than 4.5 V or greater than 5.6 V.
1119 (CBIT) 12 V supply failed.
Description Recommended repair
1. Verify correct barometric pressure sensor function.
2. Replace the DA PCBA.
1. Replace the MC PCBA.
2. Replace the PM PCBA.
3. Replace the power supply.
4. Replace the CPU PCBA.
Replace the CPU PCBA.
Replace the PM PCBA.
Replace the PM PCBA.
Replace the PM PCBA.
Twenty consecutive measurements of the 12.0 V supply measured at the DA PCBA were less than 11.5 V or greater than 13.0 V.
111A (POST) 24 V supply failed.
AC power is connected to the ventilator and the 24 V supply measured on the PM PCBA were out of the range 22.6 to 26.88 V.
111B (POST) 35 V supply failed.
Three consecutive measurements of the 35 V supply were less than 32.85 V or greater than 40.15 V two seconds after startup.
111C (CBIT) DA PCBA ADC failed.
Six consecutive measurements of the DAC output were greater than or less than 23 counts.
111D (CBIT) MC PCBA ADC failed.
Six consecutive measurements of the DAC output were greater than or less than 23 counts.
111E (CBIT) CPU PCBA ADC failed.
Six consecutive measurements of the DAC output were greater than or less than 23 counts.
Replace the power supply.
1. Replace the PM PCBA.
2. Replace the MC PCBA.
Replace the DA PCBA.
Replace the MC PCBA.
Replace the CPU PCBA.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Chapter 6
Diagnostic
code
111F (CBIT) Internal temperature high at CPU PCBA.
The internal temperature measured on the CPU PCBA was greater than 60ºC for longer than 5 seconds.
1120 (CBIT) Internal temperature high at DA PCBA.
The internal temperature measured on the DA PCBA was greater than 60ºC for longer than 5 seconds.
1121 (CBIT) Internal temperature high at MC PCBA.
The internal temperature measured on the MC PCBA was greater than 60ºC for longer than 5 seconds.
1122 (CBIT) Blower temperature high.
The blower temperature was greater than 95ºC for longer than 60 seconds.
1123 (CBIT) Battery temperature high.
The battery temperature was greater than 100ºC.
1124 (CBIT) Battery failed.
When the PM PCBA detects a battery error, the ventilator continues to ventilate and the battery charger turns off.
1125 (CBIT) Cooling fan speed error.
The cooling fan speed is less than 2000 RPM. Ventilator overheating
possible.
1126 Flash file system error.
When the program block validity test fails, the ventilator enters the download mode.
1127 OVP circuit failed.
The 12/3.3 V OVP circuit did not detect a 3.3 V over-voltage condition either (1) within 100 msec after the 3.3 V and/or the 12 V OVP test signal was enabled or (2) the 3.3 V and/or 12 V OVP test signal was enabled longer than 200 msec.
Description Recommended repair
Replace the CPU PCBA.
1. Verify that the cooling fan is operational.
2. Replace the DA PCBA.
1. Verify that the cooling fan is operational.
2. Replace the MC PCBA.
1. Verify that the air inlet filter is not dirty or blocked.
2. Verify that the cooling fan is operational.
3. Replace the blower.
4. Replace the MC PCBA.
1. Replace the internal battery.
2. Replace the PM PCBA.
1. Replace the internal battery.
2. Replace the PM PCBA.
1. Verify that the cooling fan RPM is 4000 +
1000 RPM.
2. Replace the fan.
3. Replace the PM PCBA.
1. Repeat the software download.
2. Replace the CPU PCBA.
1. Replace the MC PCBA.
2. Replace the PM PCBA.
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Table 6-2: Diagnostic Codes and Troubleshooting (Continued)
Diagnostic
code
1134 Blower stalled
Software determined that the blower cannot produce sufficient pressure, or the Blower speed signal has failed.
Alarm conditions that indicate a patient or ventilator condition that requires immediate attention.
1200 Alarm message: Patient Disconnect
Patient is no longer connected to the ventilator, either through circuit, mask, or ET tube; or the patient circuit is disconnected from the ventilator and the patient is no longer receiving ventilatory support. Ventilation continues.
1201 Alarm message: Patient Circuit Occluded
Patient circuit occluded.
1202 Alarm message: Proximal Pressure Line Disconnect
Proximal pressure line is disconnected. Air flow to patient continues.
1203 Alarm message: Low Leak-CO
Exhalation port may be occluded. Ventilation continues if possible.
1204 Alarm message: Low Internal Battery
Battery can provide operating power for only an additional 15 minutes under nominal conditions. Autoresets when ventilator is connected to AC power.
Description Recommended repair
1. Verify that the blower is connected to
2. Verify that the blower RPM monitor
3. If blower RPM does not increase above
4. Replace blower.
5. Replace the MC PCBA.
6. Replace the CPU.
1200-120F Alarm Message Diagnostic Codes
1. Check patient.
2. Confirm that the ventilator and alarm
3. If the problem persists, provide
1. Check patient.
2. Check patient circuit for bulk liquid,
3. Confirm that the ventilator and alarm
4. If the problem persists, provide
1. Check patient.
2. Reconnect the proximal pressure line.
3. Confirm that the ventilator and alarm
4. If the problem persists, provide
Rebreathing Risk
2
1. Check patient, as possibility of CO2
2. Check the port for occlusions.
1. Connect the ventilator to AC power.
2. Provide alternate ventilation.
the MC PCBA.
increases above 3000 RPM when the pressure controller is set to a value above 0 cmH
3000 RPM replace one of the following to re-establish the tachometer signal.
settings are appropriate.
alternative ventilation. Service the ventilator.
crimps, or blocked filter.
settings are appropriate.
alternative ventilation. Service the ventilator.
settings are appropriate.
alternative ventilation. Service the ventilator.
rebreathing could pose a potential problem.
0.
2
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