Achieva CliniciansGuide EN EU y-102672-ukd00, Respiratory
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//-->AchievaClinician’s ManualVe n t i l a t o r with Flow Acceleration Limitand Apnoea BackupNellcor Puritan Bennett Inc. is an affiliate of Tyco Healthcare. Achieva® and Puritan Bennett® areregistered trademarks of Nellcor Puritan Bennett Incorporated. © 2007 Nellcor Puritan Bennett Corporation.All rights reserved.For further information, contact your Puritan Bennett representative, or contact Nellcor Puritan Bennettdirectly by calling 1-800-635-5267.SECTIONCONTENTS1 Safety Information ..................................................................................................... 1-11.11.21.31.41.51.6Definitions................................................................................................................... 1-1Warnings and Cautions ............................................................................................... 1-1Contraindications ........................................................................................................ 1-3Electromagnetic Interference ....................................................................................... 1-3Symbols ...................................................................................................................... 1-3What The Patient And Caregiver Must Know ............................................................... 1-72 Purpose of the Device ................................................................................................ 2-12.1 Intended Use ............................................................................................................... 2-12.1.1 Contraindications ................................................................................................ 2-12.2 Modes of Ventilation ................................................................................................... 2-12.2.1 Assist/Control (A/C) Mode................................................................................... 2-12.2.2 SIMV Mode ......................................................................................................... 2-12.2.3 Spontaneous (SPON) Mode................................................................................. 2-12.2.4 CPAP ................................................................................................................... 2-12.2.5 PS+CPAP .............................................................................................................2-23 Description ................................................................................................................ 3-1Model Number............................................................................................................ 3-1Front Panel .................................................................................................................. 3-1Top Panel .................................................................................................................... 3-2Door Panel .................................................................................................................. 3-33.4.1 General Controls ................................................................................................. 3-43.4.2 Setting Controls and Display ............................................................................... 3-53.5 Rear and Side Panels.................................................................................................... 3-83.6 Power Supply .............................................................................................................. 3-93.6.1 AC Power .......................................................................................................... 3-103.6.2 External Battery (Accessory)............................................................................... 3-103.6.3 Internal Battery.................................................................................................. 3-103.7 Supplemental Oxygen ............................................................................................... 3-113.7.1 Oxygen Enrichment Kit ..................................................................................... 3-113.7.2 90° Elbow with Oxygen Fitting.......................................................................... 3-123.8 Humidification Devices .............................................................................................. 3-123.13.23.33.44 Set Up ....................................................................................................................... 4-14.14.24.34.44.54.6Unpacking the Ventilator ............................................................................................. 4-1Preparing the Ventilator............................................................................................... 4-1Where to Place the Ventilator ...................................................................................... 4-2Power.......................................................................................................................... 4-3AC Power ....................................................................................................................4-3External Battery (24 Volts DC) ..................................................................................... 4-4Achieva Ventilator Clinician’s ManualiiiContents4.7 External Battery (12 Volts DC)..................................................................................... 4-44.8 Battery Performance.................................................................................................... 4-54.9 Testing the Batteries.................................................................................................... 4-54.10 Battery Precautions ................................................................................................... 4-64.10.1 External Battery................................................................................................. 4-64.10.2 Internal Battery (24 Volts DC) ........................................................................... 4-64.11 Attaching the Patient Circuit ..................................................................................... 4-74.11.1 Exhalation Manifold .......................................................................................... 4-84.11.2 Flex Tube .......................................................................................................... 4-84.11.3 Bacteria Filter .................................................................................................... 4-94.11.4 Patient Air Tube ................................................................................................ 4-94.11.5 Patient Pressure Tube ........................................................................................ 4-94.11.6 Exhalation Tube ................................................................................................ 4-94.12 Attaching Oxygen..................................................................................................... 4-94.13 Short Term Humidification ...................................................................................... 4-114.14 Extended Use .......................................................................................................... 4-114.15 Connecting to a Nurse Call System ......................................................................... 4-124.15.1 Remote Alarm Accessory ................................................................................. 4-134.15.2 Electrical Interference ...................................................................................... 4-134.16 Mounting the Ventilator on a Wheelchair................................................................ 4-144.17 Connecting the Ventilator to an AC Power Outlet ................................................... 4-154.18 Using an External Battery ........................................................................................ 4-164.19 Connecting the Patient Circuit ................................................................................ 4-164.20 Setting the Low Pressure Alarm ............................................................................... 4-174.21 Configuring for Assist/Control Ventilation ............................................................... 4-185 Test ............................................................................................................................ 5-15.1 Performing the User Self Test ...................................................................................... 5-15.2 Testing the Ventilator’s Alarms .................................................................................... 5-35.2.1 Low Pressure Test................................................................................................ 5-35.2.2 Apnoea Test........................................................................................................ 5-45.2.3 Power Failure Test ............................................................................................... 5-45.2.4 Continuing Pressure (Valley) Test ........................................................................ 5-55.2.5 High Pressure Test............................................................................................... 5-55.3 Testing the Battery...................................................................................................... 5-65.4 Monthly Safety Check ................................................................................................. 5-66 Operation .................................................................................................................. 6-16.1 Turning on the Ventilator............................................................................................ 6-16.2 Displaying Settings...................................................................................................... 6-16.3 Setting Parameters ...................................................................................................... 6-16.4 Starting Ventilation ..................................................................................................... 6-26.5 Stopping Ventilation (Standby mode) ......................................................................... 6-26.6 Sensitivity and Adjustment .......................................................................................... 6-36.7 Changing Modes ........................................................................................................ 6-36.8 Flow Trigger................................................................................................................ 6-36.9 Pressure Trigger .......................................................................................................... 6-36.10 Altitude Setting ......................................................................................................... 6-46.11 Limiting Inspiratory Flow (Flow Acceleration) ............................................................ 6-4ivAchieva Ventilator Clinician’s ManualContents6.126.136.146.156.166.176.186.196.206.216.226.236.246.256.26Expiratory Sensitivity ................................................................................................. 6-5Assist/Control Mode, Volume Breaths ........................................................................ 6-5Assist/Control Mode, Pressure Controlled .................................................................. 6-5SIMV Mode with Pressure Support............................................................................. 6-6SIMV Mode with CPAP .............................................................................................. 6-7Spontaneous Mode with Pressure Support................................................................. 6-7Spontaneous Mode with CPAP .................................................................................. 6-8Ventilation Modes and Apnoea.................................................................................. 6-8Monthly Safety Check ............................................................................................... 6-9Menu Selections ...................................................................................................... 6-10User Self Test and Other Tests ................................................................................. 6-10Alarm Latching ........................................................................................................ 6-11Ventilating Hours..................................................................................................... 6-12Pressure Trigger....................................................................................................... 6-12Date and Time......................................................................................................... 6-127 Alarms and Alerts ....................................................................................................... 7-17.17.27.37.4Alarm/Alert Conditions ................................................................................................ 7-1Resetting Alarms.......................................................................................................... 7-4Alarm Latching ............................................................................................................ 7-4Pre-Silencing Audible Alarms ....................................................................................... 7-58 Cleaning and Maintenance ........................................................................................ 8-18.18.28.38.4Cleaning the Achieva Ventilator................................................................................... 8-1Cleaning the Accessories ............................................................................................. 8-1Recharging the Internal Battery ................................................................................... 8-2Cycling Internal and External Batteries......................................................................... 8-28.4.1 External Battery ................................................................................................... 8-28.4.2 Internal Battery.................................................................................................... 8-28.5 Replacing the Air Inlet Filter ......................................................................................... 8-28.6 Changing the Ventilator’s Fuses................................................................................... 8-38.7 Preventive Maintenance .............................................................................................. 8-59 Troubleshooting ........................................................................................................ 9-110 Specifications ......................................................................................................... 10-110.1 Standard Compliance .............................................................................................. 10-610.2 FCC Part 68 Information.......................................................................................... 10-711 Service and Warranty Information .......................................................................... 11-111.1 Service Information ................................................................................................. 11-111.2 Limited Warranty..................................................................................................... 11-1Achieva Ventilator Clinician’s Manualv
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