Achieva UsersGuide EN EU y-102671-ukd00, Respiratory
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//-->AchievaVe n t i l a t o r with Flow Acceleration Limitand Apnoea BackupUser’s Manual840664790Ventilator System Service Manual89-00 Rev. A (10/98)Nellcor 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 Information1-11.1 Definitions................................................................................................................... 1-11.2 Warnings and Cautions ............................................................................................... 1-12 Overview2-12.1 Intended Use ............................................................................................................... 2-12.2 Role of Your Clinician .................................................................................................. 2-12.3 How the Ventilator Works............................................................................................ 2-12.3.1 Overview of Ventilation ..................................................................................... 2-12.3.2 Important Terms................................................................................................ 2-12.3.3 Modes of Ventilation ......................................................................................... 2-22.3.3.1 Assist/Control (A/C) Mode........................................................................... 2-22.3.3.2 SIMV Mode ................................................................................................. 2-22.3.3.3 Spontaneous (SPON) Mode......................................................................... 2-23 Description3-13.1 Model Number............................................................................................................ 3-13.2 Symbols ...................................................................................................................... 3-13.3 Front Panel .................................................................................................................. 3-43.3.1 Top Panel .......................................................................................................... 3-53.3.2 Door Panel ........................................................................................................ 3-63.4 Rear and Side Panels.................................................................................................... 3-93.5 Power Supply .............................................................................................................. 3-93.5.1 AC Power ........................................................................................................ 3-103.5.2 External Battery ............................................................................................... 3-103.5.3 Internal Battery ................................................................................................ 3-103.6 Patient Circuit............................................................................................................ 3-113.7 Supplemental Oxygen ............................................................................................... 3-123.7.1 Oxygen Enrichment Kit.................................................................................... 3-123.7.2 90° Elbow with Oxygen Fitting ........................................................................ 3-133.8 Humidification Devices .............................................................................................. 3-134 Set Up4-14.1 Preparing the Ventilator............................................................................................... 4-14.2 Where to Place the Ventilator ...................................................................................... 4-24.2.1 Electrical Interference......................................................................................... 4-34.3 Mounting the Ventilator on a Wheelchair .................................................................... 4-34.4 Connecting the Patient Circuit .................................................................................... 4-44.5 Connecting the Ventilator to an AC Power Outlet........................................................ 4-54.6 Using an External Battery............................................................................................. 4-64.7 Setting the Low Pressure Alarm ................................................................................... 4-74.8 Configuring for Assist/Control Ventilation.................................................................... 4-8iiiContents5 Test5-15.1 Completing 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 Operation6.16.26.36.46.56-1Turning on the Ventilator............................................................................................ 6-1Displaying Settings...................................................................................................... 6-1Setting Parameters ...................................................................................................... 6-1Starting Ventilation ..................................................................................................... 6-2Stopping Ventilation ................................................................................................... 6-27 Alarms and Alerts7.17.27.37.47-1Alarm/Alert Conditions................................................................................................ 7-1Resetting Alarms ......................................................................................................... 7-4Alarm Latching............................................................................................................ 7-4Pre-Silencing Audible Alarms ....................................................................................... 7-58 Cleaning and Maintenance8.18.28.38.48-1Cleaning the 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 Home Maintenance .................................................................................................... 8-28.5.1 Replacing the Air Inlet Filter............................................................................... 8-28.5.2 Changing the Ventilator’s Fuses ........................................................................ 8-38.6 Preventive Maintenance .............................................................................................. 8-59 Technical Reference9.19.29.39.49-1Introduction................................................................................................................ 9-1Ventilator Specifications .............................................................................................. 9-1Alarm Conditions ....................................................................................................... 9-6Troubleshooting........................................................................................................ 9-1410 Warranty Information10-110.1 Limited Warranty .................................................................................................... 10-1IndexIndex-1ivSECTIONFIGURESFigure 3-1.Figure 3-2.Figure 3-3.Figure 3-4.Figure 3-5.Figure 3-6.Figure 3-7.Figure 3-8.Figure 4-1.Figure 4-2.Figure 4-3.Figure 5-1.Figure 8-1.Figure 8-2.Figure 8-3.Front Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4Top Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-5Door Panel General Controls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7Door Panel Setting Controls and Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8Rear and Side Panels . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9Patient Circuit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11Connecting the Oxygen Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12Achieva Ventilator Connected to a Humidifier . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-14Ventilator and Battery Placement on Wheelchair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4Connecting the Power Cord to the Ventilator. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5Connecting the Power Cord to an AC Outlet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6Blocking the Exhalation Manifold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2Air Inlet Filter Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3Removing the Fuse Holder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4Fuse Assembly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4v
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