Puritan Bennett 560 Ventilator User's Manual - Covidien

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Alarms and Troubleshooting Table 3-2. Alarms and Corrective Actions (Continued) Alarm Message or Symptom Possible Reason(s) For The Alarm Event Corrective Action(s) BATTERY FAULT1 RESTART/SRVC BATTERY FAULT2 RESTART/SRVC BUZZER FAULT1 RESTART/SRVC BUZZER FAULT2 RESTART/SRVC BUZZER FAULT3 RESTART/SRVC BUZZER FAULT4 RESTART/SRVC BUZZER LOW BATTERY CALIBRATE FIO 2 CALIBRATION FAIL CHECK BATTERY CHARGE Battery problem that prevents it from operating. Internal battery missing or not detected. Defective operation of the buzzers. Consequence: no audible tone when an alarm is activated. Internal technical problem that prevents the very high priority “POWER SUPPLY LOSS” alarm from triggering. Internal technical problem that prevents the battery from correctly charging. Internal technical problem that prevents the battery warning buzzer from sounding POWER SUPPLY LOSS alarm. Buzzer battery is too low to sound POWER SUPPLY LOSS alarm. An FIO 2 sensor is detected and has not been calibrated. Too large a difference between a calibration point and its tolerance range. Incorrect circuit type selected in the Preferences menu. Exhalation block defective or not properly aligned. Restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Ensure that the protective cover over the I/O switch located on the rear of the device is intact and functioning properly. This cover helps prevent accidental pressing of the I/O switch and stoppage of the ventilation. Ensure that the device is stabilised. Call your customer service representative. Restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Connect the ventilator to AC power and switch on the device using the on/off at the rear of the ventilator (I/O). Leave to charge for at least 15 minutes. If persists restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Connect the ventilator to AC power and switch on the device using the on/off at the rear of the ventilator (I/O). Leave to charge for at least 15 minutes. Calibrate FIO 2 sensor. Restart calibration. There may be a leak in the circuit. Ensure an approved circuit is in use (refer to circuit documentation). Verify the circuit selection in the Preferences menu matches the circuit in use. Reset alarm message and ensure all connections are secure, verify circuit integrity, and verify the exhalation block is properly seated. Defective exhalation flow sensor. Have a qualified technician replace the defective component(s) and call your customer service representative. Battery charging impossible. Do not disconnect the ventilator from the AC power supply. Ensure that the power cable is installed according to the instructions in chapter 4, “Installation and Assembly”, so that the power cable cannot be involuntarily disconnected. In the event the internal battery capacity is low, use an alternate device to ventilate the patient. Call your customer service representative. 3-16 User’s <strong>Manual</strong>
Table 3-2. Alarms and Corrective Actions (Continued) CHECK EXH VALVE Obstruction or abnormal damage of the exhalation valve. Alarms and Troubleshooting Alarm Message or Symptom Possible Reason(s) For The Alarm Event Corrective Action(s) CHECK EXH VALVE PRESSURE Excessive moisture in the exhalation block. Defective connection or defective exhalation valve tubing. Clean or replace the exhalation valve and/or its control tube. Remove moisture from exhalation block and valve. Verify exhalation valve is seated properly. Reduce temperature of the humidifier. Reconnect the valve or replace the exhalation valve and/or the exhalation valve pilot pressure tube. Defective inspiratory flow sensor. Have a qualified technician replace the defective component(s) and call your customer service representative. The exhalation valve may not be detected by the ventilator when ventilation is started. Or the exhalation valve may be falsely detected when ventilation is started. CHECK FIO 2 SENSOR FIO 2 measured is less than 18%. CHECK PROXIMAL LINE1* *IF PERSISTS RESTART/SRVC CHECK REMOTE ALARM CHECK SETTINGS CONNECT VALVE OR CHANGE PRESS CONTROLLED CYCLES No connection of the proximal pressure tube when ventilation starts. Proximal pressure line disconnected or obstructed. Defective proximal pressure sensor or internal leak of the machine. Nurse Call or remote alarm system is disconnected. Relay control voltage problem. Loss of memorised parameters. Software versions have changed. The ventilation settings are not compatible with the type of patient circuit used. No exhalation valve connected with PEEP set to less than 4 mbar or PIP set to more than 30 mbar when relative pressure is set to OFF. The ventilator is delivering apnea ventilation at set back up rate. Restart ventilator to see if alarm clears. If not, replace the ventilator and call your customer service representative. Check that FIO 2 sensor is properly connected or Recalibrate FIO 2 sensor or Replace FIO 2 sensor. Reconnect the proximal pressure line. Reconnect the connection line or replace it if obstructed. Check for moisture or occlusion of the proximal line. Reduce humidifier temperature. Switch to a heated wire circuit. Restart ventilator to see if alarm clears. If not, have a qualified technician replace the defective component(s) and call your customer service representative. Connect the Nurse Call or remote alarm cable to the ventilator. Carefully monitor the patient to detect possible alarm triggering and call for the maintenance technician. Check and adjust the prescribed parameters, if necessary. Check and adjust the prescribed parameters, if necessary. Connect exhalation valve Decrease PIP to less than 30 mbar in absolute pressure. Increase PEEP to more than 3 mbar. Note: Always consult the clinician before changing PEEP, FIO 2 , pressure, volume or Rate settings. Check that the patient circuit is correctly attached and the patient is correctly ventilated. User’s <strong>Manual</strong> 3-17
Page 1 and 2:
User’s Manual Puritan Bennett 560
Page 3 and 4:
Contents Purpose of This Manual . .
Page 5 and 6:
Contents B Modes of Ventilation . .
Page 7 and 8: Figures SECTION Figure 1-1. Locatio
Page 9 and 10: Tables SECTION Table 1-1. Ventilato
Page 11 and 12: Preface Purpose of This Manual This
Page 13 and 14: Technical Service Contacts: Covidie
Page 15 and 16: 1 Safety Information 1.1 Definition
Page 17 and 18: Safety Information To minimise the
Page 19 and 20: Safety Information The exhalation b
Page 21 and 22: Safety Information Do not conduct t
Page 23 and 24: Safety Information To connect the v
Page 25 and 26: 1.3 Symbols and Markings Table 1-1.
Page 27 and 28: Table 1-1. Ventilator Symbols (Cont
Page 29 and 30: Safety Information 1.4 Labels / Ide
Page 31 and 32: 6 Figure 1-2. Locations of Labels -
Page 33 and 34: 2 Ventilator Overview 2.1 Indicatio
Page 35 and 36: Warning Ventilator Overview Users m
Page 37 and 38: 2.6 Back Panel 1 2 3 4 5 6 11 Ergon
Page 39 and 40: 2.8 Ventilation Menu Ventilation me
Page 41 and 42: 1 2.10 Waveforms Menu Ventilator Ov
Page 43 and 44: 3 Alarms and Troubleshooting Warnin
Page 45 and 46: 3.2 Alarm Display During operation,
Page 47 and 48: To dismiss the Alarm Logs screen ma
Page 49 and 50: 3.6 Re-activating Alarms Alarms and
Page 51 and 52: Table 3-1. Overview of Alarms (Cont
Page 57: 3.8 Troubleshooting Warning Alarms
Page 61 and 62: Table 3-2. Alarms and Corrective Ac
Page 69 and 70: 4 Installation and Assembly Warning
Page 71 and 72: Installation and Assembly that is i
Page 73 and 74: Installation and Assembly Note: An
Page 75 and 76: Installation and Assembly After ass
Page 77 and 78: 11 10 9 8 12 5 7 6 Installation and
Page 79 and 80: 4.5 Filters Warning Installation an
Page 81 and 82: Installation and Assembly water tra
Page 83 and 84: To connect the oxygen supply system
Page 85 and 86: 4.9 Fitting the Ventilator into the
Page 87 and 88: Installation and Assembly 4.11 Moun
Page 89 and 90: 5 Operating Procedures 5.1 Turning
Page 91 and 92: To skip the Welcome Menu: • Press
Page 93 and 94: • The cursor changes to the plus/
Page 95 and 96: 5.3 Starting Ventilation Operating
Page 97 and 98: Operating Procedures • A new mess
Page 99 and 100: 6 Internal Battery Warning Even tho
Page 101 and 102: Figure 6-1. Internal Battery Indica
Page 103 and 104: • The “INTERNAL BATTERY“ indi
Page 105 and 106: 7 Cleaning Warning A patient treate
Page 107 and 108: 8 Routine Maintenance Warning On a
Page 109 and 110:
Warning Routine Maintenance Note: F
Page 111 and 112:
A Specifications A.1 Physical Table
Page 113 and 114:
A.3 Indicators and Alarms Table A-5
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Table A-10. Ventilator Range, Resol
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Table A-10. Ventilator Range, Resol
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A.10 Manufacturer’s Declaration S
Page 121 and 122:
Table A-22. Electromagnetic Immunit
Page 123 and 124:
Table A-24. Compliant Cables and Ac
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B Modes of Ventilation B.1 Modes of
Page 127 and 128:
C Operational Verification Checklis
Page 129 and 130:
D Unpacking and Preparation The Pur
Page 131 and 132:
E Alarms Tests Before connecting th
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Alarms Tests 7. Press and hold the
Page 135 and 136:
F Parts and Accessories Table F-1 p
Page 137 and 138:
G Glossary AC Power Alternating cur
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Fraction of Inspired Oxygen (FIO 2
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Patient Counter Counter of ventilat
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Index A AC power connecting to . .
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Front panel . . . . . . . . . . . .
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mounting on a wheelchair . . . . .
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Part No. 10066883 Rev. B 03/2012 CO
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Puritan Bennett 560 Ventilator User's Manual - Covidien

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