Puritan Bennett 560 Ventilator User's Manual - Covidien
Puritan Bennett 560 Ventilator User's Manual - Covidien
Puritan Bennett 560 Ventilator User's Manual - Covidien
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Installation and Assembly<br />
After assembling, cleaning, or reassembling the patient circuit, and on a daily basis, inspect the<br />
hoses and other components to ensure that there are no cracks or leaks and that all connections<br />
are secure.<br />
To ensure proper performance of the ventilator, use a patient circuit recommended by <strong>Covidien</strong><br />
in this manual; refer to chapter 4, “Installation and Assembly” and Appendix F, “Parts and<br />
Accessories”. The total specified length of the patient circuit tubing as measured from the<br />
ventilator outlet to the ventilator inlet is 1.1 metres (3.6 feet) to 2.0 metres (6.6 feet). The tubing<br />
must conform to all applicable standards and must be fitted with Ø 22 mm terminals that also<br />
conform to all applicable standards. Ensure that both the length and the internal volume of the<br />
patient circuit are appropriate for the tidal volume: a corrugated tube of Ø 22 mm for adult<br />
patients, and a corrugated tube of Ø 15 mm for pediatric patients with a tidal volume lower<br />
than 200 ml.<br />
Adding accessories to the ventilator breathing circuit, such as a humidifier and water trap(s),<br />
may result in a decrease in tidal volume delivered to the patient due to the added compressible<br />
volume of the accessory. Always assure that the patient is receiving the appropriate inspired<br />
volume when altering the breathing circuit configuration.<br />
Users must always possess an additional breathing circuit and exhalation valve while using the<br />
<strong>Puritan</strong> <strong>Bennett</strong> <strong>560</strong> <strong>Ventilator</strong>.<br />
4.4.1 Choosing the Patient Circuit Type<br />
Single limb circuits are used with breathing modes where spirometry measurements are not required, and double<br />
limb circuits are used with breathing modes where spirometry is required. Be sure to choose the appropriate<br />
circuit in the menu preferences; in particular, ensure that Pediatric Circuit Yes/No is set to YES when using<br />
a pediatric circuit (refer to chapter F, “Parts and Accessories”).<br />
For information regarding validated circuits, visit the SolvITSM Center Knowledge Base by clicking the link at<br />
http://www.puritanbennett.com or contact you customer representative.<br />
4.4.2 Installing the Patient Circuit<br />
The patient circuit is mounted depending on the setup of the circuit used and the accessories used.<br />
The following procedures describe the installation of the patient circuit with a humidifier. To add other accessories,<br />
refer to the installation instructions for the specific accessories used.<br />
To connect a single limb circuit with an exhalation valve: (refer to Figure 4-7)<br />
1. Inspect the components of the patient circuit for any signs of damage, such as cracks (which<br />
might cause leakage). Do not use damaged components to assemble the patient circuit.<br />
2. Install the bacteria filter (item 1) on the TO PATIENT outlet port, as shown.<br />
3. Attach one end of the short circuit tubing (item 2) to the bacteria filter (item 1).<br />
4. Attach the other end of the circuit tubing (item 2) to the inlet port of the humidifier (item 3).<br />
5. Place a water trap (item 4) between the outlet port of the humidifier and the inlet of the<br />
exhalation valve (item 5).<br />
6. Ensure the exhalation valve (item 5) is placed as close as possible to the patient.<br />
7. Connect one end of the proximal pressure tubing (item 7) to the proximal pressure port on the<br />
exhalation valve (item 5) and the other end onto the ventilator patient pressure port (item 8).<br />
8. Connect one end of the exhalation valve tubing (item 6) to the exhalation valve port on the<br />
exhalation valve (item 5) and the other end onto the ventilator exhalation valve port (item 9).<br />
9. To protect the exhalation port (as it will not be used in this configuration), place the cap (if<br />
provided with the breathing circuit) over the exhalation port opening (item 10).<br />
User’s <strong>Manual</strong> 4-7