EvitaXL

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Setting Ventilation Modes SIMV, SIMV/ASB SIMV, SIMV/ASB Synchronized Intermittent Mandatory Ventilation* Assisted Spontaneous Breathing** Combines mechanical (volume-controlled) ventilation with spontaneous breathing. The patient can breathe spontaneously between the mandatory ventilation strokes, contributing to the total minute volume. The spontaneous breaths can be supported with ASB. Mandatory ventilation strokes ensure a minimum level of ventilation in the times in between. This minimum ventilation is determined via the two set parameters tidal volume »VT« and frequency »f« and is the product of VT x f. The frequency can be reduced to zero during the weaning process. The device automatically changes to the ventilation mode CPAP or CPAP/ASB. This ventilation mode is also indicated on the screen. The screen key »SIMV« and the screen knobs for setting the SIMV parameters remain on display. Set the pattern of ventilation for SIMV and SIMV/ASB with the ventilation parameters: Tidal volume »VT« Insp. Flow »Flow« Frequency »f« Inspiration time »Tinsp« O2 concentration »O2« Positive end-expiratory pressure »PEEP« Pressure support »PASB« Pressure rise time »Ramp« -------------------------------------------------------------------------------- To set: ● Touch the appropriate screen knob. ● Adjust to the desired value = turn rotary knob. ● Confirm setting = press rotary knob. -------------------------------------------------------------------------------- * For a detailed description of SIMV, please refer to page 211. ** For a detailed description of ASB, please refer to page 216. PAW Flow Tinsp Pmax (configurable) 50 Instructions for Use <strong>EvitaXL</strong> PEEP 1 f Insp. flow fast rise time ASB pressure assist Trigger window slow rise time t t 006 108
To view additional text information on SIMV, SIMV/ASB: ● Touch the screen key »? q «. SIMV, SIMV/ASB can be supplemented to include the following special functions: — Flowtrigger, page 68. — Apnoea Ventilation, page 69. — AutoFlow ® , page 71. — ATC, page 72. — PLV, page 75. These functions can be enabled in »Add. settings«. Setting alarm limits, see page 79. Setting Ventilation Modes SIMV, SIMV/ASB Instructions for Use <strong>EvitaXL</strong> 51
Page 1 and 2: EvitaXL Intensive Care Ventilator S
Page 3 and 4: Contents Contents For Your Safety a
Page 5 and 6: For Your Safety and that of Your Pa
Page 7 and 8: Intended Medical Application Intend
Page 9 and 10: Lung Protection Package (optional)
Page 11 and 12: Operating concept Operating concept
Page 13 and 14: The screen... displays all the most
Page 15 and 16: To set the ventilation mode and ven
Page 17 and 18: To set ventilation parameters direc
Page 19 and 20: PressureLink* Linked adjustment of
Page 21 and 22: Preparing for use Preparing for use
Page 23 and 24: 1 lock it in position = pull tab un
Page 25 and 26: Using HME, bacterial filters and ho
Page 27 and 28: 1 Hang the hinged arm from the rail
Page 29 and 30: Fitting CO2 cuvette and CO2 sensor
Page 31 and 32: Gas supply ● Screw the connecting
Page 33 and 34: Connecting the nurse call (optional
Page 35 and 36: Preparing the child test lung 84 09
Page 37 and 38: ● Touch the screen key »Check«.
Page 39 and 40: Leak test This test must be perform
Page 41 and 42: Ventilation while transferring a pa
Page 43 and 44: Operation Starting up . . . . . . .
Page 45 and 46: Starting up Switching on ● Switch
Page 47 and 48: Setting new ventilation parameters
Page 49: IPPV Intermittent Positive Pressure
Page 53 and 54: ILV ILV = Independent Lung Ventilat
Page 55 and 56: Setting the Master and Slave device
Page 57 and 58: ILV: Master and Slave Synchronisati
Page 59 and 60: BIPAP, BIPAP/ASB Biphasic Positive
Page 61 and 62: BIPAPAssist Biphasic Positive Airwa
Page 63 and 64: CPAP-ASB Continuous Positive Airway
Page 65 and 66: No initial values for PPS To protec
Page 67 and 68: To review, activate or set: In the
Page 69 and 70: Apnoea Ventilation For automatic sw
Page 71 and 72: AutoFlow for automatic regulation o
Page 73 and 74: -----------------------------------
Page 75 and 76: PLV* Pressure Limited Ventilation S
Page 77 and 78: Selecting application mode »Mask«
Page 79 and 80: Setting alarm limits ● Press key
Page 81 and 82: Remedy the fault ● Refer to the l
Page 83 and 84: Displaying graphics The following r
Page 85 and 86: Freeze To freeze the current real-t
Page 87 and 88: Display 1 hr trend ● Touch the fu
Page 89 and 90: Display logbook Changes, events and
Page 91 and 92: Additional functions Medicament neb
Page 93 and 94: Switch on the medicament nebuliser:
Page 95 and 96: EvitaXL ventilates the patient in t
Page 97 and 98: Expiration Hold This function may b
Page 99 and 100: Set the interval ● Touch the scre
Page 101 and 102:
Negative Inspiratory Force NIF The
Page 103 and 104:
Measuring procedure ● Touch the s
Page 105 and 106:
Measurement analysis After the meas
Page 107 and 108:
● Press the key » Sensor Paramet
Page 109 and 110:
O2 sensor calibration — After rep
Page 111 and 112:
CO2 zero calibration Only possible
Page 113 and 114:
● Place the test filter in the CO
Page 115 and 116:
Calibrating the CO2 sensor — If t
Page 117 and 118:
Resetting CO2 calibration — If ca
Page 119 and 120:
Selecting Standby Mode — To perfo
Page 121 and 122:
O2 Therapy (optional) During the O2
Page 123 and 124:
Switching on O2 Therapy ● Touch t
Page 125 and 126:
Configuration Configuration . . . .
Page 127 and 128:
Day/night function for screen brigh
Page 129 and 130:
Define the trends to be recorded
Page 131 and 132:
Define customised values and settin
Page 133 and 134:
Lock the screen configuration again
Page 135 and 136:
Select units Specific national unit
Page 137 and 138:
Specific initial therapy values ●
Page 139 and 140:
Set initial values for VT and f…
Page 141 and 142:
Define start-up values for special
Page 143 and 144:
Fault — Cause — Remedy Fault -
Page 145 and 146:
Message Cause Remedy Apnoea !!! Pat
Page 147 and 148:
Message Cause Remedy Exp. hold inte
Page 149 and 150:
Message Cause Remedy Leakage Not di
Page 151 and 152:
Message Cause Remedy Fault - Cause
Page 153 and 154:
Message Cause Remedy Tidal volume h
Page 155 and 156:
Preparing Preparing . . . . . . . .
Page 157 and 158:
Medicament nebuliser (optional) 1 R
Page 159 and 160:
The expiration valve is only disman
Page 161 and 162:
As for ventilation hoses, water tra
Page 163 and 164:
Assembling Mounting the expiration
Page 165 and 166:
Maintenance/Disposal Maintenance/Di
Page 167 and 168:
Replace cooling air filter — Clea
Page 169 and 170:
Mains power/DC power operation Main
Page 171 and 172:
Use of the power supplies Operation
Page 173 and 174:
Connecting an external battery Note
Page 175 and 176:
Operation with mains power The vent
Page 177 and 178:
Evita 4 Link (optional) Evita 4 Lin
Page 179 and 180:
Preparation The interface board may
Page 181 and 182:
Select printer protocol ● See "Se
Page 183 and 184:
What's what What's what . . . . . .
Page 185 and 186:
Front connections 1 » « Gas outle
Page 187 and 188:
Technical Data Technical Data . . .
Page 189 and 190:
APRV Airway Pressure Release Ventil
Page 191 and 192:
Performance characteristics Control
Page 193 and 194:
Frequency Measurement Breathing fre
Page 195 and 196:
Monitoring Expiratory minute volume
Page 197 and 198:
Materials used Part Appearance Mate
Page 199 and 200:
Technical Data Equipment outputs An
Page 201 and 202:
LUST protocol LUST: List-controlled
Page 203 and 204:
End of telegram "EOT" Status telegr
Page 205 and 206:
23 FiO2 high 24 FiO2 low 25 MV low
Page 207 and 208:
Description Ventilation Modes . . .
Page 209 and 210:
AutoFlow ® The AutoFlow function c
Page 211 and 212:
SIMV Synchronised Intermittent Mand
Page 213 and 214:
Response times longer than 15 secon
Page 215 and 216:
BIPAPAssist Biphasic Positive Airwa
Page 217 and 218:
PPS (optional) In ventilation mode
Page 219 and 220:
The difference between measured val
Page 221 and 222:
Unlimited volume compensation is in
Page 223 and 224:
Tube type Inside diameter of tube (
Page 225 and 226:
Rapid-Shallow-Breathing RSB The Rap
Page 227 and 228:
Low Flow PV-Loop The Low Flow PV-Lo
Page 229 and 230:
Screen configurations Screen config
Page 231 and 232:
Screen configurations Screen config
Page 233 and 234:
Abreviation Explanation P 0.1 100 m
Page 235 and 236:
Bibliography [1] Baum, M., Benzer,
Page 237 and 238:
Special ASCII characters used Chara
Page 239 and 240:
Instructions for Use EvitaXL 239
Page 241 and 242:
For paediatric ventilation Item No.
Page 243 and 244:
Name/Description Order No. For CO2
Page 245 and 246:
New features in EvitaXL SW 6.n Indi
Page 247 and 248:
Index A Abbreviations . . . . . . .
Page 249 and 250:
Performance characteristics . . . .
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EvitaXL

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