IVENT GE Versamed
IVENT GE Versamed
0473
Owner’s Record
The model number and serial number of your iVent201 are on the rear panel of
your ventilator. Record the serial number in the space provided below to have
this information should you need to call for service or support.
Model Number:
Serial Number:
Obelis S.A.
Av. de Tervuren 34, bte 44
B-1040 Brussels
Belgium
Tel: +32-2-732-59.54
Fax: +32-2-732-60.03
Important
The information contained in this Technical Reference manual pertains only to those
models of products which are marketed by VersaMed as of the effective date of this
manual or the latest revision thereof. This Technical Reference manual was prepared
for exclusive use by VersaMed service personnel in light of their training and
experience as well as the availability to them of parts, proper tools and test equipment.
Consequently, VersaMed provides this Technical Reference manual to its customers
purely as a business convenience and for the customer's general information only
without warranty of the results with respect to any application of such information.
Furthermore, because of the wide variety of circumstances under which maintenance
and repair activities may be performed and the unique nature of each individual's own
experience, capacity, and qualifications, the fact that customer has received such
information from VersaMed does not imply in anyway that VersaMed deems said
individual to be qualified to perform any such maintenance or repair service. Moreover,
it should not be assumed that every acceptable test and safety procedure or method,
precaution, tool, equipment or device is referred to within, or that abnormal or unusual
circumstances, may not warrant or suggest different or additional procedures or
requirements.
This manual is subject to periodic review, update and revision. Customers are
cautioned to obtain and consult the latest revision before undertaking any service of
the equipment. Comments and suggestions on this manual are invited from our
customers. Send your comments and suggestions to the Manager of Technical
Communications, Datex-Ohmeda, Ohmeda Drive, PO Box 7550, Madison, Wisconsin
53707.
CAUTION
Servicing of this product in accordance with this Technical Reference
manual should never be undertaken in the absence of proper tools, test
equipment and the most recent revision to this service manual which is clearly
and thoroughly understood.
Technical Competence
The procedures described in this Technical Reference manual should be performed by
trained and authorized personnel only. Maintenance should only be undertaken by
competent individuals who have a general knowledge of and experience with devices
of this nature. No repairs should ever be undertaken or attempted by anyone not
having such qualifications.
VersaMed strongly recommends using only genuine replacement parts, manufactured
or sold by VersaMed for all repair parts replacements.
Read completely through each step in every procedure before starting the procedure;
any exceptions may result in a failure to properly and safely complete the attempted
procedure.
Table of Contents
Section 1: Introduction ................................................. 1
1.1 Intended Use.....................................................................................1
1.2 General Description .........................................................................2
1.3.2 Labels..................................................................................................... 10
13.3.2 Sub-Assemblies...................................................................................192
Index............................................................................... 204
Illustrations
Tables
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Introduction
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3
7
5 4
6
Figure 1.1 Front View of the iVent201
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Introduction
1
1
4
2
17
16
15 4
14
5
13 6
12 7
11 9
10
10
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Between iv15000 and iv19999 Denotes all devices in with standard color
or configuration which are equipped with the
greater than 30000 PSV based pneumatic system.
Between iV20000 and iV29,999 Denotes all devices in with the HHS color and
hardware configuration.
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Introduction
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Responsibility for the safe function of this equipment reverts to the owner or
user in all cases where an unauthorized person performs service or repair and
when the equipment is not used for its intended purpose.
Alteration or repair of the iVent201 beyond the scope of the service and
maintenance instructions or by anyone other than an authorized VersaMed
service person could result in the product's failure to perform as designed.
During reassembly of the iVent201 or any of its subcomponents take care to
inspect and reconnect all electrical grounds that have been previously
disconnected.
On completion of any servicing or planned maintenance always perform
calibration, ventilator verification test and full functional testing prior to
returning the device to use. Failure to do so may result in the device not
performing to specification.
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Introduction
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1.3.1 Symbols
The following IEC 601-1 symbols appear on the ventilator:
Symbol Definition
Refer to documentation for further information
Dangerous voltage
Type BF equipment
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Introduction
1.3.2 Labels
Location Label
AC Connector
AC IN 100-240V
50-60Hz 1.6A
AC Fuses
2xT3.15AL (250V)
Air Inlet
INLET AIR
FILTER
DO NOT
OBSTRUCT
DO NOT
OBSTRUCT
Connector
DC IN
12-15V
8.5A
DC Fuse
T15A (250V)
Device ID
S/N: IV1813
(<12000)
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Location Label
Ethernet
Connector (not
on all units}
High Pressure OR
OXYGEN
Oxygen Inlet
INLET
40-60 psi
2.8-4.2 bar
Use 50 psi
(3.5 bar)
DISCONNECT
WHEN NOT IN
USE
Keyboard KEYBOARD
Connector (<12000)
Power Switch
ON
OFF
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Introduction
Location Label
Remote Alarm
REMOTE
Connector
ALARM
Serial
I0I0I
Communication RS-232
Connector (<12000)
Power Pack
Product (inside) POWER PACK
P/N : 503A0012
Caution: This Power Pack contains a sealed Lead -
Acid Battery. Disposal of this unit should be
according to Environmental Safety Requirements for
Lead-Acid batteries.
VersaMed
OR
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Section 2: System Specifications
2.1.1 Ventilation Modes
Assist/Control (A/C)
Volume Controlled (A/C Vctrl)
Pressure Controlled (A/C Pctrl)
Synchronized Intermittent Mandatory Ventilation (SIMV)
Volume Controlled (SIMV Vctrl)
Pressure Controlled (SIMV Pctrl)
Continuous Positive Airway Pressure (CPAP)
Pressure Support Ventilation (PSV)
Adaptive Bi-Level (A. BI-LEVEL)
Display
Component Range Measure
Set
Respiratory Rate 1-12 bpm 1 Y Y
12-80 2
Inspired Tidal 50-2000 mL 10% Y Y
Volume
Exhaled Tidal 50-300 mL 10 mL or +15% N Y
Volume 300-2000 +10%
Inspiratory 5 to 80 cmH2O 5 Y Y
Pressure Limit
Inspiratory Time 0.2 to 3 or sec. 10% Y Y
Adaptive I-
Time
Peak Flow up to 120 or L/min 10% Y Y
Adaptive
Flow
Peak Flow up to 180 L/min 10% Y Y
(Spontaneous)
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System Specifications
Display
Component Range Measure
Set
Oxygen Mix 21 to 100% 5% Y Y
(FiO2)
PEEP 0 to 40 cmH2O 1 or 10%, Y Y
whichever is greater
Trigger 1 to 20, off L/minmH Y Y
sensitivity -0.5 to –20, 2O
off
PSV 0 to 60 cmH2O 10% Y Y
Positive 80 cmH2O N N
Pressure relief
valve
Controlled 5 to 80 cmH2O 5 Y Y
Pressure
FiO2 at power up 21%, 40%, Y Y
60%, 100%
(selectable)
Purging cycle 1, 2, 5, 10, off minutes Y N
Flow 10-90 % +10% Y Y
Termination
Rise Time Mid, High, NA Y Y
Max, Auto
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Unit of
SIMV Cctrl
SIMV Pctrl
Measured
A/Bi-Level
CPAP/ PSV
Setteable
Displayed
A/C Vctrl
A/C Pctrl
Measure
Parameter
Ventilation Mode Name
Exhaled Tidal Volume mL
(Exhale)
Inspiratory Tidal Volume ML
Limit (Vt limit)
Tidal Volume (estimated) mL
Leak (estimated) L/mim
Rate bpm S
Inspiratory Pressure (above cmH2O
PEEP)
Alarm Pressure/ cmH20
Limit Pressure
Oxygen Concentration FiO2 L
Inspartion to Expiration time I:E
ratio (I:E)
M A
Inspiratory time (I.Time) sec
V M A
Peak Inspiratory Flow (Vpeak) L/min
Flow Temination %
Trigger Sensitivity (Flow) L/min
Trigger Sensitivity (Pressure) cmH2O
Rise Time sec
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System Specifications
Unit of
SIMV Cctrl
SIMV Pctrl
Measured
A/Bi-Level
CPAP/ PSV
Setteable
Displayed
A/C Vctrl
A/C Pctrl
Measure
Parameter
Pressure Support Ventilation cmH2O
(PSV)
Positive End Expiratory cmH2O
Pressure (PEEP)
Exhaled Minute Volume L
(M.Vol)
Peak Inspiratory Pressure (PIP) cmH2O
IPAP (Inspiratory Pressur) cmH2O
EPAP (Expiratory Pressure) cmH2O
Pressure Waveform cmH2O
Flow Waveform L/min
Breath type Icon symbol
Power Source Icon sumbol
External Power Source No-Ext/Ext
Internal Battery Charge Level Icon Fill
Date and Time Date/ Time
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System Specifications
Standard Battery:
Battery Type Sealed Lead-Acid, 12V, 7.2-9 Ah
(rechargeable)
Operating Time Up to 2 hours (varies with ventilation
parameters)
Recharge Time 8 to 10 hours
Extended Battery:
Battery Type Sealed Lead-Acid, 12V, 12.0 Ah
(rechargeable)
Operating Time Up to 4 hours (varies with ventilation
parameters)
Recharge Time 16 to 20 hours
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System Specifications
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3.1 Introduction
This section of the manual has been formulated in order to provide a reference
of the steps required to ready the product for its first usage following delivery.
This section describes in full the unpacking, assembly and set up procedure.
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Installation and Setup
AC Power
Connector
When setting the ventilator up for the first time insert the power cord into the
devices power inlet module. Using a Philips screwdriver remove the screw
securing the cable clamp (and O2 dust cover) to the device. Allowing a suitable
length of cord for strain relief install the cable clamp over the cord and secure
back in position.
When the device is switched on and connected to AC power, the 3-prong (AC
plug) symbol is displayed on the lower part of the screen. When disconnected
from AC power, the symbol is displayed crossed out with a red X.
If the device is to be operated from an external DC power source connect the
appropriate cable to the external DC receptacle on the rear panel. When
connected to an external DC power source, such as a battery, the text EXT
appears in blue. When no external power source is detected, the text No-EXT
appears in black.
NOTE: IF THE TEXT EXT FLASHES IN RED, THE EXTERNAL BATTERY VOLTAGE IS LOW
AND NEEDS TO BE SUBSTITUTED OR RECHARGED.
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NOTE: AFTER PROLONGED STORAGE THE BATTERY CHARGE LEVEL ICON MAY
INDICATE FULL CHARGE. IT IS STRONGLY RECOMMENDED THAT THE DEVICE
STILL BE ALLOWED TO CHARGE FOR TEN HOURS.
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Installation and Setup
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DISS Oxygen
Connector
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Installation and Setup
is attached to the ventilator air inlet port through an optional VersaMed adapter
(Versamed pn 620B0009-01, GE pn M1162020)
Low Pressure
O2 Supply Tubing Oxygen Manifold
Oxygen Reservoir
To use low pressure oxygen the device must first be configured to oxygen type
‘Low’ in the advanced settings screen. With the oxygen enrichment system in
place and connected to the low pressure oxygen source, manually adjust the
flow of oxygen as necessary to achieve the desired FiO2 level. With oxygen
‘Low’ selected the measured value may be monitored in the FiO2 area of the
main display. Oxygen may also be monitored using an appropriate external
device.
NOTE: WHEN USING THE LOW PRESSURE OXYGEN SYSTEM, “NONE” MAY ALSO BE
SELECTED. THIS OPTION WILL DISABLE BOTH THE INTERNAL O2
MONITORING AND ALARMS. THE FIO2 FIELD WILL DISPLAY "0.”
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Caution: TAKE CARE TO REMOVE THE HME/ FILTER AND INSTALL WATER-TRAPS
ON THE TUBES TO PREVENT PENETRATION OF WATER INTO THE
VENTILATOR OR CIRCUIT VALVES.
NOTE: For correct handling of the Patient Circuit, refer to the User
Instructions that are packaged with every circuit.
M1162065, 2009 29
Installation and Setup
The Patient Wye contains a flow sensor which is connected by two sensor tubes
to the luer connectors on front of the ventilator.
The Expiratory Limb fastens to the Patient Wye, and leads to the Exhalation
Valve, which connects to a blue tube, the Control Line, and leads back to the
ventilator front panel. (See Figure 2.11).
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The instructions provided below only refer to devices in which the Tran port
Mounting plate (VersaMed P.N. 504A0242-01) is installed. For additional
M1162065, 2009 31
Installation and Setup
The Exhalation valve is now connected and ready to use. The next step involves
installing the tubing to the ventilator.
To install the patient circuit:
1. Connect the Exhalation Valve control tube to the barb in the Exhalation
Valve.
2. Connect the Exhalation Valve control tube to the PEEP outlet.
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3. Connect the Patient Flow sensor tubes to the flow sensor luers on the
front panel.
4. Connect one limb of the patient circuit into the iVent201 outlet, marked
with a blue dot, by twisting and pushing it until it is firmly in place.
5. Connect the second limb into the Exhalation Valve port by twisting and
pushing it until it is firmly in place.
6. Before connecting a patient to the ventilator with a new circuit, you
must perform a complete Operational Verification Test (O.V.T.) as
described in Section 6.2, on page 87.
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Installation and Setup
3.8 Filters
The iVent201 utilizes the following filters (see Figure 3.8):
A protective filter at the ventilator air inlet
A user-supplied bacterial filter at the ventilator outlet
A user-supplied filter or HME/filter at the patient circuit outlet
Caution: THE LOW PRESSURE OXYGEN ADAPTER SHOULD NOT BE USED WHEN
ENTRAINING AMBIENT AIR. UNLIKE THE STANDARD AIR INLET FILTER,
THE 22MM PORT OF THE LOW PRESSURE OXYGEN ADAPTER COULD BE
INADVERTENTLY BLOCKED.
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Keypad
Rotational
Control Knob
3.9.2 Keypad
The five push keys on the keypad include:
Silence - This key is used to mute the alarm sound and minimize pop-up
messages. When pressed, a 2-minute countdown timer is activated and
temporarily replaces the date/time field at the bottom-right area of the
display. Additionally, a "bell" symbol appears with a black "X" crossing it
out. A short press on the "silence" key reactivates the timer to 2 minutes. A
long press (~1 second) of the silence key cancels the operation.
100% O2 - This key provides 3 minutes of 100% oxygen delivery and 2
minutes of alarm silence during suction procedures. A second press of the
key cancels the process. This key is only active during ventilation and will
not work in Standby mode.
Manual Breath - This key enables the operator to deliver a single breath on
demand. In CPAP/PSV ventilation mode, where there is no definition for a
machine breath, the manual breath will be set according to the default
volume control for the specified patient weight.
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Air Inlet
O2 Sensor
Outlet Manifold
Turbine
Pressure Switch Solenoids
PU Connector
O2 Regulator
Manifold
O2 Proportional Valve
O2 Flow Strut
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Theory of Operation
O2 Inlet
Solenoid Valves
Demand Valve
O2 Pressure Switch
Air Inlet
Blower Motor
Manifold
Stepper Motor
Fan
Outlet Muffler
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4.2.2.1 O2 Regulator
The O2 regulator is included in the system to provide a stable input pressure for
the O2 proportional solenoid valve and for the nebulizer system.
High pressure oxygen will be connected directly at the inlet of the oxygen
regulator. Oxygen supply pressure should be maintained within the range of 40-
73.5 psi ± 20% (2.4-4.2 bar) and should be medically pure.
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will be computed. The flow measured at the strut shall be used by the software
to control the operation and output of the O2 proportional solenoid valve.
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limit switch will open sending a signal to the software that the limit has been
reached. The stepper motor reverses direction ~40 steps, resets the step count
and awaits further instruction from the software.
The geometric relationship between the rotating actuating cam and O2 valve
requires precise alignment. It is recommended that VersaMed service perform
this task and subsequent verification tests.
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Theory of Operation
system "short circuits" the blower diverting flow and allow the device to achieve
a fast pressure drop.
The solenoid valves open and close a pneumatic path between the blower outlet
and inlet. Additionally, each solenoid valve is a different diameter and can be
controlled separately. Solenoid #1 has a large diameter and solenoid #2 has a
small diameter.
There are four possible combinations of solenoid valves states: both closed, both
open, only the large valve open and only the small valve open. Manipulation of
these valves along with the turbine speed can produce a wide variety of
pneumatic waveforms.
The desired waveform is created under software control. The valves are opened
at the beginning of every exhale, in order to obtain a quick pressure drop to the
programmed PEEP level.
The control over the two solenoids also allows for the Easy Exhale™ feature
during which the pressure is reduced to a level below PEEP for a short time at
the beginning of each exhale.
Both valves are spring loaded to the normally closed position and will begin to
open at a nominal pressure of 80 cmH2O. This provides the over pressure relief
function. The safety pressure level is determined by the spring characteristics,
which are chosen to match the requirement. Since each valve can "pop-off"
independently there are actually two (2) safety relief valves.
This assembly cannot be serviced because disassembly of the entire pneumatic
unit is required. However, this system is historically reliable and is seldom the
cause of a problem.
The operation of the solenoid valve system in all configurations will be full tested
during the ventilator verification test (VVT).
4.2.6 O2 Sensor
The oxygen sensor is a galvanic, partial pressure sensor that is specific to
oxygen. It measures the O2 concentration of the gas mixture at the output of
the blower.
In iVent201 devices which are equipped with the stepper motor based O2
blending system the O2 sensor will be used as the primary source of feedback to
the software. The O2 sensor reading will be used for adjustment of the O2
blender to a higher or lower position as required to match the programmed FiO2
setting.
In iVent201 devices which are equipped with the proportional solenoid based O2
blending system the O2 sensor reading will be used primarily for monitoring
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Theory of Operation
electronic module and on to the turbine pressure transducer on the Main PCB. A
second line tees into this and will be used as a source to drive the closure of the
exhalation valve either directly or via the hold system hardware.
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Theory of Operation
In the iVent201 the hardware which allows the hold maneuver to be achieved is
the Hold Solenoid and the Hold Pump which are located on the Mounting PCB
within the electronic unit. Under normal conditions exhalation valve inflation
pressure is routed from the turbine pressure reference tubing into the electronic
unit through the hold solenoid and back down to the exhalation connector.
To achieve an inspiratory hold, at the end of a normal inspiratory phase, the
hold solenoid will be energized as will the hold pump. The pressure created by
the pump will then pass through the hold solenoid and on to the exhalation
valve providing a full closure of the valve. The inspiratory hold will be used to
measure the Plateau pressure and static compliance.
To achieve an expiratory hold, at the end of a normal expiratory phase, the hold
solenoid will be energized as will the hold pump. The pressure created by the
pump will then pass through the hold solenoid and on to the exhalation valve
providing a full closure of the valve. The expiratory hold will allow the lung and
the patient system to equilibrate, and allow the operator to assess the level of
auto peep present.
Although all units are equipped with the hold button on the keypad only units
with a serial number of iV12000 or higher are equipped with the necessary
internal hardware.
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and on to the nebulizer solenoid located on the Mounting PCB. The output from
the nebulizer solenoid is routed down from the electronic module and on to the
nebulizer connector at the front panel.
The nebulizer will be programmed by the operator through the advanced
settings screen, and will activate only during the inspiratory period. When
nebulization is active, during inspiration, the nebulizer solenoid will be energized.
With the nebulizer solenoid energized regulated O2 pressure will be routed
through the connector and tubing, and to the nebulizer vial.
When the nebulizer is operating the device will attempt to compensate breath
delivery through the main connector in order to ensure that the programmed
FiO2 and other breath parameters reach the patient.
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Theory of Operation
Zero/ Purge
Board
Main Board
CPU Board
Fan
Switching
Board
Power Supply
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connects directly to the LCD display and is also connected through to the main
alarm speaker on the front panel.
NOTE: ALTHOUGH SOME VERSIONS OF THE DEVICE INCLUDE CPU BOARDS WHICH
ARE EQUIPPED WITH ETHERNET CONNECTORS, NO ETHERNET
FUNCTIONALITY IS SUPPORTED AT THIS TIME.
4.3.6.2 BIOS
The flash BIOS (with VersaMed Logo) supports CRT/TFT LCD display,
DiskOnChip®, PC Watchdog, etc.
4.3.6.3 DiskOnChip®
M-Systems DiskOnChip® is a flash device used to store the iVent201 program. The
DiskOnChip (DOC) is designed for PC environments. It is a flash disk that is fully
compatible with hard disk emulation. The monolithic design of the DiskOnChip
ensures high reliability even when subjected to levels of shock, vibration and
temperature changes that would destroy a conventional magnetic disk drive.
When the ventilator is booted up, the program is read into RAM (volatile
memory), from the DiskOnChip. Data that is unique to the specific unit such as
calibration, configuration, last set parameters and the events and error logs are
stored on the DOC (non-volatile memory).
4.3.6.4 RS-232
RS-232 is a serial communication interface that conforms to the EIA232
standard. The iVent201 uses this interface to download new software from an
external PC to the ventilator, to download collected data from the ventilator to
external PC, and for real time diagnostics and remote control of the ventilator.
The iVent201 uses a male DB-9 connector and communication is enabled by
connecting a null modem cable from the ventilator to an RS232 port of the
external computer.
The iVent201 uses com port#1 (Com1) while the external PC can be selected for
Com1 through Com4. This port selection is a property of the VersaMed software
application that is running on the PC.
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Theory of Operation
NOTE: THE EXTERNAL COMPUTER MUST HAVE A COM1 THROUGH COM4 AVAILABLE
AND UNUSED BY ANY OTHER APPLICATION SUCH AS A MOUSE, MODEM, PDA
SYNC UTILITY (OR ANOTHER VERSAMED APPLICATION).
4.3.6.6 Keyboard
The CPU board supports a keyboard using a PS2 port. It is intended to be used
for factory servicing and has no useful purpose for the field. A mouse is not
supported.
4.3.6.7 Ethernet
The CPU supports a 10/100 Base-T, RJ45 port. It is not active at this time and is
reserved for future applications.
4.3.6.8 PC Watchdog
The PC Watchdog is a circuit that automatically monitors the PC. This is a safety
feature that will force the ventilator to resume operation in case of a temporary
overwhelming malfunction. In this rare event, the unit will restart within 31
seconds while activating alarms.
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Theory of Operation
via a second ADC channel. A reference voltage biases the measured voltages so
that at zero flow, the signal is in the center of the ADC input range. Reference
voltage may be either fixed or adjusted using a calibration digital to analog
converter (DAC).
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The PCB houses the hold solenoid and hold pump, these components will be
energized under the control of the Hold/Nebulizer controller PCB, when the
operator selects either inspiratory or expiratory hold.
The PCB additionally houses the nebulizer solenoid, this component will be
energized under the control of the Hold/Nebulizer controller PCB, when the
operator programs the nebulizer in the advanced settings menu. The nebulizer
solenoid will be energized in inspiration only.
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CAUTION: THE LCD INVERTER PRODUCES A HIGH VOLTAGE. VERIFY THAT THE
SYSTEM IS POWERED OFF BEFORE ATTEMPTING TO HANDLE THE
INVERTER OR COMPONENTS CLOSE TO IT.
Connection to the LCD panel is made using a 31 pin Hirose connector. There is
an aluminum bracket securing it in place. Most display abnormalities such as
reversed screens, mono colors, etc. are remedied by resecuring this connector.
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5.1 Introduction
The maintenance menu consists of a series of screen options and tests which
allow the technician to configure, test and calibrate certain attributes on the
iVent 201.
Confirmation Screen
Main Menu
To proceed to the maintenance menu select ‘Yes’ and the full list of
maintenance options will be accessible. If ‘No’ is selected the device will revert
to the main display window.
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Maintenance Menu
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Maintenance Menu
On confirmation the configuration menu will return with the new selection for
start screen displayed. On next restart of the ventilator the selected screen type
will be displayed.
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Maintenance Menu
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Maintenance Menu
4. Using the rotary control knob scroll through the characters until the
first requiring adjustment is highlighted.
5. Press the control knob to select the character and then scroll through
until the desired character is displayed. Press the control knob again
to confirm the change.
6. Repeat this process for all characters requiring adjustment.
7. When all characters are correct using the rotary control knob highlight
‘ok’ and press to confirm.
8. A system message will be displayed confirming that ‘the package was
successfully installed. Restart the iVent for Update’.
9. On completion of the restart it is recommended that you re-enter the
update package key screen to verify that the key is correctly entered.
In the event that the LMD value drops below 50 (standard or extended battery),
the device will respond with a service notice with the message ‘battery
disconnected or damaged’ displayed on screen. Should this happen you need
to reset the battery LMD.
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4. Selecting ‘Yes’ will reset the battery LMD to a known value, 66 in the
case of the standard battery.
5. On completion of the reset procedure it is necessary to place the device
through the battery gas gauge calibration procedure (as defined in
iVent201 service manual). This comprises of a full charge, discharge
and recharge of the internal battery. Should the service notice
mentioned above persist after completion of these steps it is necessary
to replace the battery cell and repeat the process.
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Maintenance Menu
Up to 300 error events for the current session may be viewed through this
screen. Up to 1500 events made up of current and previous sessions are
retained in memory and accessible using proprietary software.
Using the rotary control knob highlight and confirm technical log book and the
screen below will be displayed. The errors are date and time stamped and listed
in chronological order with most recent at the bottom.
5.9 Localization
Localization may be used by the service technician or therapist to adjust
regional attributes on the device; such as date, time and language. On entering
the localisation menu a warning pop up window will be displayed.
The pop window warns that changing the current language will RESTART the
device, and requires confirmation by highlighting and selecting ‘Yes’ in order to
proceed.
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5.9.1 Language
Language allows the service technician of therapist to adjust the ventilators
language set as per regional requirements.
To change the device language:
1. Using the rotary control knob on the localization screen highlight
‘language’ and then press to confirm.
2. A pop up window will appear listing the available languages (as shown
in the diagram below), highlight the desired language and then press to
confirm.
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Maintenance Menu
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Section 6: Self Tests
6.1 Introduction
This section of the service manual provides an overview of the two levels of self-
tests available on the iVent201. A self-test trouble shooting section is also
provided to assist diagnosis of any self-test failures.
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Self Tests
3. With the circuit caps applied select ‘Start’ using the rotary control knob
to initiate the test.
4. On initiation the device will pressurize the system to approximately
80cmH2O and initiate the various checks.
5. On successful completion of the first stage of O.V.T. a window will
appear (Fig 6.2) prompting the operator to remove the circuit cap from
the exhalation valve.
6. With the cap removed from the exhalation valve select ‘Start’ using the
rotary control knob to proceed.
7. The device will briefly pressurise the system once again and initiate
various checks.
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NOTE: IF THE VENTILATOR IS FOUND TO FAIL O.V.T., VERIFY THAT THE CIRCUIT
CAPS HAVE BEEN SECURELY PLACED, AND THAT ALL PATIENT TUBING IS
SECURELY CONNECTED.
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Self Tests
turbine motor will be energized with a PWM signal of 120 in order to pressurize
the system.
The device will energize Solenoid 1 and Solenoid 2 to relieve the internal
pressure. After 2ms the device will check the pressure transducers against the
following criteria:
The turbine pressure should greater than 70cmH2O.
The difference between turbine pressure and patient pressure should be no
greater than 8cmH2O.
If any of these test criteria are not met then the device will declare a failure of
O.V.T. and the test will terminate.
During the final part of O.V.T the device will perform a check of its main audible
alarm speaker. The device will initiate a high priority alarm and await user
confirmation that the alarm is audible.
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Self Tests
3. On initiating V.V.T. the device will sound the main audible alarm speaker
in a continuous tone.
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8. Follow the on screen instructions (Fig 6.3) and apply the 22mm circuit cap
to the patient wye sensor.
9. With the circuit cap applied select ‘OK’ using the rotary control knob to
initiate the test.
10. On initiation the device will pressurize the system and run through a
sequence of tests which will last approximately 30 seconds. As the
device proceed through each step it will display an ‘OK’ or ‘Failed’ flag
next to it (Fig 6.4). The results items will continue to accumulate
throughout the remainder of the test.
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12. Follow the on screen instructions (Fig 6.5) and remove the 22mm circuit
cap from the patient wye sensor.
13. With the circuit cap removed select ‘OK’ using the rotary control knob to
proceed to the next test.
14. The device will next initiate a short series of flow tests which will last
approximately 6 seconds, after which the V.V.T. instruction window will be
displayed.
15. Follow the on screen instructions (Fig 6.6) and verify that high pressure
oxygen is not connected to the device.
16. On completion select ‘OK’ using the rotary control knob to proceed to the
next test.
17. The device will next initiate a series of tests on the O2 system at 21%
Oxygen which will last approximately 1 minute. During this section of the
V.V.T. the device will check the blending system and pressure switch. On
completion the V.V.T. instruction window will be displayed.
18. Follow the on screen instructions (Fig 6.7) and connect a high pressure
oxygen supply to the device.
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Self Tests
19. On completion select ‘OK’ using the rotary control knob to proceed to the
next test.
20. The device will next initiate a series of tests on the O2 system at 100%
Oxygen which will last approximately 2 minutes. During this section of
the V.V.T. the device will check the blending system and pressure switch.
On completion the V.V.T. instruction window will be displayed.
21. Follow the on screen instructions (Fig 6.8) and disconnect the AC power
cord from the device. Verify that the amber ‘charge’ LED on the front
panel is no longer illuminated and that the AC plug icon on the display is
crossed out.
22. You may also disconnect high pressure oxygen once more as it is no
longer required.
23. On completion select ‘OK’ using the rotary control knob to proceed to the
next test.
24. The device will now perform a test on the internal power pack which will
last approximately 20 seconds. On completion the V.V.T. instruction
window will be displayed.
25. Follow the on screen instructions (Fig 6.9) and reconnect the AC power
cord to the device.
26. On completion select ‘OK’ using the rotary control knob and a further
V.V.T. instruction window will be displayed.
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27. Follow the on screen instructions and select and confirm ‘Finish’ to
proceed with the watchdog tests.
28. The device will now perform a series of tests on the device’s watchdog
system lasting approximately 1 minute, and during which the device will
automatically power off and back on once more.
29. When the device has completed powering back on, a system message
will appear confirm the completion and the pass or fail status of the V.V.T.
30. On completion of V.V.T. select and confirm ‘OK’ and the device will return
to the weight selection window.
NOTE: IN THE EVENT THAT THE DEVICE DOES NOT PASS V.V.T. VERIFY THAT ALL
PATIENT TUBING IS SECURELY CONNECTED AND THEN RE-RUN V.V.T.
WHILE RE-RUNNING V.V.T. PAY CLOSE ATTENTION TO THE INDIVIDUAL
TEST RESULTS IN ORDER TO DETERMINE WHICH OF THE TESTS, OR
NUMBER OF TESTS, MAY HAVE CAUSED THE OVERALL FAILURE. WITH
THIS INFORMATION REFER TO SELF TEST TROUBLESHOOTING (SECTION
6.6, PAGE 103).
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Self Tests
NOTE: IN THE EVENT THAT THE DEVICE DOES NOT PASS V.V.T., ALTHOUGH NOT
RECOMMENDED, IT WILL STILL BE POSSIBLE TO VENTILATE. IN CASES
WHERE THE DEVICE IS BEING USED IN SPITE OF A V.V.T. FAILURE A V.V.T.
WARNING MESSAGE WILL BE DISPLAYED AT ALL TIMES UNTIL V.V.T. IS
COMPLETED SUCCESSFULLY.
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Self Tests
solenoid valves will be opened and patient pressure will be sampled once more.
The two measurements will be compared to ensure that the pressure when
open is less than the pressure when closed by an appropriate amount.
Lastly the condition of the pressure switch will be checked once more. In the
event that the pressure switch is in a closed condition the test will fail. If the
pressure switch is in an open condition the test will pass.
correctly oriented.
3. Examine the exhalation valve
membrane, replace as necessary.
4. Replace exhalation valve.
Alarm Test Alarm inaudible 1. Adjust alarm volume to maximum
and retest.
2. Replace alarm speaker
7.1 Introduction
This section of the service manual describes in detail the Calibration operations
which may be performed on the device by the service technician or therapist.
For convenience a calibration troubleshooting guide is provided at the end of
the section.
NOTE: IN THE EVENT THAT THE DEVICE REPORTS ‘ZERO SENSORS INCORRECT’
CONFIRM THAT THE WYE IS UNOBSTRUCTED AND THEN RE-RUN THE
PROCEDURE. IF THE CALIBRATION IS FOUND TO FAIL PERSISTENTLY
REFER TO THE CALIBRATION TROUBLESHOOTING GUIDE (SECTION 7.8,
PAGE 122).
reading window will be displayed on the screen, and the operator will adjust its
value to match that of the test manometer.
Note: Since the value shown on the pressure bar graph and PIP do not
accurately reflect the pressure during calibration it CANNOT be used
as a method for verification. The pressure calibration may be verified
using the ventilator verification test.
To perform pressure sensors:
1. From the Calibration window select the Pressure Sensors option using the
rotary control knob.
2. The pressure sensors calibration window will appear prompting the operator
to connect a manometer at the wye.
3. As prompted connect test manometer (part no 920C0001-01, or equivalent) to
the patient wye.
4. Using the rotary control knob select and confirm ‘Start’ in order to initiate the
calibration procedure.
5. On selecting ‘Start’ the device will energize the turbine motor in order to
pressurize the system.
6. A manometer reading window will appear in the display for adjustment. The
pressure bar graph will show a reading but this MUST be disregarded.
7. Using the rotary control knob adjust the value in the manometer adjustment
window to match that of the manometer placed at the patient wye. Press the
rotary control knob to confirm the value entered and the calibration will be
verified.
8. On successful completion of the pressure sensor calibration the device will
revert back to the calibration main menu.
9. In the event of an unsuccessful outcome of pressure sensors calibration, the
message ‘pressure sensors incorrect’ will appear on screen.
At each condition the turbine pressure will be measured, and for reference an
assumed RPM will be calculated according defaults in software. The actual
mean measured RPM for each condition will compared against the reference
RPM for verification.
If the deviation between the reference RPM and the actual RPM is too large the
calibration data will be rejected and ‘PEEP RPM incorrect’ will result. If the
deviation is within acceptable limits the calibration data will be retained.
To perform PEEP RPM calibration:
1. From the Calibration window select the PEEP-RPM option using the
rotary control knob.
2. The PEEP-RPM calibration window will appear prompting the operator
to connect a test lung at the wye.
Note Although the screen requests connection of test lung alone it is
necessary to connect RP20 resistor (910V0004-01) and 2 liter test
lung (910V0005-01), or equivalents, to the patient wye.
3. Using the rotary control knob select and confirm ‘Start’ in order to
initiate the calibration procedure.
3. Connect the calibration syringe to the patient wye sensor and push
the plunger in until it reaches a stop, this is the starting position for the
syringe.
4. With the calibration syringe connected at the patient wye sensor
continue to follow the on screen prompts.
5. Using the rotary control knob select and confirm ‘Start’ to proceed
with the calibration.
6. Using slow and steady strokes pump the calibration syringe 10 times
backwards and forwards.
7. While doing so observe the values which are displayed for inspiratory
and expiratory volume with each stroke made.
8. On completion of the 10th stroke the device will check the validity of
the calibration data which has been recorded.
9. On successful completion of the volume calibration the device will
revert back to the calibration main menu.
10. In the event of an unsuccessful outcome of volume calibration, the
message ‘volume calibration incorrect’ will appear on screen.
Note: In the event volumes displayed on the 10th stroke are found to have
an error of greater than 10% against the 500ml reference it is
recommended that he calibration be repeated.
Note: In the event that the device reports ‘Volume Calibration Incorrect’
verify that all patient tubing connections are secure and that the
syringe is correctly set up, then re-run the procedure. If the
calibration is found to fail persistently refer to the calibration
troubleshooting guide (section 7.8, page 122),
3. With high pressure oxygen connected and test lung removed highlight
and confirm ‘Start’ to proceed.
4. From initiation the first part of the calibration procedure will take
approximately 30 seconds during which the message ‘working’ will be
displayed on screen.
5. On successful completion of the first part of the calibration the O2
system calibration window will appear prompting the operator to
disconnect the O2 supply.
6. With high pressure oxygen now disconnected highlight and confirm
‘Start’ to proceed.
7. From initiation the second part of the calibration procedure will take
approximately 90 seconds during which the message ‘working’ will be
displayed on screen.
8. On successful completion of O2 system calibration the device will
revert back to the calibration main menu.
9. In the event of an unsuccessful outcome from either part of the O2
system calibration, the message ‘O2 system calibration incorrect’ will
appear on screen.
4. With high pressure oxygen connected, test lung removed and cover in
place highlight and confirm ‘Start’ to proceed.
5. From initiation the first part of the calibration procedure will take
approximately 30 seconds during which the message ‘working’ will be
displayed on screen.
6. On successful completion of the first part of the calibration the O2
system calibration window will appear prompting the operator to
remove the calibration cover and put an inlet filter back in place.
7. With the inlet filter back in position highlight and confirm ‘Start’ to
proceed.
8. From initiation the second part of the calibration procedure will take
approximately 90 seconds during which the message ‘working’ will be
displayed on screen.
9. On successful completion of O2 system calibration the device will
revert back to the calibration main menu.
10. In the event of an unsuccessful outcome from either part of the O2
system calibration, the message ‘O2 system calibration incorrect’ will
appear on screen.
NOTE: EVEN IF THE BATTERY ICON DOESN'T SHOW FULL, IT SHOULD BE IGNORED
AT THIS TIME.
3. Set the high pressure alarm to 60cmH2O.
4. Connect the Rp20 resistor and test lung to the patient circuit wye and
then connect the patient circuit to the ventilator.
5. Press "START" on the ventilator to commence ventilation.
6. Adjust the devices tidal volume so that a PIP of at least 40 cmH2O is
observed on each breath. (850 mL is a typical value.)
7. Disconnect the AC power cord and remove the pop-up window by
pressing clear.
8. Allow the ventilator to run off the battery continuously until the Empty
battery alarm activates.
NOTE: IF THE LOW BATTERY ALARM ACTIVATES, CLEAR IT AND ALLOW THE UNIT TO
CONTINUE OPERATING UNTIL THE EMPTY BATTERY ALARM IS OBSERVED.
TIP: THE BATTERY RUN TIME MAY BE MEASURED DURING THIS TIME BY
MONITORING THE TIME FROM AC DISCONNECT TO THE EMPTY BATTERY
ALARM. THESE EVENTS AND THEIR RESPECTIVE TIME STAMPS CAN BE
REVIEWED BY SELECTING "SHOW LOG BOOK" FROM THE MAIN MENU. (THE
TYPICAL RUN TIME UNDER THESE PARAMETERS IS APPROXIMATELY ONE
HOUR.)
9. Reconnect the AC power cord and place the unit into Standby mode.
10. Allow the unit to recharge for at least 10 hours.
11. Operate the unit normally and verify that the battery icon on the
display indicates full.
8.1 Introduction
This section of the manual details the functional test procedure for the iVent201
ventilator system. The functional test is a series of operational simulations
designed to fully validate the critical functions of the ventilator.
8.2 Notes
NOTE: The iVent201 ventilator system is manufactured with accurate
pneumatic and electronic test instruments and in a controlled
environment. As field conditions vary the accuracy of measurement
instruments may become less certain.
NOTE: The following test specifications were established with the test
equipment as specified in section 8.4. If the accuracy of your
institutions test equipment differs from those listed please make
allowances
Power Supply
Replacement -- -- -- -- -- -- -- --
Disp/Touch
Panel -- -- -- -- -- -- -- --
Replacement
Interface PCB
Replacement -- -- -- -- -- -- -- --
Backlight
Inverter -- -- -- -- -- -- -- --
Replacement
Hold System
Replacement
O2 Sensor
Replacement -- -- -- -- -- --
Internal Tubing
Replacement
Figure 8.1 below shows the basic setup for the test along with the appropriate
testing points. It is recommended to use Biotek 601 Pro 0r equivalent device for
electrical safety testing of the ventilator system.
Test Cable
Electrical Safety
Tester
8.6.1.1 Procedure
The electrical safety test procedure includes steps for the following:
1. Connect the mains cable of the unit under test (UUT) to the receptacle
on the electrical safety tester.
2. Connect the test cable between the electrical safety tester and
grounding post on rear panel of the device.
3. Power on the UUT and set in operation with default settings in use.
4. On the electrical safety tester perform the test for enclosure leakage
current in both the forwards and reverse polarity. Measured leakage
current must be below 100µA.
5. On the electrical safety tester instigate the single fault condition (no L2)
and repeat the enclosure leakage current check with forward and
reversed polarity. Measured leakage current must be below 500µA.
8.6.2.1 Procedure
The Oxygen Performance test procedure includes steps for the following:
1. Adjust the external O2 analyzer calibration so that it reads 21%.
2. Connect the O2 supply to the ventilator.
3. Wait for 20 breaths and verify that the external O2 analyzer
measurement is equal to the FiO2 setting of the ventilator ±10%
(FiO2).
TIP: BY SELECTING ALARM SETTINGS FROM THE MAIN MENU, YOU CAN VIEW THE
O2 VALUE THAT THE VENTILATOR IS CURRENTLY MEASURING. THIS NUMBER
IS IN BLUE AND LOCATED TO THE LEFT OF THE MIN/ MAX ALARM BAR. NOTE:
IF NO CURSOR MOVEMENT IS SENSED BY THE VENTILATOR FOR ONE (1)
MINUTE, IT WILL TIMEOUT AND RETURN TO THE MAIN MENU.
Internal O2
Measurement
3. During the first 2 minutes, detach the test lung and Rp20 resistor and
verify that the audible alarm sounds only once and a red "Pat disc"
(Patient disconnect) indicator appears in the lower left part of the
display window.
High pressure
Apnea
Tube disconnect
Patient disconnect
Sensor disconnect
4. After another 20 to 25 seconds the unit will go back into APNEA alarm.
Simulate patient triggers and Verify that:
During the first minute, the unit does not respond to patient triggers.
After the first minute, the unit does automatically switch back to
previous mode after detecting three (3) patient triggers (within a
minute).
5. Reset the rate to 12 bpm.
3. Connect the patient circuit to the ventilator outlet port and verify that
the alarm automatically recovers.
3. Connect the test lung and Rp20 resistor to the patient circuit and
verify that the alarm automatically recovers.
9.1 Introduction
This section of the manual provides a detailed overview of the recommended
cleaning procedures and the planned maintenance which should be performed
on the iVent201.
Cooling Vents & Cooling Inlet Clean every 1500 hours (or 3 Use vacuum device to clean the
Filter months) of use, or as cooling vent outlet and cooling inlet
necessary. filter.
Air Inlet Filter Replace every 500 hours (or 1 Do not attempt to clean or reuse the
month) of operation, or as air inlet filter.
necessary.
Battery Pack Recharge every 90 days of Actual life depends on history of use
storage. and storage.
Inlet and outlet mufflers Replace annually, or as Actual life depends on history of use
necessary and storage
Ventilator Outlet Port (Muffler) Replace every 5000 hours of Actual life depends on history of use
operation or annually, as and storage
necessary
1500 hours of Power Pack Gas Gauge Charge the power pack.
operation or 3
1
months Perform VVT
3000 hours or 6
months of use,
whichever come first.
Power Pack Gas Gauge Deep discharge and recharge.
3 3
Perform VVT
Annually Air Inlet and Outlet Replace the Air Inlet Muffler
Muffler assembly
Install the annual PM
kit, refer to section Ventilator Outlet Port Replace the Outlet Port (muffler)
9.3.4 (muffler)
Cooling Inlet Filter Replace the cooling inlet filter.
Internal Battery Replace internal battery and
reinitialize the gas gage.
Perform full calibration
2 2
It is recommended to perform
O2 calibration every 3 months
Note: On removing the device from prolonged storage then battery charge and VVT
MUST be performed to ensure trouble free operation.
If the VVT fails a full calibration must be performed
CAUTION: DO NOT ATTEMPT TO CLEAN AND/OR REUSE THE AIR INLET FILTER.
Figure 9.1: Cooling Vent (left) and Cooling Air Inlet Filter (right)
9.3.5 24 Months
The flowing step should be carried out every 24 months:
Replace the O2 sensor
10.1 Introduction
This section of the service manual provides a detailed overview of several
software utilities which may be used during the servicing of the iVent201
ventilator system. The section will cover the following software utilities,
Log Download
Software Update
On using the USB to Serial adapter for the first time it will typically be assigned
with a high com port number. As VersaMed utilities require the use of Com1 to 4
then some adjustment will be required in order to establish and maintain
communications.
Using Control Panel>System>Device Manager you may manually set the Com
port number of something within the acceptable range.
These logs have minimal capacity and in each case can only display limit entries
of the most recent items with the oldest one is removes as a new entry is made.
In addition both of these accessible logs will be cleared each time the device is
power cycled.
Although these events are no longer accessible by the user, each type will be
retained in two files on the devices disk on chip. These files are available for
retrieval using a proprietary download utility named iVDownload.
To retrieve the files using iVDownload:
NOTE: THIS FUNCTION CAN BE PERFORMED AT ANY TIME THAT THE VENTILATOR IS
POWERED UP, INCLUDING DURING VENTILATION. THIS FUNCTION SHOULD
BE PERFORMED ONLY BY OR ON DIRECTION OF A QUALIFIED TECHNICIAN.
1. Connect the null modem cable serial cable to the RS232 port (Com1) of
the ventilator, and to an available serial port (Com1>Com4) of the
service PC.
2. On the PC double click on the file named ‘ivDownload.exe’, or on the
desktop icon if a shortcut has been created, to start up the download
application.
3. Once the application has started verify that communication has been
established. The message ‘Connected To Com (number)’ should appear
at the bottom-left of the application window. If it does not refer to
section 10.8, troubleshooting communication problems.
4. The correct device serial number should be retrieved and displayed in
the application window.
5. In the download application window, open the file selection pull down
menu. Although there are a number of files available the only items
with any real troubleshooting value are ‘error.log’ and ‘event.log’.
Select the desired item to proceed.
Progress
Bar
Connection
Status
7. When the desired file has been selected click on ‘Download’ in order to
execute the download procedure.
8. During the download the progress bar will indicate the status. The
speed of the download will depend upon the number of logs and the
connection speed.
9. When complete ‘Download Successful’ will be displayed in the
instructions window.
10. On completion the downloaded file will be placed into the same folder
location as the download application. The file will be addressed with
the device serial number, file type (error or event log) and the date of
the download.
11. To view the downloaded ‘event.log’ file navigate to the relevant folder
and double click.
12. The file will open in a notepad window and will be displayed in the
devices local language. All events will be time and date stamped as
shown in fig 10.3.
13. To view the downloaded ‘error.log’ file navigate to the relevant folder
and double click.
14. The file will open in a notepad window and will be displayed in English
language. All errors will be time and date stamped, will list the current
software version and the relevant error message.
15. It is recommended that the Error and Event logs should be downloaded
during every ventilator repair and retained on file.
16. When working with the assistance of the VersaMed technical support
team it is always highly recommended that both the error and event
log be submitted for evaluation.
NOTE: DURING THE PROCESS OF SOFTWARE UPDATING THE
ERROR LOG WILL BE ERASED. IT IS THEREFORE
RECOMMENDED THAT THE LOG FILES BE DOWNLOADED
PRIOR TO ANY SOFTWARE UPDATE.
new software release and will be distributed through normal channels with an
accompanying technical information bulletin.
5. Once the application has started verify that communication has been
established. The message ‘Connected To Com (number)’ should appear
at the bottom-left of the application window. If it does not refer to
section 10.8, troubleshooting communication problems.
6. Press ‘Connect’ on the application window in order to establish
communications with the device.
7. Once communications have been established the ‘Card Number’,
‘Software Version’ and ‘Type’ fields will be populated with the relevant
details from the device to be updated.
8. Press the ‘Install’ button on the application screen and verify that the
progress indicator advances at the bottom of the application screen
while simultaneously, the loaded percentage increases incrementally
on the ventilator screen.
11.1 Introduction
This section of the iVent201 service manual describes in detail how to repair
the ventilators major subassemblies and their major components. These
repair procedures will include removal and installation where applicable.
This section does not provide a complete breakdown of all assemblies or
complete disassembly, rather disassembly to what the manufacturer deems
necessary and reasonable. Repair procedures are provided for all major
assemblies and a complete illustrated parts breakdown is included in section
Section 13: of this document.
To prevent electric shock hazard always ensure that all electrical power has
been removed from device prior to commencing service. This statement
requires that not only mains power be removed but also the devices internal
batteries and any external DC source as applicable. If the device must be
serviced with the power on be careful to avoid electrical shock. At all times
follow accepted safety practices for electrical equipment when performing
any repairs.
To prevent possible personal injury, always ensure that the high pressure
oxygen source has been disconnected.
To prevent possible personal injury and equipment damage never attempt
to push or pull a ventilator installed on its stand with the brakes set on.
To prevent possible personal injury and equipment damage, if the device is
being serviced while on its stand, always ensure that the brakes are set on to
prevent inadvertent movement.
Replace or repair any parts which are found to be worn, missing, damaged,
cracked or otherwise show signs of any physical abnormalities.
11.4 Cleaning
If needed, follow these general cleaning guidelines when cleaning the
ventilator during servicing. Procedures for periodic cleaning and
sterilization of the ventilator and accessories is listed in the iVent201
ventilator system user manual. Specific procedures for periodic cleaning
and inspection done during the ventilators planned maintenance are listed
in the relevant section of this manual.
Clean ventilator exterior surfaces before disassembly. Use isopropyl
alcohol, a bactericidal agent, or a mild detergent and warm water solution,
and a clean, lint-free cotton cloth.
Vacuum ventilator interior using ESD-safe equipment. Do not clean the
ventilator interior with high pressure air.
During disassembly, clean parts as necessary with isopropyl alcohol. Any
excessively dirty items which cannot be cleaned should be replaced.
10. Disconnect the inverter cable from the top of the electronic module.
(See Figure 11.3 and Figure 11.3, page 159).
11. With the LCD cable still tethered, lay the front enclosure, face down, on
the protective surface.
LCD Shield
LCD Cable
Ground Wire
Ground Point
Inverter Connector
Electronic Module
Ribbon Cable
Sensor Lines
LCD Cable
Outlet Port
Figure 11.3 Rear Enclosure (Inside View) #1
TIP: UNDER THE WEIGHT OF THE REAR ENCLOSURE (AND ASSEMBLY), THE SEAM
AROUND THE ENTIRE PERIMETER OF THE UNIT SHOULD BE CLOSED AND
EVEN. IF IT IS NOT, THEN THERE IS INTERFERENCE FROM THE TUBES AND/OR
CABLES THAT WERE JUST CONNECTED.
17. Install the (2) 4mm x 30mm screws and lock washers to the bottom-
rear of the enclosure.
18. Install the (2) 4mm x 50mm screws and lock washers to the top-rear
of the enclosure.
19. Attach the roll stand adapter plate to the bottom of the unit by
installing the (4) 3mm x 8mm Phillips head screws and lock washers.
Be sure to orient the plate so that the single middle hole is toward the
rear of the unit.
TIP: THE REAR ENCLOSURE ASSEMBLY CAN BE TILTED BACK SO THAT IT RESTS
ON THE POWER PACK HANDLE.
Electronic Module
Mounting Screws (2)
O2 Sensor Connector
Main Connector
Outlet Port
Figure 11.8: Rear Enclosure (Inside View) #2
8. On PSV units only, connect the two pressure sensing lines for the
oxygen flow sensor to the plastic connectors.
9. On PSV units only, connect the nebulizer supply tubing to the plastic
elbow connector.
10. Connect the main connector to the right-side of the pneumatic unit.
11. Connect the power pack connector to the bottom-right of the
electronic module (EM).
12. Screw the green O2 inlet cap to the DISS fitting on the rear of the
unit.
13. Assemble the front enclosure to the rear enclosure as outlined in
Enclosure Assembly, Section 11.13.1.1, steps 4-7, page 160.
7. On Stepper units only, use the 11/16 inch and 9/16 inch Open-End
wrenches to loosen and detach the DISS collar to the demand valve.
8. On PSV units only, disconnect the proportional solenoid valve from
the O2 manifold by pressing in on the black locking collar and
withdrawing the tubing.
9. Identify the O2 pressure switch type and disconnect the
corresponding connector(s):
10. For the silver colored metal switch which is threaded directly onto the
O2 inlet pipe: Follow the cable assembly coming out of the back of the
pressure switch and disconnect the black 3-pin hanging connector.
11. For the brass colored metal body which mounted to the back wall of
the rear enclosure: disconnect the two (2) crimped connectors from
the tabs on the rear of the O2 pressure switch.
12. Disconnect the green ground wire assembly from the dual tabs
located just above the outlet port.
13. Pull the pneumatic unit straight out of the rear enclosure.
O2 Pressure Switch
Demand Valve
Ground Point
Pneumatic Unit
Outlet Port
2. Place the pneumatic unit into the bottom of the rear enclosure.
3. Align the demand valve of the pneumatic unit with the DISS fitting of
the O2 inlet pipe and hand-tighten the collar.
4. Place the green ground wire and tab between the front-left leg of
pneumatic unit and the mounting plate.
5. Tilt the rear enclosure back onto the power pack handle in order gain
convenient access to the underside of the unit.
6. Beginning with the front-left leg of the pneumatic unit, install the (4)
4mm x 10mm Phillips head screws, lock washers and washers
through the bottom of the enclosure, mounting plate and leg. Ensure
that the first screw feeds through the ground wire tab of the front-left
leg.
7. Use the 11/16 inch and 9/16 inch Open-End wrenches to tighten the
DISS fitting to the demand valve. Ensure that the demand valve does
not twist and remains vertical on the pneumatic unit.
TIP: APPLY THE HIGH PRESSURE O2 TO THE REAR DISS INLET AND VERIFY THAT
THE DEMAND VALVE SHUTS OFF AND DOES NOT AUDIBLY LEAK. DISENGAGE
THE O2 SUPPLY.
Silver colored metal switch which is threaded directly onto the O2 inlet
pipe: Route the cable assembly coming out of the back of the pressure
switch under the blue air inlet tube and connect the black 3-pin hanging
connector.
Brass colored metal body mounted to the back wall of the rear enclosure:
9. Connect the two (2) crimped receptacles coming from the back of pneumatic
unit's main connector to the rear of the O2 pressure switch.
10. Connect the green ground wire and crimped receptacle onto the dual tabs
located just above the outlet port.
11. Align the air inlet muffler with the tracks found on the left-inside of the rear
enclosure and slide the muffler all the way to the back.
12. Connect the blue air inlet tube to the outlet of the air inlet muffler.
13. Install the air inlet filter onto the side air inlet port. Ensure that the O-ring was
retained on the port.
NOTE: IF THE AIR INLET FILTER DOES NOT INSTALL EASILY AND WITHOUT
INTERFERENCE THEN THE AIR INLET MUFFLER WAS NOT INSERTED ALL THE
WAY BACK.
14. Install the electronic module as outlined in Section 11.13.2.3, Electronic Module
Installation, page 163.
15. Assemble the front enclosure to the rear enclosure as outlined in Section
11.13.1.1, Enclosure Assembly, page 160.
CAUTION: REVERSING THE POLARITY OF THE WIRES WILL DESTROY THE BATTERY
GAS GAUGE LOCATED WITHIN THE POWER PACK.
2. Slide the battery into the casing. Be sure that the red and black wires
are located towards the recessed part of the battery cavity.
3. Position the cover into the casing and fasten the (5) 3mm x 10mm
Phillips head screws and lock washers to the back of the power pack
housing.
4. Slide the assembled power pack into the ventilator compartment until
the cover is flush with the back of the unit.
TIP: POWER UP THE UNIT BRIEFLY AND VERIFY THAT THE CONNECTION WAS
SUCCESSFUL BY LISTENING FOR THE COOLING FAN OPERATION.
5. Install the (4) 3mm x 20mm Phillips head screws into the corners of
the power pack assembly.
TIP: PERFORM STEPS 1-9 ONLY, SINCE THE LCD CABLE DOES NOT NEED TO BE
DETACHED FOR THIS SERVICE.
2. Disconnect the tube from the top of the outlet port to provide
clearance.
3. Disconnect the gray cable from the top of the existing O2 sensor.
4. Disconnect the grounding cable from the shield.
5. Remove the existing O2 sensor by turning it counter-clockwise.
6. Remove the O2 sensor from the adaptor by turning it counter
clockwise.
7. Remove the tie surrounding the shield by pulling it from the O2
sensor,
8. Turn aside the 3 legs holding the shield and pull the shield out.
9. Remove the sensor from the shielding holder.
2. Insert the shielding into the shielding holder. Verify that the 3 legs of
the shielding holder are outside the shield, as shown in Figure 11.21.
NOTE: Perform steps 6-12 only, if the LCD cable was not detached.
NOTE: COMPLETE AND REMIT ANY FIELD CHANGE ORDER (FCO) FORMS SUPPLIED
BY VERSAMED MEDICAL SYSTEMS, INC.
The periodic maintenance schedule is current and follows the guidelines
outlined in Section 5: of this Manual and Section 8 of the Operators
Manual.
All external tubing, cables and connections are properly secured and
reliable.
The OVT and VVT procedures have been conducted with all failures
noted.
The unit can be calibrated successfully and re-verified by OVT and VVT.
The technical log files (error.log and events.log) have been downloaded
and archived.
Battery run time too Unit continues to Battery gas gage Charge battery for 8
short or Battery function but displays accumulated too much hours, discharge
indicator never Low Battery or Empty error or improperly battery until empty then
displays full. Battery alarm. initialized. recharge battery for 10
hours.
Unit goes into Battery capacity is Replace Power Pack.
functional failure but inadequate.
no Empty Battery
Alarm.
Battery indicator Replacement Power Defective Electronic Replace Electronic
displays empty after Pack displays empty Module. Module.
recharge and gas battery icon.
gage reconditioning.
Unit displays Call Charge LED lights with Power Pack fuse is Replace Power Pack
Service/ Battery AC power cord plugged blown. fuse (15A).
Fails VVT, Solenoid Solenoid valves able to Defective Pneumatic Replace Pneumatic
failure. move mechanically. Unit. Unit.
Error code 330 in
technical log.
Fails VVT, Flow sensor Patient Circuit Pneumatic leak at Replace Patient Circuit.
leak. connections to the sensing tubes
front panel are secure. connection.
Service Notice! Alarm Error Code 307 in O2 system out of Calibrate O2 system.
after power up. technical log. calibration.
Defective O2 sensor. Replace O2 sensor and
recalibrate.
Need Cal alarm after Error Code 306 in O2 system out of Calibrate O2 system.
NOTE: THE UNIT WITHOUT THE BUTTON CAN STILL BE ACTUATED MANUALLY BY
GENTLY PUSHING A SMALL DIAMETER ROD THROUGH THE CENTER HOLE ON
TOP.
3. Using the palm of your hand, slowly occlude the demand valve outlet
and verify that the device shuts off flow with no appreciable buildup of
back pressure.
4. Verify that the device remains off and there is no perceptible leakage.
NOTE: SOME DEMAND VALVES WILL SHUT OFF AS SOON AS MANUAL ACTUATION IS
LIFTED. WHILE THIS IS NORMAL, NEVERTHELESS THERE SHOULD BE NO
DETECTABLE LEAKAGE.
If the demand valve function is verified but still fails VVT when it is reinstalled
into the unit, there may be a problem with its position relative to the pneumatic
unit's O2 intake port.
Earlier versions of the O2 inlet pipe utilized NPT type threads and were sealed
with Teflon tape. This could cause the demand valve to be positioned ahead of
the intake port of the pneumatic unit. While the flexible silicone tubing used to
connect the demand valve to the intake port compensated for variability in
distance, over time, as the tubing lost flexibility, the seal would leak, and the
demand valve would fail to detect the back pressure necessary to close and
shut off O2 flow.
If the connecting silicone tube is viewed from the side, the offset from the
vertical axis should be discernable.
To remedy the problem do the following:
Remove the female DISS fitting and nut gland from the O2 inlet pipe
using a 3/8 inch open end wrench.
Remove the existing Teflon tape completely from the threads of the
fitting.
Cut a 1.5”- 1.75” L x 0.5” W piece of Teflon tape.
With the threads-end of the fitting facing you, wrap the tape clock-wise
around the threads.
Install the DISS fitting and nut gland into the O2 pipe manifold so that
1/8” of threads is visible. (3 or 4 threads)
NOTE: WHEN THE DEMAND VALVE IS PROPERLY INSTALLED ONTO THE O2 INLET
PIPE ASSEMBLY, THERE SHOULD BE A 70MM DISTANCE FROM CENTER TO
CENTER. (SEE FIGURE 12.1).
DISS Fitting
Teflon Tape
5. If Flow sensor leak is OK, the location of the leak is along the blower
pressure and exhalation valve control tubes.
A leak that is located anywhere from the blower port tee to the blower pressure
transducer will probably fail the Blower pressure part of the VVT but not the
Flow sensor leak. This suggests that the probable location of the leak is one of
the following:
the barbed connector just behind the front panel luer of exhalation valve
control line, or
the small barb of the blower pressure connection tee.
12.2.3.3 Negative (-) Flow Port vs. Positive (+) Flow Port
The two bottom-left-side luer connectors on the front panel are the flow sensing
ports. The leftmost port is a metal male locking luer: it is the negative (-) flow
port. If this port is pressurized or it is at a higher pressure than the right port, the
flow graph trace on the display will go below the baseline.
The right port is a female locking luer: it is the positive (+) flow port. If this port is
pressurized or it is at a higher pressure than the left, the flow graph trace will go
above the baseline.
Again, note that a leak along either branch will have the opposite effect: if there
is a leak along the tubing of the negative (-) left-side port, the flow graph will go
above the baseline. If there is a leak along the tubing of the positive (+) port, the
flow graph will go below the baseline.
The following steps will determine which branch the leak is located:
1. Set up the ventilator and patient circuit as outlined in Section 3.6, page
29.
2. Observe whether the flow offset on the flow graph is above or below the
baseline (0 cmH2O).
NOTE: THE FLOW GRAPH RANGE MAY NEED TO BE SET TO 60 TO GAIN ENOUGH
RESOLUTION TO VISIBLY DETECT THE FLOW OFFSET.
3. If the flow is above the baseline then the leak is along the left-side
negative (-) port.
4. If the flow is below the baseline then the leak is along the right-side
positive (+) port.
Normally, when there is no leak present, if you occlude the positive port sensing
tube, the flow graph trace will go in a positive direction or hug close to the
baseline (depending upon how fast the tube is occluded). Even if the unit is
trying to ventilate, the flow graph trace will remain in the positive region (see
Figure 12.5).
If there is a leak in front of the occlusion, the flow graph will go negative or lie in
the negative range (see Figure 12.5).
No Leak Leak
Figure 12.5: Flow Graphs (Occluding the Positive Flow Sensor Port)
volume occurs at the 5 cmH2O PEEP value. After injecting another 700 ml into
the test lung an additional 29 cmH2O is generated above the starting PEEP
value. The result is a PIP (peak inspiratory pressure) of 34 cmH2O.
To summarize: if the ventilator generates a PIP of approximately 34 at the 70+
kg default settings with a VersaMed test lung, the inhale accuracy has been
verified.
12.3.3 Leakage
If the test lung that you are using has a leak, the exhale volume will be smaller
than the inhale volume. Moreover, if you set up the ventilator as described in
Section 12.5, the flow graph will show a positive offset.
12.3.4 Velocity
Any test load that can cause a high velocity exhale may create an artificially low
exhale tidal volume measurement.
The high velocity flow from the test lung lowers the pressure of the first port (-
port) creating an artificial lower exhale volume. The set of iVent201 screen
captures below (Figure 12.9) show the effects of an undersized test lung for the
application (settings). Note the high inspiratory pressure, as well as the sharply
spiking velocity of the exhale flow with a significantly low measured exhale
volume.
Clinically, this high amplitude, short period exhale waveform is most like a
patient cough and is not a common steady state flow pattern.
The critical point is that the analysis of the flow graph can lead you to the root
cause and corrective action. In this case, the proper remedy for this situation is
replacement of the 1-liter test lung with a 2-liter test lung and installation of an
Rp20 resistor.
Note: THIS MODE DOES NOT REQUIRE ANY MANDATORY BREATHS AND THE SET
RATE DEFAULTS TO ZERO.
4. Select PEEP and adjust the value to 20 (cmH2O)
Note: IF THE VENTILATOR IS CONFIGURED FOR EXTENDED RANGES THEN YOU CAN
ADJUST THE PEEP TO 40 (CMH2O).
5. Select Triggers and adjust both "Press" and "Flow" to Off.
6. Highlight and select Accept.
7. From the Main Menu select the Alarm Settings option. The Alarm
Settings window appears.
10. From the Main Menu select the Advanced Settings option. The
Advanced Settings window appears.
11. Select the "Purge Every" option and set it to Off.
12. Block the patient circuit with the rubber stopper or equivalent.
13. Press START when ready.
NOTE: WHEN THE APNEA ALARM WINDOW APPEARS, PRESS CLOSE, THEN SELECT
THE BLINKING APNEA MESSAGE IN THE MODE FIELD AND SELECT YES TO
THE RESTORE PREVIOUS MODE QUESTION. IF THE CHECK SENSOR ALARM
WINDOW APPEARS, PRESS CLOSE AND THEN RESTORE
13.1 Introduction
This section of the manual has been provided as a reference for identification
and ordering of spare parts primarily. Please read the information and
descriptions carefully in order to ensure that you are identifying the correct
items.
Between iv15000 and iv19999 Denotes all devices in with standard color
or configuration which are equipped with the
greater than 30000 PSV based pneumatic system.
Between iv20000 and iv29999 Denotes all devices in with the HHS color and
hardware configuration.
NOTE: If trying to identify and order parts for units with a serial number
of <iV2000, please contact your regional technical support
contact for assistance.
13.3.2 Sub-Assemblies
1 4
2
1
3 4
5
6
9
8 7
VersaMed Part GE
Ref Description
Numbers Part Numbers
1 301B0004-01 M1161722 Battery Cell, Std Integrated
TBD Battery Case, Std
2 325A0114-B0
Integrated
TBD Battery Case, HSS
- 504HS120-01
Integrated
3 511A0027-A0 TBD Fuse Holder, Battery
4 137A3150-02 M1161717 FUSE 3.15A 250v S.B
5 360E0310-01 TBD SCREW PAN H. M3x10
M1161981 Gas Gauge PCB, Std
6 506B0007-C0
Integrated
Refer to the iVent201 Operator’s manual Section 2: Setting Up for preparing the ivent201
for ventilation.
Perform VVT
Perform functional tests.
Perform safety checks.
5. Perform next steps every 15000 hours of use (all parts should be replaced
before performing checks, tests and calibration)
Replace pneumatic unit.
Perform ALL calibrations
Perform VVT
Perform functional tests.
Perform safety checks.
Index
actuator ................................................48 capacity...................................... 20, 59
Adaptive Bi-Level.................................2 charger block ............................ 61, 71
Adaptive Flow ....................................13 charging........................................... 25
air inlet ...........................................10, 28 disposal............................................ 58
maintenance ..................137, 140, 141 gauge ......................................... 58, 59
Alarm maintenance................................ 59
settings .........................................2, 39 gauge initialization ................ 121–22
alarm (remote) ........................12, 65, 68 indicator .......................................... 22
alarms...................................................19 maintenance.................... 25, 137, 139
AC power disconnect.....................19 recharge time .................................. 20
apnea ................................................19 safety................................................ 25
battery disconnect ..........................19 voltage ............................................. 65
empty battery ..................................19 weight .............................................. 20
inhalation/exhalation ....................19 blower assembly ................................ 50
inspiratory pressure .......................19 calibration ... 75, 176, 180, 186, 190, 191
leak....................................................19 volume........................................... 116
low battery.......................................19 zero sensors . 110, 111, 113, 114, 115,
low tidal volume.............................19 117, 118, 120
minute volume................................19 computer ....................................... 58–67
over temperature ............................19 BIOS ................................................. 63
oxygen ..............................................19 bus .............................................. 65, 67
patient circuit disconnect ..............19 CPU board .. 62. See also main board
patient disconnect...........................19 DiskOnChip.................................... 63
patient disconnect alarm test ......134 external display.............................. 64
respiratory rate ...............................19 memory ..................................... 62, 63
sensor disconnect............................19 specifications .............................. 63
sensor disconnect alarm test .......135 motor interface ............................... 67
silence...............................................22 operating system............................ 64
test...........................................131, 132 PC Watchdog............................ 63, 64
tube disconnect ...............................19 VGA connector............................... 64
tube disconnect alarm test...........133 controller valve limit switch............. 47
volume level ....................................19 cooling fan............................... 52, 55, 73
analog filter..........................................65 vent .................................................. 10
analog to digital converter (ADC) ..65, cooling inlet
66 maintenance.......................... 137, 139
apnea ....................................................19 CPAP ..................................................... 2
alarm test .......................................132 CPU board .................. 55, 64, 65, 67, 73
battery ...2, 20, 21, 24, 25, 39, 58, 59, 60, demand valve ...... 47, 48, 165, 166, 167,
61, 66, 67, 70, 71, 121, 122, 139, 141, 176, 177, 178
168, 169, 174, 175, 186, 202. See also troubleshooting and repair. 176, 177
power pack digital to analog converter (DAC)... 66
O2 ...18, 19, 22, 28, 33, 37, 47, 48, 49, 50, filtering ...................................... 59, 70
51, 65, 95, 126, 129, 130, 131, 133, fuse....................................... 10, 61, 71
137, 161, 162, 163, 164, 165, 166, 167, sockets ............................................. 23
170, 171, 175, 176, 177, 178, 185 switching ................................... 60, 70
erratic control ................................185 power pack .. 11, 12, 139, 168, 169, 170,
O2 pressure switch..............................47 174, 175
O2 sensor ............................................163 disassembly and assembly ... 168–71
maintenance ..................137, 170, 171 power supply.......................... 20, 55, 73
O2 valve................................................49 power switch .......................... 11, 61, 72
Operational Verification Test....33, 173 pressure sensors ........................... 65, 66
outlet port ....................................51, 170 pressure switch
OVT See Operational Verification Test troubleshooting ............................ 178
oxygen .11, 20, 26, 27, 28, 33, 34, 37, 47, Programmable Logic Device (PLD) 67
48, 50, 51, 66, 190 proportioning valve..................... 47, 48
connecting........................................26 PSV................................................... 2, 14
oxygen blending system....................47 Purging cycle ...................................... 14
Oxygen Mix .........................................14 remote alarm...........See alarm (remote)
oxygen sensor..........................47, 65, 66 repair....See iVent201:disassembly and
replacement .....................................51 assembly
patient circuit19, 29, 30, 33, 40, 52, 175, respiratory insufficiency ..................... 2
176 respiratory rate................................... 13
control line.......................................52 respiratory volume ............................ 13
exhalation valve..............................52 Reusable Patient Circuit.................... 31
flow sensor ......................................52 RFI filter............................. 58, 59, 70, 73
one-way valve ...........................53, 54 RFI filter block .............................. 60, 71
safety ..........................................29, 33 Rise Time............................................... 2
PC Watchdog safety... 1, 6, 7, 9, 48, 49, 50, 51, 64, 139,
see under computer..........................63 179, 203
Peak Flow ........................................2, 13 screen icons
PEEP .2, 14, 19, 28, 50, 53, 113, 183, 186 power............................................... 24
pneumatic resistor....110, 114, 126, 131 serial port ...................................... 12, 63
pneumatic system...............................65 SIMV ...................................................... 2
pneumatic unit.......40, 41, 42, 138, 164, software
166, 175, 176 upgrading ............................... 143–50
maintenance ..................138, 139, 142 solenoid ................... 49, 50, 65, 175, 179
removal and installation164–68, 164 solenoids ..................... 49, 50, 67, 68, 69
power .............. 38. See also power pack status block ................................... 61, 72
AC.....................................9, 10, 20, 23 stepper ........................................... 65, 68
AC input connector ..................58, 73 stepper motor ....................... 48, 49, 166
AC/DC converter.....................58, 73 switching block ............................ 60, 71
conversion .................................59, 70 switching board.................................. 70
DC .......9, 10, 20, 22, 23, 59, 61, 62, 72 temperature sensor ............................ 65
external...........................60, 62, 71, 73 test lung..................... 126, 131, 182, 184
Warranty
This Product is sold by VersaMed under the warranties set forth in the following
paragraphs. Such warranties are extended only with respect to the purchase of
this Product directly from VersaMed or VersaMed’s Authorized Dealers as new
merchandise and are extended to the Buyer thereof, other than for the purpose
of resale.
For a period of twelve (12) months from the date of original delivery to Buyer or
to Buyer’s order, but in no event for a period of more than two years from the
date of original delivery by VersaMed to a VersaMed Authorized Dealer, this
Product, other than its expendable parts, is warranted against functional
defects in materials and workmanship and to conform to the description of the
Product contained in this Technical Reference manual and accompanying labels
and/or inserts, provided that the same is properly operated under the conditions
of normal use, that regular periodic maintenance and service is performed and
that replacements and repairs are made in accordance with the instructions
provided. This same warranty is made for a period of thirty (30) days with
respect to expendable parts.
The foregoing warranties shall not apply if the Product has been repaired other
than by VersaMed or in accordance with written instructions provided by
VersaMed, or altered by anyone other than VersaMed, or if the Product has been
subject to abuse, misuse, negligence, or accident.
VersaMed’s sole and exclusive obligation and Buyer’s sole and exclusive remedy
under the above warranties is limited to repairing or replacing, free of charge, at
VersaMed’s option, a Product, which is telephonically reported to the nearest
VersaMed Customer Service Center and which, if so advised by VersaMed, is
thereafter returned with a statement of the observed deficiency, not later than
seven (7) days after the expiration date of the applicable warranty, to the
VersaMed Customer Service and Distribution Center during normal business
hours, transportation charges prepaid, and which, upon VersaMed examination,
is found not to conform with above warranties. VersaMed shall not be otherwise
liable for any damages including but not limited to incidental damages,
consequential damages, or special damages.
There are no express or implied warranties which extend beyond the warranties
hereinabove set forth. VersaMed makes no warranty of merchantability or
fitness for a particular purpose with respect to the product or parts thereof.