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| Monnal T60 | Technical note Technical note: NT_679EN_1 Date: 26/04/2018 Product: Monnal T60 (KA010000), Monnal T60 JP (KA013700) Serial no.: below MT60-06000 Reference maintenance manual: YM031000 V1.5 Recipients: Product Manager, Project Manager, Regional Sales directors, Export Applications Engineers, Regional Technical Managers, approved Maintenance Technicians and Service Providers whose fleet of devices is affected by the update. Approved by: ● Christoph Rottmann, Project Manager ● Sébastien Duclos, DSPF Technical Expert ● Salah Elkah, DSPF Technical Unit Manager ● Mickael Jouve, DSPF Director
This technical note describes the updates and corrections of the new software version V2.5.0 of the Monnal T60 ventilator. A new version 7 of the user manual is available and should be provided with any updated units (please contact us to receive it in the desired language). Application conditions Air Liquide Medical Systems recommends updating the Monnal T60 units during the next preventive or corrective maintenance operation. Prerequisites: This update should be performed by a person trained in maintenance of the Monnal T60 device, provided that they have acknowledged the general safety instructions set out in the user manual in force, that they have the necessary equipment and that they have read this technical note in full.
| Monnal T60 | Technical note
1. Summary of changes 1.1.
Developments
For devices with the CPV option enabled
Integration of CO2 measurement in CPV phase (monitoring or curve over the average of the last two minutes of instantaneous maximum CO2 values recorded between two ventilation cycles)
Calculation of an index of opening of the airways. Replacement of the no CT display by % CT. Modification of the timer in CPV mode: it only adds up the time spent in CPV mode, not the total time.
Modification of the preventive maintenance menu Accessible from the second page of the maintenance menu using the "Preventive maintenance" button. It gives access to the following window:
| Monnal T60 | Technical note The following two functions are available: Maintenance reminder Function used to notify users that preventive maintenance should be performed on their device. A message automatically appears after 15 months as the following alarm:
It can be cleared/overridden, so it does not prevent switching to ventilation, but it is repeated at each start-up and patient category change. Maintenance performed Function used to clear the "preventive maintenance to be provided" alarm permanently. It also acknowledges consideration of preventive maintenance and deactivates the Maintenance reminder function, which will need reactivating to continue monitoring. Activation of these functions is the responsibility of the maintenance manager
Check that the Monnal T60 date matches before enabling the "Maintenance reminder" function
1.2.
Corrections
Elimination of an error that resulted in non-regulation of the PEEP and might generate an abnormally high expiratory pressure. Correction of a difference between monitoring of the current volume and the ventilation cycle, caused by software processing of the signal, which resulted in displayed values above the tolerated limits. Only concerns MT60-Japanese (KA 013700) devices equipped with a software version ≥V.2.1.3 with the JAPAN CONFIG. function enabled (ATP measurement)
Improvement of internal battery life display, on the bar graph, of synchronized management of clearance of alarms 28 and 29, and of the color of the battery indicator LED. Elimination of REBOOT arising when the autotest "reboot" function is selected, when these autotests were passed.
| Monnal T60 | Technical note
Modification of the autotest sequence to enable the use of infant patient circuits with 10 mm diameter. Partial treatment of the triggering of alarm 129 "Error detected! Contact the technical department" during autotests, for devices not equipped with the solenoid valve for setting the patient to atmosphere. Loss of device configuration following a RAM error. Reminder: The presence of this solenoid valve is indicated on the device by selecting the "new insp. block." function in the maintenance menu/Serial number from V.2.1.3. * For other undetermined causes of clearance of alarm 129, additional diagnostic aid traces have been added to the black box. Elimination of the bug displaying MVe instead of MVi, occurring when the expiratory sensor measurement is deactivated and the ventilation mode is changed.
| Monnal T60 | Technical note
2. Details of software update operations 2.1.
Tools and specific equipment required
Description
Reference
Quantity
Monnal T60 software V.2.5.0
TR600210
1
Monnal T60 user manual version 7 2018-01 FR
YL064100
1
Monnal T60 user manual version 7 2018-01 EN
YL068000
1
Monnal T60 user manual version 7 2018-01 IT
YL068100
1
Monnal T60 user manual version 7 2018-01 ES
YL069000
1
Monnal T60 user manual version 7 2018-01 DE
YL069300
1
Monnal T60 user manual version 7 2018-01 PL
YL069400
1
Monnal T60 user manual version 7 2018-01 PT
YL069500
1
Monnal T60 user manual version 7 2018-01 CS
YL069600
1
Monnal T60 user manual version 7 2018-01 RU
YL069700
1
USB stick
YR112900*
1
MONNAL LISA cable
YR11300**
1
-
1
Monnal software management V.1.4.6 or higher
* If software version V.2.1.3 or higher is installed on the device to be updated. ** If software version lower than V.2.1.3 is installed on the device to be updated. Duration of installation: around 30-45 minutes.
| Monnal T60 | Technical note
2.2.
Introduction
Before upgrading the Monnal T60, check the operations to be performed in the compatibility table. For more information, consult the corresponding technical note immediately above. Initial version
Action
V.1.0.0 to V.1.2.4
● ●
Download and archive the box file Install the version only with the dedicated MSM software and the MONNAL LISA cable Install the V6 Monitor bootloader (BM6) Configure the type of inspiratory unit (2nd or 3rd edition device) Calibrate the device (ATP mode - BTPS control) Perform a buzzer energy reserve test Install the additional visual aid concerning the color code Check the presence of the internal & extractable battery labels, as well as their validity. (Replacement of one or both batteries, where appropriate.)
NT 550 (issue 1 to 8)
Download and archive the box file Install the version only with the dedicated MSM software and the MONNAL LISA cable Install the V6 Monitor bootloader (BM6) Configure the type of inspiratory unit (2nd or 3rd edition device) Calibration necessary (ATP mode - BTPS control) Perform a buzzer energy reserve test Install the additional visual aid concerning the color code
NT 617 NT 628
NT 633
● ●
Download and archive the box file Perform a manual backup/restore of customized settings (where appropriate) Install the version using the dedicated MSM software and the MONNAL LISA cable Install the V6 Monitor bootloader (BM6) Perform a buzzer energy reserve test
● ●
Download and archive the box file Install the version authorized by the USB key
NT 635 NT 656 NT 668
● ● ● ● ● ●
V.1.3.5 V.1.3.6
● ● ● ● ● ● ●
V.2.0.1
● ● ●
V.2.1.3 V.2.3.2 V.2.4.0
2.3.
Technical note
Version update Follow the instructions in the previous compatibility table depending on the version installed on the device to be updated. Use the file sets named T60M.bin & T60V.bin (USB) or MONNAL T60_MONITOR_V2.5.0.bin & MONNAL T60_VENTILATOR-V2.5.0.bin (MSM) depending on the type of download used. Refer to the maintenance manual in force, Chapter 3.2.1 Software update –Update using Monnal Software Management
| Monnal T60 | Technical note
2.4.
Download confirmation The device starts up again after the monitor and ventilator parts have been updated. -Ensure that the software version number is correctly displayed at the bottom of the alarm panel (one version number only).
2.5.
Inspection
Follow the instructions in the previous compatibility table, depending on the version installed on the device to be updated, to find out which operations need to be performed. In any case: ● Perform an autotest. ● Start ventilation on the test lung: ensure that no technical alarms are displayed. ● Carry out an inspection as described in the commissioning form. BTPS type For devices with the CPV option: all of the measurements do not appear when the mode is first launched. The procedure is therefore as follows: 1. Launch ventilation: CPV mode 2. Return to standby mode 3. Select the CPV mode again and simulate an active cardiac massage (press and release the test lung several times). Check on the screen that there are values in the monitoring data blocks on page 1/2 and 2/2
3. TRACKING For Air Liquide Medical Systems technicians and approved maintenance service providers: track the operation using the computer tool (version code TR600210). For other participants, please complete the tracking form and return it to the address at the bottom of the next page.
| Monnal T60 | Technical note
4. Tracking sheet TECHNICAL NOTE No. NT679_EN_1 Monnal T60: update V2.5.0 (TR600210) IMPORTANT: Please return the tracking sheet to Air Liquide Medical Systems Services as soon as possible. CENTER CITY COUNTRY SERIAL NUMBER HV TIMER HT TIMER WORK CARRIED OUT BY COMPANY DATE This form should be returned to: Air Liquide Healthcare Unit 6, 6990 Creditview Road Mississauga, ON L5N 8R9 Email : Fax :
[email protected] (888) 828-0202