NKV-550 Series Clinical Reference Guide Ver 1

Table of Contents Introduction

1

Preparing the Ventilator for Use

2

Breath Delivery Unit

2

Circuit Configurations

2

Connect Breathing, Circuits, Biofilters and Humidifier

5

Connect Main Power

5

Connect Gas Supplies

5

Graphic User Interface (GUI)

6

Quick Access Buttons

8

Symbols on Breath Delivery Unit

9

Touchscreen Icons and Buttons

11

Status Bar Area

14

How to Use the Ventilator

15

Operation

15

Therapy Type

16

Circuit Check

16

Conducting a Device Check

17

Select Ventilation Mode

17

Select One of the Control Settings Buttons

18

Additional Ventilation Control Settings

18

Starting Ventilation

19

Stopping Ventilation

19

Theory of Operations

20

Initiation of Inspiration

20

Termination of Inspiration

20

Ventilation Modes

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21

Breath Types

23

Additional Breath Types

29

Manual Breaths

29

Tube Compensation

30

Apnea Ventilation

30

Alarms

31

Setting Alarm Limits

31

Manually Adjusting Alarms

31

Adjusting Alarms with AutoSet

32

Adjusting Alarm Loudness

32

Audio Pause

32

Resetting Inactive Alarm Messages

33

Alarm Behaviors

34

Monitors, Waveforms, and Loops

35

Numeric Monitors

35

Waveforms and Loops

35

Apps Area

37

General Rules for Apps

37

Using an App

37

Various Applications

38

Standby App

38

Open Airway App

39

Inline Suction App

41

Occlusion Pressure (P0.1)

42

Negative Inspiratory Force (NIF/PiMax)

43

Spontaneous Breathing Trail (SBT)

44

Camera

45

Sensors

45

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Auxiliary Pressure (Paux)

46

Volumetric Capnogram (VCO2)

47

Transpulmonary Pressure (Ptp)

48

Low Flow P/V Maneuver

49

Custom Settings

51

Trends

52

Logs

53

Data Retrieval

53

Recruitability Assessment (RA)

54

Recruitment Maneuver (RM)

56

PEEP Titration (PEEP-T)

58

Video App

60

Battery Operations

61

Battery Use

62

Battery Power Alarm Sequence

62

Patient Transport Within a Hospital

63

Optional Features

64

Aerogen Nebulizer

64

Pulse Oximetry Monitoring

66

End-tidal Carbon Dioxide Monitoring

68

Second User Interface

71

Alarms

73

Setting Alarm Limits

74

Manual Alarm Limits

74

Auto Alarm Limits

75

View On-Screen Help for Alarms

76

Additional Alarm Messages

77

Reset Alarm Messages

77

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Silence Alarm Sounds

77

Silenceable Alarms

78

Non-silenceable Alarms

79

Adjust Alarm Volume

79

Nurse Call

79

Alarms and Troubleshooting

80

Cleaning, Disinfection, and Sterilization

94

Warnings

95

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Introduction This Clinical Reference Guide is designed to assist you to learn the NKV-550 Ventilator Series basic operations during the pre-implementation training class or as a self-study tool as you use the system on your clinical unit. It is also designed as a reference tool when you need a refresher for infrequently performed procedures. The Clinical Reference Guide the procedures refer to the NKV-550 Ventilator Series. A critical care ventilator designed for adult, pediatric or neonatal patients for use in a hospital or hospital-type setting. Ventilation is indicated for use on patients who require respiratory support, such as invasive ventilation, non-invasive ventilation and oxygen therapy. This Clinical Reference Guide is an adjunct to the Operator’s Manual and does not replace it. Please refer to that manual for critical, technical, and other specific information, and for additional information as directed in this guide. For additional assistance, please contact your hospital biomedical services representative. For technical or clinical product assistance, a tollfree customer support service is provided at 1-800-325-0283.

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Nihon Kohden OrangeMed

Preparing the Ventilator for Use BreathDelivery Delivery Unit (BDU) Breath Unit Overview of the front and rear areas of the BDU Front

Rear

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2

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16

15

11

12

13

~ PBW

52kg

7

5

6

1 Power On/Off button 1. Power On/Off button Touch this button to turn the ventilator on or off. 2. power ACindicator power indicator 2 AC When ventilator is connected to AC power, this 3. Auxiliary pressure port indicator is lit green. 3 Auxiliary pressure portport 4. Inspiratory Use this port to monitor a specific pressure signal. 5. SpOport and CO2 connectors 4 Inspiratory 2 Connect the breathing circuit inspiratory limb to 6. port. Future option this 5 Connectors for SpO2 cable 7. Expiratory portand CO2 cable Connections for optional Nihon Kohden SpO2 cable and 2 cable. 8. CO USB port 6 Neonatal flow sensor port 9.the ventilator Secondisuser If configured for neonate capability, use this port to connect the neonatal flow sensor. 7 Expiratory port Connect the breathing circuit expiratory limb to this port. 8 USB ports Connections for optional Aerogen nebulizer, data downloads, and software upgrades.

Circuit Configurations

17

14

9 Second user interface port 10. graphic AC power connector Connection for the second graphic user interface optional 11. cable. High-pressure O2 inlet 10 AC power connector 12. Extended battery pack Connection for AC power. 11 High pressure O2 inlet 13. High-pressure air inlet Connection for high pressure O2 source. 14. Extended 12 Extended battery pack battery pack Hot swappable pack (p/n: BAT5500P-1) latchbattery release 13 High pressure air inlet 15. RS-232 port Connection for high pressure air source. 14 Extended battery pack release 16. Nurse calllatch port Press latch down to release the extended battery pack. 17. Ethernet port 15 RS-232 port Port for serial communication. 16 Nurse call port Connection for a nurse call system. 17 Ethernet port Only functions in technical mode, not ventilation mode.

Select circuit configuration for the type of therapy • Humidifier – Heated Wire Breathing Circuit • HME – Non-heated Wire Breathing CircuitNKV-550 Series Ventilator System | 3 • Non-invasive – Heated Wire Breathing Circuit • O2 Therapy – Heated Wire Breathing Circuit – (single limb)

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optional accessories. When using any parts or accessories with the NKV-550 ventilator, always refer to the instructions supplied by the manufacturer for each item. Humidifier – Heated Wire Breathing Circuit

3

Humidifier – Heated Breathing Circuit Example of Heated Wire Wire Breathing Circuit with Humidifier

Figure 4-1: Example of Heater Wire Breathing Circuit with Humidifier

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1 2

5

3

6

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11 10

7 8 1 2 3 4

Inspiratory port Inspiratory biofilter Humidifier tubing Water bag with pole

5 6 7 8

Inspiratory limb Temperature probe Heater wire adapter Humidifier assembly

9 Expiratory limb 10 Expiratory biofilter 11 Exhalation port

Chapter 4: Operation of the Ventilator System

HME (Heat Moisture Exchanger) – Non-heated Wire Breathing Circuit

Series Circuit Ventilator System | 37 HME (Heat Moisture Exchanger) – Non-heated WireNKV-550 Breathing

Example of Non-heated Wire Breathing Circuit with HME

Figure 4-2: Example of Non-heated Wire Breathing Circuit with HME

1 2 3 4 7 1 Inspiratory port 2 Inspiratory biofilter 3 Inspiratory limb

6

5 4 HME 5 Expiratory limb 6 Expiratory biofilter

7 Exhalation port

NIV (Non-invasive) – Heated Wire Breathing Circuit Figure 4-3: Example of Heater Wire Breathing Circuit with Humidifier and NIV Mask us.nihonkohden.com

4

2 Inspiratory biofilter 3 Inspiratory limb

5 Expiratory limb 6 Expiratory biofilter

4

NIV (Non-invasive) – Heated Wire Breathing Circuit

NIV (Non-invasive) – Heated Wire Breathing Circuit

Example of Heated Wire Breathing Circuit with Humidifier and NIV Mask Figure 4-3: Example of Heater Wire Breathing Circuit with Humidifier and NIV Mask

4

1 2

5

3

11

6

9

10

7 8 1 2 3 4

Inspiratory port Inspiratory biofilter Humidifier tubing Water bag with pole

5 6 7 8

Inspiratory limb Temperature probe Heater wire adapter Humidifier assembly

38 | NKV-550 Series Ventilator System

9 Expiratory limb 10 Expiratory biofilter 11 Exhalation port

Chapter 4: Operation of the Ventilator System

O2 Therapy – Heated Wire Breathing Circuit (single limb)

O2 Therapy – Heated Wire Breathing Circuit (single limb)

Example of Heated Wire Breathing Circuit with Humidifier and Nasal Cannula Figure 4-4: Example of Heated Wire Breathing Circuit with Humidifier and Nasal Cannula.

4

1 2 3

5

6

7 8 1 Inspiratory port 2 Inspiratory biofilter 3 Humidifier tubing

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4 Water bag with pole 5 Inspiratory limb 6 Temperature probe

7 Heater wire adapter 8 Humidifier assembly

5

Connect Breathing Circuits, Biofilters, and Humidifier 1.

Connect the breathing circuits, biofilters, and heated humidifier.

2.

Fill the water chamber of the heated humidifier with water according to the manufacturer instructions.

Connect Main Power 1.

Plug power cord into a hospital-grade receptacle.

2.

Ensure that the power cord and power outlet are easily accessible.

3.

Make sure that the AC Power indicator on the front of the ventilator breath delivery unit is illuminated.

4.

Insert the optional extended battery pack, if equipped, into the extended battery slot.

5.

Make sure that the extended battery pack is securely latched.

1

Extended battery pack

2

Power outlet

Connect Gas Supplies 1.

Locate the inlets on the back of the ventilator.

2.

Connect a medical-grade air source to the high-pressure air inlet and connect a medical-grade O2 source to the high pressure O2 inlet.

3.

If an external air compressor is used – See Operator’s Manual.

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Graphic User Interface (GUI) The graphic user interface allows clinicians to: • Set ventilator control parameters, such as tidal volume and inspiratory pressure. • Set alarm limits, such as high inspiratory pressure alarm. • View monitored numeric values. • View waveforms Chapter 3: System Overview and loops. • Operate various features via Apps.

Graphic User Interface Overview

Figure 3-2: Graphic User Interface and Touchscreen 1

2

3 1 Alarm LED 1 Alarm LED Located at the top of the graphic user interface, the alarm LED uses colors and flashing patterns 2 Touchscreen to convey alarm states. See "General Rules of Alarms" on page 123. 3

Lighted encoder knob

2 Touchscreen The touchscreen is the primary way that clinicians interact with the system. Clinicians press directly on the screen to select a feature or function. The touchscreen is used in conjunction with the encoder knob to control ventilation modes and parameters, set alarm limits, and perform certain maneuvers. Users can customize views of monitored numeric values, waveforms, and loops. 3 Lighted encoder knob The encoder knob illuminates to convey to the clinician that the knob is active and ready to use. Turning the knob lets clinicians adjust selected values or perform certain functions. Pressing the knob lets the system accept any changes to selected settings.

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Graphic User Interface (GUI)

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Overview of the nine distinct areas of the GUI 1 9

PBW

52kg

2

3 8

4 7 6 5

1. Alarm LED

Located at the top of the GUI, the alarm LED uses colors and flashing patterns to convey alarm states.

1. Alarm2.LED Alarms area

Turning the knob lets clinicians adjust selected values or perform certain functions. Pressing the knob lets the system accept any changes to selected settings.

Located at the 6.top thearea GUI, the alarm LED uses Quickof access

This area provides buttons for direct access to certain This area displays alarm messages and contains access colors patterns to convey alarm states. functions, such as inspiratory hold and expiratory buttons for setting alarms and alarm audioand pause. flashing hold, manual breath, panel lock, and Help messages.

3. Numeric monitor area

7. Modes and primary area access 2. AlarmsThisarea Displays and controls contains area displays the current value of selectedalarm messages This area provides access to mode selection, primary parameters and serves as an access point to configure buttons for setting alarms and pause alarm. ventilation controls, and the accessaudio to additional the displayed parameters. ventilator control settings.

4. Apps area

8. Waveform and loopsvalue area Location of various applicationsThis (Apps)area that allow 3. Numeric monitor displays the current of selected This area displays parameter waveforms and loops. It clinicians to access special functions. Examples are alsoserves lets clinicians views andpoint adjust the retrieval, recruitment area taking screenshots or video, dataparameters and ascustomize an access totime and waveform scales. maneuvers, and inline airway suctioning or open configure the displayed parameters. airway suctioning. 9. Status bar area 5. Encoder knob

This area contains ventilator status, patient

information, battery information, and access point to The encoder knob illuminates toVarious convey to the 4. Apps area applications (Apps) to access calculate predicted body weight (PBW). clinician that the knob is active and ready to use. special functions

5. Encoder knob

The encoder knob illuminates to convey the knob is active and ready to use. Turning the knob allows the selected values to be adjusted or certain functions to be performed. Pressing the knob lets the system accept any changes to the selected settings.

4 | NKV-550 Series Ventilator System

6. Quick access area

Provides buttons for direct access to certain functions, such as inspiratory hold and expiratory hold, manual breath, panel lock, and Help messages

7. Modes and primary controls area

This area provides access to mode selection, primary ventilation controls, and additional ventilator control settings.

8. Waveforms and loops area

This area displays parameter waveforms and loops. It also lets clinicians customize views and adjust the time and waveform scales.

9. Status bar area

This area contains the ventilator status, patient information, battery information, and access point to calculate the predicted body weight (PBW).

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Quick Access Buttons

Quick Access Buttons The quick access area contains eight key quick-access buttons.

Quick Access Access Buttons Buttons ThisQuick area contains eight key quick-access buttons. Figure 4-26 This area contains eight key quick-access buttons. This areaAccess contains eight key quick-access buttons. Quick Buttons This area contains eight key quick-access buttons.

Quick Access Buttons This areaAccess contains eight key quick-access buttons. Quick Buttons

9 9 9 9 9

This area contains eight key quick-access buttons.

9 9 9

Quick Quick Quick Access Access Buttons Buttons Access This area contains key quick-access This areaAccess contains eight eight key area quick-access buttons. buttons. Quick Buttons This area contains eight key quick-access buttons. Table 4-5: Quick Access Buttons Button Name Description Button Name Description Button Description Button Name Name Description Button

Home Name Home Home

Press this button to close all dialog boxes so that the display only shows

Press this button to close all dialog boxes so that the display only Description Press this button to close all dialog boxes so that the display only

shows the Home screen screen the HOME shows the Home screen Home Press this button tobutton close allto dialog boxes so that boxes the display only Press close allthe dialog 1 Press thisthis button to lock or unlock touchscreen so that the display only Button Name Home Description shows the Home screen 12 Press this button to button lock or unlock touchscreen 1locked, Press this button lock or unlock the touchscreen When the will to be the lit and the ventilator Screen lock shows the Home screen. 2 When locked, the button will be lit and the ventilator Screen lock touchscreen 2 button When the button lit and Screen LockDescription Home Press this button to close all dialog boxes thatwill thebe display onlythe ventilator touchscreen Button Name 1 Press this tolocked, lock or unlock theso touchscreen touchscreen will not respond to any touch operation by clinicians shows thenot Home screen 2 will When locked, the willoperation be andtouch theclinicians ventilator Screen lock will not respond to lit any operation by clinicians respond tobutton any touch by To conduct an elevated O2 operation: touchscreen Home Press this button to close all dialog boxes so that the display only To 1conduct an elevated Odisplay 2 operation: Pressthis this button to the Elevated O2 dialog box 1 button to lock or unlock the will respond any touch operation by clinicians • not Press this button to lock ortouchscreen unlock thebox touchscreen. shows the Home screen Press button to the Elevated Ooperation: 2 dialogO 12 Press To conduct an Elevated O In thethis Increase FiO 2 display by % field, adjust the 2 value 2 desired 2 When locked, the button will be lit and the ventilator Screen lock To23conduct an elevated 2 operation: In FiO 2O by % field, adjust the desired O2 value •the1Increase When locked, the button will be lit and the ventilator In the Duration field, adjust the value (in seconds) Elevated O2 Press this button to display ELEVATED touchscreen 1 button to orThe unlock the touchscreen Press this button tolock display the Elevated O2the dialog box lit O2 dialog box Screen lock 34 Press In thethis Duration field, adjust the value (in light seconds) Elevated O2 Button Name Description Press the START button. button will and remain touchscreen not respond to any touch operation by O2 value not respond to any touch operation by clinicians Button Name Description 2Increase In the INCREASE FiO BY field, adjust the desired 2 When locked, the button will be lit2 and the ventilator In the FiO 2 bywill % field, adjust the desired O 2 value Screen lock Press the START button. The button will light and remain lit 4 will O% 2 delivery through the duration of the elevated To an elevated O 2 operation: 3conduct In the field, adjust the value (in Elevated O2 Othat 2 seconds) delivery through the duration the elevated clinicians. 3Duration In the DURATION field, value Elevated O2touchscreen Press the STOP button to cancel the operation Home Press this button to close allof dialog boxes soadjust thethe display only(in seconds) Button Name Description Press this button to display the Elevated O 2 dialog box 1 the START button. The button will light and remain lit 4 will not respond to any touch operation by clinicians Home Press this button to close all dialog boxes so that the display only Press the button to cancel operation shows theSTOP Home screen 1 Press this button one time the to button. initiate a new mandatory 4Increase Press the START button will light and remain lit through OThe 2 delivery through the duration In thethis FiO 2O by %the field, adjust desired O2 value shows the Home screen To an elevated 2 of operation: 12conduct Press button one time to elevated initiate a the new mandatory breath from current settings 3 breath In the Duration field, adjust the value seconds) Press the STOP button to cancel the operation Elevated O2 the duration of the elevated O2 delivery Manual breath Home Press this button to close all dialog boxes so(in that display only Press this button tobutton display the Elevated Omandatory 2the dialog boxbreath 1 from current settings To conduct an elevated O 2the operation: 2 Press Press and hold this to initiate atouchscreen new and 1 this button to lock or unlock Manual breath Press the START button. The button will light and remain lit and 4 In shows the Home screen 1 one time to initiate acancel new mandatory 1 button to lock or unlock the touchscreen thethis Increase FiO 2 by % field, adjust the desired O2operation value 2 and hold this button to initiate a new mandatory breath Press the STOP button toand the extend the inspiratory time 2 Press When locked, the button will be lit the ventilator Screen lock 1 Press this button to display the Elevated O 2 dialog box. O 2 the delivery through the duration of the elevated breath from current settings 2 When locked, the button will be lit and ventilator Screen lock 3 In the Duration field, adjust the value (in seconds) Elevated O2 extend the inspiratory time touchscreen Manual breath To perform the inspiratory hold maneuver: Press the2STOP button tobutton cancel the operation 2 and hold this to initiate new mandatory breath Press the START button. The button light and remain lit and O2 value. 4 perform touchscreen 1 Press this button to lock or unlock the touchscreen Inrespond the Increase FiO 2maneuver: by %awill field, adjust the desired To the inspiratory hold will not to touch operation byto clinicians Press this button toany display the Inspiratory Hold dialog box 1 Press this button one time initiate a new mandatory breath from 121 will Press this button one time tothe initiate a new mandatory extend the inspiratory time O2by delivery through the duration oftouch the elevated respond to any operation clinicians When locked, the will be lit and the ventilator Screen lock Press this button tobutton display Inspiratory Hold dialog Press the HOLD TO START button to begin the maneuver an elevated O 2 operation: Elevated OTo 3not In the Duration field, adjust the value (inbox seconds). 2 12conduct breath from current settings current settings Press the STOP button to START cancel themaneuver: operation touchscreen To perform the inspiratory hold To conduct an elevated O 2 operation: 2 Press the HOLD TO button to begin the maneuver Manual breath Release button toto complete maneuver Press this button display the Elevated Omandatory 2 dialog box 13 Press Manual Breath 2 and hold this button to initiate a new breath andmandatory 4 Press the START button. The button will light and remain lit breath and will not respond to any touch operation by clinicians 1 Press this button one time to initiate a new mandatory Press this button to display the Inspiratory Hold dialog box Press this button to display the Elevated O 2 dialog box 1 3 Release button complete maneuver 2Increase Pressto hold this button to a new Atthe completion, aand vertical cursor will display oninitiate theOPaw graph In FiO 2 by % field, adjust the desired 2 value 24 extend Inspiratory hold theHOLD inspiratory time breath from current settings Press the TO START button to the begin the In the Increase FiO 2 by % cursor field, the desired To2 an elevated O 2duration operation: At completion, a vertical will display onmaneuver theO Paw graph 4 Inspiratory through the of elevated O2 value 2 delivery. along with the corresponding numeric value 3conduct In the Duration field, adjust theadjust value (in seconds) Elevated O2hold extend the inspiratory time Manual breath To perform the inspiratory hold maneuver: 3 Release button to complete maneuver 2 Press and hold this button to initiate a new mandatory breath and In the Duration field, adjust the value (in seconds) Elevated O2 Press this button to display the Elevated O 2 dialog box 1 along with the corresponding numeric value Adjust theSTART cursor to plateau pressure, then press Accept the button. The button will light and the remain lit 45 Press 5 this Press the STOP button todisplay cancel the operation. 1 extend Press button to the Inspiratory Hold dialog box At completion, a vertical cursor will on the Paw graph 4 Press the START button. button will light and remain lit inspiratory time Inspiratory hold In the Increase FiO 2display byReject %The field, adjust the desired O 2 value 2 5 Adjust the cursor to plateau pressure, then press the Accept button to save or the button to delete O 2 delivery through the duration of the elevated To perform the Inspiratory Hold maneuver: 2 Press the HOLD TO START button to to begin the maneuver along with the corresponding numeric value O 2 delivery through the duration of hold the elevated 3 perform In Duration field, adjust the value (in seconds) Elevated O2 button to save or the Reject button delete To the inspiratory maneuver: Previous Saved results are also displayed Press thethe STOP button to cancel the operation 3 Release button to complete maneuver 5 cursor to plateau pressure, then press the Accept Press theSaved STOP button to cancel the operation Press the START button. The button will light and remain lit 4 Adjust Previous results are also displayed Press this button to display Inspiratory dialog box 1the Press this button to display the INSPIRATORY HOLD dialog box. To the Expiratory Hold maneuver: 11perform Press this button one time tothe initiate a new Hold mandatory At completion, aTO vertical cursor will display onmaneuver the Paw graph 4perform button tothe save or the Reject button delete Inspiratory hold O 2 delivery through duration of the elevated button one time tothe initiate a new mandatory Press the HOLD button to to begin the To12 the Expiratory Hold maneuver: 1 Press Pressthis this button toSTART display Expiratory Hold dialog box breath from current settings 2 Press the HOLD TO START button to begin the maneuver. along with the corresponding numeric value Previous results are also displayed Press theSaved STOP button to cancel the operation Manual breath breath from current settings 3 Release button to complete maneuver 1 Press this button to display the Expiratory Hold dialog box 2 Press the HOLD TO START button to begin the maneuver 2 Press and hold this button to initiate a new mandatory breath and Manual breath 5 Adjust thebutton cursor tobutton plateau pressure, press the Accept 3the Release button towill complete the maneuver. To1 Expiratory Hold 2 and hold this tomaneuver: initiate a then newthe mandatory breath At completion, aTO vertical cursor display onmaneuver the Paw graphand 43perform Press this one time Inspiratory hold 2 Press the HOLD START button to begin Release button to complete maneuver extend the inspiratory time button to save or the Reject button to delete 14 breath Press this button display the Expiratory Hold dialog box along with the corresponding numeric value extend the inspiratory timecursor from current settings 3 Release button to complete maneuver 4 At completion, a vertical cursor will display Inspiratory Hold At completion, a to vertical will display on the Paw graph on the Paw graph along hold Expiratory Manual breath To perform the inspiratory hold maneuver: Previous Saved results are alsohold displayed Press the HOLD TO START button to begin the maneuver 5 Adjust the cursor to plateau pressure, then press the Accept 2 Press and hold this button to initiate a new mandatory breath At completion, a vertical cursor will display on the Paw graphand 4 perform To the inspiratory maneuver: Expiratory hold alongthis with the the corresponding numericnumeric value with corresponding value. 1perform Press button display Inspiratory Hold dialog box To3 the Expiratory Holdthe maneuver: Release button toto complete maneuver button to save the Reject button delete inspiratory time along with theor corresponding numeric value 15 extend Press this button to display the Inspiratory Hold dialog TOT ), thenbox Adjustthe the cursor to highest level ofto PEEP (PEEP 2 Press HOLD TO START button to begin the maneuver 5 Adjust the cursor to pressure, then press the ACCEPT button 1 Press this button to display the Expiratory Hold dialog At completion, aTO vertical cursor will display onbutton the graph 4 Previous Saved results are also displayed Expiratory hold TOT ), Paw then 5 Press Adjust the cursor to highest level of PEEP (PEEP 2 the HOLD START button toplateau begin the maneuver To the inspiratory hold maneuver: press the Accept button to save or the Reject tobox 3 perform Release button to complete maneuver Press the HOLD TO START begin the maneuver along with the corresponding numeric value press Accept button tobutton save ortothe Reject button to box To2 the Expiratory Hold maneuver: 3 Release button to complete maneuver 1perform Press this button to display the Inspiratory Hold dialog to save or the REJECT button to delete. delete At completion, a vertical cursor will display on the Paw graph 4 Inspiratory hold 3 Release button to complete maneuver TOT ), then 56 delete Adjust the cursor to highest level of PEEP (PEEP At completion, a vertical cursor will display on the Paw graph 4 1 this button to display the Expiratory Hold dialog box 2 Press the HOLD TO START button to begin the maneuver Inspiratory hold Previous Saved results areresults also numeric displayed along with the corresponding value Previous Saved are also displayed. At completion, a vertical cursor will display on the Paw 4 press the Accept button to save or Reject button to graph hold Expiratory along with the corresponding numeric value 6 Previous Saved results are also displayed 2 Press the HOLD TO START button tothe begin the maneuver 3adjust Release button to complete maneuver 58 | NKV-550 Series Ventilator System To screen brightness: 5 Adjust the cursor to plateau pressure, then press the Accept along with the corresponding numeric value delete 3 Release button to complete maneuver Adjust the cursor to plateau pressure, then press the Accept At completion, aBrightness vertical cursor willto display on the Paw graph 4adjust hold Inspiratory To15 screen brightness: Press the Screen button Screen button to save or the Reject button delete TOT ), then 5 Adjust the cursor to highest level of PEEP (PEEP 6 Previous Saved results are also displayed To perform the Expiratory Hold maneuver: At completion, aBrightness vertical cursor willto display on the Paw graph button toScreen save thealso Reject button delete along with theor corresponding numeric value Expiratory 14 Press the button Screen brightnesshold Previous Saved results are displayed press the button to save or thethen Reject button To5adjust screen brightness: along with the corresponding numeric value Previous Saved results are also displayed Adjust theAccept cursor to plateau pressure, press the to Accept brightness 1 Press this button to display the EXPIRATORY HOLD dialog box. To1 perform the Expiratory Holdbutton maneuver: delete Press the Brightness Screen 5perform Adjust the cursor to level of to PEEP (PEEP TOT), then button toScreen save or thehighest Reject button delete To1 the Expiratory Hold maneuver: 1 Previous Pressthis the Help button and then press any other button that the maneuver. Press button to display the Expiratory Hold dialog box 2 Press the HOLD TO button totobegin 6 Saved results are also displayed press the Accept button to save orSTART theany Reject button brightness Previous Saved results are also displayed 1 Press this button to display the Expiratory Hold dialog box Press the Help button and then press other button that has athe frame Help 2adjust Press HOLD TO START button to begin the maneuver 3 Release button to message complete the maneuver. To screen brightness: delete 22perform Press the HOLD TOcomplete START button to begin associated the maneuver To3 the Expiratory Hold maneuver: has frame Help Theaventilator displays the Help with Release button to maneuver 16 the Screen Brightness button Screen Previous Saved results are also Press the Help button and then press any associated other button that 3 Release to complete maneuver 1 Press this button to display the Expiratory Hold dialog box 2 Press The ventilator displays the Help message with 4 button At completion, adisplayed vertical cursor will display on the Paw graph along Expiratory that framed button At completion, a vertical cursor will display on the Paw graph 4 hold Hold Expiratory brightness has a frame Help At completion, a vertical cursor will display on the Paw graph 4 To adjust screen brightness: 2 Press the HOLD TO START button to begin the maneuver Expiratory hold that button alongframed with the corresponding numeric value with the corresponding numeric value. 2 Press The ventilator displays the Help message associated with 13 the Screen Brightness button along with the corresponding numeric value Screen Release button to complete maneuver 5 Adjust the cursor to highest level of PEEP (PEEP TOT), then 5theHelp Adjust the cursor highest level of PEEP 1 Press the button and then press any(PEEP other button that (PEEPTOT), then press the framed button TOT ), Paw then 5 that Adjust cursor to highest levelto ofthe PEEP brightness At completion, a button vertical cursor will display on the 4 Expiratory hold press the Accept to save or Reject button to graph has a the frame Help press Accept button to save orsave the Reject button to button to delete. along with the corresponding numeric value ACCEPT button to or the Reject delete 2 The ventilator displays thethen Help message associated with delete TOT ), then 5 Adjust the cursor to highest level of PEEP (PEEP 1 Press the Help button and press any other button that 6 Previous results are alsoresults displayed 6 Saved Previous SAVED are also displayed. that button 6 Previous Saved results press the Accept buttonare to also savedisplayed or the Reject button to has aframed frame Help ® To adjust screen brightness: delete us.nihonkohden.com 2adjust The ventilator displays the Help message associated with To screen brightness: ® 1 Press the Screen Brightness button Screen us.nihonkohden.com Previous results are also displayed that framed button 16 Press the Screen Brightness button Screen Screen ToSaved adjust Screen Brightness: brightness ® brightness To adjust screen brightness: us.nihonkohden.com 1 Screen Press Brightness the SCREEN BRIGHTNESS button. Brightness 1 Press the button Screen 1 Press the Help button and then press any other button that brightness 1 Press the Help button and then press any other button that has a frame Help ® has a frame Help 1 Pressdisplays the HELP button andassociated then press 2 The ventilator the Help message withany other button that has us.nihonkohden.com 2 that The ventilator displays thethen Helppress message with 1 Press the Help button and any associated other button that framed button a frame. that button ® has aframed frame Help Help us.nihonkohden.com 2 The ventilator the Help message with 2 The displays ventilator displays theassociated Help message associated with that that framed button button. framed

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Different Different Thinking Thinking for for ® ® Healthcare. Better Better Healthcare. Different Thinking for Better Healthcare.®

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Chapter 3: System Overview

Chapter 3: System Overview

Chapter 3: System Overview Chapter 3: System System Overview Chapter 3: System Overview Chapter 3: System Overview Symbols on Breath Delivery Unit Chapter 3: Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Table 3-3: Delivery UnitOverview Symbols Chapter 3: System Overview Symbols on Breath Delivery Unit Chapter 3:on System Symbols Breath Delivery Unit Symbols on Breath Delivery Unit Symbols on Breath Delivery Unit Chapter 3: System Overview Symbols on Breath Delivery Unit Symbols on Breath Delivery Unit Chapter 3: System Overview Symbols on Breath Delivery Unit Symbol Name Symbol Name Chapter 3: System Overview Symbols on Breath Delivery Unit Symbols on Breath Delivery Unit Table 3-3: Delivery Unit Symbols Symbols on Breath Delivery Unit Chapter 3: System Overview Table 3-3: Delivery Delivery Unit Symbols Table 3-3: Unit Symbols Symbols on Breath Delivery Unit on Breath Delivery Unit Table 3-3: Delivery Unit Symbols TableSymbols Delivery Unit Symbols Table 3-3: Delivery Unit Symbols Symbols on Breath Delivery Unit Table 3-3:Name Delivery Unit Symbols Table 3-3: Delivery UnitBreath Symbols Symbols on Delivery Unit Symbol SymbolName Name Table 3-3: Delivery Unit Symbols Symbol Name Symbol Name Symbol Name Symbol Symbol Name Symbol Name Symbols on Breath Delivery Table 3-3: Delivery Unit Symbols Expiratory port, expiratory gas Unit Table 3-3: Delivery Unit Symbols Symbol Name Symbol Name Symbol Name Symbol Name Symbol Name Symbol Name Symbols on Breath Delivery Unit Table 3-3: Delivery Unit for Symbols Symbol Name Symbol Auxiliary Namepressure port Symbols on Breath Delivery Unit Table 3-3: Delivery Unit Symbols flow from the patient Symbol Name Symbol Name Symbol Name Symbol Name Table 3-3: Delivery Unit Symbols

Symbol Name Symbol Name Symbol Name Symbol Name Table 3-3: Delivery Unit Symbols Expiratory port, for expiratory gas Expiratory port, for expiratory gas Symbol Name Symbol Name Expiratory port, for expiratory gasgas Table 3-3: Delivery Unit Symbols Expiratory port, for expiratory Auxiliary pressure Symbol Name Symbol Name Expiratory port, for expiratory gasgasgas Auxiliary pressure Auxiliary pressure port port Expiratory port, for expiratory Expiratory port, for expiratory Symbol Name Symbol Name Auxiliary pressure port flow from the patient Expiratory port, for expiratory gas Auxiliary pressure port port Expiratory port, for expiratory gas flow from the patient Auxiliary pressure flowfrom from the patient Auxiliary pressure port Symbol Name Symbol Name flow from the patient Auxiliary port flow the patient Auxiliary pressure pressure port Expiratory port, for expiratory gas flow from the patient Expiratory port, forpatient expiratory gasgas flow from from the patient Symbol Name Symbol Name Expiratory port, for expiratory flow from the flow the patient Expiratory port, for expiratory gas Auxiliary pressure port Auxiliary pressure Inspiratory port, for inspiratory gas Caution: Federal lawport restricts this device

Symbol

Expiratory port, for expiratory gas flow from the patient flowfrom from thepatient patient Expiratory port, for expiratory gas flow the patient flow the flow to thefrom patient. Expiratory port, for expiratory gas flow from the patient Expiratory port, for gas flow from the patient Inspiratory port, forexpiratory inspiratory gas Inspiratory port, for inspiratory gasgas Expiratory port, for expiratory gas flow from the patient Inspiratory port, for inspiratory Inspiratory port, for inspiratory gasgas Inspiratory port, for inspiratory gas flow from the patient Inspiratory port, for inspiratory flow to thethe patient. Inspiratory port, for inspiratory gas Inspiratory port, for inspiratory gas flow to thefrom patient. flow patient flow to the patient. Inspiratory port, for inspiratory gas flow to the patient. flowInspiratory tothe the patient flow to patient. Inspiratory port, forinspiratory inspiratory gasgas port, for inspiratory flow toport, the patient. flow the patient. Inspiratory for gas flow to to the patient. Inspiratory port, for inspiratory gas flow topatient. the patient. Inspiratory port, for inspiratory gas flow to the flow to the patient. AC power connection indicator flow to the patient. Inspiratory port, for inspiratory gas flow to the patient. Inspiratory port, for inspiratory gas flow to the patient. Inspiratory port, for inspiratory flow to theconnection patient. AC power indicator gas AC power connection indicator flow to the patient. AC power connection indicator AC power connection indicator flow to the patient. AC power connection indicator AC power connection indicator AC power connection indicator AC power power connection indicator AC power connection indicator AC connection indicator AC power connection indicator ACpower power connection indicator AC power connection AC connection indicator Fuse AC power connection indicator indicator AC power connection indicator AC power connection indicator Fuse Fuse AC power connection indicator Fuse Fuse Fuse FuseFuse Fuse Fuse Fuse Fuse Fuse Fuse Fuse Refer to operator’s manual Fuse Fuse Fuse Refer to operator’s manual Refer to operator’s manual Fuse Refer to operator’s manual Refer to operator’s manual Refer to operator’s manual Refer to operator’s manual Refer to operator’s manual Refer tooperator’s operator's manual Refer to operator’s manual Refer to manual Refer to operator’s manual Refer toobstruct operator’s manual Refer to operator’s manual Refer to operator’s manual Do not Refer to operator’s manual Refer to operator’s manual Do not obstruct Do notRefer obstruct to operator’s manual Do notDo obstruct not obstruct Do not obstruct Do not obstruct Doobstruct not Do not obstruct USB port for obstruct nebulizer power, for Doobstruct not obstruct Donot not obstruct Do Do not obstruct Do not obstruct USB port for nebulizer power, Do not obstruct USB port for nebulizer power, for for data download and for software Do not obstruct USB port for nebulizer power, for for USB port for nebulizer Do not obstruct data download and forpower, software USBnot port for power, for data download andnebulizer for software Do obstruct upgrade data download andnebulizer for software USB port for for data download and forpower, software upgrade USB port for nebulizer for data download and forpower, software upgrade USB port for nebulizer power, for nebulizer nebulizer power, forfor upgrade data download and for software USB port port for nebulizer power, for upgrade USB for power, for USB port for nebulizer power, for data download and for software upgrade USB port for nebulizer power, for USB port for nebulizer power, for USB port for nebulizer power, USB data port for nebulizer power, forfor data download and for software Connectors for optional Nihon upgrade download and for software data download and for software USB port for nebulizer power, for data download and forpower, software upgrade Connectors for optional Nihon data download and for software Connectors for optional Nihon USB port for nebulizer for data download and for software data download and for software upgrade download and for software upgrade 2 cable and Nihon Kohden SpO Connectors for optional Nihon upgrade Connectors for optional Nihon data download and and for software upgrade upgrade Kohden SpO 2 cable Nihon Connectors for optional Kohden SpO 2 cable and upgrade data andNihon for software upgrade upgrade Kohden COdownload 22cable. cable and Nihon Kohden SpO Connectors for optional Kohden SpO 2 cable and Nihon upgrade 2for Kohden CO Connectors optional 2cable. cable and Nihon SpO Kohden CO2 cable. upgrade Connectors for optional Nihon Kohden CO2 cable. 2cable. cable and SpO Kohden CO 2optional for Nihon Connectors for optional Nihon Connectors optional SpO 2cable. cable and Nihon Kohden CO 2for Connectors for optional Nihon Connectors for optional Nihon Connectors optional Nihon 2cable. cable and SpO Connectors for optional Nihon Connectors for optional Nihon Kohden CO 2for Connectors for optional Nihon SpO 2 cable cable and Nihon SpO cable and Kohden SpO and Nihon Kohden 2 2cable. 2CO Kohden SpO 2 cable and Nihon Connector for neonatal on-airway Connectors optional Nihon SpO 2cable. cable and Kohden SpO2 cable and Nihon 2for Kohden cable and Nihon Kohden SpO Kohden SpO 22CO cable and Nihon Connector for neonatal on-airway Connector for neonatal on-airway Kohden SpO 2 cable and Nihon CO 2 cable. 2 cable. Kohden CO 2 cable. Connector for neonatal on-airway Connector for neonatal on-airway 2 CO flow sensor SpO cable and on-airway Nihon Kohden 2 2cable. Kohden CO2 cable. Kohden CO 2 cable. Kohden CO 2 cable. flow sensor Connector for neonatal flow sensor Kohden CO2 cable. flow sensor Connector for neonatal on-airway flow sensor Kohden COfor 2 cable. Connector neonatal on-airway flow sensor Connector neonatal on-airway flow sensorfor Connector for neonatal on-airway flow sensor for neonatal neonatal on-airway Connector for on-airway Connector for neonatal on-airway flow sensor Connector for neonatal on-airway Connector for neonatal on-airway Connector for neonatal on-airway flow sensor Connector for neonatal on-airway flow sensor Cooling fan flow sensor Cooling fan flowsensor sensor Cooling fan Cooling fan flow sensor flow flow sensor Cooling fan Cooling fan flow sensor Cooling fan NameCooling fan Symbol Cooling fan Cooling fan Cooling fan Cooling Cooling fan fan Cooling fan Cooling fan Cooling fan Cooling fan Fan filter Cooling fan Fan filter

30 | NKV-550 Series Ventilator System 30 || NKV-550 NKV-550 Series Ventilator System 30 Series Ventilator System Do notSeries push 30 | NKV-550 Series Ventilator System 30 | NKV-550 Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 | NKV-550 Series Ventilator System 30 ||| NKV-550 Ventilator System NKV-550 SeriesSeries Ventilator System 30 | NKV-550 Ventilator System 30 Series Ventilator System 30 Ventilator System NKV-550 Series Ventilator System Operation humidity limits

Operation temperature limits

Auxiliary pressure port Auxiliary pressure port Auxiliary port to sale by orpressure on the order Auxiliary pressure port of a physician Auxiliary pressure port Caution: Federal law restricts this Caution: Federal law restricts this device Caution: Federal law restricts this device Auxiliary pressure port Caution: Federal law restricts this device Caution: Federal law restricts device Auxiliary pressure port Caution: Federal law restricts this device tobysale by or on the order of athis physician device to sale by or on the order of Caution: Federal law this device Caution: Federal law restricts this device to sale or on the order ofrestricts a physician to sale by or on the order of a physician Caution: Federal law restricts this device to sale by or on the order of a physician to sale by or on the order of a physician Caution: Federal law restricts this device Caution: Federal law restricts device to sale by or the order of a physician to sale by or on the order of a physician Caution: Federal law restricts device the physician to sale by or on the order ofthis athis physician Caution: Federal law restricts device to sale by or on the order of a physician Caution: Federal law restricts this device sale byby on the order physician to sale or on the order ofa aphysician physician RS-232/Serial port totosale by oror on the order ofof Caution: Federal law restricts device to sale by or on the of athis physician Caution: laworder restricts device to sale byFederal or on the order of athis physician Caution: Federal law restricts this device to sale by or on the order of a physician RS-232/Serial port RS-232/Serial port to sale by or on the order of a physician RS-232/Serial port RS-232/Serial port to sale by or on the order of a physician RS-232/Serial port RS-232/Serial RS-232/Serial port RS-232/Serial port RS-232/Serial port port RS-232/Serial RS-232/Serialport port RS-232/Serial RS-232/Serial port RS-232/Serial Special waste port RS-232/Serial port RS-232/Serial port RS-232/Serial port Special Special wastewaste port RS-232/Serial Special wastewaste Special Special waste Special waste Special Specialwaste waste Special Special Specialwaste waste Special waste Special waste Special waste Ingress protection, IP21 Special waste Special waste Special waste Ingress protection, Ingress protection, IP21 IP21 Special waste Ingress protection, IP21 IP21 Ingress protection, Ingress protection, IP21 Ingressprotection, protection, Ingress protection,IP21 IP21 IP21 Ingressprotection, protection, IP21 Ingress IP21 Ingressprotection, protection,IP21 IP21 Ethernet port Ingress Ingress protection, IP21 Ingress protection, IP21 Ingress protection, IP21 Ethernet port (not functional duringIP21 ventilation mode) Ethernet portprotection, Ingress Ethernet portprotection, Ethernet port during Ingress IP21ventilation mode) (not functional Ethernet port (not functional during ventilation mode) (not functional duringduring ventilation mode)mode) Ethernet port (not functional ventilation Ethernet port (not functional during ventilation mode) Ethernet port(not Ethernet port functional during Ethernet port Ethernet port (not functional during ventilation mode) Ethernet port Ethernet port during (not functional ventilation mode) Ethernet port (not functional during ventilation mode) Ethernet port (not functional during ventilation mode) (not functional during ventilation mode) ventilation mode) (not functional during ventilation mode) Ethernet port Port for nurse call (not functional during ventilation mode) (not functional during ventilation mode) (not functional during ventilation mode) Ethernet port call (not functional during ventilation mode) Port for nurse Port for nurse call (not functional during ventilation mode) Port for nurse call call Port for nurse (not during ventilation mode) Port functional for nurse call Port for nurse call Port for nurse call Portfor fornurse nurse call Port for nursecall call Port call Port for nurse Port for nurse call Port for nurse call Port for nurse call Port for nurse call interface port Second graphic user Port for nurse call Second graphic user interface Second graphic usercall interface port port Port for nurse Second graphic user interface port port Second graphic user interface Second graphic user interface port Second graphic user interface port Second graphic user interface port Second graphic user interface port Second graphicuser user interface port Secondgraphic graphic user interface port Second graphic user interface port Second user interface port Second graphic interface port Second graphic user interface port Second graphic user interface port Second graphic interface port High pressure airuser inlet Second graphic user port High pressure air inletinterface High pressure air inlet Second graphic user interface port High pressure air inlet High pressure air inlet High pressure air inlet High pressure air inlet High pressure air inlet High pressure air3:inlet Chapter System Overview Highpressure pressure air inlet High pressureair airinlet inlet High inlet High pressure air High pressure air inlet High pressure air inlet High pressure inlet High pressure air inlet High pressure O2air High pressure Oinlet 2 inlet High pressure O2 inlet High pressure inlet High pressure O2 inlet High pressure O2 inlet pressure O2 inlet NameHigh High pressure O2 inlet High pressure O2 inlet High pressure O2 inlet High pressure O2 inlet High pressure O inlet inlet High pressure High pressure 2inlet inlet O2O2222inlet High pressure High pressure inlet High pressure OO 2O High pressure Manufacturing date High pressure Oinlet 2 inlet High pressure O2 inlet

Manufacturer name

Unique device identifier

Order number

us.nihonkohden.com MR unsafe. Not to be used in magnetic resonance environment

9

Serial number

Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview 10 Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Symbol Name Symbol Name Chapter 3: System Overview Symbol Name Name Symbol Name Symbol Symbol Name Chapter 3: System Overview Symbol Name Symbol Name Symbol Name Symbol Name Chapter Chapter3:3:System SystemOverview Overview Symbol Name Name Symbol Name Chapter 3: System Overview Symbol Symbol Name Fan filter Manufacturing date Chapter 3: System Overview Fan filter Manufacturing date Symbol Name Symbol Name Chapter 3: System Symbol Fan Name Symbol Name date Chapter 3: System Overview filter Manufacturing Symbol Name Symbol Name date Chapter 3: System Overview Fan filter Manufacturing Overview Fan filter Manufacturing Symbol Name Name Symbol Name Symbol Name date Fan filter Manufacturing Symbol Name Symbol Name date Fan filter Manufacturing date Symbol Name Symbol Name Fan filter Symbol Name SymbolManufacturing Name dateChapter 3: System Overview Do not push Manufacturing date Symbol Name SymbolManufacturer Name name date Do not push filter Manufacturing Symbol Name SymbolManufacturer Name Do notFan push Manufacturer name date Fanfilter filter Manufacturing Manufacturing Do notFan push name date Fan filter Manufacturing date Do not push Manufacturer name filter Manufacturing Do notFan push name date Symbol Name SymbolManufacturer Name filter Manufacturing Do notFan push Manufacturer name date Do notFan push Manufacturer name date filter Manufacturing filter Manufacturing Do notFan push Manufacturer name date Operation humidity limits Unique device identifier Do push Manufacturer name Operation humidity limits Manufacturer name Donot not push limits Manufacturer name Operation humidity Unique device identifier Fan filter Manufacturing date Do not push Manufacturer name Operation humidity limits Unique device identifier Do not push limits Manufacturer name Operation humidity Unique device identifier Do not push limits Manufacturer name Operation humidity Unique device identifier Do not push limits Manufacturer name Operation humidity Unique device identifier Operation humidity Unique device identifier Do not push limits Manufacturer name Do not push limits Manufacturer name Operation humidity Unique device identifier Operation temperature limits Order number Operation humidity limits Unique device identifier Operation humidity limits Unique identifier Operation temperature limits OrderUnique numberdevice Do nottemperature push Unique devicename identifier Operation humidity limits Operation limits identifier Operation temperature limits OrderManufacturer numberdevice Operation humidity limits Operation temperature limits Order Unique numberdevice identifier Operation humidity limits Operation temperature limits Order Unique numberdevice identifier Operation humidity limits Operation temperature limits Order Unique numberdevice identifier Operation temperature limits Order Unique numberdevice identifier Operation humidity limits Operation limits Operation temperature limits Order Unique numberdevice identifier MR unsafe. Not tohumidity be used in MR unsafe. Not totemperature be used in limits Serial number Operation Order number Operation temperature limits Order number MR unsafe. Not to be used in Serial number magnetic resonance environment Operation humidity limits Unique device identifier MR unsafe. toused be used in Operation number Serial Order number MR unsafe. NotNot totemperature be in limits magnetic resonance Order number Operation MR unsafe. Not totemperature beenvironment used in limits number magnetic resonance environment SerialOrder number Operation number Serial Order number MR unsafe. Not totemperature beenvironment usedenvironment in limits magnetic resonance magnetic resonance MR unsafe. Not totemperature beenvironment used in limits Operation number magnetic resonance Serial Order number Serial Order number Operation number magnetic resonance MR unsafe. Not totemperature beenvironment used in limits magnetic resonance environment Operation temperature limits number Serial Order number MRunsafe. unsafe. Not beused used in MR Not totobe in magnetic resonance environment Not suitable for anesthetic agents EC Rep Serial number Serial number MR unsafe. Not to beenvironment used in Operation temperature limits Order number Not suitable for anesthetic agents EC Rep magnetic resonance environment magnetic resonance MR unsafe. Not to be agents used in Not suitable for anesthetic EC RepSerial number MR unsafe. Not to beenvironment used in magnetic Not suitable for resonance anesthetic agents EC RepSerial number Serial number number MR unsafe. Not to beenvironment usedagents in magnetic resonance Not suitable forfor anesthetic agents EC Rep Not suitable anesthetic Serial magnetic MR unsafe. Not to beenvironment used in Not suitable for resonance anesthetic agents EC RepSerial number Not suitable for resonance anesthetic agents EC RepSerial number magnetic MR unsafe. Not to beenvironment used in magnetic Not suitable for resonance anesthetic environment agents EC RepSerial number magnetic resonance MR unsafe. Not to beenvironment used agents in Not suitable for anesthetic agents EC Danger! Flammable material Rechargeable battery Not suitable for anesthetic EC Rep Rep Serial number Danger! Flammable Rechargeable magnetic environment Not suitableresonance formaterial anesthetic agents EC Rep battery Danger! Flammable material Rechargeable battery NotFlammable suitable formaterial anesthetic agents EC Rep battery Danger! Rechargeable NotFlammable suitable formaterial anesthetic agents EC Rep battery Danger! Rechargeable EC Rep Rep battery NotFlammable suitable formaterial anesthetic Danger! Rechargeable Danger! Flammable materialagents EC Danger! Rechargeable NotFlammable suitable formaterial anesthetic agents EC Rep battery NotFlammable suitable for anesthetic agents EC Rep battery Danger! material Rechargeable Defibrillation-proof type BFmaterial applied Danger! Flammable Rechargeable battery Defibrillation-proof type BF applied Use byEC date Danger! Flammable material Rechargeable battery Not suitable for anesthetic agents Rep Defibrillation-proof type BF applied Use byRechargeable date part Danger! Flammable material battery Use by date Defibrillation-proof type BF applied part Danger! Flammable material Rechargeable battery Defibrillation-proof type BF applied part Use by date Danger! Flammable material Rechargeable battery Use by date Defibrillation-proof type BF applied part Defibrillation-proof type BF applied Danger! Flammable material Rechargeable battery Defibrillation-proof type BF part Use by date Use by date Rechargeable battery material part Danger! Flammable Rechargeable battery Defibrillation-proof type BF applied part Defibrillation-proof type BF applied ETL Danger! Flammable material Rechargeable battery applied part Use by date CE Defibrillation-proof type BF applied ETL Use by date battery part CE CE mark CSA mark Danger! Flammabletype material Rechargeable placeholder Use by date part placeholder ETL Defibrillation-proof BF applied CE CE mark CSA mark placeholder part placeholder Use by date Defibrillation-proof type BF applied ETL CE mark CSA mark CE placeholder ETL Defibrillation-proof type BF appliedplaceholder part Use by date CE CE mark CSA mark placeholder ETL Use by date Defibrillation-proof type BF appliedplaceholder part CE mark CSA mark CE placeholder placeholder ETL CE part Use by date Defibrillation-proof type BF applied CE mark CSA mark placeholder placeholder CE mark CSA mark ETL part placeholder Use by date Defibrillation-proof type BF applied CE placeholder ETL CE part Useby by date date mark Use CECE mark CSA mark placeholder Defibrillation-proof type BF applied placeholderplaceholder ETL CE mark CSA mark placeholder CE part Use date CE mark CSAby mark placeholder ETL placeholder CE part ETL CE mark CSA mark CE placeholder placeholder ETL CE CE mark CSA mark placeholder placeholder ETL CE mark CSA mark CE placeholder placeholder ETL CE mark CSA mark CE placeholder placeholder ETL CE mark CSA mark placeholder CE placeholder ETL CE mark CSA mark placeholder CE placeholder CSA mark CE mark CSA mark placeholder placeholder

Symbols on Breath Delivery Unit (cont.)

NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 SeriesSeries Ventilator System | 31 | 31 NKV-550 Ventilator System NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550 Series Ventilator System | 31 NKV-550Series SeriesVentilator VentilatorSystem System| |3131 NKV-550

us.nihonkohden.com

11 Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Overview Chapter 3: Overview Chapter 3: System System Overview Touchscreen Touchscreen Icons and Icons Buttons and Chapter 3: System Overview Touchscreen Icons and Buttons Buttons Chapter 3: System Chapter Overview 3: System Overview Touchscreen Icons and Buttons Chapter 3: System Chapter Overview 3: System Overview Touchscreen Touchscreen Icons and Icons Buttons Buttons Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Buttons Icons and and Buttons Chapter 3: System Chapter Overview 3: System Overview Touchscreen Touchscreen Icons and Icons Buttons and Buttons

Touchscreen Icons and Buttons Table 3-4: Touchscreen Icons and and Buttons Touchscreen Icons and Buttons Table 3-4: Touchscreen Icons and Icons Buttons Touchscreen Buttons Touchscreen Buttons Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Icons Buttons Icons and and Buttons Button Name Touchscreen Icons and Buttons Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Buttons Icons and and Buttons Button Button Name Name Button Touchscreen Touchscreen Icons and Icons Buttons Buttons Table 3-4: Touchscreen Icons and Buttons Button Name Touchscreen Touchscreen Icons and Icons Buttons Buttons Table 3-4: Touchscreen Icons and and Buttons Buttons Button Name Button Table 3-4: Touchscreen Icons and Touchscreen Touchscreen Icons and Icons Buttons and Buttons Table 3-4: Touchscreen Icons and Buttons Button Button Name Name Button Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Buttons Icons and ButtonsButton Button Button Name Name Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Buttons Icons and ButtonsButton Button Name Button Name Table 3-4: Touchscreen Table 3-4: Icons Touchscreen and Buttons Icons and ButtonsButton Button Name Button Name Patient data entry: adult Patient data entry: Patient adult entry: adultButton Button Button Name Name data Patient data entry: adultButton Button Button Name data entry: Name Patient adult Button Button Name data entry: Name Patient Patient adult data entry: adultButton

Patient data entry: Patient adult data entry: adult Patient data entry: adult Patient data Patient data entry: entry: adult adult Patient data entry: adult Patient data entry: Patient adult data entry: adult Patient data entry: Patient adult data entry: adult Patient data entry: Patient adult data entry: adult Patient data entry: Patient pediatric data entry: pediatric Patient data entry: pediatric Patient data entry: pediatric Patient data entry: pediatric Patient data entry: Patient pediatric data entry: pediatric Patient data entry: Patient pediatric data entry: pediatric Patient data entry: pediatric Patient data Patient data entry: entry: pediatric pediatric Patient data entry: pediatric Patient data entry: Patient pediatric data entry: pediatric Patient data entry: Patient pediatric data entry: pediatric Patient data entry: Patient pediatric data entry: pediatric Patient data entry: Patient neonate data entry: neonate Patient data entry: neonate Patient data entry: neonate Patient data entry: neonate Patient data entry: neonate Patient data entry: neonate Patient data entry: Patient neonate data entry: neonate Patient data entry: neonate Patient data Patient data entry: entry: neonate neonate Patient data entry: neonate Patient data entry: Patient neonate data entry: neonate Patient data entry: Patient neonate data entry: neonate Patient data entry: Patient neonate data entry: neonate Battery StatusBattery (general) Status (general) Status (general) Battery StatusBattery (general) Battery StatusBattery (general) Status (general) Battery status (general) Battery Status Battery (general) Status (general) Battery StatusBattery (general) Status Status (general) (general) Battery StatusBattery (general) Battery StatusBattery (general) Status (general) Battery StatusBattery (general) Status (general) Battery StatusBattery (general) Status (general) Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm settings Alarm settings Alarm settings Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm settingsAlarm settings Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm Alarm limitsetset to limit off set to off Alarm limit to off Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm limit setAlarm to off limit set to off Alarm audio paused Alarm audio (active) paused (active) Alarm audio paused (active) Alarm audio paused (active) Alarm audio paused Alarm audio (active) paused (active) Alarm audio paused Alarm audio (active) paused (active) Alarm audio paused (active) Alarm audio paused Alarm audio paused (active) (active) Alarm audio paused (active) Alarm audio paused Alarm audio (active) paused (active) Alarm audio paused (active) Alarm audio paused Alarm audio (active) paused (active) Alarm audio paused Alarm audio (active) paused (active) Alarm audio not Alarm paused audio (inactive) not paused (inactive) Alarm audio not paused (inactive) Alarm audio not paused (inactive) Alarm audio not Alarm paused audio (inactive) not paused (inactive) Alarm audio not Alarm paused audio (inactive) not paused (inactive) Alarm audio not paused (inactive) Alarm audio not paused paused (inactive) (inactive) Alarm audio not Alarm audio not paused (inactive) Alarm audio not Alarm paused audio (inactive) not paused (inactive) Alarm audio not paused (inactive) Alarm audio not paused (inactive) Alarm audioAlarm not paused (inactive) Alarm audio not paused audio (inactive) not paused (inactive) NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax NIF/PiMax 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System 32 | NKV-550 Series Ventilator System 32 | NKV-550 Series Ventilator System 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System 32 | NKV-550 32 Series Ventilator System | NKV-550 Series Ventilator | NKV-550 Series Ventilator System System 32 | NKV-550 32 Series Ventilator System 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System 32 | NKV-550 32 Series | NKV-550 Ventilator Series System Ventilator System

us.nihonkohden.com

Button Name Button Name Name Button Name Name Button Name Name Button Name Name Name Button Name Button Name Nameairway suction Open airway suction Open Open suction Button Name Nameairway Open Button Nameairway suction Nameairway suction Open Button Nameairway suction Nameairway suction Open Open

Open airway suction Open airway suction Open airway suction Open Open airway airway suction suction Open airway suction Open airway suction Open airway suction Open airway suction Open airway suction Open airway suction Open airway suction PEEP titration PEEP titration PEEP titration titration PEEP titrationPEEP PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration PEEP titration Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary Auxiliary pressure pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Auxiliary pressure Transpulmonary Transpulmonary pressure pressure Transpulmonary pressure Transpulmonary pressure Transpulmonary Transpulmonary pressure pressure Transpulmonary pressure Transpulmonary Transpulmonary pressure pressure Transpulmonary pressure Transpulmonary pressure Transpulmonary pressure Transpulmonary pressure Transpulmonary Transpulmonary pressure pressure Transpulmonary Transpulmonary pressure pressure Transpulmonary Transpulmonary pressure pressure Spontaneous breathing Spontaneous trialbreathing trial Spontaneous Spontaneous breathing trialbreathing trial Spontaneous breathing Spontaneous trialbreathing trial Spontaneous breathing Spontaneous trialbreathing trial Spontaneous Spontaneous breathing trialbreathing breath Spontaneous trialtrial Spontaneous Spontaneous breathing trialbreathing trial Spontaneous breathing Spontaneous trialbreathing trial Spontaneous breathing Spontaneous trialbreathing trial Spontaneous breathing Spontaneous trialbreathing trial Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric Volumetric capnogram capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Volumetric capnogram Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment Recruitment maneuver maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Recruitment maneuver Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data retrieval Data Data retrieval retrieval Data retrieval Data retrieval Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends Trends

12

Touchscreen Icons and Buttons (cont.) Button Button Button Button Button Button Button Button Button Button

Name Button Name Button Name Name Button Button Name Button Name Button P0.1 P0.1 Name Button P0.1 Name Button P0.1 Name Button P0.1 Name P0.1

Name Name Name Name Name Name P0.1 Name P0.1 Name P0.1 Name P0.1

Button Button Button Button Button Button Button Button Button

P0.1 P0.1 P0.1 P0.1 P0.1 P0.1 P0.1 P0.1 Low flow PV maneuver Low flow PV maneuver P0.1 Low flow PVPV maneuver Low flow PV maneuver Low flow maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Low flow PV maneuver Recruitability assessment Recruitability assessment Low flow PV maneuver Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Recruitability assessment Standby Standby Recruitability assessment Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Standby Sensors Sensors Standby Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensors Sensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabledSensor disabled Sensor disabled Sensor disabled Sensor disabled Sensor disabledSensor disabled Sensor disabledSensor disabled Sensor disabled Sensor Customdisabled settingCustom setting Custom settingCustom setting Custom settingCustom setting Custom settingCustom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Custom setting Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inlineairway airwaysuction suction Inline airway suction Inline Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Inline airway suction Home Home Home Home Home Home Home Home Home Home Home Home Home Home Home Home Home Home Home

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Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview ButtonChapter Name 3: System Overview

Button Name Button Name Name Button Button Name Button Name Button Help Name Button Help Name Button Help Name Button Help Name Help

Name Name Name Name Name Name Help Help Name Help Name Help Name Help

Help Help Help Help Help Help Help Help 2 Elevated O Elevated O2 Help Elevated O2 Elevated Elevated O2 O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Elevated O2 Camera O2 Camera Elevated Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Camera Video Video Camera Video Video Video Video Video Video Video Video Video Video Video Video Video Video Video Video Inspiratory Hold Inspiratory Hold Video Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold hold Inspiratory HoldInspiratory Inspiratory Hold Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Hold Inspiratory Inspiratory Hold Inspiratory ExpiratoryHold holdExpiratory hold Expiratory holdExpiratory hold Expiratory holdExpiratory hold Expiratory holdExpiratory hold Expiratory hold Expiratory hold Expiratory hold hold Expiratory hold Expiratory Expiratory hold Expiratory hold Expiratory hold Expiratory hold Expiratory hold Expiratory hold Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Screen brightness Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Logs Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock Screenlock lock Screen lock Screen Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock Screen lock NKV-550 SeriesNKV-550 Ventilator Series System Ventilator | 33 System | 33 NKV-550 SeriesNKV-550 Ventilator Series System Ventilator | 33 System | 33 NKV-550 SeriesNKV-550 Ventilator System | 33 System | 33 Series Ventilator NKV-550Series Series NKV-550 Ventilator Series System Ventilator | 33 System | 33 NKV-550 Ventilator System | 33 NKV-550 Series Ventilator System | 33 NKV-550 Series Ventilator System | 33 NKV-550 Series Ventilator System | 33 NKV-550 Series Ventilator SystemVentilator | 33 NKV-550 Series System | 33 NKV-550 Series Ventilator SystemVentilator | 33 NKV-550 Series System | 33 NKV-550 Series Ventilator System | 33 NKV-550 Series Ventilator System | 33

13

Touchscreen Icons and Buttons (cont.) Chapter 3: System Chapter Overview 3: System Overview Chapter 3: System Overview Chapter 3: Chapter 3: System System Overview Overview Chapter 3: System Overview Chapter 3: System Overview Chapter 3: System Overview Button Name Chapter 3: System Name Overview Chapter 3: System Overview Button3: System Button Name Button Chapter 3: System Overview Chapter Overview Button3: System Name Button Button Name Chapter Overview Button Name Button3: System Name Button Chapter Overview Button Name Button Name Button Chapter Overview Button Name Button3: System Name Button Button Name breath Button Name breath Button Manual Manual Manual breath Button Name breath Manual breath Button Manual Manual Button Name breath Manual breath Button Manual breath Manual breath Button Name Button Manual breath Manual breath Manual breath Manual breath Manual breath Manual breath O2 therapy Manual breathO2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy O2 therapy ventilation Invasive ventilation OInvasive 2 therapy Invasive ventilation Invasive Invasive ventilation ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasive ventilation Invasiveventilation ventilation Invasive Invasive ventilation Invasiveventilation ventilation Invasive Invasive (controlled breath) (controlled breath) Invasive ventilation ventilation Invasive ventilation (controlled breath) Invasive ventilation (controlled breath) Invasive ventilation Invasive ventilation (controlled breath) (controlled breath) Invasive ventilation Invasive ventilation (controlled breath) (controlled breath) Invasive ventilation Invasive ventilation (controlled breath) (controlled breath) (controlled breath) Invasive ventilation (controlled breath) (controlled breath) Invasive ventilation (controlled breath) Invasive ventilation Invasive ventilation (controlled breath) Invasive ventilation Invasive ventilation (assisted breath) (assisted breath) (controlled breath) Invasive ventilation Invasive ventilation (assistedventilation breath) (assistedventilation breath) Invasive Invasive (assisted breath) (assisted breath) Invasive ventilation Invasive ventilation Invasive ventilation (assisted breath) (assisted breath) Invasive Invasive ventilation (assistedventilation breath) (assisted breath) (assisted breath) Invasive ventilation (assisted breath) (assistedventilation breath) Invasive (assistedventilation breath) Invasive ventilation Invasive (assisted breath) Invasive ventilation Invasive ventilation ventilation (spontaneous breath) (spontaneous breath) (assisted breath) Invasive Invasive ventilation (spontaneous breath) (spontaneous breath) Invasive ventilation Invasive ventilation (spontaneous breath) (spontaneous breath) Invasive ventilation Invasive ventilation (spontaneous breath) (spontaneous breath) Invasive ventilation Invasive ventilation Invasive ventilation (spontaneous breath) (spontaneous breath) Invasive ventilation (spontaneous breath) (spontaneous breath) (spontaneous breath) Invasive ventilation (spontaneous breath) Invasive ventilation (spontaneous breath) Non-invasive ventilation Non-invasive ventilation (spontaneous breath) Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation Non-invasive ventilation (controlled breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (controlled breath) (controlled Non-invasive ventilation Non-invasive ventilation (controlled breath) breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (controlled breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (controlled breath) (controlled breath) Non-invasive ventilation (controlled breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (controlled breath) Non-invasive ventilation Non-invasive ventilation (controlled breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (assisted breath) (assisted breath) (controlled breath) Non-invasive ventilation Non-invasive ventilation (assisted breath) (assisted breath) breath) Non-invasive ventilation Non-invasive ventilation (assisted (assisted breath) Non-invasive ventilation Non-invasive ventilation (assisted breath) (assisted breath) Non-invasive ventilation Non-invasive ventilation (assisted breath) (assisted breath) Non-invasive ventilation (assisted breath) (assisted breath) Non-invasive ventilation (assisted breath) Non-invasive ventilation Non-invasive ventilation (assisted breath) (assisted breath) (assisted breath) 34 | NKV-550 Series 34 | NKV-550 Ventilator Series System Ventilator System 34 | NKV-550 Series VentilatorSeries System 34 Ventilator 34 || NKV-550 NKV-550 Ventilator System System 34 | NKV-550 Series VentilatorSeries System 34 | NKV-550 Ventilator System 34 | NKV-550 Series VentilatorSeries System 34 | NKV-550 Ventilator System 34 | NKV-550 Series VentilatorSeries System 34 | NKV-550 Ventilator System 34 | NKV-550 Series VentilatorSeries System 34 | NKV-550 Series Ventilator System 34 | NKV-550 Series Ventilator System 34 | NKV-550 Series Ventilator System

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Button Name Button Name Name Name Button Name Button Name Name Button Name Name Non-invasive ventilation Button Name Name Non-invasive ventilation Non-invasive ventilation Button Name Name Non-invasive ventilation Non-invasive ventilation (spontaneous breath) (spontaneous breath) Name Non-invasive ventilation Non-invasive ventilation (spontaneous breath) (spontaneous breath) Name (spontaneousventilation breath) Non-invasive Non-invasive ventilation (spontaneous breath) (spontaneous breath) Name Non-invasive Non-invasive (spontaneousventilation breath) (spontaneousventilation breath)

Non-invasive Non-invasive ventilation (spontaneousventilation breath) (spontaneous breath) Non-invasive (spontaneous breath) (spontaneousventilation breath) Non-invasive (spontaneousventilation breath) Non-invasive ventilation (spontaneous breath) Expansion button Expansion button (spontaneous breath) Expansion button Expansion button Expansion Expansion button button Expansion button Expansion button Expansion button Expansion button Expansion button Expansion button Expansion button Expansion button Expansion button Waveform freeze Waveform button (active) freeze button (active) Expansion button Waveform freeze button (active) Waveform freeze button (active) Waveform freeze buttonbutton (active) (active) Waveform freeze button (active) Waveform freeze Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button (active) Waveform freeze button Waveform freeze button (active) Waveform freeze button Waveform Waveform freeze button button Waveform freeze button freeze Waveform buttonbutton Waveform freeze button freeze Waveform freeze Waveform Waveform freeze button freeze button Waveform Waveform freeze button freeze button Waveform freeze button Waveform freeze button Close menufreeze Close menu Waveform button Close menu Close menu menu Close menu Close Close menu Close menu Close menu Close menu Close menu Close menu Close menu Close menu Close menu Preventive Preventiveneeded maintenance needed Close menumaintenance Preventive maintenance needed Preventiveneeded maintenance needed needed Preventive maintenance Preventive maintenance Preventiveneeded maintenance needed Preventive maintenance Preventiveneeded maintenance needed Preventive maintenance Preventiveneeded maintenance needed needed Preventive maintenance Preventive maintenance Preventive maintenance needed Preventive maintenance needed Neonatal flow sensor Neonatal calibration flow sensor calibration Preventive maintenance needed Neonatal flow sensor calibration Neonatal flow sensor calibration needed flow sensor needed Neonatal flow sensor calibration Neonatal calibration needed needed Neonatal flow sensor calibration Neonatal sensor neededcalibration needed flow Neonatal flow sensor calibration Neonatal flow sensor calibration needed needed Neonatal flow sensor calibration Neonatal flow sensor calibration needed needed Neonatal flow sensor calibration needed needed Neonatal flow sensor calibration needed Neonatal flow sensor calibration needed needed

n

1 Bar2Area 3 4 Status

1

2

Name

1

Patient data entry

3

5

6

7

8

4

5

6

7

14

Description

Displays the patient size and predicted body weight (PBW) or body weight (BW). To input or change patient data, select this icon. Displays an icon for invasive ventilation, noninvasive ventilation, or O2 therapy.

2

Therapy type/breath indicator

3

Maintenance required

The Therapy type icon changes to convey whether the current patient breath is a Controlled (C), an Assisted (A), or a Spontaneous (S) breath. Indicates that maintenance is needed. When a sensor is disabled by the clinician, this icon will be displayed in the Status bar.

4 Sensor disabled e patient size and predicted weight (PBW) Each sensorbody that is currently disabled will also or body be listed. put or change patient data, select this icon. 5

Alarm limit set to off

When an alarm limit is set to OFF by the clinician, this icon displays in the status bar and will display each alarm that is set to OFF.

nt Data Entry" on page 44. 6

Date and time

Displays the date and time.

Displays non-invasive the status of the battery. icon for invasive ventilation, ventilation, or O2 the 7 Battery status To view detailed battery information, select this py Types" on page 71 and "Ventilation Modes" on page 74. icon.

y type icon changes to convey whether the current patien Controlled (C), an Assisted (A), or a Spontaneous (S) breath.

ation Modes" on page 74. us.nihonkohden.com

1 Inspiatory port 2 Expiratory port

wer: mains power plug into a ceptacle. e AC Power indicator on the front reath delivery unit is illuminated. al extended battery pack, if e extended battery slot.

15

1

How to Use the Ventilator

pressor is used, ensure that the r plug is also plugged in.

ies

Operation

2 on the back of the ventilator. Extended battery pack 1.to theTurn the POWER ON/OFF button. al-grade air source high the ventilator ON 1with 2 Power outlet al-grade O2 source to the high

tor

or: ivery unit, touch the Power On/ me. he button illuminates when the

1

nducts its Power On self test. ss, the ventilator conducts various l checks and tests to ensure its ity. or successfully completes the self een displays a Start Up screen. Med

2 ~

pressor is used, turn on the pressor before turning on the

1 POWER 1 Power on/off buttonON/OFF button 2 A/C power indicator 2 A/C power indicator

vailable in the Start Up screen 1

NKV-550 Series Ventilator System | 5

n, select the Patient Type e drop-down menu appears. wing:

nstructions.

ed, all data from previous he ventilator memory.

2

PBW

52kg

6

3

5

4

1 PATIENT DATA ENTRY button 2 START UP screen 3 THERAPY TYPE button 4 DEVICE CHECK button 5 CIRCUIT CHECK button 6 PATIENT TYPE button

mation: Entry button. and body weight can be or adult, patient ID, gender, red, and predicted body ed.

n, select the Therapy Type e drop-down menu appears. n-invasive, Invasive, or

e Check

2.

1 Patient Data Entry button 2 Start up screen 3 Therapy Type button 4 Device Check button 5 Circuit Check button 6 Patient Type button

Once ventilator has successfully completed the self-test, the touchscreen displays a START UP Screen.

every time before a new patient and every time e to the breathing circuit, ation flow sensor.

3.

From the START UP screen, select PATIENT TYPE: Same Patient, NewToAdult, New Pediatric or New Neonate. conduct a Device Check:

d one time every month, or ation valve or the exhalation hichever comes first.

ck: n, select the Circuit Check

4.

1 From the Start Up screen, select the Device Check button. 2 Follow the on screen instructions. 3 When prompted to do so, connect the testing tube. Use only the NKV-550 Testing Tube (p/n 38022).

Input Patient Data: a. orbe Pediatric – patient ID and body weight Note:Neonate Ventilation should started only after mode and settings are selected and verified by the user. b. Adult – patient ID, gender and height

structions. s a leak test, measures the resistance, and calibrates or, if installed.

ator System

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