NKV-550 Series Quick Reference Guide Ver 1

**This guide is intended only for quick reference to the NKV-550 Ventilator Series. Please refer to the Clinical Reference Guide (CRG) or the Operator’s Manual for more in-depth reference and operation.

NKV-550 Ventilator Series The procedures in this guide refer to the NKV-550 Ventilator Series, a critical care ventilator product series 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.

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Table of Contents Basic Operations Circuit Configurations

1 1

Humidifier – Heated Wire Breathing Circuit

1

HME – Non-heated Wire Breathing Circuit

2

NIV – Heated Wire Breathing Circuit

2

O2 Therapy – Heated Wire Breathing Circuit (single limb) 3 Preparing the Ventilator for Use

3

Breath Delivery Unit

3

Connect Breathing Circuits, Biofilters, and Humidifier

4

Connect Main Power

4

Connect Gas Supplies

4

How to Use the Ventilator

5

Operation

5

Therapy Type

5

Select Ventilation Mode

6

Additional Ventilation Control Settings

7

Circuit Check

7

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Stopping Ventilation

7

Graphic User Interface (GUI)

8

Quick Access Buttons

9

Alarms

10

Setting Alarm Limits

10

Manually Adjusting Alarms

10

Adjusting Alarms with AutoSet

10

Adjusting Alarm Loudness

11

Audio Pause

11

Resetting Inactive Alarm Messages

12

Alarm Behaviors

13

Monitors, Waveforms, and Loops

14

Numeric Monitors

14

Waveforms and Loops

15

Cleaning, Disinfection, and Sterilization

16

Warnings

17

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1

Basic Operations Circuit Configurations

Chapter 4: Operation of the Ventilator System

1. Select circuit configuration for the type of therapy

Chapter 4: Operation of theWire Ventilator System a. Humidifier – Heated Breathing Circuit The following chapter–guides clinicians through the steps of preparing the ventilator for use. These b. HME Non-heated Wire Breathing Circuit steps includes sample configurations, preparing the ventilator for use, navigating initial screens, initiating ventilation, adjusting ventilation and alarm settings, as well as battery operation.

c.

Non-invasive – Heated Wire Breathing Circuit

Before each use, ensure the system is assembled appropriately and includes a clean breathing d. respiratory O2 Therapy Heated Wireport Breathing Circuit circuit with filters on – both the inspiratory and the expiratory port.

(single limb) Example Configurations

Specific configurations may vary according to hospital protocols, product configuration, and 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

Humidifier – Heated Wire Breathing Circuit

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

4

1 2 3

5 6

9

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

NKV-550 Series Ventilator System | 37

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2

Chapter 4: Operation of the Ventilator System

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

HME (Heat Moisture Exchanger) – Non-heated Example of Non-heated Wire Breathing Circuit withWire HMEBreathing Circuit Figure 4-2: Example of Non-heated Wire Breathing Circuit with HME Chapter 4: Operation of the Ventilator System

HME (Heat Moisture Exchanger) – Non-heated Wire Breathing Circuit Figure 4-2: Example of Non-heated Wire Breathing Circuit with HME 1

2 3 4

1

7 1 Inspiratory port 2 Inspiratory biofilter 3 Inspiratory limb

7

6

6

2 5 3 4 HME 4 5 Expiratory limb 6 Expiratory biofilter 5

7 Exhalation port

NIV (Non-invasive) 1 Inspiratory port – Heated4Wire HMEBreathing Circuit

7 Exhalation port 2 Inspiratory biofilter 5 Expiratory Figure 4-3: Example of Heater Wire Breathing Circuitlimb with Humidifier and NIV Mask 3 Inspiratory limb 6 Expiratory biofilter

NIV HeatedWire Wire Breathing Circuit NIV(Non-invasive) (Non-invasive) –– Heated Breathing Circuit Example Heated Wire Wire Breathing Circuit Humidifier and Figure 4-3:of Example of Heater Breathing Circuitwith with Humidifier and NIV NIV MaskMask 4

1

4

2

5

3

6

1

11

10

9

2 3

5

6

7 11 8 9 10 1 Inspiratory port 5 Inspiratory limb7 2 Inspiratory biofilter 6 Temperature probe 8 7 Heater wire adapter 3 Humidifier tubing 4 Water bag with pole 8 Humidifier assembly 1 Inspiratory port 5 Inspiratory limb 2 Inspiratory biofilter 6 Temperature probe Humidifier tubing 383| NKV-550 Series Ventilator System 7 Heater wire adapter 4 Water bag with pole 8 Humidifier assembly 38 | NKV-550 Series Ventilator System

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9 Expiratory limb 10 Expiratory biofilter 11 Exhalation port 9 Expiratory limb 10 Expiratory biofilter 11 Exhalation port

Chapter 4: Operation of the Ventilator System

3

OO Therapy – Heated Breathing Circuit (single limb) 2 2 Therapy – Heated Wire Breathing Circuit (single limb) Example Heated Wire Breathing Circuit with and Nasal Cannula Figure 4-4:ofExample of Heated Wire Breathing Circuit withHumidifier Humidifier and Nasal Cannula.

4

1 2 3

5

6

7 8 1 Inspiratory port 2 Inspiratory biofilter 3 Humidifier tubing

4 Water bag with pole 5 Inspiratory limb 6 Temperature probe

7 Heater wire adapter 8 Humidifier assembly

Nihon Kohden OrangeMed

Preparing the Ventilator for Use Breath Delivery Unit (BDU)

Breath Delivery Overview of the front and rear areas of the Unit BDU Front

Rear

1

8

2

3

5

4

9

10

16

15

11

12

13

~ PBW

52kg

7

5

6

1 Power button On/Off button 1. On/Off Power Touch this button to turn the ventilator on or off. 2. AC power indicator 2 AC power indicator 3. ventilator Auxiliary pressure port this When is connected to AC power, indicator is lit green. 4. Inspiratory port 3 Auxiliary pressure port and CO connectors 5. SpO Use this port to monitor a specific 2 2 pressure signal. 6. Future option 4 Inspiratory port Connect the breathing circuit inspiratory limb to 7.port. Expiratory port this 8. USB port 5 Connectors for SpO 2 cable and CO2 cable Connections for optional Nihon Kohden SpO2 cable 9. Second user and CO2 cable. 6 Neonatal flow sensor port If the ventilator is 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 us.nihonkohden.com downloads, and software upgrades.

17

14

9 Second graphicAC user power interface port 10. connector Connection for the second graphic user interface 11.cable.High-pressure O2 inlet optional NKV-550 battery Series Ventilator 10 AC power 12.connector Extended packSystem | 39 Connection for AC power. 13. High-pressure air inlet 11 High pressure O2 inlet 14. Extended battery Connection for high pressure O2 source. pack latch 12 Extended battery pack release Hot swappable battery pack (p/n: BAT5500P-1) 15. RS-232 port 13 High pressure air inlet 16. forNurse call port Connection high pressure air source. 17.battery Ethernet port 14 Extended pack latch release Press latch down to release the extended battery pack. 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.

4

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’s instructions.

Connect Mains Power 1. Plug power cord into OrangeMed a hospital-grade receptacle. Nihon Kohden 2. Ensure that the power cord and power outlet are

or for Use easily accessible.

tarting the system

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

ers, and

ofilters, and

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

flow sensor. ed humidifier ufacturer fier.

ug into a

1

5. Make sure that the extended battery pack is 2 1 Inspiatory port securely latched. 2 Expiratory port

cator on the front nit is illuminated. ery pack, if ery slot.

1

ensure that the ugged in.

1

Extended battery pack

2

Power outlet

2

e ventilator. ce to the high

1 Extended battery pack 2 Power outlet

ce to the high

Connect Gas Supplies

the Power On/

1

1. Locate the inlets on the 2back of the ventilator.

nates when the

On self test. conducts various ts to ensure its

~ 2. Connect a medical-grade air source to the highpressure air inlet and connect a medical-grade O2 ompletes the self art Up screen. source to the high pressure O2 inlet.

turn on the urning on the

1 Power on/off button

3. If an external air2 A/C compressor is used, see the power indicator Operator’s Manual. NKV-550 Series Ventilator System | 5

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Connect the breathing circuits, biofilters, and heated humidifier. f applicable, connect a neonatal flow sensor. Fill the water chamber of the heated humidifier with water according to the manufacturer nstructions of the heated humidifier.

1

5

2

nnect Mains Power

1 Inspiatory port 2 Expiratory port

onnect mains power: Plug the NKV-550 mains power plug into a hospital-grade receptacle. Make sure that the AC Power indicator on the front of the ventilator breath delivery unit is illuminated. nsert the optional extended battery pack, if equipped, into the extended battery slot.

How to Use the Ventilator 1

Operation

n external air compressor is used, ensure that the compressor power plug is also plugged in.

nnect Gas Supplies

2

onnect gas: Locate the inlets on the back of the ventilator. Connect a medical-grade air source to the high pressure air inlet. Connect a medical-grade O2 source to the high pressure O2 inlet.

1. Turn the ventilator ON with the POWER ON/OFF button. 1 Extended battery pack 2 Power outlet

n On the Ventilator

urn on the ventilator: On the breath delivery unit, touch the Power On/ Off button one time. The blue LED of the button illuminates when the system is on. The ventilator conducts its Power On self test. During this process, the ventilator conducts various automatic internal checks and tests to ensure its proper functionality. After the ventilator successfully completes the self test, the touchscreen displays a Start Up screen.

1

2 ~

n external air compressor is used, turn on the wer of the air compressor before turning on the tilator’s power.

1

Power On/Off button

2

A/C power indicator

1 Power on/off button 2 A/C power indicator

NKV-550 Series Ventilator System | 5

2. Once the ventilator has successfully completed the self-test, the touchscreen displays a START UP Screen. 3. From the START UP screen, select the Patient Type: Same Patient, New Adult, New Pediatric or New Neonate. 4. Input the Patient Data. n OrangeMed

Screen

a. Neonate or pediatric – patient ID and body weight

selections available in the Start Up screen

b. Adult – patient ID, gender and height

nt Type

1

patient type: tart Up screen, select the Patient Type e Patient Type drop-down menu appears. of the following: atient ult diatric onate on-screen instructions.

ient is selected, all data from previous leted from the ventilator memory.

Entry

2

PBW

52kg

6

3

5

4

t data information: Patient Data Entry button. e, patient ID and body weight can be or pediatric or adult, patient ID, gender, can be entered, and predicted body be calculated.

1 2

PATIENT DATA Entry ENTRYbutton button Patient Data START UPscreen screen Start Up

3 4

THERAPY TYPE button Therapy Type DEVICE CHECKbutton button Device Check

5 6

CIRCUIT CHECK button Circuit Check button PATIENT TYPE button Patient Type

apy Type

py type: art Up screen, select the Therapy Type e Therapy Type drop-down menu appears. apy type: Non-invasive, Invasive, or

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

Therapy Type

and Device Check

k is required every time before nitiated on a new patient and every time ges are made to the breathing circuit, ve, or exhalation flow sensor.

Select from the various therapy types:

k is required one time every month, or en the exhalation valve or the exhalation changed, whichever comes first.

• • •

Circuit Check: tart Up screen, select the Circuit Check

on screen instructions. tor performs a leak test, measures the pliance and resistance, and calibrates al flow sensor, if installed.

INVASIVE VENTILATION NON-INVASIVE VENTILATION O2 THERAPY To conduct a Device Check: 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). Note: Ventilation should be started only after mode and settings are selected and verified by the user.

eries Ventilator System

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elect Ventilation Mode

6

Select Ventilation Mode

1. Select the Mode button 1. Select the MODE button. 2. The2.Ventilation Settings dialog box appears The VENTILATION SETTINGS dialog box appears. 3. Select the desired ventilation mode (see Operator’s 3. Select ventilation mode (see the Operator’s Manual for the thedesired available modes) for the settings available modes). 4. AdjustManual the control 4. Adjust the control 5. When finished, on thesettings. touchscreen, select the Apply All Chapter 4: Operation of the Ventilator System button 5. When finished, on the touchscreen, select the APPLY

lation Control Settings ALL button.

Figure 4-13 ed ventilation control setting: setting, select one of the gs buttons (Fig. 4-13). Control value of the selected controlCONTROL Settings e lighted Encoder Knob (Fig. SETTINGS buttons

red value of the setting is Encoder Knob to accept the

buttons

Modes and Primary and on control settings within Modes Controls : Primaryarea nsion icon. Controls itional Settings dialog box areaFigure 4-14 arious tabs and buttons are

Expansion icon

EXPANSION icon

and buttons within the 1 dialog box: he multi-input selection tabs 2 Control Settings buttons: Select one of the ew the control setting buttons he selected multi-input tab.

elect one of the Control Settings buttons 1. the Turnanthe lighted ENCODER KNOB. 3Encoder dialog box shown here islighted . Turn Knob umber of tabs may vary and 2. have Once the desired of setting the setting is reached, press Once desired value value of the is reached, press the n. selected, may a different 1 Multi-input selection tabs ociated control setting thebuttons. ENCODER KNOB to accept the change. Encoder Knob to accept the 2 Multi-input control settingchange buttons

more of the multi-input control s to be adjusted. Each setting e accepted individually. red value of the setting is Encoder Knob to accept the

3 Single-input control setting buttons Figure 4-15

e-input control settings: he single-input control setting adjusted. red value of the setting is Encoder Knob to accept the

ot applicable for the breath currently selected will not be

The KNOB is used Thelighted lighted ENCODER Encoder Knob is used with with variousfeatures features on to to various onthe thetouchscreen touchscreen adjustand and accept changes to settings. adjust accept changes to settings. NKV-550 Series Ventilator System | 49

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Different Thinking for

7

Additional Ventilation Control Settings Each ventilation mode has designated control settings. In order to access additional settings: 1. Touch the EXPANSION icon. 2. Within the ADDITIONAL SETTINGS dialog box that appears, various tabs and buttons are displayed.

Circuit Check During a Circuit Check, the ventilator performs a leak test and measures circuit compliance and resistance. A Circuit Check is required: •

Every time before ventilation is initiated on a new patient.

•

Any time a change is made to the breathing circuit, exhalation valve, or exhalation flow sensor.

1. On the touchscreen, from the START UP screen, select the CIRCUIT CHECK button. 2. Follow the on-screen instructions.

Stopping Ventilation During normal ventilation: 1. Press the POWER ON/OFF button. 2. The touchscreen displays the POWER OFF dialog box. 3. In the POWER OFF dialog box, select the POWER OFF button. 4. The ventilator shuts down.

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8

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Graphic User Interface (GUI) Graphic User Interface (GUI) 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. Alarm LED area 2. Alarms

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

Quickof access Located at the6.top thearea GUI, the alarm LED uses

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

3. Numeric monitor area

Modes and primary area access 2. Alarms area messages andcontrols contains This area displays the current valueDisplays of selected alarm 7. This area provides access to mode selection, primary parameters and serves as an access point to configure buttons for setting alarms and the toaudio pause alarm. ventilation controls, and access additional the displayed parameters. ventilator control settings.

4. Apps area

3. Numeric Thisthat area the current value of selected 8. Waveform and loops area Locationmonitor of various applications (Apps) allow displays This area displays parameter waveforms and loops. It clinicians to access special functions. Examples are areataking screenshots or video, data retrieval, parameters ascustomize an access also serves lets clinicians views andpoint adjust theto time recruitmentand 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

4. Apps Various (Apps) to access information, battery information, and access point to Thearea encoder knob illuminates to convey to the applications 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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Chapter 4: Operation of the Ventilator System

9 9 9 This area contains eight key quick access buttons.

Quick Access Buttons

Buttons TheQuick quick access areaAccess contains eight key quick-access buttons. Figure 4-26

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

9 9

This area contains eight key quick-access buttons.

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

9 9 9

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

TableButton 4-5: Quick AccessName Buttons

Description

Button This area Name contains Description eight key quick-access buttons.

Button Button Button

Name Name Home Home Home Name

Description Description

Press thisallbutton to close boxes so that the display only Press this button to close dialog boxes so that all the dialog display only showsthis thebutton Home screen shows the Home screen Press to close all dialog boxes so that the display only Description

shows the Home screen 1 Press this button to or unlock the touchscreen Press this button tolock close allboxes dialog boxes so that the display only Press this button close all dialog so that the only 1 toPress this button to lock ordisplay unlock the touchscreen 2 Press Whenthis locked, the button be lit the ventilator 1 button to lock or will unlock theand touchscreen Description shows the Home screen shows the Home screen. touchscreen 2 When locked, button will be lit and the ventilator 2 When locked, the button will be the lit and the ventilator Screen Lock will not respond to any touch operation by clinicians touchscreen Button Name Description touchscreen will not respond to any touch operation 1 Press this button to lock or unlock the touchscreen Press this button to close all dialog boxes so that the display only Home To2conduct an elevated O2 operation: will not respond to any touch operation by clinicians When locked, the button will be lit and the ventilator Screen lock shows the Home screen by clinicians Press this button toO display the Elevated O2the dialog box only To1conduct an elevated 2 operation: Press Home this button to close all dialog boxes so that touchscreen •12 will Press this button lock or unlock thedisplay touchscreen. In thethis Increase FiO 2 byto % field, adjust the O desired Obox 2 value Press button to display the Elevated 2 dialog shows the Home screen not respond to any touch operation by clinicians 13 Press buttonfield, to lock or unlock the touchscreen In thethis Duration adjust theElevated value (in seconds) Elevated O2 To conduct an operation: When button will bethe litO and ventilator 2conduct In the Increase FiOthe 2 by % field, adjust the desired 2 value 2 Othe To•2 anlocked, elevated O2 operation: locked, the button willbutton be lit and ventilator Screen lock 4 When Press the button. The will light and remain lit Screen In thethis Duration field, adjust the value (in seconds) Elevated lock O2 1START Press this to display the O2 13 Press button to orbutton unlock the touchscreen Press this button tolock display the Elevated O 2 dialog box ELEVATED touchscreen touchscreen will not to any touch operation by dialog box. through the duration of therespond elevated O 2 delivery Button Name Description 4 When Press the button. The will light and remain lit 2 locked, button willbutton be lit FiO2 and the ventilator Screen lock In the Increase FiO byINCREASE % field, adjust the desired O2 value not respond to touch operation by clinicians 2START Inthe the BY % field, adjust the desired O2 value. Presswill the STOP button to2any cancel the operation clinicians. through the duration of the elevated O 2 delivery touchscreen In the Duration field, adjust the value (in seconds) Elevated O2 To13conduct an 3 elevated Otime 2 operation: Button Name Description Press this button one to initiate afield, new mandatory the adjust the value (in seconds). Elevated O Press Home thisnot button toIn close allDURATION dialog boxes so that the display only Press the STOP button to any cancel thebutton operation 24 will respond to touch operation by clinicians Press the START button. The will light and remain lit 1 breath Press this button tosettings display the Elevated O2 dialog box from current Button Name Description shows the this Home screen 4button Press the START button. The Obutton will light and remain lit Press one time to elevated initiate aO new mandatory through duration 2 delivery Manual breath To12conduct anthe elevated 2 of operation: In the Increase FiO 2O by %the field, adjust desired 2 value Press Home this button to close all dialog boxes so that the display only and Press and hold this button to a the new mandatory breath To213 conduct an elevated O 2initiate operation: breath from current settings Press thethe STOP button to the operation Press this button tocancel display the Elevated Oof 2 dialog In Duration field, adjust the value (in seconds) through the duration the box elevated O2 delivery. Elevated O2 Manual breath shows thebutton Home screen time extend thebutton inspiratory Press Home this to close all dialog boxes that the display only Press to lock or unlock theso and hold this button to initiate a new mandatory breath andbox. In thethis Increase FiO 2 by % field, adjust the desired O2O value Press this button one time to initiate atouchscreen new mandatory Press the START button. The button will light and remain litoperation. 121224 perform Press this button to display the Elevated 2 dialog Press the STOP button to cancel the To the inspiratory hold maneuver: shows the Home screen When locked, the button will be lit and the ventilator Screen lock time extend the inspiratory In Duration field,settings adjust value (in breath from Elevated O2 through thecurrent duration of thethe elevated O2 seconds) delivery Press this button to or unlock the touchscreen Manual breath 2 by % field, adjust the desired 22143 perform Inthe the Increase FiO Press this button tolock display the Inspiratory Hold dialog box touchscreen To the inspiratory hold maneuver: Press the START button. The button will light and remain lit andO2 value. Press and hold this button to initiate a new mandatory breath Press the STOP button tobutton cancel the operation 2 Press When locked, the will be to lit and the ventilator Screen lock HOLD TO START Press the button begin the maneuver will not respond to any touch operation by clinicians 1 this button lock or unlock the touchscreen 1 Press this button one time to initiate a new mandatory 1 Press this button to display the Inspiratory Hold dialog box through the duration of the elevated O 2 delivery Elevated O2 3 In the Duration field, adjust the value (in seconds). extend the inspiratory time 13 Press thisbutton buttontoone time tomaneuver initiate a new mandatory touchscreen Release 2 When locked, the button will be to lit begin and the Screen lock To an elevated O 2 operation: HOLD TO START Press the button theventilator maneuver Press the STOP button tocomplete cancel themaneuver: operation breath from current settings. breath current settings To perform the inspiratory hold 41234conduct Press the START button. The button light and remain lit will notfrom respond to any touch operation by clinicians At completion, a vertical cursor will display onwill the Paw graph Inspiratory hold Breath Manual breath touchscreen Manual Press this button to display the Elevated Omandatory 2 dialog box Release button toone complete maneuver 121 Press this time to Press this button to display the Inspiratory Hold dialog box and and hold this button initiate a new breath 2button Press and hold this button to initiate a new mandatory corresponding numeric along with the value conduct an elevated O 2 operation: will not respond to any touch operation by clinicians through the duration of the elevated O 2 delivery. In the Increase FiO 2 by % field, adjust the desired O 2 value 4 At completion, a vertical cursor will display on the Paw graph Inspiratory hold To2 from current settings 2 breath Press the TO START to begin the maneuver timebutton extend theHOLD inspiratory 5 Adjust the cursor to plateau pressure, then the Accept time. Manual breath 1conduct Press this button toO display the Elevated Opress 2 dialog box breath and extend the inspiratory In theand Duration field, adjust the value seconds) corresponding numeric along with the value Elevated O2 To5 an elevated 2 operation: 23 Press hold this button tomaneuver initiate a (in new mandatory breath and 3 perform Release button to complete Press the STOP button to cancel the operation. To the inspiratory maneuver: button to save or the Reject button to delete 2 In thethe Increase FiO %hold field, adjust the desired Obox 2 value 4 The button will light and remain lit 5 Adjust the cursor to plateau pressure, then press the Accept 1 Press this button to2 by display the Elevated O 2on dialog time theSTART inspiratory 4 extend At completion, abutton. vertical cursor will display the Paw graph Inspiratory hold Previous 1 Press this button to display the Inspiratory Hold dialog box Saved results are also displayed 3 In the Duration field, adjust the value (in Elevated O2 through the duration of the elevated O 2 seconds) delivery button to save or the Reject button to delete 2 In the Increase FiO 2 by % field, adjust the desired O 2 value corresponding numeric along the with the value To perform the Inspiratory Hold maneuver: To perform the inspiratory hold maneuver: 2perform Press TO START button to begin theand maneuver 4 Press the START button. The button light remain lit To3 theHOLD Expiratory Hold maneuver: Press thethe STOP button to cancel the operation Previous Saved results are also displayed In Duration field, adjust the valuewill (in seconds) Elevated O2 5 Adjust the cursor to plateau pressure, then pressdialog the Accept 1 Press this button to display the Inspiratory Hold box 3 Press Release button toto complete maneuver 1START Press this button to display the INSPIRATORY HOLD dialog box. through the duration of The the elevated 2 delivery 1 this button display Expiratory Hold dialog box Press the button. button will light and remain lit 14 Press this one time tothe initiate aO new mandatory the Expiratory Hold maneuver: button to button save or the Reject button delete HOLD TO START 2 Press the button to to begin the 4perform At aTO vertical cursor will display onmaneuver the Paw graph Inspiratory hold To Press thecompletion, STOP button to cancel the operation 2 Press the START button toTO begin the 2HOLD Press the HOLD button through the duration of the elevated OSTART 2 delivery from current settings 1 Press this button to display the Expiratory Holdmaneuver dialog boxto begin the maneuver. Previous Saved results also displayed 3 breath Release button toare complete maneuver corresponding numeric along with the value Manual breath Release button to complete maneuver 123 Press Press this button one time button to initiate a new new mandatory Press the STOP button to cancel the operation and hold this button to initiate a mandatory breath and Press the HOLD TO START to begin the maneuver 3 Release button to complete the maneuver. 4 At completion, a vertical cursor will display on the Paw graph the cursor Expiratory Hold maneuver: Inspiratory hold To5 Adjust to settings plateau pressure, then press the Accept 4perform At completion, a vertical cursor will display on the Paw graph breath from current Expiratory hold time extend the inspiratory 1 Press this button one time to initiate a new mandatory 3 Release button to complete maneuver along with the corresponding value Manual breath 1 Press this button to display the numeric Expiratory Hold dialog boxwill display on the Paw button to4 save or the Reject delete At completion, ato cursor Inspiratory Hold along with the corresponding numeric value 24 Press and hold this button to button initiate avertical new mandatory breath breath from current settings At completion, aTO vertical cursor will display onmaneuver the Paw graphand Expiratory hold To the inspiratory maneuver: 5 Adjust the cursor toSTART plateau pressure, thenthe press the Accept 2 perform Press the button to PEEP begin Previous Saved results are alsohold displayed Manual breath Adjust theHOLD cursor tobutton highest level of (PEEP TOT), then time extend inspiratory graph along with corresponding numeric value. along with the corresponding numeric value 25 Press and hold this tothe initiate a the new mandatory Press this button to display Inspiratory Hold dialog breath box and button to save or the Reject button to delete 3perform Release button tobutton complete maneuver To1 the Expiratory Hold maneuver: press the Accept to save orofthe button to To the inspiratory hold maneuver: 5 perform Adjust the cursor to highest level (PEEP TOT), then time extend inspiratory 2 the button to PEEP begin the 5HOLD Adjust the cursor toReject plateau pressure, then press the Previous Saved results are also displayed 4 At completion, aTO vertical cursor will display onmaneuver the Paw graph Expiratory hold 1 Press Press this button toSTART display the Expiratory Hold dialog box delete 1 Press this button to display the Inspiratory Hold dialog box press the Accept button to save or the Reject button to 3 Release button to complete maneuver To perform the inspiratory hold maneuver: along with the corresponding numeric value To2 the Expiratory Hold maneuver: Press the HOLD TO START button to begin the maneuver ACCEPT save or the REJECT button to delete. 6perform Previous Saved results arebutton also displayed HOLD TO START 2 Press the button toto begin the maneuver delete 4 At completion, a vertical cursor will display on the Paw graph 1 Press this button to display the Inspiratory Hold dialog box Inspiratory hold 5 Adjust the cursor to highest level of PEEP (PEEP TOT ), then 1 Press this button display the Expiratory Hold dialog box 3adjust Release button toto complete maneuver 58 | NKV-550 Series Ventilator System To2 screen brightness: Previous SAVED results are also displayed. 3 Release button to complete maneuver 6 Previous Saved results are also displayed along with the corresponding numeric value HOLD TO START Press button to begin the maneuver press the Accept button to save or the Reject button to 2 Press HOLD aTO STARTcursor buttonwill to begin the 4 Press At completion, vertical display onmaneuver the Paw graph Expiratory hold the Screen Brightness button Screen 4adjust At completion, a vertical cursor will display on the Paw graph Inspiratory hold To15 the cursor plateau pressure, then press the Accept screen brightness: 3 Release button to complete maneuver delete 3 Adjust Release button toto complete maneuver along with the corresponding numeric value brightness along with the corresponding numeric value button toSaved save or thehighest Reject button delete 14 the Screen Brightness button Screen At completion, a vertical will display on the Paw graph To perform the Expiratory maneuver: Inspiratory hold 6 Previous results arecursor also displayed 4 At completion, a vertical cursor will display on Hold the graph Expiratory hold 5 Press Adjust the cursor to level of to PEEP (PEEP TOT), Paw then 5 along Adjust theresults cursor to plateau pressure, then press the Accept Previous Saved are alsoto displayed corresponding with the value brightness along with the corresponding numeric valuebutton To adjust screen brightness: press the Accept button savenumeric or the Reject to EXPIRATORY HOLD dialog box. Press this button toany display the button to1 save or theplateau Reject button to delete 1perform Press the Help button and then press other button that Adjust pressure, then press the Accept To15 the Expiratory Hold maneuver: cursor to highest level of PEEP (PEEP TOT ), then Press the Screen Brightness button Screen delete Previous results are also displayed 2Accept Press the HOLD TO START button to begin the maneuver. hasSaved a this frame Help button to save or the Reject button to delete Press Help button and then press any other button that 1 Press button to display the Expiratory Hold dialog box press the button to save or the Reject button to brightness 6 Previous Saved results are also displayed 2perform TheSaved ventilator displays the Help message associated with To2 the3 Expiratory Hold maneuver: Previous results are also displayed Release button complete the maneuver. has a frame Press the HOLD TO START button toto begin the maneuver Help delete To adjust screen brightness: that framed button Press this button to display the Expiratory Hold dialogwith box 2 The ventilator displays thealso Help message 3 Release button to complete maneuver To11 the Expiratory Hold maneuver: 6 Previous Saved results are displayed 1perform Press the button and then press any associated other button that 4Help At completion, a vertical cursor will display on the Paw Press the Screen Brightness button Screen 2 Press the HOLD TO START button to begin the maneuver that framed button Expiratory Hold 4 At completion, a vertical cursor will display on the Paw graph 1 Press this button to display the Expiratory Hold dialog box Expiratory hold has a frame To adjust screen brightness: Help brightness graph along with the corresponding numeric value. 3 Press Release button to complete maneuver along with the corresponding numeric value the HOLD TO START to begin the maneuver 12 Press the Screen Brightness button The ventilator displays thebutton Help message associated with Screen 4 completion, a cursor will display on the Paw graph Expiratory hold 5Help Adjust the cursor to highest level of PEEP (PEEPTOT), then 5 At Adjust the cursor to highest level of PEEP (PEEP TOT), then 3 Release button tovertical complete maneuver framed button brightness 1 that Press the and then press any other button that along with thebutton corresponding value press the Accept savenumeric or Reject to graph 4 At a button vertical willthe display onbutton the Paw Expiratory hold press thetocursor ACCEPT button save or the Reject button hascompletion, a frame Help 5 along Adjust the cursor to highest level of PEEP (PEEPTOTto ), then delete with the corresponding numeric value 1 Press the Accept Help button and then any other button that 2 press The ventilator displays the Helppress message associated with to delete. the button to also save or the Reject button to 6 Previous Saved results are displayed 5 Adjust the cursor to highest level of PEEP (PEEP TOT), then has a frame Help that framed button delete Previous SAVED results are also displayed. press the 6 Accept buttonthe to save the Reject button to To2adjust screen brightness: The ventilator displays Help or message associated with Previous results are also displayed delete 16 Press the Saved Screen Brightness button Screen that framed button To6adjust screen brightness: ® Previous Saved results are also displayed brightness Screen To1 adjust Tobrightness: adjust Screen Pressscreen the Screen Brightness buttonBrightness: Screen ® brightness 1HelpPress the Brightness button Screen Pressthe theScreen button andSCREEN then press BRIGHTNESS any other buttonbutton. that Brightness 11 Press

Button

Home Home Screen lock

Name

Screen lock

brightness Help Help Help

Help

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Different Thinking for Different Thinking for Better Healthcare. Better Healthcare. Different Thinking for has a frame ® 1 the Help displays button and any associated otherHealthcare. button that Better 2 Press The ventilator thethen Helppress message with Press the button andbutton thenthat press any other button has aframed frame button 1 that Press the1 Help button andHELP then press any other Different for 2 has The a ventilator displays message associatedThinking with frame that hasthe aHelp frame. ® framed button 2 that The ventilator displays the Help message associated with Better Healthcare. Different Thinking for 2 The ventilator displays the Help message associated with that framed button that framed button. Better Healthcare.® Different Thinking for ® Different Thinking for Better Healthcare. ® Different Thinking for Better Healthcare. Better Healthcare.®

9

10

Nihon Kohden OrangeMed

Alarms

Alarms and messages convey information to the clinician. Alarm and Alarms andLimits messages areLoudness presented using color banners Procedure for selecting alarm limits and loudness with text messages, the illumination of the Alarm LED, and audible sounds. Set Alarm Limits and Alarm Loudness

To set alarm limits using 1 Select the Alarm Se 2 On the Alarms dialo

To adjust alarm limits: 1 Select the Alarm Settings icon.

Setting Alarm Limits 2 The Alarms dialog box appears. Nihon Kohden OrangeMed 3 Do one of the following:

1. Select the ALARM SETTINGS icon.

Based on the curren alarm-related param determine new alar listed in the operato

adjust andialog alarm limit: 2.To manually The ALARMS box appears. Alarm Limits and Loudness

1 Select the desired alarm limit to be adjusted.

Procedure for selecting alarm and the loudness the MANUALLY Encoder Knob tolimits adjust desired 3.2 Turn Select or AUTOSET.

setting. 3 Touch the Limits Encoder confirm the change. Set Alarm andKnob Alarm to Loudness To adjust alarm limits: 1 Select the Alarm Settings icon. Depiction alarmdialog limits settings 2 TheofAlarms box appears. 3 Do one of the following:

Manually Adjusting Alarms

The proposed new displayed in yellow

To set alarm limits AutoSet Alarms areusing prompted to sefe 1 Select the Alarm Settings icon. to dialog accept the propo 2 On the Alarms box, select Aut

button to reject the

1 Based on the current measured valu 1. Select the desired alarm limit to be adjusted.

2. 3.

alarm-related parameter,can the ventila 2 To manually adjust an alarm limit: Clinicians overr new alarm settings using 1 Select desired alarm limit to be adjusted. Turn thetheENCODER KNOB to adjust the determine desired setting. limit setting p listed in thealarm operator's manual. 26 Turn the Encoder Knob to adjust the desired button. setting. The proposed new alarm limit settin Touch ENCODER KNOB to confirm the change. 3 Touchthe the Encoder Knob to confirm the change. displayed in yellow on the touchscre 3 Touch Accept 3 are prompted to select eitheror thetou Ap to accept the proposed settings or th Depiction of alarm limits settings button to reject the suggested settin 1 To adjust the alarm loud Clinicians can override any individua 42 1 Alarm parameter 1 setting Selectprior thetoAlarm Se alarm limit selecting 6 2 Units of measurebutton.2 The Alarms dialog b 3 Select the Volume b 3 Current measured value 3 Touch Accept or touch 3 4 Turn the Cancel. Encoder K 4 Low alarm limit 5 4

5 6

setting. 5 Touch the Encoder

Alarm range To bar adjust the alarm loudness:

1 Select the Alarm Settings icon. High alarm limit

2 The Alarms dialog box appears.

3 Select the Volume button. 1 Alarm parameter 4 Turn the Encoder Knob to adjust the 2 5Units of measure setting. 3 Alarm range bar 5 Touch the Encoder Knob to confirm 4 Current measured value 1 Alarm parameter 5 Low alarm limit value (if applicable) 2 Units of measure Adjusting Alarms with AutoSet 6 High alarm limit value 3 Alarm range bar 4 Current measured value

1. Select5 the ALARM SETTINGS icon Low alarm limit value (if applicable) 6 High alarm limit value

2. On the ALARMS dialog box, select AUTOSET ALARMS 3. Touch ACCEPT or touch CANCEL.

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11

Adjusting Alarm Loudness 1. Select ALARM SETTINGS. 2. The ALARMS dialog box appears. 3. Select the VOLUME button. 4. Turn the ENCODER KNOB to adjust the desired setting. 5. Press the ENCODER KNOB to confirm the change.

Audio Pause Certain alarms can be temporarily silenced by using the AUDIO PAUSE feature. To silence an active alarm: 1. Select the AUDIO PAUSE button. 2. The audio portion of an alarm is silenced for up to 120 seconds. 3. During audio pause, a countdown timer displays how many seconds remain before the audio pause period ends. Nihon Kohden OrangeMed 4. To cancel audio pause, select the AUDIO PAUSE button a second time.

nd Alarm Reset

use and resetting inactive alarms

mporarily silenced by using

4

1 PBW

52kg

: se button. an alarm is silenced for up to

2

3

a count-down timer displays emain before audio pause

e, select the Audio Pause e.

44 Status Status bar bar area area

Message

eset) alarm and informational ge can be reset only when the and the Reset icon (X) appears banner.

tly active, regardless of its if the X does not appear on ner. However, Informational t any time.

m message: within the desired message set icon (X).

messages (if more than two button to view additional

messages: within the desired message elp icon (?).

11 ALARM AUDIOPause PAUSEbutton button(not (notactive) active) Alarm Audio 22 ALARM AUDIOPause PAUSEbutton button(active) (active) Alarm Audio 33 Alarm Alarm and and informational informational messages messages

1 Alarm Audio pause button (not active) 2 Alarm Audio pause button (active) 3 Alarm and informational messages 4 Status bar area Depiction of alarm banner 1

2

3

 1 Alarm and informational message field 2 Help Icon 3 Reset icon

us.nihonkohden.com 4 Expansion icon

4

12

Resetting Inactive Alarm Messages Clinicians can dismiss (reset) alarm and informational messages. Alarm messages can be reset only when the alarm becomes inactive and the RESET icon (X) appears on the right side of the banner. Nihon Kohden OrangeMed Any alarm that is currently active, regardless of its priority,

m Reset cannot be reset if the X does not appear on the right side

tting inactive alarms

of the banner. However, informational messages can be reset at any4time. 1

ilenced by using

PBW

52kg

To dismiss (reset) an alarm message:

silenced for up to

1.

wn timer displays re audio pause

3

2

On the touchscreen, within the desired message banner, select the RESET icon (X).

e Audio Pause

To view additional alarm messages (if more than two messages exist):

and informational eset only when 2. the et icon (X) appears

Select the EXPANSION button to view additional alarm messages.

egardless of its es not appear on To access Help for alarm messages: er, Informational

3.

desired message

more than two

iew additional

On the touchscreen, within the desired message 1 Alarm Audio pause button (not active) banner, thepause HELP icon (?). 2 select Alarm Audio button (active) 3 Alarm and informational messages 4 Status bar area

Depiction of alarm banner 1

2

3

4

desired message

1 ALARMand AND INFORMATIONAL message 11 Alarm message field field informational field Help icon Icon 22 HELP icon 2 Help 3 Reset icon 3 Reset RESET icon 3 icon

4 Expansion icon

4 4

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EXPANSION icon Expansion icon

13

Alarm Behaviors Alarms and messages convey information to the clinician. Alarms and messages are presented using:

Nihon NihonKohden KohdenOrangeMed OrangeMed Nihon NihonKohden KohdenOrangeMed OrangeMed Nihon NihonKohden KohdenOrangeMed OrangeMed Nihon NihonKohden KohdenOrangeMed OrangeMed

Alarm Alarm Behaviors • Behaviors Color banners with text messages that display on Alarm Alarm Behaviors Behaviors The Thefollowing following provides providesananoverview overviewon onventilator ventilatoralarm alarmbehaviors behaviors The The following following provides provides ananoverview overviewon onventilator ventilatoralarm alarmbehaviors behaviors the touchscreen. Alarm Alarm Behaviors Behaviors Alarm Alarm Behaviors Behaviors

The Thefollowing followingprovides providesan anoverview overviewon onventilator ventilatoralarm alarmbehaviors behaviors The The following following provides provides an anoverview overview on on ventilator ventilator alarm alarmbehaviors behaviors Alarms Alarms and andmessages messages convey convey information information totothe theclinician. clinician. Alarms Alarmsand andmessages messagespresent presentusing: using: Alarms and and messages messages convey convey information information todisplay tothe theclinician. clinician. Alarms Alarmsand andmessages messagespresent presentusing: using: • Alarms • Color Color banners banners with with text textmessages messages that thatdisplay on onthe thetouchscreen touchscreen •Alarms • Color Color banners banners with with text text messages messages that thatdisplay on on the theLED touchscreen touchscreen illumination illumination and and flashing flashing patterns patterns of the the Alarm Alarm LED Alarms and and messages messages convey convey information information todisplay toof the the clinician. clinician. Alarms Alarmsand andmessages messagespresent presentusing: using: ••Alarms Color illumination illumination and and flashing flashing patterns patterns of the the Alarm Alarm LED Alarms and and messages messages convey convey information information to toof the clinician. clinician. Alarms Alarmsand andmessages messagespresent presentusing: using: Various Various audible audible sounds sounds •• Color Color Color banners banners with with text text messages messages that thatdisplay display on on the theLED touchscreen touchscreen ••••• Various Various audible audible sounds sounds Color Color banners banners with with text text messages messages that that display display on on the the touchscreen touchscreen Color Colorillumination illuminationand andflashing flashingpatterns patternsofofthe theAlarm AlarmLED LED •• •• Various Color Color illumination illumination and and flashing flashing patterns patterns of of the the Alarm Alarm LED LED Variousaudible audiblesounds sounds •• Various Variousaudible audiblesounds sounds Alarm Priority Banner Color Alarm LED Audio Resettable Alarm Alarm priority priority Banner BannerColor Color Alarm Alarm LED LED Audio Audio Resettable Resettable Alarm Alarmpriority priority Banner BannerColor Color Alarm AlarmLED LED Audio Audio Resettable Resettable High-Priority Red blinking Red blinking Audible No, unless alarm turns active Red Red -Banner blinking - -blinking Red Red-Alarm blinking -- blinking Alarm Alarmpriority priority Banner Color Color Alarm LED LED Audio Audio Resettable Resettable Alarms throughout Red Red -Banner blinking - blinking Red Red-Alarm blinking - blinking Alarm Alarm priority priority Banner Color Color Alarm LED LED Audio Audio Resettable Resettable No, unless unless alarm alarm banner Audible Audible active alarm No, Once inactive, Red Red- blinking - blinking Red Red- blinking - blinking No, unless unless alarm alarm turns turns inactive. inactive. Audible Audible throughout throughout No, High-Priority High-Priority Red Red--blinking blinking Red Red--blinking blinking condition andinactive. LED stop blinking and turns inactive. throughout throughout High-Priority High-Priority active activealarm alarm turns Alarms Alarms Once Once inactive, inactive, banner bannerand andLED LED No, No, unless unless alarm alarm Audible Audible turn solid active active alarm alarm Once Alarms Alarms condition. condition. No, No, unless unless alarm alarm Once inactive, inactive, banner banner and and LED LED stop stop blinking blinking and and turn turn solid. solid. turns turns inactive. inactive. Audible Audible throughout throughout High-Priority High-Priority condition. condition. turns turns inactive. inactive. stop stop blinking blinking and andturn turnsolid. solid. throughout throughout High-Priority High-Priority active activealarm alarm Once Alarms Alarms Onceinactive, inactive,banner bannerand andLED LED active active alarm alarm Alarms Alarms condition. condition. Once Once inactive, inactive, banner banner and and LED LED stop stop blinking blinking and and turn turnsolid. solid. condition. condition. stop stopblinking blinkingand andturn turnsolid. solid. Yellow Yellow- blinking - blinking Yellow Yellow- blinking - blinking Medium-Priority Yellow Yellow blinking Yellow Yellow blinking Audible No, unless alarm turns Yellow - blinking - -blinking Yellow- blinking - blinking No, No, unless unless alarm alarm Alarms throughout inactive Yellow Yellow- blinking - blinking Yellow Yellow- blinking - blinking Audible Audible No, No, unless unless alarm alarm turns inactive. inactive. Yellow Yellow--blinking blinking Yellow Yellow--blinking blinking active alarm turns Audible Audible throughout throughout Medium-Priority Medium-Priority turns turns inactive. inactive. Once inactive, banner Once inactive, inactive, banner banner and and and No, No, unless unless alarm alarm throughout throughout Medium-Priority Medium-Priority active activealarm alarm Once Alarms Alarms condition Audible Audible No, No, unless unless alarm alarm Once inactive, inactive, banner banner and and LED LED stop stop blinking blinking and and turn turn turns turns inactive. inactive. LED stop blinking and turn active active alarm alarm Once Alarms Alarms condition. condition. Audible Audible throughout throughout Medium-Priority Medium-Priority turns turns inactive. inactive. LED LED stop stop blinking blinking and and turn turn solid solid and and can can be be reset. reset. condition. condition. solid and can be reset Once Once inactive, inactive, banner banner and and throughout throughout Medium-Priority Medium-Priority active activealarm alarm solid Alarms Alarms solidand and can canbebe reset. reset.and Once Once inactive, inactive, banner banner and LEDstop stop blinking blinking and andturn turn active active alarm alarm LED Alarms Alarms condition. condition. LED LED stop blinking blinking and andturn turn solid solidstop and andcan canbe bereset. reset. condition. condition. solid solidand andcan canbe bereset. reset. Cyan Cyan- solid - solid Yellow Yellow- solid - solid Cyan Cyan - solid - solid Yellow Yellow- solid - solid Low-Priority Cyan - solid Yellow - solid One burst Once inactive, it can Cyan Cyan solid solid Yellow Yellow solid solid Alarms only be reset One Oneburst burst Cyan--solid solid Yellow Yellow--solid solid Low-Priority Low-PriorityAlarms Alarms Cyan Once Onceinactive, inactive,ititcan canbebereset. reset. One One burst burst only. only. Low-Priority Low-PriorityAlarms Alarms Once Onceinactive, inactive,ititcan canbebereset. reset. only. only. One Oneburst burst Low-Priority Low-PriorityAlarms Alarms Once Once inactive, inactive, it it can can be be reset. reset. One One burst burst only. only. Low-Priority Low-PriorityAlarms Alarms Once Onceinactive, inactive,ititcan canbe bereset. reset. only. only.

• Color illumination and flashing patterns of the Alarm LED. • Various audible sounds.

Informational Informational Informational Messages Informational Informational Messages Messages Messages Messages Informational Informational Informational Informational Messages Messages Messages Messages

Green Green- solid - solid Green Green- solid - solid

No Nocolor color No Nocolor color

Green Green - solid - solid Green - solid Green Green--solid solid

No Nocolor color No color No Nocolor color

No audio

No Noaudio audio No Noaudio audio

Yes Yes Yes Yes Yes

No Noaudio audio No Noaudio audio

Yes Yes Yes Yes

Note: Note: Note: Note: Informational Informationalmessages messagesare arenot notalarms; alarms;they theyprovide providehelpful helpfulnon-critical non-criticalinformation informationtotoclinicians. clinicians. Informational Informational messages messagesare arenot notalarms; alarms;they theyprovide providehelpful helpfulnon-critical non-criticalinformation informationtotoclinicians. clinicians. Note: Note: Note: Note: Note: Informational Informational messages messages are arenot not alarms; they theyprovide provide helpful helpfulhelpful non-critical non-critical information information totoclinicians. clinicians. Informational messages arealarms; not alarms; they provide non-critical information to clinicians. Informational Informational messages messages are arenot not alarms; alarms; they theyprovide provide helpful helpfulnon-critical non-critical information information to toclinicians. clinicians. 10 10| | NKV-550 NKV-550Series SeriesVentilator VentilatorSystem System 10 10| | NKV-550 NKV-550Series SeriesVentilator VentilatorSystem System 10 10| | NKV-550 NKV-550Series SeriesVentilator VentilatorSystem System 10 10 | | NKV-550 NKV-550Series SeriesVentilator VentilatorSystem System

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14 Nihon Kohden OrangeMed

Monitors, Waveforms, and Loops and Loops

monitors, waveforms, and loops

selected

1

PBW

52kg

at are displayed:

2

5

oose the desired

s within a cell: ll to be changed. orm area, a dialog parameters. e displayed.

3 4

11 WAVEFORM LOOPS EXPANSION button Waveforms AND and loops Expansion button 22 NUMERIC MONITORS EXPANSION button Numeric monitors Expansion button 33 Numeric Numericmonitors monitorsarea area 44 Waveform Waveformand andloops loopsarea area 55 WAVEFORM FREEZEbutton button Waveform Freeze

parameters as

loops display:

m or a loop:

veform to be

wn menu

e desired

he Y axis of a

1 Waveforms and loops Expansion button 2 Numeric monitors Expansion button 3 Numeric monitors area 4 Waveform and loops area 5 Waveform Freeze button

Numeric Monitors To freeze a waveform: 1 Select the Waveform Freeze button.

2 Turn the Encodermonitors Knob to move the cursor and The numeric area displays selected parameters. display the values crossing the X axis and Y axis.

uch and hold access the axis

the scaling. rm the change.

To unfreeze a waveform: To adjust theFreeze number of parameters that are displayed • While Waveform is active, touch the Waveform Freeze button. on the touchscreen:

1. Select the EXPANSION button. 2. From the options that appear, choose the desired NKV-550 Series Ventilator System | 9 number of columns. To customize which parameter displays within a cell: 1. Touch and hold the parameter cell to be changed. 2. At the lower portion of the waveform area, a dialog box displays all available monitor parameters. 3. Select the desired parameter to be displayed.

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15

Waveforms and Loops The waveform area displays selected parameters as waveforms or loops. To customize how many waveforms or loops display: 1.

Touch the EXPANSION button.

2.

Select the desired display layout.

To change the parameter of a waveform or a loop: 1.

Press the EXANSION button.

2.

Touch the parameter label for the waveform to be changed.

3.

The waveform parameter drop-down

appears. meters as waveform ormenu loop. 4.

Select the parameter label for the desired waveform. Expansion icon

To change the scaling of the X axis or the Y axis of a waveform or a loop:

oops display: 4-22)

1.

On the waveform or loop field, press and hold the desired axis to be changed to access the axis adjustment bar.

2.

Turn the ENCODER KNOB to adjust the scaling.

3.

Press the ENCODER KNOB to confirm the change.

To freeze a waveform:

1. or a loop: 2) rm to be changed. menu appears. ired waveform.

e Y axis of a waveform

While Waveform Freeze is active, press the WAVEFORM FREEZE button. Figure 4-23

2

1

and hold the desired adjustment bar.

caling. e change.

1 X axis adjustment bar 2 Y axis adjustment bar

(Fig. 4-22) us.nihonkohden.com ursor and display the values crossing the X axis and Y axis.

1

X axis adjustment bar

2

Y axis adjustment bar

16

Cleaning, Disinfection, and Sterilization A summary of recommended cleaning and disinfection frequency and methods Part Fan filter

Frequency Every patient or as needed

• Exterior surfaces • Graph user interface • Cables

Every patient

• Hoses • Support arm

Manual

Manual

Auto-

Cleaning

Disinfection

clave

Mild detergent

No

• Alcohol plus quaternary Ammonium(1)

• Alcohol plus quarternary Ammonium(1)

OR

OR

• Sodium Hypochlorite(2)

• Sodium Hypochlorite(2)

OR

OR

• 70% Isopropyl alcohol

• 70% Isopropyl alcohol

No

No

Exhalation valve assembly, excluding exhalation flow sensor

Single patient use if biofilter not used

Enzymatic detergent(3)

No

Yes 134oC for 3 min

Exhalation flow sensor

Single patient use if biofilter not used

Enzymatic detergent(3)

CIDEX® OPA soaking time minimum 20 minutes

No

Enzymatic detergent(3)

No

Yes 134oC for 3 min

Discard

No

No

Every patient if: • Biofilter is not used AND Inspiratory module

Neonatal flow sensor with tubing (1) (2) (3)

• Safety valve opened due to device alert, battery low/ imminent shutdown, occlusion alarm, and partial occlusion alarm Single patient use

Super Sani-Cloth® Germicidal Disposable Wipe PDI Sani-Cloth Bleach Germicidal Disposable Wipe Enzymatic detergent solution: Brand CIDEZYME® or ENZOL® by ASP Johnson & Johnson

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