Transcript Puritan-Bennett Companion 2800 Portable Volume Ventilator

Respironics
BiPAP-Vision
1
Classification

Electrically powered – internal battery powers
Vent Inoperative & audible alarms if AC power lost. Error code
205 if internal low battery condition.

2 modes
 CPAP
 S/T
 Set Rate
 IT in seconds
 IPAP
 EPAP
2
Circuit



BiPAP circuit (with
exhalation port or
Whisper Swivel)
Humidifier or HME
With heated humidifier
need circuit with water
traps. Cannot cut into regular
BiPAP circuit to add traps.
3
Start Up
Plug into AC mains & Connect to 50 psi gas
source
 Connect
BiPAP circuit
- don’t cap
O2
 Power switch
module
RU corner
on back
panel –
Fuses
ON

Disposable
inlet
filter
4
5
Power-on-self-test (POST)
initiates
6
After POST, Start “Test
Exhalation Port”
7
Follow steps on screen, block
circuit, “Start Test”.
Exhalation (castle) port
8
Exhalation port test in
progress
9
Exhalation Port Test




Analyzes leak rate of exhalation port
If successful – the value of “Pt. Leak” will
be displayed
If unsuccessful – “Tot. Leak” will be
displayed
EPT must be performed when using the
Plateau Exhalation Valve because the leak
is significantly different than the port or
swivel.
10
Test Complete, press
Monitoring to exit.
Monitoring
11
Trigger Criteria in S/T


Time Trigger (Rate)
Flow Trigger


6 ml inspired volume detected
Patient flow exceeds the shape signal (a
shadow of the flow signal delayed by 300 ms)
Pressure
Flow
12
In S/T mode


Only patient (flow) triggered breaths are
flow cycled (PS).
Time triggered breaths are time cycled
according to the set Inspiratory Time.
13
Cycle Criteria in S/T

Time cycled



Set Inspiratory Time
A 3 sec maximum IPAP time has occurred
Flow cycled



Flow reversal detected
Patient flow is less than signal flow
Spontaneous Expiratory Threshold achieved –
another way to flow cycle
Pressure
SET
Flow
14
IPAP
8
EPAP
3
Rate
12
Alarm
Silence
Alarm
Reset
Pt Data
Display
Area
Monitoring
Parameters
Alarms
Mode
15
To change settings, press Parameters –
then soft key next to parameter and
adjust with knob.
Soft keys
Knob
16
Can set Parameters while in
Stand-by
17
Stand-by Mode


Can set parameters and alarms while in SB
Bumping the circuit may simulate pt
inspiration, in which case Vision exits SB
automatically and goes into ventilation
mode.
18
To change Mode, press Mode, then
parameter soft key to adjust, and then
“Activate New Mode” soft key
2
3
1
19
Alarms displayed in
Mode/Message Area
20





Hi Press
Lo Press
Lo Press
Delay
Apnea
Learn
Base
Flow
Alarms



Lo Min
Vent
Hi Rate
Lo Rate
21
Cannot adjust Parameters
when Monitoring displayed
22
IPAP Rise Time
Timed
Inspiration
23
Can Change Bar Graphs to Waveforms
with “Options” soft key
24
Mini-heart Nebulizer Tx
25