Operating Manual For Plus Model: Newport HT70 Ventilator
Operating Manual For Plus Model: Newport HT70 Ventilator
Operating Manual For Plus Model: Newport HT70 Ventilator
Operating Manual
for Plus Model
OPRHT70-2 Rev. E
11/12
www.ventilators.com
email: Info@ventilators.com
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5-1
OPRHT70-2 E1112
OPR360U A0509
Contact Information
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
5-1
Thank you for using the Newport HT70 family of ventilators. With
the HT70 you not only get a great ventilator, you get the support
of Newport Medical. Since 1981 we have maintained a focused
commitment to the design, production and sale of ventilators. We
have dedicated our efforts to providing ventilators that are easy to
use, clinically versatile, and cost effective.
Contact Information
Contact Information
Telephone:
+1.714.427.5811
1
.800.451.3111 (US only)
-1
OPR360U A0509
Fax:
+1.714.427.0489
Departments:
Customer Service (Ext. 282)
Technical Services (Ext. 500) available 24/7
Clinical Support (Ext. 123) available 24/7
Operational Hours:
Days: Monday through Friday
Hours: 8:00 am to 5:00 pm (PST)
Emergency After-hours: 24-Hour Clinical and Technical Support
Email:
Customer Service: customers@ventilators.com
Clinical Education and Support: clinical@ventilators.com
Technical Education and Support: techservice@ventilators.com
Internet:
www.ventilators.com
Shipping Address:
Newport Medical Instruments
Attn: Receiving Department
1620 Sunflower Avenue
Costa Mesa, CA 92626, USA
EC REP
Authorized European Representative
Emergo Europe
Molenstraat 15
2513 BH, The Hague
The Netherlands
5-1
OPRHT70-2 E1112
OPR360U A0509
FOLDOUT DRAWINGS
Use the following drawings as reference while reviewing
the manual sections
OPRHT70-2 E1112
Figure F-1
External Power LED. Lights green whenever external power is connected. This
also indicates that the Internal Dual Battery System is being charged.
3.
Manual Inflation button. Press and hold this button to deliver flow to the patient.
The ventilator will deliver flow at the current settings while the button is pressed.
Flow delivery is limited to a maximum of 3 seconds or until the High Pressure
alarm setting is reached.
4.
Brightness button. Press this button repeatedly to scroll to one of four screen
brightness levels.
12
5.
Device Alert LED. Lights red when there is a device alarm. Take the ventilator out
of service and use an alternate means of ventilation until resolved.
13
6.
7.
8.
Exhalation Valve Drive Tubing connector. Attach exhalation valve drive tubing here.
9.
Alarm Violation LEDs. LEDs in the handle light to indicate alarm conditions.
9
1
10
11
2
3
14
10. Alarm Silence/Reset button. Press this button to silence the audible alarm for 1
minute. Once an alarm condition has been corrected, press this button to clear/
reset the alarm message and latched indicators.
15
11. Alarm Silence LED. Remains lit during the one minute alarm silence period.
12. Cancel button. Press this button if you want to cancel changes that have not
already been accepted.
6
16
13. Accept button. Press this button to accept/confirm all changes made to control
settings.
15. Touch Screen User Interface. Touch screen to access alarms and parameter settings.
16. Flow Sensor connector. Attach on-airway flow sensor here.
F-1
OPRHT70-2 E1112
OPRHT70-2 E1112
Figure F-2
9
1
10
11
2
3
12
13
14
2.
External Power LED. Lights green whenever external power is connected. This
also indicates that the Internal Dual Battery System is being charged.
3.
Manual Inflation button. Press and hold this button to deliver flow to the patient.
The ventilator will deliver flow at the current settings while the button is pressed.
Flow delivery is limited to a maximum of 3 seconds or until the High Pressure
alarm setting is reached.
4.
Brightness button. Press this button repeatedly to scroll to one of four screen
brightness levels.
5.
Device Alert LED. Lights red when there is a device alarm. Take the ventilator out
of service and use an alternate means of ventilation until resolved.
6.
7.
8.
Exhalation Valve Drive Tubing connector. Attach exhalation valve drive tubing here.
9.
Alarm Violation LEDs. LEDs in the handle light to indicate alarm conditions.
10. Alarm Silence/Reset button. Press this button to silence the audible alarm for 1
minute. Once an alarm condition has been corrected, press this button to clear/
reset the alarm message and latched indicators.
15
11. Alarm Silence LED. Remains lit during the one minute alarm silence period.
12. Cancel button. Press this button if you want to cancel changes that have not
already been accepted.
13. Accept button. Press this button to accept/confirm all changes made to control
settings.
7
8
16
F-2
OPRHT70-2 E1112
OPRHT70-2 E1112
9
2
10
4
11/12
F-3
Screen Selections buttons. Touching any one of these buttons will take you to the new
screen. The More screen includes links to Event, Trends, Wave and Utility screens.
2.
Mode selector. Touching this button scrolls through the mode choices. The mode will
not change until you press the Accept button.
3.
Breath Type selector. Touching this button toggles the breath type choice. The breath
type will not change until you press the Accept button.
4.
Help button. Touching this button enables a tutorial for each feature on the screen.
Touch the help button then touch any button for an explanation of that feature.
5.
Monitored Data buttons. Touching any one of these four buttons opens a screen with a
view of monitored parameter choices to display in that button.
6.
Message display. This area shows all informational and alarm messages and current
NIV selection, mode, and breath type selection. During an alarm violation this area will
light red for High Priority, amber for Medium Priority and yellow for Low Priority alarms
and display the alarm message.
7.
Battery Charge Level indicator. Shows the charge level of the Power Pac battery
pack (blue icon) during external power or Power Pac use or the charge level of the
Backup Battery (red icon) during Backup Battery use.
8.
Pressure Bar. Indicates dynamic pressure in the patient circuit in green, the High and
Low Pressure Alarm settings in red and the peak pressure of the last breath in green.
9.
Parameter Setting buttons. Touching any one of these buttons will activate the
parameter to allow adjustments.
10. Patient Effort indicator. Flashes green to show a spontaneous patient effort.
1.
11. Domain button. The HT70 can be set up in one of three Domains: Basic, Transport and
Hospital. Touch to scroll through the Domain choices. Press Accept to confirm choice.
12. AutoLock/Unlock button. This button is only visible if Auto Lock is enabled and the
panel is locked. Touch and hold for 3 seconds to unlock touch screen buttons.
NOTE: While operating on battery power with Power Save enabled and all alarms cleared, the
touch screen will go to sleep after 2 minutes. Just touch the screen to bring it back into view.
OPRHT70-2 E1112
Table of Contents
1 Introduction
5-1
Unpack the HT70 Ventilator......................................................... 3-1
Assemble the Ventilator............................................................... 3-2
Connect to AC Power.................................................................. 3-2
Using the Power Switch..............................................................3-3
Make Parameter Changes...........................................................3-4
Attach a Patient Circuit................................................................3-4
For use with a third party humidifier......................................3-5
For use with an HME.............................................................3-8
Using the On-airway Flow Sensor....................................... 3-10
Connect Optional Accessories...................................................3-11
Air/Oxygen Entrainment Mixer..............................................3-11
Low Flow Oxygen Reservoir................................................ 3-12
D.C. Auto Lighter Power Adapter........................................ 3-14
5-1
OPRHT70-2 E1112
Table of Contents
Alarms Screen Navigation...........................................................4-8
Main Screen Navigation.............................................................. 4-9
More Screen Navigation.............................................................4-11
More Screen Details............................................................ 4-13
Events............................................................................ 4-13
Trends............................................................................ 4-14
Waves............................................................................ 4-15
O2 Cylinder Data Screen............................................... 4-16
Calibrate O2 Monitor......................................................4-17
Utility Screen............................................................................. 4-18
Utility Screen Details........................................................... 4-19
Time/Altitude Screen..................................................... 4-19
Customize Settings Screen........................................... 4-20
Custom Presets............................................................. 4-21
Back Up Ventilation....................................................... 4-22
Domain Navigation.................................................................... 4-23
Hospital............................................................................... 4-23
Transport............................................................................. 4-24
Basic
................................................................................. 4-25
5-1
OPR360U A0509
Quick Check Procedure.............................................................. 5-1
Introduction........................................................................... 5-1
Equipment Needed................................................................ 5-1
Pretest Inspection.................................................................. 5-1
Set Up
................................................................................... 5-1
Standard Test Settings.......................................................... 5-2
Quick Check Procedure........................................................ 5-2
Pass / Fail Check Off Sheet..................................................5-4
Patient Setup Procedure.............................................................5-5
Troubleshooting Guide................................................................ 5-7
6 Ventilator Alarms
Setting Alarms............................................................................. 6-1
Alarm Quickset...................................................................... 6-1
Alarm Indicators.......................................................................... 6-2
Alarm Silence/Reset Button.................................................. 6-2
Alarm Silence LED................................................................. 6-2
User Adjustable Alarms............................................................... 6-2
OPR360U A0509
5-1 Backup Ventilation.......................................................................6-6
Automatic Alarms........................................................................6-6
Battery Alarms.............................................................................6-9
OPRHT70-2 E1112
Table of Contents
7 Battery Operation
5-1
Cleaning and Disinfecting............................................................ 8-1
Ventilator ................................................................................... 8-1
Accessories................................................................................. 8-2
Low Flow Oxygen Reservoir.................................................. 8-2
Air/Oxygen Entrainment Mixer............................................... 8-2
Reusable Breathing Circuits........................................................8-3
Air Intake Filter.............................................................................8-3
Proximal Inline Filter....................................................................8-4
Maintenance Guidelines..............................................................8-4
Routine Maintenance.............................................................8-4
6 Month Maintenance............................................................8-5
12 Month Maintenance..........................................................8-5
24 Month Maintenance..........................................................8-5
15,000 Hour Maintenance.....................................................8-6
General Warnings........................................................................8-6
Factory Maintenance or Repair................................................... 8-7
Repacking/Return Information.................................................... 8-7
9 Specifications
5-1
Front Panel Buttons - Symbols Version...................................... 9-1
Miscellaneous Reference Symbols............................................. 9-2
Controls / Monitors...................................................................... 9-2
Monitor Data Selections..............................................................9-4
Front Panel Membrane Buttons and Indicators..........................9-4
Alarms
...................................................................................9-4
OPR360U A0509
User Adjustable.....................................................................9-5
Automatic..............................................................................9-5
Hardware Requirements.............................................................. 9-7
Environment.................................................................................9-8
Size and Weight...........................................................................9-8
OPRHT70-2 E1112
Table of Contents
5-1
Explanation of Modes and Controls.......................................... 10-1
Foldout Diagrams
English Version - Front Panel Overview...................................... F-1
Symbols Version - Front Panel Overview.................................... F-2
HT70 Plus Model Touch Screen.................................................. F-3
5-1
OPR360U A0509
OPRHT70-2 E1112
Introduction
Introduction
Section 1:
OPR360U A0509
5-1
OPR360U A0509
5-1
Introduction
Section 1:
Introduction
Brief Device Description
5-1
The Newport HT70 family of ventilators are state of the art ventilators
that combine ruggedness, ease of use and clinical proficiency with
exceptional mobility to provide ventilatory support for infant, pediatric
and adult patients in emergency care, transport, critical care,
subacute care and home care applications. They are also ideal for
emergency preparedness applications.
OPR360U A0509
The compact, lightweight HT70 ventilator is built for hard work with a
durable polymer exterior and robust overall design that stands up to
harsh environments.
The HT70 Ventilator defines ease of use with all essential controls at
your fingertips using a simple membrane button and touch screen
combination. There are no complicated menus or difficult sequences
to follow in order to make necessary adjustments for common
operations.
A three-tiered management domain system makes it very easy
for critical caregivers to manage all controls while providing quick
access to the more essential elements in transport situations
and significantly enhanced safety and simplicity in the homecare
environment.
Sophisticated Clinical Capabilities
In addition to its durability and ease of use, the HT70 ventilator offers
the complete array of clinical capabilities needed for managing
critical patients.
The twin micro-piston pumps ability to deliver a variable flow enables
the HT70 to provide a full range of operating modes and breath types
with servo-controlled, leak-compensated PEEP. Leak compensation
helps to improve triggering and avoid auto-triggering when a leak is
present. The HT70 may be used with an endotracheal tube, tracheal
tube, face mask, nasal mask or prongs, or mouthpiece.
There are 3 models for the HT70 series of ventilators:
5-1
HT70S
HT70 Basic for use when Pressure Support is not
needed.
HT70
HT70 Classic, adds Pressure Support and related
parameters and Trends screen
HT70PM
HT70 Plus, adds on-airway flow sensor option with
OPR360U A0509
graphics, flow trigger and exhaled volumes
The HT70 Basic and Classic models provide monitoring of inspiratory
tidal volume (every breath), inspiratory minute volume, total
respiratory rate, peak pressure, mean pressure and baseline (PEEP)
pressure. Real-time patient circuit pressure is displayed at all times
OPRHT70-2 E1112
1-1
1 Introduction
on the airway pressure gauge on the face panel. A comprehensive
alarm system is built-in to alert the user to violations of user-set or
ventilator safety limits. An optional built-in oxygen sensor allows
monitoring of O2 with high and low O2 alarms.
5-1
OPR360U A0509
The HT70 Plus model adds an on-airway flow sensor with onscreen
graphics, exhaled tidal and minute volume monitoring/alarms, and flow
trigger. This manual describes the HT70 Plus model and will denote
features that are not available on the HT70 and HT70S models.
Gas delivery to the patient may be enriched with oxygen (0.21-1.00)
using either the optional Air Oxygen Entrainment (50 psi) Mixer or
optional Low Flow Oxygen Reservoir.
Exceptional Mobility
The ventilators unique design provides maximum mobility and safety
for short or long distance transport of critically ill patients and also for
patients who are going about their normal activities of daily life. This
exceptional mobility is derived from two sources: Newports patented,
power conserving dual-micro-piston technology which eliminates the
need for an external compressed gas source, and the Internal Dual
Battery System which allows virtually continuous use from battery
power through hot-swappable technology.
The HT70s micro-pistons use a fraction of the power that is
consumed by turbines and blowers. This enables longer battery use
time. Our patented system also uses considerably less supplemental
oxygen than turbine or blower systems, again improving mobility for
transport or homecare use. The superior technology of our micropiston system over the turbine and blower systems allow the HT70
to ventilate safely over a wide range of environmental conditions and
altitudes.
The HT70s twin micro-piston internal pump is made of mechanically
moving components. As with any other gas delivery system
made of moving components, it may emit a minor level of noise
during operation. This is not a malfunction and does not affect the
performance of the ventilator.
The Internal Dual Battery System consists of two independent but
coordinated lithium ion batteries, the Power Pac battery, located on
the back of the ventilator and the Backup Battery inside the ventilator.
of A0509
5-1The Internal Dual Battery System can provide up to 10 hoursOPR360U
operation at standard settings when new and fully charged. This
system assures continued support during transport, daily activities or
power outages.
1-2
OPRHT70-2 E1112
Introduction
The detachable Power Pac is hot-swappable. That is, if more battery
time is needed, a depleted Power Pac can easily be removed from the
back of the HT70 and replaced with a recharged Power Pac without
interrupting ventilation. No tools are needed. The secondary Backup
Battery maintains operation without interruption when the Power Pac
is swapped out and also provides a minimum of 30 minutes of full
operation when all other power sources are depleted. The Power Pac
weighs two pounds and is charged anytime the ventilator is connected
to an external power source (AC or DC). It can also be charged
separately.
5-1
OPR360U A0509
Intended Use
Newport HT70 family of ventilators is intended to provide continuous
or intermittent positive pressure mechanical ventilatory support for the
care of individuals who require mechanical ventilation through invasive
or noninvasive interfaces.
Specifically, the Newport HT70 family of ventilators is applicable
for infant, pediatric and adult patients greater than or equal to 5 kg
(11 lbs) in hospital, sub-acute, emergency department, and home
care environments as well as for transport and emergency response
applications.
5-1
A0509
NOTE: Federal law (US) restricts sale by or on the order ofOPR360U
a physician.
OPRHT70-2 E1112
1-3
1 Introduction
Ventilator Configurations
5-1
Table 1
Part Number
Description
Distinguishing Features
HT70 Plus
HT70
HT70, w/o
Oxygen Sensor
Classic features
No built-in oxygen monitor
HT70M
HT70, with
Oxygen Sensor
Classic features
Includes built-in oxygen monitor with
alarms
HT70PM
HT70S
HT70SM
1-4
OPRHT70-2 E1112
Introduction
Caution: A caution describes a condition that can cause damage to
equipment.
NOTE: A note emphasizes information that is important or
convenient.
5-1
OPR360U A0509
General Notes
The Newport HT70 has been designed to accommodate connectivity
with nurse call/monitoring systems. Because it is not possible to
anticipate every configuration of hardware and software associated
with nurse call/monitoring system, it is the users responsibility to
confirm proper functionality of the system when used in conjunction
with the HT70. Verification of alarms, alerts and patient data
transmissions is required. If the system performance is not as
expected, contact Newport Medical Technical Support for assistance
troubleshooting the set-up. Do not use the HT70 ventilator with a
nurse call/monitoring system until the functionality of the ventilator/
system combination has been confirmed.
General Cautions
Do not place liquids on or near the ventilator.
Damage can occur if the HT70 is exposed to extreme temperatures.
Do not store the HT70 in areas where it may be exposed to
temperatures below -40 C (-40 F) or above 65 C (149 F).
To avoid the risk of electric shock, the ventilator should not be
opened by anyone other than an approved service provider.
General Warnings
The design of the HT70 ventilator, the Operating and Service
manuals, and the labeling on the ventilator take into consideration
that the purchase and use of the equipment is restricted to trained
professionals, and that certain inherent characteristics of the
ventilator are known to the operator. Instructions, warnings and
caution statements are therefore limited to the specifics of the HT70.
5-1
OPRHT70-2 E1112
1-5
1 Introduction
5-1
1-6
OPRHT70-2 E1112
Introduction
5-1
Always plug the HT70 into an external power supply source whenever
it is available, even when HT70 is not in use, to keep the Internal
Dual Battery System fully charged and to ensure best battery
performance. Check battery capacity on the front panel before
detaching from external power.
When installing a replacement Power Pac during battery operation,
always ensure that the charge level LED on the replacement pack is
green, indicating 90% or higher charge level.
Always ensure that the green External Power LED lights when the
ventilator is connected to an external AC or DC power source.
To maintain grounding integrity when using AC power, only connect
to properly grounded receptacles.
Use only the Newport supplied AC Power Supply (p/n PWR3204P)
with the HT70 ventilator and HT70 Power Pac (p/n BAT3271A).
Always disconnect the external power supply prior to servicing.
After servicing the HT70, it must pass the Operational Verification
Procedure (OVP) before it is returned to patient use. See the HT70
Service Manual.
Do not use electrically conductive breathing circuits. Always use
clean and dry breathing circuits.
Always use a clean, dry filter in the following locations: a standard
bacteria filter on the gas output, a prox line (bacteria) filter on the
proximal pressure tubing port and an intake (bacteria) filter behind
the filter cover.
5-1
OPRHT70-2 E1112
1-7
1 Introduction
The functioning of this machine may be adversely affected by the
operation of other medical equipment, such as high frequency
surgical(diathermy) equipment, defibrillators or short-wave therapy
equipment in the vicinity.
5-1
OPR360U A0509
Copyright Information
Copyright 2012 Newport Medical Instruments, Inc. All rights
reserved. Newport HT70 Ventilator is manufactured in accordance
with Newport Medical Instruments, Inc. proprietary information and is
protected under U.S. Patent # 7,654,802.
5-1
1-8
OPR360U A0509
OPRHT70-2 E1112
Overview
Section 2:
Overview
5-1
OPR360U A0509
Overview
Section 2:
of Controls,
Screens and
Connectors
Front Panel Overview.......................................... 2-1
Touch Screens Overview.................................... 2-1
Internal Dual Battery System Overview............ 2-1
Rear Panel Overview........................................... 2-2
Right Side Overview............................................2-3
Left Side Overview..............................................2-3
Bottom Panel Labeling.......................................2-4
5-1
OPR360U A0509
5-1
Please refer to Foldout drawing F-1 at the front of the manual. The
HT70 front panel consists of easy access membrane buttons, LED
indicators and the patient connection manifold. The center touch
screen panel provides access to alarm and parameter settings. The
HT70 Plus model has the added port for connecting the on-airway
flow sensor. This manual describes the HT70 Plus full features.
OPR360U A0509
l
Ma nua
ti o n
Infla
B r ig
B r i gh
h tne
tn e s
ss
ic e
De v e rt
Al
ic e
Dev ert
Al
5-1
e r nal
E x t o wer
P
al
e rn
E x t we r
Po
ual
M a n a ti o n
In fl
1. Backup Battery
(inside the case)
2. Power Pac Battery
(exchangeable)
3. Release Latch
OPR360U A0509
3
2
OPRHT70-2 E1112
2-1
5-1
OPR360U A0509
5-1
2-2
OPR360U A0509
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
OPR360U A0509
OPRHT70-2 E1112
2-3
OPR360U A0509
NOTE: The serial number for the unit is located on the lower rear
panel near the power switch.
5-1
0344
Type BF
5-1
2-4
OPR360U A0509
OPRHT70-2 E1112
Set-up
Section 3:
Set-up
5-1
OPR360U A0509
Set up and
Section 3:
Pre-use
Preparations
Unpack the HT70 Ventilator............................... 3-1
Assemble the Ventilator.....................................3-2
Connect to AC Power.........................................3-2
Using the Power Switch.....................................3-3
Make Parameter Changes..................................3-4
Attach a Patient Circuit......................................3-4
For use with a third party humidifier........... 3-5
For use with an HME..................................... 3-8
Using the On-airway Flow Sensor..............3-10
Connect Optional Accessories........................ 3-11
Air/Oxygen Entrainment Mixer....................3-11
Low Flow Oxygen Reservoir........................3-12
DC Auto Lighter Power Adapter..................3-14
5-1
OPR360U A0509
5-1
Remove all of the items from the shipping box and inspect each part
and component for completeness. Verify that there is no shipping
damage. To obtain information about a warranty, if any, contact
Technical Services or your local representative.
OPR360U A0509
5-1
o
KIT3420A
o
RSV3215A
o
MXL70A-XX-XX
o
FLT3209P
o
ADP3203P
o
BAT3271A
o
PWR3204P
o
PWR3207P
o
PWR3210P
o
PWR3211P
o
CBL3223
o
CRT3215A
o
MNT3208A
o
MNT3209A
OPRHT70-2 E1112
3-1
OPR360U A0509
Caution: Take care to assemble the cart correctly to assure that the
ventilator and accessories remain secure and are not damaged.
1
2
Plug the pinch-release power plug from the AC Power adapter into
the external power supply input located on the lower left corner of
the Power Pac battery pack. Ensure that the cord is to the right of the
plug and that it locks in place securely. Plug one end of the power
cord into the adapter and the other end into a properly grounded
outlet.
To remove the AC Power Supply from the external power supply
input, gently pinch the connector to release the locking pin and then
pull the plug out.
5-1
3-2
OPR360U A0509
OPRHT70-2 E1112
5-1
1.
2.
3.
5-1
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
3-3
5-1
OPR360U A0509
5-1
OPR360U A0509
When using the on-airway flow sensor, orient it so that the blue
tubing is towards the patient.
3-4
OPRHT70-2 E1112
5-1
OPR360U A0509
rm
A la c e
S i l en et
R es
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X.
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V
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5
3
Figure 1
5-1
OPR360U A0509
OPRHT70-2 E1112
3-5
rm
A la n c e
S ile s e t
Re
OPR360U A0509
C an
5-1
1.
2.
3.
4.
5.
6.
7.
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5
4
2
3
Figure 2
See Figure 2:
4. Locate the 22 mm ID end of the main breathing circuit. Attach this
end to the outlet port of the humidifier chamber.
5. Attach the Prox Inline Filter with tubing to the Prox. Line
connector.
6. Attach one end of the prox tubing to the Prox Inline Filter.
7. Attach the other end of the prox tubing to the prox line pressure
port on the circuit tubing that is connected to the inlet port of the
humidifier chamber.
5-1
3-6
OPR360U A0509
OPRHT70-2 E1112
C an
c el
Ac c
e pt
na l
E xter r
Powe
1.
2.
3.
4.
5.
al
Ma n u o n
i
Inflat
5-1
t es s
B righn
OPR360U A0509
D ev ic
e
lAetr
X
PR O
LIN E
.
E XH E
V
VA L
G AS P UT
OU T
1
2
4
3
Figure 3
See Figure 3:
8. Attach one end of the exhalation valve tubing (smallest clear
tubing) to the Exh. Valve connector.
9. Attach the other end of the exhalation valve tubing to the
connector on the exhalation valve at the end of the circuit.
10. Attach Flex Tube (not shown), if used, on the patient wye
connector.
11. If using the on-airway flow sensor, plug the connector into the
front panel port. Attach the flow sensor with the blue tubing
toward the patient onto the patient connection of the circuit. Use
the 15/22mm adapter supplied with the flow sensor to attach to
the patient interface as needed. Use the circuit clip supplied with
the flow sensor to secure the flow sensor lines to the main
breathing circuit tubing.
See Figure 4 for completed set up with humidifier.
5-1
OPRHT70-2 E1112
3-7
5-1
OPR360U A0509
Figure 4
13. Perform the Circuit Check. If the circuit includes an end cap,
use it during the first step of the Circuit Check. See Section 4 for
instructions.
For use with an HME (artificial nose):
See Figure 5:
1. Attach a bacteria filter to the Gas Output connector on the HT70.
2. Locate the 22 mm ID end of the breathing circuit. Attach this end
to the bacteria filter.
3. Attach the HME to the patient wye connector.
4. Attach a pressure tee if the on-airway flow sensor is not used.
5. Attach Flex Tube, if used, to the patient side of the pressure tee/
or on-airway flow sensor adapter.
6. Attach the Prox Inline Filter with tubing to the Prox. Line
connector.
7. Attach one end of the prox tubing to the Prox Inline Filter.
5-1
OPR360U A0509
8. Attach the other end of the prox tubing to the port located on the
wye connector (on-airway flow sensor in use) or to the pressure
tee adapter on patient side of the HME.
3-8
OPRHT70-2 E1112
1.
2.
3.
4.
5.
6.
rm
A la n c e
S il e s e t
Re
C an
c el
Acc
e pt
nal
Exter er
P ow
l
Manua on
i
In fla t
tn
Brgi h
es s
OPR360U A0509
e
Devic t
A le r
PR O
L IN E
X.
.
E XH
VE
VA L
G AS P U T
OUT
5-1
2
8
7
6
Figure 5
See Figure 6:
9. Attach one end of the exhalation valve tubing (smallest clear
tubing) to the Exh. Valve connector.
10. Attach the other end of the exhalation valve tubing to the
connector on the exhalation valve.
1.
2.
3.
4.
rm
e
A la
S i l ence t
R es
C a nc
el
Acc
e pt
n la
E tx er re
P ow
Breathing circuit
Exhalation valve
Exhalation tubing
Exhalation valve connector
l
Manua on
i
Inflat
Brigh
tnes s
e
Devic t
Aler
P R OX
LIN E
.
E XH E
V
VA L
G AS P U T
OUT
3
2
5-1
OPR360U A0509
Figure 6
OPRHT70-2 E1112
3-9
OPR360U A0509
See Figure 7 for completed setup for HME with flow sensor.
Figure 7
12. Perform the Circuit Check. If the circuit includes an end cap,
retain it for use in the Circuit Check. See Section 4 for
instructions.
Using the On-airway Flow Sensor
The Newport Flow Sensor is a disposable, single patient use onairway flow sensor that can be used for pediatric to adult patients.
Use the 15/22 mm adapter supplied with the on-airway flow sensor to
attach to the patient interface as needed. Use the circuit clip supplied
with the on-airway flow sensor to secure the on-airway flow sensor
lines to the main breathing circuit tubing.
5-1
OPR360U A0509
3-10
OPRHT70-2 E1112
5-1
11. If using the on-airway flow sensor, plug the connector into the
front panel port. Attach the on-airway flow sensor with the blue
tubing toward the patient to the wye connector of the circuit. Use
the 15/22 mm adapter supplied with the on-airway flow sensor to
attach to the patient interface as needed. Use the circuit clip
supplied with the on-airway flow sensor to secure the on-airway
flow sensor lines to the main breathing circuit tubing.
5-1
OPR360U A0509
5-1
Use a calibrated oxygen monitor with alarms (such as the one that is
built-in to the ventilator) to assure that the O2 that is delivered by the
ventilator into the patient circuit matches the prescribed value.
OPR360U A0509
OPRHT70-2 E1112
3-11
5-1
OPR360U A0509
Oxygen Mixer
Canc
el
Acc
ept
GAS
OUT
PUT
EXH.
VALV
E
Acc
G AS
OU T
P UT
el
ept
E XH
.
VA LV
E
5-1
3-12
OPR360U A0509
OPRHT70-2 E1112
5-1
OPR360U A0509
6
7
1
7
1
Use these graphs for estimating the liter flow of supplemental oxygen
needed to attain a particular O2 percentage. Note that the first graph
applies when PEEP is on (and NIV off) and the second graph applies
when PEEP is off. The graphs are also printed on the Instructions for
Use that are packaged with the reservoir.
5-1
OPRHT70-2 E1112
3-13
5-1
3-14
OPR360U A0509
OPRHT70-2 E1112
5-1
Navigating
Section 4:
Navigating
OPR360U A0509
the Screens
5-1
Navigating
Section 4:
5-1
OPR360U A0509
Domain Navigation............................................4-23
Hospital......................................................... 4-23
Transport...................................................... 4-24
Basic............................................................. 4-25
5-1
OPR360U A0509
5-1
OPR360U A0509
If the power save feature is enabled, the HT70s touch screen will go
dark if not touched for 2 minutes (while running on internal battery). To
bring it back into full view just touch the screen or a membrane button.
Primary Screen Navigation
The buttons for accessing Alarms, Main, and More screens as well as
the buttons for selecting mode and breath type are consolidated along
the left margin. Monitored values are displayed across the bottom
margin and the pressure bar graph rises and falls along the right. This
leaves plenty of room for the display in the middle of the screen.
The name of the active screen is written in larger letters than the other
two. To change to a different screen view, just touch one of the other
screen buttons. There is no need to press Accept.
1/10
9
8
3
6/7
5
Figure 1
5-1
OPR360U A0509
4-1
OPR360U A0509
3.
Breath Type/Mode Selection buttons: Touch the breath
type button to toggle between Volume Control and Pressure
Control. Then press Accept. Touch the mode button to scroll
through the selections A/CMV, SIMV or SPONT. Press Accept
to confirm.
4.
Help button: Touch the help button, then touch any feature
or button on the touch screen and the center panel displays
an explanation of the features or controls. Touch any button
except the help button again to close the tutorial.
5.
Monitor Data display buttons: Monitor Data buttons are
located at the bottom of the screen. To choose and change
the parameters displayed, touch any one of the buttons to
select it. The full monitoring screen appears and shows all
twelve monitored parameters. Touch the parameter that you
would like to display. That parameter will automatically
appear in the Monitor Data display button that was selected.
You can arrange these parameters in the order you want. The
Monitor screen will remain, showing the monitored
parameters, until you make an alternate selection, press a
different screen button (Alarms, Main or More) or for 2
minutes to allow you to view and check all monitored values.
The values on the monitor screen do not update while the
screen is displayed.
NOTE: For monitor display selections, you do not have to push
Accept to complete your change.
6.
Domain button: The level of accessibility for HT70 controls
is determined by the Domain selection. The HT70 user
interface can be setup in one of three Domains: Basic,
OPR360U A0509
5-1 Transport and Hospital. The Basic Domain is a simplified
screen for use in the longterm care or homecare setting.
The Transport Domain is an specifically designed to assist
*not available in the HT70S models
+only available in the HT70 Plus models
4-2
OPRHT70-2 E1112
5-1
2.
Screen selection buttons: Touch the Alarms, Main or More
buttons to open these screens in the center display area.
Simply touch the desired button and the screen changes.
You do not need to press Accept. See following pages for
details on these screens.
NOTE: From the More screen you can choose to view these
additional screens: Trends*, Events, Waves+ and Utility. You
can return to the Main screen from any of these screens by
touching the screen selection button labeled Main.
5-1
OPR360U A0509
9.
5-1
OPRHT70-2 E1112
4-3
5-1
If you decide not to make the changes you started, press the Cancel
button instead of pressing Accept or just wait and the values will
revert back to the original settings.
The mode and mandatory breath type selections determine which
Main Screen breath delivery parameters are active and available for
adjustment. Follow these steps when setting up ventilation:
1. While the Main screen is in view, start by selecting the mode
and mandatory breath type along the left margin of the
screen.
2. Adjust all Main screen parameters that are visible.
3. Press the Accept button to implement the mode/breath type
and relevant parameters change.
4. Visit the More screen to turn NIV ON or OFF.
5. When NIV is turned ON while PEEP is in use, the Bias Flow
adjustment window appears so that you can also adjust Bias
Flow.
6. Adjust the other relevant ventilation parameters on the More
screen.
7. Visit the Alarm screen to adjust/check alarm parameters.
5-1
4-4
OPRHT70-2 E1112
5-1
OPR360U A0509
Startup Screen
Circuit Check Button
Perform a Circuit Check each time the breathing circuit or exhalation
valve is replaced. While the ventilator is in Standby Condition, touch
the Circuit Check button and follow the instructions on the screen.
It is a simple two-step automated process. The Circuit Check is not
available during ventilation.
5-1
2. For Step 1, occlude the patient connection end of the circuit. (Do
not use a test lung.)
OPR360U A0509
3. Press the Accept button to confirm and start the Circuit Check.
OPRHT70-2 E1112
4-5
5-1
5-1
4-6
OPR360U A0509
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
NOTE: Be sure to review all sections of this manual before you use
the HT70 for the first time.
OPR360U A0509
WARNING Ensure that all settings are appropriate for the patient
prior to starting ventilation. Note that during Standby Condition the
OPRHT70-2 E1112
4-7
OPR360U A0509
1.
3.
2.
Figure 2
1.
5-1
Settable Alarms
#P (High Pressure)
$P (Low Pressure)
#RR (High Respiratory Rate)
#O2 (High O2)
$O2 (Low O2)
+ only available on the HT70 Plus model when the on-airway flow sensor is in use
4-8
OPRHT70-2 E1112
5-1
5-1
OPR360U A0509
5-1
OPR360U A0509
OPRHT70-2 E1112
4-9
5-1
OPR360U A0509
Main Screen
To set ventilation parameters (not available in Basic Domain):
Touch a ventilation parameter button to activate (highlight) it, use the
up and down arrow panel buttons to adjust the setting, then press
Accept to confirm changes or press Cancel to return to original
settings. You can set multiple parameters before pressing Accept.
List of all possible ventilation parameter settings on the Main Screen
VT (Tidal Volume)
PEEP
Ptrig
Flow (in volume control)
i time
RR (Respiratory Rate)
PS (Pressure Support)*
PC (Pressure Control)
Flow Trig+
4-10
OPRHT70-2 E1112
5-1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Figure 3
Press the Accept button to confirm changes made to any of the
following parameters.
1. Slope Rise
touch button, use up/down s t
to adjust from 1 - 10 (1 is slowest)
(Pressure Control and Pressure
Support breaths)
5-1
2. PS Exp Threshold *
OPRHT70-2 E1112
4-11
5-1
5. NIV
touch button to select NIV (Non
Invasive) function ON or OFF for
all breaths
6. Bias Flow
NOTE: For the above settings, if you have not pressed the Accept
button, you can press Cancel at anytime to revert to previous setting.
7. O2 Cylinder Data Screen
touch button to access screen to
set up oxygen cylinder content
tracking. (see page 4-16 for
details)
8. Calibrate O2 Monitor
9. Events
10. Trends*
11. Waves+
5-1
OPR360U A0509
4-12
OPRHT70-2 E1112
5-1
OPR360U A0509
The Events Screen displays the last 1,000 recordable events. When
a new event occurs, the oldest event is cleared. Use the up and
down arrow panel buttons s t to scroll through the list of Events.
Recordable events include Circuit Check, parameter changes,
alarm activate/deactivate, date/time changes, alarm silenced, alarm
cleared, calibrations, screen brightness changes, new patient, and
power On/Off.
To record when a new patient is started, touch the Activate Presets
button while in the Startup Screen (Standby Condition) and then
press the New Patient Flag button. The Event History log will
record a New Patient entry.
As you scroll through Events, the time and parameters in use during
that Event are displayed.
NOTE: Date and time format selection is located on the Utility
Screen.
5-1
OPR360U A0509
OPRHT70-2 E1112
4-13
5-1
OPR360U A0509
5-1
OPR360U A0509
4-14
OPRHT70-2 E1112
5-1
OPR360U A0509
Waves Screen+
(Hospital and Transport Domain, Standby and Ventilating Condition)
The Waves Screen displays real time graphics for Pressure, Volume
and Flow. If the on-airway flow sensor is not installed, only the
pressure graph will be displayed.
Touch the Choice button at the top of the central panel to select 1,
2 or 3 graphs for display. When only one or two graphs are chosen,
you can select which waveform you want displayed by toggling the
Wave button(s) at the top of the central panel.
Freeze. Touch the Freeze button to the left of the graphs to freeze
the current waveform. The up/down arrows will move the cursor
across the waveforms and display the value for the displayed graph
at that point in time. To unfreeze, touch the same button again.
Time Scale (x-axis). To change the time scale simply touch the
screen anywhere in the central panel. The time axis will turn yellow
and you can use the up/down arrows to increase/decrease the time
scale. Press Accept to save the new time scale.
5-1
OPRHT70-2 E1112
4-15
4-16
OPR360U A0509
OPRHT70-2 E1112
5-1
5-1
Cylinder Pressure: Touch this button and use the up/down arrows
to enter the current pressure in the oxygen cylinder (300-2450 psi or
25-175 ATM).
OPR360U A0509
This screen allows the user to calibrate the internal oxygen sensor.
Either a single point or a two point calibration can be done. This can
be done while on a patient if they can tolerate the desired calibration
point (room air or 100% oxygen). Touch this button to go to the
Calibrate O2 Mon screen.
O2 Cal, 21% O2. Touch this button and follow the onscreen
directions to calibrate at room air. Ensure that no oxygen device is
connected to the air intake port on the right side of the ventilator.
5-1
O2 Cal, 100% O2. Touch this button and follow the onscreen
directions to calibrate at 100% oxygen. Ensure that 100% oxygen is
being delivered to the air intake port on the right side of the ventilator.
Newport suggests using the Low Flow Oxygen Reservoir OPR360U
with A0509
10 L/min. of medical grade 100% oxygen connected to it.
OPRHT70-2 E1112
4-17
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
5-1
Access the Utility Screen through the More Screen as shown above.
See Section 9, Specifications, for ranges and more details for each
parameter.
11.
12.
Figure 4
Press Accept button to confirm changes made to any of the following
parameters.
1. Auto Lock
touch button to select Autolock function
Enabled or Disabled
2. Language
touch button to scroll through language
selections
3. cmH2O or mbar
touch button to select cmH2O or mbar
pressure units
4. Power Save
5. Export Data
only available in Standby Condition.
Touch to download data to Flash USB
Drive or computer. This is not available
while ventilating. Follow the instructions
OPR360U A0509
5-1
on the screen.
6. Time/Altitude
4-18
OPRHT70-2 E1112
9. Custom Settings
5-1
8. Comm
10. O2 Monitor
touch button to select to O2 Monitor
Enabled or Disabled
11. Software
the software version installed is displayed
here
12. Hours
5-1
OPRHT70-2 E1112
4-19
OPR360U A0509
4-20
OPRHT70-2 E1112
5-1
Touch a button to activate (highlight) it, use the up and down arrow
panel buttons to adjust the setting, then press Accept to confirm
changes or press Cancel to return to original settings. You can
set multiple parameters before pressing Accept. The Hours are
displayed in military style; 1 - 12 for AM and 12 - 24 for PM.
5-1
OPR360U A0509
2. Make all the changes on the ventilator that you require for
your protocol. Be sure to check the settings in the More
screen and the Alarms screen.
3. Once you are satisfied with the settings for your patient
protocol, return to the More Screen/Utility Screen/Custom
Settings screen and touch the Set Custom Presets button.
5-1
OPR360U A0509
OPRHT70-2 E1112
4-21
5-1
OPR360U A0509
5-1
4-22
OPR360U A0509
OPRHT70-2 E1112
5-1
Touch the Domain button in the lower right corner of the touch
screen to scroll through the domain choices, Hosp (Hospital), Trans
(Transport) and Basic (Basic). Press Accept to change to the new
domain. If the panel is locked this button is not visible until the panel
is unlocked.
Hospital Domain
The Hospital Domain has full access to all features and screen
selections available on the HT70. This manual describes all of the
features and screen selections found in the Hospital Domain. The
Transport and Basic Domain features and screen selections work
identically to the Hospital Domain with the limitations as noted below.
5-1
OPR360U A0509
OPRHT70-2 E1112
4-23
5-1
OPR360U A0509
5-1
4-24
OPR360U A0509
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
OPR360U A0509
OPRHT70-2 E1112
4-25
Operating
Operating
Section 5:
5-1
OPR360U A0509
Operating
Section 5:
the Ventilator
Quick Check Procedure..................................... 5-1
Introduction.................................................... 5-1
Equipment Needed........................................ 5-1
Pretest Inspection......................................... 5-1
Set Up ............................................................ 5-1
Standard Test Settings................................. 5-2
Quick Check Procedure................................ 5-2
Pass / Fail Check Off Sheet.......................... 5-4
Patient Setup Procedure....................................5-5
Troubleshooting Guide....................................... 5-7
5-1
OPR360U A0509
5-1
Introduction
This procedure is intended to assist qualified operators to establish
a routine program for verifying proper HT70 operation. Perform this
Quick Check procedure each time the ventilator is prepared for new
patient use. The Quick Check procedure should be performed every
6 months as part of the routine maintenance procedure to confirm
proper ventilator operation. Use a copy of the Quick Check Procedure
Check-off Sheet found at the end of this section to record the results
of each check.
OPR360U A0509
5-1
OPRHT70-2 E1112
A/CMV
Volume Control
Off
500 mL
1.0 sec
15 b/min
1 cmH2O / mbar
OPR360U A0509
5-1
5-1
Flow Trig
$Low P Alarm
#High P Alarm
$Low Min Vol alarm
#High Min Vol alarm
#VTE Alarm
PEEP/CPAP
OPR360U A0509
5-2
OPRHT70-2 E1112
High #P Alarm
o Set the High Pressure alarm limit to 20 cmH2O/mbar. Verify that
an audible alarm sounds and the High Pressure message displays
and that inspiration ends when pressure reaches the high limit.
Set the High Pressure alarm limit back to 99 cmH2O /mbar and
verify that the audible alarm stops and the alarm message remains.
Press the Alarm Silence/Reset button to clear the alarm message.
5-1
OPR360U A0509
Low $P Alarm
o Disconnect the test lung from the breathing circuit and verify that
after two breaths an audible alarm sounds and the Low Pressure
Alarm message displays.
o Attach the test lung to the breathing circuit and verify that the
audible alarm ceases and the alarm message remains. Press
Alarm Silence/Reset button to clear the message.
4. Pressure Gauge / PEEP Check
o Verify that the pressure gauge moves up and down with each
breath.
o Select PEEP and Peak Paw to display in each of two Monitor
Data buttons.
o Adjust PEEP to 5 cmH2O. Verify that the Monitor Data button
displays a PEEP value of 4 to 6 cmH2O. Reduce PEEP to zero.
o Select Pressure Control and set PC at 20 cmH2O. Verify that the
Monitor Data button displays a Peak Paw of 17 to 23 cmH2O.
5. Volume/Minute Volume/Respiratory Rate Monitor Check
o Change Breath Type back to Volume Control and confirm Tidal
Volume is set to 500.
o Select VT, Min Vol and RR Tot to display in each of three Monitor
Data buttons. Verify that VT= 450-550, Min Vol = 6-9 and RR
Tot = 13-17.
5-1
OPRHT70-2 E1112
5-3
5-1
7. Brightness Check
o Press the Brightness button and verify that it scrolls through 4
levels of brightness. Set the brightness at desired level.
OPR360U A0509
5. Volume/Minute Volume/
Pass _____ Fail ______
Respiratory Rate Monitor Check
6. Power Pac Battery Pack and
Backup Battery Check
7. Brightness Check
The ventilator is ready for operation when all tests have been
successfully completed.
Note any comments on inspection of unit, corrective action taken,
or recommendations for further action.
Completed by: ___________________________ Date: _________
5-1
Facility: _______________________________________________
OPR360U A0509
Serial #: _______________________________________________
Unit hours: _____________________________________________
5-4
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
8. When you are ready, remove the test lung and attach the patient
OPR360U A0509
connection of the breathing circuit to the patient interface.
9. Monitor the patient settings and check for appropriate alarm
settings.
OPRHT70-2 E1112
5-5
5-1
OPR360U A0509
5-1
5-6
OPR360U A0509
OPRHT70-2 E1112
OPR360U A0509
Touchscreen
is dark/blank
Probable
Cause
Resolution
Screen is locked
by Auto-lock
function (set on
Utilities screen)
Using Basic
Domain and
the parameters
are changed to
displays rather
than buttons
Need to view
all monitored
values
5-1
5-1
Alarm
indicator(s)
lit but not
blinking/Alarm
message in
the message
window
Alarm condition
is resolved.
(Alarm is
latched.)
Water
accumulating
in the
breathing
circuit
Gas is cooling as
it travels through
the circuit tubing
OPRHT70-2 E1112
5-7
Power Pac
battery
doesnt last
long enough
Check Circuit
or Prox Line
Alarm
5-1
5-8
Resolution
Touch Alarms, touch Alarm Loudness.
Adjust setting to a higher number and
press Accept.
Not fully
recharged
Ventilator
settings/ patient
condition (a
large leak
during pressure
ventilation, a
high level of bias
flow setting, or
an aggressively
breathing
patient) demand
more gas
delivery than
the standard
settings.
Power Pac
needs to be
replaced
Circuit
disconnect
Humidity in
Proximal Line
No proximal
filter in place
Inspiratory Flow
is too low, circuit
pressure does
not rise fast
enough when
the breath starts
5-1
Problem/ Area
of Concern
OPRHT70-2 E1112
Circuit Check
fails
Leak in
breathing circuit
Resolution
Tighten all circuit & water trap
connections
5-1
Problem/ Area
of Concern
OPR360U A0509
Incorrect
assembly
of circuit/
exhalation valve
Incompatible
Contact Newport Medical to verify if
circuit/exhalation circuit is compatible. Email: clinical@
valve
ventilators.com
5-1
Green Ext
Power
indicator on
panel does
not light
when HT70
is plugged
into external
AC (wall) or
DC (external
battery or
auto lighter
outlet) power
OPRHT70-2 E1112
Oxygen
connected
directly to the
circuit
Ventilator needs
service
No external
power is
reaching HT70.
HT70 is running
from the Internal
Battery System.
5-9
Probable
Cause
Circuit and/or
airway leak
Resolution
Check for and resolve leaks if
unintentional.
OPR360U A0509
(green trigger
light illuminates
when there
is no patient
effort)
In SIMV
or SPONT
modes, some
or all breaths
seem to last
extra long
Leak is causing
flow to remain
high during
pressure
support breath
delivery, so
the PS Exp.
Threshold (flow
cycling off
threshold) is
never met
Occlusion
Alarm/
Sustained
Occlusion
Alarm
The patients
expiratory
gas pathway
is occluded
or partially
occluded
The patient
will not be
ventilated.
Manually
ventilate the
patient until
this is resolved.
High (Peak)
Pressure
Alarm
This alarm
violation stops
breath delivery
until pressure
drops
5-1
5-10
5-1
Problem/ Area
of Concern
Coughing
/ need for
airway care or
bronchodilator
treatment
Secretions
too dry due
to inadequate
humidity
Pneumatic
nebulizer inline
cont.
cont.
OPRHT70-2 E1112
cont.
Probable
Cause
Resolution
Supplemental
oxygen flowing
directly into
breathing circuit
Kinked tubing
Un-kink it
Sticky exhalation
valve and or
on-airway flow
sensor from
medication
treatments or
secretions
5-1
Problem/ Area
of Concern
Low (Peak)
Pressure
Alarm
5-1
Note:
Situations that
violate the Low
Pressure Alarm
in Volume
Control may
violate the High
Inspiratory
Minute Volume
alarm or Low
Expiratory
Minute
Volume alarm
in Pressure
Control.
You should
seek similar
remedies.
OPRHT70-2 E1112
Resolve appropriately
Circuit leak
(especially while
using Volume
Control)
5-11
High
Patient is
(Expiratory)
breathing faster
Minute
than usual
Volume Alarm
A change
in ventilator
This alarm is
settings or
only active
patient condition
when the onhas caused
airway flow
delivery of a
sensor is in
higher patient
place
tidal volume
Resolution
Check patient for anxiety, pain,
discomfort, change in illness
OPR360U A0509
Pneumatic
nebulizer inline
Supplemental
oxygen flowing
directly into
breathing circuit
On-airway flow
sensor is not
clean
Replace sensor
Low
Circuit or airway
(Expiratory)
leak not
Minute
intentional
Volume Alarm
The on-airway
flow sensor is
in place
5-1
Problem/ Area
of Concern
5-1
Intentional leak
for speech
Patient is
Check patient and resolve problems
breathing slower
than usual
cont.
cont.
5-12
OPRHT70-2 E1112
Probable
Cause
Low
(Expiratory)
Minute Volume
Alarm
Connected to a
test lung with a
resistor
Large airway
or circuit leak
(Pressure
Control or
Pressure
Support)
OPR360U A0509
High
(Inspiratory)
Minute Volume
Alarm
On-airway flow
sensor is not in
place.
Note:
Situations that
violate the
Low Pressure
Alarm in Volume
Control may
violate the High
Inspiratory
Minute Volume
alarm or Low
Expiratory
Minute
Volume alarm
in Pressure
Control.
You should
seek similar
remedies.
5-1
OPRHT70-2 E1112
5-1
cont.
Resolution
Patient is
breathing faster
than usual
Circuit just
reconnected
after disconnect
Auto-triggering
due to airway
leak
OPR360U A0509
5-13
Probable
Cause
Resolution
OPR360U A0509
On-airway flow
sensor is not in Upper airway
place.
occlusion during
mask ventilation
This will
trigger back
Supplemental
up ventilation
oxygen flowing
if the back up
directly into
ventilation link breathing circuit
is set to LMV
or Both
Ventilator is not
triggering with
each breathing
effort
Patient is
breathing slower
than usual
5-1
Problem/ Area
of Concern
Reposition head/neck
5-1
5-14
A change in
ventilator settings
or patient
condition has
caused delivery
of a higher
patient tidal
volume
On-airway flow
sensor is not
clean
Replace sensor
OPR360U A0509
OPRHT70-2 E1112
High Baseline
Pressure
Alarm
OPRHT70-2 E1112
Circuit Check
Do a Circuit Check every time a fresh
was not done
circuit/exhalation valve is installed
when circuit was
installed
Increased
resistance to
exhalation
Exhalation drive
tubing is kinked
Un-kink it
Auto-triggering
due to leaks (if
PEEP is set > 0)
Auto-triggering
due to flow and
or pressure
trigger settings
being too low
5-1
Resolution
5-1
Problem/ Area
of Concern
Pressure
Support breaths
are not ending
when patient
exhales
OPR360U A0509
As appropriate, shorten i-time,
change flow waveform, decrease
respiratory rate
5-15
Probable
Cause
No mandatory
breaths or
spontaneous
efforts detected
within the set time
period, 5 - 70
seconds.
Resolution
Is the patient is breathing?
Is Ptrig / Flow trig setting sensitive
(low) enough?
5-1
Problem/ Area
of Concern
OPR360U A0509
Pressure
Control
Setting Not
Reached
Alarm
No external
power
Power source
is switched
OFF
Unless external
power was
disconnected
on purpose,
ALL
resolutions
MUST include
making sure
that the green
External
Power LED
lights up
Power
Switchover
Alarm
Power source is
depleted
Running
Minimum of 30
on Backup
minutes Internal
Battery Alarm Battery System use
time left
Power Pac
is nearing
depletion and
HT70 has
switched to
the Emergency
Backup
5-1 Battery.
5-16
OPR360U A0509
OPRHT70-2 E1112
Probable
Cause
Minimum of 15
minutes Internal
Battery System
use time left
OPR360U A0509
Internal Battery
System is
depleted.
Connect to
external power
immediately.
High
Respiratory
Rate Alarm
Resolution
Connect to external AC or DC
power, and make sure that the green
External Power LED lights up. Dont
leave the ventilator until you see the
green light!
5-1
Problem/ Area
of Concern
Patient is
breathing fast.
Auto-triggering
of ventilator
The delivered
breath rate is
caused by leak
higher than the
alarm setting
Flow and/or
Pressure Trigger
sensitivity
setting is too
sensitive
Double
triggering
caused by too
short of an
inspiratory time
setting
5-1
patients minute
volume has
decreased
airway or
circuit leak has
decreased
cont.
OPRHT70-2 E1112
OPR360U A0509
cont.
5-17
High O2 Alarm
during pressure
control and so
delivered minute
volume is lower
OPR360U A0509
cont.
Resolution
5-1
Problem/ Area
of Concern
NIV is on and
Bias Flow was
decreased
oxygen
concentrator
is putting out a
higher FIO2 than
expected
Low O2 Alarm
Delivered
oxygen
concentration
is lower than
set low limit
High O2
alarm is set
inappropriately
Oxygen sensor
calibration
was not done
appropriately
Oxygen
supply loss or
disconnect or
cylinder empty
Low flow
reservoir is in
use and:
patients minute
volume has
increased
airway or
circuit leak has
increased during
pressure control
and so delivered
minute volume is
higher
NIV is on and
Bias Flow was
increased
5-1
5-18
oxygen
concentrator
is putting out a
lower FIO2 than
expected
cont.
OPR360U A0509
cont.
OPRHT70-2 E1112
Probable
Cause
Resolution
Low O2
alarm is set
inappropriately
Oxygen sensor
calibration
was not done
appropriately
5-1
Problem/ Area
of Concern
OPR360U A0509
O2 Sensor
needs
calibration,
is depleted
or is past
recommended
replacement
time
5-1
OPRHT70-2 E1112
OPR360U A0509
5-19
Alarms
Section 6:
Alarms
5-1
OPR360U A0509
Ventilator
Section 6:
Alarms
5-1
OPR360U A0509
Ventilator Alarms
See Section 9, Specifications, for alarm priority level, ranges and
descriptions.
Setting Alarms
5-1
OPR360U A0509
The Alarm controls are changed just like the parameter controls with a simple Touch / Adjust / Accept method:
1. Touch the Alarms button to enter the Alarms screen.
2. Touch the desired Alarm control (it will appear highlighted)
3. Use the s or t buttons to make the desired adjustment.
4. Press the Accept button to confirm the change.
You can make several adjustments before accepting the changes.
When you are satisfied with all the changes, you can accept them all
by pressing the Accept button once.
Before you accept any change, if you want to go back to the previous
settings, simply press the Cancel button.
The minute volume alarms are expiratory minute volume alarms when
the on-airway flow sensor is in use and they are inspiratory minute
volume alarms when the on-airway flow sensor is not in use.
Alarm Quickset
When no alarms are being violated, you can choose to have the HT70
automatically set the alarm limits. From the Alarms screen, touch
Alarm Quickset and confirm by pressing the Accept button. The
HT70 will monitor ventilation for 30 seconds and then set the alarm
limits. During the 30 second period the touch screen will not respond
unless an alarm occurs or the Cancel button is pressed.
If an alarm occurs during the monitoring period, Quickset is
canceled. If this occurs, check the ventilator settings and confirm
that they meet the physicians prescription and are meeting the
patients needs. Adjust alarms manually if needed to clear any alarm
condition. Then you can activate Quickset again.
Alarm Quickset will not activate when in Standby Condition, you must
be in Ventilation Condition.
5-1
OPRHT70-2 E1112
OPR360U A0509
6-1
6 Ventilator Alarms
5-1
OPR360U A0509
Alarm Indicators
When an alarm limit is violated:
1. The message area changes color according to alarm priority
and an alarm message is displayed.
2. The alarm LEDs in the handle of the HT70 flash.
3. The alarm parameter button on the Alarms Screen (if it is an
adjustable alarm) is highlighted.
4. An audible alarm sounds.
When the violation is no longer in effect, the alarm message latches
(remains steadily visible) until it is reset by pressing the Alarm
Silence/Reset button.
Alarm Silence/Reset button
Press this button to silence the audible alarm for one minute (60
sec). Once an alarm condition is corrected, press this button to
clear (reset) the alarm message. Press repeatedly to clear multiple
messages. Press and hold for 3 seconds to clear all alarm messages
at once.
WARNING Failure to identify and correct alarm violations may result
in patient injury.
Alarm Silence LED
Located next to Alarm Silence/Reset button, the LED remains lit
during the one minute alarm silence period.
6-2
OPRHT70-2 E1112
The HT70S and HT70 model Ventilators monitor the volume of gas
output from the ventilator, therefore the high and low inspiratory
minute volume alarms respond to changes in delivered, not exhaled,
volumes. For these models use the High Inspiratory Minute Volume
Alarm (#Min Vol) to detect leaks or disconnects while using pressure
controlled ventilation and use the Low Pressure Alarm ($P) to detect
circuit leaks or disconnect while using volume controlled ventilation.
5-1
Ventilator Alarms
OPR360U A0509
For the HT70 Plus model, if the on-airway flow sensor is in use, the
sensor measures exhaled volumes. So in this case the ventilator
will automatically display exhaled Tidal Volume and exhaled Minute
Volume and the alarms will respond accordingly. That is, when the
on-airway flow sensor is in use, the Low Minute Volume alarm will
respond to leaks and disconnects when minute volume leaving the
patient drops to the alarm setting. If exhaled volumes are important
to the care of your patient, then we recommend using the HT70 Plus
model with the on-airway flow sensor. To verify exhaled volumes
when not using the flow sensor, use a separate exhaled volume
monitor.
Low Pressure Alarm $P
The Low Pressure Alarm determines the minimum pressure that
must be attained in the breathing circuit during mandatory breaths.
It should be set as close to the patients normal peak pressure as
possible.
The Low Pressure Alarm limit does not apply to any breaths in the
SPONT mode or to spontaneous breaths in SIMV mode.
NOTE: The Low Pressure Alarm setting is limited to no less than
three (3) above the PEEP/CPAP setting. If NIV is enabled, it is limited
to no less than one (1) above the PEEP/CPAP setting.
High Pressure Alarm #P
The High Pressure Alarm setting determines the maximum pressure
allowed in the breathing circuit. In general, it should be set 10 to 15
cmH2O above the patients normal peak pressure, but always at or
below a safe ventilating pressure.
5-1
OPRHT70-2 E1112
OPR360U A0509
6-3
6 Ventilator Alarms
Low Inspiratory Minute Volume Alarm $Low Min Vol
5-1
The Low Inspiratory Minute Volume Alarm alerts the caregiver when
delivered minute volume decreases to the set alarm level. Delivered
minute volume may decrease due to slowed or absent patient
breathing effort in any mode/breath type. It may also decrease due to
worsening lung conditions or secretion build up in pressure control or
pressure support.
OPR360U A0509
6-4
OPRHT70-2 E1112
Ventilator Alarms
High Expiratory Minute Volume Alarm #High Min Vol
(with on-airway flow sensor in use)
5-1
The High Expiratory Minute Volume Alarm alerts the caregiver when
exhaled minute volume increases to the set alarm level. This alarm
will help alert the caregiver to increases in breath rate, auto-triggering
or improvements in lung compliance.
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
6-5
6 Ventilator Alarms
Backup Ventilation
5-1
Automatic Alarms
The following alarms are automatically set by the ventilator based on
patient settings or device condition. Violated alarms are indicated by
an audible alarm, an alarm message displayed on the touchscreen
and the LEDs in the handle flashing.
High Baseline Pressure
Low Baseline Pressure
Occlusion
Sustained Occlusion
Check Circuit or Prox Line
Device Alert
Power Pac Battery Pack Low
Switching to Backup Battery
Running on Backup Battery
Motor Fault
5-1Flow sensor disconnect / failure+
O2 Cylinder Low / Empty
+ only available on the HT70 Plus model when the on-airway flow sensor is in use
6-6
OPRHT70-2 E1112
Ventilator Alarms
High Baseline Pressure Alarm
5-1
5-1
NOTE: Be sure to keep the Prox Inline Filter clean and dry at all
times.
OPR360U A0509
OPRHT70-2 E1112
6-7
6 Ventilator Alarms
Flow Sensor Disconnect / Failure Alarms+
5-1
These alarms indicate that the on-airway flow sensor has become
disconnected, or the tubing has been partially blocked with water or
the flow sensor is no longer working.
OPR360U A0509
5-1
OPR360U A0509
+ only available on the HT70 Plus model when the on-airway flow sensor is in use
6-8
OPRHT70-2 E1112
Ventilator Alarms
Shut Down Alert Alarm
5-1
The Shut Down Alert Alarm occurs when the ventilator is turned
Off. A continuous audible alert indicates the ventilator is no longer
operating. The alert beeps will continue for at least 15 minutes or until
it is silenced by pressing the Alarm Silence/Reset button.
OPR360U A0509
Battery Alarms
Power Pac Battery Pack Low Alarm
This alarm indicates that the Power Pac battery pack should be
replaced with a fully charged battery pack or the ventilator should be
plugged into an external power supply. Pressing the Alarm Silence/
Reset button will clear this alarm.
Switching to Backup Battery Alarm
This alarm occurs when the Power Pac battery pack can no longer
power the HT70 and the unit switches to the Backup Battery.
Connect the ventilator to an alternate power source immediately or
install a fully charged battery pack. Pressing the Alarm Silence/Reset
button will clear this alarm.
5-1
OPRHT70-2 E1112
OPR360U A0509
6-9
6 Ventilator Alarms
Running on Backup Battery Alarm
5-1
An audible alarm sounds if the HT70 has been running on the Backup
Battery for more than 15 minutes. This alarm can be silenced, but a
reminder alarm will occur every 5 minutes until a fully charged Power
Pac battery pack is inserted and/or an external power source is
connected.
OPR360U A0509
6-10
OPRHT70-2 E1112
Ventilator Alarms
Power Pac Battery Pack Temperature Alarm
This indicates that the Power Pac battery pack temperature has
exceeded specifications for the battery. Replace the Power Pac
battery pack with a fully charged one. Contact Newport Service
department for repair or replacement of the battery.
5-1
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
6-11
Battery
Section 7:
Operation
Battery Operation
5-1
OPR360U A0509
Battery
Section 7:
Operation
Internal Dual Battery System............................. 7-1
Power Pac Battery Pack..................................... 7-1
Backup Battery.................................................... 7-2
Conditions that Affect Battery Use Time.......... 7-2
Check the Battery Charge Level....................... 7-3
Best Use Tips....................................................... 7-3
Battery System Maintenance............................. 7-4
Power Pac Battery Pack Removal..................... 7-4
Battery Alarms Overview.................................... 7-5
Power Accessories............................................. 7-6
5-1
OPR360U A0509
Battery Operation
Internal Dual Battery System
The Internal Dual Battery System consists of two internal
independent but coordinated lithium ion batteries, the Power Pac,
located on the back of the ventilator and the secondary Backup
Battery inside the ventilator. The Internal Dual Battery System can
provide up to 10 hours of operation at standard settings* when new
and fully charged. This system assures continued support during
transport, daily activities or power outages.
5-1
OPR360U A0509
tn e s
s
ic e
Dev ert
Al
5-1
B r i gh
ual
M a n a ti o n
In fl
Power Pac
OPR360U
A0509
The Power Pac can be charged up independently from the
ventilator.
The Power Pac (BAT3271A) has an LED on the bottom edge to
show charge condition. Push the button to see charge condition.
Green = approximately 90% or higher charge level, Amber = charge
not completed, Red = battery depleted. Always insert the Power
OPRHT70-2 E1112
7-1
7 Battery Operation
Pac onto the HT70 and power it ON to verify the actual charge level
percentage (shown in the message display).
5-1
Backup Battery
The secondary Backup Battery will provide a minimum of 30 minutes
operation. HT70 will automatically switch to the backup battery
whenever the Power Pac battery pack is removed or when the Power
Pac power is low and the Switching to Backup Battery alarm occurs.
Power Save
Pressure
Respiratory Rate
PEEP on or off
Time/Usage
Each of the items listed above will affect the amount of time that the
Internal Dual Battery System will last. The most significant setting that
affects battery use time is the Power Save setting. If this is left OFF, it
will decrease your battery use time by about 30%. When Power Save
is On, the screen will go to sleep (go blank) to save energy. An active
alarm will temporarily end Power Save and the screen will become
active. Power Save will resume two minutes after the alarm condition
is resolved.
Peak pressures and respiratory rate also affect battery use time. If the
peak pressure rises above 30 cmH2O consistently and the respiratory
rate is above 20, you can expect to lose another 15% to 25% of the
battery use time.
Using PEEP means that the Bias Flow will be in use. Since this means
that the twin pistons will run during both inspiration and exhalation,
battery time will be shorter with PEEP on.
As the batteries age with use, the time that the HT70 will operate
on battery power from a fully charged state will decrease. Replace
OPR360U A0509
5-1the Power Pac battery pack every 24 months or sooner if battery
operation time is insufficient for your usage.
If the HT70 will be powered from the Power Pac battery pack for an
extended period, ensure that the battery pack is fully charged prior to
use.
7-2
OPRHT70-2 E1112
Battery Operation
NOTE: It is highly recommended to carry at least one extra, fully
charged Power Pac during transport or outdoor applications.
5-1
OPR360U A0509
Before using the HT70 for transport or when planning to use the
Internal Dual Battery System as the primary power source, always
check the Power Pac and Backup Battery charge condition. The
charge level indicator on the touchscreen shows the percent of
charge available. A blue battery icon indicates the status for the
Power Pac battery pack and a red battery icon indicates the status
for the Backup Battery. To view the Backup Battery condition,
temporarily remove the Power Pac.
Also check the Battery time estimator displayed on the monitoring
screen. When the HT70 is disconnected from external power, this
indicator shows you the estimated time remaining on the HT70 based
on the current ventilation settings.
NOTE: The battery use time that is displayed in the monitor is
an estimate only. It can be affected by many factors such as the
environmental temperature, aging of battery, etc. Also, battery use
time will change as ventilation conditions change. Do not rely solely
on this estimate. Check the battery charge level indicator frequently
to confirm actual battery consumption.
When installing a replacement Power Pac during battery operation,
always ensure that the charge level LED (located on the bottom of the
pac) is green, indicating that the charge level is approximately 90% or
higher. Insert the Power Pac onto the HT70 and power it ON to verify
the actual charge level percentage (shown in the message display
area).
5-1
OPRHT70-2 E1112
7-3
7 Battery Operation
extra Power Pac battery pack. When the Switching to Backup
Battery alarm is activated, install the fresh Power Pac or plug
into external power. This alarm means you have a minimum of 30
minutes of the emergency back up battery time left.
OPR360U A0509
4. Keep both the Power Pac and Backup Battery charged up.
Partially discharged batteries will age faster.
5-1
al
Ma nua ti o n
Infl
e r nal
E x t o wer
P
B r ig
h tne
ss
ic e
De v e rt
Al
5-1
OPR360U A0509
Release latch
7-4
OPRHT70-2 E1112
Battery Operation
that it locks in place securely. Plug one end of the power cord into
the adapter and the other end into a properly grounded outlet.
Ensure that the Green Ext. Power LED lights whenever the HT70 is
connected to external power.
5-1
OPR360U A0509
To remove the AC Power Supply from the Power Pac, gently pinch
the connector to release the locking pin and then pull the plug out.
WARNING Batteries contain environmentally unfriendly materials.
Do not discard them in an incinerator or force them open. Batteries
cannot be disposed of with normal waste. Dispose of in accordance
with your institutions or local jurisdictions policy.
1.
2.
3.
4.
5.
5-1
Charge the Power Pac battery pack for a minimum of 3 hours for 100
A0509
% recharge. If the battery charge is not fully depleted, theOPR360U
charge
time may be less.
OPRHT70-2 E1112
7-5
7 Battery Operation
Power Accessories
5-1
5-1
7-6
OPR360U A0509
OPRHT70-2 E1112
Cleaning and
Section 8:
Maintenance
OPR360U A0509
Maintenance
5-1
OPR360U A0509
5-1
Cleaning and
Section 8:
5-1
Definitions
Cleaning: A process that uses a medical detergent or alcohol based
cleaning solution to remove blood, tissue and other residue. Rinse
thoroughly with sterile, distilled water and allow to air dry.
Disinfection: A liquid chemical process that kills microbial organisms.
Sterilization: A process that uses steam autoclave or ethylene
oxide (EtO) this is designed to render a product free of viable
microorganisms.
Caution: When using liquid chemical agents, closely follow the
manufacturers recommendations. Prior to use, verify that the agent
is compatible with plastics.
WARNING Ethylene Oxide (EtO) is toxic. All accessories MUST
be completely dry prior to packaging for ethylene oxide sterilizing.
After sterilizing, they must be properly aerated to dissipate residual
gas absorbed by the material. Follow the EtO manufacturers
recommendations for the specific aeration periods required.
Caution: Ethylene Oxide (EtO) may cause superficial crazing
of plastic components and will accelerate the aging of rubber
components.
Caution: Always inspect breathing circuits and accessories after
cleaning, disinfecting or sterilizing to check for deterioration. If the
any part is damaged or shows excessive wear, replace with a new
part. Do not use cracked or damaged parts.
Ventilator
5-1
OPRHT70-2 E1112
8-1
Accessories
5-1
OPR360U A0509
1. Oxygen mixer
2. Filter
3. Cover
2
3
8-2
OPR360U A0509
OPRHT70-2 E1112
5-1
OPR360U A0509
The Air Intake Filter, located on the right side of the ventilator behind
the Filter Cover, keeps dirt and particles out of the ventilators piston
OPR360U A0509
system and patient gas pathway. As the filter becomes dirty it can
reduce the volume of air drawn into the ventilator and add stress to
the pump. Check the Intake Filter weekly. Replace with a new filter
when the majority of the filter surface area is no longer white. Intake
Filters are not reusable.
OPRHT70-2 E1112
8-3
OPR360U A0509
Check the Proximal (Prox) Inline Filter weekly and replace it at least
every 3 months. Discard it and replace with a new filter if it appears
to have gotten wet or come in contact with a contaminant. Proximal
Inline filters are not reusable. If the filter becomes occluded, replace
the filter. The primary indication for this would be a Check Circuit or
Prox Line Alarm.
5-1
Maintenance Guidelines
Routine Maintenance
3 Perform the Circuit Check each time a fresh circuit/exhalation
valve is installed.
3
Check the Air Intake Filter (located behind the Filter Cover) at
setup and at least weekly while in use. In some environments, it
may need to be checked more often. Replace when the majority
of the filter surface area is no longer white. Air Intake Filters are
not reusable.
5-1
8-4
OPR360U A0509
Check the Mixer Intake Filter (located behind the Mixer Cover) at
setup and at least weekly while in use. In some environments, it
may need to be checked more often. Replace when the majority
of the filter surface area is no longer white. Mixer Intake Filters are
not reusable.
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
OPR360U A0509
OPRHT70-2 E1112
8-5
5-1
OPR360U A0509
General Warnings
Preventive maintenance work, repairs and service may only be
performed by Newport Medical trained or factory-authorized
personnel.
Always follow accepted hospital procedures or physician instructions
for handling equipment contaminated with body fluids.
The ventilator and its accessories must be thoroughly cleaned
and disinfected after each patient use. Perform all cleaning and
sterilization of external parts and accessories in accordance with
established hospital procedures and manufacturers instructions.
Certain components of the ventilator, such as the exhalation valve
and the front panel, consist of materials that are sensitive to some
organic solvents used for cleaning and disinfection (e.g. phenols,
halogen releasing compounds, oxygen releasing compounds, and
strong organic acids). Exposure to such substances may cause
damage that is not immediately recognizable.
5-1
OPR360U A0509
8-6
OPRHT70-2 E1112
5-1
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
8-7
Specifications
Specifications
Section 9:
OPR360U A0509
5-1
OPR360U A0509
5-1
Specifications
Section 9:
Specifications
5-1
Cancel
OPR360U A0509
Up/Down Arrow
5-1
OPRHT70-2 E1112
OPR360U A0509
9-1
9 Specifications
Miscellaneous Reference Symbols
Manufacturer Name and Address
Authorized Representative in the European community
OPR360U A0509
O
5-1
EC REP
Brightness control
Alarm Silence
s / t
Up / Down arrow
Federal law (US) restricts sale by or on the order of a
physician
Meets FAA requirements in RTCA standard, DO160, sec
21 category M for use in all stages of air travel, including
takeoff and landing.
Controls/Monitors
Controls / Monitors
Range / Selection
MODE (Pressure or
Volume Control)
A/CMV
Resolution
SIMV
SPONT
Breath type
(mandatory)
9-2
OPR360U A0509
1.0 mL
PC (Pressure Control)
5 to 60 cmH2O / mbar
1.0 cmH2O/
mbar
Flow
6 to 100 L/min
1.0 L/min
OPRHT70-2 E1112
Specifications
Controls / Monitors
Range / Selection
Resolution
i time (Inspiratory
Time)
0.1 sec
1.0 b/min
P trig (Sensitivity)
0.1 cmH2O/
mbar
0.1 to 10 L/min
0.1 L/min
PEEP/CPAP
0 to 30 cmH2O / mbar
1.0 cmH2O/
mbar
PS (Pressure
Support)*
1.0 cmH2O/
mbar
I:E Ratio
1:99 to 3:1
Airway Pressure
Gauge
O2 Sensor
Enabled or Disabled
When Enabled, high and low O2
alarms are active and O2 Cylinder Time
Calculator is available
PS Max i time*
OPR360U A0509
Slope Rise
1 -10 (1 is slowest)
Square or Descending
Bias Flow
AutoLock function
Enabled/ Disabled
AutoLock icon
O2 Cylinder Data
Altitude
BUV Settings
5-1
5-1
0.1 sec
OPRHT70-2 E1112
9-3
9 Specifications
0.01 L
0.01 L
5-1
RR total
0 to 200 b/min
1 b/min
P Peak
1 cmH2O/mbar
P Mean
1 cmH2O/mbar
P Base (PEEP)
1 cmH2O/mbar
(Peak) Flow
5 to 150 L/min
0.1 L/min
O2 Cylinder time
hours / min
15 minutes
Battery time
hours / min
15 minutes
O2% (optional)
21 to 100
1%
I:E Ratio
1:99.0 to 3.0:1
Alarms
Handle LED
Alarm Silence/ Reset Silences audible alarm for 60 sec; resets latched
button
alarm messages. Press repeatedly (or push and
hold for 3 seconds) to clear all latched messages.
5-1
9-4
OPRHT70-2 E1112
User Adjustable
alarms
Alarm
Priority
Range / Description
P (High Pressure)
P (Low Pressure)
High
4 to 99 cmH2O / 4 to 99 mbar
High
High
High
RR (High
Respiratory Rate)
Med
Apnea
High
5 - 70 seconds
O2
Med
O2
Med
VTE
Med
Backup Ventilation
(BUV)
Med
Automatic alarms
Alarm
Priority
Description
Low Baseline
Pressure
High
High Baseline
Pressure
High
Pressure Control
Setting Not Reached
High
Check Circuit
High
No External Power
Low
Occlusion
High
Occlusion Sustained
High
Device Alert
High
High
OPR360U A0509
5-1
OPRHT70-2 E1112
5-1
Specifications
9-5
9 Specifications
Alarm
Priority
Description
Motor Fault
High
Internal Temperature
Low
Backup Battery
Temperature
Low
Low
Med
Switching to Backup
Battery
Med
Running on Backup
Battery
Med
High
Backup Battery
Shutdown Imminent
High
Backup Battery
Failure
High
Flow Sensor
disconnect
Med
OPR360U A0509
5-1
9-6
5-1
Automatic alarms
OPR360U A0509
OPRHT70-2 E1112
Specifications
Hardware Requirements
Description
Patient outlet
22 mm OD
AC Power input
DC Power input
12 to 24 VDC
Power switch
RS-232C Interface
RJ435 connector
USB Ports
Electrical
5-1
OPR360U A0509
5-1
OPRHT70-2 E1112
OPR360U A0509
9-7
9 Specifications
Description
Emergency Intake
OPR360U A0509
100 cmH2O/mbar
5-1
Hardware Requirements
Environment
Description
Operating Temperature
-18C to 40C
NOTE: For proper operation at low
range temperatures (-18C), the HT70
must be started in a normal room
temperature environment and allowed
to run for 30 minutes prior to transfer to
colder environment.
Operating Humidity
15 to 95% non-condensing
Operating Altitude
Operating Pressure
-40 C to 65 C
0 to 95% non-condensing
5-1
9-8
Width
Depth
Weight
OPR360U A0509
OPRHT70-2 E1112
Specifications
Factory Default Parameters
MODE
A/CMV
VT (Volume Control)
500 mL
i time
1.0 sec
RR
15 b/min
Ptrig
1.0 cmH2O
Paw Alarm
Paw Alarm
MV Alarm
MV Alarm
O2
O2
5 cmH2O
PEEP/CPAP
0 cmH2O
PS
0 cmH2O
Alarm Loudness
Level 7
5-1
Patient Settings:
40 cmH2O
3 L/min
20 L/min
Off
Off
OPR360U A0509
Miscellaneous
Patient Circuit
Air
Atmospheric pressure
FiO2 Control
5-1
Oxygen
0-10 L/min
Air
Atmospheric pressure
FiO2 Control
OPR360U A0509
FiO2, indirectly adjusted from 0.21 up
to 1.00 via oxygen flow (L/min)
OPRHT70-2 E1112
9-9
9 Specifications
Regulatory and Agency Standards
Testing and evaluation of the HT70 Ventilator has been conducted in
compliance with the following voluntary standards:
OPR360U A0509
5-1
5-1
9-10
OPR360U A0509
OPRHT70-2 E1112
Explanation
Section 10:
Explanation of Modes
and Controls
of Modes and
Controls
OPR360U A0509
of Modes and
Controls
A/CMV................................................................ 10-1
SIMV Mode......................................................... 10-1
SPONT Mode..................................................... 10-2
NIV (Non Invasive Ventilation).......................... 10-2
PS (Pressure Support)*..................................... 10-2
PC (Pressure Control).......................................10-3
VC (Volume Control)..........................................10-3
Backup Ventilation............................................10-4
* Not available on the HT70S models
5-1
OPR360U A0509
5-1
Explanation
Section 10:
5-1
SIMV Mode
5-1
OPR360Ubelow
A0509
See Pressure Control, Volume Control and Pressure Support
for descriptions of how each of these breath types work.
OPRHT70-2 E1112
10-1
10
SPONT Mode
(Spontaneous Ventilation)
5-1
In SPONT mode, all breaths are spontaneous breaths that are flow/
pressure triggered by the patient. The user can adjust both PEEP/
CPAP and pressure support (PS)* levels. See Pressure Support
below for a description of how this breath type works.
OPR360U A0509
NIV
PS
(Pressure Support)*
Pressure Support (PS) spontaneous breaths are available to support
OPR360U A0509
5-1a patients spontaneous breathing efforts in SIMV and SPONT
modes. During each Pressure Support breath, the ventilator elevates
and then maintains patient airway pressure at a pressure equal to
10-2
OPRHT70-2 E1112
10
5-1
OPR360U A0509
PC
VC
5-1
OPRHT70-2 E1112
10-3
10
5-1
Backup Ventilation
Backup Ventilation activates when the currently linked alarm occurs.
This function can be linked with the Low Minute Volume (MVI/MVE)
alarm, the Apnea alarm, or both alarms. During Backup Ventilation
the linked alarm(s) will sound and the message window will indicate
that Backup Ventilation is in use. There are default Backup
Ventilation parameters, but the user may adjust these in the More/
Utilities/Custom Setting/BUV Screen.
Backup Ventilation is functional in all modes.
Backup Ventilation is not active for 60 seconds after the user adjusts
ventilator controls, changes modes or starts ventilation from the
Standby condition.
During Backup Ventilation, the Alarm Silence/Reset button can be
pressed to silence the audible alarm. This will not cancel Backup
Ventilation.
When linked with the Low Minute Volume alarm, Backup Ventilation
is based on the monitored inspiratory (on-airway flow sensor not
in use) or expiratory (on-airway flow sensor in use) minute volume.
The inspiratory minute volume may be different from the expiratory
minute volume in some conditions, such as in the case of a patient
breathing circuit or airway leak or circuit disconnect and between
different breath types. Be sure to check and if necessary, readjust
these alarm settings when installing or disconnecting the on-airway
flow sensor.
5-1
10-4
OPR360U A0509
OPRHT70-2 E1112
10
5-1
The factory default setting for Backup Ventilation in these two modes
will increase the respiratory rate by 1.5 times the set rate, up to a
maximum of 99 b/min. The minimum breath rate delivered is 15 b/
min.
OPR360U A0509
The respiratory rate (RR) will only increase up to a rate that produces
a 1:1 I:E ratio even if the calculated Backup Ventilation rate is higher.
Backup Ventilation in Spont Mode:
The factory default setting for Backup Ventilation in the SPONT mode
will implement these changes:
Mode = SIMV mode
Rate = 15 b/min
Pressure Control breath type = 15 cmH2O above set PEEP
i time = 1.0 sec
Cancellation of Backup Ventilation
User Canceled
If during Backup Ventilation, the user adjusts a ventilation parameter,
Backup Ventilation is suspended for one minute and all user selected
ventilation parameters are employed.
60 seconds must pass after parameter adjustments before a linked
alarm violation will result in Backup Ventilation.
Patient Canceled
If linked to low minute volume, when minute volume exceeds the
Low Min Vol alarm setting by 10%, Backup Ventilation is canceled.
If linked to Apnea Alarm, after 2 minutes of Backup Ventilation it is
canceled. At that time the audible alarm stops, the alarm indicator
latches and the HT70 resumes ventilation at the user-selected
parameters.
Press the Alarm Silence/Reset button to cancel the latched alarm
indicator and alarm message in the Message Display Window.
5-1
OPRHT70-2 E1112
OPR360U A0509
10-5