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Operating Manual For Plus Model: Newport HT70 Ventilator

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Newport Medical Instruments, Inc.

Newport HT70 Ventilator

Operating Manual
for Plus Model
OPRHT70-2 Rev. E
11/12

Newport Medical Instruments, Inc.


1620 Sunflower Ave.
Costa Mesa, CA 92626
Tel: 1.714.427.5811
Tel: 1.800.451.3111 (USA Only)
Fax: 1.714.427.0489
Customer Service ext. 282
0344

www.ventilators.com
email: Info@ventilators.com

Manual Revision History


HT70 Operating Manual OPRHT70-2
Revisions
Date
Description

5-1

Rev A October 2011 New release


OPR360U A0509

Rev B November 2011 Miscellaneous type corrections,



text change on page 3-3, 7-1, 7-3

regarding Power Pac.
Rev C May 2012 Add Operating Manual Reivison

Notice regarding the following

change: Pulse Oximeter accessory

and related functions no longer

available
Rev D July 2012 Software update ver. P05.12.10 and

above, Remove references to optional

Pulse Oximeter (not available),

Change Slope/Rise setting

was: 1 is fastest, is: 1 is slowest
Rev E November 2012 Update to correct image reversal in F-1

and F-2, callout labels on various

drawings converted to numbers and

referenced in text or added to table.

Remove reference to Aequitron nurse

call systems. Replace warranty details

with who to contact information.

5-1

OPRHT70-2 E1112

OPR360U A0509

Contact Information

OPR360U A0509

We know that ventilatory support is critical in emergency and critical


care situations. But for many of our customers, it is also a part of
their daily lifestyle. The HT70 Ventilators offer home care users the
expanded mobility that allows them to experience more freedom in
their lives than many have ever known before.
We have designed this manual to be comprehensive and still very
user friendly. For the best performance from your HT70 Ventilator,
please take the time to review this manual completely.
See our contact information on the following page for complete
details.

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

Unfold to view drawing on reverse side

OPRHT70-2 E1112

Figure F-1

English Version- Front Panel Overview


1. Breath Delivery Indicator LED. Flashes green with every breath delivered by the
ventilator.
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.

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.

Patient Gas Output. Attach patient breathing circuit tubing here.

7.

Proximal Pressure Line connector. Attach proximal pressure tubing here.

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.

14. s Up / t Down Arrow buttons. Press to change a highlighted parameter up/down



by one unit. Hold down continuously and the parameter will change at an increasingly

quicker pace.

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

Unfold to view drawing on reverse side

OPRHT70-2 E1112

Figure F-2

Symbols Version- Front Panel Overview


1. Breath Delivery Indicator LED. Flashes green with every breath delivered by the
ventilator.

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.

Patient Gas Output. Attach patient breathing circuit tubing here.

7.

Proximal Pressure Line connector. Attach proximal pressure tubing here.

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

14. s Up / t Down Arrow buttons. Press to change a highlighted parameter up/down



by one unit. Hold down continuously and the parameter will change at an increasingly

quicker pace.
15. Touch Screen User Interface. Touch screen to access alarms and parameter settings.
16. Flow Sensor connector. Attach on-airway flow sensor here.

F-2

OPRHT70-2 E1112

Unfold to view drawing on reverse side

OPRHT70-2 E1112

Figure F-3 HT70 Plus Model Touch Screen (Hospital Domain)

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

Brief Device Description.............................................................. 1-1


Intended Use............................................................................... 1-3
Warnings, Cautions and Notes.................................................... 1-3

OPR360U A0509

2 Overview 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

3 Set up and 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
D.C. Auto Lighter Power Adapter........................................ 3-14

4 Navigating the HT70 Screens

5-1

Touchscreen (Graphical User Interface) Layout.......................... 4-1


Primary Screen Buttons and Displays........................................ 4-1
Ventilator Settings Adjustment....................................................4-4
Start Up Screen Navigation (Standby Condition Only)...............4-4
Circuit Check Button.............................................................4-5
How to Perform a Circuit Check......................................4-5
If the Circuit Check Fails..................................................4-6
OPR360U A0509
Activate Preset Button........................................................... 4-7
How to Use a Preset........................................................ 4-7
Start Ventilation Button............................................................... 4-7

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

5 Operating the HT70 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

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

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 and Battery Time Estimator.... 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
OPR360U A0509

8 Cleaning and Maintenance


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

Factory Default Parameters.........................................................9-9


Miscellaneous .............................................................................9-9
(optional) Air / Oxygen Entrainment Mixer...................................9-9
(optional) Low Flow Oxygen Reservoir........................................9-9
Regulatory and Agency Standards........................................... 9-10
OPR360U A0509

10 Explanations of Modes and Controls


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

Brief Device Description..................................... 1-1


Intended Use........................................................ 1-3
Warnings, Cautions and Notes..........................1-4

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

The HT70 may be operated from a variety of AC (100-240 VAC @ 50 /


60 Hz) or DC (12-24 VDC) external power sources or from the Internal
Dual Battery System. The optional DC Auto Lighter Power Adapter
accessory enables connection to an automobile-type DC outlet. Any
time the ventilator is connected to external power, both batteries in
the Internal Dual Battery System are charging, whether or not the
ventilator is in use.
Travel Certified
The HT70 has been tested for and meets requirements for use in
helicopter and fixed wing transport and for use on commercial airlines.
Before traveling, be sure to speak with your airline representative
about their particular concerns and clear all of your equipment with
them well before your departure. The labeling that the FAA requires to
be on the ventilator is located on the bottom of the HT70.

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

Newport Medical offers five configurations for the 3 models in the


HT70 family of ventilators. See Table 1. In addition, the front control
panel labeling is available in various languages and regional power
cords, i.e. North American, European, etc., can be specified. See
your Newport Medical Representative for details.
OPR360U A0509

Table 1
Part Number

Description

Distinguishing Features

HT70 Plus

Full featured with Flow sensor,


graphics and built-in oxygen monitor
with alarms.

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

HT70, Basic w/o


Oxygen Sensor

Classic features except:


No Pressure Support or Pressure
Support parameters
No Trends
No built-in oxygen monitor

HT70PM

HT70S

HT70SM

Classic features except:


No Pressure Support or Pressure
HT70, Basic with
Support parameters
Oxygen Sensor
No Trends
Includes built-in oxygen monitor with
alarms

Warnings, Cautions, and Notes


Please review all WARNINGS and Cautions outlined in this manual
before operating the ventilator.
Use of the product requires full understanding and strict observation
of all sections of these instructions. The equipment is only to be used
for the purposes specified under Intended Use and in conjunction
with appropriate patient observation and monitoring. Observe
all WARNINGS and Cautions that appear in this manual and on
OPR360U A0509
5-1equipment labels.
WARNING A warning describes a condition that can cause injury.

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

This manual excludes references to various hazards which are


obvious to medical professionals and operators of this equipment
including consequences of product misuse, and potential adverse
effects in patients with abnormal conditions.
OPR360U A0509

Transport of patients with the HT70 requires that medical staff


have a good working knowledge of the ventilators use and
problem resolution. Proper emergency backup equipment must be
immediately available during transport.

OPRHT70-2 E1112

1-5

1 Introduction
5-1

Product modification or misuse can be dangerous. Newport Medical


Instruments, Inc. disclaims all liability for the consequences of
product alterations or modifications, as well as for the consequences
which might result from the combination of this ventilator with other
products, whether supplied by Newport or by other manufacturers,
unless such a combination has been specifically endorsed by
Newport Medical. There is a risk of explosion if used in the presence
of flammable anesthetics.
OPR360U A0509

A patient connected to a ventilator requires the constant attention of


trained caregivers to the patients condition.
Ventilator alarms are a critical element in the safety net of patient
care. It is extremely important for patient safety that caregivers
immediately identify and correct alarm violations.
Always have an alternate power source and means of ventilation
available when the ventilator is in use so that they are easy to access
in case of a mechanical or system problem.
If a fault is detected in the ventilator and its life support functions are
in doubt, immediately discontinue use; use an alternative method of
ventilation until the fault has been corrected. Contact your service
provider immediately.
Do not block the Emergency Gas Intake (on the bottom panel) or the
Fresh Gas Intake Port (on the right side panel).
Always use appropriate monitors to ensure sufficient oxygenation
and ventilation (such as a pulse oximeter and/or a capnograph) when
the HT70 Ventilator is in use on a patient.
The optional Air/Oxygen Entrainment Mixer and Low Flow Oxygen
Reservoir are designed to operate with medical grade oxygen.
Ensure that the oxygen source is not empty before and during
the use of the optional Air/Oxygen Entrainment Mixer or Low Flow
Oxygen Reservoir.
To avoid putting stress on the internal pump and compromising
gas delivery to the patient, ensure that the Air/Oxygen Entrainment
when
OPR360U
A0509
5-1Mixer is not connected to the gas intake port on the ventilator
performing a Circuit Check. Ensure that the oxygen supply is enabled
any time the optional Air/Oxygen Entrainment Mixer is secured in
place while ventilating.

1-6

OPRHT70-2 E1112

Introduction

5-1

Calibrated oxygen monitoring at clinically appropriate levels is


required for patient safety when supplemental oxygen is in use. The
optional built-in oxygen sensor on the HT70 allows High and Low O2
alarms to be enabled which can be used to assure proper oxygen
delivery.
OPR360U A0509

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

Adding attachments or other components or sub-assemblies to the


ventilator breathing circuit system can increase the patients work of
breathing and/or add resistance to patient exhalation.
OPR360U A0509
Always ensure that the audible alarm loudness level is set at a
volume that can be heard by the caregiver. Do not use the ventilator
in an environment where audible alarms cannot be heard by the
caregivers.

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

This device has undergone EMC testing and found to be in


conformance with IEC 60601-1-2:2001 and meets the requirement of
CISPR11:2004 (Class B), IEC 61000-3-2:2006, and IEC 61000-3-3:1955
+ A1:2001 + A2:2005. These requirements are designed to provide
reasonable protection against harmful interference in a typical medical
installation, as well as in homecare environments. The equipment
generates, uses and can radiate radio frequency energy and, if not
installed and used in accordance with these instructions, may cause
harmful interference to other devices in the vicinity. However, there is
no guarantee that interference will not occur in a particular installation.
If this equipment does cause harmful interference with other devices,
which can be determined by turning the equipment off and on, the
user is encouraged to try to correct the interference by one or more of
the following measures;




Reorient or relocate the receiving device.


Increase the separation between the equipment.
Connect the equipment into an outlet on a circuit different from
that to which the devices(s) is connected.
Consult the manufacturer or field service technician for help.

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

Overview of Controls, Screens and Connectors


Front Panel Overview

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

Touch Screen Overview (Hospital Domain)


Please refer to Foldout drawing F-3 at the front of the manual. The
HT70 touch screen includes direct access to essential screens for
setting patient parameters and alarms. Simple menu navigation
allows access to advanced features and utility screens.
NOTE: While operating on internal battery power, when the Power
Save feature is ON and there are no active alarms, the touch screen
will go to sleep after two minutes. Just touch the screen or any
membrane button to bring it back into view.

Internal Dual Battery System Overview


The Internal Dual Battery System can provide up to 10 hours of
operation when new and fully charged (under standard conditions
shown in Section 7) and consists of two independent but coordinated
lithium ion batteries; the hot swappable Power Pac battery and
the secondary Backup Battery. When external power is lost, the
ventilator will run on the Power Pac until the Switching to Backup
Battery alarm activates. The Backup Battery will then provide a
minimum of 30 minutes of emergency back up power. The Backup
Battery portion of the system also maintains operation without
interruption whenever the Power Pac is swapped out. The Power Pac
can be recharged independently from the ventilator. The Power Pac
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 Pac onto the HT70 and power it ON to verify

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

2 Overview of Controls, Screens and Connectors


the actual charge level percentage (shown in the message display).
Proper care and maintenance of the Internal Dual Battery System will
ensure the longest life and best usage performance. See Section 7
for complete details on the Internal Dual Battery System.

5-1

OPR360U A0509

Rear Panel Overview

1. Power Pac battery pack


2. External power supply input
3. Remote alarm output Connects to Nurse Call systems.
4. Release latch Push to remove battery pack.
5. RS-232 output External communication port to communicate
with central monitoring systems.
6. Serial number label
7. On/Off power switch Momentary switch to power the
ventilator On/Off.

5-1

2-2

OPR360U A0509

OPRHT70-2 E1112

Overview of Controls, Screens and Connectors


Right Side Overview

5-1

OPR360U A0509

1. Fresh Gas Intake port / Oxygen Accessories connection/


Optional Oxygen Accessories / Bio-filter connection Allows
attachment of the optional Air Oxygen Entrainment Mixer, Low
Flow Oxygen Reservoir or Bio-filter.
2. Air Intake Filter cover Allows visual inspection of the air intake
filter through the transparent cover.

Left Side Overview

1. Cooling fan cover Protects the internal fan.


2. USB ports (2) Allows the attachment of optional accessories
such as:
a flash drive for downloading the Trends* and Event History
files or uploading new software.

5-1

OPR360U A0509

*not available on HT70S model

OPRHT70-2 E1112

2-3

2 Overview of Controls, Screens and Connectors


Bottom Panel Labeling

OPR360U A0509

NOTE: The serial number for the unit is located on the lower rear
panel near the power switch.

5-1

The Bottom Panel of the HT70 includes a label that contains


information regarding agency approvals and power ratings. Here you
will find the model number and manufacturing information.

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

Set up and Pre-use Preparation


Unpack the HT70 Ventilator

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

The Newport HT70 Ventilator, Plus Model assembly includes the


following parts:
1 ea. HT70PM-XX-XX Ventilator
1 ea. OPRHT70-2
Operating Manual
1 ea. PWR3204P
AC Power Supply with Pinch Release
1 ea. PWRXXXX
Country specific Power Cord
1 ea. HT460300
Air Intake Filter, Disposable (pkg. of 5 filters)
1 ea. HT6004701
Prox. Inline Filter, Disposable (pkg. of 5

filters)
1 ea. FLT3302P
Bacteria Filter
2 ea. -------------
Adult/Ped Flow Sensor Kit (pkg. of 1)
Optional accessories:

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

Adult/Ped Flow Sensor Kit (pkg. of 4)


Low Flow Oxygen Reservoir
Air/Oxygen Entrainment Mixer
(country specific)
Mixer Filter (for Air/Oxygen Entrainment
Mixer)
DC Auto Lighter Power Adapter
Power Pac Battery Pack with LED
AC Power Supply with Pinch Release (use
to recharge extra batteries) (requires
country-specific power cord)
NA-North American Style Power Cord (use
with Power Supply)
UK-British Style Power Cord (use with
Power Supply)
EU-Euro Style Power Cord (use with Power
Supply)
Remote Alarm Cable (1/4 phone jack
connector)
HT70 Cruiser Cart
Single e-Cylinder Mount
OPR360U A0509
Dual e-Cylinder Mount

Contact Newport Medical Customer Service for more details on


available accessories.

OPRHT70-2 E1112

3-1

3 Set up and Pre-use Preparation


Assemble the Ventilator
After unpacking the ventilator, check to see that you have all
the accessories needed and check for any damage that may have
occurred during shipping.
Assemble the cart using the instructions provided with the cart.
Securely position the ventilator on the pedestal mount of the cart.

OPR360U A0509

Caution: Take care to assemble the cart correctly to assure that the
ventilator and accessories remain secure and are not damaged.

Connect to A.C. Power


The HT70 comes with an AC Power Supply that includes AC power
adapter with pinch-release power plug. The detachable AC power
cord can be ordered in country specific configurations. Only use the
approved HT70 AC Power Supply to connect the HT70 Ventilator to
AC power.
1. External power
supply input
2. Pinch Release
power cable
3. AC power cord
4. AC power adapter

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.

Set up and Pre-use Preparation

5-1

OPR360U A0509

Pinch release power plug


Caution: Do not twist the power plug or it may be damaged.
When the HT70 Ventilator is connected to external power, both batteries
in the Internal Dual Battery System are charged simultaneously.
NOTE: Check the Battery Charge gauge on the touch screen to
ensure that both the Power Pac battery and the secondary Backup
Battery are fully charged before disconnecting from external power.
The Power Pac can also be connected to external power
independently of the ventilator. Before installation on an HT70
Ventilator, check the Battery Charge LED on the bottom edge of the
battery to ensure that the green LED is lit, indicating that the charge
level is approximately 90% or above. Insert the Power Pac onto the
HT70 and power it ON to verify the actual charge level percentage
(shown in the message display area).

Using the Power Switch


The momentary-type power switch
is located on the left side rear of the
ventilator along the bottom edge.
To power the ventilator On: Press
the power switch once and wait for
the startup screen to appear.
The ventilator will be in Standby
Condition. You can make settings
changes and perform the Circuit Check prior to ventilation.
On/Off momentary
power switch

To start ventilation, touch the Start


Ventilation button at the top of the
screen.

5-1

To power the ventilator Off: Press


the power switch once. A message
appears that prompts you to Press
Accept to Shutdown or Cancel to
Ignore. Pressing the Accept

OPRHT70-2 E1112

OPR360U A0509

3-3

3 Set up and Pre-use Preparation


button will power off the ventilator. Pressing Cancel will return the
ventilator to its previous state. Press Alarm Silence to silence the
Shut Down alarm.

Make Parameter Changes

5-1

OPR360U A0509

Most parameters are changed with a simple Touch / Adjust / Accept


method:

1. Activate the control by touching it (button will appear
highlighted).
2. Use the Up/Down s t buttons to adjust the setting.
3. Press the Accept button to accept the change.
You can make several adjustments before accepting the changes.
When you are satisfied with all of the changes, you can accept them
all by pressing the Accept button once. In the case of a mode and
or breath type change, select the Main Screen for view, change the
mode and/or breath type and then adjust all visible parameters prior
to pressing the Accept button.
Before you accept any change, if you want to go back to the previous
settings, simply press the Cancel button.
NOTE: If a parameter is touched and adjusted but Accept is not
pressed within 20 seconds of the last button touched, the parameter
will revert to the original setting.

Attach a Patient Circuit


Always use a clean and dry patient circuit.
Always use an inline filter (p/n HT6004701 or equivalent) at the Prox.
Line Connector to protect the internal transducers from moisture or
other contaminants.
Always use a bacteria filter (p/n FLT3302P or equivalent) on the Gas
Output connector.
Always orient the exhalation valve for the correct flow orientation.
Valves used in a single limb circuit have arrows that point towards the
patient and valves that are used in J style or two limb circuits have
arrows that point away from the patient.

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

Set up and Pre-use Preparation


The HT70 Ventilator will perform to specification when Newport
recommended breathing circuits and exhalation valves are used.
Newport cannot guarantee the safe use of breathing circuits or
exhalation valves that are not recommended.

5-1

OPR360U A0509

For use with a third party humidifier:


When using a humidifier with the ventilator, be sure to follow the
manufacturers instructions for use.
See Figure 1:
1. Attach a bacteria filter to the Gas Output connector on the HT70.
2. Locate the short piece of 22 mm ID circuit tubing. Connect the
end that includes the prox line pressure port to the inlet port of
the humidifier.
1.
2.
3.
4.

Prox Line Pressure Port


Inlet port
Humidifier
Short section breathing
circuit
5. Bacteria filter
6. Gas output connector

rm
A la c e
S i l en et
R es

C an

ce l

Acc

e pt

al
Extenr er
P ow

al
Ma n u o n
i
Inlf ta

1
2

B rgi h

tnes s

Devci

e
Aetl r

X.
PR O
LI N E

E X H. E
V
VA L
G AS U T
O U TP

5
3

Figure 1

5-1

OPR360U A0509

OPRHT70-2 E1112

3-5

3 Set up and Pre-use Preparation


3. Attach the other end of the breathing circuit to the bacteria filter
on the HT70 Gas Output connector.
Breathing circuit
Outlet port
Humidifier
Pressure port
Prox line
Prox inline filter
Prox line connector

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.

c el

Ac c

ept

na l
E x te r r
Powe

Manual on
i
In fla t

B r ig h

tnes s

e
De iv c t
A le r

P R OX
L I NE

.
E XH E
V
VA L

G AS P UT
OUT

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

Set up and Pre-use Preparation


rm
A la n c e
S ile s e t
Re

C an

c el

Ac c

e pt

na l
E xter r
Powe

1.
2.
3.
4.
5.

Exhalation Valve connector


Exhalation Valve tubing
Patient wye connector
Breathing circuit
Exhalation valve

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

12. If a temperature probe is used, insert probes into ports at either


end of the tubing that connects the humidifier and the patient wye
connector.
OPR360U A0509

OPRHT70-2 E1112

3-7

3 Set up and Pre-use Preparation

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.

Gas Output connector


Bacteria filter
Breathing circuit
HME
Flex Tube (optional)
Pressure tee adapter
(patient side)
7. Prox line tubing
8. Prox inline filter
9. Prox Line connector

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

Set up and Pre-use Preparation

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

3 Set up and Pre-use Preparation

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

Set up your patient breathing circuit as described above for the


appropriate usage (with or without humidifier or HME). Plug the onairway flow sensor connector into the port on the front panel of the
HT70 Plus. Attach the on-airway flow sensor to the patient end of the
breathing circuit with the blue tubing toward the patient.

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.

When it is connected the ventilator will recognize the on-airway flow


sensor and enable these added features:

Flow trigger
Exhaled volume monitoring
High Tidal Volume alarm
High and low expiratory minute volume alarms

5-1

Set up and Pre-use Preparation

OPR360U A0509

Caution: When giving nebulizer treatments through the ventilator


circuit, be sure to remove the flow sensor from the circuit. This will
protect the flow sensor from medication build up.

Connect Optional Accessories


Connect optional accessories such as the Air/Oxygen Mixer, Low
Flow Oxygen Reservoir or Biofilter, to the right side of the HT70 at the
Fresh Gas Intake Port.
For External DC Power use, connect the DC Auto Lighter Cable into
the external power supply input on the rear of the Power Pac battery
pack.
WARNING Do not block the Fresh Gas Intake Port on the right side
of HT70. Use only approved accessories.
Air/Oxygen Entrainment Mixer (optional)
The Air/Oxygen Entrainment Mixer (p/n MXL70A-XX-XX) which is
used to blend atmospheric air with 50 psi medical grade oxygen,
attaches to the Fresh Gas Intake Port on the Filter Cover (right side
of the ventilator). Attach the mixers high pressure hose to an active
source of medical grade, 100% oxygen, before attaching the mixer
to the ventilator. The mixer should not be attached to the ventilator
before the Circuit Check is completed. Make sure that the oxygen
source gas is always on while using the mixer during ventilation.
Use the mixers control knob to adjust oxygen enrichment of the gas
delivered to the patient circuit from 21 to 100 percent. The mixer
does not need re-adjustment when the PEEP and Bias Flow settings
or patients minute volume change.

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

3 Set up and Pre-use Preparation


Check the mixer filter (p/n FLT3209P) at the time of setup and weekly
during use. Replace when dirty. See section 8 for instructions.
Pneumatic Requirements:
Oxygen 35-65 psig
(2.4 to 4.5 Bar)
Maximum accuracy 40-50
psiq (2.7-3.4 Bar)

5-1

OPR360U A0509

Note: Oxygen source gas


must be medical grade,
100% oxygen.

Oxygen Mixer
Canc
el

Acc

ept

GAS
OUT
PUT

EXH.
VALV
E

Low Flow Oxygen


Reservoir (optional)
The Low Flow Oxygen
Low Flow Oxygen
Reservoir (p/n RSV3215A)
Reservoir
which is used to blend
atmospheric air with 1-10
L/min of medical grade
oxygen, attaches to the
Fresh Gas Intake Port on the
Filter Cover (right side of the
ventilator). Attach oxygen
supply tubing between the
oxygen flowmeter and the small bore connector on the reservoir.
Attach the reservoir to the ventilator.
Ca nc

Acc

G AS
OU T
P UT

el

ept

E XH
.
VA LV
E

Use the oxygen flowmeter to adjust oxygen enrichment of


the gas delivered to the patient circuit. When the Low Flow
Reservoir is in use, the percent of oxygen that is delivered
from the ventilator into the breathing circuit will vary,
depending on the use of Bias Flow and PEEP, the delivered
minute volume and the percent O2 of the source gas.

5-1

3-12

OPR360U A0509

OPRHT70-2 E1112

Set up and Pre-use Preparation


Oxygen Supply Flow vs Desired % of Oxygen
For Use With PEEP
1

5-1

OPR360U A0509
6

7
1

Min Vol i 25 Liters

Min Vol i 20 Liters

Oxygen Supply Flow, L/min

Min Vol i 15 Liters

Desired % of Oxygen Enrichment

Min Vol i 10 Liters

Min Vol i 5 Liters

Oxygen Supply Flow vs Desired % of Oxygen


For Use Without PEEP
1

7
1

Min Vol i 25 Liters

Min Vol i 20 Liters

Oxygen Supply Flow, L/min

Min Vol i 15 Liters

Desired % of Oxygen Enrichment

Min Vol i 10 Liters

Min Vol i 5 Liters

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

To keep a constant percentage of O2, the flowmeter will need reOPR360U


A0509 is
adjustment when PEEP is turned on or off or the Bias Flow
setting
changed (PEEP and NIV on) or the patients minute volume changes.
Use a calibrated oxygen monitor with alarms (such as the one that
is built-in to the ventilator) to assure that the percentage of O2 that

OPRHT70-2 E1112

3-13

3 Set up and Pre-use Preparation


is delivered by the ventilator into the patient circuit matches the
prescribed value.
Pneumatic Requirements: Oxygen 0-10 L/min
OPR360U A0509

Caution: Water in the oxygen supply can cause equipment


malfunction and damage.
DC Auto Lighter Power Adapter (optional)
The DC Auto Lighter Power Adapter (p/n ADP3203P) is used to plug
the HT70 into any vehicles DC power outlet (12 VDC to 16 VDC). The
external DC source of power will not only power the ventilator but
also charge both batteries in the Internal Dual Battery System.
This cable can also be used to connect the HT70 Ventilator to
other external batteries (12 VDC to 16 VDC) when combined with
an alligator clip adapter that is available from common electronics
outlets such as Radio Shack.
To use the DC Auto Lighter Power Adapter, plug the adapters pinchrelease power plug 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
the other end of the adapter into a vehicles autolighter power outlet
(12 VDC to 16 VDC).
To remove the DC Auto Lighter Power Adapter from the external
power supply input, gently pinch the connector to release the locking
pin and then pull the plug out.

5-1

3-14

OPR360U A0509

OPRHT70-2 E1112

5-1

WARNING Using an oxygen concentrator in place of medical grade


oxygen will result in lower oxygen percentage levels than what is
printed on the graphs. Use a calibrated oxygen monitor to verify the
level of oxygen enrichment.

Navigating
Section 4:

Navigating

OPR360U A0509

the Screens

Touchscreen (Graphical User Interface)


Layout............................................................. 4-1
Primary Screen Buttons and Displays.............. 4-1
Ventilator Settings Adjustment..........................4-4
Start Up Screen Navigation (Standby
Condition Only).............................................. 4-4
Circuit Check Button..................................... 4-5
How to Perform a Circuit Check...............4-5
If the Circuit Check Fails...........................4-6
Activate Preset Button.................................. 4-7
How to Use a Preset..................................4-7
Start Ventilation Button................................ 4-7
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
OPR360U A0509
5-1 Utility Screen Details....................................4-19
Time/Altitude Screen...............................4-19
Customize Settings Screen.....................4-20
Custom Presets...................................4-21
Back Up Ventilation.............................4-22

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

Navigating the Screens


Touchscreen (Graphical User Interface) Layout
The touchcreen display is color coded so that it is very easy to
differentiate between basic ventilation settings which are green, alarm
settings which are red and monitored values which are yellow (on blue
background). The More and Utility settings are in blue.

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.

Primary Screen Buttons and Displays


Refer to Figure 1

1/10
9

8
3

6/7
5
Figure 1

5-1

OPR360U A0509

1. Start up Screen selection buttons: While in Standby


Condition there are three additional buttons in the Message
and Alerts display window. They disappear when the Start
Ventilation button is touched. See Startup Screen Navigation
on page 4-4 for a full description.
OPRHT70-2 E1112

4-1

4 Navigating the Screens

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.

Navigating the Screens


during transport applications. The Hospital and Transport
Domains provide full access to all ventilation and alarm
settings as well as to the special screens and menus. Full
access is recommended for use in acute care settings and
for the initial setup of patients in long term care before
switching to Basic Domain. See Domain Navigation on pg
4-23 for more details.

5-1

OPR360U A0509

7. Auto Lock button: The Auto Lock function is enabled from


the Utility screen. When Auto Lock is enabled, the
touchscreen will automatically lock 20 seconds after the last
button was touched. When this occurs, a lock icon will
appear in the lower right corner in place of the Domain
button. To unlock the screen, simply touch and hold the lock
icon for 3 seconds. The screen will automatically relock when
no buttons have been touched for 20 seconds.
8.



Pressure Bar: The pressure bar appears on every screen.


It indicates dynamic pressure in the patient circuit with a
green bar that rises and falls. The High and Low Pressure
Alarm settings are indicated with red lines and the peak
pressure of the last breath is indicated with a green line.

9.



Battery Charge Level display: A battery icon is displayed in


the upper right corner of the screen. This icon indicates the
percent of charge level of the battery that is currently
operating the ventilator - either the Power Pac battery pack
(blue icon) or the Backup Battery (red icon).

10. Messages and Alerts display: In Standby Condition there


are three startup buttons that appear in this area. They
disappear when the ventilator is in ventilating condition. While
in Standby or while ventilating, messages, including alarm
alerts, are displayed in the message display area of the screen
in order of priority. Active alarms are displayed first followed
by latched alarms that have not been cleared by the user.

5-1

NOTE: To clear alarm messages, press the Alarm Silence


Reset button (located on the top of the panel). As you clear
each alarm message, the alarm message with the next priority
will appear in the message display area. Continue pressing to
clear all alarm messages. Press and hold for 3 seconds to
clear all at once.
OPR360U A0509

OPRHT70-2 E1112

4-3

4 Navigating the Screens


Ventilator Settings Adjustment

5-1

Most ventilator settings are changed by touching a parameter to


highlight it, using the up and down arrows to change the set value,
and then pressing Accept to confirm the change. Pressing and
holding the arrow button makes the change happen more rapidly.
Other parameters are changed by toggling, meaning that the same
button is touched repeatedly to change the value, then confirmed by
pressing Accept. In either case, you can press the Accept button
after each setting change or make multiple changes and then press
Accept.
OPR360U A0509

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.

Startup Screen Navigation (Standby Condition only)


When the HT70 is turned On, it goes through a short self-test before
entering the Standby Condition. Make sure that you hear the alarm
sound and see the LEDs light during the short self-test. While in
Standby, the Startup Screen is available. In addition, ventilator
settings can be adjusted. The Startup screen includes three buttons
in the top message area: Start Ventilation, Circuit Check and Activate
Presets.
OPR360U A0509

5-1

4-4

OPRHT70-2 E1112

Navigating the Screens

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.

How to perform a Circuit Check


1. Touch the Circuit Check button at the top of the touchscreen and
follow the on-screen instructions.

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

4 Navigating the Screens


4. For Step 2, open the patient connection end of the patient circuit.
5. Press the Accept button to continue the Circuit Check.

5-1

6. If the test passes, the message Circuit Check PASSED Press


Accept to Confirm will be displayed.
OPR360U A0509

7. When the Circuit Check is completed, adjust patient settings as


needed and touch the Start Ventilation button when you are ready
to begin ventilation.
8. To cancel the Circuit Check and return to the Startup Screen,
press the Cancel button.
If the Circuit Check fails:
o

The message Circuit Check FAILED Press Accept to


Continue will be displayed.

Press the Accept button to return to Startup Screen.

Check that all breathing circuit connections are properly


connected and leak free.

Verify that the Air Oxygen Entrainment Mixer is not attached to


the Fresh Gas Intake port.

Then touch the Circuit Check button to redo the test.

If the Circuit Check fails repeatedly, try a different circuit.


WARNING Do not use the HT70 if the Circuit Check fails, inadequate
ventilation may result. Use an alternate method of ventilation. Contact
Newport Medical Technical Support.
NOTE: The Circuit Check results are logged into the Event History and
retained after power down.

5-1

4-6

OPR360U A0509

OPRHT70-2 E1112

Navigating the Screens


Activate Preset Button

5-1

OPR360U A0509

While in Standby, ventilation and alarm settings can be adjusted


manually or they may be adjusted using custom or default preprogrammed parameter sets (presets) for Adult, Pediatric and Infant
patients. From the Activate Preset screen you can also touch the
New Patient Flag button to enter a New Patient flag in the Events
History log. You must be in Standby Condition to activate a preset or
enter a new patient flag.
How to Use a Preset
1. Touch the Activate Preset button.
2. Touch one of the six preset buttons that appear on the
screen. Default Preset settings are based on factory set
defaults. Custom Preset settings must be established by
the user.
3. Press the Accept button to implement the settings.
NOTE: If you do not want to use a Preset, press the Main, More and
Alarms buttons and adjust ventilation and alarm parameters.
To establish custom parameters for a preset you must first set all
parameters and alarms as you want them for your patient. Then go
to the More/Utility/Custom Settings/Set Custom Preset to select
a custom preset button. For instructions on how to customize the
Custom Patient Presets see page 4-20.
Start Ventilation button
Touch the Start Ventilation button to exit the Standby Condition and
begin ventilation.

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

4 Navigating the Screens

OPR360U A0509

Alarms Screen Navigation

(May be accessed in all Domains, Standby or Ventilating Condition


except where noted) Refer to Figure 2.
See Section 9, Specifications, for ranges and more details for each
alarm and setting.
To enter Alarms Screen: Touch the Alarms button.
To set Alarm limits (not available in Basic Domain): Touch an Alarm
limit button to activate (highlight) it, use the up and down arrow panel
buttons to adjust the limit, then press Accept to confirm changes or
press Cancel to return to original settings. You can set multiple limits
before pressing Accept.

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)

#Min Vol (High Minute Volume)


$Min Vol (Low Minute Volume)
Apnea (time adjustment)
OPR360U A0509
+
#VTE (High Exp. Tidal Volume)

+ only available on the HT70 Plus model when the on-airway flow sensor is in use

4-8

OPRHT70-2 E1112

5-1

monitored O2 is not representative of the set O2 or the O2 that will be


delivered during ventilating condition. After starting ventilation, use
a calibrated oxygen monitor (such as the one that is built-in to the
ventilator) to verify that the Air Oxygen Entrainment Mixer setting or
liter flow attached to the Low Flow Oxygen Reservoir is delivering the
prescribed O2.

2. Alarm Loudness Level 1-10 (10 is loudest) Touch this button,


use the up and down arrow panel buttons to adjust the loudness
level, then press Accept. Always set the alarm loudness level high
enough to ensure that caregivers will hear any alarm. If necessary
attach a remote alarm system (see Utility Screen for remote alarm
selections) to ensure that the caregiver can always hear an alarm
when it sounds.

5-1

Navigating the Screens

OPR360U A0509

3. Alarm Quickset During Ventilating (not Standby) condition,


when there are no active alarms violations, Alarm Quickset will
automatically set the alarm limits. Touch this button to enter the
Alarm Quickset screen, then press Accept to activate or Cancel to
return to the Alarms screen.
When activated, Alarm Quickset monitors settings for 30 seconds
and then sets the alarms. If an alarm occurs during the monitoring
period, Quickset is canceled. During the 30 second period the touch
screen will not respond unless an alarm occurs or the Cancel button
is pressed.
Alarm Quickset will only activate when in ventilating condition.

Main Screen Navigation

(May be accessed in all Domains, Standby or Ventilating Condition)


See Section 9, Specifications, for ranges and details for all
parameters.
The ventilation parameters that are displayed on the Main Screen are
determined by the mode and breath type that are selected with the
Mode/Breath Type buttons along the left margin of the touchscreen.
Select the Mode and Breath Type first to see the Main Screen
parameters that need adjustment.

5-1

OPR360U A0509

OPRHT70-2 E1112

4-9

4 Navigating the Screens

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+

NOTE: When an on-airway flow sensor is detected, both the Flow


Trig and Ptrig settings are active and the first available detection of
patient effort (either flow or pressure ) will trigger a breath.
NOTE: For Volume Control mandatory breaths, VT, Flow and i
time are available to be set. The VT (tidal volume) is the controlling
setting. Flow and i time setting are inversely related to each other.
Changing either Flow or i time causes the inversely related setting to
be recalculated to match the new Flow or i time setting and the VT
remains steady.
For example, if you change the Flow rate to a higher setting, the
If you change
OPR360Uthe
A0509

5-1i time will decrease to meet the new Flow setting.

*not available on HT70S models


+ only available on HT70 Plus models

4-10

OPRHT70-2 E1112

Navigating the Screens


i time to a longer time period, the Flow rate will decrease to meet the
new i time setting.

5-1

Also while in Volume Control, changing the Flow waveform setting


on the More Screen will cause the Flow to change on the Main
screen. A square wave will use a lower flow and a descending ramp
waveform will use a higher flow. Always recheck the settings and
monitored values after changing the Flow waveform.
OPR360U A0509

More Screen Navigation

(Hospital and Transport Domain, Standby and Ventilating Condition)


Refer to Figure 3
See Section 9, Specifications, for ranges and more details for each
parameter.

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 *

touch button, use up/down s t


to adjust from 5 - 85% (5% is
OPR360U A0509
longest) (Pressure Support breaths)

*not available on the HT70S models

OPRHT70-2 E1112

4-11

4 Navigating the Screens


3. PS Max i Time*
touch button, use up/down s t

to adjust from 0.1 - 3.0 s (Pressure
Support breaths)

5-1

4. Flow [Square or Descending]


touch button to select square or
descending ramp flow (Volume
Control breaths)
OPR360U A0509

5. NIV
touch button to select NIV (Non

Invasive) function ON or OFF for
all breaths
6. Bias Flow


touch button, use up/down s t


to adjust from 3 to 30 L/min. Bias
Flow is delivered during exhalation
phase when PEEP is ON.

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

touch button to access calibration


screen for the internal oxygen
sensor (see page 4-17 for details)

9. Events

touch button to access Events


screen (see page 4-13 for details)

10. Trends*

touch button to access Trends


screen (see page 4-14 for details)

11. Waves+

touch button to access Waves


screen (see page 4-15 for details)

12. Utility Settings


touch button to access Utility

screen, see description on the
following pages

5-1

OPR360U A0509

*not available on the HT70S models


+only available on the HT70 Plus models

4-12

OPRHT70-2 E1112

Navigating the Screens


More Screen Details
Events Screen
(Hospital and Transport Domain, Standby and Ventilating Condition)

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

4 Navigating the Screens


Trends Screen Navigation*
(Hospital and Transport Domain, Standby and Ventilating Condition)

5-1

OPR360U A0509

The Trends Screen displays trended data for monitored parameters.


Push the up and down arrow panel buttons to move the cursor to the
right or to the left.
As the cursor line moves across the graph, the time display will
indicate the time at that point on the graph and the numbers on the
line will show the value for each monitored parameter. The yellow
vertical bars represent time that the ventilator was off and not
collecting data.
There are four sets of parameters to display.
To Select a Trend Set:
To change the displayed parameters, touch the Trends Set button on
top of the Trends graph to scroll through these choices:


2) Tidal Volume, Resp. Rate Total, Minute Volume

3) Peak Flow, Power Pac, Back up Batt

4) Power Pac Temp, Back up Batt Temp, Internal Temp

5-1

1) Peak pressure, Mean pressure and PEEP

OPR360U A0509

*not available on the HT70S models

4-14

OPRHT70-2 E1112

Navigating the Screens


To Adjust the Time Scale
You can display the trends in time frames of 1, 2, 4, 8, 24 or 72 hours.
To scroll through the time scale selections simply touch the hours
button on the top of the Trends graph.

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

Amplitude Scale (y-axis). To change the height of any waveform


simply touch the central panel anywhere in the desired graph
OPR360Utwice.
A0509

+only available on the HT70 Plus models

OPRHT70-2 E1112

4-15

4 Navigating the Screens


The first touch will highlight the time scale in yellow and the second
touch will highlight the y-axis. The up/down arrows can now be used
to increase/decrease the height of the y-axis. Press Accept to save
the change.
OPR360U A0509

Estimated cylinder use time can be displayed on the monitor screen


if the relevant cylinder data is entered, the O2 Cylinder Monitor is
Enabled, and the O2 Monitor on the Utility Screen is Enabled.
Touch More, touch O2 Cylinder Data Screen, then enter the size,
pressure units and pressure for the cylinder you are using. Finally,
touch O2 Cylinder Monitor to Enable the function, and press Accept.
The HT70 will then calculate the estimated duration of your oxygen
supply and warn you before your cylinder may run out. Allow the
calculated display to stabilize for several minutes before starting
a transport and ensure that the estimated time is sufficient for the
planned trip or outing.
NOTE: The oxygen cylinder use time displayed in the monitor is an
estimate only. It can be affected by many factors such as leaks in the
O2 path. Do not rely solely on this measurement. Check the oxygen
cylinder remaining pressure level frequently to confirm actual oxygen
consumption rate.
Size: Toggle to the size of oxygen cylinder in use: D, E, H, M, K, 100

5-1L, & 150 L.

4-16

OPR360U A0509

OPRHT70-2 E1112

5-1

Oxygen Cylinder Data Screen


(Hospital and Transport Domain, Standby and Ventilating Condition)

Navigating the Screens


Units: Toggle this button to use the desired pressure units for the
oxygen cylinder (psi or ATM).

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

O2 Cylinder Monitor: Toggle this button to Enabled and press


accept when all data has been entered.
NOTE: You must enable the O2 Monitor (Utility Screen) for this
function to operate.
Calibrate O2 Mon Screen
(Hospital and Transport Domain, Ventilating Condition)

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

4 Navigating the Screens


Utility Screen

(Hospital and Transport Domain, Standby and Ventilating Condition


except where noted)
Refer to Figure 4
OPR360U A0509

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

touch button to select Power Save


function ON or OFF

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

touch button to access Time and Altitude


screen (see page 4-19 for details)

OPRHT70-2 E1112

Navigating the Screens


7. Remote Nurse Call
touch button to select from Norm Open

(normally open), Norm Close (normally

closed), and Respironics nurse call
systems
OPR360U A0509

touch button to select from Bernoulli


enabled, Vuelink enabled or Comm
inactive for central monitoring systems

9. Custom Settings

touch button to access Backup


Ventilation (BUV) and Custom Presets
screens (see page 4-20 for details).

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

the number of hours of ventilator


operation is displayed here

Utility Screen Details


Time/Altitude Screen
(Hospital and Transport Domain, Standby and Ventilating Condition)

5-1

Access the Time/Altitude Screen through the More/Utility Screens as


OPR360U A0509
shown above.

OPRHT70-2 E1112

4-19

4 Navigating the Screens

OPR360U A0509

Altitude can be displayed in meters or feet. The Altitude adjustment is


only for the accuracy of the on-airway flow sensor. If the flow sensor
is used, ensure that the altitude is set.
NOTE: The HT70 ventilator automatically maintains accurate volume
delivery in altitudes up to 15,000 feet. The patented twin micro-piston
system is a volume displacement technology that will deliver the set
volume regardless of the altitude.
Custom Settings Screen
(Hospital and Transport Domain, Standby and Ventilating Condition)

Access the Custom Settings Screen through the More/Utility Screens


as shown above.
This screen allows access to available customization options for BUV
(Backup Ventilation) function and the Preset functions. The following
options are available on the Custom Settings Screen:
1. Set Custom Presets
touch to access menu to define the
available Custom Presets
OPR360U A0509
5-1
2. BUV Settings
touch to access the BUV Settings
Screen

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.

Navigating the Screens

Set Custom Presets (from the Custom Settings Screen)

5-1

OPR360U A0509

To store customized presets for different customized patient


protocols:

1. Turn the ventilator on.

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.

4. Touch the desired Custom Preset (infant, pediatric or adult).

5. Touch the Accept button to confirm and save your choice.

You can choose Activate Presets button to enable your preset


parameters from the Startup Screen (see page 4-17) in the Standby
condition.
NOTE: Custom Presets are retained after power down.

5-1

OPR360U A0509

OPRHT70-2 E1112

4-21

4 Navigating the Screens


BUV Settings Screen (from the Custom Settings Screen)

5-1

OPR360U A0509

This screen allows you to customize Backup Ventilation (BUV)


to your institutions policies or to revert to factory default for the
Backup Ventilation parameters. You can also choose to link Backup
Ventilation to the Low Minute Volume alarm (LMV), the Apnea alarm,
or to both alarms. See Section 9, Specifications, for ranges and
more details for each parameter.
Press Accept button to confirm changes made to any of the
parameters.
The BUV Settings Screen includes the following adjustable
parameters:
1. Minimum RR (respiratory rate)
2. Rate Factor (set rate will be multiplied times this number to
determine the BUV breath rate)
3. SPONT (mode) delta P (pressure target above set PEEP for
breath delivery)
4. SPONT (mode) i-time (i time for BUV breaths delivered while
in SPONT mode)
5. BUV Link (with LMV [low minute volume] alarm, Apnea alarm,
or both)
6. Revert to Defaults

5-1

4-22

OPR360U A0509

OPRHT70-2 E1112

Navigating the Screens


Domain Navigation

5-1

The Newport HT70 is designed with the flexibility of useful application


in the acute care as well as longterm care environments. To make
the product easy and safe to use in the full spectrum of applications,
we have divided care into three domains: hospital which means
acute care, Transport anytime the user is on the move with battery
and supplemental oxygen supplies, and Basic for the long term/
home care environments.
OPR360U A0509

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

4 Navigating the Screens


Transport Domain
This Domain gives preference to transport related monitoring features
like O2 Cylinder use duration and estimated battery use time.

5-1

OPR360U A0509

5-1

4-24

OPR360U A0509

OPRHT70-2 E1112

Navigating the Screens


Basic Domain

5-1

OPR360U A0509

This is a simplified screen for use in a homecare or sub-acute facility


type environment.The central parameter platform is replaced with
a digital clock unless the Main or Alarm buttons are touched. The
Breath Type and Mode settings are displayed and the user has
access to the Main and Alarm screens and can view all monitored
data by touching one of the monitor buttons at the lower margin
of the screen. The More screen is not available. No settings can
be changed within this Domain. This helps simplify operation and
protect against accidental settings changes. If a setting change is
needed or access to the More screen is required, simply use the
Domain button in the lower right corner of the screen to toggle to the
Hospital Domain. Press Accept to confirm your selection.

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

Operating the HT70 Ventilator


Quick Check Procedure

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

HOMECARE PROVIDERS: This procedure should be performed prior


to delivery of the HT70 to a patients home.
NOTE: If Power Save is On, the screen will go to sleep (go blank)
when not used for two minutes. Just touch the screen anywhere to
bring it back into view.
WARNING Do not use the HT70 if it fails the Quick Check Procedure.
Equipment needed:
o 1 liter test lung with resistor (LNG800P)
o Patient breathing circuit with exhalation valve

Pre-test Inspection
1. Inspect the Air Intake Filter through the filter cover on the right
side of HT70. Replace the filter if it is dirty. See Section 8 for
replacement.
2. Examine the test lung and patient circuit to ensure that there are
no holes that will cause leaks.
3. Verify that the AC power supply is in good condition.
Set Up
1. Connect the AC power supply to an AC power source.
2. Verify that the External Power LED is lit.
3. Turn the ventilator on and verify that the audible alarm sounds
and the LEDs light during the self test.
4. Connect a breathing circuit with exhalation valve and on-airway
flow sensor if used.
5. Set the ventilator to the following Standard Test Settings and
press Start Ventilation.

5-1

Standard Test Settings


Mode
Breath Type
NIV
Tidal Volume
i time
RR
Ptrig

OPRHT70-2 E1112

A/CMV
Volume Control
Off
500 mL
1.0 sec
15 b/min
1 cmH2O / mbar

OPR360U A0509

5-1

5 Operating the Ventilator


Off
5 cmH2O / mbar
99 cmH2O / 97 mbar
0.01 L (minimum setting)
50 L (maximum setting with NIV Off)
1.00 L
0 cmH2O / mbar

5-1

Flow Trig
$Low P Alarm
#High P Alarm
$Low Min Vol alarm
#High Min Vol alarm
#VTE Alarm
PEEP/CPAP
OPR360U A0509

Quick Check Procedure


1. Perform a Circuit Check
o Touch the Circuit Check button at the top of the touchscreen and
follow the on-screen instructions.
o For Step 1, occlude the patient connection end of the circuit. (Do
not use a test lung.)
o Press the Accept button to confirm and start the Circuit Check.
o For Step 2, open the patient connection end of the patient circuit.
o Press the Accept button to continue the Circuit Check.
o If the test passes, the message Circuit Check PASSED Press
Accept to Confirm will be displayed.
If the test fails, the message Circuit Check FAILED Press Accept to
Continue will be displayed.
o
o

o

o

Press the Accept button to return to Startup Screen.


Check that all breathing circuit components/connections are
properly connected and leak free.
Verify that the Air Oxygen Entrainment Mixer is not
attached to the Fresh Gas Intake port.
Then touch the Circuit Check button to redo the test.

If the Circuit Check fails repeatedly, try a different circuit.


WARNING Do not use the HT70 if the Circuit Check fails, inadequate
ventilation may result. Use an alternate method of ventilation.
Contact Newport Medical Technical Support.
o Connect the test lung to the patient connection of the circuit.
Touch Start Ventilation.
2. No External Power Alarm Check
o Disconnect the AC power supply. Verify that there is an audible
alarm and the alarm LEDs in the HT70 handle flash. Verify that the
External Power LED turns off, and the Message Area turns yellow
and displays the No External Power alarm message. Confirm that
HT70 continues to ventilate.
LED

OPR360U
A0509
5-1o Press the Alarm Silence/Reset button and confirm that its
lights yellow, the audible alarm is muted and the message area
returns to black.
o Press the Alarm Silence/Reset button again and confirm that the
alarm message clears.
o Reconnect the AC power supply. Verify that the External Power
LED lights green.

5-2

OPRHT70-2 E1112

Operating the Ventilator


3. Alarms and Indicators Check

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

6. Power Pac Battery Pack and Backup Battery Check


o Unplug the AC power supply, clear the alarm with the Alarm
Silence/Reset button. Verify that HT70 continues to ventilate and
the Power Pac battery gauge (blue icon) reads at least 80%. If
battery charge level is not sufficient, plug into external power to
fully charge the Internal Dual Battery System.
o Remove the Power Pac battery pack. Verify that HT70 continues
to ventilate, the alarm sounds, the alarm LEDs light and the
message in the message area indicates that the Backup Battery
is in use.
o Verify that the battery gauge is now red (for secondary backup
battery) and reads at least 80%. If the secondary backup

OPR360Ubattery
A0509
charge level is not sufficient, re-insert the Power Pac battery and
plug into external power to fully charge the system.
o Replace the Power Pac battery pack and verify that the audible
alarm clears but the message remains.
o Reconnect the AC power supply into the Power Pac battery pack
and confirm that the External Power LED turns green.

OPRHT70-2 E1112

5-3

5 Operating the Ventilator


o Press the Alarm Silence/Reset button repeatedly until all alarm
messages are cleared.

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

THIS CONCLUDES THE QUICK CHECK PROCEDURE

HT70 Ventilator Quick Check Procedure


Pass / Fail Check-Off Sheet
Preparation for Use Tests

Indicate result for each test

1. Circuit Check Procedure

Pass _____ Fail ______

2. No External Power Alarm Check Pass _____ Fail ______


3. Alarms & Indicators Check
High #P Alarm
Low $P Alarm

Pass_____ Fail _____


Pass _____ Fail ______

4. Pressure Gauge / PEEP Check

Pass _____ Fail ______

5. Volume/Minute Volume/
Pass _____ Fail ______
Respiratory Rate Monitor Check
6. Power Pac Battery Pack and
Backup Battery Check

Pass _____ Fail ______

7. Brightness Check

Pass _____ Fail ______

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

Operating the Ventilator


Patient Set Up Procedure
WARNING Review all of the General Warnings and Cautions in
Section 1 prior to using the ventilator.

5-1

OPR360U A0509

All ventilator controls and alarm limits must be appropriate for


the patients condition, according to the therapy prescribed by a
physician.
1.



Press the momentary power switch located on the back of the


ventilator to turn the ventilator On. The ventilator performs a brief
self-test to ensure proper microprocessor function. During the
self-test, verify that the Startup Screen appears, the LEDs light
and the audible alarm sounds briefly.

2. Ensure the ventilator, patient circuit and accessories are


assembled correctly. (See Section 3)
3. Make sure HT70 has passed the Quick Check Procedure.
4. Perform the Circuit Check. Resolve any issues. (See Section 4)
5. Set all parameters per physicians prescription using manual
adjustment or a Custom or Default Preset. See Section 9 for
specifications on all settings.
a. Select mode and breath type. Then set all parameters on
the Main Screen and relevant parameters on the More
Screen.
b. Select safe/appropriate alarm limits on the Alarms Screen.
c. Ensure that the Alarm Loudness is set loudly enough for
the alarm to be heard under all circumstances.
6. Place a test lung on the patient end of the breathing circuit and
press the Start Ventilation button on the touchscreen.
7. Ensure that the ventilator starts operation appropriately.
NOTE: While ventilating a test lung, peak pressure for volume breaths
and volume delivery for pressure breaths will be different than they
will be on the patient. Pressure Support breaths will not perform the
same way they do on patients. And PEEP may cause auto-triggering.
These differences may cause nuisance alarms during this step.

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 Operating the Ventilator


10. Verify that the patient trigger icon lights each time the patient
initiates a spontaneous breath. Re-adjust sensitivity (Ptrig or Flow
trig if using on-airway flow sensor on HT70 Plus model) as
necessary to ensure comfortable triggering without auto-
triggering. When using PEEP while ventilating a patient with an
airway leak, set NIV to ON and adjust Bias Flow to stabilize the
PEEP and eliminate auto-triggering at reasonable trigger settings.

5-1

OPR360U A0509

11. Closely monitor the patient and ventilator to ensure appropriate


oxygen delivery, and adequate oxygenation and ventilation.
WARNING Always ensure adequate monitoring is in place when
ventilating patients.
WARNING If, at any time, the patient is not responding to ventilation
appropriately, the patient should be taken off the ventilator
immediately and connected to an alternate method of ventilation.
Contact your health care provider or physician immediately.
NOTE: To ensure best battery performance, always plug the HT70
into an external power source when it is available, even when the
ventilator is not in use.

5-1

5-6

OPR360U A0509

OPRHT70-2 E1112

Operating the Ventilator


Troubleshooting Guide for Newport HT70

OPR360U A0509

Alarm messages can be cleared with the Silence/Reset button.


Review the entire Operating Manual for full user instructions.
Note that 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.
Back up Ventilation increases the respiratory rate in A/CMV and
SIMV and provides pressure controlled breaths in SPONT mode.
It may be caused by the violation of a Low Minute Volume Alarm
or Apnea Alarm. Resolve the alarm to resolve the back up
ventilation.
Problem/ Area
of Concern
Touchscreen
doesnt
respond to
touch

Touchscreen
is dark/blank

Probable
Cause

Resolution

Screen is locked
by Auto-lock
function (set on
Utilities screen)

Touch the lock icon in the lower right


corner of the screen for 3 seconds to
unlock the screen

Using Basic
Domain and
the parameters
are changed to
displays rather
than buttons

Touch the Basic Domain button in


the lower right corner of the screen to
toggle the domain to Hospital (Hosp),
then press Accept.

Touch the screen or push any button


Power Save
to wake up the screen
is ON (Utility
Screen) and the
screen has gone
to sleep to save
power

Need to view
all monitored
values

5-1

5-1

Ventilation and alarm settings are determined by the physicians


prescription. Consult with your physician on ventilation and alarm
settings.

Touch any monitored value at lower


edge of the screen

Alarm
indicator(s)
lit but not
blinking/Alarm
message in
the message
window

Alarm condition
is resolved.
(Alarm is
latched.)

Push Silence/Reset button to clear the


indicator and messages one at a time.
Hold 3 seconds to clear all messages
at once.

Water
accumulating
in the
breathing
circuit

Gas is cooling as
it travels through
the circuit tubing

Keep tubing as short and warm as


possible between the humidifier and
the airway so that water remains in the
vapor state
OPR360U A0509
Keep tubing away from cold surfaces
Do not aim a cooling fan at the tubing
If appropriate, use a heated wire
circuit

Water trap needs


to be emptied

Empty the water trap frequently

OPRHT70-2 E1112

5-7

5 Operating the Ventilator


Probable
Cause

Audible alarm Alarm Loudness


is too quiet
is set too low
OPR360U A0509

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

Connect the Power Pac to external


AC or DC power for at least 3 hours
between uses

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.

The Power Pac battery is functioning


normally. Carry at least one extra
fully charged Power Pac battery (Part
Number: BAT3271A) for ventilator
dependent patients and for patients
whose ventilation pattern requires
higher battery power consumption.

Power Pac
needs to be
replaced

Contact a Newport Authorized


Service Provider or Newport Medical
Technical Service Department for
assistance. Email: techservice@
ventilators.com
Tel: 1.714.4275811 Ext. 500

Circuit
disconnect

Reconnect the circuit

Humidity in
Proximal Line

Change where Proximal Line is


connected to the circuit. Move it from
the connection at the patient wye (wet
environment) to an adapter placed
directly on the inlet of the humidifier
chamber(dry environment).

No proximal
filter in place

Insert approved proximal filter (part


number: HT6004701)

Inspiratory Flow
is too low, circuit
pressure does
not rise fast
enough when
the breath starts

As appropriate, increase Flow or


change flow pattern in Volume
Control or speed up Slope Rise in
OPR360U A0509
Pressure Control/Pressure Support.

5-1

Problem/ Area
of Concern

OPRHT70-2 E1112

Operating the Ventilator


Probable
Cause

Circuit Check
fails

Leak in
breathing circuit

Resolution
Tighten all circuit & water trap
connections

5-1

Problem/ Area
of Concern

OPR360U A0509

Trim ends of the proximal and


exhalation valve tubings to enable a
tighter fit
Check the integrity of/replace the
exhalation valve diaphragm
Connecting test
lung instead
of occluding
patient
connection of
the circuit in
step 1.

Remove test lung and occlude the


patient connection of the circuit
during step 1.

Incorrect
assembly
of circuit/
exhalation valve

See Operating Manual for proper


assembly

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

Use the Low Flow Oxygen Reservoir


or 50 psi Air Oxygen Mixer. Connect
oxygen devices to the Fresh Gas
Intake port after, not before, the
Circuit Check is complete

Ventilator needs
service

Contact a Newport Authorized


Service Provider or Newport Medical
Technical Service Department for
assistance. Email: techservice@
ventilators.com
Tel: 1.714.4275811 Ext. 500

No external
power is
reaching HT70.
HT70 is running
from the Internal
Battery System.

Check power cord connections


(L-shaped pinch fit connector on rear
of HT70 should angle toward the
midline of the ventilator, not away.
See diagram on sticker.)
Check that power outlet is active
External battery is depleted, plug into
another external battery, auto lighter
or AC power
Check / replace the fuse in the
External Battery System or Auto DC
Cable
OPR360U A0509
Contact a Newport Authorized
Service Provider or Newport Medical
Technical Service Department for
assistance. Email: techservice@
ventilators.com
Tel: 1.714.4275811 Ext. 500

5-9

5 Operating the Ventilator


Autotriggering
(at a typical
trigger
setting)

Probable
Cause
Circuit and/or
airway leak

Resolution
Check for and resolve leaks if
unintentional.

OPR360U A0509

If airway leak is intentional, turn on


NIV and adjust Bias Flow/Trigger
settings so that the patient can trigger
effectively without auto-triggering.

(green trigger
light illuminates
when there
is no patient
effort)

Consider using the Flow Sensor and


Flow Trigger.

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

Eliminate circuit leaks

Occlusion
Alarm/
Sustained
Occlusion
Alarm

The patients
expiratory
gas pathway
is occluded
or partially
occluded

Evaluate everything in the patients


pathway of exhalation to determine
what is causing resistance and
resolve the issue

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

Set the PS Max i-Time control to limit


the breath delivery to a reasonable
inspiratory time

Change HME and/or expiratory filter


if used
Change the exhalation valve
Unkink expiratory drive line
Replace flow sensor

Coughing
/ need for
airway care or
bronchodilator
treatment

Perform suctioning/airway care, or if


due and prescribed, give prescribed
bronchodilator treatment

Secretions
too dry due
to inadequate
humidity

Use heated humidifier with


appropriate temperature setting and
keep tubing warm

Pneumatic
nebulizer inline

Contact Newport Medical for


assistance
OPR360U A0509
Email: clinical@ventilators.com
Tel: 1.714.4275811 Ext. 123

cont.

cont.

OPRHT70-2 E1112

Operating the Ventilator


High (Peak)
Pressure
Alarm
OPR360U A0509

cont.

Probable
Cause

Resolution

Supplemental
oxygen flowing
directly into
breathing circuit

Use the Low Flow Oxygen Reservoir


or 50 psi Air Oxygen Mixer

Kinked tubing

Un-kink it

Sticky exhalation
valve and or
on-airway flow
sensor from
medication
treatments or
secretions

Install a clean exhalation valve and/or


on-airway flow sensor

5-1

Problem/ Area
of Concern

Evaluate patient and change settings


Ventilation
settings mismatch (Ventilation Mode, Flow, VT, i-time,
Flow Waveform) as appropriate
the patient
condition, such
as an actively
spontaneously
breathing patient
under controlled
ventilation mode,
ventilators
inspiratory time
(i-time) setting too
long, Flow setting
too high, VT
setting too high

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

Alarm setting too


low

Resolve appropriately

Circuit leak
(especially while
using Volume
Control)

Check for and resolve leaks in circuit


or exhalation valve (similar to resolving
failed Exhalation Valve Calibration)

Flow setting is too Evaluate patient and change settings


low (i-time setting (Flow, VT, Flow Waveform) as
is too high) in
appropriate
Volume Control
Big airway leak
while using
Volume Control

Evaluate cuff inflation/ trach tube size


Reposition mask. Make sure mask is
not vented.
Use Pressure Control instead
of
OPR360U A0509
Volume Control if clinically appropriate

Trigger setting too Use Ptrig setting that is closer to zero


insensitive

5-11

5 Operating the Ventilator


Probable
Cause

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

Check the patient. If appropriate,


lower the Pressure Control/Pressure
Support setting until the exhaled
volume is suitable for the patient

High Min Vol


alarm has
not been set
properly for use
with on-airway
flow sensor

Set alarm appropriately

Pneumatic
nebulizer inline

Contact Newport Medical for


assistance
Email: clinical@ventilators.com
Tel: 1.714.4275811 Ext. 123

Supplemental
oxygen flowing
directly into
breathing circuit

Use the Low Flow Oxygen Reservoir


or 50 psi Air Oxygen Mixer

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

Check for and resolve circuit leaks


(similar to resolving failed Exhalation
Valve Calibration)
Evaluate cuff inflation/ trach tube size,
increase as needed
Only at night? Make sure alarm
settings are appropriate for day and
night conditions
Reposition mask. Make sure mask is
not vented

5-1

Intentional leak
for speech

If a speaking valve is in use, this alarm


will need to be disabled. Make sure
OPR360U A0509
appropriate monitoring is in place
to
maintain patient safety.

Patient is
Check patient and resolve problems
breathing slower
than usual
cont.
cont.

5-12

OPRHT70-2 E1112

Operating the Ventilator


Problem/ Area
of Concern

Probable
Cause

Low
(Expiratory)
Minute Volume
Alarm

Low Min Vol


alarm has
not been set
properly for use
with on-airway
flow sensor

Set alarm appropriately

Connected to a
test lung with a
resistor

The resistor may be causing flow


eddies which make the flow sensor
measurement inaccurate. Try a test
lung with less resistance.

Large airway
or circuit leak
(Pressure
Control or
Pressure
Support)

Check for and resolve leaks (similar


to resolving failed Exhalation Valve
Calibration)

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

Reposition mask. Make sure mask is


not vented.
Evaluate cuff inflation/ trach tube size

Patient is
breathing faster
than usual

Only at night? Make sure alarm


settings are compatible with day and
night conditions.

Check patient for anxiety, pain,
discomfort, change in illness

Circuit just
reconnected
after disconnect

Press Alarm Silence, the alarm will


resolve by itself

Auto-triggering
due to airway
leak

Turn on NIV and increase Bias Flow


setting. Balance Trigger and Bias
Flow settings to provide the most
effective triggering and comfort

High Min Vol


alarm has
not been set
properly for
use without
on-airway flow
sensor

Set alarm appropriately or reconnect


on-airway flow sensor

OPR360U A0509

5-13

5 Operating the Ventilator


Low
(Inspiratory)
Minute
Volume

Probable
Cause

Resolution

Need suctioning/ Suction/perform airway care


airway care when
using Pressure
Control or
Pressure Support

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

Use the Low Flow Reservoir or 50 psi


Air Oxygen Mixer instead of adding
oxygen directly into the circuit
Use Ptrig setting that is closer to
zero or add flow sensor and use Flow
Trigger

Replace HME if it is used Assess the


patient and ventilator settings

Set alarm appropriately or reconnect


Low Min Vol
on-airway flow sensor
alarm has not
been set properly
for use without
on-airway flow
sensor
High VTE
Alarm
High
Expiratory
Tidal Volume
Alarm
This alarm is
only active
when the onairway flow
sensor is in
place

5-1

5-14

A change in
ventilator settings
or patient
condition has
caused delivery
of a higher
patient tidal
volume

Check the patient. If appropriate,


lower the Pressure Control/Pressure
Support setting until the exhaled
volume is suitable for the patient

High VTE alarm


has not been
set properly for
use with the
on-airway flow
sensor

Set alarm appropriately

On-airway flow
sensor is not
clean

Replace sensor

OPR360U A0509

OPRHT70-2 E1112

Operating the Ventilator


Probable
Cause

BUV (Back Up Same causes as


Ventilation)
Low Min Vol or
Apnea Alarm
Back Up
Ventilation is
Resolved when
delivered in
inspiratory
response to
minute volume
Low Min Vol
rises to 10%
alarm or Apnea above the Low
Alarm (set in
Min Vol alarm
More Utilitiy
setting or
Custom
Apnea Alarm is
Settings BUV resolved
screen)
OPR360U A0509

High Baseline
Pressure
Alarm

OPRHT70-2 E1112

Resolve Low Min Vol alarm or Apnea


Alarm

Note: Back-up Ventilation is
suspended for one minute at
power ON and after you adjust any
ventilation setting or change screens

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

Evaluate everything in the patients


pathway of exhalation to determine
what is causing resistance and
resolve the issue
Change HME and/or expiratory filter
if used
Change the exhalation valve
Unkink expiratory drive line
Replace flow sensor with a clean one

Exhalation drive
tubing is kinked

Un-kink it

Auto-triggering
due to leaks (if
PEEP is set > 0)

Check for and resolve leaks and/or


activate NIV and adjust Bias Flow on
the More Screen.

Re-adjust trigger settings to eliminate
auto-triggering (higher number is less
sensitive)

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

Increase Expiratory Threshold and/


or decrease PS Max i-Time (More
Screen)

Too little time


allowed for
exhalation

OPR360U A0509
As appropriate, shorten i-time,
change flow waveform, decrease
respiratory rate

5-15

5 Operating the Ventilator


Apnea Alarm

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

Use A/CMV or SIMV (not SPONT)


and make sure respiratory rate
setting is adequate

OPR360U A0509
Pressure
Control
Setting Not
Reached
Alarm

Big leak/disconnect Check for and resolve leaks or


disconnect

No external
power

HT70 does not


detect external
power

Intentionally unplugged? Press


Silence/Reset to clear the message.

HT70 will use


its internal
battery system

Power source
is switched
OFF

Switch power source ON


Unless external
power was
disconnected
on purpose,
ALL
resolutions
MUST include
making sure
that the green
External
Power LED
lights up

Fully insert power cord in the proper


Power cord is
orientation (angled to the right). Refer
not fully inserted/
inserted backwards to illustrated label on Power Pac.

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

Not intentional? Plug the HT70 into


external power

Connect to another power source


If power was not purposely
disconnected and none of these
actions resolves the issue, call for
service immediately.
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. You need to
connect to external power!

OPR360U A0509

OPRHT70-2 E1112

Operating the Ventilator


Backup
Battery
Shutdown
Imminent
Alarm

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

If no external power is available,


prepare an alternate method of
mechanical ventilation immediately.

Patient is
breathing fast.

Auto-triggering
of ventilator
The delivered
breath rate is
caused by leak
higher than the
alarm setting

Check the patient and resolve.


Resolve leak in circuit by tightening all
connections
If airway leak, turn on NIV and
increase Bias Flow setting

Flow and/or
Pressure Trigger
sensitivity
setting is too
sensitive

Optimize trigger setting(s)

Double
triggering
caused by too
short of an
inspiratory time
setting

As appropriate, increase i-time, and/


or PS Max i-Time and/or decrease
Expiratory Threshold

Adjust oxygen setting back to


High O2 Alarm Oxygen was
increased
prescribed value
Delivered
prior to an
oxygen
intervention
concentration
(e.g. suctioning)
is higher than
and was not
set high limit
reduced back to
prescribed value
Low flow
reservoir is in
use and:

5-1

patients minute
volume has
decreased
airway or
circuit leak has
decreased
cont.

OPRHT70-2 E1112

Evaluate patient and re-adjust


settings or alarm as appropriate

OPR360U A0509

cont.

5-17

5 Operating the Ventilator


Probable
Cause

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

Set the High O2 alarm appropriately

Oxygen sensor
calibration
was not done
appropriately

Calibrate Oxygen Sensor


appropriately

Oxygen
supply loss or
disconnect or
cylinder empty

Restore oxygen supply

Low flow
reservoir is in
use and:

Resolve leak, evaluate patient


and re-adjust settings or alarm as
appropriate

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

Operating the Ventilator


Low O2 Alarm
cont.

Probable
Cause

Resolution

Low O2
alarm is set
inappropriately

Set the Low O2 alarm appropriately

Oxygen sensor
calibration
was not done
appropriately

Calibrate Oxygen Sensor


appropriately

5-1

Problem/ Area
of Concern

OPR360U A0509

Make sure the ventilator settings


Patient inhales
room air through (such as flow, tidal volume, i-time, and
emergency
trigger) match the patient needs.
intake valve
O2 Sensor
Failure Alarm

O2 Sensor
needs
calibration,
is depleted
or is past
recommended
replacement
time

Perform .21 and 1.00 FIO2


calibrations. If either calibration fails
when performed properly, replace the
sensor

For further assistance, contact Newport


Technical Support or Clinical Support.
Technical techservice@ventilators.com
Phone: +1.714-427-5811 ext. 500
Clinical clinical@ventilators.com
Phone: +1.714-427-5811 ext. 123
www.ventilators.com

5-1

OPRHT70-2 E1112

OPR360U A0509

5-19

Alarms
Section 6:

Alarms

5-1

OPR360U A0509

Ventilator
Section 6:

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
Backup Ventilation..............................................6-6
Automatic Alarms................................................6-6
Battery Alarms.....................................................6-9

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.

User Adjustable Alarms


#P (High Pressure)
# Min Vol (High Inspiratory or
$P (Low Pressure)
Expiratory+ Minute Volume)
#RR (High Respiratory Rate)
$ Min Vol (Low Inspiratory or
OPR360U A0509
5-1Apnea (time adjustment) Expiratory+ Minute Volume)
#VTE (High Tidal Volume)+
#O2 (High Oxygen Concentration)

$O2 (Low Oxygen Concentration)
+ only available on the HT70 Plus model when the on-airway flow sensor is in use

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

This alarm may be linked with Backup Ventilation.


When the NIV feature is turned ON, the Low Inspiratory Minute
Volume can be set to OFF.
Low Expiratory Minute Volume Alarm $Low Min Vol
(with on-airway flow sensor in use)
The Low Expiratory Minute Volume Alarm alerts the caregiver when
exhaled minute volume decreases to the set alarm level. Exhaled
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. It may also decrease due to leaks at the airway
(such as deflated cuff) or in the breathing circuit.
This alarm is not compatible with use of a speaking valve. The
speaking valve diverts the patients exhaled gas around the trach
tube so that it can pass through the vocal cords, and therefore the
gas does not exit the patient through the flow sensor. When using
a speaking valve, turn NIV ON and then disable the Low Expiratory
Minute Volume Alarm. Make sure to provide appropriate monitoring
and alarms from other sources to ensure patient safety.
This alarm may be linked with Backup Ventilation.
When the NIV feature is turned ON, the Low Expiratory Minute
Volume can be set to OFF.
High Inspiratory Minute Volume Alarm #High Min Vol
The High Inspiratory Minute Volume Alarm alerts the caregiver when
delivered minute volume increases to the set alarm level. This alarm
OPR360U A0509
5-1helps to alert the caregiver to increases in breath rate, auto-triggering
and during pressure control or pressure support, to large leaks or
tubing disconnects.

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

High Respiratory Rate Alarm #RR


This alarm alerts the caregiver if the total respiratory rate rises above
the alarm setting.
High #O2 Alarm (O2 Sensor must be installed and Enabled)
This alarm alerts the caregiver if the delivered oxygen concentration
increases to the #O2 alarm setting.
Low $O2 Alarm (O2 Sensor must be installed and Enabled)
This alarm alerts caregiver if the delivered oxygen concentration
increases to the $O2 alarm setting.
High Tidal Volume Alarm #VTE
(with on-airway flow sensor in use)
This alarm alerts caregiver if the measured exhaled tidal volume
increases to the High #VTE alarm setting. This alarm will help
alert the caregiver to changes in patient condition during pressure
support/pressure control ventilation.
Apnea Alarm
The Apnea alarm is violated when no mandatory breaths or detected
spontaneous efforts occur within the set time period.
This alarm may be linked with Backup Ventilation.

5-1

OPRHT70-2 E1112

OPR360U A0509

6-5

6 Ventilator Alarms
Backup Ventilation

5-1

Backup Ventilation can be set to be activated by either the Low


Inspiratory/Expiratory+ Minute Volume alarm or the Apnea alarm or
both. See the More/Utility/Custom Settings Screen parameters for
selecting BUV criteria.
OPR360U A0509

When Backup Ventilation is activated:


1. The alarm indicator blinks,
2. An audible alarm sounds,
3. A Backup Ventilation alert is displayed in the Message Window.

NOTE: Backup Ventilation is functional in all modes/breath types

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

Pressure Control Setting Not


Reached
Backup Battery Low Charge
No External Power
Shut Down Alert
Backup Battery Low
Backup Battery Shutdown
Imminent
Internal Temperature
Backup Battery Temperature
A0509
Power Pac TemperatureOPR360U
Alarm

Backup Battery Failure

+ 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

The High Baseline Pressure alarm is activated by obstruction or high


resistance to exhalation. Check for obstructions to patient exhalation
or for improper exhalation valve function. This could be caused by
aerosol medication build up on the exhalation valve; an occluded
filter, or incomplete exhalation due to auto-triggering.
OPR360U A0509

Low Baseline Pressure Alarm


The Low Baseline Pressure Alarm is activated by an unstable
baseline (for example, leak in the breathing circuit or at the patient
interface). Check for leaks and for improper exhalation valve
operation. If the leak is purposeful (i.e. deflated tube cuff), turn NIV
ON and adjust Bias Flow to stabilize PEEP (baseline).
Occlusion Alarm
An Occlusion alarm is activated by an obstruction in the breathing
circuit. The HT70 will attempt to relieve the pressure that has built up
in the circuit and will not deliver additional breaths until the situation
is resolved. The alarm resets when the occlusion is resolved and
breath delivery will resume at that point.
Sustained Occlusion Alarm
A Sustained Occlusion alarm is activated if the Occlusion alarm is not
cleared within 10 seconds or 2 breath periods, whichever is shorter.
The HT70 will attempt to relieve the pressure and will not deliver
additional breaths until the situation is resolved. The alarm resets
when the occlusion is resolved and breath delivery will resume at that
point.
Check Circuit or Prox Line Alarm
This alarm indicates that the circuit has become disconnected or
the proximal pressure tubing is disconnected, kinked or has water in
it. Check the circuit for disconnects or problems with the prox line
pressure tubing/prox line filter.

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

Pressure Control Setting Not Reached Alarm


The Pressure Control Setting Not Reached alarm is activated by
inadequate pressure rise during pressure controlled breaths. Check
that Slope/Rise is set to a fast enough level setting and check for
leaks.
No External Power Alarm
The No External Power Alarm is activated by disconnection from the
power cord or a power interruption. The ventilator will automatically
switch to the Power Pac battery pack or back up battery. Pressing
the Alarm Silence/Reset button will clear the alarm.
Device Alert Alarm System Error
The Device Alert Alarm is activated when the microprocessor
detects a functional problem with the ventilator. When this occurs, an
alternate means of ventilation should be used. The ventilator must be
powered down by pressing the On/Off button on the back of the unit.

If the cause of the device alert does not allow the HT70 to display the
alarm message and the Device Alert indicator to light, the ventilator
will shut down and the Shut Down Alert Alarm will activate.
WARNING If a Device Alert alarm occurs, immediately disconnect
the patient from the ventilator and provide an alternate method of
ventilation until the cause of the alert has been determined and
corrected.
Motor Fault Alarm
The Motor Fault Alarm is activated when the microprocessor detects
a functional problem with the motor or motor control systems. When
this occurs, the ventilator should be replaced and sent in for service.

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

Internal Temperature Alarm


This alarm indicates that the internal temperature has exceeded
specifications. Environmental temperature during operation should
not exceed 40C (104F). Connect the HT70 to an external power
source as soon as possible and take steps to make the environment
cooler. Also check that the Fan Filter is clean.
O2 Cylinder Low / Empty Alarms
This alarm indicates that the Oxygen Cylinder that was setup in the
O2 Calculator data screen has reached a low or empty level. The O2
Cylinder Low Alarm will sound when the time reaches 10 minutes.
The O2 Cylinder Empty Alarm will sound when the estimated time
reaches 5 minutes.

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

Backup Battery Low Alarm


This alarm indicates that there is a minimum of 15 minutes left on the
Backup battery. Connect the ventilator to an alternate power source
immediately. This alarm can be silenced, but a reminder alarm will
sound every minute until a fully charged Power Pac battery pack is
inserted and/or an external power source is connected.
Backup Battery Shutdown Imminent Alarm
This alarm indicates that the Backup Battery is empty and about to
shut down. It can not be silenced until the ventilator is powered Off or
a fully charged Power Pac battery pack is inserted and/or an external
power source is connected.
WARNING Immediately secure an external power source or insert
a fully charged Power Pac battery pack when the Backup Battery
Shutdown Imminent alarm occurs.
NOTE: It is highly recommended to carry at least one extra, fully
charged Power Pac during transport or outdoor applications.
Backup Battery Failure Alarm
This alarm indicates that the Backup Battery is faulty and will not
safely operate the HT70. Do not use the HT70 on battery power until
it has been serviced.
Backup Battery Low Charge Alarm
This alarm indicates that the Backup Battery has insufficient charge
to maintain ventilation if the Power Pac battery runs low or is
removed. Attach to external power to charge both batteries. If the
HT70A0509
on
5-1Backup Battery does not charge within 3 hours, do not use OPR360U
battery power until it has been serviced.

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

Backup Battery Temperature Alarm


This alarm message indicates that the Backup Battery temperature
has exceeded specifications for the battery. Attach to external power,
do not use on battery power until ventilator has been serviced. Use
an alternate means of ventilation and have the ventilator serviced.

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

The Power Pac is hot-swappable. The Backup Battery will provide


a minimum of 30 minutes of back up power during Power Pac swaps
or power outages. Proper care and maintenance of the Internal Dual
Battery System will ensure the longest life.
NOTE: Always plug the HT70 into an external power source when
available. Plug the HT70 into external power source even when not in
use to insure best battery performance. Check battery capacity on
the front panel before removing from external power.
NOTE: For longterm storage the batteries should be recharged every
6 months. If the storage temperature is above 80 F (27C), then the
batteries should be charged up every 3 months.

Power Pac Battery Pack


The integrated Power Pac battery pack is a detachable hotswappable battery. You can easily slide it out and replace it with a
fully charged battery pack without interrupting ventilation.
Charge the Power Pac for a minimum of 3 hours for 100% recharge.
If the battery charge is not fully depleted, the charge time may be
less.
al
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tn e s
s

ic e
Dev ert
Al

5-1

B r i gh

When the HT70 is used for transport


applications, ensure that the Power Pac
battery pack is fully charged prior to use.
It is highly recommended to carry an extra
fully charged Power Pac during transport or
outdoor applications.

ual
M a n a ti o n
In fl

NOTE: Its a good idea keep an extra Power


Pac with the HT70 ventilator.

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

*Standard Settings: Fully charged, new battery in good condition.


Power Save set On. Peak pressures below 30 cmH2O with these
settings:
a. Mode = A/CMV d. Inspiratory Time = 1.0 seconds
b. Respiratory Rate = 15 e. PEEP = 0
c. Tidal Volume = 500 mL
OPR360U A0509

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.

Conditions that Affect Battery Use Time






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.

Check Battery Charge Level and Battery Time


Estimator

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).

Best Use Tips


When the battery use time begins to encroach on the users lifestyle
or impede transport times, it is time to replace the Power Pac battery
pack (BAT3271A). Use these Best Use Tips to help prolong the life
of your batteries.

5-1

1. Always keep the Power Save function On.



2. Use an external power source when possible. For example,
OPR360U A0509
when traveling, use the optional DC Auto Lighter Power Adapter
accessory to power the ventilator from an automobile
lighter outlet.
3. Always have a backup power source nearby, for example an

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

NOTE: Remember, the Internal Dual Battery System is charging


anytime the HT70 is connected to external AC or DC power.

Battery System Maintenance


See Section 8, Cleaning and Maintenance, for more information on
Integrated Battery System Maintenance.
Proper care of your battery system will preserve your battery use
time.
Keep the HT70 plugged into an external power source
whenever available.
Keep an additional fully charged Power Pac battery pack as a
backup.

Power Pac Battery Pack Removal


To remove the Power Pac battery pack, simply press in on the
release latch labeled PUSH and at the same time lift up at the base
of the Power Pac and slide upwards.
The HT70 ventilator should always have a Power Pac battery pack
installed. The AC power connection for the ventilator is located on the
back of the Power Pac battery pack.

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

When inserting the power supply into the AC connection on the


Power Pac, ensure that the cord is to the right of the plug and

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.

Battery Alarms Overview


See Section 6, Ventilator Alarms, for descriptions of each alarm. See
Section 9, Specifications, for alarm priority level and description.
The HT70 automatically monitors the Power Pac battery pack and the
secondary Backup Battery to alert you of their condition. An icon in
the upper right corner of the touch screen displays the charge level
condition of the battery that is in use.
Battery condition alarm violations are indicated by an audible alarm,
an alarm message displayed on the touch screen and the LEDs in the
handle of the ventilator flashing. The battery alarms will occur in this
sequence:




1.
2.
3.
4.
5.

Power Pac Battery Pack Low


Switching to Backup Battery
Running on Backup Battery
Backup Battery Low
Backup Battery Shutdown Imminent

In addition, there are functional alarms for the battery system:


1. Power Pac Battery Temperature Alarm
2. Backup Battery Temperature Alarm
3. Backup Battery Failure Alarm
4. Backup Battery Low Charge Alarm
WARNING Immediately secure an external power source or insert
a fully charged Power Pac battery pack when the Backup Battery
Shutdown Imminent alarm is violated.

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

Power Pac Battery Pack (BAT3271A)


It is recommended to have extra Power Pac battery packs on hand
at all times. The Power Pac is hot swappable you can remove one
and insert another without interruption of ventilation.
OPR360U A0509

AC Power Supply (PWR3204P)


It is recommended to have an extra AC Power Supply available
to charge the extra Power Pac battery when not attached to the
ventilator.
Country Specific Power Cord
For the AC Power Supply you can order a power cord that has the
appropriate outlet plug for your area. You can choose from NA-North
American style (PWR3207P) / UK-British style (PWR3210P) / EUEuropean style (PWR3211P).
External Battery System (BAT3300A)
The Newport Medical External Battery comes in a sturdy case for
easy handling. Use the battery charger (CHG3313P) every night
to recharge the external battery. Use the DC Auto Lighter Power
Adapter (ADP3203P) to connect to the ventilator.
DC Auto Lighter Power Adapter (ADP3203P)
The Newport DC Auto Lighter Power Adapter, allows you to plug the
ventilator into a vehicles autolighter power outlet (12 VDC to 16 VDC)
or external battery. To save internal battery power for when you need
it, use this adapter to plug the HT70 into the autolighter port any
time the ventilator is used while in a vehicle. While plugged in, the
ventilator will be powered and both of the internal batteries will be
recharged.

5-1

7-6

OPR360U A0509

OPRHT70-2 E1112

Cleaning and
Section 8:

Maintenance

Cleaning and Maintenance

OPR360U A0509

Maintenance

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

5-1

OPR360U A0509

5-1

Cleaning and
Section 8:

Cleaning and Maintenance


Cleaning and Disinfecting

5-1

Use the information in this section in conjunction with hospital policy,


physician prescription, Homecare Dealer or accessory manufacturer
instructions.
OPR360U A0509

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

Wipe clean between patients and as needed while in use. The


exterior of the ventilator should be wiped clean with a cloth
dampened with a medical detergent, disinfectant or alcohol
based
OPR360U A0509
cleaning solution.
Caution: Do not use agents that contain acetone, toluene,
halogenated hydrocarbons, or strong alkalines on the face panel or
ventilator housing.

OPRHT70-2 E1112

8-1

8 Cleaning and Maintenance


Caution: Never autoclave or EtO sterilize the HT70 ventilator. These
processes will damage the HT70, rendering it unusable.

Accessories

5-1

OPR360U A0509

Low Flow Oxygen Reservoir


Clean and disinfect between patients and as needed while in use,
refer to the instructions provided with the oxygen reservoir.
Disassembly from the HT70 ventilator: Remove the Oxygen Reservoir
from the HT70 Fresh Gas Intake port. Disconnect the oxygen tubing.
General Cleaning Instructions: Hold the Low Flow Oxygen Reservoir
in both hands and twist the top counterclockwise to disassemble.
Separate all the parts and clean with soap and water, rinse
thoroughly and then air dry.
Caution: Never mount the Low Flow Oxygen Reservoir onto the
ventilator when wet.
Air/Oxygen Entrainment Mixer
Between patients and as needed
while in use, the exterior of
the mixer and attached hose
should be wiped clean with a
cloth dampened with a medical
detergent, disinfectant or alcohol
based cleaning solution.

1. Oxygen mixer
2. Filter
3. Cover

2
3

Check the mixer intake filter (p/n


FLT3209P) at setup and at least
weekly and replace when dirty.
WARNING Always use a Mixer Intake Filter in the mixer to protect
the internal mechanisms from contaminants and preserve the
lifespan of your mixer.
WARNING Never reverse the Mixer Filter.

5-1Caution: Do not wash or sterilize the Mixer Filter.

8-2

OPR360U A0509

OPRHT70-2 E1112

Cleaning and Maintenance


Reusable Breathing Circuits and Exhalation Valves
The HT70 ventilator may be used with a standard single limb or
J style breathing circuit with a quality exhalation valve. Reusable
breathing circuits and exhalation valves are generally provided
in clean, but not sterile, condition. Follow the manufacturers
instructions to clean and/or disinfect prior to use.

5-1

OPR360U A0509

WARNING Do not use electrically conductive breathing circuits.


Always use clean and dry breathing circuits.
Reusable circuits should be cleaned and disinfected between
patients and as needed while in use. Always use a clean, disinfected
exhalation valve (and humidifier/probe assembly if appropriate)
when a breathing circuit is reassembled for patient use. Clean
and disinfect in accordance with the instructions provided by the
manufacturer.
Caution: To avoid damage to a reusable circuit, attach and detach
the circuit by grasping the cuffs at the end of the circuit tubing. Do
not pull or twist the circuit tubing.
General Cleaning Instructions: Use a low flow of running water or
low flow of air to clear tubings and passages of organic matter.
Wash all components of the breathing circuit and exhalation valve
with a soft brush in a mild medical detergent. Rinse thoroughly with
sterile, distilled water. Shake off excess water and place all parts on
a clean towel to air dry. (Do not heat or blow dry.) Always follow the
instructions provided by the manufacturer.
Disinfect: Refer to the instructions provided by the breathing circuit
and exhalation valve manufacturer.
Sterilize: Refer to the instructions provided by the breathing circuit
and exhalation valve manufacturer.

Air Intake Filter (p/n HT460300)


5-1

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

8 Cleaning and Maintenance


WARNING NEVER operate the HT70 without a clean Air Intake Filter
in place. NEVER reverse the Air Intake Filter when dirty.
(p/n HT6004701 or equivalent)

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

Proximal Inline Filter

Newport Medical strongly recommends that extra Prox Inline Filters


be available at all times when using the HT70 ventilator.
WARNING Always use a Proximal Inline Filter (p/n HT6004701
or equivalent) at the Prox. Line Connector to protect the internal
pressure transducers from moisture or other contaminants.
WARNING Never reverse the Proximal Inline Filter.
Caution: Do not wash or sterilize the Prox Inline Filter.

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.

WARNING NEVER reverse the Air Intake Filter when dirty.


3 Check the Prox Inline Filter weekly. Replace with a new filter if it
appears to have gotten wet or come in contact with a
contaminant. Inline 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

Cleaning and Maintenance


3 Inspect the AC Power Adapter on a regular basis for signs of
broken or frayed cord or connectors.
3 Inspect the exhalation valve after each cleaning to verify that
there are no cracks or damaged surfaces.

5-1

OPR360U A0509

3 Wipe down the surface of the ventilator housing regularly to


remove any dust that might accumulate.
3 Inspect and when necessary, replace accessories.
3 If service is required, contact Newport Medical or your local
equipment provider..
3 To preserve the Internal Dual Battery System life:

1. Whenever possible, plug into external power source to charge
the batteries.
2. Use the optional DC Auto Lighter Cable accessory to power
the HT70 when traveling by automobile or to connect to an
external battery.
See Section 7, Battery Operation for more information on the proper
operation of the HT70 Internal Dual Battery System.
6 Month Maintenance
3 Routine maintenance as described above
3 Perform the Quick Check Procedure (described in Section 5)

12 Month Maintenance
3 Routine maintenance as described above
3 Perform the Quick Check Procedure (described in Section 5)

24 Month Maintenance
3 Replace air intake and prox inline filter

5-1

3 Replace the primary integrated battery (Power Pac)

OPR360U A0509

3 Replace the secondary internal back up battery


3 Replace the oxygen sensor (if installed)

OPRHT70-2 E1112

8-5

8 Cleaning and Maintenance


3 Replace the cooling fan filter

3 Calibration and OVP performed by Authorized Service Provider

5-1

OPR360U A0509

15,000 Hour Maintenance (or every 4 years)


3



A comprehensive maintenance should be performed after 15,000


hours of operation or every 4 years, whichever comes first.
Refer to the HT70 Service Manual, or contact the Newport
Medical Technical Service Department for detailed information on
the 15,000 Hour Maintenance.

Do not attempt to open or perform any service procedures on the


HT70. Only Newport Medical trained technicians are authorized to
service the ventilator.
Newport Medical Technical Service Department:
Telephone: +1.714.427.5811 ext. 500
Fax: +1.714.427.0572 Email: Techservice@ventilators.com

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

The reusable exhalation valve, reusable breathing circuit and


other parts that come in direct contact with the patient should be
disinfected or sterilized between uses according to hospital policy.

8-6

OPRHT70-2 E1112

Cleaning and Maintenance


Factory Maintenance or Repair
An authorized Newport Medical Instruments factory-trained technician
must do all service or repairs performed on the HT70.

5-1

OPR360U A0509

Caution: Always disconnect the external power supply prior to


servicing.
Scheduled maintenance or repair services are available from the
Newport Technical Service Department. To send your ventilator in
for service, see Repackaging /Return Information that follows in this
section.
Current pricing for scheduled maintenance and labor rates can be
found in Newport Medical Instruments Annual Price List. To obtain
a copy, please contact your local Newport Sales Representative or
contact our Customer Service Department.

Repacking / Return Information


Use the original packing carton and material to ship the ventilator back
to Newport Medical. Or you can contact Newport Medical Customer
Service department to order replacement packing material.
Prior to returning your ventilator for service or repair you must obtain
a returned goods authorization number (RGA) from our Technical
Service Department. Refer to the HT70 Service Manual or contact
Technical Service department for complete instructions.
See Contact Information page at the front of this manual for address,
phone and website details.

5-1

OPRHT70-2 E1112

OPR360U A0509

8-7

Specifications

Specifications
Section 9:

OPR360U A0509

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
User Adjustable Alarms................................ 9-5
Automatic Alarms.......................................... 9-5
Hardware Requirements.................................... 9-7
Environment.........................................................9-8
Size and Weight...................................................9-8
Factory Default Parameters...............................9-9
Miscellaneous .....................................................9-9
(optional) Air / Oxygen Entrainment Mixer.......9-9
(optional) Low Flow Oxygen Reservoir.............9-9
Regulatory and Agency Standards................. 9-10

5-1

OPR360U A0509

5-1

Specifications
Section 9:

Specifications

Front Panel Buttons - Symbols Version


Accept

5-1

Cancel

OPR360U A0509

Alarm Silence Reset / LED


Breath Delivery Indicator
Brightness
Device Alert LED
External Power LED
Manual Inflation

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

Main Power Off / On (momentary switch)

Low (Paw or Min Vol) alarm

High (Paw, Min Vol or RR) alarm

5-1

EC REP

Attention, see instructions for use


Equipotentiality
Applied Parts Type BF
Type BF

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.

Single patient use

Controls/Monitors
Controls / Monitors

Range / Selection

MODE (Pressure or
Volume Control)

A/CMV

Resolution

SIMV
SPONT

Breath type
(mandatory)

Pressure Control or Volume Control

NIV (Non Invasive


ventilation)

On or Off, When On, allows Min Vol


Alarm to be set to Off, P Alarm to be
to be set 1 cmH2O/mbar above PEEP
and allows adjustment of bias flow
during PEEP

5-1 VT (Tidal Volume)

9-2

50 to 2,200 mL, ATPS, 10%

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 to 3.0 sec

0.1 sec

RR (Respiratory Rate) 1 to 99 b/min

1.0 b/min

P trig (Sensitivity)

9.9 to 0 cmH2O / mbar, pressure


triggering

0.1 cmH2O/
mbar

Flow trig (Sensitivity)

0.1 to 10 L/min

0.1 L/min

PEEP/CPAP

0 to 30 cmH2O / mbar

1.0 cmH2O/
mbar

PS (Pressure
Support)*

0 to 60 cmH2O / mbar above baseline


pressure, limited to PEEP + PS 60
cmH2O / mbar

1.0 cmH2O/
mbar

I:E Ratio

1:99 to 3:1

0.1 for 9.9:1


to 1:99 and
1 for 99:1
to 1:99

Airway Pressure
Gauge

10 to 100 cmH2O / 10 to 98 mbar


includes indicator bars to show low
and high PAW alarm limits

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*

0.1 - 3.0 sec

OPR360U A0509

PS % Exp Threshold* 5 - 85%

Slope Rise

1 -10 (1 is slowest)

Flow Wave Pattern

Square or Descending

Bias Flow

0 L/min - PEEP Off


7 L/min - PEEP On
3-30 L/min - PEEP + NIV On

AutoLock function

Enabled/ Disabled

AutoLock icon

Touch for 3 seconds to unlock buttons


if AutoLock is Enabled in Utility screen.
When Lock is on screen, all controls
are locked except Alarm Silence
Reset, manual inflation and Brightness
control.

O2 Cylinder Data

Size: D, E, H, M, K, 100 L & 150 L


Cylinder Pressure: 300 to 2450 psi or
25 to 175 ATM or 2,000 to 17,000 kPa
Units: psi or ATM or kPa
O2 Cylinder Monitor; Enabled/Disabled.

Altitude

-1,000 to 10,000 feet, -1,000 to 10,000


meters (with Flow Sensor use)
OPR360U A0509
Minimum RR: 8 to 30 b/min
Rate Factor: 1.1 to 1.8
SPONT Delta P: 5 to 20 cmH2O/mbar
SPONT i-time: 0.4 to 2.0 s

BUV Settings

5-1

5-1

0.1 sec

*not available on the HT70S models

OPRHT70-2 E1112

9-3

9 Specifications
0.01 L
0.01 L

5-1

Monitor Data Selections


Minute Volume
0.01 L to 80.0 L
Insp./Exp. Tidal
0.01 L to 3.0 L
Volume
OPR360U A0509

RR total

0 to 200 b/min

1 b/min

P Peak

0 to 100 cmH2O /mbar

1 cmH2O/mbar

P Mean

0 to 100 cmH2O /mbar

1 cmH2O/mbar

P Base (PEEP)

0 to 100 cmH2O /mbar

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

0.1 (9.9:1 to 1:9.9)


1.0 (99:1 to 1:99)

Front Panel Membrane Buttons and Indicators


Cancel
Press front panel button to cancel any touchscreen
settings changes that have not been accepted
Accept
Press to confirm or accept any touchscreen setting
changes
Up / Down Arrows
Arrow buttons allow adjustment of settable
parameters. Use up arrow to increase and down
s/t
arrow to decrease.
Brightness control
Press to select brightness levels, maximum,
medium high, medium and low.
Manual Inflation
3 second maximum. While button is pressed, the
ventilator closes the exhalation valve and delivers
an operator controlled breath to the patient.
Breath Indicator LED

Lights to indicate the ventilator is delivering a breath.

External Power LED

Lights to indicate the ventilator is powered by


external power

Device Alert LED

Lights to indicate a ventilator malfunction.


WARNING Use alternate ventilation source until
malfunction is identified and corrected.

Alarms
Handle LED

Alarm Indicators flash red or yellow for violated


alarms.

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

Alarm Silence LED


Message Display
area
Alarm Loudness (in
Alarm Screen)

9-4

LED remains lit during the alarm silence period


OPR360U A0509
Alpha numeric display, turns color during an alarm
violation and shows alarm message. Multiple alarm
messages display in order of priority (red is high,
amber is medium and yellow is low).
1 - 10 (10 is loudest)

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

NIV Off: 3 to 98 cmH2O / 3 to 98 mbar


(limited by PEEP + 3); 2 breath delay
NIV On: 1 to 98 cmH2O / 1 to 98 mbar
(limited by PEEP + 1); 3 breath delay

Min Vol (High Insp./


Exp. Minute Volume)

High

NIV Off: 1.1 to 50 L/min NIV On: 1.1 to


80 L/min

Min Vol (Low Insp./


Exp. Minute Volume)

High

NIV Off: 0.01 to 49.0 L/min


NIV On: Off, 0.01 to 49.0 L/min

RR (High
Respiratory Rate)

Med

Off, 30-100 b/min

Apnea

High

5 - 70 seconds

O2

Med

Off, 24 - 100, only available when O2


Sensor is enabled

O2

Med

Off, 22- 98, only available when O2


Sensor is enabled

VTE

Med

OFF, 0.06 to 2.2 Liters

Backup Ventilation
(BUV)

Med

Can be set to be activated by either the


Low Minute Volume alarm or the Apnea
alarm or both via the More/ Utilities/
Custom Settings/BUV Settings.
Functional in all modes

Automatic alarms

Alarm
Priority

Description

Low Baseline
Pressure

High

Paw < PEEP minus 2 cmH2O/mbar for


3 sec

High Baseline
Pressure

High

Paw 5 above set PEEP at onset of a


time-triggered breath

Pressure Control
Setting Not Reached

High

P Peak < 50% of PCV setting for 2


consecutive breaths

Check Circuit

High

Circuit may be disconnected or


proximal pressure line may be pinched
or blocked

No External Power

Low

Loss of External power, automatic


switchover to Internal Dual Battery
System

Occlusion

High

An occlusion or restriction in the circuit


that interferes with exhalation

Occlusion Sustained

High

Device Alert

High

Occlusion continues for 10 sec or 2


breath periods, whichever is shorter
OPR360U A0509
Ventilator malfunction, Device Alert
LED lights red

Shut Down Alert

High

OPR360U A0509

5-1

OPRHT70-2 E1112

5-1

Specifications

Silence by pressing Alarm


Silence/Reset button

9-5

9 Specifications
Alarm
Priority

Description

Motor Fault

High

Hardware detected fault in the motor


drive circuit has occurred

Internal Temperature

Low

Internal temperature is > 60 C

Backup Battery
Temperature

Low

Backup Battery temperature is > 60 C

Power Pac Battery


Temperature

Low

Power Pac Battery temperature is >


60 C

Power Pac Battery


Pack Low

Med

Less than 2 Ah of charge is left on


Power Pac battery pack

Switching to Backup
Battery

Med

Indicates that the Power Pac battery


pack is not available or useable.
Ventilator is switching battery operation
to Backup Battery.

Running on Backup
Battery

Med

The Ventilator is operating on Backup


Battery for > 15 minutes. Audible alarm
will sound every 5 minutes thereafter

Backup Battery Low

High

Backup Battery has insufficient charge,


less than 1Ah

Backup Battery
Shutdown Imminent

High

Backup Battery is extremely low and


will lose power very soon. Connect to
external power or insert new Power
Pac battery pack

Backup Battery
Failure

High

Indicates a failure in Backup Battery


due to communication failure with host
processor or capacity is below 1 Ah

Flow Sensor
disconnect

Med

Flow sensor is no longer detected or is


faulty

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

100 to 240 VAC

DC Power input

12 to 24 VDC

Power switch

momentary switch to power on and off

RS-232C Interface

9 pin standard RS232 connector

Nurse Call / Remote Alarm

RJ435 connector

USB Ports

Two USB ports for connecting to


central monitoring systems, uploading
software upgrades or download data
files.

Electrical

Applied parts type BF Class I


Protection Against Electric Shock
100-240 VAC, max. 2 A, 50 / 60 Hz
12-24 VDC, max. 5 A

Internal Dual Battery System

Power Pac Battery Pack: 14.4 VDC, 6.5


amp hours
Recharge: minimum 3 hours for 100%
charge
When new and fully charged, the
primary Lithium Ion battery pack
supplies power for up to 10 hours of
operation at these settings: A/CMV
mode, RR=15, Tidal Volume=500 mL,
i time=1.0 sec, PEEP=, max. airway
pressure 30 cmH2O /mbar, Power Save
On, Bias flow Off.

5-1

OPR360U A0509

NOTE: The Power Pac and Backup


batteries are charged whenever the
HT70 is connected to an external
power source. Battery charge level is
best maintained by keeping the HT70
continuously connected to external
power.
Backup Battery: 14.4 VDC, 2 amp hour
The secondary Lithium Ion backup
battery will supply power for a minimum
of 30 minutes.
Pneumatics

5-1

OPRHT70-2 E1112

Dual micro-piston system requires no


external air compressor.

OPR360U A0509

9-7

9 Specifications
Description

Emergency Intake

Maximum inspiratory and expiratory


pressure drop at single fault conditions:
10 cmH2O/ L/sec (measured at patient
connection port)

OPR360U A0509

Maximum Limited Pressure


(Pressure Relief)

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.

Water Ingress Protection

IEC 60529 IPX4

Operating Humidity

15 to 95% non-condensing

Operating Altitude

Sea level to 15,000 ft (0 to 4,572 m)


There is no altitude limitation when
HT70 is operated in a pressurized
environment.

Operating Pressure

600 to 1,100 mbar

Storage and Shipping


Temperature

-40 C to 65 C

Storage and Shipping Humidity

0 to 95% non-condensing

Size and Weight

5-1

9-8

Height (includes handle)

10.25 inches (26.04 cm)

Width

9.75 inches (24.77 cm)

Depth

11 inches (27.94 cm)

Weight

15.4 lbs. (6.9 kg)

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

Reusable or disposable 22 mm I.D.


adult or 15 mm I.D. pediatric circuit
with 3/16 inch (4.8 mm) I.D. proximal
pressure sensing line, 1/8 inch (3.2
mm) I.D. exhalation valve control drive
tubing, and exhalation valve.
NOTE: Newport Medical cannot
guarantee the safe use of breathing
circuits that are not recommended by
Newport.

(Optional) Air / Oxygen Entrainment Mixer (MXL70A) Specifications


Pneumatic Requirements:
Oxygen

35 to 65 psig (2.4 to 4.5 Bar) full


operating range, maximum accuracy 40
to 50 psig (2.7 to 3.4 Bar) accuracy .08

Air

Atmospheric pressure

FiO2 Control

adjusted continuously from 0.21 to 1.00

NOTE: Oxygen source gas must be medical grade, 100% oxygen.


(Optional) Low Flow Oxygen Reservoir (RSV3215A)
Pneumatic Requirements:

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)

WARNING Appropriate oxygen monitoring is required for patient safety.

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

ASTM F 1246-91:2005 Standard Specifications for Electrically Powered


Home Care Ventilators Part 1: Positive-Pressure Ventilators and
Ventilator Circuits

5-1

ASTM F 1100-90:1997 Standard Specifications for Ventilators Intended for


Critical Care Use

IEC 60068-2-6:2008 Environmental Testing- Part 2: Tests- Test FE:


Vibration (Sinusoidal)
IEC 60068-2-27:2008 Environmental Testing- Part 2: Tests- Test EA and
Guidance: Shock
IEC 68-2-34:1973 Environmental Testing- Part 2: Tests- Test Fd: Random
Vibration Wide Band General Requirements
IEC 60601-2-12:2001 Particular Requirements for the Safety of Lung
Ventilators for Medical Use
IEC 60601-1:1988 (+A1:1991 +A2:1995) Medical Electrical Equipment
Part 1: General Requirements for Safety
IEC 60601-1-1:2000 Medical Electrical Equipment, Collateral Standard:
Safety Requirements for Medical Electrical Systems
IEC 60601-1-2:2001 Medical Electrical Equipment, Collateral Standard:
Electromagnetic Compatibility- Requirements and Tests
IEC 60601-1-4:2000 Medical Electrical Equipment, Collateral Standard:
Programmable Electrical Medical Systems
EC 60601-1-6:2004 Medical Electrical Equipment, Collateral Standard:
Usability
IEC 60601-1-8:2006 Medical Electrical Equipment, Collateral Standard:
General Requirements, Tests, and Guidance for Alarm Systems in Medical
Electrical Equipment and Medical Electrical Systems
MIL-STD-810E Test Method Standard for Environmental Engineering
Considerations and Laboratory Tests

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:

Explanation of Modes and Controls 10


A/CMV Mode

(Assist/Control Mandatory Ventilation)

5-1

In A/CMV mode, all breaths are mandatory volume control or


pressure control breaths, determined by the selection on the
touchscreen. The RR setting determines the minimum number of
mandatory breaths that are delivered each minute. If the patient does
not trigger the ventilator, the breaths are time triggered. If the patient
makes a breathing effort that causes airway pressure or flow to
meet the Ptrig or Flow trig setting, the patient can trigger mandatory
breaths in addition to, or in place of, time triggered (mandatory)
breaths. PEEP may be added. See Pressure Control and Volume
Control below for descriptions of how each of these breath types
work.
OPR360U A0509

SIMV Mode

(Synchronized Intermittent Mandatory Ventilation)


In SIMV mode, the patient receives mandatory volume control or
pressure control breaths (see A/CMV) that are either time triggered
by the ventilator or flow/pressure triggered by the patient and they
may also receive spontaneous breaths with or without pressure
support (PS)* in between mandatory breaths. PEEP/CPAP may be
added.
The RR setting determines the number of mandatory breaths that are
delivered each minute (+/- 1 b/min). If the patient does not trigger the
ventilator, these breaths are time triggered at intervals determined by
the RR setting. Patients can trigger mandatory breaths in place of
time triggered (mandatory) breaths if the effort they generate causes
airway pressure or flow to meet the Ptrig or Flow trig setting.
The first patient trigger in each mandatory breath interval will
result in a mandatory breath. A mandatory breath lockout interval
is then activated for the rest of the interval, allowing the patient to
breathe spontaneously with or without pressure support (PS)* until
the beginning of the next interval. If the patient does not trigger
the ventilator for one complete mandatory breath interval, a time
triggered mandatory breath is delivered at the end of the interval.

5-1

OPR360Ubelow
A0509
See Pressure Control, Volume Control and Pressure Support
for descriptions of how each of these breath types work.

*Pressure Support is not available in HT70S models

OPRHT70-2 E1112

10-1

10

Explanation of Modes and Controls

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

When PEEP/CPAP is set above 0, the ventilator mode is CPAP


(without PS) or Bi-level Positive Airway Pressure (with PS).* Ensure
that Ptrig or Flow trig is set so the HT70 detects all spontaneous
patient efforts.
The Low Pressure alarm limit is inactive in SPONT mode. However,
users can preset this parameter for future A/CMV or SIMV operation.
As with all HT70 operating modes, Backup Ventilation is activated if
the BUV linked alarm is violated.

NIV

(Non Invasive Ventilation)


The HT70 can be used for noninvasive ventilation in all modes. Go to
the More Screen and touch the NIV button to toggle On noninvasive.
When NIV is On, the following features are activated to assist with
noninvasive ventilation:
o Bias flow is increased to 10 L/min and can be adjusted as
needed from 3-30 L/min
o The Low Minute Volume alarm can be turned off (Alarms
screen)
o The Low Pressure alarm can be set closer to the base
pressure (1 cmH2O /mbar above baseline) (Alarms screen)
o The High Minute Volume Alarm range is expanded to 80 L/
min.

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

*Pressure Support is not available in HT70S models

10-2

OPRHT70-2 E1112

10

Pressure Support + PEEP throughout inspiration. Breaths are cycled


from inspiration to to exhalation when (1) flow to the patient drops to
the Expiratory Threshold setting (a % of that breaths peak flow rate),
or (2) the target airway pressure is exceeded by 3 cmH2O (mbar),
or (3) after the PS Max i time setting has been reached. Maximum
airway pressure never exceeds the High P alarm limit setting.

5-1

Explanation of Modes and Controls

OPR360U A0509

During Pressure Support, tidal volume is determined by the pressure


change during the breath (PS setting), Slope Rise, Expiratory
Threshold, PS Max i time, patient effort and patient respiratory
mechanics.

PC

(Pressure Control Ventilation)


Pressure Control mandatory breaths are available during A/CMV
and SIMV modes. The HT70 targets and maintains patient airway
pressure at the set pressure control level above ambient (not above
PEEP) throughout inspiration. Breaths are cycled from inspiration
to exhalation when (1) the set i time elapses, or (2) Paw exceeds
the Pressure Control setting by 8 cmH2O (mbar). Maximum airway
pressure wont exceed the user set High P alarm setting.
During Pressure Control breaths, tidal volume is determined by the
pressure change during the breath (PC-PEEP settings), Slope/Rise, i
time, patient effort and patient respiratory mechanics.
When disconnecting the patient circuit during PC or PS ventilation,
i.e. for suctioning, the flow may increase in order to compensate for
the low pressure. After reconnecting the patient circuit, the flow will
automatically re-adjust to meet the patients demand.

VC

(Volume Control Ventilation)

5-1

Volume Control mandatory breaths are available during A/CMV and


SIMV modes. During Volume Control breaths, the HT70 delivers the
set tidal volume at the flow and i time shown on the Main screen and
with the Flow Waveform set on the More screen. If the tidal volume
setting is changed while the ventilator is operating, the change takes
place in increments over a series of breaths.
OPR360U A0509

When tidal volume is adjusted, inspiratory time remains constant and


mandatory flow changes.

OPRHT70-2 E1112

10-3

10

Explanation of Modes and Controls

During Volume Control breaths, tidal volume is determined by the


tidal volume (VT) setting.

5-1

If an attempted tidal volume setting results in a flow rate in excess of


100 L/min or less than 6 L/min, flow adjustment ceases, the user is
alerted by an audible beep and a message appears in the Message
Display Window. To allow further volume adjustment, change the i
time to set the Flow to meet the patients need.
OPR360U A0509

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

Explanation of Modes and Controls

10

Backup Ventilation in A/CMV and SIMV Modes:

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

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