FLIGHT MEDICAL INNOVATIONS LTD.

FLIGHT 60 Ventilator
Operator's Manual

LIT-0014 Rev. A08 OPERATING MANUAL-FLIGHT60 SYMBOL KEYPAD WITH

OPTIONAL INTERNAL O2 MIXER
 Legal Notice

Legal Notice
Disclaimer
FLIGHT MEDICAL INNOVATIONS LTD. (FLIGHT MEDICAL) provides this
Operator’s Manual in its commitment to help reduce patient risk and injury.
However, this manual is not intended to in any way replace or substitute duty
of care to a patient, professional responsibility, or professional judgment, nor
is it intended to provide any warranty, promise, guarantee, assumption of risk
or duty, release, or indemnity. Physicians shall at all times maintain
responsibility for patient treatment and outcomes, and FLIGHT MEDICAL
further assumes no liability for patient treatment or outcome or for physician's
negligence, breach of duty of care, or malpractice.

The FLIGHT 60 Ventilator operator is solely responsible for selecting the

appropriate level and method of patient monitoring. Product modification or
misuse can be dangerous. FLIGHT MEDICAL 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 FLIGHT MEDICAL or by other
manufacturers, unless such a combination has been specifically endorsed by
FLIGHT MEDICAL.

The design of FLIGHT 60 Ventilator, the Operator’s 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 FLIGHT 60 Ventilator.

Federal law (US) restricts this device to sale by or on the

order of a physician.

This Operator’s Manual excludes references to various hazards which are

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

When the FLIGHT 60 Ventilator is used in homecare and sub-acute

environments, only properly trained personnel should operate the ventilator.
The FLIGHT 60 Ventilator is a restricted medical device designed for use by
respiratory therapists or other properly trained and qualified personnel under
the direction of a physician and in accordance with applicable state laws and
regulations.

Transport of patients with the FLIGHT 60 Ventilator requires that medical staff
have a good working knowledge of the ventilator’s use and problem resolution.
Proper emergency backup equipment must be immediately available during
transport.

Operator's Manual | i
Legal Notice

FLIGHT 60 Ventilator operators must recognize their responsibility for

implementing safety monitoring mechanisms which supply appropriate
information on equipment performance and patient condition. Patient safety
may be achieved through a wide variety of means, such as electronic
surveillance of equipment performance and patient condition. However,
equipment surveillance should not replace direct observation of clinical signs.

The liability of FLIGHT MEDICAL is subject to and limited to the exclusive

terms and conditions as set forth herein. Said liability is limited whether
arising out of, or related to, the manufacture and sale of goods, their
installation, demonstration, sales representation, use, performance, or
otherwise. Any liability based upon product warranty is limited regardless of
any fault attributable to FLIGHT MEDICAL and the nature of the action
(including breach of warranty, negligence, and strict liability).

The written warranties are in lieu of all other warranties, expressed or implied,
including, without limitation, warranties of merchantability, fitness f or any
purpose, or non-infringement.

FLIGHT MEDICAL shall not be liable for any special incidental or consequential
damages incurred by the buyer to a third party. The buyer shall not be entitled
to make liability recoveries from FLIGHT MEDICAL due to such situations.

Warranty
The FLIGHT 60 Ventilator warranty does not apply for/ in case of:

 Defects caused by misuse, mishandling, tampering, or by

modifications not authorized by FLIGHT MEDICAL or its
representatives.
 Rubber and plastic components and materials, which are guaranteed
to be free of defects at time of delivery.

Any product which proves during the warranty period to be defective in

workmanship or material, will be replaced, credited, or repaired. FLIGHT
MEDICAL retains the discretion to select the most suitable of these options.
FLIGHT MEDICAL is not responsible for deterioration, wear, or abuse. In all
cases, FLIGHT MEDICAL will not be liable beyond the original selling price.

Application of this warranty is subject to the following conditions:

 FLIGHT MEDICAL or its authorized representatives must be promptly

notified upon detection of the defective material or equipment.
 Defective material or equipment must be returned to FLIGHT
MEDICAL or its authorized representative.
 Examination by FLIGHT MEDICAL or its authorized representatives
must confirm that the defect is covered by the terms of this
warranty.

The above is the sole warranty provided by FLIGHT MEDICAL. No other

warranty, expressed or implied, is intended. Representatives of FLIGHT
MEDICAL are not authorized to modify the terms of this warranty.

ii | Flight 60
 About this Document

In no way does this or any of FLIGHT MEDICAL's policies, training materials,

guidelines, or instructions create an obligation for FLIGHT MEDICAL to perform
any services.

About this Document

This document contains information intended to ensure safe and effective use
of the FLIGHT 60 Ventilator.

# Chapter Name Contents Page

‎1 Introduction Describes the intended use of the ventilator, symbols Pg. 1-1
appearing on the ventilator, and an overview of how
the ventilator works.

‎2 Safety Instructions Lists WARNINGS and CAUTIONS to be adhered to, in Pg. 2-1
order to safely use the ventilator.

‎3 Ventilator Provides a detailed description of the front, back, left, Pg. 3-1
Description and right side panels of the ventilator.

‎4 Installation Describes how to remove the ventilator parts from the Pg. 4-1
box, mount the ventilator, plug it in, attach the patient
circuit, and install the oxygen accessories.

‎5 Basic Operation Describes the basic operation of the ventilator, Pg. 5-1
including how to turn the ventilator on or off, initiate
ventilation, navigate between screens, set control
values, cancel or accept parameter adjustments, and
change parameter values.

‎6 Ventilator Settings Describes the buttons on the Home, Extended, Alarms, Pg. 6-1
and Technical Screens

‎7 Ventilator Alarms Describes the audible and visual alarm and caution Pg. 7-1
and Backup signals, displays the alarm and caution specifications,
Ventilation provides instructions for silencing audible alarms,
resetting alarms, and setting up a remote alarm

‎8 Monitoring Describes the numeric and graphic displays used for Pg. 8-1
monitoring a patient's ventilation.

‎9 Ventilation Modes Describes the ventilation modes Pg. 9-1

‎10 Special Functions Describes the following special functions: nebulizer, Pg. 10-1
100% O 2, SIGH, manual breath, panel lock, Quick-
Start, In-use O 2 sensor calibration, Altitude
C ompensation.

‎11 Accessories Describes the air/oxygen entrainment mixer and Pg. 11-1
oxygen blending bag kit accessories

‎12 Cleaning and Describes how to clean and disinfect the ventilator Pg. 12-1
Maintenance parts, and how to maintain the ventilator.

Operator's Manual | iii

About this Document

# Chapter Name Contents Page

‎13 Troubleshooting Describes problems that may arise, their probable Pg. 13-1
cause, and possible solutions. Also includes contact
information for technical support.

‎15 Ventilator Quick Describes the testing procedures. Pg. 15-1

Check Procedure

‎16 Technical Describes the technical specifications for: hardware, Pg. 16-1
Specifications safety, environmental and oxygen accessories.

iv | Flight 60
 Table of Contents

Table of Contents
1 INTRODUC TION.............................................................................. 1-1
1.1 INTENDED USE.............................................................................. 1-1
1.2 SYMBOLS .................................................................................... 1-2
2 SAFETY INSTRUC TIONS .................................................................. 2-1
2.1 GENERAL WARNINGS ....................................................................... 2-1
2.2 CAUTIONS ................................................................................... 2-4
3 VENTILATOR DESC RIPTION ............................................................ 3-1
3.1 F RONT PANEL F EATURES ................................................................... 3-1
3.1.1 Control Buttons................................................................. 3-2
3.1.2 LED Indicators .................................................................. 3-3
3.2 BACK PANEL F EATURES..................................................................... 3-4
3.3 LEFT SIDE PANEL F EATURES ............................................................... 3-5
3.4 RIGHT SIDE PANEL F EATURES ............................................................. 3-6
4 INSTALLATION ............................................................................... 4-1
4.1 INTRODUCTION.............................................................................. 4-1
4.2 REMOVING THE VENTILATOR PARTS FROM THE BOX ..................................... 4-1
4.3 MOUNTING THE VENTILATOR............................................................... 4-1
4.4 INSTALLING THE DETAC HABLE AND INTEGRAL BATTERIES .............................. 4-2
4.5 PLUGGING IN THE POWER CORD (FOR AC)............................................... 4-2
4.6 ATTACHING THE PATIENT CIRC UIT ........................................................ 4-3
4.7 CIRCUIT TEST ............................................................................... 4-4
4.8 CONNECTING THE OXYGEN SUPPLY........................................................ 4-5
4.8.1 Internal O2 Mixer ............................................................... 4-6
4.8.2 External Air/Oxygen Entrainment Mixer ................................. 4-6
4.8.3 Low-Flow Oxygen Port........................................................ 4-8
5 BASIC OPERATION ......................................................................... 5-1
5.1 POWERING ON THE VENTILATOR .......................................................... 5-1
5.2 INITIATING VENTILATION .................................................................. 5-2
5.3 T URNING OFF THE VENTILATOR ........................................................... 5-2
5.4 NAVIGATING BETWEEN SCREENS.......................................................... 5-3
5.5 SETTING CONTROL VALUES ................................................................ 5-3
5.5.1 Default and Saved Values ................................................... 5-4
6 VENTILATOR SETTINGS .................................................................. 6-1
6.1 HOME (PARAMETERS ) SCREEN ............................................................ 6-1
6.1.1 Pop-Up Messages .............................................................. 6-6
6.2 EXTENDED SCREEN ......................................................................... 6-7

Operator's Manual | v
Table of Contents

6.3 ALARMS SCREEN............................................................................ 6-9

6.4 T ECHNICAL SCREEN ...................................................................... 6-10
7 VENTILATOR ALARMS AND BAC KUP VENTILATION ...........................7-1
7.1 AUDIBLE ALARM AND CAUTION SIGNALS ................................................. 7-1
7.2 VISUAL ALARM AND CAUTION SIGNALS .................................................. 7-2
7.3 ALARM AND CAUTION SPECIFICATIONS ................................................... 7-3
7.3.1 Variable Ventilation Alarms ................................................. 7-3
7.3.2 Automatic Ventilation Alarms .............................................. 7-4
7.3.3 Automatic Technical Alarms ................................................ 7-5
7.3.4 Cautions (Low Priority)....................................................... 7-6
7.4 APNEA BAC KUP VENTILATION.............................................................. 7-7
7.4.1 Backup Ventilation in ACMV and SIMV Modes ......................... 7-7
7.4.2 Backup Ventilation in SPONT Mode ....................................... 7-7
7.4.3 Cancellation of Backup Ventilation ........................................ 7-7
7.5 SILENCING AUDIBLE ALARMS.............................................................. 7-8
7.6 RESETTING ALARMS ........................................................................ 7-8
7.7 DISABLING THE CHECK CIRCUIT ALARM.................................................. 7-8
7.8 DISABLING THE LOW P ALARM ........................................................... 7-9
7.9 SETTING UP A REMOTE ALARM ............................................................ 7-9
8 MONITORING ..................................................................................8-1
8.1 GRAPHIC DISPLAY .......................................................................... 8-1
8.1.1 Waveforms and Loops ........................................................ 8-2
8.1.2 Trends ............................................................................ 8-3
8.1.3 Selecting Trended Parameters ............................................. 8-3
8.1.4 Time Scale Adjust ment ...................................................... 8-3
8.2 NUMERIC DISPLAY.......................................................................... 8-4
9 VENTILATION MODES ......................................................................9-1
9.1 ACMV MODE (ASSIST/CONTROL MANDATORY VENTILATION) ......................... 9-1
9.2 SIMV MODE (SYNCHRONIZED INTERMITTENT MANDATORY VENTILATION) ........... 9-1
9.2.1 VCV/PCV ......................................................................... 9-2
9.3 SPONT MODE (SPONTANEOUS VENTILATION) .......................................... 9-7
9.4 VG (VOLUME GUARANTEE) ................................................................ 9-7
9.5 B-LEV MODE (BI-PHASIC VENTILATION).............................................. 9-10
9.6 NPPV (NON-INVASIVE POSITIVE PRESSURE VENTILATION) SUB MODE ............ 9-10
10 SPEC IAL FUNC TIONS ..................................................................... 10-1
10.1 NEBULIZER (OPTIONAL) ............................................................... 10-1
10.2 2 MINUTES 100% O2 (OPTIONAL).................................................. 10-2
10.3 SIGH ...................................................................................... 10-2
10.4 MANUAL BREATH ......................................................................... 10-3

vi | Flight 60
 Table of Contents

10.5 PANEL LOCK ............................................................................... 10-3

10.6 QUIC K-START AND PRESET VENTILATION CONFIGURATIONS ......................... 10-4
10.6.1 Quick-Start: Factory default settings .................................. 10-4
10.6.2 Setting and loading the preset ventilation configurations ........ 10-5
10.7 IN-USE O2 SENSOR CALIBRATION ...................................................... 10-6
11 ACCESSORIES................................................................................11-1
11.1 AIR/OXYGEN ENTRAINMENT MIXER ..................................................... 11-1
11.2 OXYGEN BLENDING BAG KIT............................................................. 11-1
12 CLEANING AND MAINTENANCE ......................................................12-1
12.1 CLEANING AND DISINFECTING ........................................................... 12-1
12.1.1 FLIGHT 60 Ventilator ....................................................... 12-1
12.1.2 FLIGHT 60 Ventilator Accessories ....................................... 12-2
12.2 MAINTENANCE............................................................................. 12-7
12.2.1 Preventive Maintenance.................................................... 12-7
12.2.2 O2 Sensor Maintenance .................................................... 12-8
12.2.3 Internal Battery Maintenance ............................................ 12-8
12.2.4 15,000 Hour Maintenance ................................................. 12-8
12.3 GENERAL WARNINGS ..................................................................... 12-9
13 TROUBLESHOOTING ......................................................................13-1
13.1 INTRODUCTION............................................................................ 13-1
13.2 ALARMS .................................................................................... 13-1
13.3 GENERAL/CLINICAL....................................................................... 13-5
13.4 OXYGEN ENRIC HMENT .................................................................... 13-9
14 CONTACT INF ORMATION ............................................................. 14-11
15 VENTILATOR QUIC K CHEC K PROCEDURE ........................................15-1
15.1 INTRODUCTION............................................................................ 15-1
15.1.1 Setting Up the Ventilator for the Test .................................. 15-1
15.2 QUIC K CHECK PROCEDURE............................................................... 15-2
15.2.1 Checking the Power Management ....................................... 15-2
15.2.2 Checking the Alarms ........................................................ 15-3
15.2.3 Chec king the Monitored Parameters .................................... 15-3
15.3 CHECK-OFF SHEET ....................................................................... 15-4
16 TECHNIC AL SPEC IF ICATIONS.........................................................16-1
16.1 PHYSICAL SPECIFICATIONS .............................................................. 16-1
16.2 PNEUMATIC SPECIFICATIONS ............................................................ 16-1
16.3 ELECTROMAGNETIC EMISSION - GUIDANCE AND MANUFACTURER 'S DEC LARATION. 16-1
16.3.1 Recommended separation distance between portable Mobile RF
communications Equipment and the device ................................... 16-5
16.3.2 Recommended Separation Distances Between Power Buses and the
Product ................................................................................... 16-6

Operator's Manual | vii

Table of Contents

16.3.3 EMC statement of Essential Performance ............................. 16-6

16.4 ELECTRICAL SPECIFICATIONS............................................................ 16-7
16.5 INTERNAL BATTERY SPECIFICATIONS ................................................... 16-7
16.6 SAFETY AND PARTIC ULAR STANDARD SPECIFICATIONS ............................... 16-8
16.7 ENVIRONMENTAL SPECIFICATIONS ...................................................... 16-8
16.8 INTERNAL O2 MIXER ..................................................................... 16-9
16.9 AIR/OXYGEN ENTRAINMENT MIXER SPECIFICATIONS ................................. 16-9
16.10 OXYGEN BLENDING BAG KIT SPECIFICATIONS ................................... 16-10
16.11 LOW F LOW PORT OXYGEN SPECIFICATIONS ...................................... 16-10
16.12 INTERNAL OXYGEN SENSOR SPECIFICATIONS .................................... 16-10
17 INDEX........................................................................................... 17-2

viii | Flight 60
 Introduction

Intended Use

1 Introduction
The FLIGHT 60 Ventilator is an electrically powered, microprocessor-controlled
ventilator with pressure support for spontaneous breathing. It can be pressure
or time activated, volume or pressure limited, and time, pressure, or flow
cycled. Backup ventilation is available, manual inflation is possible, and there
is an emergency intake valve which allows the patient to pull ambient air into
the patient circuit in the event of a complete loss of supply of gas pressure.
Opening pressure is approximately –3 cmH2 O (–3 mbar) during emergency
intake.

The FLIGHT 60 Ventilator may be powered by external power (100-240 VAC or

12-15 VDC) or by its Li Ion internal batteries. Two internal Li Ion rechargeable
batteries power the ventilator for up to 12 hours when fully charged.

The main component of the pneumatic system is an electrically controlled

pump. This pump provides a compressed gas source so that no external air
compressor is needed. Additionally, the exhalation valve is activated by an
electrically controlled proportional solenoid.

Transport of patients with the FLIGHT 60 Ventilator requires that

medical staff have a good working knowledge of the ventilator’s
use and problem resolution. Proper emergency backup equipment
must be immediately available during transport.

This Operator’s Manual (LIT-0014 ) contains information intended to ensure

safe and effective use of the FLIGHT 60 Ventilator.

1.1 Intended Use

The FLIGHT 60 Ventilator is intended to provide continuous or intermittent
mechanical ventilation support for the care of individuals who require
mechanical ventilation. Specifically, the FLIGHT 60 is applicable for adult and
pediatric (i.e., infant, child and adolescent ) patients who weigh at least 5 kg
(11 lbs).

The FLIGHT 60 Ventilator is a restricted medical device intended for use by

qualified, trained personnel under the direction of a physician; it is suitable for
use in hospitals, sub-acute emergency rooms, and home care environments,
as well as for transport and emergency response applications .

Operator's Manual | 1-1

Introduction

Symbols

1.2 Symbols

Symbol Description

Front Panel

On/Off

Alarm Reset

OK (Enter)

Decrease Button

Increase Button

Cancel

Panel Lock

Manual Breath

Parameters Screen

Extended Screen

Technical Screen

Nebulizer Port (optional)

Rear Panel

Caution; consult accompanying documents

Type BF applied part

Temperature limitation

1-2 | Flight 60
 Introduction

Symbols

Symbol Description

Humidity limitation

Atmospheric pressure limitation

DC – Direct Current

AC – Alternating Current

USB – Universal Serial Bus

LAN – Local Area Network

High Pressure (optional) and Low-Flow Oxygen

Port

MR unsafe – keep away from magnetic resonance

imaging (MRI) equipment

Operator's Manual | 1-3

 Safety Instructions

General Warnings

2 Safety Instructions
At all times, strictly follow this manual. The safe use of the FLIGHT 60
Ventilator requires full understanding of its operation, and adherence to the
manual's instructions. The equipment is only to be used for the purpose
specified in Section ‎1.1. Observe all of the WARNINGS and CAUTIONS posted
in this manual, and on buttons found on the FLIGHT 60 Ventilator and
associated accessories.

2.1 General Warnings

External power connection: To maintain grounding
integrity when using AC power, only connect to hospital
grade receptacles. Always disconnect the external power
supply prior to servicing. There is a risk of explosion if
used in the presence of flammable anesthetics.

All settings and adjustments in the different ventilation

modes must be made in accordance with a physician's
prescribed therapy.

Do not use electrically conductive patient circuits.

Do not use electrically conductive patient circuits.

Always use a clean, disinfected patient circuit.

Always use an outlet filter or equivalent at the Airway

Pressure Connector, to protect the internal transducers
from moisture and other contaminants.

Always use appropriate monitors to ensure sufficient

oxygenation and ventilation (such as pulse oximeter
and/or capnograph) when the FLIGHT 60 Ventilator is in
use on a patient.

Operator's Manual | 2-1

Safety Instructions

General Warnings

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, and contact your provider or FLIGHT
MEDICAL immediately.

The ventilator is ready for operation only when:

 It is completely assembled.
 The Quick Check Procedure, including the
Exhalation Valve Calibration has been
successfully completed.

Constant attention by qualified medical personnel is

recommended whenever a patient is ventilated with the
FLIGHT 60 Ventilator.

Failure to identify and correct alarm violations may result

in patient injury.

Ensure that the oxygen source is not empty before and

during the use of the optional Air/Oxygen Entrainment
Mixer or Oxygen Blending Bag Kit.

As Li-Ion batteries are charged and discharged over time,

their ability to hold a charge is decreased with use. This
can shorten the length of time the ventilator can function
while on battery power.

The batteries should be replaced when the batteries no

longer meet the needs of the user. This depends on a
number of factors including sett ings and usage patterns.

When the FLIGHT 60 Ventilator is used for transport

applications, ensure that the internal batteries are fully
charged prior to use.

When the Battery Empty alarm sounds, only a limited

amount of battery power remains, and an alternate power
source should be found immediately.

2-2 | Flight 60
 Safety Instructions

General Warnings

Charge the batteries for a minimum of three hours before

powering the ventilator from the batteries. This provides
fully charged batteries.

During storage, charge the batteries for a minimum of

three hours every 30 days. This provides charged
batteries.

Always ensure that the green Ext. Power LED is

illuminated after connecting the FLIGHT 60 Ventilator to
an external AC or DC power source. If the LED is not
illuminated, check all power connections and resolve any
problems.

Always plug the FLIGHT 60 Ventilator into an AC power

supply source when not in use, to ensure best battery
performance.

The flow resistance of the air inlet filter, located on the

right side of the ventilator, is likely to increase with
repeated use. Ensure that the filter is changed regularly.

Only a FLIGHT MEDICAL approved patient circuit can be

used with the FLIGHT 60 Ventilator.

For pediatric ventilation ensure that the patient c ircuit

type is suitable for pediatrics ventilation. The Flight 60
Flow Sensor's dead-space is 19cc; consider using a Flow
Sensor Pediatric Adaptor to reduce dead-space when
ventilating pediatric patients.

Only a FLIGHT MEDICAL approved exhalation valve can be

used with the FLIGHT 60 Ventilator

Perform an exhalation valve calibration each time a

circuit/exhalation valve is installed.

Operator's Manual | 2-3

Safety Instructions

To avoid the risk of cross contamination, the disposable

patient circuit and exhalation valve (single use), must be
discarded in a responsible manner. The user should not
clean, disinfect or sterilize the circuit or the exhalation
valve element for reuse.

MR unsafe – keep away from magnetic resonance

imaging (MRI) equipment.

2.2 Cautions

Only use medical grade oxygen with the high and low
pressure ports.

Do not place liquid containers in the immediate vicinity or

on top of the FLIGHT 60 Ventilator. Liquids that get into
the ventilator can cause equipment malfunction and
damage.

An authorized FLIGHT MEDICAL factory-trained technician

must do all service or repairs performed on the FLIGHT 60
Ventilator.

Do not open the ventilator or perform service on an open

unit while connected to external power.

Use standard antistatic techniques while working inside

the ventilator or handling any electronic parts.

Clean all external parts of the ventilator prior to servicing.

2-4 | Flight 60
 Safety Instructions

Cautions

Water in the oxygen supply can cause equipment

malfunction and damage.

Batteries contain Li-Ion. Do not discard them in an

incinerator or force them open. Batteries should not be
disposed of with normal waste.

Review FLIGHT 60 Ventilator Operator’s Manual before

servicing the ventilator.

Use the tools and equipment specified in this manual to

perform specific procedures.

Operator's Manual | 2-5

 Ventilator Description

Front Panel Features

3 Ventilator Description
3.1 Front Panel Features
The front panel contains the control buttons, visual indicators, display screen,
and patient circuit connection.

Figure 1 – Front Panel

Label Name Description

1 Patient C ircuit C onnector C omposed of a gas outlet and quick connector.

2 +/- button Enables the user to adjust setting parameters.

3 Panel Lock button Enables the user to lock the ventilator’s control, preventing
accidental changes. Pressing the button of a locked panel and
then Enter, unlocks the panel.

4 On/Off button Turns the ventilator on or off, to start or stop ventilation.

Operator's Manual | 3-1

Ventilator Description

Front Panel Features

Label Name Description

5 Manual Breath button Delivers a user initiated manual inflation.

6 Audio Paused / Alarm Reset Toggle button. Pressing Audio Paused temporarily silences the
button audible alarm; pressing Alarm Reset clears lit alarm LEDs.

7 Pressure Gauge The pressure gauge is a visual indicator of breath activity. The
gauge displays the airway pressure in the patient circuit at all
times. LED intensity can be controlled through the service
screen.

8 Display touch screen Enables the user to modify the ventilation, alarm, and
technical settings, and to view real time patient data, alarms,
battery status and logs.

9 LED Indicators Inform the user of various events (see Section ‎3.1.1).

10 Primary Alarm LED Flashes red to indicate that there is a high priority alarm.

11 Dual Limb Exhalation Valve C onnects the patient circuit expiratory limb.
(Optional)

12 Nebulizer Port (optional) C onnects the pneumatic nebulizer.

3.1.1 Control Buttons

Figure 2 – Control Buttons

Item Symbol Description

1 – Parameters The Parameters screen is the Flight 60's default screen.

(home) Display switches automatically to Parameters from the
other screens if not operated for 30 seconds.
Use the Parameters button to toggle between the numeric
and the graphic displays.

2 - Manual Breath Delivers a user initiated manual inflation.

3-2 | Flight 60
 Ventilator Description

Front Panel Features

Item Symbol Description

3 – Panel Lock Enables the user to lock the ventilator’s control, preventing
accidental changes. Pressing the button of a locked panel
and then Enter, unlocks the panel.

4 – Cancel Enable the user to cancel parameters change.

5 – Increase Enables the user to adjust setting parameters upwards.

Button

6 – Decrease Enables the user to adjust setting parameters downwards.

Button

7 – OK (Enter) Enable the user to confirm parameters or mode change.

8 – On/Off Turns the ventilator on or off, to start or stop ventilation.

9 – Alarm Reset The Alarm Reset silences the audible alarm and clears lit
alarm LEDs.

10 – Technical Technical data and selection options.

11 – Extended Additional ventilation parameters screen.

3.1.2 LED Indicators

The LED indicators on the front panel inform the user of various events. The
following table describes the available LED indicators.

LED Indicator Description

TRIG Green LED indicates a patient’s breathing effort.

EXT PWR Green LED indicates that an external power source is being applied to the ventilator.

LOW BAT Red LED indicates that total batteries charge level has dropped below 30%.

BAT Orange LED indicates that the ventilator is powered on batteries.

FAULT Red LED indicates a ventilator malfunction.

APNEA Red LED indicates that the apnea alarm limit is being violated.

BUV Red LED indicates that backup ventilation is active.

HIGH MV Red LED indicates that the high minute volume alarm limit is being violated.

LOW MV Red LED indicates that the low minute volume alarm limit is being violated.

HIGH P Red LED indicates that the high peak airway pressure alarm limit is being violated.

LOW P Red LED indicates that the low airway pressure alarm limit is being violated.

Operator's Manual | 3-3

Ventilator Description

Back Panel Features

3.2 Back Panel Features

Figure 3 – Back Panel

To ensure proper grounding and prevent possible shock

hazards, this device should only be connected to
grounded power receptacles.

HOME CAREGIVERS: External power in the home

environment must support min. 100 to max. 240 V AC,
and must have a grounded receptacle.

Label Name Description

1 Detachable Battery Li-Ion 14.8 VDC

2 AC C onnector with Fuses 100 – 240 V AC , 50 – 60 Hz, Fuses 2x8A (time lag)

3 DC C onnector 12 – 15 V DC

4 RS-232 Serial Port (C OM2) Remote alarm connector (Normally Open and Normally Closed
options).

3-4 | Flight 60
 Ventilator Description

Left Side Panel Features

Label Name Description

5 RS-232 Serial Port (C OM1) Online output of events and error messages to the PC, using a
dedicated PCS2 protocol; for authorized and qualified service
technicians only.

6 USB B type PC connector: USB port for downloading the main application
from the PC using a dedicated PCS2 protocol; for authorized
and qualified service technicians only.

7 USB A type USB port for uploading LOG files to an external memory stick;
for authorized and qualified service technicians only.

8 LAN (RJ45) LAN for network logging (currently not available).

9 Mini RS-485 (C OM3) For connecting FLIGHT MEDICAL peripherals. For future use.

10 Low Flow Oxygen Port Low flow oxygen enrichment source.

11 High Pressure O 2 Port C onnects the high pressure O 2.

(optional)

3.3 Left Side Panel Features

Figure 4 – Left Side Panel

Label Name Description

1 Emergency Air Intake Enables the patient to pull ambient air into the patient circuit in
the event of a complete system failure. The Air Intake opening
pressure is approximately -3 cmH2O (-3 mbar).

Do not obstruct the Emergency Air Intake! Any

impediment can result in patient suffocation.

Operator's Manual | 3-5

Ventilator Description

Right Side Panel Features

HOME CAREGIVERS: Should a complete failure of the

ventilator occur, the Emergency Air Intake allows the
patient to breathe from room air through the intake valve.
Blockage of the valve can result in suffocation.

3.4 Right Side Panel Features

Figure 5 – Right Side Panel

Label Name Description

1 Fresh Gas Intake and Environmental air enters through this 30 mm ID Fresh Gas Intake.
Filter C over The air inlet particle filter is placed behind the Filter C over to
protect the patient as well as the ventilator’s piston system from
dirt and particles. The Fresh Gas Intake also serves as the
attachment socket for the optional FLIGHT 60 Ventilator
Air/Oxygen Entrainment Mixer or Oxygen Blending Bag.

Do not block the Fresh Gas Intake.

3-6 | Flight 60
 Installation

Introduction

4 Installation
4.1 Introduction
Familiarize yourself with the instructions in this section prior to installing the
ventilator. Following all of the listed steps is essential for ensuring the safest
possible operation of the ventilator. Use the information in this section in
conjunction with established hospital protocols and homecare dealer
instructions.

Only properly trained personnel should install the

ventilator.

4.2 Removing the Ventilator Parts from the Box

Before installing the ventilator, familiarize yourself with the various
components. Remove all of the items from the shipping box and inspect each
part and component for completeness and verify that there is no shipping
damage..

The complete assembly consists of the following parts:

 FLIGHT 60 Ventilator
 Operator's Manual
 AC Power Cord
 Patient Circuit – Single Patient Use
 Air Inlet Filter (pk. Of five filters)
 Detachable Battery (Main)
 Integral Battery (Secondary)

4.3 Mounting the Ventilator

To mount the ventilator:
1. Mount the ventilator on a stable surface (e.g., bedside table or the Roll
Stand Assembly).
2. To mount the ventilator on the Roll Stand Assembly, follow the instructions
provided with the assembly; position the ventilator on a pedestal mount
and then secure it using the screws provided.

Operator's Manual | 4-1

Installation

Installing the Detachable and Integral Batteries

4.4 Installing the Detachable and Integral

Batteries
To install the detachable battery:
1. Insert the detachable battery into the ventilator.
2. Turn the lock dial clockwise, in the direction of the CLOSE arrow, until it is
firmly locked.

Figure 6 – Installing the Detachable Battery

To install the integral battery:

1. Insert the integral battery into the ventilator (bottom panel).
2. Attached the plastic integral battery cover and tightened the 4 screws with
a Philips screw driver.

4.5 Plugging in the Power Cord (for AC)

To plug in the power cord:
1. Plug the AC power cord into the power entry connector.
2. Plug the ventilator's electric cord into a properly grounded outlet.

The ventilator is now in STANDBY mode. The EXT PWR LED is illuminated,
and the batteries begin recharging.

Figure 7 – Plugging in the Power Cord

4-2 | Flight 60
 Installation

Attaching the Patient Circuit

4.6 Attaching the Patient Circuit

The following procedure describes how to attach a patient circuit to the
ventilator.

To attach the single limb patient circuit:

1. Attach the quick connector to its socket on the front panel and tightly
secure.
2. Attach the 22 mm ID patient circuit to the Gas Output on the front panel.
3. If using with an HME, attach the HME to the flow orifice.

Figure 8 – Patient Circuit (Quick Connector)

Figure 9 – Patient Circuit (22 mm Tube)

To attach the dual limb patient circuit:

1. Attach the quick connector to its socket on the front panel and tightly
secure.
2. Attach the 22 mm ID inspiratory limb to the Gas Output on the front panel.
3. If using with an HME, attach the HME to the flow orifice.
4. Place the exhalation valve diaphragm inside the exhalation valve base with
its holding tip facing forward.
5. Press the exhalation valve cover to its base. Rotate the exhalation valve
cover 1/4 turn clockwise to secure it into place. Verify the secure pin in
place.
6. Attach the 22 mm ID expiratory limb to the exhalation valve on the front
panel.
7. To detach the exhalation valve cover, press the pin and rotate the
exhalation valve cover 1/4 turn counter clockwise.

Operator's Manual | 4-3

Installation

Circuit Test

Figure 10 – Dual Limb Patient Circuit

1. Quick Connector
2. Inspiratory Limb
3. Flow Transducer Lines
4. Flow Orifice
5. Exhalation Valve Cover
6. Exhalation Valve Diaphragm
7. Exhalation Valve Base

4.7 Circuit Test

Some disposable patient circuit/exhalation valve assemblies

are not compatible with the FLIGHT 60 Ventilator due to the
requirements of the ventilator's pressure management
system. If your disposable circuit fails consistently, switch to
a FLIGHT MEDICAL approved patient circuit to ensure that
the FLIGHT 60 Ventilator performs to specification.

4-4 | Flight 60
 Installation

Connecting the Oxygen Supply

Inadequate ventilation may result if the exhalation valve

is not calibrated properly. If the circuit/exhalation valve
fails the calibration procedure, try another
circuit/exhalation valve or use an alternate method of
ventilation.

A Circuit Test is to be performed each time a Patient Circuit or components of

a Patient Circuit are replaced.

To perform a circuit test:

1. Connect an adult (500 ml) test lung with a 90 degree elbow to the Flow
Sensor's patient side or to the HME, if used.
2. Press the On/Off button once to place the Flight 60 into standby mode (the
Flight 60 displays are on, but ventilation has not been initiated).
3. Press the Technical button once, and then tap the Circuit TEST button.
4. Press Enter and follow the instructions on the display.

If the test was completed succ essfully, “Test Completed” is displayed.

If the test failed, “Verification Test Failed” is displayed. Check the Patient
Circuit and test the lung's connections and check for possible leaks, or
replace the Patient Circuit and/or test lung as needed and retest.
5. When the Circuit Test is completed, remove the test lung and press Enter
or Cancel to exit.
6. Press the Parameters (home) button to review the various control
settings.

4.8 Connecting the Oxygen Supply

Oxygen enrichment can come from high- or low-pressure source with the
following options:

 Internal O2 Mixer
 External Air/Oxygen Entrainment Mixer
 Low Flow Oxygen connector
 Oxygen blending bag kit

Ensure that the oxygen source is not empty before and

during oxygen enrichment.

Operator's Manual | 4-5

Installation

Connecting the Oxygen Supply

4.8.1 Internal O2 Mixer

Use the high pressure hose to connect the ventilator to a high pressure
source. Attach the hose to the High Pressure O2 Port located at the rear panel
of the ventilator.

Feature Specification

C onnector Type DISS

Input Pressure – Oxygen 35-90 psig/240-620 kPa

FiO 2 21% to 100%

Accuracy ±5%

21% to 90% FiO 2 Response

Up to 20 seconds
Time

4.8.2 External Air/Oxygen Entrainment Mixer

An optional Air/Oxygen Entrainment Mixer (p/n V13-00010-60) is designed for
use with the FLIGHT 60 Ventilator. It is used to blend atmospheric air with
pressurized medical grade oxygen at a precise ratio. The standard oxygen inlet
connection is DISS 1240.

The Air/Oxygen Entrainment Mixer specifications are described in the following

table.

Feature Specification

Flow Range Up to 100 L/min

FiO 2 21% to 100%

Accuracy ±8% (at flows: 10-100 L/min)

Input Pressure – Oxygen 35-90 psig/240-620 kPa

The oxygen concentration to the patient should be

monitored. Set the FiO2 alarm limit to ±10% from the set
oxygen concentration. Perform O2 sensor calibration after
replacing the sensor.

The Air/Oxygen Entrainment Mixer is designed to operate

with a hospital grade O2 supply.

4-6 | Flight 60
 Installation

Connecting the Oxygen Supply

No oxygen is delivered through the Air/Oxygen Entrainment

Mixer while the FLIGHT 60 Ventilator is in Standby or Settings
mode.

Figure 11 – Air/Oxygen Entrainment Mixer

4.8.2.1 Installing the Air/Oxygen Entrainment Mixer

The Air/Oxygen Entrainment Mixer attaches into the inlet port on the Filter
Cover, located on the right side of the ventilator.

Make sure to monitor the state of the air inlet filter, and
when necessary replace it to ensure that it is clean when
using the Mixer.

Before attaching the Air/Oxygen Entrainment Mixer, make sure

that the three hold-down sc rews on the Filter Cover are tight. If
the screws are not tight, ambient air may enter the FLIGHT 60
Ventilator from around the inlet cover. This may change the
oxygen enrichment level delivered to the patient when the Mixer
is in use.

To Install the Air/Oxygen Entrainment Mixer:

1. Unscrew the three thumb screws on the Filter Cover from the ventilator
housing.
2. Remove the Filter Cover and inspect the filter. Replace the filter, if it is
dirty.
3. Reattach the Filter Cover, ensuring that the three thumb screws are tight.

Operator's Manual | 4-7

Installation

Connecting the Oxygen Supply

Figure 12 – Inspect Filter

4. With the oxygen hose facing toward the front of the ventilator, press the 30
mm OD outlet of the Mixer into the Attachment Socket (Fresh Gas Intake
port) of the FLIGHT 60 Ventilator Filter Cover. Rotate the mixer 1/4 turn
clockwise to secure it into place.
5. Connect the oxygen hose DISS fitting to the oxygen supply and secure the
fitting.
6. Open the supply pressure valve slowly and listen to verify that there is no
hiss, indicative of a leak. Do not use t he oxygen mixer with a leak in the
system.
7. Set the entrainment mixer dial to the desired concentration.

Ensure that the oxygen supply is enabled prior to

powering on the FLIGHT 60 Ventilator and after the
Air/Oxygen Entrainment Mixer is secured in place.
Otherwise, stress to the internal pump will occur and gas
delivery to the patient will be compromised.

Figure 13 – Air/Oxygen Entrainment Mixer Installation

4.8.3 Low-Flow Oxygen Port

When using low-flow oxygen, connect the oxygen source to the built in low
pressure (low flow) oxygen port using the Oxygen Hose Connector provided
with the device.

4-8 | Flight 60
 Installation

Connecting the Oxygen Supply

Figure 14 – Low-Flow Oxygen Port

Changes in the pressure within the patient circuit may cause oxygen
concentration to vary. Actual oxygen concentration varies with changes in flow
in the patient circuit. The following control parameters may impact the oxygen
concentration:

 Volume or Pressure settings

 PEEP settings
 Frequency settings
 Peak Inspiratory Flow
 Flow Waveform
 I:E Ratio
 Leak Rate
 Low Pressure Oxygen Flow Rate

When oxygen is administrated with a low flow source

the actual delivered oxygen concentration will vary.
Substantial leaks may reduce the inspired oxygen
concentration. FiO2 should be monitored and
appropriate alarm settings should be used.

The oxygen flow into the ventilator must not exceed

15 Liters Per Minute (LPM) and pressure must be
below 50 psig.

Operator's Manual | 4-9

 Basic Operation

Powering On the Ventilator

5 Basic Operation
Familiarize yourself with the instructions in this section prior to ventilating
patients with the FLIGHT 60 Ventilator. Following all of the listed steps is
essential for ensuring the safest possible operation of the ventilator. Use the
information in this section in conjunction with established hospital protocols
and homecare dealer instructions.

Only properly trained personnel should operate the

ventilator. The FLIGHT 60 Ventilator is a restricted
medical device designed for use by Respiratory Therapists
or other properly trained and qualified personnel under
the direction of a physician and in accordance with
applicable state laws and regulations.

5.1 Powering On the Ventilator

Review all of the General Warnings and Cautions in

Chapter ‎2 prior to using the ventilator.

The FLIGHT 60 Ventilator can be used either with an AC (external) or DC

(internal batteries) power source.

Before using the ventilator, either with AC or DC power

source, ensure that the internal batteries are fully c harged.

To turn on the ventilator:

1. Press the On/Off button.

The ventilator performs a brief self-test to ensure proper microprocessor

function. During the self-test, verify that all indicator LEDS illuminate.

The display activates and the ventilator purges, to clean the set of flow
transducer tubes and the flow orifice while alarm buzzer emits a single
beep.

Following the self-test, the ventilator enters SETTINGS mode; in this

mode, all settings are available and the display screen is activated. In
SETTINGS mode, you can adjust the ventilation parameters; however, the
FLIGHT 60 Ventilator does not ventilate and the ON indicator does not
illuminate.

Operator's Manual | 5-1

Basic Operation

Initiating Ventilation

5.2 Initiating Ventilation

After setting all the required parameters, checking all alarm limit and control
settings to ensure that they are appropriate for the patient to be ventilated,
and performing exhalation valve calibration, you can initiate ventilation.

To begin ventilation:
1. On the ventilator front panel, press the On/Off button for two seconds.
A "STARTING VENTILATION" message indicates the button press.

The system purges the flow transducer tubes and orifice (a purging noise
is emitted) and starts ventilating. The On/Off button LED is illuminated in
Green to indicate that the system is working.
2. Connect the ventilator patient circuit to the patient interface.
3. Reassess HIGH Pressure and LOW Pressure alarm settings, and adjust them
to appropriate levels.
4. Verify that the TRIG indicator blinks each time the patient initiates a
spontaneous inspiratory effort. Readjust Ptrig or Ftrig as necessary.
5. Reassess the HIGH MV and LOW MV alarm settings and adjust to the
appropriate levels.

5.3 Turning Off the Ventilator

To shut down the ventilator:

The ventilator can be turned off only from ventilation mode. If

the ventilator is not ventilating, you must start ventilation and
then proceed to shut down.

1. On the ventilator front panel, press the On/Off button.

The system pops up a message: “To stop ventilation, press ON/OFF key
for 2 seconds".
The On/Off button LED blinks to indicate another 2-second press is
expected.
2. Press the On/Off button for two seconds, within five seconds of receiving
the pop-up message.
A "SHUTTING DOWN" message indicates the second button press. The
Ventilator shuts down, and the LED turns off.
3. Press the Silence button to mute the audible alarm.

When operating with a battery, the ventilator turns itself off

automatically after the system has been in SETTINGS mode
. for five minutes, and during this time no keys have been
touched.

5-2 | Flight 60
 Basic Operation

Navigating Between Screens

5.4 Navigating Between Screens

Navigation between screens is performed using the keypad buttons:
Parameters, Extended, and Technical.

Ventilation can be turned On and Off from the Parameters

screen only.

The following message is displayed while in the Extended or

Technical screens:

" To start ventilation press HOME (PARAMETERS) key to

review your settings"

5.5 Setting Control Values

Each of the three screens (Parameters, Extended, and Technical) has a set of
control buttons. You can adjust t he values of the control buttons in any of the
three screens in a similar fashion.

To adjust numeric control values:

1. Select the parameter by pressing the relevant control button (for example:
Rate, Ti, or Ptrig).

The control button's color changes from grey to orange, indicating that its
value is enabling for adjustment.
2. Adjust the numeric value using the +/- buttons.
3. Accept the value by doing one of the following:
a. Press the selected button again (restores the button's color to grey).
b Press the OK (Enter) button.

Pressing another control button or letting five seconds pass

without making a change will cancel the parameter change

To adjust non-numeric control values:

1. Select the parameter by pressing the relevant control button (for example:
mode selection button).

The control button's color changes from grey to orange, indicating that its
value is enabling for adjustment.
2. Tab the screen to toggle the value.
3. Press the OK (Enter) button to accept the value.

Pressing another control button or letting five seconds pass

without making a change will cancel the parameter change

Operator's Manual | 5-3

Basic Operation

Setting Control Values

5.5.1 Default and Saved Values

When the device is brought up for the first time, it uses a set of default values
for all of its parameters and settings. After changing the settings, the new
values are saved in the system's nonvolatile memory for further usage. The
newly set values persist until the device is reset (by a certified technician
only); this means that stopping the device, turning it off, or disconnecting it
from all power sources does not affect the parameter values.

5-4 | Flight 60
 Ventilator Settings

Home (Parameters) Screen

6 Ventilator Settings
6.1 Home (Parameters) Screen
This is the default screen in standby and ventilation mode. The display always
switches back automatically to Parameters from the Extended or Technical
settings display. Pressing the Parameters button switches over to the main
settings screen.

Figure 15 – Parameters Settings

Figure 16 – Parameters Settings, Internal mixer (optional)

Operator's Manual | 6-1

Ventilator Settings

Home (Parameters) Screen

Button Description

Ptrig

The Flight 60 provides pressure or flow based triggering. The Trigger Mode
button is located on the TECHNICAL screen.

Used to determine the pressure trigger level (trigger sensitivity) in terms of how far the
airway pressure must drop below the set baseline pressure in order for a patient's
spontaneous efforts to be detected. The TRIG LED indicator illuminates each time the airway
pressure reaches the set Ptrig level. The blinking TRIG LED is referred to as the Patient
Effort Indicator.

Range: -0.1 to -20 cmH2O/mbar

Resolution: 0.1 cmH2O/mbar

It is recommended to set Ptrig as close to -0.1 cmH2O as possible without

auto triggering, in order to maximize triggering synchrony.

Ftrig

The Flight 60 provides pressure or flow based triggering. The Trigger Mode
button is located on the TECHNICAL screen.

Used to determine the patient's inspiratory flow that triggers the ventilator to deliver a
breath. The TRIG LED indicator illuminates when a patient's respiratory effort is detected.

Range: OFF, 1 to 20 LPM

Resolution: 1 LPM

PEEP Used to establish a baseline positive airway pressure in the patient circuit during the
exhalation phase.

Rapid decrease of the PEEP value may cause HIGH PBASE alarm.

Range: 0, 3 to 40 cmH2O/mbar
Resolution: 1 cmH2O/mbar

The value of PEEP plus PSV above peep cannot exceed 60 cmH2O/mbar.

6-2 | Flight 60
 Ventilator Settings

Home (Parameters) Screen

Button Description

PSV Used to determine the level of support in pressure during inspiration, for patient triggered
above spontaneous breaths in SIMV and SPONT modes only. During each spontaneous breath, the
peep ventilator supports the patient by elevating the airway pressure to the PSV above peep +
PEEP level.
Breaths are terminated when any of the following conditions exists:

 The flow to the patient drops to the set % of that breath's peak flow.
 The target airway pressure is exceeded by 3 cmH2O (mbar).
 The PSV Ti has elapsed.
Maximum airway pressure never exceeds the High Pressure alarm limit setting.

Range: 0 to 60 cmH2O/mbar
Resolution: 1 cmH2O/mbar

The value of PEEP plus PSV above peep cannot exceed 60 cmH2O/mbar.

Rate Used to set the frequency of breaths. In ACMV mode, it determines the number of time-
triggered breaths; in SIMV mode, it determines the total number of mandatory breaths.
If the selected Rate setting results in an inverse I:E Ratio, the system displays an “Inverse
I:E” message in the Message popup window, to alert you of this. After you receive this
warning message, you can continue increasing the rate value up to an I:E Ratio of 3:1.
Range: 1 to 99 b/min

Resolution: 1 b/min

FLOW Used to set the mandatory flow (volume control).

This control button appears only if FLOW is selected in the Ti/FLOW control button on the
TEC HNICAL screen. Otherwise, the Ti button appears (see button below).
The Flow and Ti values are related. Therefore, if the Ti setting causes the flow rate to reach
the maximum or minimum level of the flow specification, you cannot further change the Ti
numeric value, and a setting limitation message appears in a po pup window.

The flow can be adjusted indirectly by changing the tidal volume (Volume
C ontrol) or Ti settings.

Range: 6 to 100 L/min

Resolution: 1 L/min

Operator's Manual | 6-3

Ventilator Settings

Home (Parameters) Screen

Button Description

Ti Used to set the inspiratory time for mandatory breaths (volume or pres sure control).
This control button appears only if Ti is selected in the Ti/FLOW control button on the
TEC HNICAL screen. Otherwise, the FLOW button appears (see above button).
If the selected Ti setting results in an inverse I:E Ratio, the system displays an “Inverse I:E”
message in the Message popup window. After you receive this warning message, you can
continue increasing the Ti value up to an I:E Ratio of 3:1.
If the Ti setting causes the flow rate to reach the maximum or minimum level of the flow
specification, you cannot further adjust the Ti numeric value, and a setting limitation
message appears in a popup window.
The Flow and Ti values are related. Therefore, if the Ti setting causes the flow rate to reach
the maximum or minimum level of the flow specification, you cannot further change the Ti
numeric value, and a setting limitation message appears in a popup window.
Range: 0.1 to 3.0 seconds
Resolution: 0.1 seconds

VCV Used to set the mandatory tidal volume for the VCV sub-mode.
Range: 30 to 2,200 ml
Resolution: 10 ml

PCV Used to set the target pressure for the PCV sub-mode.
above Range: 5 to 80 cmH2O/mbar
peep
Resolution:1 cmH2O/mbar

Target Volume Guarantee control, used to set the target tidal volume.
VtG Range: 30 to 2,200 ml
Resolution: 10 ml

PSV min Volume Guarantee control, used to set the minimum pressure that can be applied.
Range: 0 to 60 cmH2O/mbar
Resolution:1 cmH2O/mbar

PSV max Volume Guarantee control, used to set the maximum pressure that can be applied.
Range: 5 to 60 cmH2O/mbar
Resolution:1 cmH2O/mbar

P Low B-LEV control, used to set the low pressure baseline.

Range: 0 to 30 cmH2O/mbar
Resolution:1 cmH2O/mbar

P High B-LEV control, used to set the high pressure baseline.

Range: 3 to 60 cmH2O/mbar
Resolution:1 cmH2O/mbar

T Low B-LEV control, used to set the low pressure baseline period.
Range: 0.5 – 5.0 seconds
Resolution: 0.5 second

6-4 | Flight 60
 Ventilator Settings

Home (Parameters) Screen

Button Description

T High B-LEV control, used to set the high pressure baseline period.
Range: 0.5 – 15.0 seconds

Resolution: 0.5 second

ALARMS Used to open the Alarms Screen

Screen

HIGH P Used to set the maximum allowed pressure value of a mandatory breath.
Range: LOW P to 99 cmH2O/mbar
Resolution:1 cmH2O/mbar

LOW MV Used to set the minimum Minute Volume allowed for a patient.
Range: 0.0 to High MV – 1
Resolution: 0.1 L

HIGH MV Used to set the maximum Minute Volume allowed for a patient.
Range: Low MV + 1.0 to 50
Resolution: 0.1 L

%O2 Used to set O2 enrichment level.

(optional) Range: 21 to 100%
Resolution: 1%

100% O2 ON/OFF – Used to activate 2 minutes of 100% O2 enrichment.

(optional)

Nebulizer Used to activate the synchronized nebulizer function.

(optional) Range: ON/OFF

Nebulization time is determined by the Nebulizer Period control button

located in the Technical screen

ACMV Assist/Control Mandatory Ventilation operation mode

SIMV Synchronized Intermittent Mandatory Ventilation operation mode

SPONT Spontaneous Ventilation operation mode

VtG or MVG Volume Guarantee ventilation mode

VtG or MVG selection button is located in the Extended screen

B-LEV Bi-Phasic (APRV) Ventilation mode

Operator's Manual | 6-5

Ventilator Settings

Home (Parameters) Screen

6.1.1 Pop-Up Messages

The following table lists the pop-up messages, and how they are activated.

Message Reason

PEEP is limited by PCV PEEP reached 60 – PCV.

PEEP is limited by PSV PEEP reached 60 – PSV.

PSV is limited by PEEP PSV reached 60 – PEEP.

Max I:E reached Ti/Flow or Rate reached a value that caused the I:E ratio to
reach its max range 3:1.

INVERSE I:E Ti or Rate reached a value that inversed the I:E ratio.

LOW P is limited by HIGH P LOW P reached HIGH P – 1.

Max Flow reached Increasing VCV or Decreasing Ti caused the Flow to reach its
max possible value.

Min Flow reached Decreasing VCV or increasing Ti caused the Flow to reach its
min possible value.

HIGH P is limited by LOW P HIGH P reached LOW P + 1.

HIGH MV is limited by LOW MV HIGH MV reached LOW MV + 1.

LOW MV is limited by HIGH MV LOW MV reached HIGH MV – 1.

Max Ti reached Increasing VCV or Decreasing Flow caused Ti to reach its max
possible value.

Min Ti reached Decreasing VCV or increasing Flow caused Ti to reach its min
possible value.

LOW O 2 is limited by HIGH O 2 LOW O 2 reached HIGH O 2 – 10.

HIGH O 2 is limited by LOW O 2 HIGH O 2 reached LOW O 2 + 10.

Max E:I reached Ti and Rate yielded the maximum E:I ratio

Total PSV is limited by 60 cmH2O PSV + PEEP reached 60 cmH2O

Setting Low MV alarm to 0.0 disables Disabling the Low MV alarm disables the C heck Circuit
C heck C ircuit Alarm

PSV MIN is limited by PSV MAX In VG mode only: PSV min reached PSV max

PSV MAX is limited by PSV MIN In VG mode only: PSV max reached PSV min

NPPV is not available in VG mode In VG mode only: NPPV is not available

VG mode is not available when NPPV is When NPPV is ON VG mode can be only "OFF"
ON

NPPV is not available in VCV mode No VC V ventilation in NPPV mode

6-6 | Flight 60
 Ventilator Settings

Extended Screen

Message Reason

No external storage available Logs download failure: No free space on the USB external
storage

LOW P alarm is OFF Setting the LOW P alarm to 0.0 disables the LOW P alarm

100% O2 is available only during 2 minutes 100% O2 function is only available when ventilating
ventilation

Nebulizer cannot be activated when not Nebulizer is only active while ventilating
ventilating

Nebulizer cannot be activated when set Nebulizer is not available for smaller than 200ml volume
volume < 200ml ventilation

Set Volume is limited to 200ml when Nebulizer is not available for smaller than 200ml volume
Nebulizer is ON ventilation

Set volume < 200ml, Nebulizer has Nebulization is automatically stopped when the user switches to
been disabled! smaller than 200ml volume ventilation.

6.2 Extended Screen

Pressing the Extended button switches over to the extended settings screen.

Figure 17 – Extended Settings

Button Description

SIGH ON/OFF – Used to activate SIGH sub-mode of ventilation.

Trigger Mode Used to select the trigger mechanism:

 Ftrig for Flow Trigger

 Ptrig for Pressure Trigger.

NPPV ON/OFF – Used to active non-invasive ventilation.

Trends ON/OFF/C lear – Used to active and clear trended data.

Factory Default: OFF

Operator's Manual | 6-7

Ventilator Settings

Extended Screen

Button Description

Rise Profile Used to set the rise level that the system will deliver.
Available levels are 1 (fastest) to 5 (slowest).

This option is enabled only in PCV and PSV modes.

Set the initial Rise Profile to 3 and then adjust it according to the
patient comfort.

PSV Flow Used to set the expiratory trigger from 10% to 90% of the peak flow.
Term This option is enabled only in PSV mode. When PSV Flow Term is set to “OFF” the length
of the pressure support breath is the “PSV Ti” set value.

PSV Ti Used to control and limit the inspiratory time in Pressure Support Ventilation from 0.1 to
3 seconds.

Waveform Used to select the type of waveform:

 Square – The flow stays constant during the inspiratory phase
 Descend – The flow descends linearly until the final flow (at the end of inspiration)
and is 50% of the peak flow. (Peak flow is calculated based on the tidal volume and
inspiratory time.)
This option is enabled only in VCV mode.

VG Mode Used to select the Volume Guarantee sub-mode.

Options: VtG (tidal volume guarantee) or MVG (minute volume guarantee)
Factory Default: MVG

Trigger Delay Used to activate the MVG trigger delay function.

OFF: Trigger delay function is disabled.
ON: Doubles the delay time before mandatory (time cycled) ventilation is activated.

Maneuvers Used to select a maneuver.

Inspiratory Hold: When selected inspiratory hold will perform an inspiratory hold in the
next inspiratory phase.

Expiratory Hold: When selected the ventilator will perform expiratory hold in the next
expiratory phase.
Default: OFF

Hold Length Used to select the length of the selected maneuver.

Range: 1 to 6 seconds
Factory default: 3 Seconds

6-8 | Flight 60
 Ventilator Settings

Alarms Screen

6.3 Alarms Screen

Pressing the Alarms button switches over to the Alarms settings screen.

Figure 18 – Alarms Settings

Button Description

Buzzer Used to set the alarm buzzer volume.

Available options: HIGH and LOW

HIGH Rate Range: OFF, 1 to 99 bpm

Resolution: 1 bpm

LOW Rate Range: OFF, 1 to 99 bpm

Resolution: 1 bpm

LOW Vte Range: OFF, 10 to 2,200ml

Resolution: 10ml

LOW Vti Range: OFF, 10 to 2,200ml

Resolution: 10ml

Apnea Used to set the maximum allowed time of apnea.

Interval Range: 10 to 60 seconds
Resolution: 10 seconds

LOW P Used to set the minimum allowed pressure of a mandatory breath.

Range: OFF, 1 to HIGH P

Resolution:1 cmH2O/mbar

HIGH P Used to set the maximum allowed pressure value of a mandatory breath.

Range: LOW P to 99 cmH2O/mbar

Resolution:1 cmH2O/mbar

LOW MV Used to set the minimum Minute Volume allowed for a patient.

Range: 0.0 to High MV – 1

Resolution: 0.1 L

HIGH MV Used to set the maximum Minute Volume allowed for a patient.

Range: Low MV + 1.0 to 50

Resolution: 0.1 L

Operator's Manual | 6-9

Ventilator Settings

Technical Screen

Button Description

FiO2 Low Used to define the low value of oxygen in the ventilator air mixture that sets off the
alarm. The low value can be set to any value between OFF (min value 21%) and FiO 2
High minus 10.
Range: OFF, 22% to FiO 2 High -10
Resolution: 1%

Enabled only when FiO 2 is activated (ON).

FiO2 High Used to define the high value of oxygen in the ventilator air mixture that sets off the
alarm. The high value can be set to any value between FiO 2 Low plus 10 to OFF (max
value 100%).
Range: FiO 2 Low +10 to 99%, OFF
Resolution: 1%

Enabled only when FiO 2 is activated (ON).

6.4 Technical Screen

Pressing the Technical button switches over to the technical settings screen.

Figure 19 – Technical Settings

Button Description

FiO2 Sensor Used to perform in-use O 2 calibration and activate or deactivate O 2 monitoring. Activating
FiO 2 displays the FiO 2 value on the screen; deactivating it turns the display off.

Ti/Flow ctrl. Used to specify whether the Inspiratory Time or the Flow criteria will stay constant during
Volume Controlled management.

6-10 | Flight 60
 Ventilator Settings

Technical Screen

Button Description

Pow er Save Used to set activate/deactivate power saving and night mode.
Range: ON, OFF, Night

ON: Power saving mode is turned on - screen is turned off after 5 minutes and the
pressure gauge displays one LED only to indicate the peak pressure.

Night: Night mode is turned on - screen and the pressure gauge are turned off after 5
minutes (no pressure gauge LED is illuminated).

In both modes the screen is turned ON automatically in case o f an alarm or if any key is
pressed by the user.

Show Info Used to display the following system. information: Unit Serial Num ber, Software Version,
Com pressor Serial Num ber, Hour Meter, and Next Service

Circuit TEST Used to enter the patient circuit exhalation valve calibration process.
C alibration must be performed each time a patient circuit is replaced.

Set Load Used to load a ventilation configuration that has been predefined in the ventilator.

Set Save Used to save a ventilation configuration in the ventilator, for later use . Up to five
configurations can be saved.

Set Clock Used to set the system time and date, for logging purposes.

Both the Alarm and the Change logs must be cleared following clock
set.

Show Log Used to display the alarms that have occurred, by date, time, and type.
Alarm

Alarm logs can be cleared by tapping the "C lear Log" button
(passcode: 1315)

Operator's Manual | 6-11

Ventilator Settings

Technical Screen

Button Description

Show Log Used to display the changes that have been made to the ventilator states, modes, and
Change settings. These changes are displayed by date, time, type, and values.

C hange logs can be cleared by tapping the "Clear Log" button

(passcode: 1315).

ADVANCED Used to access the advanced technical menu. This function is available to a uthorized and
SCREEN qualified service technicians. Please refer to the Service Manual.

Nebulizer Used to set the nebulization time period

Period Range: 5 to 60 minutes
(optional) Factory Default: 5 minutes

6-12 | Flight 60
 Ventilator Alarms and Backup Ventilation

Audible Alarm and Caution Signals

7 Ventilator Alarms and Backup

Ventilation
The FLIGHT 60 Ventilator comes with an intelligent alarm system, which warns
you of problems with the ventilator. An alarm occurs when there is a risk to
the patient. A caution occurs when there is an undesirable situation which
does not pose immediate risk to the patient.

The FLIGHT 60 Ventilator alarm system includes variable and automatic

alarms (ventilation and technical).

These alarms can either be audible or visual.

This chapter describes:

 Audible Alarm and Caution Signals (see Section ‎7.1)

 Visual Alarm and Caution Signals (see Section ‎7.2)
 Alarm and Caution Specifications of the variable and automat ic
alarms (see Section ‎7.3)
 Apnea Backup Ventilation (see Section ‎7.4)
 Resetting Alarms (see Section ‎7.6)
 Setting Up a Remote Alarm (see Section ‎7.9)

7.1 Audible Alarm and Caution Signals

The Flight 60 alarm system has three distinguished alarm types:

 Cautions (Low Priority Alarm) - Operator awareness is required.

These alarms alert you to a change in the ventilator status.
 Medium Priority – Requires the operator’s prompt response.
 High Priority – Require the operator’s immediate response.

Audible Indicators:

 High Priority Alarms – When a high priority alarm is detected a 2-beep

sound is repeated. The sound and the indicator’s flickering continue
until the alarm cause is corrected.
 Medium Priority Alarms - When a medium priority alarm is detected a
series of beeps sounds in the following pattern: 3 beeps, a pause,
and then a 2 more beeps. The sound and the indicator’s flickering
continue until the cause of the alarm is corrected.
 Cautions (Low Priority Alarm): - When a caution (low priority alarm)
is detected, a 3-beeps sound in repeated. The sound and the
indicator’s flickering continue until the cause of the alarm is corrected
or the alarm reset button is activated.

Operator's Manual | 7-1

Ventilator Alarms and Backup Ventilation

Visual Alarm and Caution Signals

The caregiver can select the alarm sound level between

high/low.

7.2 Visual Alarm and Caution Signals

The visual alarm and caution system is composed of:

 One major visual alarm signal – Flashing red to indicate that there
are alarms in the system.
 An Alarm Message display.

If multiple alarms occur at the same time, the three most

important alarms or cautions are displayed according to their
internal priority, Left to right from the highest to the lowest
priority - alarms are displayed in red; cautions in yellow.
Every time a new alarm/caution is activated, the system
recalculates the correct order of the alarms and displays the
three most important ones

 Indicator LEDS - Few alarms are supported by red LED indicators,

which are synchronized with the major visual alarm signal. They
include: FAULT, APNEA, BUV, HIGH MV, LOW MV, HIGH P, and LOW
P. When the alarms are active, their corresponding LEDS are
flashing. When an alarm becomes passive (inactive), its
corresponding LED turns stable (lit).

FAULT LED indicates unrecoverable internal system

failure. Ventilate the patient with an alternate means of
ventilation. Make note of the message in the alarm
display area and the alarm log. Contact your provider or
FLIGHT MEDICAL.

7-2 | Flight 60
 Ventilator Alarms and Backup Ventilation

Alarm and Caution Specifications

7.3 Alarm and Caution Specifications

This section describes the specifications for the FLIGHT 60 Ventilator:

 Variable ventilation alarms

 Automatic ventilation alarms
 Automatic technical alarms
 Cautions

7.3.1 Variable Ventilation Alarms

Alarm Priority Range Activation

LOW PRESSURE High OFF, 1 to HIGH When the airway pressure remains
P cmH2O below the low pressure alarm limit
setting for three consecutive breaths

LOW MV INS High 0.0 to 50.0 L/min When the inspiratory or expiratory
LOW MV EXH minute volume falls below the Low
Minute Volume alarm setting.

HIGH Medium Low P to 99 cmH2O When the airway pressure reaches the
PRESSURE high pressure alarm limit setting.

HIGH MV INS Medium 1.0 to 50.0 L/min When the inspiratory or expiratory
HIGH MV EXH minute volume exceeds the High Minute
Volume alarm setting.

FiO2 LOW Medium 21% to 90% O 2 When the delivered O 2 falls below the
FiO 2 Low alarm setting.

FiO2 HIGH Medium 31% to 99% O 2 When the delivered O 2 exceeds the FiO 2
High alarm setting.

APNEA Medium 10 to 60 sec When no breaths have been delivered

for a period longer than the preset
apnea time of 10 to 60 seconds.

High Rate Medium OFF, 1 to 99 When the average respiratory rate value
for five consecutive breaths exceeds the
High Rate limit.

Low Rate Medium OFF, 1 to 99 When the total respiratory rate value is
below the Low Rate limit.

Low Vte Medium OFF, 10 to 2,200ml When the average exhaled tidal volume
value of five consecutive breaths does
not reach the low Vte alarm limit
setting.

Low Vti Medium OFF, 10 to 2,200ml When the average inhaled tidal volume
value of five consecutive breaths does
not reach the low Vte alarm limit
setting.

Operator's Manual | 7-3

Ventilator Alarms and Backup Ventilation

Alarm and Caution Specifications

7.3.2 Automatic Ventilation Alarms

Alarm Priority Activation

C HEC K CIRCUIT High When Vte < 0.03L or Vte/Vti < 0.15 for 3 consecutive
breaths

BUV High When Apnea is detected.

LOW PBASE Medium When the PEEP value is less than the set value by
more than 3 cmH2O for more than three seconds
(depends on stable PEEP for the previous 5
consecutive breaths).

HIGH PBASE Medium When the PEEP value is higher than the set value by
more than 8 cmH2O for more than three seconds
(depends on stable PEEP for the previous 5
consecutive breaths).

PROX LINE Medium When the outlet pressure is significantly higher than
the patient pressure.

OC CLUSION Medium When the pressure does not drop to less than PEEP +
15 within three seconds, although the safety solenoid
is open.

PC V NOT REACHED Medium When the pressure does not reach 50% of the set
level for three consecutive breaths.

VtG NOT REACHED Medium In VtG or MVG, when the set target volume cannot be
achieved with the PSV max settings

VtG Exceeded Medium In VtG or MVG, when the delivered volume exceeds
the set target volume

BATTERY LOW Medium When the total battery's capacity is less than 20%.
The alarm can be reset for 15 minutes by pressing the
alarm reset button.

EMPTY BAT Medium When the total battery's capacity is less than 10% or
the integral battery capacity is less than 5%. The
alarm can be reset only if both batteries are charging
or the combined capacity is greater than 10%.

O 2 Supply Failed High When the oxygen pressure source < 2.4bar and %O 2
is set above 21%. This alarm is available with the
optional internal O 2 mixer model.

C heck FiO 2 Sensor Medium When the O 2 sensor returns an out-of-range value,
indicating that the internal sensor needs to be
calibrated. This alarm is available with the optional
internal O 2 mixer model.

O 2 Leak (red alarm) Medium When the internal FiO 2 leak sensor level is above
40%. The alarm can be reset only if the internal FiO 2
is below 40%. O 2 functions are disabled when the
alarm is activated. This alarm is available with the

7-4 | Flight 60
 Ventilator Alarms and Backup Ventilation

Alarm and Caution Specifications

Alarm Priority Activation

optional internal O 2 mixer model.

7.3.3 Automatic Technical Alarms

Alarm Priority Activation

C AL O2 Medium
When the FiO 2 sensor returns an invalid value.
SENSORS

C alibrate Medium
The alarm is active after changing the internal O2 leak sensor, indicating that
O 2 Leak
the internal O2 leak sensor needs to be calibrated by a technician.
Sensor

MOTOR High
When the motor does not work properly.
FAULT

MOTOR High
POWER When the motor power is insufficient.
LOW

PRESS Medium
When the patient pressure is significantly higher than the outlet pressure.
SENSOR

POWER High
When electrical circuit fails.
FAULT

MEMORY Medium
When the NVRAM does not work properly.
FAULT

C HEC K Medium
When the self-test finds that settings parameters are out of range.
SETTING

Main BAT Medium

When the detachable (main) battery charger does not start working.
C HARGER

Main BAT Medium

When the detachable (main) battery voltage is higher than 18 V.
V. HIGH

Main BAT Medium

When the detachable (main) battery voltage is lower than 11 V.
V. LOW

Main BAT Medium

When the detachable (main) battery temperature is higher than 60 °C .
TEMP HIGH

Main BAT Medium

When there is no communication with the battery CPU.
GAUGE

Main BAT Medium

When the detachable (main) battery voltage is different than the gauge voltage.
VOLTAGE

Sec BAT Medium

When the integral (secondary) battery charger does not start working.
C HARGER

Sec BAT V. Medium

When the integral (secondary) battery voltage is higher than 18 V.
HIGH

Operator's Manual | 7-5

Ventilator Alarms and Backup Ventilation

Alarm and Caution Specifications

Alarm Priority Activation

Sec BAT V. Medium

When the integral (secondary) battery voltage is lower than 11 V.
LOW

Sec BAT Medium

When the integral (secondary) battery temperature is higher than 60 °C .
TEMP HIGH

Sec BAT Medium

When there is no communication with the battery CPU.
GAUGE

Sec BAT Medium When the integral (secondary) battery voltage is different than the gauge
VOLTAGE voltage.

When an alarm message is generated, it is recorded in the

alarms log with its accurate time and date.

7.3.4 Cautions (Low Priority)

Cautions are the lower priority alarms.

Caution Activation

Power Switchover When the device is disconnected from the AC or DC power supply and starts
using the internal battery.

Battery C aution When the total battery's capacity is less than 30%. The alarm can be reset by
pressing the alarm reset button.

Sec Bat Only! When only the internal (secondary) battery is active.

C heck C ircuit Alarm When C heck Circuit Alarm is disabled.

OFF

Low P Alarm OFF When Low P Alarm is disabled.

C heck O 2 Supply When the oxygen source pressure is low during setting, before starting
ventilation.

The alarm can be reset by pressing the

alarm reset button.

This alarm is available with the optional internal O 2 mixer model.

7-6 | Flight 60
 Ventilator Alarms and Backup Ventilation

Apnea Backup Ventilation

O 2 Leak When the internal FiO 2 leak sensor level is above 25%. Caution can be reset by
(yellow caution) pressing the alarm reset button.

Pressing the alarm reset button for 2

seconds will disable the alarm until
ventilation is stopped and restarted.

It is recommended to ventilate the area

around the ventilator from accumulated
Oxygen prior to the 2 seconds reset.

This alarm is available with the optional internal O 2 mixer model.

7.4 Apnea Backup Ventilation

Flight 60 provides apnea backup ventilation when no inspiratory efforts are
detected or control breaths are delivered for the set Apnea Interval (see
Apnea Interval settings in Section ‎6.3 Alarms Screen).

7.4.1 Backup Ventilation in ACMV and SIMV Modes

In ACMV and SIMV modes, Rate is automatically increased to 1.5 times the set
frequency, subject to a minimum of 15 b/min and a maximum of 99 b/min or
a 3:1 I:E ratio. If the I:E ratio is higher than 3:1, Rate is calculated as the set
frequency divided by 45.

7.4.2 Backup Ventilation in SPONT Mode

In SPONT mode, the mode automatically changes from SPONT to SIMV,
Pressure Controlled Ventilation (PCV), mandatory breath frequency (Rate) =
15 b/min, peak inspiratory pressure = 15 cmH2 O/mbar above the set PEEP,
and inspiratory time (Ti) = 1.0 sec.

7.4.3 Cancellation of Backup Ventilation

BUV mode ends in either one of the following cases:

 Patient Cancelled – There are two patient-triggered breaths during

the APNEA interval time. The ventilator immediately returns to the
user-selected settings before APNEA BUV was triggered.
 User Cancelled – Pressing Alarm Reset to stop the BUV alarm. This
will not change the mode back to the user-selected settings before
BUV.

In both cases, the BUV audible alarm stops. The corresponding LED indicator
remains lit.

Pressing the Alarm Reset button to stop the BUV alarm does
not cancel other alarms.

Operator's Manual | 7-7

Ventilator Alarms and Backup Ventilation

Silencing Audible Alarms

Pressing the Alarm Reset button to stop the BUV alarm does
not revert the ventilation mode to the one active prior to the
alarm.

7.5 Silencing Audible Alarms

You can silence all active alarms and cautions for 60 seconds.

To silence audible alarms and cautions:

1. On the ventilator front panel, press the Audio Paused button.

The system enters pre-silence mode. The Audio Paused indicator is

illuminated, and all alarms (except for the Fault Alarm) are silenced for 60
seconds.

You can cancel the pre-silence mode before 60 seconds are up, by pressing
the Audio Paused button once again.

7.6 Resetting Alarms

When the cause for the alarm is no longer present, alarms become inactive
(passive); they stabilize (latch) their corresponding LEDs (they stop blinking).
You can clear the color from all passive LEDs.

To reset alarms:
1. On the ventilator front panel, press the Alarm Reset button.

The LED indicators are no longer lit.

7.7 Disabling the Check Circuit Alarm

Careful consideration should be made before disabling the

Check Circuit alarm. Check Circuit alarm is enabled by
default.

In order to disable the Check Circuit alarm, set the Low MV alarm to 0.0.
The following pop-up message will appear:

"Setting Low MV alarm to 0.0 disables Check

Circuit alarm"

The message will automatically disappear in 5 seconds.

To accept the new Low MV value of 0.0, press the ENTER button or tap the
Low MV button.

7-8 | Flight 60
 Ventilator Alarms and Backup Ventilation

Disabling the LOW P Alarm

The value can be accepted ONLY after the pop-up message

disappears.

The caution "Check Circuit alarm OFF" will appear when the alarm is being
disabled and when starting ventilation. The caution is a low priority alarm that
can be reset by pressing the Alarm Reset button.

7.8 Disabling the LOW P Alarm

Careful consideration should be made before disabling the

Low Pressure alarm. The low pressure alarm is enabled
and set to 3 CMH2 O by default.

The Low Pressure alarm can be disabled only when the LOW
MV alarm is set to 0.0.

In order to disable the low pressure alarm, set the Low P alarm to OFF. The
following pop-up message will appear:

LOW P alarm is OFF

The message will automatically disappear in 5 seconds.

To accept the new Low P value of OFF, press the ENTER button or tap the
Low P button.

The value can be accepted ONLY after the pop-up message

disappears.

The caution "LOW P alarm OFF" will appear when the alarm is disabled and
when starting ventilation. The caution is a low priority alarm that can be reset
by pressing the Alarm Reset button.

7.9 Setting Up a Remote Alarm

The remote alarm feature enables monitoring device alarms from a distant
station. When connec ted to a remote alarm system, all visible and audible
alarms on the device are transmitted as an electronic signal to the remote
alarm station. Other conditions, such as system shutdown (or power down)
can also be detected by the remote alarm system.

The FLIGHT 60 device can be connected to a third party remote alarm system
in several configurations. In order to connect the device to a remote alarm

Operator's Manual | 7-9

Ventilator Alarms and Backup Ventilation

Setting Up a Remote Alarm

system, a special cable must be fitted to the system and integration must be
conducted between the device and the remote alarm system.

Before attempting any connection, contact your provider or FLIGHT MEDICAL.

Technical Support, and request the FLIGHT 60 Remote Alarm Technical spec.

The design, implementation, installation, and testing of the

cable are the sole responsibility of the integrator, and must be
done in accordance with the FLIGHT -60 Remote Alarm
Technical spec, in order to ensure the proper functioning of
the system and alarm.

7-10 | Flight 60
 Monitoring

Graphic Display

8 Monitoring
Monitoring parameters (numeric or graphic) are displayed at all times on the
Parameters, Extended, and Technical screens, to ensure continuous
monitoring of the patient during ventilation.

The Flight 60 provides two display options: Graphic and Numeric.

Use the Home (Parameters) button to toggle between the numeric and the
graphic displays.

8.1 Graphic Display

The Flight 60 displays pressure and flow waveforms by default. By tapping the
monitoring area a volume waveform will replace the flow waveform. An
additional tap on the screen will result in waveforms being replaced by loops.
An additional tap will return the default (pressure/flow waveforms) screen.
When trends are "ON" an additional tap will result in trends display.

The following 6 parameters are displayed on the right side of the monitoring
area:

Name Description Range Resolution Updated

PIP Peak Inspiratory 0 to 99 cmH2O 1 cmH2O Breath by

Pressure breath

Vte Expiratory Tidal Volume 0 to 7500 ml 10 ml Breath by

breath

Vti Inspiratory Tidal Volume 0 to 7500 ml 10 ml Breath by

breath

MVe Expiratory Minute 0 to 99.9L/min 0.1 L/min 10 seconds

Volume rolling average

Actual Rate Total number of patient 99 b/min 1 b/min Breath by

or time activated breaths breath

FiO 2 Percent of Inspired 21% to 100% O 2 1% Every 10

Oxygen seconds

Operator's Manual | 8-1

Monitoring

Graphic Display

8.1.1 Waveforms and Loops

The Flight 60 plots pressure (yellow), flow (magenta), and volume (blue)
against time. A dashed line represents the zero pressure, f low and volume
values on relevant graphs.

Patient triggered breaths are marked with a green pressure

line.

The Flight 60 can display a dynamic loop based on the following parameter
combinations:

 Pressure/Volume
 Flow/Volume

Tap the monitoring area to t oggle between the three different

graphic displays: Flow, Volume and Loops.

Real-time waveforms and loops ranges:

Parameter Range

Waveforms

Airway Pressure 0 to 90 cmH2O

Flow -150 to 150 l/min

Volume 30 to 2,200 ml

Loops

Pressure/Volume x: 0 to 2,200 ml
y: 0 to 90 cmH2O

Flow/Volume x: 0 to 2,200 ml
y: -150 to 150 l/min

The ventilator uses an auto-scaling function – scales of

each waveform or loop may differ based on the actual
range of values to be displayed.

8-2 | Flight 60
 Monitoring

Graphic Display

8.1.2 Trends

Up to 72 hours trends are available on the graphic display. To activate trends view ,
press the Extended button, tap "Trends" and choose "ON".

Trends are displayed on the graphics screen area; tap the loops display screen in
order to view the trended parameters.

To clear the trends memory press the Extended button, tap

"Trends" and choose "CLEAR".

8.1.3 Selecting Trended Parameters

The following parameters can be trended:

1. Actual Rate

2. Peak Inspiratory Pressure (PIP)

3. Exhaled Volume (Vte)

Tap the monitoring area to toggle between the three trends

displays: Rate, PIP and Vte.

8.1.4 Time Scale Adjustment

To change the time frame, tap the left and right arrows located
at the upper corners of the trend display.

Figure 20 – Trend Display

Operator's Manual | 8-3

Monitoring

Lung Mechanics Monitoring Display

The ventilator uses an auto-scaling function – scales of

each trended parameter may differ based on the actual
range of values to be displayed.

8.2 Lung Mechanics Monitoring Display

The following lung mechanics monitoring parameters can be measured with
the Flight 60:

Parameter (unit) Definition

Plateau Pressure (cmH2O) The pressure applied to the small
airways and alveoli.
Static Compliacne – Cstat Static (during zero flow maneuver)
(ml/cmH2O) compliance of the lung and chest
wall.
Dynamic Compliance - Cdyn Dynamic compliance of the lung
and chest wall.
Auto PEEP (cmH2O) The difference between the set
PEEP and the total PEEP in the
lungs. The abnormal pressure cause
by air trapped in the alveoli.
Resistance – Rinsp (cmH2O/(l/s) The resistance of the respiratory
tract to airflow during inspiration

In order to monitor Plateau Pressure, Static Compliance and Resistance an

Inspiratory Hold should be performed.

In order to monitor Auto PEEP an Expiratory Hold should be performed.

Notes and Warnings:

Actively breathing patients can create artifacts or noise, which

can affect the accuracy of the lung mechanics calculations.

Maneuvers are available both in volume control (VCV > 200ml)

and pressure control and when the peak inspiratory flow is more
than 15LPM.

Maneuvers are available in SIMV and ACMV modes of

ventilation

Maneuvers are not available during active nebulization

8-4 | Flight 60
 Monitoring

RSBI Monitoring

8.2.1 Performing Inspiratory and Expiratory Hold maneuvers with the

Flight 60

On the Extended screen press the “Maneuvers” but ton and select the
maneuver you would like to perform. The selected maneuver will be
performed automatically in the next inspiratory or expiratory phase
respectively.
The Maneuver Length button controls the maneuver lengths and can be set
between 1 second to 6 seconds (factory default = 3 seconds).

8.2.2 Lung Mechanics Monitoring Display

Lung mechanics display is located on the main monitoring area of the

screen and is displayed automatically for 10 seconds.

To switch back to the main ventilation parameters display either touch the
tabulated area of the screen or wait 10 seconds.

8.3 RSBI Monitoring

RSBI monitoring can be viewed by tapping the main ventilation parameters

display table located on the right side of the screen.
RSBI is the actual rate divided by the exhaled tidal volume [1/min*L].

8.4 Additional monitoring parameters display

The default Flight 60 numeric display located on the right side of the screen
shows the basic numeric display (Actual rate, PIP, MVE, FiO 2 , Vti and Vte).
This SW update provides a quick access to an additional 6 parameters -
touch the numeric monitoring area of the screen to discover an extended
monitoring with the following parameters:

Operator's Manual | 8-5

Monitoring

Numeric Display

 PIF – the measured peak inspiratory flow in liters per minute.

 I:E – the inspiratory to expiratory ration.
 P base – the actual measured PEEP value.
 P mean – the average pressure measured over a breath cycle.
 RSBI – Rapid shallow breathing index [1/min*L]
 Cdyn – Dynamic Compliance [ml/cmH2 O]

To switch back to the main ventilation parameters display either touch the
table area of the screen or wait 10 seconds.

8.5 Numeric Display

The Flight 60 default display is graphic . Use the Parameters button to toggle
between the numeric and the graphic displays.

The following table describes the patient monitoring parameters.

Name Description Range Resolution Updated

PIP Peak Inspiratory Pressure 0 to 99 cmH2O 1 cmH2O Breath by breath

P base Baseline airway pressure 0 to 99 cmH2O 1 cmH2O Breath by breath

at the end of expiration

P mean Mean airway pressure 0 to 99 cmH2O 1 cmH2O Breath by breath

Vte Expiratory Tidal Volume 0 to 7500 ml 10 ml Breath by breath

Vti Inspiratory Tidal Volume 0 to 7500 ml 10 ml Breath by breath

8-6 | Flight 60
 Monitoring

Numeric Display

Name Description Range Resolution Updated

MVe Expiratory Minute Volume 0 to 99.9L/min 1 L/min 10 seconds rolling average

MVi Inspiratory Minute 0 to 99.9L/min 1 L/min 10 seconds rolling average

Volume

Actual Total number of patient 99 b/min 1 b/min Breath by breath

Rate or time activated breaths

I:E I:E Ratio 1:99 to 3:1

Note: I:E Ratio is determined by the ƒ and Ti settings. If the expiratory time is longer than the
inspiratory time, the display format is 1:X.X. If the expiratory time is shorter than Ti, the
display format is X.X:1.

PIF Peak Inspiratory Flow 6 to 100 L/min 1 L/min Breath by breath

FiO2 Fraction of Inspired 18% to 101% O 2 1% Every 10 seconds

Oxygen

Operator's Manual | 8-7

 Ventilation Modes

ACMV Mode (Assist/Control Mandatory Ventilation)

9 Ventilation Modes
The ventilator can be switched between the following ventilation modes:

 ACMV (Assist/Control Mandatory Ventilation)

 SIMV (Synchronized Intermittent Mandatory Ventilation)
 PRVC (Pressure Regulated Volume Control)
 SPONT (CPAP/PS Ventilation)
 VG (Volume Guarantee Ventilation)
 B-LEV Mode (Bi-Phasic Ventilation)
 NPPV (Non-Invasive Positive Pressure Ventilation)

9.1 ACMV Mode (Assist/Control Mandatory

Ventilation)
In ACMV mode, time activated (mandatory) breaths are delivered in
accordance with the Rate setting. Patients can trigger mandatory breaths in
addition to, or in place of, time activated (mandatory) breat hs, if the effort
that they generate causes airway pressure to meet the Ptrig or Ftrig setting.
Each such patient effort results in a mandatory breath. The breath can be
volume or pressure controlled. PEEP may be added. Tidal volume is
determined by the target pressure, Ti, patient respiratory mechanics in
Pressure Control, and by the tidal volume setting in Volume Control.

As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is

activated if the Apnea alarm limit is violated.

In ACMV mode, the PSV above peep, PSV Flow Term and PSV Ti
control buttons are not utilized and are therefore darkened.
However, they remain adjustable.

9.2 SIMV Mode (Synchronized Intermittent

Mandatory Ventilation)
In SIMV mode, patients receive a fixed or pressure controlled mandatory
breaths (time or patient activated) and may breathe spontaneously between
mandatory breaths, with or without pressure support (PSV). See Figure 21 for
a schematic illustration. PEEP may be added.

The first patient triggered breath in any mandatory breath interval is a patient
triggered mandatory breath. The patient has the rest of the interval to breathe
spontaneously. If the patient does not trigger the ventilator, and one complete
mandatory breath interval has elapsed, a time triggered mandatory breath is
delivered.

Operator's Manual | 9-1

Ventilation Modes

SIMV Mode (Synchronized Intermittent Mandatory Ventilation)

A mandatory breath lockout interval is activated whenever the patient triggers

a mandatory breath. This limits the number of mandatory breaths (time
triggered or patient triggered) that the patient receives in 60 seconds, to the
Rate (b/min) setting.

As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is

activated if the Apnea alarm limit is violated.

Figure 21 – Synchronized Intermittent Mandatory Ventilation (SIMV)

9.2.1 VCV/PCV
In ACMV and SIMV modes, the ventilator can work in either of three sub-
modes:

 Volume Control (VCV) – Ventilator volume controls mandatory

breaths.
 Pressure Control (PCV) – Ventilator pressure controls mandatory
breaths.
 PRVC – Pressure Regulated Volume Control

In either case, all breaths delivered to the patient, whether time (ventilator
initiated) or patient-triggered, are the same.

In SPONT mode, the PCV/VCV/PRVC button is not utilized and

is therefore darkened; however, the value can be preset.

9.2.1.1 Volume Control Ventilation (VCV)

The user can define which parameter will remain constant when changing the
VCV – Flow or Ti. Once the parameter is selected, its value can be adjusted;
then, any change of volume modifies the other parameter.

The system supports two modes of flow waveform:

 Square – The flow is constant during the inspiratory phase.

 Descending – The flow decreases gradually during the inspiratory
phase.

9-2 | Flight 60
 Ventilation Modes

SIMV Mode (Synchronized Intermittent Mandatory Ventilation)

Make sure that the mandatory flow setting is adequate to meet

patient flow demands.

In ACMV VCV mode, the Rise Profile control button is not

utilized and is therefore darkened. However, it remains
adjustable.

The VCV mode delivers volume controlled breaths as the mandatory breaths.
The user can set the volume and select whether the Ti or the Flow will adjust
to fit the set volume. The user can define which parameter will remain
constant when changing the VCV – Flow or Ti. Once the parameter is selected,
its value can be adjusted; then, any change to the volume will modify the
other parameter.

The tidal volume delivered to the patient is limited by the minimal and
maximal flow of the system.

If the Volume Control setting causes the flow rate to reach the maximum or
minimum level of the flow specification, adjustment of Volume Control ceases,
and a setting limitation message appears in a pop-up window.

When Volume Control is first initiated, it may take five or six

breaths to reach the volume setting.

To set the VCV sub mode of operation:

1. Tap the control button.

The PCV/VCV/PRVC sub-modes are displayed.

Figure 22 – Available Sub-modes

2. Tap the VCV option.
3. Press the OK (Enter) button to confirm your selection.

VCV appears on the button.

Operator's Manual | 9-3

Ventilation Modes

SIMV Mode (Synchronized Intermittent Mandatory Ventilation)

Figure 23 – The VCV Control Button (Tidal Volume)

The VCV control button appears on the Parameters screen, with its
predefined numerical value.

9.2.1.1.1 Mandatory Tidal Volume

During Volume Control ventilation, tidal volume can be set for mandatory
breaths. If a volume setting is changed while the ventilator is operating, the
change takes place in increments over a series of breaths.

When a large change is made to the volume setting, it may

take five or six breaths to reach the volume setting.

To set the target volume:

1. Tap the VCV control button.
2. Adjust the VCV value (tidal volume), using the +/- button.

9.2.1.2 Pressure Control Ventilation (PCV)

The FLIGHT 60 Ventilator targets and maintains patient airway pressure at the
set pressure control level throughout inspiration. Breath termination occurs
when either of the following conditions exists:

 The set Ti elapses.

 The Peak inspiratory pressure exceeds the Pressure Control setting
by 8 cmH2 O (mbar).

Maximum airway pressure never exceeds the user set High pressure alarm
limit setting.

The target airway pressure for pressure controlled mandatory

breaths in ACMV and SIMV is the display setting above
ambient pressure; not above PEEP.

In PCV mode, the Waveform, and Ti/Flow ctrl control buttons are
not utilized and are therefore darkened. However, they remain
adjustable.

Both time and patient triggered mandatory breaths can be delivered in ACMV
and SIMV Pressure Control operation. During SIMV Pressure Control operation,
patients can breathe spontaneously between mandatory breaths with or
without pressure support.

9-4 | Flight 60
 Ventilation Modes

SIMV Mode (Synchronized Intermittent Mandatory Ventilation)

When disconnecting the patient circuit during PCV/PSV

ventilation, such as for suctioning, the flow may increase in order
to compensate for the low pressure. After reconnecting the
patient circuit, the flow automatically readjusts to meet the
patient's demand.

The PCV mode delivers pressure controlled breaths as the mandatory breaths.

When Pressure Control is first initiated or the setting is changed,

the first few breaths may cycle off early until the rise profile is
optimized. If early cycling off continues, reevaluate the patient
circuit configuration and lengthen the tubing as necessary.

The minimum target airway pressure is 5 cmH2 O/mbar above

the set baseline pressure (PEEP).

To set the PCV sub mode of operation:

1. Tap the control button.

The PCV and VCV sub-modes are displayed.

Figure 24 – Available Sub-modes

2. Tap the PCV option to select it.
3. Press the OK (Enter) button to confirm your selection.

PCV appears on the button.

The PCV above peep control button appears on the Parameters screen,
with its predefined numerical value.

Operator's Manual | 9-5

Ventilation Modes

SIMV Mode (Synchronized Intermittent Mandatory Ventilation)

Figure 25 – The PCV Control Button (Target Pressure)

9.2.1.2.1 Target Pressure

To set the target pressure:

1. Tap the PCV above peep control button (see Figure 25).
2. Adjust the PCV value (the target pressure), using the +/- button.

9.2.1.3 Pressure Regulated Volume Control (PRVC)

In PRVC, breaths are pressure control while the pressure level is automatically
adjusted in order to achieve the preset target volume.

The maximum airway pressure never exceeds the user set High pressure alarm limit
setting.

The following primary breath controls are required for PRVC mode:

 Target VCV – The target tidal volume.

 Rate – Breath rate.
 Ti – Inspiratory time.

PRVC is available in both ACMV and SIMV.

Pressure and volume limits should be set in PRVC to prevent

unintentional pressure and volume changes.

To set the PRVC sub mode of operation:

1. Tap the sub-modes control button.

The PCV, VCV and PRVC sub-modes are displayed.

9-6 | Flight 60
 Ventilation Modes

SPONT Mode (Spontaneous Ventilation)

Figure 26. Available Sub-modes

2. Tap the PRVC option to select it.
3. Press the OK (Enter) button to confirm your selection.

9.3 SPONT Mode (Spontaneous Ventilation)

In SPONT mode, mandatory breaths are not delivered. However, the caregiver
can adjust both PEEP/CPAP and pressure support (PSV) levels. The patient has
control over each breath.

When PEEP/CPAP is set above 0, the ventilator mode is CPAP (without PSV) or
Bi-level Positive Airway Pressure (with PSV). Ensure that Ptrig or Ftrig is set so
that the FLIGHT 60 Ventilator detects all spontaneous patient efforts.

Entries for tidal volume, Rate and Ti are all inactive in SPONT mode. However,
users can preset these parameters for future ACMV or SIMV operation.

As with all FLIGHT 60 Ventilator operating modes, Backup Ventilation is

activated if the Apnea alarm limit is violated.

In SPONT mode, the f, Ti, PCV, VCV, Waveform, and Ti/Flow ctrl
control buttons are not utilized and are therefore darkened.
However, they remain adjustable.

9.4 VG (Volume Guarantee)

VG is a volume target mode which is a sub mode of the SPONT mode. The VG
modes change the pressure support level in order to achieve a targeted tidal
volume. VG modes are pressure modes as each breath is a pressure support
breath triggered by either the patient (spontaneous) or the machine.

Two volume targets are available in VG ventilation:

 VtG – Tidal Volume Guarantee

Operator's Manual | 9-7

Ventilation Modes

VG (Volume Guarantee)

 MVG – Minute Volume Guarantee

Pressure and volume limits should be set in Volume

Guarantee mode to prevent unintentional pressure and
volume deviations

9.4.1.1 VtG (Tidal Volume Guarantee)

In VtG mode, the target volume is reached by controlling the pressure support
applied to the patient based on three parameter settings:

 Target VtG – The target tidal volume.

 PSV min – The minimum pressure allowed by the operator.
 PSV max – The maximum pressure allowed by the operator.

9.4.1.2 MVG (Minute Volume Guarantee)

In MVG mode, when the patient fails to trigger a breath within the interval
determined by the Rate control, the ventilator triggers a mandatory breath
with a set Ti. The Rate, in combination with the Target VtG setting, determines
the minimum delivered minute volume.

The following controls are required for MVG mode:

 Target VtG – The target tidal volume.

 PSV min – The minimum pressure that can be applied.
 PSV max – The maximum pressure that can be applied.
 Rate – The minimum rate (determines the interval).

9.4.1.3 Trigger Delay

In MVG mode, Trigger Delay function doubles the delay time before mandatory (time
cycled) ventilation is activated.

When Trigger Delay is set to OFF, the ventilator will trigger a mandatory breath after a
period equal to 60 divided by the set Rate. When Trigger Delay is set to ON, the ventilator
will delay triggering a mandatory breath. The total time for a mandatory breath to be
triggered will equal twice the “OFF” time.

To avoid low rate due to intermittent spontaneous patient

efforts, the Flight 60 automatically deactivates the trigger
delay when the actual rate is lower than the set rate.

9-8 | Flight 60
 Ventilation Modes

VG (Volume Guarantee)

To set the Trigger Delay:

1. On the ventilator front panel, press the Extended button.
2. Tap the Trigger Delay control button.

The control button turns orange, and a pop-up list displays two options:
ON and OFF.
3. To activate Trigger Delay, tap the control button to select ON; to deactivate
the Trigger Delay, tap the control button to select OFF.

9.4.1.4 PSV min and PSV max initial values

When switching to a Volume Guarantee mode (VtG or MVG) the following

initial values will be applied:

PSV min = PSV setting – 5.

PSV max = PSV setting + 10.

When exiting VG Mode, PSV control button will be set to PSV

min.

To select the VG sub mode of operation:

1. On the ventilator front panel, press the Extended button.
2. Tap the VG mode control button.

The control button turns orange, and a pop-up list displays two options:
VtG and MVG.

Figure 27 – VG Sub-modes
3. Press the OK (Enter) button to confirm your selection.

Operator's Manual | 9-9

Ventilation Modes

B-LEV Mode (Bi-Phasic Ventilation)

Your selection is displayed on the control button.

VG mode is not available in non-invasive ventilation.

9.5 B-LEV Mode (Bi-Phasic Ventilation)

Bi-Level is a time-cycled pressure mode. The ventilator cycles between two
different baseline pressures based on time. In this mode the patient is
allowed to breathe spontaneously at both the high and low pressure
baselines. Pressure support can be added during the low pressure baseline
period to improve comfort.

When the patient triggers a pressure support breath during the Pressure
Low period, the transition from Pressure Low to Pressure High occurs 1
second from the end of inspiration.

The following controls are required for Bi-Level mode:

 P low – the low pressure baseline.

 P high – the high pressure baseline.
 T low – the low pressure baseline period.
 T high – the high pressure baseline period.
 PSV – the pressure support level.

9.6 NPPV (Non-Invasive Positive Pressure

Ventilation) Sub Mode
NPPV is available in all modes and can be accessed from the "Extended" menu.
When NPPV s active, the operating mode buttons indicate that NPPV
ventilation is ON, and a leak compensation up to 30L/min is activated to assist
with non-invasive ventilation.

Two levels of leak compensation are available:

1. LOW: bias flow of 20L/min

2. High: bias flow of 30L/min

To set NPPV:
1. On the ventilator front panel, press the Extended button.

9-10 | Flight 60
 Ventilation Modes

NPPV (Non-Invasive Positive Pressure Ventilation) Sub Mode

2. Tap the NPPV control button.

The control button turns orange, and a pop-up list displays two options:
ON and OFF.

Figure 28 – NPPV Sub-modes

3. To activate NPPV, tap the control button to select LOW or HIGH; to
deactivate the NPPV, tap the control button to select OFF.
4. Press the OK (Enter) button to confirm your selection.

Your selection is displayed on the control button.

When you select an NPPV sub-mode, the selected mode is displayed on the
Mode control button.

Operator's Manual | 9-11

 Special Functions

Nebulizer (OPTIONAL)

10 Special Functions

10.1 Nebulizer (OPTIONAL)

The nebulizer feature provides a synchronized flow of 7LPM (±1LPM) to power
a pneumatic nebulizer connected to the nebulizer outlet.

The in-line nebulizer is powered by 100% O2 and synchronized with the

patient inspiratory phase of each breath and can be adjusted in increments of
5 minutes for maximum of 60 minutes.

The ventilator volume ventilation algorithm compensates for the additional in-
line volume.

The nebulizer should be connected to the inspiratory limb per the institution's
policy and procedures. Connecting the nebulizer between the flow sensor and
the endotracheal tube increases the dead space ventilation.

Figure 29 – Nebulizer Assembly

To set up the nebulizer:

1. Securely attach the nebulizer to the port on the front panel.
2. On the ventilator front panel, press the Extended button.
3. Tap the Nebulizer control button.

The control button turns orange, and a pop-up list displays the two unit
options: ON and OFF.
4. To activate the nebulizer, tap the control button to select ON; to deactivate
the nebulizer, tap the control button to select OFF.
5. Press the OK (Enter) button to confirm your selection.

Your selection (ON or OFF) is displayed on the control button.

The nebulizer period controller is configured when setting up the ventilator.

Operator's Manual | 10-1

Special Functions

2 Minutes 100% O2 (OPTIONAL)

To configure the nebulizer period controller:

1. On the ventilator front panel, press the Technical button.
2. Tap the Nebulizer Period control button.

The control button turns orange.

3. Adjust the nebulizer period using the +/- button until you reach the desired
value.
4. Press the OK (Enter) button to confirm your selection.

Your selection is displayed on the control button.

10.2 2 Minutes 100% O2 (OPTIONAL)

The 100% O2 func tion increases the oxygen concentration delivered to the
patient to 100% for 2 minutes. If switched OFF within the 2 minutes period
the ventilator returns to the prior %O2 settings. Oxygen alarms are disabled
during the 100% O2 maneuver.

To set 100% O2:

1. On the ventilator front panel, press the Extended button.
2. Tap the 100% O2 control button.

The control button turns orange, and a pop-up list displays the two
options: ON and OFF.
3. To activate 100% O2, tap the control button to select ON; to deactivate the
100% O2, tap the control button to select OFF.
4. Press the OK (Enter) button to confirm your selection.

Your selection (ON or OFF) is displayed on the control button.

10.3 SIGH
A sigh breath is a volume-controlled breath that equals to 150% of the set
volume (VCV settings). When the sigh feature is enabled, the ventilator
delivers a sigh breath every 100th mandatory or assisted breath.

The sigh feature is available in volume ventilation modes only.

To set SIGH:
1. On the ventilator front panel, press the Extended button.
2. Tap the SIGH control button.

The control button turns orange, and a pop-up list displays two options:
ON and OFF.

10-2 | Flight 60
 Special Functions

Manual Breath

Figure 30 – SIGH Sub-modes

3. To activate SIGH, tap the control button to select ON; to deactivate the
SIGH, tap the control button to select OFF.
4. Press the OK (Enter) button to confirm your selection.

Your selection (ON or OFF) is displayed on the control button.

10.4 Manual Breath

Pressing the Manual Breath button delivers an operator

initiated manual inflation. However, the Manual Breath button does not initiate
an inflation, if the patient is currently in the inspiratory phase of a breath, or if
the airway pressure is > 5 cmH2 O (mbar) above the set PEEP level. Manual
Breath delivers the set flow rate (in Volume Control) or the set target pressure
(in Pressure Control); however, inspiratory time is controlled by the user.

During Manual Breath, the breath is terminated if any of the following occurs:

 The Manual Breath button is released.

 The High Pressure alarm is violated.
 Three seconds have elapsed.

Manual Breath is only available in ACMV and SIMV modes.

Manual Breath may be prematurely cycled off in the first

several breaths in Pressure Control, when the initial flow has
not yet been optimized.

10.5 Panel Lock

To lock the panel:
1. Press the Panel Lock button twice within five seconds.

Operator's Manual | 10-3

Special Functions

Quick-Start and Preset Ventilation Configurations

The LED turns on. All buttons are disabled for adjustment, except for the
Audio Paused/Alarm Reset button.

To unlock the panel:

1. Press the Panel Lock button once and then press t he OK (Enter) button.

The Panel Lock button is deactivated.

10.6 Quick-Start and Preset Ventilation

Configurations
Quick-Start is an optional feature that provides a quick access to preset
ventilation configurations directly from the main screen upon turning the
ventilator “ON”.

When Quick-Start is enabled the following options are available on the main
screen upon turning the ventilator “ON”:

Last Patient: choose to resume ventilation of the current patient.

Adult: choose to load preset #1 labeled “Adult”

Pediatric: choose to load preset #2 labeled “Pediatric”

SPONT (CPAP): choose to load preset #3 labeled “SPONT (CPAP)”

Press the OK button to confirm preset selection.

Always make sure control parameters and alarm limits are

appropriately set before starting ventilation.

10.6.1 Quick-Start: Factory default settings

10-4 | Flight 60
 Special Functions

Quick-Start and Preset Ventilation Configurations

The table below shows the factory default control setting for the Adult,
Pediatric and SPONT configurations presets.

Parameter Adult Pediatric SPONT/CPAP

(preset #1) (preset #2) (Preset #3)
Mode SIMV-VCV SIMV-PCV SPONT
VCV 500 15 -
Rate 12 25 12
Ti 1.2 0.8 1.2
PEEP 5 5 5
PSV 7 7 7
F Trig 1 1 1
%O2 50 50 50

10.6.2 Setting and loading the preset ventilation configurations

Up to five preset configurations can be stored on the ventilator allowing for

loading a full set of ventilation parameters with only [two] key strokes. Storing
a specific sets of parameters is done through the Technical screen as
explained below:

To store a preset ventilation configuration:

1. On the ventilator front panel, press the Technical button.

The Technical parameters are displayed on the ventilator screen.

2. Tap the Set Save control button and enter the 1315 access code.

The Set Save function is password protected to prevent

undesired change to preset configurations.

Select the desired preset number to save by tapping the on-screen button,
confirm by pressing the OK button.

The patient configuration is saved.

To load a preset ventilation parameters configuration:

1. On the ventilator front panel, press the Technical button.

The Technical parameters are displayed on the ventilator screen.

2. Tap the Set Load control button.

The control button turns orange, and a pop-up list with the identifying
numbers of the saved configurations appears.

Operator's Manual | 10-5

Special Functions

In-Use O2 Sensor Calibration

3. Tap the control button that corresponds to the number of the saved
configuration you would like to load. For example, to load configuration 2,
tap the control button with the number 2.

The selected configuration is loaded onto the ventilator.

10.7 In-Use O2 Sensor Calibration

In-use calibration is available for both internal and external

O2 mixer Flight 60 models, please follow the on-screen
instructions.

In-use calibration should only be performed on clinically stable

and synchronized patients. If any alarm is being activated, the
calibration proc edure must be aborted.

The low flow port should be disconnected during in-use O2

calibration

In-use O2 sensor calibration alternatives:

1. A 2 points calibration at 100% and 21% oxygen concentrations

2. A single point calibration at 100% oxygen concentration

3. A single point calibration at 21% oxygen concentration

In-use calibration can be performed while patient’s ventilation continues. Please

consider the changes in oxygen delivery while calibration in on going before
performing in-use calibration.

To perform in-use O2 calibration:

 On the ventilator front panel, press the Technical button.

The Technical parameters are displayed on the ventilator screen.

10-6 | Flight 60
 Special Functions

In-Use O2 Sensor Calibration

 To start in-use sensor calibration, tap the "FiO2 Sensor" control button to
select "Calibrate"

 Press the OK (Enter) button to confirm your selection.

 Follow the on-screen instructions.

During the 100% calibration of the oxygen sensor the

ventilator delivers 2 minutes 100% oxygen concentrations to
the patient.

During the 21% calibration of the oxygen sensor the

ventilator delivers 2 minutes 21% oxygen concentrations to
the patient.

For accurate %O2 delivery of 40% oxygen and above a 2

points (21% and 100% oxygen concentrations) calibration is
recommended.

To abort in-use O2 calibration:

 On the ventilator front panel, press the Technical button.

The Technical parameters are displayed on the ventilator screen.

 To abort in-use sensor calibration, tap the "FiO2 Sensor" control button.

 Press the OK (Enter) button to confirm your selection.

Operator's Manual | 10-7

Special Functions

Altitude Compensation

10.8 Altitude Compensation

The Flight 60 ventilator automatically maintains precise volume delivery in

altitudes up to 15,000 feet (4,500 meters). The manual altitude
adjustment is only for the flow and volume accuracy measured by the
proximal flow sensor.
Altitude can be set with the “Altitude Comp.” button located on the
Extended screen. Altitude compensation is set to “OFF” by factory default.

Figure 31. Altitude Compensation button located on the Extended screen

Altitude can be displayed in meters or feet, to change the displayed units

go to the “Set Clock” (Technical screen) and select “EUR” for meters or
“USA” for feet.

For accurate Vte and Vti monitoring and alarms ensure that
the altitude is set.

10-8 | Flight 60
 Accessories

Air/Oxygen Entrainment Mixer

11 Accessories
11.1 Air/Oxygen Entrainment Mixer
The Air/Oxygen Entrainment Mixer is used to blend atmospheric air with
medical grade oxygen at a precise ratio. A control knob allows for incremental
adjustment from 21% to 100% FiO2 . The high pressure oxygen hose has a
standard female DISS 1240 connection. The Mixer attaches to the Fresh Gas
Intake of the FLIGHT 60 Ventilator on the Filter Cover, located on the right
side of the ventilator.

Pneumatic Requirements: Oxygen 35-90 psig (2.4 to 6.2 Bar)

Figure 32 – High Pressure Oxygen Mixer

11.2 Oxygen Blending Bag Kit

The Oxygen Blending Bag Kit is used to blend atmospheric air with a low flow
(0 to 10 L/min) medical grade oxygen source. The Oxygen Blending Bag Kit
attaches to the Fresh Gas Intake on the Filter Cover, located on the right side
of the ventilator. This system allows the user to ventilate patients with oxygen
enriched gas from 21% to 100% FiO2 .

Pneumatic Requirements: Oxygen 0-10 L/min

Figure 33 – Low Pressure Oxygen Blending Bag

Operator's Manual | 11-1

 Cleaning and Maintenance

Cleaning and Disinfecting

12 Cleaning and Maintenance

12.1 Cleaning and Disinfecting
The FLIGHT 60 Ventilator and associated patient circuits are shipped in clean
but not sterile condition. Reusable (single patient) patient circuits should be
disinfected before reapplying to the pat ient.

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

physician prescription, or Homecare Dealer instructions.

12.1.1 FLIGHT 60 Ventilator

Wipe clean the FLIGHT 60 Ventilator between patients, and once a week while
in use.

To clean the ventilator:

1. Wipe clean the exterior (besides the screen) of the ventilator and all parts
not in direct contact with patients, using a cloth that has been dampened
with a medical detergent or alcohol-based cleaning solution.
2. Clean the front panel display (the screen) using a lint free damp cloth
dampened with LCD cleaner solution.
3. Air dry.

Do not apply the cleaning solution directly on the screen.

On the front panel display or ventilator housing, do not

use agents that contain acetone, toluene, halogenated
hydrocarbons, or strong alkaline.

Never autoclave or ETO sterilize the FLIGHT 60 Ventilator

and its accessories. These processes will damage the
FLIGHT 60 Ventilator and accessories, rendering them
unusable.

Operator's Manual | 12-1

Cleaning and Maintenance

Cleaning and Disinfecting

12.1.2 FLIGHT 60 Ventilator Accessories

All accessories should be thoroughly cleaned, rinsed, and air dried prior to
disinfecting. Examine all ac cessories for excessive wear or damage. Discard
and replace if necessary.

12.1.2.1 Reusable (Single Patient) Patient Circuits

The patient circuit includes 22mm ID breathing tube, exhalation valve and flow
sensing kit (flow orifice, quick connector and triplet 2.75mm ID tubes).

FLIGHT MEDICAL patient circuits are supplied non-sterile.

Clean and disinfect patient circuits once weekly while in use. Always use a
clean, disinfected exhalation valve when the patient circuit is reassembled for
patient use.

Examine the patient circuit for excessive wear or damage. Discard and
replace, if necessary. To avoid degradation of the reusable (single patient)
patient circuit components, do not exceed 20 cleaning cycles or half a year of
usage (whichever occurs first).

HOME CAREGIVERS: In the home environment, it is important to

always use a clean, disinfected patient circuit. The objective of
cleaning circuits is to render the surfaces free of pathogens.

To disassemble the patient circuit:

1. Remove the entire circuit from the ventilator.
2. Remove the exhalation valve and flow sensing kit.
3. Disassemble the circuit to expose all surfaces for cleaning.

The FLIGHT MEDICAL patient circuit is manufactured from

a Polyester Elastomer, high-temperature material and
incorporates a silicone rubber cuff. To avoid damage to
the circuit, attach and detach the circuit by handling only
the silicone cuffs. Do not pull or twist the circuit.

If you are using a FLIGHT MEDICAL patient circuit, refer to the cleaning and
disinfecting directions below. If you are using another manufacturer’s patient
circuit approved by FLIGHT MEDICAL, refer to the manufacturer’s instructions
for cleaning.

12-2 | Flight 60
 Cleaning and Maintenance

Cleaning and Disinfecting

To clean the patient circuit:

1. Use a low flow of running water or air to clear tubing and passages of
organic matter.
2. Bathe for a minimum of 10 minutes using mild detergent or liquid cleanser.
3. Wash all components of the patient circuit with a soft brush.
4. Rinse thoroughly with sterile, distilled water, removing all traces of the
cleanser.
5. Shake off excess water, and place all parts on a clean towel to air dry. (Do
not heat or blow dry.)

To disinfect the patient circuit components:

1. Soak plastic and metal parts in any of the following solutions:
 One part 5% Acetic Acid (white vinegar) and two parts sterile,
distilled water for two hours (for home use only)
 Glutaraldehyde solution (Cidex [2%]) for two hours
2. Rinse with sterile, distilled water, removing all traces of the cleanser.
3. Air dry.

Patient circuit components should NOT come in contact

with the following solutions, because they may cause
disintegration of the tubing: Hypochlorite, Phenol (>5%),
Inorganic Acids, Formaldehyde, Ketone, Chlorinated
Hydrocarbons, and Aromatic Hydrocarbons.

Patient circuits should be inspected after disinfecting to

check for deterioration. If the circuit is damaged or shows
excessive wear, replace with a new circuit.

12.1.2.2 Reusable (autoclavable) patient circuits and flow sensor kits

Steam Autoclave

Patient circuits and flow sensor kits are supplied non-

sterile.

Visually inspect the circuit components kit for excessive

wear or damage, discard if there is any sign of damage
or if it fails the "Circuit TEST".

Operator's Manual | 12-3

Cleaning and Maintenance

Cleaning and Disinfecting

To clean the patient circuit:

1. Rinse the circuit components with water and air to clear flow sensor tubing and
passages of soil residuals.
2. Soak the circuit components a mild detergent, for at least 10 minutes.
3. Thoroughly wipe all the external surface of the test article with a soft cloth,
moistened with detergent solution to remove any visible soil residuals.
4. Rinse the circuit components thoroughly under distilled water for at least 30
seconds, to remove all traces of the detergent.
5. Shake off excess water, and place all parts on a clean towel to air dry.
6. Sterilize using a validated autoclave procedure at 134 o C (273o F).
7. Dry the circuit components by shaking off excess water, and place all parts on a
clean towel to air dry.

Replace after 40 autoclave cycles at 134 o C (273o F)

12.1.2.3 Reusable (Single Patient) Exhalation Valve

Clean and disinfect the Exhalation Valve twice weekly, while in use.

Figure 34 – Exhalation Valve Assembly

To disassemble the exhalation valve:

1. Remove the exhalation valve from the patient circuit (see Figure 34).
2. Rotate counterclockwise the top cap of the exhalation valve and lift it off.
3. Lift out the valve drive line fitting, and separate it from the diaphragm (see
Figure 35).

12-4 | Flight 60
 Cleaning and Maintenance

Cleaning and Disinfecting

Figure 35 – Exhalation Valve Disassembled Parts

To clean the exhalation valve:

1. Use a low flow of running water or air to clear tubing and passages of
organic matter.
2. Wash the exhalation valve with a soft brush.
3. Rinse thoroughly with sterile, dist illed water.
4. Shake off excess water, and place it on a clean towel to air dry. (Do not
heat or blow dry)

To disinfect the exhalation valve:

1. Soak plastic and metal parts in any of the following solutions:
 One part 5% Acetic Acid (white vinegar) and two parts sterile,
distilled water for two hours (for home use only); then rinse with
sterile distilled water.
 Glutaraldehyde solution (Cidex [2%]) for two hours; Then, rinse with
sterile, distilled water.
 Boiling distilled water; boil the water for 15 minutes, making sure
that water covers the valve at all times. Allow the water to cool and
then drain (for home use only).
2. Air dry.

After the exhalation valve is dry, reassemble it according to the following

procedure, to ensure proper ventilator operation.

To reassemble the exhalation valve:

1. Carefully seat the diaphragm so that it lies flat on the white plastic drive
line fitting and snaps on around the edge completely.
2. Place the fitting/diaphragm assembly in the valve body, with the drive line
fitting lined in the opposite direction of the patient and/or the arrow sign.
3. Carefully place the cap over the fitting/diaphragm assembly and turn the
cap clockwise until it comes up against the stop.
4. Perform an exhalation valve calibration to ensure proper operation of the
ventilator.

Do not try to turn the drive line fitting after securing the cap. This
may cause the diaphragm to become wrinkled or unseated and
affect ventilator performance.

Operator's Manual | 12-5

Cleaning and Maintenance

Cleaning and Disinfecting

12.1.2.4 Reusable Dual Limb Exhalation Valve and Diaphragm

To disassemble the exhalation valve:

1. Disconnect the patient circuit.
2. Press the pin and rotate the exhalation valve cover 1/4 turn counter
clockwise.
3. Carefully remove the diaphragm by pulling the diaphragm tip.

To clean the dual limb exhalation valve and diaphragm:

1. Wash the dual limb valve and diaphragm with a soft brush using mild
detergent (such as liquid soap).
2. Rinse the exhalation valve and diaphragm thoroughly with sterile, distilled
water.
3. Shake off excess water, and place it on a clean towel to air dry. (Do not
heat or blow dry.)

To disinfect the dual limb exhalation valve and diaphragm:

Wipe with an appropriate bacterial agent after each patient use or soak the
valve and diaphragm in any of the following solutions:

 One part 5% Acetic Acid (white vinegar) and two parts sterile,
distilled water for two hours (for home use only); then rinse with
sterile distilled water.
 Glutaraldehyde solution (Cidex [2%]) for two hours; Then, rinse with
sterile, distilled water.
 Boiling distilled water; boil the water for 15 minutes, making sure
that water covers the valve at all times. Allow the water to cool and
then drain (for home use only).

Refer to Section ‎4.6 - Attaching the Patient Circuit for the dual limb patient
circuit assembly instructions.

NOTE: Flight Medical appreciates that cleaning and disinfection

practices vary widely among healthcare institutions. It is not
possible for Flight Medical to specify specific practices that will
meet all needs, or to be responsible for the effectiveness of
cleaning and disinfecting in the patient care setting. This manual
can only provide general guidelines for cleaning and disinfecting.
It is the user's responsibility to ensure the validity and
effectiveness of the methods used.

12-6 | Flight 60
 Cleaning and Maintenance

Maintenance

12.1.2.5 FLIGHT 60 Ventilator Air Inlet Particle Filter

NEVER operate the FLIGHT 60 Ventilator without a clean

inlet particle filter in place.

NEVER reverse the inlet particle filter when it is dirty.

The air inlet particle filter, located on the right side of the ventilator behind the
Filter Cover, keeps dirt and particles out of the ventilator's piston system. As
the filter becomes dirty, it can reduce the volume of air drawn into the
ventilator.

Check the inlet filter weekly. Replace it with a new filter when the majority of
the filter surface area has changed from a clean white to dirty brown color.
Inlet filters are not reusable.

After replacing the filter, make sure that the three hold down
screws on the Filter Cover are secure. If the screws are not
tight, ambient air may enter the FLIGHT 60 Ventilator from
around the inlet cover.

HOME CAREGIVERS: When the FLIGHT 60 Ventilator is used in

a homecare environment, the filter may become dirty more
frequently and therefore must be inspected and/or changed
more often.

HOME CAREGIVERS: It is common practice to have two

patient circuits available in homec are environments to ensure
that a clean circuit is always available for regularly scheduled
circuit changes. The exhalation valve in each circuit must be
calibrated before use.

12.2 Maintenance
12.2.1 Preventive Maintenance
It is recommended to take the following measures to maintain the FLIGHT 60
Ventilator:

 Check the Air Inlet Filter (located behind the Filter Cover) weekly.
Replace it when the majority of the filter surface area has changed
from a clean white to dirty brown color. Air Inlet Filters are not
reusable.

Operator's Manual | 12-7

Cleaning and Maintenance

Maintenance

HOME CAREGIVERS: When the FLIGHT 60 Ventilator is used in

homecare environments, the filter may become dirty more
frequently and therefore, it must be inspected and/or changed
more often.

NEVER reverse the inlet particle filter when it is dirty.

 Inspect the FLIGHT 60 Ventilator power cord on a regular basis, for

signs of a broken or frayed power cord.
 Inspect the exhalation valve and flow orifice to verify that there are
no cracks or damaged surfaces.
 Wipe down the surface of the ventilator housing regularly to remove
any dust that might accumulate.

If service is required, contact your provider.

12.2.2 O2 Sensor Maintenance

It is recommended to replace the internal O 2 sensor once a year. Refer to the
Service Manual for details. If the monitored FiO2 value is different than the set
FiO2 by 8[FiO2 %], O2 sensor calibration is required and should be performed
by a certified Flight 60 technician.

12.2.3 Internal Battery Maintenance

It is recommended that if the batteries are no longer meeting the time
requirements of the user, they should be replaced.

To preserve the internal batteries' life:

 Whenever possible, plug the FLIGHT 60 Ventilator into the external
power source to charge the batteries.
 Use the Auto Lighter Cable accessory to power the FLIGHT 60
Ventilator when traveling by automobile.

12.2.4 15,000 Hour Maintenance

A comprehensive maintenance should be performed after 15,000 hours of
operation. The 15,000 hour maintenance includes replacement of the pump
assembly.

Contact your provider or FLIGHT MEDICAL for detailed information on the

15,000 hour maintenance (see Section ‎14 for contact information).

HOME CAREGIVERS: Do not attempt to open or perform any

service procedures on the FLIGHT 60 Ventilator. Only FLIGHT
MEDICAL trained technicians are authorized to service the
ventilator. Contact your Homecare Dealer or FLIGHT MEDICAL.

12-8 | Flight 60
 Cleaning and Maintenance

General Warnings

12.3 General Warnings

 Preventive maintenance work, repairs, and service may only be
performed by FLIGHT 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
disinfection of external parts and accessories in accordance with
established hospital procedures, physician prescription, or Homecare
Dealer 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 (such as phenols,
halogen releasing compounds, oxygen releasing compounds, and
strong organic acids). Exposure to such substances may cause
damage that is not immediately recognizable.
 The reusable (single patient) patient circuit including the exhalation
valve and flow sensing kit and other parts that come in direct contact
with the patient should be periodically disinfected while in use.

Operator's Manual | 12-9

 Troubleshooting

Introduction

13 Troubleshooting
13.1 Introduction
The FLIGHT 60 Ventilator is used in life-support situations. As such, it is
essential that all individuals using the FLIGHT 60 Ventilator, including clinicians
and support staff, have a thorough understanding of its operation. This should
include a working knowledge of the ventilator's pneumatic and electronic
systems.

The following prac tical troubleshooting section is provided as a training

resource for individuals learning how to use the FLIGHT 60 Ventilator, and as a
reference tool for those already familiar with its use and operation. It should
be noted that this outline is not all inclusive, and is intended only as a guide.

HOME CAREGIVERS: Contact your Homecare Dealer,

physician, or FLIGHT MEDICAL if you have questions or
concerns about the performance of the FLIGHT 60 Ventilator.

Only properly trained personnel should operate the

ventilator. The FLIGHT 60 Ventilator is a restricted
medical device designed for use by Respiratory Therapists
or other properly trained and qualified personnel under
the direction of a physician and in accordance with
applicable state laws and regulat ions.

13.2 Alarms

Problem Potential Cause Suggested Action

Apnea Alarm Patient did not trigger a breath for the Reevaluate the patient and
preset Apnea interval (10 to 60 ventilator settings and provide
seconds). increased ventilatory support, as
needed.

Patient efforts are not detected. Use Ptrig or Ftrig to adjust the

Trigger level set improperly. trigger level closer to the baseline

pressure (0 cmH2O) so that patient
efforts are detected (indicated by
the TRIG LED illuminating green).

Operator's Manual | 13-1

Troubleshooting

Alarms

Problem Potential Cause Suggested Action

Prox. Line Alarm Humidity in the proximal line. The ventilator purges every 5
minutes, to clean the tubes. Verify
the alarm ceased after the
ventilator purge.

Proximal line disconnected or kinked. Reconnect the proximal line or

unkink the line.

C ircuit is disconnected from the patient. Reconnect the circuit to the patient.

Quick connector is loosened. Secure the quick connector.

Pressure transducer is improperly C all FLIGHT MEDICAL.

calibrated or defective.

Empty Battery Alarm Detachable and Integral batteries charge Immediately connect the FLIGHT 60
is depleted and the ventilator shutdown Ventilator to external AC or DC
will occur shortly. power.

Power Switch Over External power cord is disconnected. Reinsert the power cord.
C aution
External power source failure. Use the batteries. Recharge the
batteries when AC is available.

High Pressure Alarm Increased patient resistance or Evaluate the patient. The patient
decreased patient compliance. may need suctioning, aerosol
therapy, etc.

Increased patient circuit resistance. C heck for obstructions (kinked

tubes, water in tubing, occluded
filters, etc.)

C ontrol/alarm parameters have changed. Reevaluate settings.

High Pressure alarm set incorrectly. Readjust High Pressure alarm, if

appropriate. Notify physician as
necessary.

High Pbase alarm Airway pressure remains above the Low Unblock the occluded area.
Pressure alarm setting at the beginning Recalibrate the exhalation valve.
of inspiration. Indicates an occlusion in
the circuit/exhalation valve or that the
proximal pressure line or exhalation
drive line is pinched.

High breath rate (insufficient time to Evaluate patient and make necessary
exhale). adjustments to ventilation
parameters.

Ventilator auto triggering from leak or Fix the leak and readjust trigger level
improper trigger setting. as needed.
C hange Trigger Mode to Pressure
Trigger (Ptrig).

Rapid decreasing of the PEEP value. Gradually decrease the PEEP.

13-2 | Flight 60
 Troubleshooting

Alarms

Problem Potential Cause Suggested Action

High MV alarm Increased spontaneous patient Evaluate the patient. Adjust the High
breathing. MV alarm setting, if needed.

Increase in trachea/airway leak. Evaluate the leak, look for normal

wake-sleep trends, and set alarms
appropriately.

Increased minute volume due to C heck circuit for leak and correct.
ventilator auto triggering from leak. Perform leak check (exhalation valve
calibration) on patient circuit.

Increased minute volume due to Reevaluate/readjust trigger setting

ventilator auto triggering from Ptrig or (especially after circuit change).
Ftrig setting too low (most common with
single use exhalation valve).

Increased minute volume due to Secure the quick connector.

ventilator auto triggering from loose
quick connector.

Increased minute volume due to Reconnect the circuit securely. Push

ventilator auto triggering from circuit Audio Paused when reconnecting
disconnected for airway care or by after airway care (to allow one
accident. minute for stabilization).

Low Battery Caution When the combined charge of both Plug the power cord into an
batteries is less than 30%. external power source to charge.

Low Pressure Alarm Decreased patient resistance or Evaluate the patient. Adjust the
increased patient compliance. ventilation settings and/or Low
Pressure alarm, as needed.

Leak or disconnect in the patient Verify that connections are tight

circuit. and leak free.

Low Pressure alarm set incorrectly. Readjust Low Pressure alarm, if

appropriate. Notify physician as
necessary.

Low Pbase Alarm Baseline pressure is below set PEEP Verify that all circuit connections
due to airway or circuit leak, or fluid are secure and leak free, and that
pooled in tubing. all fluid is cleared from the tubing.

False Low Pbase Alarm during purge. Verify the alarm ceased after the
ventilator purge. A minor Ti
settings change may eliminate this
alarm.

Operator's Manual | 13-3

Troubleshooting

Alarms

Problem Potential Cause Suggested Action

Low MV Alarm/Apnea Patient efforts are not detected. The Perform a leak check on the
Alarm trigger level (Ptrig or Ftrig) is set patient circuit (exhalation valve
improperly. calibration), secure the circuit
connections, and evaluate the
trigger setting. Detected patient
efforts are indicated by the TRIG
LED illuminating green.

The Low MV alarm is set above the Readjust Low MV alarm setting
delivered mandatory minute volume. level.

Patient needs suctioning or airway Suction and evaluate patient.

occlusion (pressure control / pressure
support).

Patient is breathing slowly or is not Evaluate patient.

breathing.

Apnea interval is too short. Evaluate the patient. Adjust the

Apnea alarm.

Nebulizer treatment inline during Adjust the Low MV alarm during

pressure control / pressure support. nebulizer treatment.

Occlusion Alarm Exhalation valve is blocked or line is C heck the exhalation valve line.
kinked. Replace the exhalation valve
assembly. Then, recalibrate the
exhalation valve.

High breath rate. C hange to lower rate, evaluate

patient.

PC V Not Reached Gross leak in the patient circuit. C heck all patient circuit
Alarm connections.

Target pressure setting requires a flow Reevaluate the ventilator settings

rate that is beyond the FLIGHT 60 and strategy.
Ventilator’s maximal flow capability.

Fault Alarm Led Unrecoverable internal system failure. Ventilate the patient with an
alternate means of ventilation.
Make note of the message in the
alarm display area.
C all FLIGHT MEDICAL

C heck Setting Alarm Nonvolatile storage inconsistency. Verify which ventilation control is
out of range and correct its value.

13-4 | Flight 60
 Troubleshooting

General/Clinical

13.3 General/Clinical

Problem Potential Cause Suggested Action

Alarm volume too Unintended setting. To toggle between loud and quiet, push
loud or too quiet. the buzzer button and choose from the
list.

Batteries Batteries are not fully charged. C harge the batteries to their full charge
depleted too fast; level. Batteries charge in three hours
not lasting up to from AC . Check the charge level by
12 hours viewing the main and secondary battery
icon level on the display.
Extend the battery use time by plugging
into AC when available.
Suggestion: Optional accessory,
Automobile 12V power cord can be used
to plug the ventilator into the automobile
cigarette lighter.
Ensure that the green Ext. Power LED is
illuminated when connected to an
external AC or DC power source (it can
take up to one minute). If the LED is not
illuminated, check the connections and
resolve any problems.

Power Save is OFF. This decreases Enter Extended Setup and turn Power
battery use time by 20% to 30%. Save ON.

Batteries are not in optimal condition or As the battery ages, the Low Battery
need to be replaced. caution occurs sooner. When this begins
to infringe on the required battery time,
the batteries should be replaced.

CO2 rises Too much dead space (re breathing) in On small patients, avoid using any tubing
C hild's CO 2 rises the patient circuit. (On a single-limb between the flow orifice and the patient.
dramatically circuit, the tubing on the patient side of If extension tubing is a must, it should be
when put on the the exhalation valve is dead space.) as small as 15 mm ID and shorter than
ventilator 50 mm.

Circuit disconnect Low Pressure alarm is not appropriately Set the Low Pressure alarm to ensure
/ no alarm sounds set. that it sounds when the patient circuit is

Patient circuit is disconnected. After setting up the patient

disconnected and stabilizing the ventilation, remove the
from the patient, circuit from the patient at the airway and

but there is no observe the peak airway pressure that

alarm. develops with the next breath. Reconnect
the patient and set the Low Pressure
alarm above this pressure.

Operator's Manual | 13-5

Troubleshooting

General/Clinical

Problem Potential Cause Suggested Action

High/Low Minute Volume alarm limits Set High/Low alarms to bracket patient
are not appropriately set. minute volume.

Exhalation Circuit A leak in the system. a. C heck all circuit connections.

TEST Fails (Cal b. C heck that the test lung is leak-free
Failed) and that it is ≤1 L in size.
Reusable (single c. C heck that the exhalation valve drive
patient) or single line is secured.
use exhalation
d. Use your thumb (covered with a clean
valve
gauze pad or equivalent) instead of a test
lung, to occlude circuit during calibration.
e. If using a reusable (single patient)
exhalation valve, ensure that the
diaphragm is seated properly.
f. Try a different exhalation valve.

NOTE: After taking corrective action,

repeat Exhalation Valve Calibration
procedure.

Exhalation valve in use is not Use an exhalation valve that is approved

compatible with ventilator. for use with the FLIGHT 60 Ventilator.

Exhalation Valve Low compliance / high resistance of Make sure that the patient circuit is 22
Honks circuit system. mm ID (regardless of patient size).
Exhalation valve The single use exhalation valve in use is Use an exhalation valve that is approved
makes honking not compatible with the ventilator. for use with the FLIGHT 60 Ventilator.
noise

External Pow er Power cord is not plugged far enough C heck that the power cord is pushed in all
Not Working into the ventilator outlet. the way.
After plugging AC outlet has no power. C heck for power in the AC outlet or use
into an external another AC outlet with power.
AC or DC outlet,
Ext. Power DC Auto lighter outlet is not active with Make sure that the auto lighter outlet is
indicator does not engine off. active with the engine off, or turn the
light after one engine on.
minute.

Frequency is 1.5 Ventilator is in Backup Ventilation in Backup Ventilation will stop, and the
Tim es Set Value response to the Apnea Alarm being respiratory frequency will return to
Ventilator sounds violated. normal when the patient will triggered
alarm and the two spontaneous breaths within the

respiratory preset Apnea interval or the user press

frequency is 1.5 the Alarm Reset button to stop the
times the original Backup Ventilation alarm.

set value.

13-6 | Flight 60
 Troubleshooting

General/Clinical

Problem Potential Cause Suggested Action

Manual Inflation High Pressure alarm setting reached If a higher inflation pressure is needed,
Button during Manual inflation. increase the High Pressure alarm limit

Breath terminates setting to a safe but appropriate level.

and High Otherwise, decrease the flow rate or
Pressure alarm is manual inflation time.

violated.

Manual Inflation Mandatory flow is set too low. Evaluate ventilation settings. If
Button appropriate, decrease the inspiratory time

C annot generate to increase the flow.

adequate rise in Gross leak in patient circuit. C heck/secure all patient circuit
pressure. connections.

Faulty exhalation valve. Replace the exhalation valve.

Pressure Control mode. Assess Pressure Control setting.

PEEP Control Faulty exhalation valve. Replace the exhalation valve.

Baseline pressure Leak in the patient circuit. Perform a leak check (exhalation valve
during exhalation calibration) and eliminate any leaks
continues to found.
slowly decrease.
Leak around ET (Endotracheal) tube/ C heck ET tube/patient interface.
patient interface.

PEEP Control Leak in patient circuit, endotracheal Find and correct the leak.

Monitored Pbase tube cuff, patient interface, or other.

is less than set Un-calibrated exhalation valve. C alibrate exhalation valve per
PEEP. instructions.

Faulty exhalation valve. Replace the exhalation valve.

Pressure reading Patient circuit resistance is caused by Temporarily disconnect the patient circuit
Pressure does not an occluded filter or exhalation valve, from the ventilator GAS OUTPUT outlet. If

return to zero pooled water, or lodged secretions the pressure reading returns to zero, the
when PEEP is set which prevent the free exit of patient cause of the elevated baseline pressure is
to zero. exhalation. circuit resistance.

C heck for (and empty) water in the

patient circuit.
C heck for (and replace) the clogged filter
or heat moisture exchanger in the patient
circuit.
C heck for (and clean) an exhalation valve
that has become clogged with
medications or patient secretions. Ensure
that the expiratory drive line is not
kinked.

Pressure reading Water in patient circuit tubing. Drain tubing.

Operator's Manual | 13-7

Troubleshooting

General/Clinical

Problem Potential Cause Suggested Action

Baseline pressure Leak in patient circuit. Perform exhalation valve calibration,

(PEEP) is check/eliminate any leaks found.
fluctuating.
Leak in the exhalation valve. Replace the exhalation valve.

Bounce/rebound from test lung. Use a test lung with better physiological
performance.

Pressure Not Massive leak in the patient circuit. Locate the leak and fix it.
Rising
Exhalation valve diaphragm has become Replace the exhalation valve / patient
Ventilator sounds unseated. circuit.
like it is
delivering
breaths;
however, the
pressure is not
rising during the
breath.

Trigger Problem Inappropriate trigger setting. Adjust the Ptrig/Ftrig towards "-0.1"/"1"
Patient cannot until the ventilator auto-triggers, then
trigger the slowly increase the Ptrig or Ftrig setting
ventilator. until the auto-triggering stops.

Baseline pressure increased C heck the ventilation settings; readjust if

inadvertently due to Rate, Ti, Volume necessary.
control, or Pressure control change.

Baseline pressure increased C heck the ventilation settings; readjust if

inadvertently due to incomplete necessary.
exhalation.

Patient lacks any spontaneous effort or Evaluate the patient.

has very weak effort.

Trigger Problem Trigger level is not set properly. Readjust Ptrig or Ftrig level.
Ventilator auto-
Leak in patient circuit, exhalation valve, C heck/secure the circuit connections.
triggering
or expiratory drive line. C hange the exhalation valve.

Trigger Problem In volume control, the flow is set C heck the flow setting in the display. If it
Patient double- inappropriately low. is too low for patient need, decrease the
triggers the inspiratory time (Ti) setting until the flow
ventilator. is set appropriately.

Pressure support is set too low for Reevaluate the pressure support setting.
patient need.

Monitored Tidal C ircuit disconnect C heck C ircuit C onnections

Volume
Quick C onnect not firmly attached Re-attach the Quick Connector
Vte and Vti
inconsistent

13-8 | Flight 60
 Troubleshooting

Oxygen Enrichment

Problem Potential Cause Suggested Action

Ventilator Makes C ylinder is turned off or empty. C heck that the cylinder is turned on and
Noise When that it is not empty.
Air/Oxygen Mixer
Is C onnected
FLIGHT 60
Ventilator makes
a loud noise when
using the Air
Oxygen
Entrainment
Mixer connected
to a gas cylinder.

Ventilator Pistons The FLIGHT 60 Ventilator generates a Ventilator is operating correctly.

Move Between 7.5 L/min of continuous flow in between
Breaths breaths when PEEP is > 0 cmH2O.

Ventilator sounds
like the dual
micro pistons
continue to move
between breaths.

Water in Room temperature is cooler than the a. Place water trap in line with the patient
Breathing Circuit heated, humidified breathing gas in the circuit and empty it regularly.
Tubing circuit. When the gas in the circuit c. Use a heated wire circuit.
cools, water precipitates out.

13.4 Oxygen Enrichment

Problem Potential Cause Suggested Action

Monitored FiO 2 is less Oxygen Sensor Expired Replace the oxygen sensor
than 21%
Non calibrated oxygen sensor C alibrate oxygen sensor

Monitored FiO 2 is Oxygen Sensor Expired Replace the oxygen sensor

lower or higher by
Non calibrated oxygen sensor C alibrate oxygen sensor
5% than the set
%O 2, when using Oxygen source gas pressure is low C heck O 2 supply
internal O 2 mixer.
Oxygen source gas concentration is less C heck O 2 supply
than 100%

Low flow O 2 port connector is connected Disconnect O 2 port connector

Monitored FiO2 is Oxygen Sensor Expired C ontact your provider or FLIGHT

lower than set FiO2 MEDIC AL to replace the Oxygen
by >8%, when using sensor

Operator's Manual | 13-9

Troubleshooting

Oxygen Enrichment

Problem Potential Cause Suggested Action

Air Oxygen Non calibrated oxygen sensor C alibrate FiO 2 sensor

Entrainment Mixer.
Appropriate mixer clamp and screw is C ontact your provider or FLIGHT
missing. MEDIC AL to obtain an appropriate
mixer clamp and screw.

Filter cover is loose. Tighten the filter cover.

Filter cover needs to be replaced. C ontact your provider or FLIGHT

MEDIC AL to obtain a replacement
filter cover.

Oxygen source gas pressure is low. C heck that the oxygen source gas is
50 psig.

Oxygen source regulator is oscillating. C heck the oxygen source regulator.

If the noise continues, Contact your
provider or FLIGHT MEDICAL.

Mixer makes a
pronounced clicking
sound during normal
operation. C ontact your provider or FLIGHT
Mixer diaphragm is leaking.
Oxygen leaks out of MEDIC AL.

Mixer when
connected to 50 psig
oxygen gas source.

13-10 | Flight 60
 Contact Information

Oxygen Enrichment

14 Contact Information
Address further questions or problems to one of the FLIGHT MEDICAL offices.

FLIGHT MEDICAL INNOVATIONS Ltd.

Address: 13 Hamelacha St.,Lod71520,ISRAEL
Tel: +972-8-923-5111
Fax: +972-8-923-6111
Email: info@flight-medical.com
Website: www.flight-medical.com

European Authorized Representative

Obeliss.a
Address: Boulevard GénéralWahis 53 1030 Brussels, BELGIUM
Tel: +32 2 7325954
Fax: +32 2 7326003
Email: mail@obelis.net

Operator's Manual | 14-11

 Ventilator Quick Check Procedure

Introduction

15 Ventilator Quick Check Procedure

15.1 Introduction
Upon initial setup of the ventilator, verify proper ventilator operation by
performing the Quick Check Procedure.

This procedure is intended to assist qualified operators to establish a routine

program for verifying proper FLIGHT 60 Ventilator operation. Perform this
procedure each time the ventilator is prepared for clinical use.

Repeat the Quick Check Procedure each time the ventilator is placed on a new
patient or the patient circuit/exhalation valve is changed.

Before performing the test, you must perform a pretest inspection, and set up
the ventilator for the test.

The Quick Check Procedure includes the following tests:

 Checking the power management

 Checking the alarms
 Checking the monitored parameters

HOME CAREGIVERS: This procedure should be performed by

your Homecare equipment provider, prior to delivery of the
FLIGHT 60 Ventilator, to verify proper operation. It can also
be performed in the homecare environment to ensure proper
setup and function of the ventilator.

Do not use the FLIGHT 60 Ventilator if it fails this

procedure.

15.1.1 Setting Up the Ventilator for the Test

Before performing the test, do the following:

 Remove the three screws from the Filter Cover. Inspect the filter.
Replace the filter if it is dirty. Reinstall the screws.
 Examine the 500 ml test lung and the patient circuit to ensure that
there are no holes that will cause leaks.
 Verify that the AC power cord does not have frays or breaks.

To set up the ventilator for the test:

1. Connect the detachable and integral batteries.
2. Connect the AC power cord to an AC power source.

Operator's Manual | 15-1

Ventilator Quick Check Procedure

Quick Check Procedure

3. Connect a patient circuit with 500 ml test lung, to the FLIGHT 60 Ventilator.
4. Calibrate the exhalation valve. See Section ‎4.7.
5. Press the On/Off button once. The ventilator performs a brief self -test and
enters SETTINGS mode. During the self-test, verify that the ventilator
purges, an audible alarm sounds and that all indicator LEDS illuminate.
6. Set the ventilator to the following Standard Test Settings (STS):

Control Setting

MODE AC MV

Volume Control 500 ml

Ti 1.0 sec

Rate 15 b/min

Ptrig -0.1 cmH2O/mbar

Low Pressure alarm limit 3 cmH2O/mbar

High Pressure alarm limit 99 cmH2O

Low MV alarm limit 0.0 L (minimum setting)

High MV alarm limit 50 L (maximum setting)

PEEP 02O/mbar

PSV above peep 02O/mbar

Waveform Square

7. Press the On/Off button to initiate ventilation.

15.2 Quick Check Procedure

15.2.1 Checking the Power Management
To check for power management:
1. Disconnect the AC power cord. Verify that there is a Power Switchover
caution message and intermit tent audible caution.
2. Verify the EXT PWR indicator LED turns off, and the BAT indicator turns on
to indicate that the ventilator is on battery power.
3. Verify that the arrows on the batteries icons facing down to indicate that
the batteries are depleted.
4. Disconnect the detachable battery. Verify that there is a Low Battery
caution message and intermittent audible caution.
5. Reconnect the detachable battery and the AC power.
6. Verify the EXT PWR indicator LED turns on, and the BAT indicator turns off.
7. Verify that the arrows on the batteries icons facing up to indicate that the
batteries are charged.

15-2 | Flight 60
 Ventilator Quick Check Procedure

Quick Check Procedure

15.2.2 Checking the Alarms

To check for High Pressure alarm:
1. Set the High P alarm limit to 10 cmH2O.

2. Verify that High Pressure alarm is activated (HIGH PRESSURE message

display, visual and audible alarm and the indicator LED turns on).
3. Verify that inspiration ends when pressure reaches the high limit.
4. Set the High P alarm limit back to 99 cmH2O.

5. Verify that High Pressure alarm is deactivated.

6. Press the Audio Paused button to clear the lit indicator LED.

To check for Low Pressure alarm:

1. Disconnect the test lung from the patient circuit.
2. Verify that the Low Pressure alarm is activated within 3 breaths. (LOW
PRESSURE message display, visual and audible alarm and the indicator LED
turns on).
3. Reconnect the test lung t o the patient circuit.
4. Verify that the Low Pressure alarm is deactivated.
5. Press the Audio Paused button to clear the lit indicator LED.

15.2.3 Checking the Monitored Parameters

To check for pressure reading:
1. Verify that both the Ppeak and the pressure gauge are within 10% or ±2 2O
of each other, whichever is greater.
2. Set the PEEP to 52O.

3. Verify that both the Pbase and the pressure gauge are within ±22O of each
other. Reduce the PEEP to zero.

To check for volume reading:

1. Verify that Vti and Vte are within 0.45 to 0.55 L.
2. Verify that MVi and MVe are within 6.5 to 8.5 L.

Operator's Manual | 15-3

Ventilator Quick Check Procedure

Check-Off Sheet

15.3 Check-Off Sheet

FLIGHT 60 Ventilator Quick Check
Pass/Fail Check-Off Sheet
Preparation for Use Tests Indicate Result for each Test

Pretest Inspection C heck Pass _____ Fail ______

1. Power Management C heck Pass _____ Fail ______

Power Switchover C aution Pass _____ Fail ______

Low Battery C aution Pass _____ Fail ______

2. Alarms& Indicators C heck Pass _____ Fail ______

High Pressure Alarm Pass _____ Fail ______

Low Pressure Alarm Pass _____ Fail ______

3. Monitored Parameters C heck Pass _____ Fail ______

Peak Pressure Pass _____ Fail ______

Base Pressure Pass _____ Fail ______

Tidal Volume Pass _____ Fail ______

Minute Volume Pass _____ Fail ______

The ventilator is ready for operation when all tests have been completed successfully.

15-4 | Flight 60
 Technical Specifications

Physical Specifications

16 Technical Specifications
16.1 Physical Specifications

Physical Characteristic Specification

Ventilator Weight 6.3 kg

11.641 in wide x 11.457 in deep x 9.803 in high.
Ventilator Dimensions
295 mm wide x 291 mm deep x 249 mm high.

Reusable Single Patient Circuit Reusable (single patient) 22 mm ID 180 cm. length adult/pediatric circuit
with 2.75 mm ID proximal pressure sensing line, 2.75 mm ID exhalation
valve control drive line, 2.75 mm I.D. flow sensing line, exhalation valve,
flow sensing orifice and quick connector.

Single Use Patient C ircuit Single use 22 mm ID 180 cm. length adult/pediatric circuit with 2.75 mm
ID proximal pressure sensing line, 2.75 mm ID exhalation valve control
drive line, 2.75 mm I.D. flow sensing line, exhalation valve, flow sensing
orifice and quick connector.

C onnectors Gas Outlet: ISO 22 mm OD conical.

Air/Oxygen Inlet: ISO 30 mm female fitting.

16.2 Pneumatic Specifications

Item Specification

Over Pressure Relief Valve Limits the maximum airway pressure to 110 ± 5 C MH2O

Negative Pressure Relief Opening pressure is between -3 C MH2O to -6 C MH2O.

Valve(Anti-Asphyxia)

MAX 16 by MAXTEC; range from 0 to 100% oxygen. Warm up time: less

O 2 sensor
than 30 minutes after replacement.

16.3 Electromagnetic Emission - Guidance and

Manufacturer's Declaration
This device in intended for use in the electromagnetic environment specified
below. The user of this device should make sure it is used in such an
environment.

Electromagnetic
Emission Test Compliance Environment-
Guidance

Operator's Manual | 16-1

Technical Specifications

Electromagnetic Emission - Guidance and Manufacturer's Declaration

RF emissions Group 1 The device uses RF

CISPR 11 energy only for its
internal function.
Therefore, its RF
emissions are very
low and are not
likely to cause any
interference in
nearby electronic
equipment.
RF emissions Class B The device is
CISPR 11 suitable for use in
all establishments,
Harmonic emissions Class A
including domestic
IEC 61000-3-2 establishment and
Voltage fluctuations/Flicker Complies those directly
emissions connected to the
IEC 61000-3-3 public low-voltage
power supply
network that
supplies building
used for domestic
purpose.

Immunity test IEC60601 Test Compliance Electromagnetic

level Level Environment
Guidance
Electromagnetic ±6 kV contact ±8 kV contact The relative
Discharge (ESD) humidity should be
IEC 61000-4-2 at least 5 %
±8 kV air ±15 kV air
Electrical fast ±2 kV for power ±2 kV for supply Main power quality
Transient/burst supply lines main should be that of a
IEC 61000-4-4 typical home or
±1 kV for input- ±1 kV for hospital environment

16-2 | Flight 60
 Technical Specifications

Electromagnetic Emission - Guidance and Manufacturer's Declaration

output lines input/output

lines
Surge ±1 kV differential ±1 kV Main power quality
IEC 61000-4-5 mode differential should be that of a
mode typical home or
±2 kV common hospital environment
mode ±2 kV common
mode
Voltage dips, short <5% UT (>95% <5% UT (>95% Mains power quality
interruptions and dip in UT ) for 0.5 dip in UT ) for 0.5 should be that of a
voltage variations cycle. cycle. typical home or
on power supply 40% UT (60% hospital
input lines 40% UT (60% dip dip in UT ) for 5 environment. if the
IEC 61000-4-11 in UT ) for 5 cycles. cycles. user of the device
70% UT ( 30% requires continued
operation during
70% UT ( 30% dip dip in UT ) fir 25
power main
in UT ) fir 25 cycles.
interruptions, it is
cycles. <5% UT (>95%
recommended that
dip in UT ) for 5
the device be
seconds powered from an
<5% UT (>95%
dip in UT ) for 5 uninterruptible
seconds power supply or a
battery

Power frequency 3 A/m 30 A/m Power frequency

(50/60 Hz) magnetic fields
magnetic field should be at levels
IEC 61000-4-8 characteristic of a
typical home or
hospital
environment.
Note: UT is the a.c. mains voltage prior to application of the test level.

Immunity IEC60601 Test Complianc Electromagnetic

test level e Level Environment
Guidance
Portable and mobile RF
communications equipment
should be used no closer to
any part of the device,
including cables, than the
recommended separation
distance calculated from the
equation applicable to the
frequency of the
transmitter.

Operator's Manual | 16-3

Technical Specifications

Electromagnetic Emission - Guidance and Manufacturer's Declaration

Recommended separation
distance:

3 Vrms 3V
Conducted 150 kHz to 80 MHz d= 1.2 P
RF Outside ISM bands1

IEC 61000-
10 Vrms 10V
4-6
150 kHz to 80 MHz d= 1.2 P
in ISM bands 2

30V/m 30V/m d= 0.4 P for 80 MHz to

Radiated 400 MHz
80 to 400 80 to 400
RF d= 0.08 P for 400 MHz to
MHz MHz
IEC 61000- 800 MHz
4-3 NOTE: based NOTE: based
d=0.15 P for 800 MHz to
on ISO on ISO
8 GHz
10651- 10651-
3:1997 3:1997
where P is the maximum
testing. testing. output power rating of the
transmitted in watts (W)
according to the transmitter
manufacturer and d is the
150V/m recommended separation
.4 to 8GHz distance in meters (m)
NOTE: Based
on RTCA DO- Field strengths from fixed RF
transmitters, as determined
160F, section by an electromagnetic site
20, cat.R survey 1, should be less than
the compliance level in each
frequency range 2.

Interference may occur in

the vicinity of equipment
marked with the following
symbol:

16-4 | Flight 60
 Technical Specifications

Electromagnetic Emission - Guidance and Manufacturer's Declaration

NOTE A: At 80 MHz , 400 MHz, and 800 MHz, the higher frequency range applies .

NOTE B: These guidelines may not apply in all situations. Electromagnetic

propagation is affected by absorption and reflection from structure, object,
and people.

1
Field strength from fixed transmitters, such as base stations for radio
(cellular/cordless) telephones and land mobile radios, amateur radio, AM and
FM radio broadcast and TV broadcast cannot be predicted theoretically with
accuracy. To assess the electromagnetic environment due to fixed RF
transmitters, an electromagnetic site survey should be considered. If the
measured field strength in the location in which the device is used exceed
the applicable RF compliance level above, the device should be observed to
verify normal operation. If an abnormal performance is observed, additional
measure may be necessary, such as re-orienting or relocating the device.

2
Over the frequency range 150 kHz to 80 MHz, the field strength should be
less than 3 V/m.

16.3.1 Recommended separation distance between portable Mobile RF

communications Equipment and the device
The device is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or the user of the
device can help prevent electromagnetic interference by maint aining a
minimum distance between portable and mobile RF communications
equipment (transmitters) and the device as recommended below, according to
the maximum output power of the communications equipment.

Operator's Manual | 16-5

Technical Specifications

Electromagnetic Emission - Guidance and Manufacturer's Declaration

Rated Separation distance according to frequency of transmitter

maximum (m)
output 150 kHz to 80 MHz to 400 400 MHz to 800 800 MHz to
power of 80 MHz MHz MHz 8GHz
transmitter d = 1.2P d = 0.04P d = 0.08P d = 0.15P
W
0.01 0.12 0.04 0.01 0.02
0.1 0.38 0.13 0.03 0.05
1 1.2 0.40 0.08 0.15
10 3.8 1.3 0.25 0.47
100 12 4.0 0.80 1.5
For transmitters rated at a maximum output power not listed above, the
recommended separation distance d in meters (m) can be estimated
using the equation applicable to the frequency of the transmitter,
where P is the maximum output power rating of the transmitter in watts
(w) according to the transmitter manufacturer.

NOTE 1 At 80 MHz, 400 MHz, and 800 MHz, the separation distance for
the higher frequency range applies.

NOTE 2 These guidelines may not apply in all situations. Electromagnetic

propagation is affected by absorption and reflection from structures,
objects and people.

16.3.2 Recommended Separation Distances Between Power Buses and the

Product

Adjacent
Power Separation
Notes
Bus Distance
Current
(A) (m)
1 0.0053 Using equation
10 0.053
100 0.53 for compliance
1000 5.3 level of 30A/m

16.3.3 EMC statement of Essential Performance

This statement is the basis of the immunity pass/fail criteria for the EMC
tests.

The essential performance is:

16-6 | Flight 60
 Technical Specifications

Electrical Specifications

1. There will be no cessation of ventilation

2. There will be no interruption of power supply

Cables

The AC cable maximum length should be 3 meters.

The device should not be used adjacent to or stacked

with other equipment. If adjacent or stacked use is
necessary, the device should be observed to verify
normal operation in the c onfiguration in which it will
be used
The use of accessories, transducers and cables other
than those specified could result in increased
emissions or decreased immunity.
The ventilator may activate an alarm while in close
proximity to a strong 94-100 MHz radiating source.
In such case the ventilator should be kept afar from
the radiating source until the alarm is deactivated.
Special care should be given while the alarm is
activated in order to insure operators are alerted to
other alarms, if occur, at the same time

EMC general

1. Medical electrical equipment needs special precautions regarding

electromagnetic compatibility (EMC) and needs to be installed and put
into service according to the EMC information provided in the Instruction
Manual.
2. Portable and mobile RF communication equipment can affect medical
equipment.

16.4 Electrical Specifications

Voltage Frequency Current Consumption

100 – 240 VAC 50 – 60 Hz 1.25 Amp MAX

12 – 15 VDC NA 4.8 Amp MAX

16.5 Internal Battery Specifications

Battery Characteristic Specification

Detachable Battery

Operator's Manual | 16-7

Technical Specifications

Safety and Particular Standard Specifications

Battery Characteristic Specification

Battery Type Li-Ion

Nominal Voltage 14.8 VDC

Nominal Pack C apacity 5.2 AH

C harging Time Three hours MAX

Integral Battery

Battery Type Li-Ion

Nominal Voltage 14.8 VDC

Nominal Pack C apacity 2.6 AH

C harging Time Three hours MAX

Average operating time for both batteries working together: When new and fully charged, the batteri es
supply power for up to 12 hours of operation at these settings: ACMV mode, f=15, Volume C ontrol=500 ml,
Ti=1.0 sec, PEEP=0, Max. Airway pressure = 30 2O/mbar, Power Save mode ON.

16.6 Safety and Particular Standard

Specifications

Standard Specification

Medical electrical equipment general requirements for basic safety and essential
IEC 60601-1
performance.

General requirements for basic safety and essential performance; C ollateral

IEC 60601-1-2
standard: electromagnetic compatibility.

Parts 1-8: general requirements for safety; Collateral standard: general

IEC 60601-1-8
requirements, tests, and guidance for alarm systems in medical ele ctrical
(2003)
equipment and medical electrical systems.

IEC 60601-2- Particular requirements for the safety of lung ventilators – C ritical care ventilators
12:2001(E) (replace: ASTM-F 1100-90) (ISO 10651-1).

Lung ventilators for medical use – Part 3: Particular requirements for emergency
ISO10651-3:1997
and transport ventilators.

ASTM F1246 - Standard specifications for electrically powered home care ventilators – Part 1:
91:2005 positive-pressure ventilators and ventilator circuits.

16.7 Environmental Specifications

Condition Range

Operating Temperature -18 O C to 50 O C / -.4 O F to 122 O F

16-8 | Flight 60
 Technical Specifications

Condition Range

Storage Temperature -20 O C to 60 O C / -5.8 O F to 160 O F

Operating Pressure (Altitude) 70 KpA to 110 KpA, up to 15,000ft

Humidity 15% to 95% RH at 31 O C

Water Resistance IP34 (splash proof) IEC 60529

Sinusoidal Vibrations IEC 60068-2-6

Bump IEC 68-2-29

Free Fall IEC 60068-2-32

Random Vibrations Wide Band IEC 60068-2-6

16.8 Internal O2 Mixer

Feature Specification

C onnector Type DISS

Input Pressure – Oxygen 35-90 psig/240-620 kPa

FiO 2 21% to 100%

Accuracy ±5%

21% to 90% FiO 2 Response

Up to 20 seconds
Time

16.9 Air/Oxygen Entrainment Mixer

Specifications

Item Specification

Oxygen 35 psig to 90 psig (2.4 Bar to 6.2 Bar) full operating range

Air Atmospheric pressure

Operator's Manual | 16-9

Technical Specifications

Oxygen Blending Bag Kit Specifications

Item Specification

FiO 2 C ontrol Adjusted continuously from 21% to 100% accuracy ± 8%

16.10 Oxygen Blending Bag Kit Specifications

Item Specification

Oxygen 0 to 10 L/min

Air Atmospheric pressure

FiO 2 C ontrol FiO 2, indirectly adjusted from 21% up to 100% via oxygen flow (L/min)

16.11 Low Flow Port Oxygen Specifications

Item Specification

Oxygen Flow 0 to 15 L/min

Oxygen Pressure Below 50 psig

16.12 Internal Oxygen Sensor Specifications

Item Specification

Range of Measurement 0 to 100% Oxygen

90% Response Time Less than 13 seconds

Accuracy +/- 2%

16-10 | Flight 60
 Technical Specifications

Internal Oxygen Sensor Specifications

Operator's Manual | 16-1

Index

17 Index
Main BAT VOLTAGE ..............................................7-5
2 MEMORY FAULT....................................................7-5
2 Minutes 100% O2................................................. 10-2 MOTOR FAULT ......................................................7-5
MOTOR POWER LOW ...........................................7-5
OCCLUSION ...........................................................7-4
A PCV NOT REACHED ...............................................7-4
POWER FAULT.......................................................7-5
AC connector ............................................................ 3-4
PRESS sensor.........................................................7-5
Accessories.............................................................. 11-1
PROX LINE .............................................................7-4
ACMV ........................................................................ 6-5
Resetting ...............................................................7-8
ACMV mode .............................................................. 9-1
Sec BAT CHARGER.................................................7-5
Actual f ...................................................................... 8-2
Sec BAT V. GAUGE ................................................7-6
Actual ra te .........................................................8-1, 8-4
Sec BAT V. HIGH ....................................................7-5
Ai r inlet pa rti cle fil ter.............................................. 12-6
Sec BAT V. LOW ....................................................7-5
Ai r/Oxygen entrainment mi xer........................4-6, 11-1
Sec BAT V. VOLTAGE .............................................7-6
Ins talling ............................................................... 4-7
Setti ng remote alarm............................................7-9
Specifi ca tions...................................................... 16-9
Silencing ................................................................7-8
Ai r/Oxygen entrainment mi xture ........................... 13-9
Ta rget Volume Not Rea ched.................................7-4
Ai rwa y pressure ........................................................ 8-4
Va riable ventilation...............................................7-3
Ala rm connector ....................................................... 3-4
Visual Alarms ........................................................7-2
Ala rm Reset button............................................3-2, 3-3
Ala rms screen........................................................... 6-8
Ala rm specifi ca tions.................................................. 7-3
Apnea Interval.......................................................6-9
Ala rm volume.......................................................... 13-5
Buzzer....................................................................6-8
Ala rms ....................................................................... 7-1
Fi O2 High...............................................................6-9
APNEA................................................................... 7-3
Fi O2 Low ...............................................................6-9
Audible Ala rms ..................................................... 7-1
HIGH MV ....................................................... 6-5, 6-9
Automa ti c Techni cal ............................................. 7-5
HIGH P........................................................... 6-5, 6-9
Automa ti c Ventilation .......................................... 7-4
HIGH Ra te .............................................................6-9
Ba ttery l ow ........................................................... 7-4
LOW MV........................................................ 6-5, 6-9
BUV....................................................................... 7-4
LOW P ...................................................................6-9
CAL O2 sensors ..................................................... 7-5
LOW Vte ................................................................6-9
CHECK CIRCUIT ..................................................... 7-4
LOW Vti .................................................................6-9
CHECK SETTING .................................................... 7-5
Al ti tude Compensation ...........................................10-8
Checking ............................................................. 15-3
Apnea alarm ............................................................13-1
Disable Check Ci rcui t............................................ 7-8
Apnea ba ckup ventilation .........................................7-7
Disable LOW P ...................................................... 7-9
Apnea Interval ...........................................................6-9
EMPTY BAT ........................................................... 7-4
APNEA, LED indi ctator...............................................3-3
Fi O2 HIGH ............................................................. 7-3
APRV..........................................................................6-5
Fi O2 HIGH ............................................................. 7-3
Assist/Control manda tory ventilation.......................6-5
HIGH MV EXH ....................................................... 7-3
Atta ching pa tient ci rcui t ...........................................4-3
HIGH MV INS......................................................... 7-3
Audible Ala rms ..........................................................7-1
HIGH PBASE .......................................................... 7-4
Audio Pa used button ................................................3-2
HIGH PRESSURE.................................................... 7-3
Automa ti c Techni cal Ala rms .....................................7-5
Hi gh Ra te .............................................................. 7-3
Automa ti c Ventilation Ala rms...................................7-4
LOW MV EXH ........................................................ 7-3
LOW MV INS ......................................................... 7-3
LOW PBASE........................................................... 7-4 B
LOW PRESSURE..................................................... 7-3
Low Vte ................................................................. 7-3 Ba ck panel .................................................................3-4
Low Vti .................................................................. 7-3 AC connector ........................................................3-4
Main BAT CHARGER.............................................. 7-5 DC connector ........................................................3-4
Main BAT GAUGE.................................................. 7-5 Deta chable ba ttery ...............................................3-4
Main BAT TEMP HIGH........................................... 7-5 Low flow oxygen port ...........................................3-5
Main BAT V. HIGH................................................. 7-5 Network logging....................................................3-5
Main BAT V. LOW ................................................. 7-5 PC connector.........................................................3-5

17-2 | Flight 60
 Index

Peripherals connector.......................................... 3-5 Checki ng

Remote ala rm connector ..................................... 3-4 Ala rms ................................................................ 15-3
Uploading log files................................................ 3-5 Low pressure alarm............................................ 15-3
Ba ckup ventilation.................................................... 9-2 Moni tored para meters ...................................... 15-3
ACMV.................................................................... 7-7 Checking power mana gement ............................... 15-2
SIMV..................................................................... 7-7 Ci rcui t disconnect................................................... 13-5
SPONT................................................................... 7-7 Ci rcui t tes t ....................................................... 4-4, 6-10
Ba ckup ventilation cancella tion ............................... 7-7 Cl ea ning
Baseline ai rwa y pressure.......................................... 8-4 Exhala tion val ve ................................................. 12-5
Baseline pressure ..................................................... 6-2 Cleaning the ventila tor........................................... 12-1
Basi c opera tion ......................................................... 5-1 Clea r Log ................................................................. 6-11
BAT, LED indi cta tor................................................... 3-3 CO2 rises.................................................................. 13-5
Ba ttery ca ution ......................................................... 7-6 Compressor serial number..................................... 6-10
Ba ttery depleted..................................................... 13-5 Connector, pa tient ci rcui t ........................................ 3-1
Ba ttery empty alarm ................................................ 2-2 Connectors , speci fi cati ons ..................................... 16-1
Ba ttery l ow ............................................................... 7-4 Control a rea.............................................................. 6-1
Beginning ventilation................................................ 5-2 Control buttons ................................................. 3-1, 3-2
Bi -Phasi c Ventilation............................................... 9-10 Control va lues
B-LEV Mode ............................................................ 9-10 Defaul t.................................................................. 5-4
Button Sa ved .................................................................... 5-4
Ala rm Reset................................................... 3-2, 3-3 Setti ng .................................................................. 5-3
Audio Pa used ....................................................... 3-2 Control ling
Cancel................................................................... 3-3 Control values ...................................................... 5-3
Decrease............................................................... 3-3 PCV submode of opera tion ........................... 9-5, 9-6
Extended .............................................................. 3-3 Ta rget pressure .................................................... 9-6
Home .................................................................... 3-2 Ta rget volume ...................................................... 9-4
Increase................................................................ 3-3
Manual brea th...................................................... 3-2
Manual brea th...................................................... 3-2
D
OK ......................................................................... 3-3 DC connector............................................................ 3-4
On/Off ........................................................... 3-1, 3-3 Decrease button ....................................................... 3-3
Panel lock ............................................................. 3-1 Decreased pa tient resistance ................................. 13-3
Panel lock ............................................................. 3-3 Deli veri ng a manual brea th .................................... 10-3
Pa rameters ........................................................... 3-2 Deta chable ba ttery................................................... 3-4
Technical .............................................................. 3-3 Deta chable ba ttery, ins talling .................................. 4-2
Up/Down .............................................................. 3-1 Di mensions of ventilator........................................ 16-1
BUV Di s abling
Pa tient cancelled.................................................. 7-7 Check Ci rcuit Ala rm .............................................. 7-8
User cancelled ...................................................... 7-7 LOW P Ala rm ........................................................ 7-9
BUV mode................................................................. 7-7 Di s assembling
BUV, LED indi cta tor .................................................. 3-3 Exhala tion val ve ........................................ 12-4, 12-6
Buzzer ....................................................................... 6-8 Pa tient ci rcui t..................................................... 12-2
Disinfecting ............................................................. 12-1
Dual limb exhalation val ve ................................. 12-6
C
Exhala tion val ve ................................................. 12-5
CAL O2 sensors ......................................................... 7-5 Pa tient ci rcui t components................................ 12-3
Cancel button ........................................................... 3-3 Di s play
Ca uti on Graphi c.......................................................... 8-1, 8-2
Ba ttery.................................................................. 7-6 Numeri c................................................................ 8-4
Check Ci rcuit Ala rm OFF....................................... 7-6 Displa y s creen........................................................... 3-1
LOW P Ala rm OFF ................................................. 7-6 Displa y touch screen ................................................ 3-2
Power Swi tchover ................................................ 7-6 Dual limb exhalation val ve ....................................... 3-2
Sec Ba t Onl y!........................................................ 7-6 Cleaning.............................................................. 12-6
Cauti on signals.......................................................... 7-1 Disinfecting......................................................... 12-6
Cauti on specifi ca tions .............................................. 7-3 Dual limb pa tient ci rcui t........................................... 4-4
Cauti ons.................................................................... 2-4
Check Ci rcuit Ala rm OFF ........................................... 7-6
Check O2 Suppl y........................................................ 7-6
E
CHECK SETTING ........................................................ 7-5 Electri cal specifi ca tions .......................................... 16-7
Check setting ala rm ................................................ 13-4 Emergency air intake ................................................ 3-5

Operator's Manual | 17-3

Index

EMPTY BAT................................................................ 7-4 HIGH P, LED indica tor................................................3-3

Empty ba ttery ala rm ............................................... 13-2 Hi gh Pbase alarm ....................................................13-2
Envi ronmental speci fi cations.................................. 16-8 Hi gh pressure alarm ................................................13-2
Exhala tion ci rcui t test fails...................................... 13-6 HIGH Ra te..................................................................6-9
Exha l ation va lve Hi gh value of oxygen .................................................6-9
Cleaning .............................................................. 12-5 Home button .............................................................3-2
Disinfect.............................................................. 12-5 Home s creen .............................................................6-1
Reassembling...................................................... 12-5 Hour meter..............................................................6-10
Exhala tion val ve base ............................................... 4-4
Exhala tion val ve cover.............................................. 4-4 I
Exhala tion val ve diaphra gm...................................... 4-4
Exhala tion val ve honks ........................................... 13-6 I:E ra tio ......................................................................8-4
Exhala tion val ve, disassembling ....................12-4, 12-6 Increase button .........................................................3-3
Expi ra tory minute volume .................................8-1, 8-4 Increased spontaneous pa tient brea thing..............13-3
Expi ra tory tidal volume......................................8-1, 8-4 Ini tia ting ventilation ..................................................5-2
EXT PWR, LED indi cta tor........................................... 3-3 Inspi ra tory li mb .........................................................4-4
Extended button ....................................................... 3-3 Inspi ra tory minute volume .......................................8-4
Extended screen ....................................................... 6-7 Inspi ra tory pressure .......................................... 8-1, 8-4
Alarms screen....................................................... 6-5 Inspi ra tory ti dal volume .................................... 8-1, 8-4
PSV flow term ....................................................... 6-8 Ins tallation.................................................................4-1
PSV Ti .................................................................... 6-8 Atta ching pa tient ci rcui t.......................................4-3
Rise profile............................................................ 6-8 Ci rcui t tes t.............................................................4-4
SIGH ...................................................................... 6-7 Deta chable ba ttery ...............................................4-2
Trigger mode ........................................................ 6-7 Mounting ventila tor..............................................4-1
VG mode ............................................................... 6-8 Oxygen suppl y.......................................................4-5
Wa veform............................................................. 6-8 Plugging in power cord .........................................4-2
External power not working ................................... 13-6 Unpa cking ventilator ............................................4-1
Intended use .............................................................1-1
F Internal ba ttery maintenance .................................12-8
Internal ba ttery speci fi ca tions ................................16-7
f setting ..................................................................... 6-3 Internal O2 Mi xer.......................................................4-6
Fa ult ala rm Led ....................................................... 13-4 Introducti on ..............................................................1-1
FAULT, LED indi cta tor ............................................... 3-3 In-Use O2 Sensor Calibrati on......................... 10-6, 10-8
Fi O2............................................................... 8-1, 8-2, 8-4
Fi O2 High................................................................... 6-9
Fi O2 Low ................................................................... 6-9
L
FLOW......................................................................... 6-3 LED indi ca tor ..................................................... 3-2, 3-3
Fl ow ori fi ce ............................................................... 4-4 LED i ndictator
Fl ow transducer lines................................................ 4-4 APNEA ...................................................................3-3
Fra cti on of inspi red oxygen ...............................8-1, 8-4 BAT........................................................................3-3
Frequency is 1.5 times set value............................. 13-6 BUV .......................................................................3-3
Frequency of brea ths................................................ 6-3 EXT PWR................................................................3-3
Fresh gas intake ........................................................ 3-6 FAULT....................................................................3-3
Front panel................................................................ 3-1 HIGH MV ...............................................................3-3
Front panel control buttons ..................................... 3-2 HIGH P...................................................................3-3
Ftri g ........................................................................... 6-2 LOW BAT...............................................................3-3
LOW MV.............................................................. 3-3
G LOW P ...................................................................3-3
TRIG.......................................................................3-3
General wa rnings ...................................................... 2-1 Left side panel ...........................................................3-5
Graphi c displa y ..................................................8-1, 8-2 Left side panel , emergency ai r intake .......................3-5
Green LEDs................................................................ 3-3 Li-Ion ba tteries ..........................................................2-2
Limi ta tions messages ................................................6-6
H Loadi ng a ventilation configurati on ..... 10-5, 10-6, 10-7
Locking the panel ....................................................10-3
Hi gh brea th ra te...................................................... 13-2 LOW BAT, LED i ndi ctator...........................................3-3
HIGH MV............................................................6-5, 6-9 Low ba ttery caution ................................................13-3
Hi gh MV alarm ........................................................ 13-3 Low flow oxygen port................................................3-5
HIGH MV, LED indi cta tor .......................................... 3-3 Low flow port ............................................................4-8
HIGH P................................................................6-5, 6-9 Low flow port oxygen specifi ca tions.....................16-10

17-4 | Flight 60
 Index

LOW MV ............................................................ 6-5, 6-9 O2 Sensor ............................................................... 6-10

LOW MV ala rm ....................................................... 13-4 O2 sensor maintenance .......................................... 12-8
LOW MV, LED indicta tor........................................... 3-3 Occlusion alarm ...................................................... 13-4
LOW P ....................................................................... 6-9 OK button ................................................................. 3-3
LOW P Ala rm OFF ..................................................... 7-6 On/Off button.................................................... 3-1, 3-3
LOW P, LED indi cator................................................ 3-3 Orange LED ............................................................... 3-3
Low Pbase ala rm..................................................... 13-3 Oxygen blending bag ki t......................................... 11-1
Low pressure alarm ................................................ 13-3 Oxygen blending bag ki t specifi ca tions ................ 16-10
Low pressure alarm checking ................................. 15-3 Oxygen suppl y .......................................................... 4-5
Low value of oxygen ................................................. 6-9 Ai r/Oxygen entrainment mi xer............................ 4-6
LOW Vte.................................................................... 6-9 Oxygen value ............................................................ 6-9
LOW Vti..................................................................... 6-9
P
M
P base ....................................................................... 8-4
Main BAT CHARGER.................................................. 7-5 P high...................................................................... 9-10
Main BAT GAUGE...................................................... 7-5 P low ....................................................................... 9-10
Main BAT TEMP HIGH............................................... 7-5 P mea n...................................................................... 8-4
Main BAT V. HIGH..................................................... 7-5 P Peak ................................................................ 8-1, 8-4
Main BAT V. LOW ..................................................... 7-5 Panel lock button............................................... 3-1, 3-3
Main BAT VOLTAGE .................................................. 7-5 Pa rameters button ................................................... 3-2
Ma i ntenance Pa rameters s creen.................................................... 6-1
15,000 hour........................................................ 12-8 ACMV.................................................................... 6-5
Internal ba ttery .................................................. 12-8 FLOW .................................................................... 6-3
O2 sensor............................................................ 12-8 Ftri g ...................................................................... 6-2
Mandatory breath lockout interval .......................... 9-2 PCV above peep ................................................... 6-4
Mandatory breaths................................................... 9-1 PEEP...................................................................... 6-2
Mandatory flow ........................................................ 6-3 PSV above peep.................................................... 6-3
Mandatory tidal volume.................................... 6-4, 9-4 PSV ma x................................................................ 6-4
Manual brea th button .............................................. 3-2 PSV min ................................................................ 6-4
Manual brea th, deli veri ng ...................................... 10-3 Ptri g ...................................................................... 6-2
Manual inflation button ......................................... 13-7 Ra te ...................................................................... 6-3
MEMORY FAULT ....................................................... 7-5 SIMV..................................................................... 6-5
Moni tored para meters checking............................ 15-3 SPONT................................................................... 6-5
Monitored tidal volume ........................................ 13-8 Ta rget VtG ............................................................ 6-4
Moni toring................................................................ 8-1 Ti 6-4
Control values ...................................................... 5-3 VCV ....................................................................... 6-4
PCV submode of opera tion ........................... 9-5, 9-6 Pa tient ci rcui t ........................................................... 4-3
Ta rget pressure .................................................... 9-6 Cleaning..................................................... 12-3, 12-4
Ta rget volume ...................................................... 9-4 Disassembling..................................................... 12-2
MOTOR FAULT.......................................................... 7-5 Dual limb .............................................................. 4-3
MOTOR POWER LOW ............................................... 7-5 Si ngle limb ............................................................ 4-3
Mounting ventila tor ................................................. 4-1 Pa tient ci rcui t connection ........................................ 3-1
MVe ............................................................ 8-1, 8-2, 8-4 Pa tient ci rcui t connector.......................................... 3-1
MVG.......................................................................... 9-8 PC connector ............................................................ 3-5
MVi ........................................................................... 8-4 PCV.............................................................. 9-2, 9-4, 9-6
PCV above peep........................................................ 6-4
PCV not reached alarm........................................... 13-4
N
Peak inspi ra tory flow................................................ 8-4
Na viga ting between s creens .................................... 5-3 Peak inspi ra tory pressure.................................. 8-1, 8-4
Nebuli zer ................................................................ 10-1 PEEP .......................................................................... 6-2
Network logging ....................................................... 3-5 PEEP control ........................................................... 13-7
Next servi ce ............................................................ 6-10 Peripherals connector .............................................. 3-5
Non invasi ve ventilation ......................................... 9-10 Physical specifi ca tions ............................................ 16-1
NPPV ....................................................................... 9-10 PIF ............................................................................. 8-4
Numeri c display........................................................ 8-4 Plugging in power cord............................................. 4-2
Pneuma ti c Specifi ca tions ....................................... 16-1
Posi ti ve ai rwa y pressure........................................... 6-2
O POWER FAULT .......................................................... 7-5
O2 enri chment moni tori ng ..................................... 6-10 Power management............................................... 15-2

Operator's Manual | 17-5

Index

Power sa ve.............................................................. 6-10 Set Sa ve ...................................................................6-10

Power swi tch over caution ..................................... 13-2 Setti ng
Power Swi tchover..................................................... 7-6 PCV submode of opera tion........................... 9-5, 9-6
Powering on ventilator ............................................. 5-1 Remote ala rm .......................................................7-9
Preservi ng internal ba ttery life ............................... 12-8 Ta rget pressure .....................................................9-6
Preset Ventilation Configura tions .......................... 10-4 Ta rget volume.......................................................9-4
PRESS sensor............................................................. 7-5 Setti ng control values ...............................................5-3
Pressure control........................................................ 9-2 Show Info ................................................................6-10
Pressure gauge.......................................................... 3-2 Show Log Ala rm.......................................................6-11
Pressure Gauge ......................................................... 3-2 Show Log Change ....................................................6-11
Pressure not rising .................................................. 13-8 Shutting down ventilator ..........................................5-2
Pressure reading ............................................13-7, 13-8 SIGH................................................................. 6-7, 10-2
Pressure Regula ted Volume Control (PRVC) ............ 9-6 Silencing audible alarms............................................7-8
pressure tri gger level ................................................ 6-2 SIMV..........................................................................6-5
Preventi ve maintenance......................................... 12-7 SIMV mode................................................................9-1
Pri ma ry alarm LED .................................................... 3-2 Si ngle use patient ci rcuit.........................................16-1
Prox line ala rm ........................................................ 13-2 Softwa re version .....................................................6-10
PRVC.......................................................................... 9-6 Specifi ca tions ..........................................................16-1
PSV above peep ........................................................ 6-3 Ai r/Oxygen entrainment mi xer...........................16-9
PSV flow term ........................................................... 6-8 Connectors..........................................................16-1
PSV ma x .................................................................... 6-4 Di mensions of ventilator ....................................16-1
PSV min ..................................................................... 6-4 Electri cal..............................................................16-7
PSV Ti ........................................................................ 6-8 Envi ronmental ....................................................16-8
Ptri g........................................................................... 6-2 Internal ba ttery...................................................16-7
Low flow port oxygen .......................................16-10
Oxygen blending bag ki t ...................................16-10
Q Physical ...............................................................16-1
Qui ck connector........................................................ 4-4 Pneuma ti c...........................................................16-1
Qui ck-Sta rt.............................................................. 10-4 Reusable single pa tient ci rcui t............................16-1
Sa fety ..................................................................16-8
Si ngle use patient ci rcuit.....................................16-1
R Sta nda rds ............................................................16-8
Ra te ........................................................................... 6-3 Technical .............................................................16-1
Reassembling exhalati on val ve............................... 12-5 Weight of ventilator............................................16-1
Red LEDs ................................................................... 3-3 SPONT........................................................................6-5
Remote ala rm ........................................................... 7-9 SPONT mode .............................................................9-7
Remote ala rm connector.......................................... 3-4 Sponta neous ventila tion ................................... 6-5, 9-7
Removing ventilator from box.................................. 4-1 Sta nda rds specifi ca tions .........................................16-8
Resetting alarms ....................................................... 7-8 Storing a ventilation confi gura tion .........................10-5
Reusable (autocla vable) patient ci rcui ts ................ 12-3 Symbols .....................................................................1-2
Reusable single pa tient ci rcui t................................ 16-1 Synchroni zed intermi ttent mandatory ventilation ...6-5
Ri ght side panel ........................................................ 3-6
Fil ter cover............................................................ 3-6 T
Fresh gas intake .................................................... 3-6
Rise profile ................................................................ 6-8 T high.......................................................................9-10
T low........................................................................9-10
Ta rget pressure .........................................................9-6
S Ta rget Volume Not Rea ched .....................................7-4
Sa fety i nstructions Ta rget VtG .................................................................6-4
Cauti ons................................................................ 2-4 Technical button .......................................................3-3
General wa rnings.................................................. 2-1 Technical screen......................................................6-10
Sa fety speci fica tions ............................................... 16-8 ADVANCED SCREEN ............................................6-11
Sec BAT CHARGER..................................................... 7-5 Ci rcui t tes t...........................................................6-10
Sec Ba t Onl y!............................................................. 7-6 O2 Sensor............................................................6-10
Sec BAT V. GAUGE .................................................... 7-6 Power sa ve..........................................................6-10
Sec BAT V. HIGH ........................................................ 7-5 Set Cl ock..............................................................6-11
Sec BAT V. LOW ........................................................ 7-5 Set Load ..............................................................6-10
Sec BAT V. VOLTAGE ................................................. 7-6 Set Sa ve...............................................................6-10
Set Cl ock.................................................................. 6-11 Show Info ............................................................6-10
Set Load .................................................................. 6-10 Show Log Ala rm ..................................................6-11

17-6 | Flight 60
 Index

Show Log Change ............................................... 6-11 Ventilator noise.................................................. 13-9

Ti/Flow ctrl . ........................................................ 6-10 Ventilator piston movement.............................. 13-9
Technical specifi ca tions.......................................... 16-1 Wa ter in breathing ci rcui t tubing....................... 13-9
Ti settings.................................................................. 8-4 Turning off ventilator ............................................... 5-2
Ti/Flow ctrl.............................................................. 6-10 Turning on ventilator................................................ 5-1
Tidal volume ............................................................. 6-4
Time a cti va ted brea ths...................................... 8-1, 8-4
Trends ....................................................................... 8-3
U
TRIG. LED indi cta tor.................................................. 3-3 Uni t serial number.................................................. 6-10
Trigger Dela y......................................................6-8, 9-8 Unpa cking ventilator ................................................ 4-1
Trigger mode ............................................................ 6-7 Uploading log files .................................................... 3-5
Trigger problem ...................................................... 13-8
Trigger sensiti vi ty ..................................................... 6-2
Troubleshooting ..................................................... 13-1
V
Ai r/Oxygen entrainment mi xture ...................... 13-9 Va riable ventilation ala rms ...................................... 7-3
Ala rm volume ..................................................... 13-5 VCV .................................................................... 6-4, 9-2
Ala rms ................................................................ 13-1 Ventilation configura tion ....................................... 10-5
Apnea alarm ....................................................... 13-1 Load .................................................................... 10-5
Ba ttery depleted ................................................ 13-5 Store ................................................................... 10-5
Check setting ala rm............................................ 13-4 Ventilation modes .................................................... 9-1
Ci rcui t disconnect............................................... 13-5 Ventilator alarms ...................................................... 7-1
CO2 rises ............................................................. 13-5 Ventilator des cription............................................... 3-1
Empty ba ttery ala rm .......................................... 13-2 Ba ck panel ............................................................ 3-4
Exhala tion ci rcui t test fails ................................. 13-6 Control buttons .................................................... 3-2
Exhala tion val ve honks....................................... 13-6 Front panel ........................................................... 3-1
External power not working .............................. 13-6 Ventilator noise ...................................................... 13-9
Fa ult Ala rm Led .................................................. 13-4 Ventilator piston Movement.................................. 13-9
Frequency is 1.5 times set value ........................ 13-6 Ventilator qui ck check ............................................ 15-1
Hi gh MV alarm ................................................... 13-3 Ventilator settings .................................................... 6-1
Hi gh Pbase alarm ............................................... 13-2 VG ............................................................................. 9-7
Hi gh pressure alarm ........................................... 13-2 VG mode ................................................................... 6-8
Low ba ttery caution ........................................... 13-3 Visual Alarms ............................................................ 7-2
LOW MV ala rm ................................................... 13-4 Visual indi ca tors ....................................................... 3-1
Low Pbase ala rm ................................................ 13-3 Volume control ......................................................... 6-3
Low pressure alarm............................................ 13-3 Volume control ventilation ...................................... 9-2
Manual inflation button..................................... 13-7 Vte ..................................................................... 8-1, 8-4
monitored tidal volume .................................... 13-8 VtG ............................................................................ 9-8
Occlusion alarm.................................................. 13-4 Vti ............................................................... 8-1, 8-2, 8-4
pcvnot rea ched ala rm ........................................ 13-4
PEEP control ....................................................... 13-7
Power Swi tch over caution ................................ 13-2 W
Pressure not rising ............................................. 13-8 Wa ter in breathing ci rcui t tubing ........................... 13-9
Pressure reading ....................................... 13-7, 13-8 Wa veform................................................................. 6-8
Prox line ala rm ................................................... 13-2 Weight of ventilator ............................................... 16-1
Trigger problem.................................................. 13-8

Operator's Manual | 17-7