Service Guide Rev D - V680 Ventilator
Service Guide Rev D - V680 Ventilator
Revision D
Australian sponsor
Philips Australia
65 Epping Road
North Ryde, NSW 2113
Australia
NOTE
You can find the most current version of this user manual here:
http://incenter.medical.philips.com/default.aspx?tabid=4712
Intended audience for this manual 1
NOTE
Federal law (USA) restricts this device to sale by or on the order of a physician.
This ventilator is intended to be installed, used, operated, and maintained only in accordance
with the safety procedures and operating instructions given in this service manual. The
purposes for which the product is intended are presented in the General Information chapter
of this manual. However, nothing stated in this service manual reduces the responsibility of
service personnel for sound professional judgment and adhering to best maintenance
procedures.
Installation, use, and operation of this product is subject to the laws in the jurisdictions in
which the product is being used. Install, use, operate, and maintain the product only in ways
that do not conflict with applicable laws, or regulations which have the force of law.
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Uses of the product for purposes other than those intended and expressly stated by
Respironics California, Inc., as well as incorrect use, operation, or maintenance may relieve
Respironics California, Inc. or its agents from all or some responsibility for resultant
noncompliance, damage, or injury.
Training
Before servicing the ventilator and its accessories described in this service manual, those
persons providing service must have completed training on the safe and effective use of all
needed tools and equipment.
Additional information
For any information not covered in this service manual the manufacturer will provide upon
request system diagrams, component part lists, descriptions, calibration instructions, etc. to
assist service personnel in parts repair (where possible) and general system maintenance.
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Table of Contents
About This Service Manual ...................................................................................1
Symbols ................................................................................................................9
General Safety.................................................................................................... 15
Definitions ................................................................................................................ 15
Basic Safety .............................................................................................................. 15
Electrical Safety ........................................................................................................ 16
Fire/Explosion Safety ............................................................................................... 17
Mechanical Safety .................................................................................................... 17
Product Compatibility .............................................................................................. 18
Product Modification ............................................................................................... 18
Electromagnetic Compatibility ................................................................................. 18
Decontamination ..................................................................................................... 95
Ventilator .......................................................................................................... 95
Touchscreen ...................................................................................................... 96
eSYS Exhalation Cartridge Cleaning and Sterilization ....................................... 96
eSYS Cartridge Return to Use Procedure .......................................................... 98
Reusable Patient Circuits, Filters and Masks ............................................................ 99
Preventive Maintenance ........................................................................................ 100
Annual Preventive Maintenance Instructions ........................................................ 101
Disposal .................................................................................................................. 105
Storage ................................................................................................................... 105
Service and Repairs ................................................................................................ 105
Repacking and Shipping ......................................................................................... 106
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Symbols
Refer to these tables to interpret symbols used on the ventilator labels and packaging and on
the ventilator screen. Symbols are listed alphabetically by description. To interpret symbols
pertaining to accessories, refer to the instructions for use provided with those accessories.
Symbol Description
Accept button on the navigation ring (nav ring)
Battery
Corrosive
Date of manufacture
Symbol Description
Do not block the cooling fan Inlet (at the rear of the ventilator).
Ethernet connection
Fire Hazard
Hospital-grade
(On power cord)
Intertek certification mark
Manufacturer
Symbol Description
Option, AVAPS+ software
Order number
Oxygen
Prescription only
Recycle
Recycle (Taiwan)
Serial number
Symbol Description
This side up
USB port
Use by date
Adjust Cursor Position. Moves the cursor around stored flow-volume and
pressure volume loops for viewing data points at specific points of the loop.
Alarm
Alarm (audible)
Alarm is silenced
Alarm reset
Symbol Description
Cancel button. Cancels set values.
Informational message
Loops Autoscale button. Rescales the X and Y axes of the Loops display
window to fit the data currently displayed.
Pause in progress
Resume Graph button. Resumes all waveform graphs from a paused state.
Symbol Description
Single Limb, invasive ventilation is selected.
Time Scale adjust button. Rescales the X axis of the graph display data at 3,
6, 12, and 24 second increments.
Vertical Autoscale button. Autoscales the Y axis of the graphs to fit the data
currently displayed.
Volume, milliliters
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General Safety
Read this information before servicing the ventilator. This section covers general safety
information only. Safety information that applies to a specific task is included in the procedure
description for that task.
Definitions
WARNING Indicates a potentially hazardous situation which, if not avoided, could result in death or serious
injury. Warning text will appear bold and the paragraph will be indicated with the “general
warning” symbol:
CAUTION Indicates a potentially hazardous situation which, if not avoided, could result in minor or
moderate injury. Caution text will appear bold and the paragraph will be indicated with the
“general warning” symbol:
NOTE Indicates information that is of particular importance to the successful accomplishment of the
referenced task. This information will appear bold and the paragraph will be indicated with the
“information” symbol:
OR
Indicates information which if not carefully applied can result in unsatisfactory maintenance
results including test failure, degraded performance, or equipment damage. This notice will
appear bold and the paragraph will be indicated with the “notice!” symbol:
Basic Safety
WARNING
• Do not service this ventilator for any application until you have read,
understood, and can apply all the safety information, safety procedures,
and emergency procedures contained in this “Safety” section. Servicing
the ventilator without a proper awareness of how to do so safely could
lead to serious personal injury or death.
• Do not release this ventilator for use until you are certain that the
periodic maintenance is current. If any part of the ventilator is known or
suspected to be defective or incorrectly adjusted, do not use the
ventilator until it is repaired. Operating the ventilator with defective or
incorrectly adjusted components could expose you, the operator, or the
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and effectively, do not service it. Servicing the ventilator without proper
training could lead to fatal or other serious personal injury.
• Never attempt to remove, modify, override, or frustrate any safety
device on the ventilator. Interfering with safety devices could lead to
fatal or other serious personal injury.
• Use the ventilator for its intended purposes only. Do not use the device
with any product that Philips does not recognize as compatible with it.
Operating the ventilator for unintended purposes, or with incompatible
products, could lead to fatal or other serious injury.
Electrical Safety
WARNING
This ventilator has been verified by a recognized third-party testing agency as a Class I device
with Type BF isolated patient-applied parts. (The safety standards met by this equipment are
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included in the “Technical Specifications” section.) For maximum safety, observe these
warnings and cautions.
An equipotential ground (earth) connection point is provided. Use the ventilator in areas
meeting local standards for electrical safety in rooms used for medical purposes; for example,
the US National Electrical Code. IEC 60601 also gives guidance about an equipotential ground
(earth) connection point.
Fire/Explosion Safety
WARNING
Mechanical Safety
WARNING
• Operate the ventilator only when attached to its cart or in one of the
mounting configurations indicated in the installation instructions.
Operating the ventilator in an improper orientation may lead to
impaired ventilator performance.
• Do not block the compressor intake. This may endanger the patient due
to impaired ventilator performance.
• Do not block the fan intake. This may result in ventilator failure due to
ventilator component overheating.
• Do not cover or position the ventilator so as to adversely affect its
operation or performance (e.g., positioned next to a curtain that blocks
the flow of cooling air, thereby causing the equipment to overheat).
• Do not block the speakers (on the sides of the ventilator). Blocking the
speakers may endanger the patient if an audible alarm goes unnoticed.
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Product Compatibility
WARNING
Compatible parts and accessories are listed in the “Parts and Accessories” section of the V680
User Manual.
For further information about compatible products or components, contact your Philips
representative.
Product Modification
WARNING
Do not modify the ventilator without express approval from Philips Healthcare.
Changes and additions to the device that are made by persons without the
appropriate training or using unapproved spare parts may void the Philips
warranty. As with all complex technical products, maintenance by unqualified
persons or using unapproved spare parts carries serious risks of system damage
and personal injury.
Changes and additions to the ventilator should be made only by Philips or by third parties
expressly authorized by Philips to do so. Such changes and additions must comply with all
applicable laws and regulations that have the force of law within the jurisdiction concerned,
and must conform to best engineering practices.
Electromagnetic Compatibility
WARNING
• Use only cables or accessories specified for use with the system. Other
cables or accessories may endanger the patient by resulting in increased
emissions or decreased immunity of the system.
• Connect to the ventilator only items that have been specified as part of,
or compatible with, the ventilator. When using electrically powered
peripheral equipment, the combination is considered to be a medical
system. It is your responsibility to comply with IEC 60601-1 and test the
system to those requirements. If you have questions, contact your
Philips representative.
Your ventilator system has been manufactured in compliance with existing electromagnetic
compatibility requirements. It is intended for use in the electromagnetic environment
specified in “Regulatory and Environmental Compliance” on page 45. Ensure that it is used in
such an environment.
Use of this system in the presence of an electromagnetic field may disrupt its operation. If this
occurs often, review the environment in which the system is being used to identify possible
sources of radiated emissions. These emissions could be from other electrical devices used
within the same room or an adjacent room, or from portable and mobile RF communications
equipment such as cellular phones and pagers, or from radio, TV, or microwave transmission
equipment located nearby. In cases where electromagnetic interference (EMI) is causing
disturbances, it may be necessary to relocate your system.
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General Information
The V680 Ventilator is intended for use by qualified, trained personnel under the direction of a
physician and also intended for intra-hospital transport.Ventilation types and modes
Use the V680 Ventilator only with various combinations of Respironics-approved patient
circuits, interfaces, humidifiers, nebulizers and other accessories.
The V680 ventilator is connected to a patient by means of a patient circuit which is connected
to a mask, endotracheal tube (ETT), or tracheostomy tube.
The ventilator offers three ventilation configurations: single-limb invasive (INV), single-limb
noninvasive (NIV) and dual-limb invasive (INV). Each offers a range of modes.
A specific set of ventilator settings to be used in case of apnea. It is available during single-limb
ventilation in CPAP mode, and during dual-limb ventilation in SIMV-PCV, SIMV-VCV, and PSV
modes. Choose between volume- or pressure-targeted breath types within Apnea Mode
setup.
Auto-Trak+ Algorithm
User Interface
The eSYS cartridge is a reusable exhalation system. Gas flow through the eSYS cartridge is
controlled by a valve diaphragm and seat that are electromagnetically actuated. A flow sensor,
pressure port, and heater element to mitigate condensation are housed inside the cartridge.
The exhalation valve actively controls flow/pressure through the exhaust path by actuating a
diaphragm within the eSYS cartridge.
Oxygen Monitoring
An integrated sensor measures oxygen in the delivered gas mixture. The V680 ventilator will
not operate without an oxygen sensor installed. This sensor is user-replaceable and accessible
from the eSYS enclosure. A tool may be required to loosen the oxygen sensor during
replacement.
Monitoring
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The ventilator displays monitored parameters as numbers and as real-time waveforms (graphs
and loops). Graph pause and cursor measurement functions are available.
Alarms
The ventilator’s operator-adjustable and nonadjustable alarms help ensure the patient’s
safety.
The ventilator uses as its primary power source AC mains. An internal backup battery powers
the ventilator for at least 4 hours using nominal settings.
NOTE
Oxygen delivered through the compressed gas hose is used as fresh gas.
Mounting
The ventilator can be mounted via a quick-release mechanism to the V680 ventilator stand.
When equipped with the optional cylinder holder, the stand can accommodate two oxygen
cylinders up to 160 mm in diameter. An oxygen manifold kit is available, which allows two
oxygen cylinders and one wall oxygen supply line to be used as inputs to the ventilator.
Communications Interface
The ventilator can output data through the RS-232 serial port upon receiving a command from
a host computer or bedside monitoring system. The ventilator is equipped with a remote
alarm/nurse call connection to activate alarms remotely.
The Respi-Link interface permits software upgrade and remote troubleshooting of the
ventilator through the RS-232 port. (Not available in all countries.)
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Physical Description
The photograph below shows the Respironics V680 Ventilator with its patient circuit and
common accessories.
Circuit Support
Arm
Bacteria filters
Humidifier
Patient circuit
(dual-limb shown)
Humidifier power
Oxygen cylinder cord
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AC Inlet
O2 Inlet
O2 Transport Manifold
Storage Basket
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Ventilator Unit
The following illustrations show the controls, indicators, and other important parts of the
ventilator unit.
2
1 4
10 9 8
Number Description
1 Graphical user interface. Color LCD (liquid crystal display) with touchscreen.
2 Navigation ring. Lets you adjust values and navigate the graphical user interface by rotating the
finger on its touch pad.
3 Accept button. Activates selections.
4 Proximal pressure port. Connection for tubing that monitors patient pressure in the patient circuit.
5 eSYS Cartridge (exhalation from patient). Exhalation system cartridge assembly with a return gas
port and a heated flow sensor.
6 Ventilator outlet port (To patient). Main connection for the patient circuit. Delivers air and oxygen in
prescribed pressures to the patient.
7 Two speakers to provide redundant safety backup.Located beneath the ventilator.
8 Alarm LED. Flashes during a high-priority alarm. On continuously during a ventilator inoperative
condition.
9 Battery (charged) LED. Flashes when battery is charging. On continuously when battery is charged.
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Off when ventilator is running on battery or when the ventilator is off and AC power is not
connected.
10 ON/Shutdown key with LED. Turns on AC power and initiates ventilator shutdown. LED is
continuously on when AC power is connected.
Oxygen (FiO2)
sensor
Number Description
1 Oxygen (FiO2) sensor (Inside, under upper side panel). Measures delivered oxygen
2 Air inlet filter cover. Allows intake of air for delivery to the patient and access to the inlet air filter.
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11
10
9
8 3 7 6 5 4 3 2
Number Description
1 Backup battery (compartment under side panel). 4-hour minimum backup battery.
2 Remote alarm/nurse call connector
3 Reserved for future use.
4 Power cord retainer
5 Power cord
6 RS-232 serial and analog I/O connector (female DB-25). Connects to hospital
information systems and other serial devices, and functions as an interface for analog
signals. Connects Respi-Link remote diagnostic system gateway for software updates.
7 USB Port - Connect ONLY to an approved accessory listed in User Manual Appendix C,
“Parts and Accessories”.
8 Cooling fan filter
9 High-pressure oxygen inlet connector
10 Right side cover. Houses eSYS cartridge, oxygen (FiO2) sensor, exhalation valve, air
valve, air inlet filter, and air inlet filter housing
11 Option labels
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WARNING
The internal backup battery protects the ventilator from AC (mains) power interruptions. If AC
power fails, the ventilator automatically switches to operation on backup battery with no
interruption in ventilation. The battery powers the ventilator until AC power is restored or
until the battery is depleted. The battery powers the ventilator typically for at least 4 hours.
As a safeguard, the ventilator provides a low battery alarm. It also has a capacitor-driven
backup alarm that sounds for at least 2 minutes when AC and backup battery power is
completely lost.
The ventilator charges the battery whenever the ventilator is connected to AC, with or without
the ventilator switched on. The battery (charged) LED flashes to show that the battery is being
charged.
Check the battery charge level before putting a patient on the ventilator and before
unplugging the ventilator for transport or other purposes. The power source symbol at the
bottom right-hand corner of the screen shows the power source in use. If the ventilator is
running on battery, the level of battery charge is shown (Figure 3-5). If the battery is not fully
charged, recharge it by connecting the ventilator to AC power for a minimum of 5 hours.
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Pressing the Help button shows you the time remaining until the battery is fully charged. If the
battery is not fully charged after this time, have the ventilator serviced.
ON/Shutdown LED
Power source symbol (when powered)
On continuously: AC
Battery (charged) LED
power is connected The ventilator is powered by AC
Flashes: Battery is charging
and the battery is installed.
On continuously: Battery is charged
(90 to 100%)
Off: Ventilator is running on battery,
The ventilator is powered by AC
or the ventilator is off and AC power is
and the battery is not installed.
not connected
Alarm Status Bar Icons for Patient Type and Interface Type
Graphs Window
Settings Window
Help Button
Compressed graphs window with Alarms/ Loops window with Alarms/Messages list
Messages list
Technical Specifications
Single Limb Control Settings: Ranges, Resolutions, and Accuracies
Parameter Range Resolution Accuracy Factory default
Mode settings
Modes CPAP, S/T, PCV, N/A N/A S/T
AVAPS (optional), PPV
(optional)
Control settings
Auto-Trak+ Trigger (Trigger Normal (0), +1 to +7 1 N/A Adult: Normal (0)
Sensitivity Setting) Pediatric: +3
Auto-Trak+ E-Cycle Normal (0), -2 to +6 1 N/A Normal
(Expiratory Cycle Sensitivity
Setting)
C-Flex Off, 1 to 3 1 N/A Off
CPAP 4 to 25 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 4 cmH2O
EPAP 4 to 25 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 4 cmH2O
IPAP 4 to 40 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 12 cmH2O
I-Time (Inspiratory Time) 0.30 to 3.00 sec 0.1 sec ± 0.03 sec Adult: 1.00 sec
Pediatric: 0.7 sec
Max P/min 1.0 to 5.0 cmH2O/min 0.5 cmH2O/min ± (2 cmH2O + 4% of target) 5 cmH2O
(AVAPS+ Maximum Change
in Pressure per Minute)
Max E 0 to 100 cmH2O/L 1 cmH2O/L N/A 5 cmH2O/L
Max P (PPV Maximum 5 to 40 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 20 cmH2O
Pressure Limit)
Max P (AVAPS Maximum 6 to 40 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 20 cmH2O
IPAP Pressure)
Max R 0 to 50 cmH2O/L/sec 1 cmH2O/L/s N/A 2 cmH2O/L/s
Max V (PPV Maximum 200 to 3500 mL 5 mL ± 15% Adult: 1500 mL
Volume Limit)
Min P (AVAPS Minimum 5 to 30 cmH2O 1 cmH2O ± (2 cmH2O + 4% of target) 10 cmH2O
IPAP Pressure)
O2 (Oxygen) 21 to 100% 1% ± 3% 21%
PPV % 0 to 100% 1% N/A 80%
Ramp Time Off, 5 to 45 min 5 min ± 1 sec Off
(single limb NIV only)
Rate (Respiratory Rate) 1 to 80 BPM 1 BPM ± 1 BPM Adult: 12 BPM
Pediatric: 20 BPM
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Baseline PEEP
Pressure- Rise Rise
specific
Volume- Flow Pattern Flow Pattern
specific
Sigh
General I-Trig
Apnea Mode
O2
Mode-specific Max P
Max V
Min P
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Patient Data
O2 18 to 100% 1% ± 3%
Volume
VTE 0 to 3500 mL 1 mL ± 4 mL + 15% actual
E
0 to 99.0 L/min BTPS 0.1 L/min ± 4 mL + 15% or 0.1 L/min
(whichever is greater)
Pressure
PIP 0 to 74 cmH2O 1 cmH2O ± 2 cmH2O + 4% actual
PEEP 0 to 50 cmH2O 1 cmH2O ± 2 cmH2O + 4% actual
EPAP 0 to 50 cmH2O 1 cmH2O ± 2 cmH2O + 4% actual
MAP 0 to 65 cmH2O 1 cmH2O ± 2 cmH2O + 4% actual
Weaning
Pt. Trig 0 to 100% 1% ± 10%
TI/TTOT 0% to 99% 1% ± 5%
F/VT 0 to 999 1 ± 10% or 1
Waveform window
P waveform 0 to 70 cmH2O Time axis: 1 second N/A
Volume: Volume:
50 to 3500 mL Upper limit: Adult 600 Volume: ±4 mL + 15% actual
mL, Pediatric, 350 mL
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Lower Limit: 0 mL
Alarms
This table lists the adjustable alarm ranges and resolutions.
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Physical Characteristics
Parameter Specification
Weight 12.3 kg (27 lb) with battery
11.3 kg (25 lb) without battery
Dimensions
(34.2 cm)
13.5 in.
Environmental Specifications
Parameter Specification
Temperature Operating: 5 to 40°C (41 to 104°F)
Storage: -20 to 50°C (-4 to 122°F)
Relative humidity Operating: 15 to 95% (non-condensing)
Storage: 10 to 95% (non-condensing)
Barometric pressure 525 to 850 mmHg (70 to 113 kPa)
NOTE: You may experience reduction in peak flow and pressure at high altitudes.
Transport Temperature: -20 to 60 ºC (-4 to 140 ºF)
Humidity: 10 to 95% RH, non-condensing
Barometric pressure: 450 to 850 mmHg
Orientation During operation, not to exceed an angle of 12° from horizontal on any of the four sides
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Pneumatic Specifications
Parameter Specification
High-pressure oxygen supply Pressure: 2.76 to 6.00 bar / 276 to 600 kPa / 40 to 87 psig
Flow: 175 SLPM
Composition, cleanliness, and dryness: Must meet all requirements for USP
(U.S. Pharmacopeial Convention) medical-grade oxygen
Air supply Integrated compressor (blower)
Inspiratory outlet Connector: ISO 15 mm female / 22 mm male conical
(To patient port)
eSYS Exhalation Cartridge Exhaled gas flow accuracy: ± (0.1 SLPM +5% of reading) after calibration.
Total Leak: ≤ 50 mL/min (STPD) at 40 cmH2O.
Gas port connector: 22mm conical
O2 sensor Accuracy: ± 5% after calibration
T90 Response Time: 50 sec for VT = 50 mL, 21 sec for VT = 1000 mL
Electrical Specifications
Parameter Specification
AC voltage 100 to 240 VAC
AC frequency 50 to 60 Hz
AC power 300 VA
Battery PN 1076374 / 989805626941: 14.4 V, 11.0 Ah, 163 Wh
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Each patient circuit has a different inspiratory and expiratory pressure drop associated with it.
During SST, the ventilator verifies that the maximum pressure drop does not exceed the
specifications below for each circuit size as selected in the ventilator configuration screen.
To meet performance specifications, the ventilator requires a patient circuit and filters that
meet the requirements in the following two tables
Accessory Requirements
Parameter Specification
Compliance Maximum compliance of the gas pathway including the breathing circuit:
3 mL/cmH2O
Resistance Maximum resistance of the breathing circuit and attachments:
22 mm circuit: 5 cmH2O at 30 L/min
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Other Specifications
Parameter Specification
Flow delivery 150 L/min with 40 cmH2O airway pressure and 608 mmHg
barometric pressure
Flow range -240 to 240 L/min BTPS
Dynamic pressure regulation ± (2 cmH2O + 4% of target)
NOTE: Negative (subatmospheric) pressure settings are
not available.
Start-up time Ready to ventilate 9 seconds after power on
Inspiratory and expiratory pressure drop following 6.0 cmH2O at 2.5 LPM, using a 10 mm circuit
equipment failure 6.0 cmH2O at 15 LPM, using a 15 mm circuit
6.0 cmH2O at 30 LPM, using a 22 mm circuit
Inspiratory filter/expiratory filter (PN 1014047) Particle size: Captures particles of 0.3 μm (micron) with
>99.99% efficiency
Resistance: < 0.7 cmH2O at 0.5 L/s
Dead space: ≤ 68 mL
Connectors: 15 mm ID/22 mm OD, 22 mm ID
Time required for the oxygen concentration to The ventilator adjusts O2 within one breath.
change from 21% to 90% • FiO2 within the gas delivery system and entire breathing
circuit adjusts at the following rate:
• up to 14 s (for delivered volume of 500 mL, dual-limb 22
mm OD patient circuit with water traps)
• up to 14 s (for delivered volume of 150 mL, dual-limb 15
mm OD patient circuit with water traps)
Audio alarm loudness 60 to 85 dB(A) (primary alarm)
65 dB(A) (backup alarm)
Acoustic noise • Sound power level . 59.2 dB(A)
(tested per 80601-2-12)
• Average sound pressure level . 51.2 dB(A)
(tested per 80601-2-12)
• Average sound pressure level . 50 dB(A)
(tested per 60601-2-12 using nominal adult case settings)
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WARNING
CAUTION
NOTE
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Electromagnetic Immunity
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3.5
3 Vrms d = ------- P
V1 where V1 = 3 Vrms
Conducted RF 150 kHz to 80 MHz 3 Vrms
IEC 61000-4-6 outside ISM bandsa
10 Vrms
Radiated RF 150 kHz to 80 MHz 10 Vrms 12
d = ------ P
IEC 61000-4-3 in ISM bands a V2 where V2 = 10 Vrms
10 V/m 10 V/m
80 MHz to 2.5 GHz
12
d = ------ P
E1 80 MHz to 800 MHz, where E1 = 10 V/m
23
d = ------ P
E1 800 MHz to 2.5 GHz, where E1 = 10 V/m
where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer and d is the recommended
separation distance in meters (m).b
Field strengths from fixed RF transmitters, as determined by an electromagnetic
site survey,c should be less than the compliance level in each frequency range.d
Interference may occur in the vicinity of equipment marked with the following
symbol:
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NOTE 1: At 80 MHz and 800 MHz, 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.
a. The ISM (industrial, scientific and medical) bands between 150 kHz and 80 MHz are 6.765 MHz to 6.795 MHz; 13.553 MHz to 13.567
MHz; 26.957 MHz to 27.283 MHz; and 40.66 MHz to 40.70 MHz.
b. The compliance levels in the ISM frequency bands between 150 kHz and 80 MHz and in the frequency range 80 MHz to 2.5 GHz are
intended to decrease the likelihood that mobile/ portable communications equipment could cause interference if it is inadvertently brought
into patient areas. For this reason, an additional factor of 10/3 has been incorporated into the formulae used in calculating the
recommended separation distance for transmitters in these frequency ranges.
c. Field strengths 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 V680 Ventilator is used exceeds the applicable RF compliance level above, the V680 Ventilator should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating the V680
Ventilator.
d. Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Safety
Protection Against Electric
Class 1
Shock
Degree of Protection Against
Type B applied part
Electric Shock
Degree of Protection Against
IPX1
Harmful Ingress of Fluids
Rating Continuous Operation
Suitability for use in oxygen-
Not suitable
rich environment
EN/IEC 60601-1 Medical Electrical Equipment, Part 1: General Requirements for Safety, 2nd
edition
EN/IEC 60601-1 Medical Electrical Equipment, Part 1: General Requirements for Safety, 3rd
edition
IEC 60601-1-2 Medical Electrical Equipment, Part 1-2: General Requirements for Safety,
Collateral standard: Electromagnetic compatibility – Requirements and tests
CSA C22.2 No. 601.1 Medical Electrical Equipment, Part 1: General Requirements for Safety
UL 60601-1 Medical Electrical Equipment, Part 1: General Requirements for Safety
EN 60601-2-12 Medical Electrical Equipment – Part 2-12: Particular Requirements for the
Safety of Lung Ventilators – Critical Care Ventilators
ISO 80601-2-12 Medical Electrical Equipment – Part 2-12: Particular Requirements for the
Safety of Lung Ventilators – Critical Care Ventilators
EN 60529 Degrees of Ingress Protection Provided by Enclosures (IPX1 at zero degrees tilt)
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First-time Installation
Before putting the ventilator into service for the first time, install it as described in this chapter.
Before using the ventilator the first time, we recommend wiping the exterior clean and
disinfecting components according to the instructions in “Decontamination” on page 95.
Included in the shipping container with the V680 ventilator are the following accessories:
Your order may also include other optional accessories including a portable stand.
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Ventilator Placement
The ventilator may be placed on a flat, stable, clean surface or mounted to a portable stand,
PN 1084491 / 989805648731 (partially assembled), or 1109864 / 989805648671 (fully
assembled).
WARNING
To assemble the ventilator stand, follow the instructions that accompany it. An optional O2
cylinder mounting kit, PN 1109869 / 989805648721, is also available.
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The oxygen manifold allows two oxygen (O2) cylinders and one wall oxygen supply line to be
used as inputs to the ventilator.
Each of the three inlets has a check-valve that prevents pressure loss when disconnecting from
the wall or cylinders. This allows quick, easy transfer between oxygen supplies without
interruption of flow. Easy transfer of oxygen supply facilitates patient transport within the
facility and allows replacement of one cylinder while operating from the other.
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Battery Installation
The battery is shipped separately from the ventilator, but is not installed. It should be installed
prior to using the ventilator.
WARNING
• To reduce the risk of fire, explosion, leakage, or other hazard, take these
precautions with respect to the battery:
• Follow all instructions for proper use of the battery.
• Do not attempt to disassemble, open, crush, bend or deform,
insert foreign objects into, puncture, or shred the battery pack;
modify or remanufacture it; immerse or expose it to water or other
liquids; expose it to fire, excessive heat (including soldering irons);
or put it in a microwave oven.
• Do not drop the battery.
• Do not short-circuit the battery or allow metallic or conductive
objects to contact the battery connector housing.
• Use the battery with the Respironics V680 Ventilator only.
• Refer battery replacement to qualified service personnel.
• Remove the battery from the ventilator if the ventilator will be
unused for some time. Leaving the battery installed will accelerate
the discharge of the battery which can damage the battery or result
in the battery being unavailable when the ventilator is placed back
into operation.
Install the battery as follows (see photos on following page). You will need a 3-mm hex wrench.
WARNING
CAUTION
• The battery used in this device may present a risk of fire or chemical
burn if mistreated. Do not disassemble, heat above 100C (212F), or
incinerate. Replace the battery only with Respironics PN 1076374 /
989805626941. Use of another battery may present a risk of fire or
explosion.
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NOTE
Failure to properly shut down the ventilator before battery installation may
result in erroneous alarms after power-on.
2. Unplug the ventilator from the power mains.
3. Remove the side panel by turning the captive fastener a ¼ turn and releasing.
Captive Fastener
Battery Cable
Bracket
4. Using a 3 mm hex wrench, remove the battery bracket by removing two screws.
5. Holding the battery so that the vent hole faces up and the Philips logo faces out,
thread the battery cable through the battery bracket. Position and place the
battery inside the battery compartment. Pinching the end of the battery
connector, plug it in so that it locks in place.
6. Reinstall the battery bracket by replacing the two screws. Reinstall the side panel
and secure the fastener with a ¼ turn clockwise.
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7. Make sure the battery is properly installed by plugging the ventilator into an AC
power receptacle and verifying that the yellow Battery (charged) LED on the
front panel flashes. The flashing LED indicates that the battery is being charged.
NOTE
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Electrical Safety
Perform the electrical safety test per the procedure outlined in the Performance Verification
Test chapter of this service manual (See “Electrical Safety (Test 1)” on page 290.).
After completing the setup activities described above, enter the diagnostics mode to re-
calibrate the touch screen, and set or check the ventilator settings for language, units of
measure, and time and date.
1. If the ventilator is not already in diagnostic mode, press and hold the Nav-ring
Enter button and turn the ventilator on by pressing the On/Shutdown button on
the user interface. Within 5 seconds release and press the Nav-ring Enter button
again to enter the Diagnostics Menu.
2. Select Touch Screen Calibration from the menu options, then touch Start and
follow the onscreen prompts to recalibrate the touch screen.
3. Once back to the main menu of diagnostics, touch System Settings then check or
set for the appropriate Date/Time, Pressure Units, and Language.
EST/SST
SST/EST verifies the functional integrity of the ventilator by testing its hardware subsystems
and components.
WARNING
Required equipment:
An asterisk (*) denotes a test supply included in V680 Service Test kit PN 1116068 / 453561533831
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NOTE
When conducting Single or Dual limb SST without access to a remote alarm
nurse call system, use a DMM and the remote alarm test cable with adapter, to
monitor the output of the ventilator's Remote Alarm output during the Remote
Alarm subtest of SST.
Connect the Grey connector (marked Tip) of the remote alarm test cable to the
test cable adapter at the DMM to simulate a normally open (N.O.) call system. A
resistance change from OPEN (infinite) to SHORT (0.00 +/- 3ohms) should be
indicated when the Remote Alarm subtest is selected and active.
Procedure
Single-Limb SST test is complete. Proceed to configure the ventilator for Dual-Limb EST/ SST
test.
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Operational Checks
Required equipment:
An asterisk (*) denotes a test supply included in V680 Service Test kit PN 1116068 / 453561533831
WARNING
1. Connect the ventilator to AC power, and to a wall or regulated tank oxygen sup-
ply.
2. Connect the dual-limb patient breathing circuit with test lung to the ventilator.
Ensure that the breathing circuit is assembled correctly and that both inspiratory
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Apnea T: 20 sec
Hi PEEP: 6 cmH2O
NOTE
11. Reconnect the ventilator to AC power and verify the audible alarm resets and
that the alarm message is struck through.
12. Verify the ventilator is again running on AC power (symbol displayed in lower
right-hand corner of the screen changes to a Plug icon), and that the battery LED
is on or flashes to indicate that the battery is charging.
13. Touch Alarm Reset.
Alarm Tests
The ventilator performs a self-check during start-up and continuously during operation. Alarm
functionality is verified by this self-check. Perform these alarm tests, which demonstrate the
alarms' operation.
WARNING
Preparation
Using the previously applied mode and alarms settings, simulate the following alarms:
1. Touch Alarm Settings and lower the HIP alarm limit to 14 cmH2O.
2. VERIFY that the High Inspiratory Pressure alarm is activated, audible and alarm
LED flashes, the ventilator cycles into exhalation.
3. Verify that while the alarms is active, the peak inspiratory pressure (PIP)
delivered during subsequent breaths is limited to the HIP alarm setting of 14
cmH2O.
4. Raise the HIP alarm limit back to 20 cmH2O and verify the High Inspiratory
Pressure alarm resets.
5. Touch Alarm Reset.
1. Touch Alarm Settings, then select Tidal Volume (VT), and raise the Lo VT alarm
setting to a value above the ventilator displayed tidal volume measured as VTE.
2. VERIFY that the Low Tidal Volume alarm is activated.
1. Touch Alarm Settings, then select Tidal Volume (VT), and lower the Hi VT alarm
setting to a value below the ventilator displayed tidal volume measured as VTE.
2. VERIFY that the High Tidal Volume alarm is activated.
3. Return the Hi VT alarm setting to 1500ml.
4. VERIFY that the High Tidal Volume alarm resets and the alarm message is struck
through.
5. Touch Alarm Reset.
Patient Disconnect
1. Disconnect the test lung from the end of the patient wye.
2. VERIFY that the Patient Disconnect alarm is activated.
3. Reconnect the test lung.
4. VERIFY that the Patient Disconnect alarm resets, the alarm message is struck
through, and that the ventilator automatically resumes ventilation.
5. Touch Alarm Reset.
1. Disconnect the proximal pressure tubing from the proximal pressure fitting at the
front panel of the ventilator.
2. Verify that the Proximal Pressure Line Disconnected or Occluded alarm is
activated.
3. Reconnect the proximal pressure tube.
4. VERIFY that the Proximal Pressure Line Disconnected or Occluded alarm resets
and the alarm message is struck through.
5. Touch Alarm Reset.
1. Disconnect the patient circuit at the eSYS inlet and block the end of the circuit.
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2. VERIFY that the Patient Circuit Occluded alarm is activated within 3 to 5 breath
cycles.
3. Unblock the end of the circuit and reconnect it to the eSYS inlet.
4. VERIFY that the Patient Circuit Occluded alarm resets and the alarm message is
struck through.
5. Touch Alarm Reset.
1. Disconnect the patient circuit's expiratory limb from the bacterial filter at the
eSYS Cartridge gas return port, leaving the bacterial filter connected to the port.
2. Using a ball valve to control exhaled flow to simulate a patient circuit occlusion,
connect one side of the valve to the end of the expiratory limb of the patient
circuit. Confirm the ball valve is in the full open position.
3. Next, connect the opposite end of the ball valve to an 18 inch length of 22mm
smooth bore tubing then connect the open end of this tube to the gas return
port of the eSYS Cartridge. Reset alarms as necessary.
Partial occlusion test setup
4. With the ball valve in the open position, allow the ventilator to cycle a few
breaths to reset any active alarms, then slowly close the valve almost completely
until you see the partial occlusion alarm.
NOTE
6. Open the ball valve and verify that the Patient Circuit Partially Occluded alarm is
reset and the alarm message is struck through.
7. Remove the ball valve and 18 inch smooth bore tube from the expiratory limb of
the patient circuit, and the ventilator.
8. Reconnect the expiratory limb of the patient circuit to the bacteria filter at the
eSYS Cartridge gas return port.
9. Touch Alarm Reset.
Apnea
1. Touch Modes, set the mode to PSV then touch Activate PSV Mode.
2. Wait for 20 seconds.
3. Verify the ventilator activates the Apnea alarm and resumes breath delivery at a
rate of 12 BPM (one breath cycle every 5 seconds).
4. Next, simulate two consecutive spontaneous breaths by expanding or
compressing and releasing the test lung.
5. VERIFY that the alarm resets, the alarm message is struck through, and that the
ventilator automatically resumes ventilation.
NOTE
After completing the first-time installation setup and test activities described above, enter the
diagnostics mode and clear the diagnostics event log, and restore the ventilator to default
settings prior to placing the ventilator into service.
1. Remove all test equipment, tools, and materials from the ventilator and place
the ventilator into Diagnostics mode.
To place the ventilator into diagnostic mode, power up the ventilator, press and hold the
Nav-ring Enter button and the On/Shutdown button on the user interface. Within 5
seconds of power up, release and press the Nav-ring Enter button to enter the
Diagnostics menu.
2. Touch System Setting then Date/Time and verify that the date and time are correct.
3. Next, connect the 25-pin to 9-pin HIS/EMR null modem serial cable between the
ventilator COM port and the Service PC.
4. Launch Tera-Term to enable communication with the ventilator.
5. Type the following command (all capital letters) into the terminal dialog box, and
press Enter to clear the diagnostics log.
#CLRLOG
6. When the diagnostic log has been successfully cleared, the terminal dialog box
displays:
?CLRLOGOK
7. Type the following command (all capital letters) into the terminal dialog box and
press Enter.
DRPT
8. Confirm the contents of the original event log have cleared, and that the Date/
Time stamp of current log entry is accurate. The content of the event log should
only list code 2004 “Cleared Event Log”.
9. Remove the HIS/HER null modem serial cable from the ventilator.
10. Touch System Settings, and then Restore Default Settings.
11. Turn ventilator OFF.
12. Perform a final wipe down of the ventilator and touch screen following the
guidance of the ventilator and touch screen decontamination process described
in the Care and Maintenance chapter of this manual (see page 95).
This concludes first-time installation and preparing the ventilator for end-user operation.
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CUSTOMER INFORMATION
Name:
Address:
City/State:
Account no.:
Battery installed, verify battery status LED on front panel flashes yellow to indicate
PASS FAIL
battery is being charged.
Low VT alarm setting returned to OFF, the Low Tidal Volume alarm
PASS FAIL
resets
High VT alarm setting returned to 1500 ml, the Low Tidal Volume
PASS FAIL
alarm resets
Ball valve opened, the Patient Circuit Partially Occluded alarm resets PASS FAIL
Alarms – Apnea
Clear diagnostics event log and confirm Event Log is cleared PASS FAIL
Technician’s Signature:
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Principles of Operation
The user provides inputs to the ventilator through a touchscreen, keys, and a navigation ring.
These inputs become instructions for the pneumatics to deliver a precisely controlled gas
mixture to the patient. Pressure and flow sensors provide feedback, which is used to adjust gas
delivery to the patient. Monitored data based on sensor inputs is also displayed by the
graphical user interface. The ventilator’s microprocessor system controls gas delivery and
monitors the patient. The gas delivery and monitoring functions are cross-checked by an alarm
controller. This cross-checking helps prevent simultaneous failure of these two main functions
and minimizes the possible hazards of software failure.
A comprehensive system of visual and audible alarms helps ensure the patient’s safety. Clinical
alarms can indicate an abnormal physiological condition. Technical alarms, triggered by the
ventilator’s self-tests, can indicate a hardware or software failure. In the case of some
technical alarms, an emergency ventilation mode is provided that may give the user additional
time for corrective actions, which may include disconnecting the ventilator and providing
alternative ventilation. When a condition is critical enough to possibly compromise safe,
prolonged ventilation, the ventilator is placed into the ventilator inoperative state, in which
oxygen flow and centrifugal compressor operation are disabled.
The ventilator has several means to ensure that safe patient or respiratory pressures are
maintained. The maximum airway pressure is ensured by the high inspiratory pressure (HIP)
alarm limit. If the set high pressure limit is reached, the ventilator cycles into exhalation.
filter, patient circuit, and humidifier. This helps ensure accurate and responsive pressure and
flow delivery and leak compensation. The proximal pressure sensor provides a direct pressure
measurement at the patient connector for monitoring and circuit compensation. The proximal
pressure line is purged periodically by the positive pressure of the inspiratory gas.
During inspiration, the ventilator delivers gas to the patient through an inspiratory bacteria
filter, a single- or dual-limb patient breathing circuit, a humidification device (optional) and a
patient interface such as a mask or ET tube. An oxygen sensor monitors the oxygen
concentration of the delivered gas. An air (inspiratory hold) valve provides a means to close
the inspiratory path for certain respiratory mechanics maneuvers.
In dual-limb modes, during exhalation the exhalation valve opens, and the patient's exhalate is
returned to the ventilator through the expiratory limb of the patient circuit, through the
bacteria filter, and expelled through the eSYS cartridge. The eSYS cartridge includes a valve
diaphragm, an exhalation flow sensor, an exhalation pressure measurement port, and a heater.
The exhalation valve is used in conjunction with the centrifugal compressor and machine
pressure sensor to control PEEP. Exhalation flow and pressure measurements are used for
spirometry data and occlusion detection.
In single-limb modes, exhalation proceeds passively through the exhalation port that is part of
the patient circuit. This exhalation port also continually exhausts gas from the circuit during
inspiration, to minimize rebreathing and ensure CO2 removal.
• Valve PCBA
• Sensor/Driver (SD) PCBA
The schematic below displays an overview of the pneumatic system of the Respironics V680
Ventilator.
The air valve and valve driver circuitry control the flow of air
during static mechanics maneuvers in conjunction with the air
inlet manifold. The air valve is normally open (magnetically
biased).
Air Valve
Manifold
The internal leak valve and valve driver circuitry block the flow of
air through the internal leak port orifice. The internal leak valve is
normally closed.
eSYS Cartridge
The exhalation pressure transducer on the Sensor Driver PCBA measures the pressure at the
eSYS gas inlet over a range of -50 to +85 cmH2O.
Machine and Proximal Pressure Transducers
The machine and proximal pressure transducers on the DA PCBA measure the machine and
proximal pressure over a range of -20 to +65 cmH2O.
Barometric Pressure Transducer
The barometric pressure transducer on the Data Acquisition (DA) PCBA measures barometric
pressure over a range of 525 to 850 mmHg.
Oxygen Pressure Transducer
The oxygen (O2) pressure transducer on the DA PCBA can measure accurate inlet pressures
over a range of 0 to 100 psig. An alarm results if oxygen supply pressure is below 40 psig (276
kPa) or above 92 psig (634 kPa). Underside of the DA PCBA shown below.
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Barometric Pressure
Transducer
Oxygen Pressure
Transducer
Machine Pressure
Transducer
Proximal Pressure
Transducer
The oxygen inlet filter removes 5-micron particles from the oxygen
gas supply. A 40-micron sintered bronze filter element acts to
reduce turbulence in the oxygen flow. The 40-micron oxygen
breather vent reduces noise in the oxygen flow.
The oxygen solenoid valve and valve driver circuitry control the
flow of oxygen according to the set O2 and flow. The oxygen
solenoid valve is closed when there is a loss of power or system
reset.
1 2 3 4
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Electronics
The electronics system provides software-based control and monitoring, power management,
user input, display, subsystem I/O, external communication, and alarms. The electronics
system includes a Cirrus EP9307 microcontroller for control and monitor processing.
Control tasks include breath delivery, patient data calculation, and alarm detection/response.
Monitoring tasks include controlling the LCD, front panel keys and indicators, inputs, and
primary alarm output. An independent watchdog control provides safety monitoring.
CPU PCBA
• Microprocessor: once in a run state, the microprocessor can
only be reset by a watchdog time-out or out-of-specification
power condition. Monitors operation of the ventilator and
controls delivery of air and oxygen to the patient. Verifies safe
ventilator operation.
• Flash memory: 8 MB program storage.
• RAM: 8 MB for program execution and volatile data storage.
• EEPROM: 4 KB of storage for board-specific information
(including operating hours, time since last service, serial
numbers, part numbers, and software and hardware revisions).
• Watchdog timer: disables the compressor (blower) and oxygen
flow if not strobed by software within a predefined time
window that is independent of the CPU master clock. In
addition, ensures that software is operating.
• Real-time clock (RTC): a time of day clock that provides the date
and time to the ventilator, and is powered by a dedicated 3-V
lithium coin cell battery.
• LCD interface supports a display of 1024 x 768 pixels in 262k
colors with a refresh rate of at least 50 Hz. The CPU PCBA
controls LCD brightness by varying a control voltage over a
range of 0 to 3.5 V (minimum to maximum brightness).
• Touch screen interface supports a five-wire type touch screen.
• Nav-ring rotary adjustment interface with a minimum
resolution of 24 ticks per revolution.
• User key switches: interfaces to front panel keys.
• Alarm subsystem: includes a speaker driver circuit for the two
main speakers, a backup piezo alarm, and a three-wire relay-
controlled remote alarm interface (normal open, NO, or normal
closed, NC) on the ventilator back panel.
• The compressor (blower) speed monitor measures compressor
speeds from 3,000 to 50,000 RPM with 2% accuracy.
• Electrical interfaces to the power management (PM) and motor
controller (MC) PCBAs.
• Two USB ports and an Ethernet connection are present on the
back panel of the ventilator. One USB port and the Ethernet
connection are not used at this time and are provided for future
enhancements. One USB port may be used to power the
Aerogen USB Controller nebulizer only. The Ventilator HIS Serial
Communications Port Pinout below summarizes hospital
information system (HIS) RS-232 port pinout.
• RS-232 serial and analog I/O connector (female DB-25).
Connects to hospital information systems and other serial
devices, and functions as an interface for analog signals.
Connects Respi-Link remote diagnostic system gateway for
software updates. The Ventilator HIS Serial Communications
Port Pinout below summarizes hospital information system
(HIS) RS-232 port pinout.
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User Interface
• Includes indicators and controls for setting and monitoring
parameters.
• Includes LCD, backlight inverter PCBA, touch screen, power
switch overlay, rotary adjustment (Nav-ring) assembly, UI PCBA,
and switch PCBA.
• Audible alarms: Primary audio alarm includes two alarm
speakers in the base unit (adjustable from 60 to 85 dBA at 1 m),
one connected through the PM PCBA, and one connected
through the MC PCBA. Backup audio alarm (piezo alarm)
mounted on the CPU PCBA.
LCD Assembly
• 12.1-in. diagonal flat panel, 768 x 1024 pixels with 262K colors.
• Connects to backlight inverter PCBA and CPU PCBA through the
PM PCBA.
• LED backlight with expected life of 50,000 Hours.
UI PCBA
• Provides a connection for backlight PCBA, touch panel,
switches, and switch PCBA to PM PCBA.
• Mounts behind LCD, provides connectors to backlight inverter
PCBA, power switch overlay, switch PCBA, and touch screen.
• Connects to PM PCBA.
Sensor/Driver PCBA
• Includes analog-to-digital converters (ADCs) and digital-to-
analog converters (DACs) for heater control and FiO2 sensing.
• Controls the Air (inspiratory hold) and Exhalation valve with 16-
bit accuracy.
• Includes exhalation pressure transducer (measurement range -
50 to +85 cmH2O).
• Includes EEPROM for calibration data, board identification
information, and PCBA power-on hours.
• Drives the internal leak valve.
• Interfaces to the Valve PCBA, MC PCBA, and PM PCBA
EMC PCBA
• Interconnect board that helps suppress electromagnetic
interference (EMI)
Output: PM PCBA
Power switch Power switch overlay, UI PCBA, PM PCBA, CPU PCBA
Proximal pressure sensor DA PCBA, MC PCBA, CPU PCBA
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Speaker Speaker
O2
Sensor
Blower
Assembly
Fan
Fan
System Diagrams
EMC PCB
Power
Supply
Exhalation Valve
Air Flow
Actuator Sensor
DA PCB
Battery
O2
Sensor
J2
Sensor
Driver J1
PCB MC PCB PM PCB
Gas
Delivery CPU PCB
ŝƌsĂůǀĞ System
AC
Fan
Module
1100109
V8100
Heater
Gas
Return Patient Port
Port
Fan
Proximal
1099846
Motor, 1031460
FV, Alps Speaker #2
Inspiratory 1106288
Valve Housing PCBA, EMC
V8100 1033547
Leak GDS
Solenoid Manifold
EMC / Solenoid
Bracket
eSYS
Cover
Detection
Switch
1099929 Rev D
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Philips Healthcare
Driver PCBA
Air Valve Driver
PMB PCBA Buck-Boost +24V
Vmain Converter +12V +24V
(11.5V – 27V) (LT3789)
Exhalation Valve
Driver
+24V
Exhalation Valve
Heater Driver
+12V
12V_OVP
Exhaust Diaphragm
FiO2 Signal
Conditioning Exhaust
+12V
Heater 1
Fan EN
Pressure Removable
Internal Leak Valve POR
Sensor eSys Cartridge
Driver
Fan
x Creepage Distances assume Pollution F (1) 38 VDC Functional N/A N/A N/A N/A G
G G
Degree 2 and Material Group IIIb G 38 VDC BI 1 MOPP 2 4 500
x Patient Connection is non-conductive tubing (1) Isolation to chassis protective earth is functional only. Must sustain a voltage of
x Back panel I/O (USB, Ethernet, D-SUB) are 240VAC to allow testing of single-fault SIP/SOP conditions, but does not provide a
safety barrier.
reserved and not for operator use
Accessible Without
x Accessible connector housings for back Use of Tool
panel I/O are Protective Earth Plastic LCD, Touchscreen, Proximal
Backlight Pressure (Removable Cover)
Buttons & LEDs Gas Return
x Alarm System SIP/SOP specified for Port
(Removable
connection to approved SELV circuit only – Conductive Gas Output Cartridge)
36 VDC N.C.
x Using off-the-shelf AC/DC Power supply that FiO2
C
will be IEC60601-1 and UL60601-1 compliant
with supporting CB report. AC/DC
100-240V A Output Exhalation
x All motor/actuator insulation is functional only (24 VDC) Valve
Air
and not illustrated Power Management, CPU,
x Highest internal working voltage is 38 VDC B Sensor & Driver Circuitry
Battery Pack (38 VDC)
x Gas Return cartridge is accessible and (15 VDC)
removable without use of tools for cleaning/
sterilization
Air
Definitions:
BOP - Basic insulation between parts of Opposite Polarity. D Air Valve Air
BI - Basic Insulation
DI - Double Insulation
RI - Reinforced Insulation 36VDC
MOP – Means Of Protection Back Panel I/O
2x USB,
MOOP – Means Of Operator Protection
Ethernet, D-SUB
MOPP – Means Of Patient Protection
E F
S.F.C. - Single Fault Condition
N.C. - Normal Condition Conductive O2 Input
Creepage - Shortest path along the surface of insulating material between
two conductive parts
Air Clearance - Shortest path in air between two conductive parts Plastic Plastic
Remote Alarm
Air
1099929 Rev D
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Intake
Ambient Air Supply Air Valve Manifold & Intake
Filter
Power
Valve Drive
Exhalation
Valve
Existing V60 Electronics Kona
Sensor &
& Pneumatics Driver
PCBA
Exhaust
Removable
SPI Comm Sensor Input Exhaust
Cartridge New component or
subassembly
New or modified
signal group
Existing component
or subassembly
Existing signal
Gas Output
group
Gas Return
Fan
AC Mains
O2
Legacy V60 Enclosure eSys Enclosure
AC/DC Battery
Power
Management Vmain
PCBA Insp. Hold Drive
Gas Mixture
3-Way FiO2
FiO2 FiO2 Sensor
Output Boot Sensor Existing component
Leakage
LCD Machine Pressure Proximal or subassembly
Cover
Touchscreen Pressure Cover
Detect
Assembly Patient Port Port
New or modified
system input/output
Gas Output Gas Return
Existing system
User Input
input/output
1099929 Rev D
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Decontamination 97
WARNING
To reduce the risk of electric shock, turn off the ventilator and disconnect it
from AC power mains before cleaning or servicing it.
NOTE
To ensure the safety and reliability of your ventilator, follow these maintenance procedures
along with your own institutional policies for cleaning, disinfecting, and maintaining
equipment. All the procedures in this manual are intended to be performed by the operator.
For further maintenance, contact your service representative.
Decontamination
CAUTION
NOTE
Ventilator
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Use a soft, moist, lint-free cloth to clean the outside surfaces of the ventilator. The following
cleaning agents are acceptable for use:
• Commonly used disinfection wipes
• Water
Cleaning agents other than those listed above are not recommended.
Touchscreen
CAUTION
Never clean the touchscreen with an abrasive brush, pad, cloth, or device, since
this will cause irreparable damage.
NOTE
Handle the touchscreen with care. To prevent possible damage to the touchscreen:
• Do not spray, pour, or drip water and/or cleaning solution directly onto
the touchscreen.
• Avoid using cleaners other than glass cleaners. Do not use any vinegar-
based solutions.
• After cleaning, remove all moisture with a dry, soft cloth.
To clean the touchscreen, dampen a soft cloth with isopropyl alcohol or a nonabrasive glass
cleaner and wipe the screen.
WARNING
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For information on how to remove and replace the eSYS, see “Replacing the eSYS Exhalation
Cartridge” on page 155 or the label located inside the eSYS cover.
Exterior Cleaning
The exterior surfaces can be cleaned by wiping down with the following cleaning agents:
• Commonly used disinfection wipes
• Hydrogen peroxide (3%)
• Soapy water or mild detergent
• 10% bleach solution (10% bleach, 90% water)
• 91% isopropyl alcohol
• Germicidal disposable cloth (alkyl dimethyl benzyl ammonium chloride 0.07%; alkyl
dimethyl ethybenzyl ammonium chloride 0.07%, remaining inert ingredients)
• Ammonium cleaner disinfectant
• Ethyl alcohol (70%)
Sterilization Procedures
Provided the required expiratory filter is used and the recommended replacement interval is
followed, the eSYS cartridge does not normally require sterilization.
However, in case of filter failure or institutional guidelines that require ventilator system
components be periodically disinfected or sterilized, the eSYS cartridge can be sterilized using
the following method:
• Steam Autoclave
NOTE
Steam Autoclave
1. Pre-vacuum
2. Three pre-conditioning pulses
3. Temperature = 132°C
4. Full cycle exposure time = 4 minutes
5. Dry time = 30 minutes
After processing, care should be taken to reassemble the diaphragm and retainer retaining
ring in the correct orientation.
Calibration
Before placing the eSYS cartridge back into service, follow the eSYS return-to-use procedure
detailed below. If calibration fails and you are certain the cartridge is assembled correctly, try
installing another eSYS cartridge. If calibration still fails, return the ventilator to qualified
service personnel.
The eSYS cartridge has been tested to withstand at least 50 steam autoclave sterilization
cycles.
If the cartridge appears damaged or fails repeated EST exhalation valve calibration, dispose of
the cartridge according to institutional protocols.
A reprocessed eSYS cartridge must be tested to verify performance prior to use on a new
patient.
Press the Start EST button to execute the Extended Self-Test, including the Exhalation Valve
Calibration Test.
NOTE
NOTE
If repeated EST Exhalation Valve Calibration tests fail, the performance of the
eSYS has been degraded and it should be discarded and replaced. try installing
another eSYS cartridge. If calibration still fails, return the ventilator to qualified
service personnel.
Preventive Maintenance
WARNING
To reduce the risk of electric shock, turn off the ventilator and disconnect it
from AC power mains before cleaning or servicing it.
maintenance
• Replace compressor.
• Inspect oxygen inlet filter.
• Complete performance verification procedure.
* Must be accomplished by authorized service personnel according to the instructions in this service manual.
NOTE
1. Clean the exterior of the ventilator using universal precautions (including mask,
gloves, eye protection).
2. Enter Diagnostic mode by pressing and holding the Nav-ring Enter button and
turn on the ventilator by pressing the On/Shutdown button on the user
interface. Within 5 seconds, press the Nav-ring Enter button again to enter
Diagnostic mode. The Diagnostics Menu appears.
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11. Remove the oxygen filter cap from the GDS (“Oxygen Inlet” on page 220). Inspect
the oxygen inlet filter for contamination or debris and verify that it is properly
installed.
12. From outside the bottom enclosure, remove the filter retainer and replace the
primary cooling fan filter (see page 217).
Filter retainer
18. When the hours since last PM have been successfully reset, the dialog box will
display: ?RESETPMOK
19. Type: #CLRLOG (all caps) in the dialog box, and press Enter to clear the diagnostic
log.
20. When the diagnostic log has been successfully cleared, the dialog box displays:
?CLRLOGOK
21. Touch System Settings, and then touch Restore Default Settings.
22. Touch Date/Time and correct the date and time if necessary.
23. Turn the ventilator off by pressing the ON/Shutdown button.
24. Upon successful completion of the performance verification, hours reset, and
restoring the default settings, enter the required information on the PM and
electrical safety labels.
25. Apply the clear chemical-resistant label over the PM label.
Electrical Safety
PM Label
Label
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Disposal
Dispose of all parts removed from the device according to your institution’s protocol. Follow all
local, state, and federal regulations with respect to environmental protection, especially when
disposing of the electronic device or parts of it (for example, oxygen cell, circuit boards,
batteries).
Storage
See “Environmental Specifications” on page 41 for ventilator storage requirements.
NOTE
Remove the battery from the ventilator if the ventilator will be out of service
for an extended time.
Leaving the battery installed in an inactive ventilator will accelerate the
discharge of the battery which can damage the battery or result in the battery
being unavailable when the ventilator is placed back into operation. See
“Internal Battery” on page 203 for more information.
CAUTION
NOTE
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This chapter also provides detailed information on diagnostic codes and troubleshooting.
WARNING
NOTE
To exit diagnostic mode at any time, press the ON/Shutdown button on the ventilator.
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System Settings
The System Settings button allows access to these functions:
• Language (language button is a different color)
• Date/Time
• Pressure Units
• Restore Default Settings
• Software Options
• Baud Rate
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Selecting a Language
The Set Language screen allows you to select the language displayed during ventilation mode.
NOTE
Screens displayed after touching the Service button from the Diagnostics Menu
appear in English, regardless of the selected language.
.
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4. When all ventilator and alarm settings have been restored to factory default
values, the screen displays this message:
Ventilation and Alarm Settings have been restored to factory defaults.
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NOTE
Do not install an option until you have verified that the ventilator serial number
on the enclosure matches the serial number shown on the Ventilator
Information screen. If a serial number must be reprogrammed, do so before
enabling an option.
1. From the System Settings screen, touch Software Options.
2. Use the onscreen keypad on the Enable Software Options screen to enter the
option code, then touch Accept.
3. If the option code is invalid, the screen prompts you to re-enter.
4. When the software option has been successfully enabled, the screen displays
Enabled: followed by the option name.
5. Repeat as needed to enable additional options.
6. To exit the Enable Software Options screen at any time, touch Back to System
Settings.
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Service Button
The Service button allows access to these functions:
• Ventilator information
• Pneumatic controls
• Output controls
• Miscellaneous (significant event log, download mode, and touch screen diagnostics, high
pressure leak test, and system leak test).
NOTE
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Temperatures
Compressor (blower) 95 °C Motor 60 °C
Battery 100 °C Data 60 °C
CPU 60 °C Sensor/Driver 60 °C
Voltages
1.8V Supply 1.73 to 1.88 V 24V Supply 22.6 to 26.88 V
3.3V Supply 3.04 to 3.52 V 35V Supply 32.85 to 40.15 V
5V Supply 4.50 to 5.60 V Backup Volts 3.12 to 3.48 V
12V Supply 11.5 to 13.0 V Battery Volts 10.0 V (fully
discharged) to
16.9 V (charged)
Amp/RPM specifications
Compressor Amp Varies. Occasional 1 A peak at VMOTOR ~ 14.3 V and 21,000 RPM and
0.5 A peak at VMOTOR ~ 7 V and 10,000 RPM
Compressor RPM 0 (compressor not turning: 3000 RPM displayed) to ~ 22 V at
~ 31,000 RPM
Battery Amp +2.6 to 0.0 A (battery charging to charge complete); ~ 1.0 A at VBATT
~ 15 V without compressor running
NOTE
Results:
For any of the DAC Wrap signals, the ADC count out should be equal to the DAC count in
± 23 counts over the full range of 0 to 4050 counts. An out-of-specification result could be a
fault in any one of the following:
• ADC chip internal fault
• DAC chip internal fault
• Addressing error of the ADC or DAC
• SPI interface failure (DAC only reads data from SPI bus, ADC reads and writes data)
• DAC Wrap feedback path shorted to adjacent signal or open
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NOTE
A fault of “Vref” will not necessarily show up here as the paired DAC and ADC
chips use a common reference voltage. There is at least one other ADC input
that is generated from a separate reference (that is, 3.3V supply) that would fail
if “Vref” were off significantly.
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Miscellaneous
The Miscellaneous screen allows you to access the significant event log, touch screen
diagnostics, download mode, high pressure leak test, GDS leak test, eSYS leak test, and
exhalation valve calibration.
1. From the Service screen, touch the Misc tab. To exit the Miscellaneous screen at
any time, touch Back to Diagnostics Menu.
The screen includes the Significant Event Log, Download Mode, Touch Screen Diagnostics, High
Pressure Leak Test, GDS Leak Test, eSYS leak test, and Exhalation Valve Calibration buttons.
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Refer to the Reports and Software Downloads chapter (starting on page 149) for information
on interpreting the significant event log and saving it to a computer.
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Download Mode
The Download Mode screen allows you to load operational software onto the CPU PCBA.
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On the Touch Screen Diagnostics screen, touch the screen in multiple places to verify correct
touch screen function.
• The Touch Screen Diagnostics screen will display the ADC (raw) and the cursor (pixel)
coordinate values of the location where a user touch is detected.
The Touch Screen Calibration button allows you to calibrate the touch screen x and y
coordinates (Calibrate Touch Screen):
1. From the Diagnostics Menu, touch Touch Screen Calibration. If the Touch Screen
Calibration button does not respond, press the Nav-ring Enter button to begin.
2. Follow the onscreen instructions to perform the calibration. Touch the middle of
each target with a blunt, narrow object.
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NOTE
Alarm code defaults are set by the manufacturer and cannot be modified by the user.
This section lists possible ventilator diagnostic codes (codes which are generated by the
ventilator when an event such as a setting change or fault condition is detected, or when an
alarm indicates patient or ventilator conditions), and the recommended repair for each. Follow
the repair procedures in the order presented until the problem is resolved
1003 (CBIT) Internal temperature high at CPU PCBA. Replace the CPU PCBA.
The internal temperature measured on the CPU PCBA is greater than 70°C
for longer than 5 seconds.
1004 (CBIT) Internal temperature high at DA PCBA. • Verify that cooling fan is operational.
The internal temperature measured on the DA PCBA is greater than 70°C • Replace the DA PCBA.
for longer than 5 seconds.
1005 (CBIT) Internal temperature high at MC PCBA. • Verify that cooling fan is operational.
The internal temperature measured on the MC PCBA is greater than 70°C • Replace the MC PCBA.
for longer than 5 seconds.
1006 (CBIT) DA PCBA ADC failed. Replace the DA PCBA.
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1007 (POST) Machine and proximal pressure sensors failed. • Replace DA PCBA to MC PCBA cable.
1008 (CBIT) Auto-zeroing of machine and proximal pressure transducers in POST • Replace the DA PCBA.
failed. • Replace the MC PCBA.
• Replace the PM PCBA.
• Replace the CPU PCBA.
1009 Pressure regulation high. • Verify proximal and machine tubing
connections.
The proximal pressure was 25 cmH2O greater than the pressure limit
• Verify pressures and flows.
listed below and greater than the HIP setting for 1 second ± 20 msec:
• Replace the DA PCBA.
• Pressure limit • Replace the MC PCBA.
• CPAP mode: CPAP setting
• S/T mode: IPAP setting
• PCV mode: IPAP setting
• AVAPS mode: IPAP Max Pressure Setting
• PPV mode: IPAP setting for machine-initiated breaths, PPV Max P
for patient-initiated breath
Or: The measured machine pressure is 25 cmH2O greater than the
pressure limit listed below + the estimated pressure drop due to the air
flow through the patient circuit, and it is greater than HIP setting for 1
second ± 20 msec:
• Pressure limit
• CPAP mode: CPAP setting
• S/T mode: IPAP setting
Or: The measured proximal pressure was greater than or equal to 64
cmH2O or the machine pressure was greater than or equal to 64 cmH2O
for 1 second ± 20 msec.
100A (CBIT) DA PCBA ADC reference failed. • Verify 3.3V in diagnostics.
The ADC reading from the measured 3.3 V supply is less than 2703 - 290 • Verify 2.5V ref on DA PCBA.
counts or greater than 2703 + 165 counts for 6 consecutive samples, • Replace DA PCBA to MC PCBA cable.
scheduled to be 10 msec apart. • Replace the DA PCBA.
• Replace the PM PCBA.
• Replace the CPU PCBA
100B (POST) Watchdog test failed. • Replace the CPU PCBA.
Watchdog timer was not strobed as expected with both an 8 ms and a 12 • Replace the MC PCBA.
ms window. • Replace the FGDS Assembly.
100C (CBIT) Air valve stuck closed or blower stall condition detected during EST, SST, • Check/Replace the Air Valve
standby mode, and ventilation mode • Check/Replace the Blower
Displays when an Inspiratory Valve Occlusion is detected. The ventilator is • Replace the Sensor Driver PCBA
in the ventilator inoperative state. • Replace the Air Flow Sensor
100D (POST) Air Flow Sensor Calibration Data Error • Replace the DA to MC Cable
Air Flow sensor calibration is corrupt or not present. The ventilator is in • Replace the Flow Sensor Cable
the ventilator inoperative state. • Replace the Air Flow Sensor
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110A (POST) Proximal pressure sensor autozero failed. • Verify pin alignment between solenoids
and the DA PCBA.
110B (CBIT) The proximal pressure is not measured and pressure-related alarms are
• Replace proximal auto-zero solenoids
compromised. (SOL 3 and SOL 4).
• Replace the DA PCBA.
110C (CBIT) Machine pressure sensor range error. • Cycle ventilator power to reset proximal
pressure sensor.
The proximal pressure sensor is used to measure machine pressure
• Replace the DA PCBA.
(solenoid 3 de-energized; solenoid 4 energized), proximal pressure is not
measured, and pressure-related alarms are compromised.
110D (CBIT) Proximal pressure sensor range error. • Cycle the ventilator power to reset
proximal pressure sensor.
The proximal pressure is not measured and pressure-related alarms are
• Replace the DA PCBA.
compromised.
•
110F (POST) Oxygen flow sensor calibration data error. • Replace the flow sensor cable.
When the integrity of the oxygen flow sensor calibration data cannot be • Replace the flow sensor assembly.
verified, the ventilator continues to operate with air only. • Replace the DA PCBA.
1110 (POST) Oxygen pressure sensor calibration data error. Replace the DA PCBA.
When the integrity of the oxygen supply pressure transducer calibration
data cannot be verified, the ventilator continues to operate with air only.
1111 (CBIT) Oxygen device failed. • Inspect the oxygen inlet filter for
contamination or debris.
The ventilator continues to deliver breaths targeting the 21% oxygen
• Perform high pressure leak test
concentration setting regardless of the user-set oxygen setting. (page 294).
• Verify oxygen flows (page 313).
• Replace oxygen valve.
• Replace the DA PCBA.
1112 (CBIT) Oxygen pressure sensor range error. • Verify correct oxygen pressure sensor
function.
The ventilator continues to deliver breaths targeting the 21% oxygen
• Replace the DA PCBA.
concentration setting regardless of the user-set oxygen setting.
1113 (POST) Barometer calibration data error. Replace the DA PCBA.
When the integrity of the barometer calibration data cannot be verified,
the ventilator uses the default barometric pressure of 686.0 mmHg
(approximately 900 m/2953 ft above sea level).
1114 Barometer sensor range error. • Verify correct barometric pressure
sensor function.
When a barometer range test fails 150 consecutive times, the ventilator
• Replace the DA PCBA.
uses the default barometric pressure of 686.0 mmHg (approximately
900 m/2953 ft above sea level).
1115 Auxiliary alarm supply failed. • Replace the MC PCBA.
Three consecutive measurements of the auxiliary alarm supply were less • Replace the PM PCBA.
than 9.0 V or greater than 11.0 V. • Replace power supply.
3.04 V.
1118 (POST) 5 V supply failed. Replace the PM PCBA.
Three consecutive measurements of the 5 V supply were less than 4.5 V
or greater than 5.6 V.
1119 (CBIT) 12 V supply failed. Twenty consecutive measurements of the 12.0 V Replace the PM PCBA.
supply measured at the DA PCBA were less than 11.5 V or greater than
13.0 V.
111A (POST) 24 V supply failed. Replace power supply.
AC power is connected to the ventilator and the 24 V supply measured
on the PM PCBA were out of the range 22.6 to 26.88 V.
111B (POST) 35 V supply failed. • Replace the PM PCBA.
Three consecutive measurements of the 35 V supply were less than • Replace the MC PCBA.
32.85 V or greater than 40.15 V two seconds after startup.
111C (CBIT) DA PCBA ADC failed. Replace the DA PCBA.
Six consecutive measurements of the DAC output were greater than or
less than 23 counts.
111D (CBIT) MC PCBA ADC failed. Replace the MC PCBA.
Six consecutive measurements of the DAC output were greater than or
less than 23 counts.
111E (CBIT) CPU PCBA ADC failed. Replace the CPU PCBA.
Six consecutive measurements of the DAC output were greater than or
less than 23 counts.
111F (CBIT) Internal temperature high at CPU PCBA. Replace the CPU PCBA.
The internal temperature measured on the CPU PCBA was greater than
60°C for longer than 5 seconds.
1120 (CBIT) Internal temperature high at DA PCBA. • Verify that the cooling fan is
operational.
The internal temperature measured on the DA PCBA was greater than
• Replace the DA PCBA.
60°C for longer than 5 seconds.
1121 (CBIT) Internal temperature high at MC PCBA. • Verify that cooling fan is operational.
The internal temperature measured on the MC PCBA was greater than • Replace the MC PCBA.
60°C for longer than 5 seconds.
1122 (CBIT) Compressor temperature high. • Verify that the cooling fan is
operational.
The compressor temperature was greater than 95°C for longer than 60
• Replace the compressor.
seconds.
• Replace the MC PCBA.
1123 (CBIT) Battery temperature high. • Replace internal battery.
The battery temperature was greater than 100°C. • Replace the PM PCBA.
112F Exhalation Pressure Sensor Range Error • Verify eSYS Cartridge Installation
• Replace eSYS
1130 Exhalation Pressure Sensor disconnected • Check eSYS tubing for connections and
leaks
(Alarm conditions that indicate a patient or ventilator condition that requires immediate
attention.)
1204 Alarm message: Low Internal Battery • Connect the ventilator to AC power.
Battery can provide operating power for only an additional 15 minutes • Provide alternate ventilation
under nominal conditions. Autoresets when ventilator is connected to
AC power.
120C Informational Alarm message: Maximum Pressure Exceeded • Check the patient.
Computed target pressure is greater than the PPV or PRVC maximum • Confirm that the ventilator and alarm
settings are appropriate.
pressure alarm limit. The pressure is limited.
• Check for circuit or mask leaks (single
PPV: Possible causes are excessive patient inspiratory effort; a limb).
significant change in the leak around the patient interface; or high • If the problem persists, provide
PPV%, Max E, or Max R setting. alternative ventilation.
PRVC: Possible causes are Max P threshold set too low to achieve • Have the ventilator serviced.
target volume, change in compliance or resistance. Target pressure is
limited.
• At first, an information message.
• If condition persists for three consecutive PPV or PRVC inspirations,
this escalates to a high-priority alarm.
120D Alarm message: Low Rate • Check the patient.
A low-priority alarm if the measured respiratory rate is less than the Lo • Confirm that the ventilator and alarm
settings are appropriate.
Rate setting, escalating to a high-priority alarm in 60 sec.
• If the problem persists, provide
Begins as a high-priority alarm if: alternative ventilation.
• The Lo Rate setting is < 4 BPM and there are no breaths for > 60/Lo • Service the ventilator.
Rate setting.
• The Lo Rate setting is > 4 BPM and there are no breaths for > 15 sec.
120E Alarm message: Low Minute Ventilation • Check the patient.
Estimated minute ventilation is less than the Lo VE alarm setting. • Confirm that the ventilator and alarm
settings are appropriate.
• First annunciated as a low priority alarm then escalates to a high- • If the problem persists, provide
priority alarm if the alarm condition persists for more than 60 sec. alternative ventilation.
• The Low Minute Ventilation Alarm auto-resets if the Minute • Service the ventilator.
Ventilation becomes greater than or equal to the Low Minute
Ventilation Setting, or when turned off by setting.
• The Low Minute Ventilation Alarm auto-resets if active and is
delayed for 120 ± 15 seconds after AVAPS+ mode is started or
AVAPS target volume has been changed and accepted.
120F Alarm message: Low Tidal Volume • Check the patient.
Total Exhaled tidal volume measured is less than the Lo VT alarm • Check for leaks.
setting. • Confirm that the ventilator and alarm
settings are appropriate.
• First annunciated as a low priority alarm, then escalates to a high- • If the problem persists using dual limb
priority alarm if the alarm condition persists for more than 60 sec. circuit, run EST.
• The Low Tidal Volume Alarm auto-resets if the Total Exhaled Tidal
Volume (VTE in dual limb, Estimated Exhaled Tidal Volume in single
limb) increases greater than or equal to the Low Tidal Volume Alarm
Limit, or when the alarm is turned off by setting.
• The low tidal volume alarm auto-resets if active and is delayed for
the first 120 ± 15 seconds when entering AVAPS+ mode or changing
the target volume in AVAPS+ mode. This delay allows the AVAPS+
algorithm time to approach a steady state condition.
1210 Alarm message: High Tidal Volume • Check the patient.
Measured estimated tidal volume is greater than the Hi VT setting. • Check for leaks.
• Confirm that the ventilator and alarm
• Escalates to a high-priority alarm if the alarm condition persists for settings are appropriate (E-Cycle
more than 60 sec. setting).
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121D Alarm message: Replace eSYS cover and verify that eSYS is installed • The alarm will auto reset when data is
received from the flow sensor AND the
Displays when either of the following conditions are present: eSYS cover is detected.
• No data from exhalation flow sensor, or NOTE:
• eSYS cover is not detected.
The eSYS cartridge and cover must be in
place during single or dual limb circuit
configuration.
121E Alarm message: Apnea • Check the patient.
• Consider switching to a mandatory
Neither the ventilator nor the patient has triggered a breath for the
mode or increasing the mandatory rate.
operator selected apnea time.
• Check Apnea time setting for
• In some modes where apnea mode is enabled, the ventilator enters appropriateness
apnea ventilation.
121F Alarm message: Low Mandatory Tidal Volume • Check the patient.
Measured mandatory tidal volume is greater than the Lo Mand VT • Check for leaks.
setting. • Confirm that the ventilator and alarm
settings are appropriate.
• If the problem persists using dual limb
circuit, run EST.
1220 Alarm message: Low Spontaneous Tidal Volume • Check the patient.
Measured spontaneous tidal volume is less than the Lo Spont VT • Check for leaks.
setting. • Confirm that the ventilator and alarm
settings are appropriate.
• If the problem persists using dual limb
circuit, run EST.
1221 Alarm message: High Minute Ventilation • Check the patient.
Measured minute ventilation is greater than the Hi VE setting. • Confirm that the ventilator and alarm
settings are appropriate.
• If the problem persists using dual-limb
circuit, run EST.
1222 Alarm message: High Mandatory Tidal Volume • Check the patient.
Measured mandatory tidal volume is greater than the Hi Mand VT • Confirm that the ventilator and alarm
settings are appropriate.
setting.
• If the problem persists using dual-limb
circuit, run EST.
1223 Alarm message: High Spontaneous Tidal Volume • Check the patient.
Measured spontaneous tidal volume is greater than the Hi Spont VT • Confirm that the ventilator and alarm
settings are appropriate.
setting.
• If the problem persists using dual-limb
circuit, run EST.
1224 Alarm message: I-Time Too Long • Check the patient
Displays when the ventilator detects a maximum inhalation time • Check for leaks.
condition and automatically cycles to exhalation. • Confirm that the ventilator and alarm
settings are appropriate (E-Cycle
setting).
• If the problem persists, provide
alternative ventilation.
• Have the ventilator serviced.
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1225 Alarm message: Patient Circuit Partially Occluded • Check the patient.
A partial occlusion of the patient circuit is detected. Detection occurs • Check the patient circuit expiratory limb
for bulk liquid crimps, or blocked
within 5 breaths. expiratory filter.
• At first, a low-priority message. • Replace filter and drain water as needed
• If condition persists for 3 consecutive breaths, this escalates to a Run EST.
high-priority alarm. • If the problem persists, provide
alternative ventilation.
• Have the ventilator serviced.
1226 Alarm message: High Leak • Check the patient interface for evidence
of leaks.
Measured leak is greater than the Leak setting.
• Confirm that the ventilator and alarm
settings are appropriate.
• If the problem persists while using dual-
limb circuit, run SST to leak test the
circuit.
1227 Alarm message: Modify HIP Alarm Limit • Increase the HIP alarm limit.
Treatment pressure increased. The sum of the inspiratory pressure and
PEEP exceeds the HIP alarm setting.
1228 Informational message: O2 sensor missing • Check that the oxygen sensor cable jack
is fully inserted.
There is no signal from the oxygen sensor.
• If the informational message does not
clear, replace the oxygen sensor.
• If the problem persists, provide
alternative ventilation.
• Have the ventilator serviced.
1229 Informational message: O2 alarms disabled. Use external O2 monitor • Install an external monitor until the
alarm is set to On.
Displays when the Oxygen Alarm is set to Off.
• Run EST to recalibrate the internal
oxygen sensor.
• If calibration fails, replace the internal
oxygen sensor and rerun EST.
122A Alarm message: Barometric Pressure Low • Confirm that your current altitude is
consistent with 525 mmHg (high
When the barometric pressure reading is less than 525 mmHg for more altitude approximately 10,000 ±2000
than 10 sec, the Barometric Pressure Low alarm sounds. 525 mmHg is feet above sea level), which would most
used in the ventilator's BTPS compensation routines. likely indicate a true barometric
pressure change.
• If yes, check the patient, the ventilator,
and presence of other alarms to assure
appropriate ventilation.
• If you are not at high altitude above sea
level, replace the ventilator and have it
serviced.
122B Alarm message: Barometric Pressure High • Confirm that your current altitude is
consistent with 850 mmHg (altitude
The barometric pressure reading is greater than 850 mmHg for more below sea level), which would most
than 10 sec, the Barometric Pressure High alarm sounds. 850 mmHg is likely indicate a true barometric
used in the ventilator's BTPS compensation routines. pressure change.
• If yes, check the patient, the ventilator,
and presence of other alarms to assure
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appropriate ventilation.
• If your altitude is not below sea level,
replace the ventilator and have it
serviced.
5001 Failed high pressure leak test. • Verify that the oxygen source is
adequate for this test.
Leak detected.
• Check for leaks at the oxygen fitting,
oxygen filter element cap, oxygen
solenoid valve, and oxygen pressure
transducer.
• Check that the oxygen solenoid valve is
fully closed by verifying that there is
zero flow across the oxygen flow sensor.
If not, replace the oxygen solenoid
valve.
• Verify that the oxygen pressure
transducer is reading correctly. If not,
replace the DA PCBA.
5002 Failed high pressure leak test. • Verify that the oxygen source is
adequate for this test.
Start pressure too low.
• Check for leaks at the oxygen fitting,
oxygen filter element cap, oxygen
solenoid valve, and oxygen pressure
transducer.
• Check that the oxygen solenoid valve is
fully closed by verifying that there is
zero flow across the oxygen flow sensor.
If not, replace the oxygen solenoid
valve.
• Verify that the oxygen pressure
transducer is reading correctly. If not,
replace the DA PCBA.
5003 Failed high pressure leak test. • Verify that the oxygen source is
adequate for this test.
Start pressure too high.
• Verify that the oxygen pressure
transducer is reading correctly. If not,
replace the DA PCBA.
5004 Failed high pressure leak test. • Verify that the shut-off valve is closed
and that the oxygen source is adequate
Pressure rise detected. for this test.
• Check for leaks at the oxygen fitting.
• Check that the oxygen solenoid valve is
fully closed by verifying that there is
zero flow across the oxygen flow sensor.
If not, replace the oxygen solenoid
valve.
• Verify that the oxygen pressure
transducer is reading correctly. If not,
replace the DA PCBA.
5005 Passed GDS leak test. No action required.
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5006 Failed GDS leak test. • Verify that the internal exhalation port,
air inlet port, gas outlet port and
Leak detected. proximal port are plugged properly.
• Verify that the system leak test syringe
tubing is properly clamped.
• Check for disconnected or cut tubing
from the GDS to the gas outlet port, and
from the gas outlet port to the base
assembly.
• Check for misaligned or cut rubber
boots from the GDS to the compressor,
and from the compressor to the gas
outlet port.
• Check for leaks at the flow sensor
assembly, solenoid valves, and pressure
transducers.
• Verify that the machine and proximal
pressure transducers are reading
correctly. If not, replace the DA PCBA.
5007 Failed GDS leak test. • Verify that the internal exhalation port,
air inlet port, gas outlet port and
Start pressure too low. proximal port are plugged properly.
• Verify that the system leak test syringe
tubing is properly clamped.
• Check for disconnected or cut tubing
from the GDS to the gas outlet port, and
from the gas outlet port to the base
assembly.
• Check for misaligned or cut rubber
boots from the GDS to the compressor,
and from the compressor to the gas
outlet port.
• Check for leaks at the flow sensor
assembly, solenoid valves, and pressure
transducers.
• Verify that the machine and proximal
pressure transducers are reading
correctly. If not, replace the DA PCBA.
5008 Failed GDS leak test. • Verify that the system leak test syringe
tubing is properly clamped.
Start pressure too high.
• Verify that the machine and proximal
pressure transducers are reading
correctly. If not, replace the DA PCBA.
5009 Failed GDS leak test. • Verify that the system leak test syringe
tubing is properly clamped.
Pressure rise detected.
• Verify that the machine and proximal
pressure transducers are reading
correctly. If not, replace the DA PCBA.
500A eSYS leak test: Failed. Leak Detected. • Verify eSYS Cartridge Installation
• Replace eSYS
500B eSYS leak test: Failed. Start Pressure Too Low. • Verify eSYS Cartridge Installation
• Replace eSYS
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500C eSYS leak test: Failed. Start Pressure Too High. • Verify eSYS Cartridge Installation
• Replace eSYS
500D eSYS leak test: Failed. Pressure Rise Detected. • Verify eSYS Cartridge Installation
• Replace eSYS
5011 Self Test - Patient Disconnect test • Check breathing circuit connections
5012 Self Test - Patient Wye Blocked test. • Check breathing circuit for blockage
5013 Self Test - Pressure Sensor Agreement test • Verify eSYS Cartridge Installation
• Replace eSYS
5015 Self Test - Air Flow Symmetry test • Check breathing circuit for blockage or
leaks
5016 Self Test - O2 Flow Symmetry test • Check that O2 flow is turned on
• Check O2 supply pressure
• Check O2 line and connection for leaks
5018 Self Test - Circuit Compliance test • Check for proper circuit size
• Check for excess components
connected to circuit
5019 Self Test - Exhalation Port test
501A Self Test - Alarm Speaker test • Check speaker for connection or
damage
501B Self Test - Alarm LED test • Check LED for connection or damage
501C Self Test - Remote Alarm test • Check connection to remote alarm
system
• Check remote alarm speaker/
annunciator
• Verify function of hospital remote alarm
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system
501D Self Test - Exhalation Valve Calibration • Check eSYS diaphragm for proper
retaining ring installation
• Replace eSYS
501E Self Test - O2 Sensor Calibration • Check O2 supply (flow & pressure)
• Replace O2 Sensor
DAC ADC reference voltage failure. Verify that the MC PCBA is fully seated onto the CPU
PCBA.
Cooling fan does not operate when the ventilator is off • Replace the fan.
and the internal battery is charging. • Replace the PM PCBA.
• Replace the power supply.
Patient Circuit Occluded alarm is active and there is no • Replace the MC PCBA.
flow from the ventilator. • Replace the compressor.
• Replace the CPU PCBA.
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2. Click on teraterm-x.xx.exe.
NOTE
If your PC does not allow the download, follow the instructions for “click this
link.”
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8. Click the I accept the agreement radio button, then click Next.
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10. Select Standard installation on the Select Components screen, then click Next.
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13. At the Select Additional Tasks screen select Create Tera Term shortcut to
Desktop, then click Next.
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16. At the Completing the Tera Term Setup screen, click Launch Tera Term, then click
Finish.
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17. Once the Tera Term Setup is installed, the New Connection screen appears.
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20. Select the serial port properties shown below, then click OK.
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22. Select the terminal properties shown below, then click OK.
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Do not connect the null modem cable until instructed to do so. If the null modem cable is
already connected when you power on the ventilator, the ventilator and PC will not
communicate. In such a case, disconnect the cable from the ventilator, switch off ventilator
power, and remove all power sources (AC and battery) from the ventilator. Reconnect and
switch on ventilator power, then reconnect the null modem cable to the ventilator.
2. Connect the 25-pin to 9-pin adapter and a null modem cable between the
ventilator COM port and the service PC.
3. Click on the Tera Term icon to launch the program that communicates with the
ventilator.
4. Type DRPTA (all caps) in the dialog box, and press Enter.
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6. The following illustration shows example lines of a DRPTA report and how to
interpret them.
Diagnostic
code
Diagnostic
code
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NOTE
• Only qualified service technicians are to clear the significant event log.
• Do not clear the significant log until you have used the DRPTA command
to save the information to your PC using Tera Term.
Do not connect the null modem cable until instructed to do so. If the null modem cable is
already connected when you power on the ventilator, the ventilator and PC will not
communicate. In such a case, disconnect the cable from the ventilator, switch off ventilator
power, and remove all power sources (AC and battery) from the ventilator. Reconnect and
switch on ventilator power, then reconnect the null modem cable to the ventilator.
1. Enter Diagnostic mode by pressing and holding the Nav-ring Enter button and
turning on the ventilator by pressing the On/Shutdown button. Within 5 sec-
onds, press the Nav-ring Enter button again to enter Diagnostic mode.
2. Connect the 25-pin to 9-pin adapter and null modem cable between the
ventilator COM port and the service PC.
3. Click on the Tera Term icon to launch the program that communicates with the
ventilator.
4. Type: #CLRLOG (all caps) in the dialog box, and press Enter to clear the diagnostic
log.
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5. When the diagnostic log has been successfully cleared, the dialog box displays
this response: ?CLRLOGOK
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If your institution is not Respi-Link capable, contact Philips to request Respi-Link information
from your local Field Service Specialist or Regional Service Provider.
Required equipment:
Description Part Number
Personal PC w/Windows XP, Vista, or Windows 7 N/A
operating system
Operational S/W CD, Field Upgrade,V680 1111347 / 453561532591
Cable Assy, HIS/EMR null modem 1080588 / 989805629921
NOTE
NOTE
• If a null modem cable other than the Philips HIS/EMR null modem cable
is connected when you power on the ventilator, the ventilator and PC
will not communicate. In such a case, disconnect the cable from the
ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator
power, then reconnect the null modem cable to the ventilator.
1. Turn on the PC and connect one end of the HIS/EMR null modem cable to the PC
serial port and the other end to the ventilator.
2. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the On/Shutdown button on
the user interface. Within 5 seconds, release and press the Nav-ring Enter button
again to enter Diagnostic mode.
3. Launch the V680 Download Wizard and place the ventilator in software
download mode by touching Service, Misc, then Download mode.
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8. When the updater image download is complete the ventilator image download
starts automatically.
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10. Turn the ventilator off by pressing and holding the On/Shutdown button on the
user interface.
11. Enter Diagnostic mode by pressing and holding the Nav-ring Enter button and
turning on the ventilator by pressing the On/Shutdown button on the user
interface. Within 5 seconds, press the Nav-ring Enter button again to enter
Diagnostic mode.
12. Touch Service and verify that the Software Version is correct.
Testing
Refer to the Performance Verification Test Requirements table (page 273) for applicable
testing to perform upon the completion of upgrading V680 Operational Software.
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NOTE
Only qualified service technicians are to program the ventilator serial number
and power-on hours.
Ventilator software must be installed before the ventilator serial number or power-on hours
are programmed.
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NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
Follow these steps to re-program the ventilator serial number to a new CPU PCBA:
1. Enter Diagnostic mode by pressing and holding the Nav-ring Enter button and
turning on the ventilator by pressing On/Shutdown. Within 5 seconds, press the
Nav-ring Enter button again to enter Diagnostic mode.
2. Turn on the PC and connect a standard 9-pin male/female RS 232 null modem
cable and a 9-pin to 25-pin female/male adapter between the PC serial port and
the ventilator.
3. Click on the Tera Term icon to launch the program that enables communication
with the ventilator.
4. Type: #PCNFGxxxxxxxxx (all caps) in the dialog box (xxxxxxxxx is the ventilator
serial number), and press Enter.
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5. The ventilator stores the serial number and the dialog box displays this response:
?CFGOK
6. Touch Misc, then Vent Info, and verify that the serial number displayed on the
Vent Info screen matches the ventilator serial number.
NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
Follow these steps to re-program the ventilator power-on hours to a new CPU PCBA:
1. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the On/Shutdown button.
Within 5 seconds, release and press the Nav-ring Enter button again to enter
Diagnostic mode.
2. Turn on the PC and then connect a standard 9-pin male-female RS-232 null
modem cable and 9-pin to 25-pin female-male adapter between the PC serial
port and the ventilator.
3. Click on the Tera Term icon to enable communication with the ventilator.
4. Type: #SETOPTIME (all caps) with the additional information listed in the table
below separated by a command, and then press Enter.
Field Description
Operating time ID 0 = Total power-on hours
1 = CPU PCBA
2 = PM PCBA
3 = MC PCBA
4 = DA PCBA
5 = Oxygen flow sensor PCBA
6 = Air flow sensor PCBA
Hours Must be 6 digits, zero padded (for example:
001234), up to a maximum of 596523.
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5. For example, this command sets the total power-on hours to 1234 hours:
#SETOPTIME0,001234
#SETOPTIME0,001234
NOTE
Required Equipment
Description Reference
PC w/Windows XP, Vista, or Windows 7 operating system n/a
Microchip MPLAB IDE V8.92 (32-bit Windows) See NOTE below
or MPLAB X Ver 2.10 (x86/x64 Windows)
Programmer, PIC Series, Microchip P/N 1070134 / 453561528651
Cable Programmable, PMC, V60 P/N 1069854 / 453561528641
PMC SW CD,Field Upgrade,PM PCBA,V60/V680 P/N 1070781 / 453561528661
NOTE
As there is variation within each program's user interface between MPLAB IDE V8.92 and
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MPLAB X IPE, the instructions for each program's installation, PICKit 3 programmer setup, and
flashing of the PMC PIC firmware to the PM PCBA, will be presented for both program
versions.
http://www.microchip.com/pagehandler/en-us/devtools/dev-tools-parts.html
From there, download MPLAB IDE V8.92. Save and unzip the downloaded file content to
a folder on your desktop.
2. Open the folder containing the unzipped contents of the MPLAB IDE V8.92
program installation files.
3. Click on setup.exe to begin the program's installation and follow the onscreen
prompts.
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Follow these steps to configure the MPLAB IDE V8.92 program and PICKit 3 In-Circuit Debugger
tool, to upgrade the PMC PIC firmware of the PM PCBA microprocessor.
1. Launch the MPLAB IDE V8.92 program by double clicking the MPLAB IDE V8.92
icon located on the desktop.
3. Click the Device drop down, select PIC18F87J10, and then click OK.
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2. Touch Service and looking within the Vent Info screen make note of the
ventilator's current PIC Software Version before upgrading to a new version.
Compare this indication, to the version displayed after successfully upgrading the
PMC PIC firmware later in the procedure, for visual confirmation (at the
ventilator) that any new version programmed by the tool was successful.
NOTE
Ensure the orientation of the PM PCBA Programming Ribbon Cable at the PICkit
3 programmer is correct (i.e. the red marker of the ribbon cable representing
PIN1, matches up with the PICkit 3 output connector PIN 1 reference marker,)
otherwise the PICkit 3 will not communicate with the PM PCBA.
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7. Connect the programming ribbon cable from the PICkit 3 to J6 of the PM PCBA .
NOTE
The PMC PIC Firmware file content of the CD is available on In Center for those
with permission and access to the following site:
https://incenter.medical.philips.com
If sourcing the file from InCenter in lieu of using the CD, download and save the
pcmMain.hex file to you desktop for use in step 14.
9. Connect the V680 Ventilator to AC power, but do not turn the ventilator on.
10. If the MPLAB IDE program is not already running, Launch the MPLAB IDE by
double-clicking the MPLAB IDE V8.92 icon located on the desktop.
12. Verify that the Output window indicates that the PICKit 3 programmer is
Detected, Connected, and that the Target (the PM PCBA) is also detected.
14. Navigate to the CD/DVD drive, click on pmcMain.hex and then Open.
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15. Verify the file has loaded and is ready for Output.
17. Verify the Output window of the MPLAB IDE V8.92 program displays
Programming/Verify complete.
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NOTE
When programming the PMC PIC firmware of the PM PCBA from one version to
another, the ventilator may automatically restart upon completion of the
programming process. In this case, the ventilator will power itself into the
Normal Ventilation mode without user interaction. This is acceptable. Should
this occur, power off the ventilator and continue to the next step.
21. Reconnect the internal battery (page 203), re-install the top and side covers
(page 200).
23. Place the ventilator back into diagnostic mode by pressing and holding the Nav-
ring Enter button, and press the On/Shutdown button on the user interface.
Within 5 seconds of the power-up, release and press the Nav-ring Enter button
again to enter the Diagnostic menu.
24. Touch Service and verify the following from the Vent Info screen:
• The new PIC Software version displayed meets the following conditions:
• The version displayed is greater than the original version previously installed.
• The version installed is the one intended per the most current communication from
Philips regarding PMC PIC Software upgrades for the PM PCBA.
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Testing
Refer to the Performance Verification Test Requirements table (page 273) for applicable testing
to perform upon the completion of firmware upgrade.
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2. Open the folder containing the unzipped contents of the MPLAB X V2.10 program
installation files.
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NOTE
Upon completion of program installation, the installer places two shortcut icons
on the desktop, one MPLAB IPE v2.10 and the other MPLAB driver switcher. The
use of the MPLAB driver switcher program is not necessary when using the
PICKit 3 programmer tool.
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1. Launch the MPLAB X IPE program by double clicking the MPLAB X IPE icon
located on the desktop.
3. Enter the default password for access to display the advance settings within the
main window of the program.
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4. From the Select Device and Tool section, click on the Family drop down, and
select Advanced 8-bit MCUs (PIC 18) from the list.
5. From the Select Device and Tool section, click on the Device drop down, and
select PIC18F87J10 from the list.
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6. Connect the USB cable from the PICkit 3 to the PC, wait for it to register, then
verify that the Tool field automatically populates with the serial number of the
PICKit 3 connected. Click Apply. A status light next to the Apply radio button
should display green to indicate the PICKit 3 programmer is detected and ready
for use.
7. Click the Power radio button at the left column of the window and confirm VDD
PM PCBA PMC (PIC) Software Installation using MPLAB X IPE V2.10is set for
3.25V. Click on the Operate radio button to return to the main window.
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2. Touch Service and looking within the Vent Info screen make note of the
ventilators current PIC Software Version before upgrading to a new version.
Compare this indication, to the version displayed after successfully upgrading
the PMC PIC firmware later in the procedure for visual confirmation (at the
ventilator) that any new version programmed by the tool was successful.
4. Disconnect all power to the V680 Ventilator per the Service Manual.
5. Remove Top Cover from the V60 Ventilator per the Service Manual (page 200).
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NOTE
Ensure the orientation of the PM PCBA Programming Ribbon Cable at the PICkit
3 programmer is correct (i.e. the red marker of the ribbon cable representing
PIN1, matches up with the PICkit 3 output connector PIN 1 reference marker,)
otherwise the PICkit 3 will not communicate with the PM PCBA.
8. Connect the programming ribbon cable from the PICkit 3 to J6 of the PM PCBA.
NOTE
The PMC PIC Firmware file content of the CD is available on InCenter for those
with permission and access to the following site:
https://incenter.medical.philips.com
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If sourcing the file from InCenter instead of using the CD, download and save
the pcmMain.hex file to your desktop for use in step 13.
10. Connect the V680 Ventilator to AC power, but do not turn the ventilator on.
11. If the MPLAB X IPE program is not already running, Launch the program by
double clicking the MPLAB X IPE V2.10 icon located on the desktop.
12. Click on Connect, then verify from the Output window that the PICKit 3
programmer and Target device (the PM PCBA microprocessor) was detected.
Successful connection will additionally activate the 5 programming radio
button.functions
13. Click on the Browse radio button locate to right side of the Source field, Navigate
to the CD/DVD drive, click on pmcMain.hex and then Open..
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14. Confirm from the Output window that the pmcMain.hex file has loaded
successfully from the selected location, and is ready for output.
15. Click on the Program radio button to start programming of the PM PCBA
microprocessor.
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16. Verify the output window of the MPLAB X IPE program displays Programming /
Verify complete.
NOTE
When programming the PMC PIC firmware of the PM PCBA from one version to
another, the ventilator may automatically restart upon completion of the
programming process. In this case, the ventilator will power itself into the
Normal Ventilation mode without user interaction. This is acceptable. Should
this occur, power off the ventilator and continue to the next step.
20. Reconnect the internal battery, re-install the top and side covers.
22. Place the ventilator back into diagnostic mode by pressing and holding the Nav-
ring Enter button, and press the On/Shutdown button on the user interface.
Within 5 seconds of the power up, release and press the Nav-ring Enter button
again to enter the Diagnostic menu.
23. Touch Service and verify the following from the Vent Info screen:
• The new PIC Software version displayed meets the following conditions:
• The version displayed is greater than the original version previously installed
• The version installed is the one intended per the most current communication from
Philips regarding PMC PIC Software upgrades for the PM PCBA.
Testing
Refer to the Performance Verification Test Requirements table (page 273) for applicable testing
to perform upon the completion of firmware upgrade.
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WARNING
To avoid personal injury, disconnect all power (including internal battery) from
the ventilator before servicing or cleaning. (See page 202)
CAUTION
Ventilator Covers
Access to the interior components of the ventilator requires the removal of one or both side
covers and possibly the removal of the top cover. Removal of the top cover requires that you
first remove the two side covers.
With the ventilator screen facing towards you, the battery compartment cover is located on
the left side of the ventilator.
1. Turn the ventilator OFF and then disconnect it from the AC mains outlet.
2. If needed, use a screwdriver to loosen the captive securing screw (1/4 turn) from
the bottom of the left-side (battery compartment) cover, then pull out and up on
the cover to remove it. Reverse this step to resecure the cover.
With the ventilator screen facing towards you, the eSYS cartridge compartment cover is
located on the right side of the ventilator.
1. Turn the ventilator OFF and then disconnect it from the AC mains outlet.
3. If needed, use a screwdriver to loosen the captive securing screw (1/4 turn) from
the bottom of the right-side (eSYS compartment) cover, then pull out and up on
the cover to remove it. Reverse this step to resecure the cover.
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Top Cover
Follow these steps to remove the top cover. You will need to remove the two side covers
before you can remove the top cover. Reverse this procedure to install and secure the top
cover.
1. Turn the ventilator OFF and then disconnect it from the AC mains outlet.
3. Disconnect the internal battery from the power harness connector (“Internal
Battery” on page 203).
1. Turn the ventilator OFF and then disconnect it from the AC mains outlet.
3. Disconnect the internal battery from the power harness connector (as shown).
Power
harness
connector
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Internal Battery
CAUTION
• The battery used in this device may present a risk of fire or chemical
burn if mistreated. Do not disassemble, heat above 100C (212F), or
incinerate. Replace the battery only with Respironics PN 1076374 /
989805626941. Use of another battery may present a risk of fire or
explosion.
• Dispose of a used battery promptly. Keep the battery away from
children.Do not disassemble the battery or dispose of it in fire.
NOTE
1. Turn the ventilator OFF and then disconnect it from the AC mains outlet.
4. Using a 3mm hex wrench, remove the battery bracket by removing two screws at
either end of the retaining bracket. The battery can now be removed.
5. To install the battery: Hold the battery so that the vent hole faces up and the
Philips logo faces out.
Vent Hole
11. To test that the battery is properly installed, plug the ventilator into an AC power
receptacle and verify that the yellow Battery (charged) LED on the front panel
flashes. The flashing LED indicates the battery is being charged.
12. If necessary, attach the option label. See “Labels” on page 268.
eSYS Cartridge
CAUTION
2. Grasp cover by the tab and pull forward towards you. It will be attached to the
ventilator by a tether. Do not attempt to remove the tether or disconnect the
cover from the ventilator.
3. Flip the cover over and let it sit beside the ventilator. Avoid excess tension on the
tether, cover, or attachment point inside the ventilator.
4. Grasp the breathing circuit connector on the front of the cartridge, then pull the
small release latch on the right towards you to release the cartridge. Lift the eSYS
cartridge up and out to remove.
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Release Latch
5. Replace the eSYS only with a new or sterilized cartridge, PN 1100287. Before
installation of the cartridge, inspect the diaphragm for cracking and general
condition. Replace the diaphragm (see page 207) if any damage is observed.
Diaphragm
6. To reassemble, carefully place the cartridge inside the ventilator housing and
align the mating connector on the back of the eSYS with the exhalation valve (EV)
housing pins. The connection is keyed, so it will align correctly.
7. When the mating connector of the module is seated on the pins, press the front
of the eSYS module back and down into the “collar” on the housing edge. There
will be some resistance as the eSYS actuator is spring-loaded.
8. To replace the compartment cover, slide it on from the front of the ventilator, not
from the top. A magnetic catch will assist with proper final closure. There will be
an audible click when the cover is correctly seated.
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eSYS Diaphragm
Replacing a damaged or worn eSYS diaphragm requires removal of the retaining ring which
holds the diaphragm in place, removal of the old diaphragm, placing the new diaphragm into
the eSYS cartridge, and locking the new diaphragm into place with the retaining ring.
eSYS Cartridge
Retaining Ring
Alignment Notch
(x2)
eSYS Diaphragm
Retaining Ring
Retaining Ring
Alignment Tab (x2)
1. Remove the diaphragm retaining ring by pushing across one side of the retaining
ring to release one of the alignment tabs from the notch in the side of the eSYS
cartridge opening. The retaining ring may now be lifted up and out of the
opening.
2. With the retaining ring removed, the diaphragm may now be pulled out from the
eSYS cartridge. Do not remove the metal disk from the diaphragm. The
diaphragm and disk normally remain assembled for sterilization and diaphragm
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replacement.
3. Insert the new diaphragm into the eSYS cartridge with the shiny metallic disk
towards you, pushing the diaphragm evenly into the cartridge.
4. Line up the retaining ring alignment tabs with the alignment notches on the eSYS
cartridge.
5. Press down on the retaining ring above both retaining tabs simultaneously (not
down on one side, then the other) until the retaining ring snaps into place in the
eSYS cartridge.
NOTE
See the photographs below. Note the correct positioning of the retaining ring. The two
rounded tabs must be positioned at the top of the opening, not down inside the opening next
to the diaphragm. Incorrect positioning of the retaining ring will place the two rounded tabs
against the diaphragm, preventing proper operation of the diaphragm.
CORRECT INCORRECT
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NOTE
Visually check the diaphragm before re-inserting the eSYS into the ventilator.
Using improper technique when replacing the retaining ring can sometimes
pinch one side of the diaphragm (see images below).
WARNING
The FiO2 sensor is a sealed device containing a mild acid electrolyte, lead (Pb),
and lead acetate. Follow these precautions when handling the oxygen sensor:
• Always visually inspect both a new sensor or a used, reinstalled,
sensor for damage or electrolyte leakage before use. DO NOT USE if
damaged or leaking.
• If a removed sensor shows any signs of electrolyte leakage such as
visible liquid or dried crystalline residue past the sensor
membrane, have the ventilator inspected and serviced by a
qualified service technician.
CAUTION
NOTE
The V680 ventilator cannot be operated without an FiO2 (oxygen) sensor installed. The FiO2
sensor is located inside the right side of the ventilator enclosure, under the cover for the eSYS
cartridge.
The FiO2 sensor is located on the forward inside wall of the eSYS compartment.
FiO2 Sensor Sensor Wire Plug
Sensor Wire
Transfer Fan
4. Unplug the sensor wire plug and carefully pull the sensor wire from under the
restraining clip.
5. The FiO2 sensor is threaded to fit into a socket on the inside wall of the eSYS
compartment. Unscrew the sensor (pliers or a small wrench may be needed)
until it is free from the socket. Once it is removed, place it aside for disposal.
NOTE
When required, the FiO2 Sensor Housing can be removed from the side wall by
removing the two M3 screws on either side of the sensor socket.
6. Screw the new sensor into the socket (finger tight), re-clip the sensor wire under
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the restraining clip, and reinsert the sensor plug into the adjacent connector.
9. Run the O2 calibration procedure as part of the EST tests before using the
ventilator on a patient. DO NOT skip the O2 calibration step.
A new or replaced FiO2 (oxygen) sensor must be calibrated prior to using the ventilator.
1. Turn on the ventilator by pressing the ON/Shutdown key on the front panel.
3. Install filters on the inspiratory port and on the eSYS, then confirm on the
touchscreen that filters are installed.
6. If all tests pass, the FiO2 sensor is calibrated and the ventilator is ready for use.
NOTE
If the Extended Self-Test fails, do not use the ventilator. Troubleshoot the
ventilator to determine what maintenance tasks may be required.
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CAUTION
Follow these steps to remove the air inlet filter. Reverse to install.
1. Turn the ventilator OFF and disconnect the power cord from the AC mains outlet.
NOTE
• Never use a screwdriver or any other object to pry the filter cover off.
• Pull the cover out only by the bottom.
• Do not bend or break the plastic tabs at the top.
2. To uncover the air filter remove the air filter access door pull out on the provided
pull point on the bottom of the air filter cover.
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3. Remove the air inlet filter using a “pinch and pull” technique. This filter is not
reusable; dispose of it and install a new filter.
4. When installing an air filter, insert the filter into the slot around the
circumference of the filter compartment. The filter should lie flat in the filter
compartment with no wrinkles, folds, or bulges.
5. Replace the air filter access door by inserting the alignment tabs at the top of the
door into the slots at the top of the door opening and then snap the bottom of
the door into place.
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AC Inlet
Follow these steps to remove the AC inlet. Reverse to install.
1. Disconnect the ventilator from all power (page 202) and remove the top cover
(page 200).
EMI Shroud
2. Remove the EMI shroud from the power supply (friction fit; gently pry the shroud
sides out and slide the shroud straight up over the screw heads on either side).
3. Remove the 2 hex screws that attach the power cord retainer, then remove the
retainer and unplug the power cord.
AC Inlet
Power Cord
Retainer
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4. Remove the 2 Phillips screws that attach the AC inlet to the back panel.
5. Disconnect the AC inlet cables from the power supply (Molex connector) and
ground terminal (7mm nut on threaded post)
.
Power Supply
Connection
Ground
Terminal
6. While pulling the AC inlet from the back panel, feed the cable through the back
panel opening.
CAUTION
When reinstalling the AC Inlet attach the ground wires and nuts in this order
(bottom to top) to ensure proper grounding:
• Kep nut
• Ground terminal from AC Inlet
• Kep nut
• Ground terminal from GDS
• Kep nut
• Ground terminal from Power Supply
• Ground terminal from Chassis Plate
• Ground terminal from EMC PCBA / Leak Solenoid Bracket
• Kep nut
When reinstalling, orient the AC inlet as shown in the photo on the preceding
page.
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NOTE
You do not need to remove the fan retaining pins to change the primary cooling
fan filter.
1. Insert a small, flat blade screwdriver tip between the foam filter and the filter
retaining cover.
2. Gently pry the filter cover from the back of the ventilator and remove the filter.
4. Replace the filter and snap the filter cover into place.
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1. Disconnect the ventilator from all power (page 202) and remove the top cover
(page 200).
2. Pull to remove the 4 Fan Retaining Pins that attach the fan to the back panel
(pliers may be required).
3. Disconnect the primary cooling fan power cable from the connection extension
to the motor controller (MC) PCBA at [J1]. It is not necessary to disconnect the
connection on the MC PCBA.
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Fan
5. Remove the fan filter assembly (fan filter and housing) from the outside of the
back panel.
NOTE
When installing the primary cooling fan, orient it as shown (cable at the top
inside of the fan) to ensure proper airflow direction (into the enclosure).
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Oxygen Inlet
Follow these steps to remove the oxygen inlet. Reverse to install.
The inlet fits through the ventilator back panel and directly into the Gas Distribution
Subsystem (GDS) and is held in place by a retaining bracket. The screws of the retaining
bracket go through the ventilator back panel and into the GDS.
2. Loosen the two hex screws that attach the retaining bracket to the GDS, then
remove the bracket.
1. Disconnect the ventilator from all power (page 202) and remove the top cover
(page 200).
2. Remove the wing nuts and screws that attach the MC PCBA to the PCBA brackets.
3. Loosen the captive screws that attach the capacitor bracket to the base.
5. Slowly pull the MC PCBA up from its connection on the CPU PCBA, then
disconnect speaker #1 cable [J5].
6. Remove the rearmost PCBA bracket. The forward bracket cannot be removed
without first removing the EMC PCBA / Leak Solenoid Bracket.
NOTE
Cooling Fans
Connector #6 Washer (x2) M4 x 8 screw (x2) Speaker #1 Cable
under bracket connector
Capacitor Bracket
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NOTE
It is possible to remove the EMC PCBA / Leak Solenoid Bracket without first
removing the Motor Controller PCBA. However, to provide more room to work,
you may find it easier to remove the Motor Controller PCBA (“Motor Controller
(MC) PCBA” on page 221) before attempting to remove or install the EMC PCBA
/ Leak Solenoid Bracket.
1. Disconnect the ventilator from all power (page 202) and remove the top cover
(page 200).
4. Remove the tubing from the leak solenoid manifold outlet at the base fitting.
7. Remove the two M25 screws which secure the bracket to the base.
8. Lift up on the bracket taking care not to let the edge of the bracket contact any
MC PCBA components or connections.
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EMC PCBA
Leak Solenoid
10. Remove the four screws holding the EMC PCBA to the bracket.
NOTE
When reinstalling the EMC PCBA be sure to check for proper orientation before
securing the four screws that hold the EMC PCBA in place. Refer to the photos
above and below for reference.
11. If you are removing the Leak Solenoid Bracket, disconnect the ground wire
(green/yellow).
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2. Remove the two screws holding the solenoid to the manifold (the screws go all
the way through to threaded holes in the bracket).
NOTE
Cooling Fan
Bracket
Removal
1. Disconnect the ventilator from all power (page 202) and remove the top cover
(page 200).
2. Disconnect the cooling fans power cable from the MC PCBA (page 222).
3. Disconnect the primary cooling fan power cable from the extension provided on
the cooling fans power cable.
4. Disconnect all ribbon cables from the EMC PCBA (page 223). Reposition the
cables so that they will be out of the way for the remainder of the process. It is
not necessary to disconnect and remove the ribbon cables from the ventilator.
5. Disconnect the two pneumatic tubes that connect to the Leak Solenoid. Tuck the
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disconnected ends of the tubing out of the way to clear the area for the rest of
the process.
6. Remove the two M25 screws that fasten the EMC PCBA / Leak Solenoid bracket
to the frame of the ventilator. This will also release the compressor cooling fan
bracket. Do not remove the EMC PCBA / Leak Solenoid bracket from the
ventilator.
7. Slide the EMC PCBA / Leak Solenoid bracket towards the front of the enclosure,
making space to remove the compressor cooling fan.
8. Pull the compressor cooling fan bracket forward and up to remove the
compressor cooling fan from the ventilator.
Installation
1. Disconnect all ribbon cables from the EMC PCBA / Leak Solenoid bracket
(page 223). Reposition the cables so that they will be out of the way for the
remainder of the process. It is not necessary to disconnect and remove the
cables from the ventilator.
2. Disconnect the two pneumatic tubes that connect to the Leak Solenoid. Tuck the
disconnected ends of the tubing out of the way to clear the area for the rest of
the process.
3. Remove the two M25 screws that fasten the EMC PCBA / Leak Solenoid bracket
to the frame of the ventilator. Do not remove the EMC PCBA / Leak Solenoid
bracket.
4. Slide the EMC PCBA / Leak Solenoid bracket towards the front of the enclosure,
making space to position the compressor cooling fan.
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Note pneumatic
tube tucked under
capacitor bracket
arms to keep the
work area clear.
5. Move the Leak Solenoid power cable (black) and the ground cable (green/yellow)
to clear the area between the MC PCBA and the side of the GDS / compressor
assembly. This will ease the positioning of the ramp portion of the compressor
cooling fan bracket.
6. Place the compressor cooling fan bracket into the ventilator, ramp first, in the
space between the MC PCBA and the side of the GDS / compressor assembly.
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7. With the compressor cooling fan in position, align the screw hole in the cooling
fan bracket with the rearmost hole in the EMC PCBA / Leak Solenoid bracket and
the threaded hole in the ventilator frame provided for securing the EMC PCBA /
Leak Solenoid bracket.
8. Loosely secure the compressor cooling fan bracket and EMC PCBA / Leak
Solenoid bracket with one of the two screws removed from the EMC PCBA / Leak
Solenoid bracket earlier.
9. Align the forward screw hole on the EMC PCBA / Leak Solenoid bracket with the
appropriate threaded hole in the ventilator frame and loosely secure the bracket
with the second remaining screw that was removed earlier.
10. Finish securing the rear screw hand-tight, followed by the forward screw.
11. Reconnect the pneumatic tubing and cabling to the EMC PCBA / Leak Solenoid
bracket.
12. Route the compressor cooling fan power cable around (not over) the MC PCBA
and connect it into the provided socket (J1) on the rearmost upper corner of that
PCBA.
NOTE
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Routing the Cooling Fan Power Cable over the top of the MC PCBA will pinch the
cable when the top cover of the ventilator is reinstalled.
13. Connect the system cooling fan power cable into the connector provided on the
compressor cooling fan power cable.
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NOTE
• When connecting the LCD cable to the PM PCBA, ensure that the
connector tab faces the front panel.
• After installing a UI assembly, perform the touch screen calibration
(“Touch Screen Calibration” on page 128).
Procedure:
4. Loosen the captive screw that attaches the UI retainer to the UI.
5. Slide the retainer up, then remove the UI from the base.
PM PCBA
M4 x 8
Ground wires
screw (x1)
(from LCD Cable
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Front Panel
Follow these steps to remove the front panel. Reverse to install.
2. Remove the hose clamp and boot that attach the compressor to the gas outlet.
3. Remove the tubing from the barbed fittings inside the front panel.
4. Disconnect the gas outlet and proximal port ground wires (green/yellow) from
the base.
5. Remove the screws that attach the front panel to the base and side walls.
NOTE
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2. Remove the screws that attach Gas outlet bracket to the inside front panel.
Gas Outlet
M4 x 8 screw
(x2)
Bracket
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UI Retainer
Follow these steps to remove the UI retainer. Reverse to install.
2. Remove the screws and washers that attach UI retainer to the inside front panel.
UI Retainer
M3 x 6 screw (x4),
Inside Front Panel Washer (x4)
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2. Remove the nut and lock washer that attach the proximal pressure port to the
inside of the front panel. (Proximal pressure port includes the nut and lock
washer.)
NOTE
When reinstalling the proximal pressure port, install the ground wire first, then
the lock washer and nut.
Proximal
Pressure Port
Nut (x1)
Speakers
Follow these steps to remove the alarm speakers. Reverse to install.
NOTE
3. Remove the screw and washer that attaches each speaker to the base.
NOTE
To avoid damaging components on the back side of the PM PCBA, hold the PM
PCBA away from the left sidewall standoffs when removing.
3. Remove the screws that attach the PM PCBA to the left side wall.
UI Cable Connection
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4. Slightly push the PM PCBA away from the left side wall while gently pulling up
one side of the PM PCBA and removing it from its connection on the CPU PCBA.
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Power Supply
Follow these steps to remove the power supply. Reverse to install.
NOTE
Do not remove any connections from the power supply terminal strip.
2. Remove the EMI shroud from the power supply by slightly lifting the shroud
away from the power supply with a small screwdriver.
3. Remove the screws that attach the mounting plate to the base. (The power
supply includes the attached mounting plate.)
NOTE
Squeeze the EMI shroud before reinstalling to ensure that it fits snugly over the
power supply.
EMI Shroud
M3 x 6 screw (x4)
Mounting Plate
Power Supply
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CPU PCBA
Follow these steps to remove the CPU PCBA. Reverse to install.
NOTE
• Replacing the CPU PCBA deletes the serial number, installed options, all
significant event log entries, and the ventilator preferences. Review the
significant event log before removing the CPU PCBA.
• To reinstall options on a newly-installed CPU PCBA, please contact
Philips Product Support at 800-722-9377 (Directory Option 3, then
Option 1) for the appropriate option codes. International contact your
local dealer or Philips representative.
• You must provide this information to customer service: the ventilator
serial number and the CPU PCBA serial number.
• Option-only (no labeling or literature) part numbers:
• AVAPS+: P/N 1053085
• C-FLEX: P/N 1053093
• PPV: P/N 1053089
NOTE
After installing a new CPU PCBA, reprogram the ventilator serial number and
power-on hours as described in “Programming the Ventilator Serial Number
and Power-On Hours” on page 169.
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CPU Cover M12 x 1 CPU Bracket CPU PCBA M3 x 6 Screw (x6) CPU Tray
M3 x 6 screw (x12) Nut (x1)
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2. Remove the twelve M3 x 6 screws that attach the CPU cover to the underside of
the base.
NOTE
When installing the real-time clock battery, ensure that the positive side of the
battery faces up.
CPU PCBA
Real-time Clock
Battery (install
with positive
side facing up as
shown)
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4. Detach the power harness assembly connector from the left side wall.
5. Remove four M4 x 8 screws that attach the left side wall to the base.
NOTE
At reinstallation, install the power harness connector with its red wires toward
the top of the side wall.
Power Harness
Assembly
M4 x 8 screw (x4)
Left Sidewall
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NOTE
The oxygen filter cap and air inlet collar attach the GDS to the ventilator, and
when removed, the GDS is not attached to the ventilator.
1. Remove the eSYS cartridge (See page 205) and eSYS compartment cover
(page 200).
4. Remove the filter retainer, then remove the air inlet filter.
5. Remove the 2 screws that attach the filter frame, then remove the filter frame.
7. Remove the tubing from the barbed fittings inside the front panel.
8. Loosen the hose clamp that attaches the boot to the manifold cap.
NOTE
When reinstalling, verify that the boot is attached to the compressor before
reinstalling the GDS.
Tubing
Ground cable
securing screw
Hose clamp
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9. Remove the screw that attaches the ground cable to the manifold.
10. Remove the oxygen filter cap and air inlet collar from the right side wall. (See
page 254)
NOTE
When reinstalling, apply a thin coat of Krytox to the inlet collar flange on the
side wall. Tighten the air inlet collar first, and then the oxygen filter cap.
NOTE
GDS Manifold
Manifold Cap
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Air Valve
Follow these steps to remove the air valve. Reverse to install.
1. Remove the eSYS cartridge (page 205) and eSYS compartment cover (page 200).
3. Remove the 2 Phillips screws that attach the filter frame, then remove the filter
frame.
4. Remove the air valve ground wire (green/yellow) from the adjacent ground
terminal (see image below).
5. Disconnect the air valve power cable (red/black) from the adjacent connector
(see image below).
6. Remove the two M3 hex screws that secure the air valve to the mounting
bracket.
7. Carefully pull the air valve straight out from the GDS.
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M3 screws (x2)
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Sensor cable
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4. Disconnect the pneumatic tube from the barbed fitting on the eSYS PCBA.
Exhalation Valve
Housing PCBA
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Exhalation Valve
Follow these steps to remove the Exhalation Valve. Reverse to install.
3. Disconnect the exhalation valve cable (red/black) and the ground wire (green/
yellow).
Exhalation Valve
Sensor/Driver PCBA
Follow these steps to remove the Sensor/Driver (SD) PCBA. Reverse to install.
4. Unplug the FiO2 sensor wire from its plug in the right side wall and remove the
sensor wire from under its clip. Leave the FiO2 sensor in place. (See page 210)
5. Remove the two M3 hex screws that secure the FiO2 housing to the right side
wall.
6. Remove the five M3 hex screws that hold the right side wall to which the sensor/
driver board is secured.
7. Carefully pull the sensor/driver board panel free from the right side wall.
8. Disconnect all the cables and wires attached to the sensor/driver board.
9. Remove the eight Phillips screws which secure the sensor/driver board to the
right side chassis.
Chassis Plate
FiO2 sensor
housing M3 FiO2 Sensor wire
screws (x2) unplugged and
unclipped
SD PCBA
Transfer Fan
Follow these steps to remove the Transfer fan. Reverse to install.
1. Replacement of the Transfer Fan requires the removal of the Sensor Driver (SD)
Board (SD PCBA). (See page 251.)
2. With the SD PCBA removed, disconnect the Transfer Fan power cable (connects
to SD PCBA).
3. Remove the four screws securing the Transfer Fan to the PCBA and remove the
fan.
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5. Remove the six screws (two in front, two in bottom, two in rear) that attach the
right side wall to the base.
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When installing the oxygen inlet filter, ensure that the smaller end of the filter is opposite the
threads in the GDS.
2. Use a wrench to loosen the oxygen inlet filter and remove it from the GDS.
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2. Remove the seven M3 x 8 screws and washers that attach the DA PCBA to the
manifold.
CAUTION
To avoid damage to the DA PCBA or solenoid pins, use care to avoid flexing the
PCBA or bending the pins. When installing the DA PCBA, ensure that transducer
grommets and O-rings are installed to the manifold as shown.
DA to MC ribbon
cable connector
O-ring (x2)
incorrectly installed.
Underside of DA PCBA
3. Remove the screws that attach the solenoid orientation clip to the solenoid
mount.
NOTE
When installing the oxygen solenoid, apply a thin coat of Krytox on the o-rings.
DA PCBA
O-rings
Solenoid Valves
Follow these steps to remove the solenoid valves. Reverse to install.
2. Remove the two M3 x 8 screws that attach the retention plate to the manifold.
3. When replacing the solenoid valves, ensure that the solenoid valve seals are
properly installed to the manifold.
NOTE
M3 x 8 screw (x2)
Retention Plate
Compressor (Blower)
Follow these steps to remove the compressor (blower). Reverse to install.
3. Remove the three hose clamps and the boot that attaches the compressor to the
gas outlet and FiO2 sensor.
4. Remove the FiO2 sensor (“FiO2 (Oxygen) Sensor” on page 210) and FiO2 sensor
housing.
5. Remove the shoulder screws that attach the compressor to the base.
6. Loosen the clamps on the boot that attaches the compressor to the GDS, then
remove the compressor, boot, and clamps.
NOTE
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Compressor
Shoulder Screw (x4)
Manifold to GDS Boot to Gas Outlet GDS
& O2 Sensor Compressor
2. Remove the screws from the end cap and remove the end cap.
NOTE
2. From inside the front bezel, disconnect the power switch overlay cable from the
UI PCBA.
3. Carefully peel the power switch overlay from the front bezel.
4. Once the power switch overlay is removed, use isopropyl alcohol to remove any
remaining adhesive. Ensure that the bezel surface is clean and dry.
NOTE
NOTE
When installing a new power switch overlay, peel the backing from the overlay,
feed the cable through the bezel cutout, align the overlay to the front bezel, and
press to adhere.
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Switch PCBA
Follow these steps to remove the Switch PCBA. Reverse to install.
2. Remove the screws that attach the switch PCBA to the inside of the front bezel.
3. Disconnect the Nav-ring and UI PCBA cables from the switch PCBA.
NOTE
During installation, verify that the Nav-ring cable is fully seated into its
connector on the Switch PCBA.
Switch PCBA to
Switch PCBA
UI PCBA Cable
M3 x 6 screw
(x4)
Nav-ring Cable
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Nav-Ring Assembly
Follow these steps to remove the Nav-ring assembly. Reverse to install.
3. Carefully remove the Nav-ring assembly from the front of the bezel. Use
isopropyl alcohol to remove any remaining adhesive. Ensure that the surface is
clean and dry.
NOTE
After installing the Nav-ring assembly, install the button so that its check mark is
upright as shown.
NOTE
Nav-ring
Cable
M3 x 6 screw
(x8)
Touch Screen
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Cable Clamp
Power Switch
Overlay Cable Touch Screen Cable M3 x 6 screw (x1)
LCD
Follow these steps to remove the LCD. Reverse to install.
NOTE
When installing a new LCD, remove the protective film before reinstalling the
LCD tray to the front bezel, and avoid touching the LCD screen.
LCD
M1.6 x 4 screw (x4)
LCD Tray
Kapton tape
Underside of LCD
Backlight Inverter Cable
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NOTE
When installing the LCD cable to the LCD, use a new piece of Kapton tape.
2. Remove the screws that attach the UI PCBA to the LCD tray.
LCD Tray
M3 x 6 screw (x6)
UI PCBA
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LCD Tray
Follow these steps to remove the LCD tray. Reverse to install.
LCD Tray
Backlight
Inverter PCBA
UI PCBA
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Bottom Feet
Follow these steps to remove the bottom feet. Reverse to install.
NOTE
Follow these instructions to remove the right rear bottom foot: it is attached
with a hex nut inside the base assembly.
Each of the four bottom feet on the V680 are secured with a M4x14 screw that will require a
hex driver to remove.
1. Lift the V680 ventilator so that all four feet are accessible.
2. From each foot that will be removed or replaced, remove the M4x14 screw that
holds the foot in place. The foot will come off when the screw is removed.
M4 x 14 screw (x4)
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Labels
Follow these steps to remove and replace labels.
1. Use isopropyl alcohol to remove any remaining adhesive from the original part.
Ensure that surface is clean and dry.
Logo Label
AutoTrak Label
Product Label
Option Labels
PM Label
Electrical
Safety Label
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Classification Label
Rating Label
Oxygen Label
CSA Label
Should the need to unblock the RJ45 port occur it can be removed and reinstalled using a RJ45
Blockout Tool (PN 1116109 / 453561533861).
To remove the blocking plug insert the tines of the tool (as shown above) until they click into
place. With the blocking plug secured onto the end of the tool the plug can now be removed
from the RJ45 port.
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To insert an RJ45 Port Plug, snap a blocking plug onto the end of the blockout tool.
Fully insert the plug into the RJ45 port, then while holding the plug in place, press the catch /
release lever to disengage the tool from the plug, and remove the tool, leaving the plug in the
RJ45 port.
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CAUTION
To prevent possible damage to the ventilator, always ship it with the original
packing material. If the original material is not available, contact Respironics to
order replacements.
NOTE
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Performance Verification
Performance verification verifies the integrity of the sensors and other critical components in
the ventilator using external measurement devices. Run all required tests in the order listed.
CAUTION
• EST/SST
• EST/SST
• Pressure accuracy
• Oxygen flow accuracy
• Oxygen accuracy
• Alarms
Switch PCBA: removal/replacement • Electrical safety
• Ventilator controls
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NOTE
An oxygen source capable of delivering 140 LPM (40-87 PSI) is required for
oxygen system tests.
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WARNING
NOTE
Use the Measurement Selection Screen to add or remove parameters from the Certifier FA
Plus screen.
1. Touch any parameter on the analyzer touch screen to display the Measurement
Selection Screen.
2. To add a parameter, touch the parameter name in the left window then touch
the right arrow. To remove a parameter, touch the parameter name in the right
window then touch the left arrow.
Use the up and down arrows to determine the order of the selected parameters.
Recommended parameters:
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Use the Averaging Setup Menu to select averages for breath parameters (how many breaths
are averaged) and real-time transducer values (the time interval used for averaging).
1. Touch the Breath Average button to display the Averaging Setup Menu.
Number of Breaths
Averaged = 5
Breath Average button
Second Average for
Real-Time Values = 2.0
Trigger Options
Use Trigger Options to define how the analyzer detects the start of the inspiratory and
expiratory breath cycles.
1. Touch the Trigger options button to display the Trigger Options menu.
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2. Select TTL.
3. Use the arrow buttons to select start trigger.
4. Touch OK when complete.
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Configurations Menu
Use the Configurations menu to save test configurations and switch between saved
configurations.
1. Touch the Configuration button to display the Configurations menu.
Configuration button
2. To create a Philips_Respironics folder, touch Save As, then touch New Folder. If a
Philips_Respironics folder already exists go to step 4.
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3. Use the touch screen keyboard to enter Philips_Respironics, then touch OK.
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5. Use the touch screen keyboard to enter the new configuration name (V680),
then touch OK.
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Required equipment:
• 0.25-in. test adapter
• Electrical safety analyzer
1. Set Electrical Safety Analyzer to measure ground resistance referring to the test
instrument's operating instructions.
2. Check that the ground resistance < 0.2 ohm (W) at these test points:
• Proximal Pressure Port
• Gas Outlet Port
• Oxygen Fitting Retention Plate screws
• Exhalation Compartment Side Cover mounting screw
NOTE
• The gas outlet port is made of anodized aluminum. Therefore, you may
need to score the upper inside surface to achieve a good ground
resistance reading.
• The oxygen fitting is not grounded
• Do not attempt to clamp or probe at the gas return port of the eSYS
Cartridge as the port is plastic and not metal. Doing so could damage its
outer circumference and hamper its ability seal filters attached to it.
3. Attach the 0.25-in. test adapter to the gas outlet port.
4. Turn the ventilator on and check that the cooling fan is operating correctly.
5. Check that the forward and reverse leakage current is:
• < 300 microamperes (µA) for ventilators connected to 100-120 VAC/60 Hz.
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The image below shows the test configuration for the High Pressure Leak Test
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Required equipment:
• Certifier FA Plus Analyzer
• Oxygen Regulator/Shut-Off Valve
NOTE
The oxygen pressure source connected to the inlet side of the test regulator
must be capable of supplying no less than 50 psig in order to conduct this test.
1. If the ventilator is not already in Diagnostic mode, press and hold the Enter
button on the Nav-ring and turn the ventilator on by pressing the On/Shutdown
button. Within 5 seconds release and press the Nav-ring Enter button again to
enter the Diagnostics menu.
2. Connect the oxygen regulator/shut-off valve to the ventilator then connect the
pressure reference hose quick disconnect from the regulator to the high pressure
port of the Certifier HFM, then connect the oxygen source to the inlet port of the
regulator test assembly.
3. Touch Service, then Pneumatics, and verify that the O2 Inlet display and the
analyzer display read 45 to 50 psig. If needed, adjust the test regulator to achieve
an Oxygen Inlet pressure from 45 to 50 psig.
4. Touch Misc, then touch High Pressure Leak Test and follow the onscreen
prompts.
5. When pressure is within range (45 to 50 psig) to start the test, re-verify the O2
inlet pressure displayed on the ventilator and analyzer displays and record these
values.
6. Upon successful completion of the test, record the Threshold and Pressure Drop
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Required equipment:
• Clamp (hemostat)
• GDS / eSYS leak test syringe
The image below shows the test configuration for the GDS Leak Test
NOTE
The stopcock located on the proximal tube leader from the Y connector of the
test syringe serves to control pressure in the following manner during this test.
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1. If the ventilator is not already in Diagnostic mode, press and hold the Enter
button on the Nav-ring and turn the ventilator on by pressing the On/Shutdown
button on the UI. Within 5 seconds release and press the Nav-ring Enter button
again to enter the Diagnostics menu.
2. Verify that the GDS/eSYS leak test syringe plunger is pulled back, and then
connect it to the gas outlet port.
3. Connect the proximal pressure tube leader coming off the 3-way stopcock to the
proximal pressure fitting of the ventilator. Verify the lever arm of the stopcock is
positioned so that the word OFF is positioned over the unused Luer connector.
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4. Touch Service, Misc, then touch GDS Leak Test and follow the onscreen prompts.
5. Record the Threshold and Pressure Drop test results as displayed by the
ventilator.
6. Touch Close, then remove the GDS/eSYS leak test syringe.
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Required equipment:
• Clamp (hemostat)
• GDS/eSYS leak test syringe
NOTE
The stopcock located on the proximal tube leader from the Y connector of the
test syringe serves to control pressure in the following manner during this test.
• Position 3: Stopcock is closed to keep pressure generated by the syringe
from escaping through the unused proximal pressure leader during this
test.
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1. If the ventilator is not already in Diagnostic mode, press and hold the Enter
button on the Nav/ring and turn the ventilator on by pressing the On/Shutdown
button on the UI. Within 5 seconds release and press the Nav/ring Enter button
again to enter the Diagnostics menu.
2. Verify that the GDS/eSYS leak test syringe plunger is pulled back, and connect the
open end of the 22mm plugged pressure pick-off port to the Gas Return port of
the eSYS Cartridge.
3. Verify the lever arm of the stopcock is positioned so that the word OFF points to
the Y connector.
NOTE
The pressure tube from the wye (intended for prox line connector) is not used
during this test.
4. Touch Service, Misc, then touch eSYS Leak Test and follow the onscreen
prompts.
5. Record the Threshold and Pressure Drop test results as displayed by the
ventilator.
6. Touch Close, then remove the GDS/eSYS leak test syringe.
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EST/SST (Test 3)
EST/SST verifies the functional integrity of the ventilator by testing its hardware subsystems
and components. Perform EST/SST before placing the ventilator on a patient, between
patients, during preventive maintenance, performance verification, for oxygen sensor
calibration, or if ventilator operation is questionable.
WARNING
Required equipment:
• Reusable Adult Dual-Limb patient circuit assembly (Dual Limb EST/SST test)
• Single-Limb patient circuit assembly w/DEP (single-limb SST test)
• Bacteria filter (2)
• Plug, tapered 9/16 - 3/4 in., silicone
• Regulated oxygen source
• DMM (Digital Multimeter)
• Remote alarm test cable
• Remote alarm test cable adapter
NOTE
When conducting Single or Dual limb SST without access to a remote alarm
nurse call system, use a DMM and the remote alarm test cable with adapter, to
monitor the output of the ventilator's Remote Alarm output during the Remote
Alarm subtest of SST.
Connect the Grey connector (marked Tip) of the remote alarm test cable to the
test cable adapter at the DMM to simulate a Normally Open (N.O.) call system.
A resistance change from OPEN (infinite) to SHORT (0.00 +/- 3ohms) should be
indicated when the Remote Alarm subtest is selected and active.
1. Turn the ventilator ON by pressing the ON/Shutdown button.
2. Select New Patient and configure the ventilator for Dual-Limb EST/SST testing as
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follows:
• Patient Type: Adult: >20kg
• Circuit Type: Dual Limb - INV
Controls (Test 4)
The controls test verifies that the touch screen, Nav-ring, and Nav-ring Enter button work
correctly.
Required equipment:
• Single-Limb patient circuit assembly w/DEP
• 0.25-in. test adapter (as shown).
1. If the ventilator is not already in normal ventilation mode and configured to
operate as Single-Limb NIV, cycle power to the ventilator, select New Patient to
enter Ventilator Configuration and prepare the ventilator for Single-Limb NIV
operation.
2. Connect a single-limb patient circuit to the ventilator.
3. Select New Patient
• Patient type: Adult
• Circuit Type: Single Limb NIV
• Humidity Management: None
• Mask port Interface: 1
• Exhalation Port: DEP
• Press to Confirm Inspiratory Filter is installed.
4. Press Accept Settings and enter Standby
5. Select these ventilator settings and alarm limits:
Ventilator settings Alarm limits
Mode: S/T High 30 BPM
Rate:
IPAP: 20 cmH2O Low 4 BPM
Rate:
EPAP: 4 cmH2O Hi Vt: 2500 mL
Rate: 12 BPM Lo Vt: OFF mL
I-Time: 1.00 sec HIP: 50 cmH2O
Rise: 1 LIP: OFF cmH2O
Ramp: OFF Low VE: OFF L/min
O2: 21% LIP T: 20 sec
6. Attach the 0.25-in. test adapter to the end of the Single-Limb patient circuit to
mitigate alarms during the tests.
7. Touch Start S/T mode at top of screen to exit Standby and enter ventilation.
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10. Touch IPAP to display the IPAP adjustment screen, then use the Nav-ring to
change the value to 40.
11. Press the Nav-ring Enter button to accept the new setting.
12. Touch IPAP to display the IPAP adjustment screen, then use the touch screen
arrows to return the IPAP setting to 20.
13. Touch Menu, then Brightness and verify that the display information is visible
when brightness is set to its minimum value.
14. Adjust brightness to 5, then touch Close.
15. Touch Screen Lock, then attempt to change a setting. Verify that the user
interface displays “Screen Locked” at the top of the screen.
16. Press the Nav-ring Enter button to unlock the screen.
17. Press the On/Shutdown button, then touch Ventilator Shutdown.
18. Verify that the ON/Shutdown LED is amber.
19. Remove the single-limb patient circuit from the ventilator and turn the ventilator
OFF.
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The pressure accuracy test verifies the accuracy of the machine, proximal and exhalation
pressure transducers.
Required equipment:
• 9/16 - 3/4 in. tapered plug (“stopper”)
• 22mm connector
• Pressure pick-off port
• 18-in. smooth-bore tubing
• Proximal pressure line assembly
• Certifier FA Plus analyzer
1. If the ventilator is not already in diagnostic mode, press and hold the Nav-ring
Enter button and turn the ventilator on by pressing the On/Shutdown button on
the user interface. Within 5 seconds release and press the Nav-ring Enter button
again to enter the Diagnostics Menu.
2. Touch Service, then Pneumatics.
3. From Pneumatics screen, touch the Internal Leak Valve key to indicate Closed.
4. From Pneumatics screen Close the Exhalation Valve.
5. Verify that the barometric pressure reading displayed on the ventilator is within
+/- 3.5% of the analyzer reading.
6. Connect the pneumatic calibration analyzer to the ventilator as shown in the
following illustration.
NOTE
8. Set ventilator pressure values according to the table below and verify that they
correspond to pressure measurements:
NOTE
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Set Pressure to: Verify that analyzer, average Machine, average Proximal and
Exhalation Pressure displays read:
0 cmH2O -1.5 to 1.5 cmH2O
1 cmH2O 0.5 to 1.5 cmH2O
35 cmH2O 32.5 to 38.5 cmH2O
60 cmH2O 54 to 66 cmH2O
The air delivery test verifies the accuracy and function of the compressor.
NOTE
The air delivery test is not performed at barometric pressures below 600.1
mmHg or above 765.3 mmHg. Record the displayed barometric pressure from
the Pneumatics screen and record “N/A” in the air delivery section of the data
sheet.
Required equipment (air delivery):
• Coupling, straight, silicone
• Ball valve
• 22mm connector
• Pressure pick-off port
• 1/8-in. silicon tubing (length A/R)
• Certifier FA Plus analyzer
1. If the ventilator is not already in diagnostic mode, press and hold the Nav-ring
Enter button and turn the ventilator on by pressing the On/Shutdown button on
the user interface. Within 5 seconds release and press the Nav-ring Enter button
again to enter the Diagnostics Menu.
2. Touch Service, then Pneumatics.
3. Disconnect the oxygen source to the ventilator.
4. Connect a ball valve and pneumatic calibration analyzer (Certifier Plus) to the
ventilator, set analyzer gas source to Air and select STP mode (see illustration
below). Take note of the air flow direction on the Certifier high flow module.
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If applicable, set the analyzer flow range to measure at least 100 cmH2O and 230 SLPM.
5. Configure the diagnostic screen as follows:
Diagnostic Screen Settings
Pressure: 0 cmH2O
Flow: 0 SLPM
O2: 21%
Insp. Valve: Open (~32768 counts)
Exh. Valve: Open (~32768 counts)
Internal Leak Valve: Open
Solenoid 1: None
Solenoid 2: Machine Pressure Line
Solenoid 3: Machine Pressure Line
Solenoid 4: Prox Pressure
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The air flow accuracy test verifies the accuracy and function of the air flow sensor and the
function of the internal leak valve.
5. Verify that the set air flow values correspond to the flow measurements:
NOTE
When using the Certifier FA Plus the air delivery/flow accuracy test requires
that the temperatures of the delivered gas and ambient air must be within 10 °C
of each other, and that the relative humidity of the gas must be less than 30% at
21.1 °C.
Most air flow analyzer flow sensors are sensitive to relative humidity and
typically indicate higher-than-actual air flow readings when the relative
humidity is above 10%. Consult the manufacturer’s instructions for correcting
any air flow inaccuracies due to high relative humidity.
Set Flow to: Verify that analyzer and average Air Flow displays read:
10 SLPM 9 to 11 SLPM
120 SLPM 108 to 132 SLPM
6. With the flow still set at 120 SLPM, set the Internal Leak Valve to Open and
verify that the flow reading on the analyzer drops by at least 10 SLPM, but not
more than 30 SLPM.
7. Touch Pressure then Accept to zero the flow setting.
The oxygen flow accuracy test verifies the accuracy of the oxygen flow sensor and function of
the oxygen valve.
Required equipment:
• 22-mm connector
• Pressure pick-off port
• 18-in. smooth-bore tubing
• Proximal pressure line assembly
• Certifier FA Plus analyzer
1. If the ventilator is not already in diagnostic mode, press and hold the Nav-ring
Enter button and turn the ventilator on by pressing the On/Shutdown button on
the user interface. Within 5 seconds release and press the Nav-ring Enter button
again to enter the Diagnostics menu.
2. Touch Service, then Pneumatics.
3. Connect the oxygen source to the ventilator.
4. Connect the pneumatic calibration analyzer to the ventilator, set analyzer gas
source to O2 and select STP mode (see illustration below).
7. Verify that the set oxygen flow values correspond to the flow measurements:
NOTE
Set Flow to: Verify that analyzer and average O2 Flow displays read:
10 SLPM 9 to 11 SLPM
140 SLPM 126 to 154 SLPM
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The oxygen accuracy test verifies the accuracy of the oxygen percentage delivered to the
patient.
Required equipment:
• 22-mm connector
• Pressure pick-off port
• 18-in. smooth-bore tubing (x2)
• Proximal pressure line assembly
• Whisper Swivel
• Ingmar test lung
• Certifier FA Plus analyzer with oxygen sensor
1. Connect a patient circuit, including test lung, Whisper Swivel, and analyzer to the
ventilator (see illustration below).
• Set the analyzer to measure oxygen.
• Set up the test lung with an Rp20 and a compliance of 20.
2. If the ventilator is not already in normal ventilation mode, cycle power to the
ventilator to enter normal ventilation mode.
3. Select New Patient and configure as follows:
• Patient type – Adult: >20kg
• Circuit Type – Single Limb NIV
• Humidity Management – None
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5. Touch Start S/T Mode at the top of screen, or exercise the test lung, to exit
Standby and enter ventilation.
NOTE
The S/T performance test verifies the accuracy of the IPAP and EPAP settings.
Required equipment:
• 22-mm connector
• 18-in. smooth-bore tubing
• Whisper Swivel
• Ingmar test lung
• TTL communications cable
• Certifier FA Plus analyzer
1. Connect a patient circuit, including test lung, Whisper Swivel, TTL cable, and
analyzer to the ventilator (as shown below).
NOTE
The TTL cable connects to the RS-232 port on the rear of the ventilator and to
the Certifier FA Plus HFM.
6. Touch Start S/T Mode at the top of screen, or exercise the test lung, to exit
Standby and enter ventilation.
7. Select these ventilator settings and alarm limits, and reset any alarms if necessary:
8. Configure the ventilator’s patient data window to display the following patient
data monitors; Rate, PIP and PEEP.
NOTE
To configure the patient data window to display the prescribed data monitors
indicated above; touch and hold any one of the nine data monitors currently
displayed for approximately 5 seconds. The ventilator will then temporarily
display a complete list of parameter selections.
While the parameter selection window is open, touch any of the active
monitors currently displayed within the patient data window view then select
the new parameter you wish to monitor in that position from the select new
parameter window.
Once all necessary selections are made, touch Close to close the selections
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10. Watch the waveforms on the ventilator display to verify that the unit cycles
between IPAP and EPAP.
11. Verify that the set IPAP and EPAP values correspond to these measurements:
The VCV/PCV performance test verifies the accuracy of volume and pressure controlled
ventilation.
Required equipment:
• 22-mm connector
• 15mm-22mm adapter
• Circuit tube, 18-in. smooth-bore (x1)
• Dual limb adult patient circuit
• Ingmar test lung (or equivalent)
• TTL communications cable
• Certifier FA Plus analyzer
1. Connect the dual limb adult patient circuit, including test lung, TTL cable, and
analyzer to the ventilator (as shown below)
2. Set analyzer’s gas source to measure Air and select BTPS mode. Take note of the
air flow direction on the Certifier high flow module; position the module so that
the arrow points toward the test lung.
NOTE
When recording the analyzer measurement for VTe (exhaled tidal volume)
during AC-VCV performance testing, do not record the measurement as a
negative value, omit the negative sign from the measurement..
NOTE
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The TTL cable connects to the RS232 port on the rear of the ventilator and to the
Certifier FA Plus HFM.
10. Configure the ventilator's patient data window to display the following patient
data monitors; Rate, VTI, VTE, PIP, PEEP, and O2%.
NOTE
To configure the patient data window to display the prescribed data monitors
indicated above; touch and hold any one of the nine data monitors currently
displayed for approximately 5 seconds. The ventilator will then temporarily
display a complete list of parameter selections.
While the parameter selection window is open, touch any of the active
monitors currently displayed within the patient data window view then select
the new parameter you wish to monitor in that position from the select new
parameter window.
Once all necessary selections are made, touch Close to close the selections
window and return the waveforms graph to the display.
11. Start ventilation and allow the ventilator to operate for at least one minute.
12. Watch the waveforms on the ventilator display to verify that the unit cycles
between inhalation / exhalation and verify the flow waveform is displayed as a square
wave.
13. Verify that the set volume values and PEEP setting correspond to these
measurements:
Select this setting: Verify that Ventilator display and Analyzer VTi , VTe and PEEP
Volume PEEP
VT = 250 mL 225 to 275 mL 4.5 to 5.5 cmH2O
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14. Change the Mode to A/C - PCV, select these ventilator settings and alarm limits,
and reset any alarms if necessary:
15. Watch the waveforms on the ventilator display to verify that the unit cycles
between peak inspiratory pressure and EPAP.
16. Verify that the set PC, PEEP, and O2% values correspond to these measurements:
O2 = 60% 57 to 65%
This test verifies the performance of the remote alarm connector output, alarm volume
adjustment control, and USB-A port output voltage used to drive Philips Approved USB
powered Nebulizers.
Required equipment:
• 22-mm connector
• Pressure pick-off port
• 18-in. smooth-bore tubing
• Proximal pressure line assembly
• Whisper Swivel
• Ingmar test lung
• Certifier FA Plus analyzer
• DMM
• Remote alarm test cable
• Remote alarm test cable adapter
• USB-A Port Power Monitor
1. Connect a patient circuit, including test lung, Whisper Swivel, and analyzer to the
ventilator (as shown below).
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3. If the ventilator is not already in normal ventilation mode, cycle power to the
ventilator to enter normal ventilation mode.
4. Select New Patient and configure as follows:
• Patient Type: Adult: >20kg
• Circuit Type: Dual Limb - Single Limb - INV
• Humidity Management: None
• Mask/Patient Interface: 1
• Exhalation Port: Whisper Swivel
• Verify filters: Press to confirm filters are installed
7. Connect the adapter's double banana plugs to the DMM with the GND tab to the
common jack and set the DMM to measure resistance.
8. Connect the grey RCA plug (labelled TIP) of the remote alarm test cable to the
adapter.
9. Plug the ¼ - in. phono connector into the remote alarm phono jack at the back of
the ventilator.
10. Reset any alarms if necessary and verify that the DMM reads infinite resistance
(open circuit).
11. Remove the grey RCA plug from the adapter and connect the orange RCA plug
(labelled RING) in its place.
12. Reset any alarms if necessary, and verify that the DMM reads 0.0 + 3 ohms.
13. Disconnect the proximal line from the ventilator to create a Proximal Pressure
Line Disconnect alarm.
14. Touch Menu, then Loudness, and verify that the audible alarm is still audible
when set to 1 and steadily becomes louder as the value increases to 10.
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15. Verify that the DMM reads infinite resistance (open circuit).
16. Remove the orange RCA plug from the adapter and connect the grey RCA plug
(labelled TIP) in its place.
21. Verify that the ventilator's USB-A port measures an output between 4.80 to 5.20
Vdc.
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Required equipment:
• 0.25-in. test adapter.
NOTE
• Do not conduct this test without the internal battery being installed.
• The internal battery should be fully charged before performing this test.
• If the internal battery is not fully charged, this test may fail.
• Record a failing result of this test as Limited Use on the Performance
Verification Data Form until the internal battery is charged and internal
battery test passes.
1. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the On/Shutdown button on
the user interface. Within 5 seconds, release and press the Nav-ring Enter button
again to enter the Diagnostic menu.
2. Unplug the AC power cord and verify that ventilator operation continues
uninterrupted.
3. Touch Service and then Pneumatics, wait a minimum of 3 minutes and then
verify that the Battery Volts on the diagnostic screen is > 15.0 VDC and the
Battery Amp is -1.00A ± 0.5A.
4. Verify that nothing is attached to the gas outlet port.
5. Touch Pressure and set the pressure to 10 cmH2O.
6. Allow ventilator to run a minimum of 20 minutes on battery power, then verify
that the Battery Volts on the diagnostic screen is > 14.0 VDC and the Battery Amp
is -5.00A ± 1.00A.
7. Press the On/Shutdown button to turn ventilator power off.
8. With AC still disconnected, connect a 0.25-in. test adapter to the gas outlet port
and turn the ventilator on in normal ventilation mode.
9. Verify that the ventilator operates in normal ventilation, the message Running
on Internal Battery is displayed in the Alert window, the Battery In Use icon is
displayed, and the Battery Low alarm is off.
10. Reconnect the AC power cord. Verify that ventilator operation is uninterrupted,
the AC icon is displayed, and the Battery icon turns off.
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11. Verify that the Battery Charging LED begins flashing within 30 seconds.
12. Turn the ventilator off and remove the test adapter.
5. Connect a 0.25-in. test adapter to the gas outlet port, running a short piece of
tubing from the adapters pressure tap fitting to the proximal pressure connector
of the ventilator. Silence any active alarms.
6. Next, disconnect the test adapter tube from the proximal pressure connector
and verify the ventilator alarms and displays the high-priority alarm message
“Proximal Pressure Line Disconnected or Occluded”.
7. Reconnect the tube back to the proximal pressure connector of the ventilator
and verify the alarm condition auto-resets and that the message updates to
indicate a strike-through of its text.
8. Next, disconnect the test adapter from the gas outlet port and verify the
ventilator alarms and displays the high priority alarm message “Patient
Disconnect”.
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9. Reconnect the test adapter to the gas outlet port and verify the alarm condition
auto-resets and that the message updates to indicate a strike-through of its text.
Confirmation that the ventilator alarms for Proximal Pressure Line and Patient disconnects is
complete.
10. Remove all test equipment, tools, and materials from the ventilator and place
the ventilator into Diagnostics mode.
To place the ventilator into diagnostic mode: power up the ventilator: press and hold the Nav-
ring Enter button and the On/Shutdown button on the user interface. Within 5 seconds of
power up, release and press the Nav-ring Enter button to enter the Diagnostics menu.
11. Touch System Setting, then Date/Time and verify that the date and time are
correct.
12. Connect the 25-pin to 9-pin HIS/EMR null modem serial cable between the
ventilator COM port and the Service PC.
13. Launch Tera-Term to enable communication with the ventilator.
14. Type the following command (all capital letters) into the terminal dialog box, and
press Enter to clear the diagnostics log.
#CLRLOG
15. When the diagnostic log has been successfully cleared, the terminal dialog box
displays:
?CLRLOGOK
16. Type the following command (all capital letters) into the terminal dialog box and
press Enter:
DRPT
17. Confirm the contents of the original event log had cleared, and that the Date/
Time stamp of current log entry is accurate. The content of the event log should
only list code 2004 “Cleared Event Log”.
18. Remove the null modem serial cable from the ventilator.
19. Touch System Settings, and then Restore Default Settings.
20. Turn ventilator OFF
21. This concludes preparing the ventilator for its return to user operation.
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Perform the repair procedures in the order listed until the problem is resolved. (See
“Component Removal and Installation” on page 199 for component replacement procedures.)
CAUTION
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Test 4: Controls
Symptom Recommended Repair
Touch screen not 1. Calibrate the touch screen.
responding properly 2. Slave in a different user interface-to-PM PCBA cable, and
replace the original cable if the problem is resolved.
3. Replace the PM PCBA.
4. Replace the CPU PCBA.
Nav-ring not 1. Verify connections between the Nav-ring and the switch PCBA.
responding properly 2. Slave in a different switch PCBA cable, and replace the original
cable if the problem is resolved.
3. Replace the Nav-ring assembly.
On/Shutdown switch 1. Verify connections between power switch overlay and UI
not responding PCBA.
properly 2. Slave in a different power switch overlay and replace original
overlay if this resolves the problem.
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CUSTOMER INFORMATION
Name:
Address:
City/State:
Account no.:
Reconnect test adapter to the Gas Outlet port and the alarm
PASS FAIL
condition resets; alarm message is struck-out.
Clear diagnostics event log and confirm Event Log is cleared PASS FAIL
Technician’s Signature:
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CUSTOMER INFORMATION
Name:
Address:
City/State:
Account no.:
Test 2: Leak Tests Pass value Fail value Value after repair
Threshold cmH2O
Threshold cmH2O
ON/Shutdown LED
Enter button PASS FAIL PASS FAIL
amber
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Test 5: Pressure Accuracy Pass value Fail value Value after repair
Barometric pressure
Pressure at 0 cmH2O
Pressure at 1 cmH2O
Pressure at 35 cmH2O
Pressure at 60 cmH2O
Test 5: Pressure Accuracy Pass value Fail value Value after repair
Test 6: Air Delivery Pass value Fail value Value after repair
Air delivery
Test 7: Flow Accuracy Pass value Fail value Value after repair
Test 8: Oxygen Flow Accuracy Pass value Fail value Value after repair
Test 9: Oxygen Accuracy Pass value Fail value Value after repair
Test 10: S/T Performance Pass value Fail value Value after repair
Waveform
IPAP at 40 cmH2O
EPAP at 25 cmH2O
Test 11: VCV / PCV Performance Pass Value Fail Value Value after
repair
Mode: A/C VCV
Waveform
Pressure cycles between Inhalation and Exhalation Pass Fail
Flow Waveform graph displayed as
Pass Fail
a square wave
Inhalation/Exhalation Volumes at 250 ml
Analyzer Vti display = 225 - 275 ml ml ml ml
Ventilator Patient Data Vti display = 225 - 275 ml ml ml ml
Analyzer Vte display = 225 - 275 ml ml ml ml
Ventilator Patient Data Vte display = 225 - 275 ml ml ml ml
Analyzer PEEP display = 4.5 - 5.5 cmH2O cmH2O cmH2O cmH2O
Ventilator PEEP Display = 4.5 - 5.5 cmH2O cmH2O cmH2O cmH2O
Inhalation/Exhalation Volumes at 500 ml
Analyzer Vti display = 450 - 550 ml ml ml ml
Ventilator Patient Data Vti display = 450 - 550 ml ml ml ml
Analyzer Vte display = 450 - 550 ml ml ml ml
Ventilator Patient Data Vte display = 450 - 550 ml ml ml ml
Analyzer PEEP display = 4.5 - 5.5 cmH2O cmH2O cmH2O cmH2O
Ventilator PEEP Display = 4.5 - 5.5 cmH2O cmH2O cmH2O cmH2O
Inhalation/Exhalation Volumes at 1000 ml
Analyzer Vti display = 900 - 1100 ml ml ml ml
Ventilator Patient Data Vti display = 900 - 1100 ml ml ml ml
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Test 11: VCV / PCV Performance Pass Value Fail Value Value after
repair
Ventilator PEEP Display = 4.5 - 5.5 cmH2O cmH2O cmH2O cmH2O
Mode: A/C PCV
Waveform
Pressure cycles between IPAP and EPAP Pass Fail
Analyzer pressure PIP reading = 31.5 - 38.5 cmH2O cmH2O cmH2O cmH2O
Ventilator Patient Data PIP display = 31.5 - 38.5
cmH2O cmH2O cmH2O
cmH2O
Analyzer PEEP Display = 9 - 11 cmH2O cmH2O cmH2O cmH2O
Ventilator PEEP Display = 9 - 11 cmH2O cmH2O cmH2O cmH2O
Analyzer O2% Display = 55 - 65% % % %
Ventilator O2% Display = 55 - 65% % % %
DMM to remote alarm test cable reads infinite resistance with PASS FAIL
no alarm
CPU USB-A Port Voltage Pass value Fail value Value after repair
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Wait a minimum of 3 minutes and verify Pass value Fail value Value after repair
Wait a minimum of 20 min and verify: Pass value Fail value Value after repair
(Internal battery is not fully charged if Battery Low message is displayed during normal operation on AC
power: performance verification result is LIMITED USE.)
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Reconnect test adapter to the Gas Outlet port and the alarm
PASS FAIL
condition resets; alarm message is struck-out.
Clear diagnostics event log and confirm Event Log is cleared PASS FAIL
* LIMITED USE indicates that the internal battery operational check failed: recommend that the operator
connect the ventilator to AC power for at least 5 hours, then verify battery performance.
Technician’s Signature:
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CAUTION
• Use only Respironics ventilator repair parts. Only Respironics parts are
designed for use in the Respironics V680 Ventilator. Using non-
Respironics parts can alter ventilator reliability or result in damage, and
affects the product warranty.
• For parts availability contact Philips Product Support at 1-800-722-9377,
Directory Option 3, Option 1 (U.S.A.) or outside the U.S.A. contact our
local dealer or Philips representative).
NOTE
All repair kits include the hardware necessary for installation of the kit parts.
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Respi-Link
Respi-Link is a program used to deliver software updates and options from an Internet
database to user devices such as ventilators and cardiac output measurement equipment.
The following best practice measures can assist in strengthening an organization’s security
posture when implementing the Respi-Link solution:
• Physical Security – Secure the Respi-Link workstation’s location with physical system
access controls; for example, implement locks, cameras, keycards, sensors, etc., in the
labs containing the Respi-Link workstations.
• Operational Security
• Password-protect BIOS
• Disallow booting from external drives in the boot order
• Disable unused I/O device interfaces
• Disable unused services and ports
• Limit access to the Respi-Link workstation. Only authorized personnel should have
access.
• Ensure that the disk drives containing the software are properly secured
• Enforce proper change management procedures
• Network segmentation based on data classification
• Procedural Security - Ensure that proper department procedures are implemented that
allow Respi-Link access only to authorized and trained personnel; for example, define
role-access for each user, prohibit authentication credential sharing, require passwords
for each account, lock unattended workstations, develop termination checklists, perform
risk management (risk assessments and mitigation of identified risks), etc.
• Security Policies - Ensure that the system service documentation and media are securely
stored, and that systems adhere to organizational security policies.
• Provide system use training and security awareness instruction prior to use
• Implement Data Loss and Data Compromise contingency planning
NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
1. Turn on the PC and verify that the Gateway interface is running by double-
clicking on Start Auto Respi-Link Gateway in the Respi-Link folder on your
desktop.
2. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the
On/Shutdown button on the user interface. Within 5 seconds, release and press
the Nav-ring Enter button again to enter Diagnostic mode.
3. Connect a standard 9-pin male-female RS-232 null modem cable and 9-pin to 25-
pin female-male adapter between the PC serial port and the ventilator.
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5. Verify that the serial number on the Gateway Interface screen matches the serial
number on the ventilator.
6. Click Install to continue, Finish to discard the package or Exit to install the
package at a later date.
7. When the confirmation screen appears, click Yes to continue the software
installation or No to exit.
8. When the installation program screen appears, place the ventilator in software
download mode by touching Service, Misc, then Download mode.
10. Select the serial port that the ventilator is connected to.
12. The updater image download starts and a progress bar is displayed.
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13. When the updater image download is complete the ventilator image download
starts automatically.
15. Remove the null modem cable and adapter from the ventilator.
16. Turn the ventilator off by pressing and holding the On/Shutdown button on the
user interface.
NOTE
Before powering off the ventilator, verify that the null modem cable is not
connected. If the null modem cable is already connected when you power on
the ventilator, the ventilator and PC will not communicate. In such a case,
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disconnect the cable from the ventilator, switch off ventilator power, and
remove all power sources (AC and battery) from the ventilator. Reconnect and
switch on ventilator power.
17. Enter Diagnostic mode by pressing and holding the Nav-ring Enter button and
turning on the ventilator by pressing the On/Shutdown button on the user
interface. Within 5 seconds, press the Nav-ring Enter button again to enter
Diagnostic mode.
18. Connect a standard 9-pin male-female RS-232 null modem cable and 9-pin to 25-
pin female-male adapter between the PC serial port and the ventilator.
19. Touch Service and verify that the Software Version is the same as the version
listed on the Gateway Interface screen.
20. Click Query on the Gateway Interface screen to display query results.
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21. Click Finish on the Gateway Interface screen to send confirmation to Respi-Link
that the software installation was successful.
NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
2. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the On/Shutdown button on
the user interface. Within 5 seconds, release and press the Nav-ring Enter button
again to enter Diagnostic mode.
3. Connect a standard 9-pin male-female RS-232 null modem cable and 9-pin to 25-
pin female-male adapter between the PC serial port and the ventilator.
5. Verify that the serial number on the Gateway Interface screen matches the serial
number on the ventilator.
6. Click Install to continue, Finish to discard the package, or Exit to install the
package at a later date.
8. Touch Misc, then touch Vent Info, and verify that the Software Options are the
same as the options listed on the Gateway Interface screen.
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10. Click Finish on the Gateway Interface screen to send confirmation to Respi-Link
that the option installation was successful.
NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
2. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the On/Shutdown button on
the user interface. Within 5 seconds, release and press the Nav-ring Enter button
again to enter Diagnostic mode.
3. Connect a standard 9-pin male-female RS-232 null modem cable and 9-pin to 25-
pin female-male adapter between the PC serial port and the ventilator.
4. Double click on the Gateway Interface icon to re-launch the install screen.
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Remote Troubleshooting
Follow these steps to connect the ventilator to Respi-Link and prepare for remote
troubleshooting.
NOTE
Do not connect the null modem cable until instructed to do so. If the null
modem cable is already connected when you power on the ventilator, the
ventilator and PC will not communicate. In such a case, disconnect the cable
from the ventilator, switch off ventilator power, and remove all power sources
(AC and battery) from the ventilator. Reconnect and switch on ventilator power,
then reconnect the null modem cable to the ventilator.
2. If the ventilator is not already in Diagnostic mode, press and hold the Nav-ring
Enter button and turn on the ventilator by pressing the
On/Shutdown button on the user interface. Within 5 seconds, press the Nav-ring
Enter button again to enter Diagnostic mode.
4. Connect a standard 9-pin male-female RS-232 null modem cable and 9-pin to 25-
pin female-male adapter between the PC serial port and the ventilator.
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Glossary
A
Ampere, a unit of current.
AC
Alternating current.
A/C-PCV mode
A dual-limb ventilation mode. Assist/Control - Pressure Control Ventilation
A/C-VCV mode
A dual-limb ventilation mode. Assist/Control - Volume Control Ventilation
Alarm Silence button
Silences alarm sound for 2 minutes.
Apnea Ventilation
Available only in spontaneous breathing modes. Apnea ventilation can be set to either
VCV or PCV, and will tell the ventilator which modes to adopt in case an apnea
condition occurs.
Assist indicator
Denotes patient-triggered (assisted) breathing.
Auto-Trak Sensitivity
A Respironics innovation in triggering and cycling that utilizes several different
methods to provide enhanced sensitivity in the presence of leaks and changing
breathing patterns.
AVAPS+
Average volume-assured pressure support. A ventilation mode in which pressure
support is automatically adjusted to maintain the user-defined target tidal volume.
AVAPS+ Maximum IPAP Pressure
See Max P.
AVAPS+ Minimum IPAP Pressure
See Min P.
AVAPS+ Target Tidal Volume
See VT.
Average volume-assured pressure support
See AVAPS+.
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B
Baseline
As in baseline pressure. The pressure at end exhalation.
BPM
Breaths per minute.
BTPS
Body temperature (98 °F, ambient pressure), 100% saturated (with water vapor).
C
C&R
Compliance and resistance
C-Flex
A setting in CPAP mode, which enhances traditional CPAP by reducing the pressure at
the start of exhalation.
cmH2O
Centimeters of water, a unit of pressure measurement.
Compliance
A measure of the ease of expansion of the lungs determined by volume and elasticity.
High compliance indicates a loss of elasticity of the lungs.
Continuous positive airway pressure
See CPAP.
CPAP
Continuous positive airway pressure. A ventilation mode that provides a single,
continuous level of positive pressure to the patient and a control setting in that mode.
Cycle
To end inspiration.
D
dB(A)
Decibel, a unit of acoustic power.
DISS
Diameter index safety standard, a standard for high-pressure gas inlet fittings.
Dyn C
Dynamic compliance
Dyn R
Dynamic resistance
Dyn Re
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Dyn Pplat
Dynamic pressure plateau
E
E-Cycle (Expiratory Cycle Sensitivity)
A control setting in Auto-Trak+. It determines the threshold at which the ventilator will
transition from inspiration to exhalation.
Elast.
See Elastance.
Elastance
The elastic opposition to ventilation or the tendency of the lungs to resist inflation
(elastance is the reciprocal of compliance).
EPAP
Expiratory positive airway pressure. A control setting. The application and
maintenance of pressure above atmospheric at the airway throughout the expiratory
phase of positive-pressure mechanical ventilation.
Estimated exhaled tidal volume
See VT.
Estimated minute ventilation
•.
See VE
H
HIP
High Inspiratory Pressure Alarm, an alarm setting.
Hi Rate
High Rate Alarm, an alarm setting.
Hi VT
High Tidal Volume Alarm, an alarm setting.
HME
Heat moisture exchanger
hPa
Hectopascal, a unit of pressure measurement. 1 hPa is equal to 1 mbar, which is
approximately equal to 1 cmH2O.
Hz
Hertz. Rear panel of ventilator.
I
ID
Inner diameter.
IEC
International Electrotechnical Commission.
I:E ratio
Ratio of inspiratory to expiratory time.
Inop
Inoperative.
Inspiration:exhalation ratio
See I:E ratio.
Inspiratory positive airway pressure
See IPAP.
Inspiratory time
See I-Time.
Inspiratory duty cycle
See TI/TTOT.
Intentional leakage
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IPAP
Inspiratory positive airway pressure. A control setting. The application and
maintenance of pressure above atmospheric at the airway throughout the inspiration
phase of positive-pressure mechanical ventilation.
IPX1
classification of water protection. Rear panel of ventilator.
ISO
International Organization for Standardization, a worldwide federation of national
standards bodies.
I-Time
Inspiratory time. The duration of inspiration during mechanical ventilation.
K
kPa
Kilo-pascals. A unit of measurement. Rear panel of ventilator, O2 port label.
L
L
Liter.
LCD
Liquid crystal display.
LED
Light-emitting diode.
Limit
To prevent from exceeding a specified maximum value during a breath.
LIP
Low Inspiratory Pressure Alarm, an alarm setting.
Lo Rate
Low Rate Alarm, an alarm setting.
•
Lo VE
Low Minute Ventilation Alarm, an alarm setting.
Lo VT
Low Tidal Volume Alarm, an alarm setting.
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M
Mand indicator
Denotes machine, time-triggered (mandatory) breathing.
Mandatory breath
A breath for which either the timing or volume is controlled by the ventilator. That is,
the machine triggers and/or cycles the breath.
Max E
Maximum elastance (volume assist). A control setting in PPV.
Max P
AVAPS+ Maximum IPAP Pressure. A control setting in AVAPS+.
Max P
Maximum Pressure. See PPV Maximum Pressure Limit.
Max R
Maximum resistance (flow assist). A control setting in PPV.
Max V
Maximum Volume. See PPV Maximum Volume Limit.
Min P
AVAPS+ Minimum IPAP Pressure. A control setting in AVAPS+.
MIP
Maximum inspiratory pressure
mL
Milliliter.
mm
Millimeter.
N
Noninvasive
Pertaining to a diagnostic or therapeutic technique that does not require the skin to
be broken or a cavity or organ of the body to be entered. Mechanical ventilation via
mask, nasal prongs, or mouthpiece.
O
O2
Oxygen (concentration). A control setting.
OD
Outer diameter.
PC
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Pressure control
PCBA
Printed Circuit Board Assembly
PCV
Pressure-controlled ventilation. A ventilation mode that provides mandatory and
spontaneous breaths with a set frequency, pressure, and inspiratory time.
Peak inspiratory pressure
See PIP.
Percentage of patient-triggered breaths
See Pt. Trig.
PIP
Peak inspiratory pressure. The peak pressure for the previous inspiration.
Pplat
See pressure plateau.
PPV %
A control setting in PPV. The percent of proportional pressure ventilation supplied by
the ventilator.
PPV
Proportional pressure ventilation. A ventilation mode that delivers a pressure-
controlled breath in proportion to the patient’s effort. The ventilator responds to
patient instantaneous efforts, allowing the patient to determine when to start and
end a breath, and how flow and pressure change as the patient breathes
spontaneously.
PPV Maximum Pressure Limit (Max P)
A control setting in PPV.
PPV Maximum Volume Limit (Max V)
A control setting in PPV.
Pressure-controlled ventilation
See PCV.
Pressure plateau
The pressure applied during positive pressure ventilation to the small airways and
alveoli.
Pressure-supported breath
A patient-triggered, pressure-targeted breath.
PRVC
Pressure-regulated volume control. A mode in which pressure-targeted breaths are
delivered based on the set VT.
PS
Pressure support
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psi
Pounds per square inch.
psig
Pounds per square inch gauge (above atmospheric pressure).
Proportional pressure ventilation
See PPV.
PSV
Pressure supported ventilation using CPAP (continuous positive airway pressure).
Pt. Leak
The leak resulting from leaks around the mask or from unintentional leaks in the
circuit. A monitored parameter shown when the intentional leak is known.
Pt. Trig
Percentage of patient-triggered breaths. Patient-initiated breaths as a percentage of
total breaths during the last 15 minutes.
R
Ramp
Can be used to allow the patient to become accustomed to respiratory ventilatory
therapy over time. Ramp will allow the pressure to linearly increase over a user-set
period.
Rate (Respiratory Rate)
Respiratory frequency, a control setting and monitored parameter.
Resist.
See Resistance
Resistance
The pressure drop across a pneumatic device (i.e., bacteria filter, patient circuit
tubing) for a unit of flow when the volume of the device remains constant, i.e.,
cmH2O/mL/s.
Respiratory Rate (Rate)
Respiratory frequency, a control setting.
Rise Time (Rise)
The time required for a pressure-supported or pressure-controlled breath to reach its
target pressure, a control setting.
RS-232
Serial data communications protocol.
RSBI
Rapid shallow breathing index. Also known as f/Vt.
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S
SIMV-PCV
Synchronous intermittent mandatory ventilation - pressure control ventilation.
SIMV-VCV
Synchronous intermittent mandatory ventilation - volume control ventilation.
SLPM
Standard liters per minute. Rear panel of ventilator, O2 port label.
Spont indicator
Denotes patient-initiated breathing.
Spontaneous breath
A breath for which both the timing and volume are controlled by the patient. That is,
the patient both triggers and cycles the breath.
Spontaneous/timed mode
See S/T mode.
S/T mode
Spontaneous/timed mode. A pressure support ventilation mode that ensures patients
receive a minimum number of breaths per minute if their spontaneous breathing rate
drops below the respiratory rate setting.
Standby
Suspends ventilation and retains current settings when the clinician wants to
temporarily disconnect the patient from the ventilator.
Support indicator
Denotes patient-triggered (pressure-supported) breathing.
T
Te
Expiratory time
Time Trigger
Initiation of inspiration by the ventilator according to the Respiratory Rate setting.
TI/TTOT
Inspiratory duty cycle. Inspiratory time divided by total cycle time, averaged over 8
breaths, a monitored parameter.
Tot.Leak
Estimated total leak, both intentional and unintentional. A monitored parameter
shown when the mask leak and type of exhalation port are not known.
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Trigger
To begin inspiration.
Trigger
Trigger Sensitivity, a control setting in Auto-Trak+.
Trigger Sensitivity
See Trigger.
U
Unintentional leakage
Unpredictable leakage that cannot be quantified.
USB
Universal serial bus. Rear panel of ventilator.
V
V
Volt, a unit of electrical potential or volume.
•
V
Flow.
VA
Volts AC (alternating current). Rear panel of ventilator.
•
VE
Estimated minute ventilation. The product of tidal volume (spontaneous and timed)
and rate (spontaneous and timed), a monitored parameter.
VT
Estimated exhaled tidal volume, a monitored parameter and AVAPS+ Target Tidal
Volume, a control setting in AVAPS+ mode.
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Index
Numerics Connector
3-Way Output Boot, description 76 oxygen inlet, location 28
RS-232 serial and analog I/O, location 28
Control settings, ranges, resolutions, and accuracies
A 32, 34
AC power 42 Controls (Test 3) 301
Acoustic noise specifications 44 Cooling fan filter. See Filter, cooling fan
Active Controls by Mode, Dual Limb 34 CPU PCBA, description 82
Active Controls by Mode, Single limb 33 CPU PCBA, replacement 240
air (inspiratory hold) valve 74
Air Delivery/Flow Accuracy (Test 5) 306 D
Air Flow Sensor, description 76
Air Inlet Filter Cover, location 27 Data Acquisition (DA) PCBA
Air Inlet Filter, description 75 description 84
Air Inlet Manifold, description 76 replacement 255
Air Inlet, description 75 Data Form 343, 345
Air Valve 246 Date and Time, setting 111
Alarm LED, description 26 Date/Time 109
Alarm subsystem, description 82 DB-25 connector, description 82
Alarms 37 Default Settings, restoring 112
Alarms (Test 9) 318 Definitions 377–386
Attention 9 Definitions, Safety notices 15
Averaging Setup Menu 285 Description, physical 24
Diagnostic Mode 40, 107, 108
Diagnostic Mode Functions 40, 107
B Diagnostic Report (DRPTA) 160
Backlight Inverter PCBA, replacement 266 Diagnostics Menu 101, 108
Barometric Pressure Compensation Table 308, 349 Diagram, Barrier Insulation / Isolation 92
Barometric Pressure Transducer, description 77 Diagram, Electrical Interface 91
Battery Compartment Cover, removal 200 Diagram, Electrical/Pneumatic System 89
Battery, Backup 29 Diagram, System Wiring 90
Battery, backup Diagram, V680, Block 93
location 28 Diagram, V680, Detailed Block 94
specifications 42 Diagrams, System 89
Battery, installation / removal 203 Dimensions, ventilator 41
Baud Rate 109 Disconnecting All Power 202
Baud Rate, set 115 Disposal 105
Bottom Feet, replacement 267 Download Mode 126
Breathing circuit specifications 43 Downloading Ventilator Software 165
DRPTA 102, 160
Dual Limb Control Settings 33
C
Calibration Analyzer 283
E
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G M
Gas Delivery Subsystem (GDS), replacement 244 Machine and Proximal Pressure Transducers,
Gas Outlet Port, replacement 233 description 77
Glossary 377–386 Manifold Assembly, description 78
Graphical User Interface (GUI) 29 Measurement Selection Screen 283
Ground 11 Menu Window 39
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Power Supply
description 81 Serial and analog I/O connector 82
replacement 239 Serial Communications Port Pinout 83
Serial Interface 149
Service Accessories 279