ReVel user guide - tmedin

1 ReVel user guide . Critical care ventilation Table of contents ReVel ventilator ..1 4 LED display 26. Operational 5 7 High pressure oxygen (O2) Low pressure O2 Alarm configuration in Advanced Power Features External power Lower interface 31. Battery pack Patient Battery pack Set applicable Advanced 35. Low pressure O2 blending flow Advanced Features 40. Required O2 input flow PalmTop Docking Delivered O2 concentration Docking station 45. 19 Docking station 47. Ventilator 21 Ventilator (Communication Status)..48. Front FiO2 sensor Displays and FiO2 monitoring Airway pressure FiO2 sensor 55. ReVel ventilator Front A. Alarm sounder ports B. LED front panel A. ReVel C. Lower interface panel $LUZD\ 3 UHVVXUH FP+ 2.

2 D. Pulse oximeter panel 6 HOHFW ([LW. (optional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eVel ventilator Left side A.)))))))))]]

3 Cooling fan filter B. Battery eject latch C. Air inlet filter D. O2 connection E. Battery pack A B C. O2. 180 Ipm Max. LPS 21-100%. <10 PSI 40-88 PSI. <.69 BAR BAR. <69 kPa 276-607 kPa E D. 2. ReVel ventilator Back A. Docking station interface connector B. B. Battery release button C. Battery pack A C. D. Docking station mounting recesses (2). D. 3. ReVel ventilator Right side A. Safety valve openings F. FiO2 port B. Inspiratory port G. Exhaust port C. Exhalation drive line port H. Power port D. Sense line ports E. Oximetry port (SpO2 ). E F G. SpO2 FIO2 11-16V. A. H. B C D. 4. Operational set-up To connect the circuit: 1. Connect the inspiratory limb of the patient circuit to the inspiratory port. 2. Connect the exhalation valve drive line of the patient circuit to the exhalation drive line port (hose barb).

4 3. Connect the patient circuit wye sense lines (2, each with non-interchangeable luer fittings) to the sense line ports. 5. Operational set-up A. Safety valve openings (do not cover). B. Inspiratory port C. Exhalation valve drive line port D. Sense line ports E. Right side of ReVel ventilator C D. B. F. Low side sense line (upper connection). G. High side sense line (lower connection) E. H. Exhalation valve drive line I. Inspiratory limb of patient circuit F. A. G. H. I. 6. Operational set-up Example of ReVel patient circuit A. Luer fittings F. Sense line connections (do not remove). B. Inspiratory limb G. Expiratory limb C. High and low pressure sense lines H. Expiratory valve D. Wye I. Exhalation drive line E.

5 Patient connection port B. A C D TO PATIENT. TO VENTILATOR. E. I H G F. 7. High pressure O2 connection To attach a high pressure O2 source, connect an O2 hose (B) to the O2 inlet (D) fitting labeled O2.. A. Left side of ReVel ventilator B. O2 inlet C. O2 inlet cap D. High pressure O2 hose/fitting O2. A. 180 Ipm Max. LPS 21-100%. <10 PSI 40-88 PSI. <.69 BAR BAR. B <69 kPa 276-607 kPa D. C. 8. Low pressure O2 connection To attach a low pressure (less than 10 psig) O2 source such as a flowmeter: 1. Attach a low pressure adapter (D) to the O2 inlet. 2. Attach the O2 supply hose (E) to the hose barb on the adapter. 3. Set the O2 control on the front panel to LPS. A. Left side of ReVel ventilator O2. B. O2 inlet A.

6 C. O2 inlet cap LPS. 180 Ipm Max. 21-100%. <10 PSI 40-88 PSI. B. <.69 BAR BAR. <69 kPa 276-607 kPa D. Low pressure DISS adapter E. Low pressure E. O2 hose D C. 9. Power up The connector is keyed to fit in only one direction A. Red triangle and snaps (locks) into place when properly B. DC power port inserted. To connect to external power: C. Right side of ReVel ventilator 1. Align the external power connector with the red dot oriented as shown on page 11. D. Red dot 2. Insert the connector directly into the power E. Power cable port. The DC power port is labeled with F. Knurled sleeve 11 16V and a red triangle. C. 3. Connect the external power cable to a valid B. external power source. D. E. A. F. B. 10. External power disconnection To disconnect external power: 1.

7 Grasp the knurled sleeve of the connector (B). A. Red dot 2. Pull it away from the ventilator (B). A B. Knurled sleeve To AC power source B. Power cord (-001 shown) Status light AC adapter DC connector to ventilator Lock strap AC receptacle Knurled sleeve Lock strap screw 11. Battery pack installation To install the battery pack: 1. Position and orient the battery pack (C). 2. Insert it directly into the battery pack slot. The battery snaps (locks) into place when fully inserted. An audible signal sounds when the ventilator acknowledges the battery. A. Left side of ReVel ventilator B. Eject latch C. Battery pack B. D. Release button (bottom side of battery). A. C. D. 12. Battery pack removal To remove the battery pack: 1.

8 Push the eject latch up to partially eject the battery. 2. Press the release latch. 3. Pull the battery completely out of the battery slot. WARNING: When changing power sources, the ventilator runs off the internal transition battery. This is a short-duration power source, intended to power the ventilator for up to ONE MINUTE ONLY. 13. Low pressure O2 blending flow set-up Use one of the three following charts and the accompanying instructions to determine the required low pressure O2 flow setting to deliver the desired FiO2: Bias Flow = 10 lpm Bias Flow = 5 lpm Bias Flow = 3 lpm 30 30 30. 20. 18. 25 25 25. 16 20. 20. 14 18. 20 18. 20 20 16. 12 16. 14 Input Input 10 Input 14. 12 O2 Flow 15. O2 Flow 15 8 VE O2 Flow 15 VE 12 VE.

9 (lpm) (lpm) 10 (lpm). 6 10. 8. 4 10 8. 10 3 10 6. 2 4 6. 1 3 4. 5 2 5 3. 5 1 2. 1. 0 0. 0 .21 .30 .40 .50 .60 .70 .80 .90 .21 .30 .40 .50 .60 .70 .80 .90 .21 .30 .40 .50 .60 .70 .80 .90 FiO2 FiO2. FiO2. 14. Required O2 input flow determination To determine the required O2 input flow: 30. 25. 1. Select the appropriate chart based on 20 Ve the Bias Flow setting. When Leak Input O2 Flow 15. Compensation is on, the patient leak (lpm) Applicable Ve 10. should be added to the Bias Flow value. 5 X. 2. Identify the desired FiO2 (bottom of chart). 0..21 .30 .40 .50 .60 .70 .80 .90 FiO2. 3. Calculate the patient's Minute Volume (Ve). rate by using the formula: Tidal Volume x Example: To determine the required O2 input flow (as a multiplier) Breath Rate.

10 Locate the Minute Volume reading (right side of chart). 4. Follow the vertical FiO2 line up to the applicable slanted Ve line. 5. From where #3 and #4 intersect, read across horizontally to the left side of chart to the required Input O2 Flow (L/min). 15. Delivered O2 concentration determination To determine the delivered O2 concentration: 30. 1. Select the appropriate chart based 25. 20. on the Bias Flow setting. When Leak Input Ve O2 Flow 15. Compensation is on, the patient leak (lpm). X. Applicable Ve 10. should be added to the Bias Flow value. 5. 2. Find the Input O2 Flow (left side of chart). 0..21 .30 .40 .50 .60 .70 .80 .90 FiO2. 3. Follow the Input O2 Flow across Example: To determine the delivered horizontally to the right side of the O2 concentration chart to the applicable slanted Ve line.