Respironics BiPAP S Manual de usuario

BiPAP

System

Service

Manual

For

Models

S/T,

S-D,

and

S/T-D

(SN

RESPIRONICS

INC“

BiPAP

systems

are

the

subject

U.S.

Patents

#5148802,

#523995,#5313937,

#5433193,

Canadian

Patent

#2,024,477,

European

Patent

#EP0425092,

German

Patent

#69021681.5-08,

and

other

pending

U.S.

and

foreign

patents.

BiPAP

is a

registered

trademark

Respironics,

Inc.

Reorder

332204

Revision

1006389

1997,

Respironics,

Inc.

All

rights

reserved.

Jable

Contents

Chapter

Warnings,

Cautions,

and

Notes

1.1

Wamings

........

inn

iii

1-1

1.2

Cautions

1-3

1.3

Мо{е$

.....

iiiiieieee

rece

rovere

riceve

ceeee

venice

nie

zizi

eee

cene

eee

cene

secco

eee

cene

sese

iero

iene

zei

1-3

Chapter

BiPAP

System

2.1

Identifying

the

BiPAP

System

Unit..........

2-1

2.2

BiPAP

System

Specifications

Ree

2-3

2.3

System

Description...............

eee

msesemasenessenenenanan

2-6

2.4

System

Components

.ee

2-7

Chapter

Controls

and

Set-up

3.1

Controls

ОИ

3-1

3.1.1

Front

Pame]

.et

3-1

3.1.2

Rear

Panel

Controls

3-2

3.2

Setting

the

BiPAP

System

ersen

3-5

3.3

Detachable

Control

Panel

(DCP)

(Optional)

iii

3-8

3.4

DCP

Set-Up

iii

3-9

Chapter

Maintenance

4.1

Maintenance

Schedule.

4-1

4.2

Maintenance

Procedures...............

iii

4-3

4.2.1

Recording

the

Hours

the

Time

Meter.

iii

4-3

4.2.2

Verifying

theVoltage

Selector

Switch

Setting

..............

iii

4-3

4.2.3

Changing

the

Fuses

4-3

4.2.4

Test

Unit

Control

Functions.

eine

cei

einen

4-4

4.2.5

Notes

Maintenance

Procedures

ss.

nenene

4-4

4.2.6

Cleanming

theBiPAP20

nee

eee

eee eee

eee

henna

4-5

4.2.7

Changing

the

Filter.

4-6

Chapter

Troubleshooting

Тгоче$ВооНпое.

.......

лилии

5-1

5.1.1

Troubleshooting

Chart...

iii

5-2

5.1.2

Power

Switch

Wiring

ses

5-7

5.1.3

Motor

Control

Board

(MCB)

Checks

5-7

5.1.4

Blower

Assembly

Checks

5-8

5.1.5

Transformer

Checks

sise

5-9

BiPAP

Service

Manual

Chapter

continued

7.15

Verify

Zero

Function

(S-D

and

S/T-D)

7-22

7.15.1

Test

Equipment

Set-Up...................

sienne

7-22

7.15.2

BiPAP

Set-Up.......................

inner

7-22

7.15.3

Test

Procedure...

sienne

τον

7-22

7.16

Verify

Calibrate

Function

(S-D

and

S/T-D)

7-23

7.16.1TestEguipmentSet-up..........................

eee

7-23

7.16.2

BiPAP

Set-Up......

7-23

7.16.3

Test

Procedure.........................

7-23

7.17

DCP

Verification

(S-D

and

S/T-D)

eee

7-24

Z.17.1

Test

Equipment

SetUD

ini

7-24

7.17.2BiPAPSet-up..............

eee

7-24

7.17.3

TestProcedure.................e

sise

7-24

7.18

Corrective

ActonS

iii

7-25

Chapter

Parts

List

and

Exploded

Views

8.1

Wraparound

Assembly

............

errnrnkee

8-1

8.2

Exploded

View

iii

8-2

8.3

Exploded

View—Foam

Panels.…..…....................................

8-4

Appendix

Required

Tools

and

Equipment

А.1

Service

Tools

sise

A-1

A.2

Service

SUPpli8S

.ocococnonoconinncnnononcncnacrnnancannnnononcnnnnonan

caer

conan

onanan

ener

caca

conan

ener

encara

orar naar

ronnenso

A-2

A.3

Acceptable

Electronic

Test

Equipment

reee

onen

A-3

A.3.1

Flowmeter

A-3

A.3.2

Oscilloscope

suisses

A-3

A.3.3

Digital

Manometer

A-3

A.3.4

Wattmeter

iii

RSK

KOA

RSK

ERA

A-3

Appendix

Data

Sheets...

B-1

Appendix

BiPAP

Screening

Procedure

C.1

BiPAP

Screening

Procedure

sise

eee

een

C-1

Appendix

Operation..............................

D-1

Appendix

BiPAP

System

Schematics

E.1

Wiring

Diagram............

ини

ини:

E-1

E.2

Schematic

Statement..............

eee

iii

eo Ke

Renee

een

E-1

Appendix

Changes...

René

F-1

BiPAP

Service

Manual

Chapter

Warnings,

Cautions,

and

Notes

1.1

Warnings

1.2

Cautions

1.3

Notes

BiPAP

Service

Manual

Warnings,

Cautions,

and

Notes

1-1

Chapter

Warnings,

Cautions,

and

Notes

WARNING:

Indicates

the

possibility

injury

the

patient

the

operator.

CAUTION:

Indicates

the

possibility

damage

the

device.

NOTE:

Places

emphasis

operating

characteristic.

1.1

Warnings

General

This

service

manual.

does

not

provide

adequate information

allow

proper

operation

the

device

for

use

treating

patients.

Please

refer

the

device

Clinical,

Dealer,

and/or

Patient

Manuals

for

clinical

use.

This

manual

serves

reference.

should

used

conjunction

with

the

instructions

and

protocol

set

the

physician

the

institution

where

the

device

being

used.

The

instructions

this

manual

are

not

intended

supersede

established

medical

protocols

regarding

the

use

assist

ventilators.

Safety

The

information

contained

this

section

supplemental

the

warnings,

cautions,

and

notes

contained

the

Clinical,

Dealer,

and/or

Patient

Manuals

for

each

device.

Please

read

the

appropriate

device

manuals

prior

servicing

the

unit.

The

BiPAP

System

intended

for

use on

adult patients

kg)

only.

The

BiPAP

System

intended

for

use

with

Respironics,

Inc.

approved

patient

circuit

only.

Respironics

approved

circuit

consists

ο.

smooth

inner

lumen

tubing;

anexhalation

device

such

the

Whisper

Swivel®

Respironics

Disposable

Exhalation

Port

Assembly;

and

anoninvasive

patient

interface

(nasal

mask,

mouthpiece,

full

face

mask).

Additional

accessories

may

added

the

circuit

meet

specific

needs.

Every

time

changes

are

made

the

circuit

configuration,

the

delivered

pressures

must

monitored

the

patient

connection

with

the

unit

cycling.

‧

When

operating

the

BiPAP

S/T-D

System

with

the

Detachable

Control

Panel

(DCP),

the

DCP

settings

override

the

settings

the

BiPAP S/T-D

System’s

control

panel.

NOT

connect

the

DCP

the

BiPAP

S/T-D

System

while

the

unit

turned

on.

Explosion

Hazard

not

use

the

BiPAP

System

the

presence

flammable

anesthetics.

Oxygen

supports

combustion.

Oxygen

should

not

used

while

smoking

the

presence

open

flame.

NOT

add

oxygen

the

front

BiPAP

unit

(at

the

inlet

filter

opening).

BiPAP

Service

Manual

Warnings,

Cautions,

and

Notes

Warnings

continued

Operation

BiPAP

System

performance

should

verified,

described

the

Clinical

Manual,

before

each

new

patient

placed

the

system.

The

addition

accessories

the

patient

circuit

(e.g.,

heated

humidifier,

bacteria

filter,

water

traps,

and

additional

tube

lengths)

degrades

pressure

and

flow

delivery

the

patient

connection.

Confirm

that

the

delivered

pressures

and

flows

are

adequate

for

patient

management

when

circuit

accessories

are

used.

may

necessary

increase

pressure

delivery

compensate

for

the

increased

resistance

the

circuit.

When

the

BiPAP

System

used

with

heated

humidifier,

that

manufacturer’s

specifications

should

checked

confirm

that

the

humidifier

will

function

correctly

the

presence

the

continuous

flow

from

the

BiPAP

System.

Always

position

the

humidifier

lower

than

both

the

BiPAP

unit

and

the

patient.

Never

attach

oxygen

tubing

any

positive

pressure

source

the

Pressure

Port

the

front

panel

the

BiPAP

S/T-D

unit.

Service

Wiring

connections

and

adjustments

should

performed

authorized

service

personnel

ONLY.

Repairs and

adjustments

MUST

performed

experienced

personnel

who

are

fully

ac-

quainted

with

this

equipment.

Service

done

inexperienced,

unqualified

personnel

installa-

tion

unauthorized

parts

could

cause

personal

injury,

invalidate

the

warranty,

result

costly

damage.

Contact

Respironics,

Inc.

your

health

care

dealer

the

unit

fails

meet

performance

specifications.

avoid

electrical

shock,

disconnect

the

electrical

supply

before

changing

the

fuses.

Replace

fuses

with

those

the

same

type

and

rating

only.

Cleaning

avoid

electrical

shock,

unplug

the

BiPAP

unit

before

cleaning

it.

BiPAP

Service

Manual

Warnings,

Cautions,

and

Notes

1-3

1.2

Cautions

{

CAUTI

ON:

Federal

law

restricts

this

device

sale

the

order

physician.

The

DCP

cable

connector

port

NOT

standard

computer

communications

port.

Connecting

the

output

port

computer

could

damage

the

computer

and

the

BiPAP

unit.

BiPAP

S/T-D

models,

output

signal

connections

are

active.

Care

must

exercised

prevent

electrical

shorting

between

the

connections.

Only

Respironics

cables

should

used.

Use

any

other

cable

types

may

cause

damage

the

BiPAP

S/T-D

System.

For

pressure

monitoring,

use

only

tubing

with

smooth

inner

lumen.

When

transporting

storing

the

BiPAP

System,

precautions

should

taken

avoid

exposure

temperature

extremes.

exposure

such

temperatures

has

occurred,

the

unit

should

allowed

come

room

temperature

before

being

turned

on.

The

unit

should

positioned

its

base

rear

panel

for

proper

operation.

The

voltage

selector

switch

must

set

according

local

line

voltage

and

the

proper

fuses

used.

When

using

Respironics

smooth

inner

lumen

tubing

without

heated

humidifier,

the

overall

length

the

tubing

should

not

exceed

twelve

feet.

Regularly

inspect

the

DCP

cable.

Electromagnetic

emissions:

BiPAP

Systems

have

been

tested

and

shown

comply

with

FCC

Class

Subpart

15.J

requirements

and

the

IEC

601-1-2

requirements

for

electromagnetic

compatibility.

Operational

verification

medical

monitoring

equipment

used

near

the

BiPAP

System

recom-

mended

assure

that

any

electromagnetic

interference

produced

the

System

unit

does

not

affect

the

function

the

monitoring

equipment.

1.3

Notes

The

Inspiratory

Positive

Airway

Pressure

(IPAP)

and

Expiratory

Positive

Airway

Pressure

(EPAP)

controls

are

electrically

coupled.

The

unit

will

not

deliver

EPAP

level

that

higher

than

the

set

IPAP

level.

the

EPAP

control

set

higher

than

IPAP,

the

unit

will

locked

the

IPAP

setting

and

the

IPAP

Light

Emitting

Diode

(LED)

will

remain

lit.

Circuit

tubing

with

smooth

inner

lumen

and

nominal

diameter

recommended.

Tubing

with

corrugated

inner

lumen

will

cause

pressure

drop

from

the

blower

outlet

the

patient

connection.

This

may

affect

the

unit's

ability

deliver

the

maximum

pressure.

Heat

and

moisture

exchangers

should

not

used

with

the

BiPAP

System.

Testing

has

shown

that

the

ability

the

unit

maintain

the

prescribed

pressure

significantly

affected

the

addition

heat

and

moisture

exchanger

the

patient

circuit.

Additional

Warnings,

Cautions,

and

Notes

are

located

throughout

this

manual.

BiPAP

Service

Manual

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