RC Transport Vents PULMONETIC LTV 1000 Overview Electrically

1
RC Transport Vents

• Pulmonetic LTV 1000

2
Overview

• Electrically Powered
• Battery powered
• Pneumatic Input
• Compressed O2 via tank
• Compressed Air via internal compressor
• Built in O2 Blender to meter FiO2
• Modes
• VC PC CMV A/C
• VC PC SIMV
• Pressure Support Spont
• Specifications
• Mosby 8th ed. P727 Box 14-13

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Left Side of Unit

• Power Cord connector
• Pt call connect
• Comm Port
• O2 supply connect
• RA entrance with filter cover
• Cooling Fan
• Low P O2 source
• Allows for connection of O2 tubing to bleed in
• Not shown

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Right Side of Unit

• Alarm Sound Hole
• Inspiratory Circuit
• Exhalation Valve Press
• Pressurizes the exhalation valve closed on
  inspiration
• Flow Transducers
• Connect to pressure tubing connected to Pt wye
• Monitors
• Flow
• Volume
• Pressure

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Power

• AC Power
• External
• When plugged in the internal battery will be
  charged
• DC Power
• Internal Battery
• 60 minutes
• Display turns off after 60sec of inactivity, push
  any button to turn it on again
• External Battery
• Large battery
• 8 hours of use charge time
• Small battery
• 3 hours
• Car Charger adapter available

6
Battery Alarms

• LED Color Battery Level approx. Time left
• Green Acceptable gt60
• Yellow Low 30
• Red Critical 7
• Time left is dependant on current settings
• Screen will go blank to conserve power when
  necessary

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Patient Circuit

• Patient Wye
• Pressure, volume, flow monitoring
• A pulse of gas flow clears these lines once per
  minute
• Use a HME!
• Filter Heat/Moisture
• PEEP/Exhalation Valve
• Pressure line to valve pressurizes during
  inspiration to hold pressure
• Depressurizes to allow for exhalation
• Mechanical Peep Valve
• Must push in and twist to adjust
• Similar to peep valve on BVM
• Reusable
• Gets sticky from cleaning

8
Front Panel controls

• LCD Display Displays Current Data Access to
  
  additional Functions
• Upper Row Parameter Controls
• Bottom Row Main Function Buttons
• Power/Battery Indicator
• Alarm Setting controls
• Jog Dial

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Front Panel controls

• ON/STANDBY
• Vent begins ventilating with last previously used
  settings
• Press Hold for Standby
• Control SELECT
• Allows for V or P selection
• Pushing it toggles in between
• Push again to confirm
• NPPV Indicator
• Lights when NPPV is selected from extended
  features menu
• Mode SELECT
• Toggles Between A/C SIMV/CPAP
• Press again to confirm

10
Front Panel controls

• INSP HOLD
• Scroll thru display until insp hold
• Hold insp hold button down
• Release when P PLAT is displayed or after 6 sec
  elapsed
• Display will show
• Pressure change
• Plat PEEP
• P Plat
• C Static
• Volume breath only
• EXP HOLD
• Scroll thru display until exp hold
• Hold Button down
• P Plat or 6 seconds elapsed
• Display will Show
• P EXP
• AUTO PEEP
• End exp pressure - set PEEP
• V or P mandatory breath only

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Front Panel controls

• MANUAL BREATH
• Delivers currently prescribed mandatory Breath
• LOW P O2 SOURCE
• Activates Alarm Feature Changes when activated
• Used when using a low flow O2 source rather than
  50psi
• No built in analyzer on vent
• CONTROL LOCK
• Locks the control panel
• Push again to unlock
• Good for transport when the panel can get bumped
  a lot
• HARD LOCK
• Select CTRL LOCK/UNLOCK from extended features
  menu
• Requires holding down CONTROL LOCK button for 3
  seconds to get it unlocked
• Good for children in vicinity or pesky nurses and
  EMTs

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Front Panel controls

• Upper Row Control Buttons
• Displays are dim when not selected
• Select the variable you want to change
• It becomes brightly illuminated
• Use the JOG DIAL to change the value
• Change becomes active when the button is pushed
  again or after 5 seconds has elapsed

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Upper Row Control Buttons

• BREATH RATE
• 0-80 bpm
• TIDAL VOLUME
• 50-2000 ml
• Ti
• 0.3-9.9 sec
• FLOW
• Automatically selected
• Descending Ramp for Volume
• Peak flow is determined by Vt Ti
• Exponential decay for Pressure
• Available flow is 10-100 l/m

14
Upper Row Control Buttons

• PRESSURE CONTROL
• 1-99 cmH2O
• NOT added to the PEEP that is manually set
• PRESSURE SUPPORT
• 0-60 cmH2O
• NOT added to the PEEP
• O2
• Controls FiO2 when not in Low Pressure Mode
• SENSITIVITY
• Flow Triggering
• 1-9 l/m
• Base flow of 10 l/m
• Spontaneous LED lights when triggered
• Leak compensation
• Pressure triggering if airway Pressure drops to
  -3 cmH2O

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Alarms

• HIGH PRESSURE
• Opens exhalation valve and Inspiration ends when
  value is reached
• 5-100 cmH2O
• LOW PRESSURE
• 1-60 cmH2O
• Ensures at least a minimum Pressure is met
• LPPS OFF
• You can turn it off
• Good for cuffless trachs

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Alarms

• LOW MIN VOL
• 0-99 l/m
• Not active in NPPV
• LMV LPPF OFF
• Turns off Low minute volume minimum pressure
• VENT INOP
• Standby
• Insufficient power source
• Turned off
• Some condition rendering the vent inoperable
• Insp flow stops and exhalax valve opens
• Inop led is RED with continuous audible alarm
• SILENCE/RESET
• 60 second silence

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Airway Pressure Bar Graph Display Screen

• Range
• -10 -108 cmH2O
• Display screen shows data and extended functions
  menu
• Scrolls monitored values automatically
• PIP
• MAP
• PEEP
• F
• Vte
• Ve
• IE
• Flow

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Display Screen

• SELECT button
• Stops the scrolling of data on desired parameter
• Each push of button will move to next parameter
• Double clicking button resumes scrolling

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Front Panel Indicators

• PATIENT EFFORT
• EXTERNAL POWER
• CHARGE STATUS
• BATTERY LEVEL

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Extended Features

• Mosbys 7th ed.
• P.566
• T 12-34

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Apnea Ventilation

• Begins after apnea interval is reached
• Provides ventilation in A/C mode based on current
  settings for that mode

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Special Features

• Monitor Data Screen